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Due to simultaneous data collection and analysis (23) the guide that included topics such as perception of obstructed labour, decision process during care seeking in case of obstructed labour, selection of referral site and experience of skilled care at birth, was revised as new ideas emerged.
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More details on the selection of referrals are available from a previously published study [ 9].
First stage sampling was for selection of HSD referral facilities based on ownership [public/PNFP] and type [hospital/upgraded Health Center IV].
The prevalence rate in the present study was higher which most probably was due to selection of only referral cases as well as smaller sample size.
Conclusions: Selection of patients for referral and invasive testing for Rh D alloimmunization may be improved with the use of an antibody-dependent cell-mediated cytotoxicity assay.
However, each network was also recommended to develop clinical guidelines on the selection of patients for referral to the specialist team [ 5].
These limitations of current screening algorithms emphasize the need for alternative approaches to improve the selection of patients for referral for right heart catheterization (RHC), the 'gold standard' test for the diagnosis of PAH.
Differential selection of patients for referral to x ray in this study is suggested by the age and gender characteristics which link with the attribution of OA on the forms.
The main strengths of the present study include the availability of an unselected patient population (thus reducing the risk of selection and referral bias), the availability of clinical data which had been prospectively collected during routine clinical work independently of the study hypothesis, and the complete follow-up.
These features reduced the risk of selection, referral, and information biases and its results are generalisable to patients of all ages with cancer at any site.
Part of these differences can be explained by the high percentage of patients with type 1 diabetes in the sample of Gazis et al. (18%) and partly by the fact that their sample consisted of patients from a large specialty foot clinic who, because of selection by referral (4), were likely to be sicker than patients in the population-based sample used in this study.
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