PCR assays have been developed and are more sensitive than conventional parasitological and serological methods, but presently, their use is restricted to specialised reference laboratories and research institutions outside endemic areas [ 154, 155].
A relevant point of attention is, however, that both centres represent highly specialised, reference centres for ovarian cancer surgery, emphasising once more the tight association of surgical excellence and low operative morbidity (Aletti et al, 2009).
In cases of BI-RADS 4 or 5 or of dissent findings (BI-RADS 1/2 vs 3 vs 4/5), the documents are sent to a highly specialised breast reference centre.
Outpatient clinic homes (CS, CP, RA), specialised centres (CP), reference centres (CP, NMD) and university hospitals (SSc).
The organisation said the 330mm rockets were "of a type not listed in standard, specialised, international or declassified reference materials".
Its aim is to provide tailored and practical advice and/or reference to specialised health care, and to bridge the gap between Sense and this, more intensive, specialized help.
Nine websites also include at least some information or references to specialised research facilities.
We tried to identify all the relevant trials in a range of databases including conventional and specialised databases and also hand-searched reference lists of relevant reviews and articles for additional studies.
This opening releases a colony's winged migrants, but it also compromises the integrity of the gall as a physical boundary to predation [ 11] and, in P. spyrothecae, is the reference point for the specialised spatial distributions of the various gall morphs [ 20].
Fourthly, we used multivariable generalised linear models with a logit link to compare the odds of both the composite outcome and mortality with hospital specialisation, from the least specialised hospitals (lowest fifth) to the most specialised hospitals (highest fifth the reference category).
The frequency of CE is very similar, considering only difficult calvings and those with veterinarian assistance: from 3% to ∼8%, and up to 14% for first calving in the previous listed references (except for the specialised Italian Piedmontese beef cattle breed in Carnier et al., 2000).
