This design feature inhibits clearer delineation, whether the observed differences in the VAS performance were due to the different sample, differing professional experience amongst staff, the alteration of the design (scale versus ruler), the immediate feedback of the result on the score or the provided recommendations.
Undocumented design changes: During implementation, project staff may introduce alterations in project design and intended outcomes that they believe are necessary accommodations to get past unanticipated hurdles or design oversights.
A pharmacist's expertise in pharmacology, pharmacotherapy and pharmaceutics ensures they have the requisite capabilities to offer suggestions to other healthcare staff on possible alterations to a patient's therapy [ 10, 11].
As described previously [ 7], the MET system can be activated by any member of ward staff when patients develop predefined alterations in heart rate, blood pressure or respiratory rate, or when – for whatever reason – a member of staff feels worried about the patient.
The Dolphins also announced significant changes in the offensive coaching staff, suggesting that there may be major alterations on the offense, which has been led since 1983 by quarterback Dan Marino.
There were repeated altercations with staff and a number of complaints from other residents about her behaviour.
Groff (then in his final weeks on staff) lazed on the guest couch, making subtle alterations to the script.
"We have set out our policy," the president's chief of staff, Jack Lew, told "Fox News Sunday," when asked if more alterations were forthcoming.
It's unlikely that the Yankees have already decided which free agents to pursue, so the fact that Steinbrenner has alterations all but wrapped up probably means that Manager Joe Torre's coaching staff will be gutted.
But in a letter dated Jan . 22 , 2007Mr. Tierney said he and his staff had decided that the building's "structural instability" and changes to its original form through alterations precluded it from consideration as a historic landmark.
