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A reference standard (judgement correctness) was generated from the same patient case records.
If CV had been diagnosed previously, the expert clinician had to redetermine the diagnosis based on his/her gold standard judgement.
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In a recent multicentre randomised controlled trial (RCT), Jensen and colleagues randomised 1,200 critically ill patients to either a standard clinical judgement arm (blinded to PCT levels) or a PCT-guided treatment arm with a mandatory drug-escalation algorithm and antimicrobial guidance based on daily PCT measurements [ 7].
Even though these standards (substituted judgement and best interests, or subjective and objective standards) are imperfect, they are the best we have.
But if it becomes, as it has in many schools, a regular checking of your standards and judgement on your ability to stick to the folder of policies, then it becomes wearing and gives a sense that someone, somewhere is keeping a perpetual record on how you're performing against perceived Ofsted criteria.
According to Berlin, philosophy concerns itself with questions such that not only are the answers not known, but neither are the means for arriving at an answer, or the standards of judgement by which to evaluate whether a suggested answer is plausible or implausible.
In the absence of a definitive "gold standard" for the judgement, it is desirable to try and bring novice professionals' judgemental risk thresholds to the level of competent professionals as quickly and effectively as possible.
The trend that the binding constants vary with increasing temperatures is also the judgement standard of the quenching mechanism.
In order to enforce periodic rotation and pitching of the rotor and relative motion between rotor blades, the moving overset grid technique is extended, where a special judgement standard is presented near the odd surface of the blade grid during search donor cells by using the Inverse Map method.
In this regard, one may wonder whether we can use the 'substituted judgement' standard.
For each of the eligible articles, the following data was extracted independently by two researchers (Zhang and Fang): first author's surname, year of publication, study origin, study objects, measuring method, positive judgement standards, and so on (Tables 1, 2, and 3).
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com