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Complementary analyses using item response models to study the difficulty of items and their homogeneity in relation to the rest of the questionnaire could be useful, as could differential item functioning analyses, so as to study scores not solely as overall averages but also according to sub-groups, for instance healthcare departments, medical specialities or case-mixes.
Early detection of infection would require mass screening of pregnant women and this seems not to be justified based on the results of the present study, the difficulty of making a consistent diagnosis of an acute infection, the lack of discriminating factors or even the absence of clinical factors, and uncertainties about efficacy and adverse effects of antibiotic treatment.
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The influence of those earlier studies, the difficulty of keeping up with the latest research, and the role of anecdotal evidence or reports from dishonest patients mean new research doesn't necessarily change old habits.
"Patients don't come with a sticker on their forehead saying what the diagnosis is," said Renee Hsia of the Institute for Health Policy Studies at UC San Francisco, who has studied the difficulty of making snap diagnoses at the ER.
The study acknowledged the difficulty of diagnosing asthma in the studied age group.
The study recognizes the difficulty of evaluating CD under straightforward mechanisms.
And his new play, which follows The Shape of the Table and Pentecost in dealing with the fractious new Europe, offers a detailed, engrossing study of the difficulty of reconciling opposing nationalist forces.
More generally, and most importantly, the Hruschka et al. study highlights the difficulty of tracing influence in networks and of determining the mechanisms through which that influence operates.
The study underscores the difficulty of interpreting cross-community comparisons of intervention outcomes in an environment of changing risks and neighborhood dynamics.
Not the first film to take on the anti-apartheid fighter, but the most far-reaching to date, it's a case study in the difficulty of cramming extraordinary lives into the blocky strictures of Attenborough-style biopic.
I.L. mentions the many well-behaved people who visited the study, but the difficulty of preserving it from "nature" and "human nature". The Elmira College site was the only one that pleased the whole family.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com