"There was a strong suspicion".
The positive predictive value of cultures is estimated to be above 95% but in BSI the overall positivity may be as low as 30 to 40% despite proper implementation of standard procedures, adequate blood volume collection and substantial clinical suspicion of BSI [ 16- 18].
Thus, the diagnosis of GMA requires a substantial degree of clinical suspicion, especially when patients present with recurrent postprandial abdominal symptoms and characteristic extraintestinal signs of allergic disease are not clearly observed.
Because several long shots were among the winners, the payoff was substantial and immediately raised suspicions about the unusual bet.
Although maltreatment as a cause of injury is estimated to be only 1% or less of the injured children attending the emergency room, the consequences of both missed child abuse cases and wrong suspicions are substantial.
Although maltreatment as a cause of injury is estimated to be only 1% or less of the injured children attending the emergency room (ER) [ 5], the consequences of both missed child abuse cases and wrong suspicions are substantial.
"And there are substantial grounds to justify that suspicion.
David O. Selznick loaned out his leading contracted director for two RKO pictures in 1941: Alfred Hitchcock's Mr. and Mrs. Smith was a modest success and Suspicion a more substantial one, with an Oscar-winning turn by Joan Fontaine.
In conclusion, our findings provide evidence that in children with AAI and clinical suspicion of fracture, a substantial proportion of fractures could be missed initially because radiographic evidence of such fractures may not appear until weeks after the initial injury.
A recent study by New York City's health department found that about 57percentt of nonsmokers had been exposed to substantial levels of cigarette smoke, raising suspicions among experts that apartment dwellers might be susceptible to secondhand smoke from their neighbors.
