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For instance, if eligible patients decline to be randomised, then this is refusal to consent (as per CONSORT); if surgeons choose not to randomise an eligible patient then this is a break in protocol (protocol violation) which must be recorded along with a reason.
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"Elegance is refusal".
I know elegance is refusal.
"Elegance is refusal," Vreeland once said.
"Elegance is refusal," Vreeland once pronounced.
Diana Vreeland said that "elegance is refusal".
"Elegance is refusal," Coco Chanel.
The most frequent reason for employment of general anaesthesia in this study was refusal of regional anaesthesia by the parturient (67 vs. 68 patients).
The most common reason for exclusion in this study at screening was refusal of consent to participate if the child were to be randomized to hospital group.
"Are you going to listen to me?" "This is a refusal," Jimmy continued, talking over the woman's voice.
If you say "no" to its preservation, this is a refusal and I will discard the sample; otherwise, if you don't reply I consider you in agreement, allowing the preservation and use of the anonymized sample".
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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