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First, as we demonstrated in this study, the Determine™ TB LAM urine test is a true clinic-based, point-of-care test that can be used by trained nurses in peripheral clinics or remote settings without electricity or reliance on laboratory infrastructure.
However, that assumption may not be true in clinics where free drug samples are dispensed, wherein there may be a gap of weeks to months between the office visit when treatment was started and the first ICS/LABA prescription drug fill, resulting in a bias in follow-up time.
8 From a clinical prospective, the uncertainty about the patient's true BP at clinic measurement may cause uncertainty in treatment decisions.
The same was true in one clinic after another.
That's not true of our clinic, we're not set up that way.
This was true at the clinic level in all three countries and at the hospital level in Ghana.
The same is true of health clinics, meaning a routine, treatable illness can often prove fatal.
But it's also true that attacking clinics, birthday parties (fourteen people were killed at a boy's birthday party in Ciudad Juárez on Friday), and holiday crowds has become a popular way for Mexican crime groups to make opaque but powerful statements about their own impunity and mercilessness.
This is especially true in urban clinics that serve a predominantly low socioeconomic population.
As such, the data may under-represent the true contributions of clinics and/or CHWs who were not involved in the pilot.
However, this may not hold true for community-based clinics participating in clinical research.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com