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It should be pointed out that the SMAA approach is more suitable for eliminating unfavourable alternatives from the decision process rather than for determining one unique best solution [7].
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However, even the most unfavourable alternative from the hypothesis point of view (non-participants in the early study period reporting 5 SE units lower SRH than participants, and 5 SE units higher SRH at the end of the study period) was associated with a highly significant decrease in mean SRH over calendar time.
As GPs in the control group probably will have difficulties to include enough patients, this alternative seemed unfavourable.
Primary chemotherapy is now considered the standard treatment for locally advanced and inflammatory breast carcinoma, a reasonable approach for operable breast cancer with unfavourable breast/tumour ratio and an acceptable alternative for all early breast cancer patients who are candidates for adjuvant chemotherapy.
In patients who undergone radical surgery, all these requirements are often unfavourable and zygoma implants represent a valid alternative in offering prosthetic anchorage [2, 6, 10].
Alternative explanations exist for these unfavourable findings.
Seed heteromorphism provides plants with alternative strategies for survival in unfavourable environments.
Seed heteromorphism provides plants with alternative strategies for survival in unfavourable environments, which may not only increase the chances of successful germination, but may also have an impact on characters of the descendants.
Similar to other authors (Kabbinavar et al, 2005), we consider that these patients, despite their unfavourable characteristics, may benefit from less-aggressive therapeutic alternatives.
Although they represent a valuable alternative to heated humidifiers, artificial noses have unfavourable mechanical effects.
But all classes were enthusiastic in using cost-free alternatives, such as attending church services and appealing against unfavourable admissions decisions.
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