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On the other hand, IRBs that permit PCSTs without relevant consultation risk approving potentially harmful research, the outcomes of which are not viewed as valuable to patients.
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"If decisions cannot wait they may be handled by temporary arrangements or following relevant consultation with the opposition," the manual says.
However we found that referral guidelines are not generally routinely used in relevant consultations.
This has been proposed without consultation, without bargaining, without even any concept of shared sacrifice.
Rules can be imposed from above, without consultation and without taking account of the specifics of pastoral enterprise.
Thus, patients with persistent medically unexplained physical symptoms had at least four consultations with symptoms from one cluster of the 'Robbins-list', without having a consultation for a medical diagnosis within the relevant episode.
The first privatisation without formal consultation.
Too often, removals happen without any consultation.
Decisions are made without due consultation.
Smith acknowledged that he made his decision without much consultation.
His government has drafted and passed bills without public consultation.
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