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It can occur withdoses as low as 18–22Gy and will occur in most patients receiving more than 40Gy usingconventional fractionation.
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Clearly, theability to evaluate research critically is vital for determining “the strength or weakness ofthe scientific support for a specific intervention or diagnostic technique” (Mullen, 2007),but many practitioners continue to report difficulty judging the adequacy of the statisti-cal analysis or research design employed in clinical outcome studies Metcalfe, Lewin,Wisher, Perry, Bannigan, & Klaber Moffet (2001). In older children, the growth plate may conversely act as a barrier to spread ofinfection in the joint
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