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The next generation of clinical deci-sion support systems should be not only evi-dence based but also “evidence adaptive” withautomated and continuous updating to re? ectthe most recent advances in clinical scienceand local practice knowledge (Sim et al.2001). Theantibody-triggered complement activation attacks theendomysial microvasculature, leading to muscle fi berdestruction and inflammation. Atthat time, the DSM used the discrepancy criteria to determine the existence of alearning disorder, based on the discrepancy between an individual’s intellectualfunctioning and his or her academic functioning based on the use of standardscores.Anindividualwasconsideredtohavealearningdisorderifthediscrepancybetween intellect and academic functioning was in excess of between 1 and2 standard deviations (a standard deviation is equivalent to 15 points on thestandard scale)

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Jim Starcev

Jim Starcev

Sep 2nd, 2015

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