(n.) That which impedes or hinders progress, motion, activity, or effect.
(v. t.) To impede.
Example Sentences:
(1) Impediments to the necessary growth of this subspecialty for the needs of clinical practice and research are outlined and criteria for certification are reviewed.
(2) An understanding of the possible psychologic impediments to weight loss can promote improved therapeutic intervention for the obese patient.
(3) The results suggest that chronic sunlight exposure may be associated with an impediment to normal maturation of human dermal collagen resulting in tenuous amount of HHL.
(4) In order to achieve palatal closure with the least possible impediment to maxillary growth, the two-stage repair seems to be the best procedure in our hands.
(5) Causes of these impediments to maintaining nutritional status are discussed, and suggestions to overcome them are given.
(6) The data are consistent with the hypothesis that there is a sequential increasing impediment of the programmed cascade for downstream heavy chain constant region gene rearrangements.
(7) Lack of reproducibility is a severe impediment of both current conventional and kinetic methods in the prognosis of gliomas.
(8) These organizations can greatly reduce the logistic impediments to evaluating EMS care and initiating improvements.
(9) Changes in the evaluation protocol could preclude existing impediments to provision of information and patient autonomy; however, certain intrapsychic issues must be recognized as ongoing clinical realities to be addressed as the doctrine of informed consent continues to evolve.
(10) This survey shows that the use of nondiagnostic mammography is still less than optimal, and identifies impediments to screening that need to be addressed in cancer control planning efforts.
(11) The most frequently listed impediments included patients' advanced age or fragility, inadequate health insurance, and excess travel distance.
(12) Major issues identified include operational specificity, mislabelling of procedures, relative contributions of components in multi-faceted treatment packages, and impediments to systematic replication.
(13) The clinics of a single university hospital center were observed to determine a practical rationale for and impediments to implementing a medical care evaluation program.
(14) Accurate assessment and effective response is rendered difficult due to underrepresentation or denial by the patient and countertransference impediments to recognition and limit setting by the therapist.
(15) One impediment to such a study is the absence of any identified gene whose transcription is directly dependent on the receptor-hormone complex.
(16) But, according to Ruddick, the state council is a “gerrymander”, with factional leaders creating new “on-paper” branches that meet at most once a year in order to elect a delegate to state council and keep hold of “the numbers” – presenting Liberal reformers with exactly the same structural impediment to change as is faced by Labor.
(17) Conroy said the Minchin protocol was “merely an administrative policy adopted by the Department of Finance” which was “no impediment to a police investigation into Ms Bishop’s conduct”.
(18) A significant impediment in determining the relative contribution of whole blood viscosity to the pathogenesis of cardiovascular and cerebrovascular disease has been the lack of an uncomplicated method to measure whole blood viscosity.
(19) However, the lack of data on the forms of chromium-absorption from foods by the gastro-intestinal tract, and our concomitant inability to obtain an accurate assessment of the daily mobile pool of metabolically active chromium in the human body continues to be an impediment in assessing the overall impact of chromium nutrition.
(20) The results of this study indicated that the use of a nonresorbable hydroxylapatite for grafting resulted in impediment of tooth eruption and distortion of crown development.
Necessity
Definition:
(n.) The quality or state of being necessary, unavoidable, or absolutely requisite; inevitableness; indispensableness.
(n.) The condition of being needy or necessitous; pressing need; indigence; want.
(n.) That which is necessary; a necessary; a requisite; something indispensable; -- often in the plural.
(n.) That which makes an act or an event unavoidable; irresistible force; overruling power; compulsion, physical or moral; fate; fatality.
(n.) The negation of freedom in voluntary action; the subjection of all phenomena, whether material or spiritual, to inevitable causation; necessitarianism.
Example Sentences:
(1) The indication of the DNA probe method would be considered in the four cases as follows, 1. necessity of the special equipment to isolate the pathogen, 2. necessity of the long period to isolate the pathogen, 3. existence of the cross reaction among the pathogen and relative organisms in the immunological procedure, 4. existence of the difficulty to identify the species of the pathogen by the ordinary procedure.
(2) Among 159 patients studied, the severity most frequent was Yahr stage 3 (63%) at first examination, indicating the necessity of earlier diagnosis.
(3) When a product is selected for a patient, consideration should be given to necessity, efficacy, adverse effects, and cost-effectiveness.
(4) Discussion deals with the plurality, specificity, variability, perceived necessity, sufficiency, international utility and career significance of British postgraduate qualifications.
(5) As a result of recent environmental changes in the health care industry, marketing has become a vital necessity for the survival of most hospitals.
(6) There is a necessity for early definitive decision-making in the borderline orthognathic surgery patient and the role of orthodontic camouflage is pointed out.
(7) For Kohut, interpretation depends on the prior establishment of a stable, sustaining transference; human connexion is a lifelong necessity and full understanding an achievable aim.
(8) Management and treatment issues are surveyed, such as the necessity to recognize that in some adolescents violence erupts not from narcissitic rage but from strong wishes for affectionate contact.
(9) A prospective study of the necessity of sedation, or analgesia, or both in total colonoscopy was performed.
(10) The authors report on the casuistry of aorto-coronary by-pass operations they performed between April 1971 and December 1974, discussing the criteria which indicate the necessity of operating, the principles of the operative techniques, and the results obtained.
(11) This case, despite the fatal outcome, emphasises the necessity for a comprehensive approach to the diagnosis of atypical pneumonia, including culture for Legionella, especially in immunocompromised patients.
(12) The sonographic method, with a 97.7% specificity and a negative predictive value of 89.5%, proved to be specific enough to eliminate the necessity of routine catheterization for measuring residual bladder volumes of greater than or equal to 150 cm3, thus decreasing the incidence of some major postoperative complications that can occur due to unnecessary catheterization.
(13) The development of gallstones following this procedure, however, has become more problematic in that further opeation becomes a real necessity.
(14) The necessity of using immunohistochemistry in the diagnosis of sinonasal tumours of fibromatous nature is emphasized.
(15) The experience with 1896 restorative operations on injured nerve trunks shows a necessity to consider the problems of diagnosis, prognosis and choice of the treatment, and especially the results of the nerve suture, not in all patients with nerve injury but only in separate groups being comparable with respect to the kind and severity of the trauma.
(16) Clinico-immunological studies on the use of drugs containing synthetic and biological polymers revealed their high immunomodulating activity and necessity of differentiated use of these drugs with relation to the pathogenetic mechanisms of development of bronchopulmonary diseases as well as mechanisms of their immunological action determined by the molecular mass of polymers as constituents of blood substitutes.
(17) We consider that the rarity of stricture rules out the necessity of any change in management, whether or not erosive oesophagitis is observed at endoscopy.
(18) The discrepancy between the judgement of the insurance company based upon the medical records and the patients complaints also 4-7 years after injury as well as the diversification of therapeutical procedures used in the long term patients career are indicating a necessity of prospective study on cervical spine injury.
(19) Through small and large acts of deprivation and destruction we follow the process: the removal of hope, of dignity, of luxury, of necessity, of self; the reduction of a man to a hoarder of grey slabs of bread and the scrapings of a soup bowl (wonderfully told all this, with a novelist's gift for detail and sometimes very nearly comic surprise), to the confinement of a narrow bed – in which there is "not even any room to be afraid" – with a stranger who doesn't speak your language, to the cruel illogicality of hating a fellow victim of oppression more than you hate the oppressor himself – one torment following another, and even the bleak comfort of thinking you might have touched rock bottom denied you as, when the most immediate cause of a particular stress comes to an end, "you are grievously amazed to see that another one lies behind; and in reality a whole series of others".
(20) In light of the AIDS epidemic and the necessity for safe-sex practices, the topic of caution and prevention is an emerging and critical discourse for the sexual encounter.