Barely Significant
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“may be significant”

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In the literature

On the other hand, it should be considered that in chronic painful conditions, especially neuropathic injuries such as in shingles, post-herpetic and trigeminal neuralgia, and in more subchronic hypersensitivies such as following burn injury [ 130 , 131 ] or even sunburn [ 28 , 132 ], the phenotypic sensory change is such that mild tactile stimulation and stroking can now be perceived as highly painful in the affected dermatome, and accordingly there may be significant anti-allodynic benefit to P2X3 antagonism, with the potential even for topical application.
However, there may be significant risks associated with clinicians missing an underlying autism presentation, particularly if this leads to unnecessary medicalised treatment of a misdiagnosed alternate mental illness such as schizophrenia or bipolar disorder (Au-Yeung et al., 2019 ; Luciano et al., 2014 ; Van Schalkwyk et al., 2015 ).
In terms of horizontal coordination, the results indicate that public agencies serving major metropolitan areas—such as the great Houston, Austin, San Antonio, and Dallas–Fort Worth regions, all exhibit relatively higher levels of content and relational coordination with the rest of the public organizations in the ecosystem, implying that the scope of service, as well as heightened disease risk in these areas, may be significant external forces driving such coordination.
if entry screening is implemented, States should take into account the following considerations: it offers an opportunity for individual sensitization, but the resource demands may be significant, even if screening is targeted; and management systems must be in place to care for travelers and suspected cases in compliance with International Health Regulations (IHR) requirements ” [ 5 ].