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In the past health-care institutions were dominated by physicians and nurses, who, in addition toservice delivery, also played most of the key administrative roles

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[45] compared broad-range PCR ofmaterial dislodged from replaced orthopedic implants using vortexing and sonication(sonicate fluid) with synovial fluid culture, tissue culture and culture of sonicate fluid.The combination of sonicate fluid culture and PCR (78.5%) had a higher sensitivity thansynovial fluid (64.7%) or tissue culture (70.4%).

2010 ;Cheifetz and Hamel 2006; Cheifetz 2011a ;Abdelsalam and Cheifetz 2010).