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A Multiple Streams Approach to Understanding the Issues and Challenges of Lyme Disease Management in Canada's Maritime Provinces.

Int J Environ Res Public Health · 2019 · PMC6539885 · PMID 31052190

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a positive trendno p-value reported
Admittedly, this may have to happen internally given the resistance of the medical community to outsiders, yet we note the gradual increase of patient voices in research and meetings as a positive trend to that end.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.