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Initial labs will stress observational skills , but the goal of each will be to understand the careful and deliberate process of experimental design , execution , and the interpretation of results . States could reduce costs through wholesale and indiscriminate transfer of patients from skilled nursing homes to intermediate care without careful and independent medical review of each patient 's health care needs . The fact an offender shows any propensity toward this kind of conduct , regardless of his unblemished past , is cause for great concern and for a very careful and judicious approach to sentencing . Finally , be very careful and cautious in your use of " reply . A popular undergraduate major at Pitt , history develops skills ( research and synthesis , critical reading , careful and clear writing and speaking ) that are critically important in politics , law , business , teaching , and public relations . While the effort to collect encounter data should proceed in a careful and deliberate manner , changes in payment methodology based on risk adjustment should not be implemented until complete and reliable encounter data are available .