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Over?eld cautioned those usingthe Denver Developmental Screening Test (DDST) because itsdevelopment was based primarily on Caucasian children. On the other hand, an unsatisfactory functional outcome has been associ-ated with a two-stage exchange [2, 47, 53] On the other hand, an unsatisfactory functional outcome has been associ-ated with a two-stage exchange [2, 47, 53].
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