Our study style has three principal limitations. First, there was no evaluation group comprising individuals who were treated in rural configurations without the ECHO model. The barriers to treatment are so formidable and concerns for safety so excellent that in 2004 minimal patients with HCV disease in rural and frontier areas of New Mexico were receiving treatment. Second, we were unable to randomly assign providers to an organization using the ECHO model or a control group without ECHO support because we’re able to not really ethically encourage control companies to take care of HCV infection without teaching; in addition, we’re able to not assign patients owing to the nature of the study randomly.The outcomes of our primary final result analysis weren’t materially changed when all the children without results on full-level IQ testing were categorized as having an IQ rating of less than 85. We found zero significant between-group distinctions for many secondary outcomes assessed, including 10 of 11 psychometric test scores. Prioritizing assessment of IQ as the primary outcome meant that various other exams had been curtailed if the assessor identified that the child cannot maintain adequate performance. Hence, our study was not powered for many of these comparisons adequately. Most point estimates favored the hypothermia group, although differences were modest.