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Third, this might be to an attitude of lack of agreement with guidelines in general because they limit autonomy and appear as giving 'cookbook recipes' [16].
Physician adherence to guidelines may be hindered by a variety of barriers, which include lack of awareness, lack of familiarity, and lack of agreement with guidelines, lack of self-efficacy, lack of outcome expectancy, the inertia of previous practice, and external barriers.
All the experiments were conducted in agreement with guidelines and the Animal Care Committee.
Care, use and treatment of mice in this study was in strict agreement with guidelines in the care and use of laboratory animal manual set out by the Institute of Basic Medical Sciences.
Others identified lack of physician familiarity and, at times, agreement with guidelines [ 16].
The nomenclature rules used were in agreement with guidelines from miRBase [ 4, 27].
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Furthermore, different studies report lack of agreement with guideline recommendations by the professionals [ 42, 43].
A prominent barrier for implementation is lack of agreement with guideline recommendations.
A wide range of attitudes of GPs towards exercise for KOA was highlighted, from GPs believing exercise should not be used i.e. they advised rest [ 24, 27], to almost total agreement with guideline recommendations for the use of exercise for KOA [ 26] [Additional File 1].
The severity of valve regurgitations and stenoses was defined according to the clinical practice guidelines at Malmö University Hospital and in agreement with ACC/AHA guidelines [ 12].
Other reasons included a lack of agreement with the guidelines (may not give good care by following the guidelines), guideline related barriers (too long, and hard to remember), and patient, physician, and system barriers.
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