Previous research has indicated there is a variation in the organisation of DGA services, for example, some services have an "absence of agreed referral protocols and lack of, or unstructured approach to, pre-operative treatment planning consultation and assessment" [ 2].
An absence of detailed written protocols and poor documentation of research is common.
Despite these results, several studies have had contradictory findings, and all were limited by small sample size, marked differences in population characteristics, and an absence of a specified ultrasound scanning protocol [16].
Most available IMU-research regarding the shoulder is clinically less relevant, given the widely reported humerothoracic kinematics which do not add to clinical-decision-making, and the absence of protocols assessing the complete upper limb chain.
Results of the regression models indicated that bulk milk ELISA value was associated with season of sampling and the presence or absence of protocols for managing MAP-positive cows.
Previous studies exploring interprofessional responsibility for ventilation and weaning decision making in Australia, New Zealand, and Denmark found that physicians and nurses actively collaborated in the management of ventilation and weaning, generally in the absence of protocols [ 5- 8].
Given the absence of protocols for scheduling, reception, and patient care within primary healthcare, accessibility is greatly influenced by the units' organizational characteristics, which reflect the different local management and professional profiles [ 12, 19].
"The core business of the Birmingham Safeguarding Children Board was characterised by inattention to procedures and protocols and an absence of reasonable judgment when making decisions about Keanu in a number of instances.
However, in the face of a high frequency of bacterial contamination and an absence of positive cultures, we adapted the protocol as follows, after the first year of the study.
Inclusion criteria in our protocol were: (a) absence of I uptake after a therapeutic I dose; (b) demonstration of loco-regional metastatic spread by Sestamibi scan and high resolution neck ultrasound (SU); (c) a clear uptake of Sestamibi in neoplastic lesion(s).
