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Before guidelines can be revised, there is a case to be made for seeking robust clinical trial evidence, a scientific endeavour currently undertaken by the Randomised Ambulatory Management of Primary Pneumothorax study (RAMPP) [10].
Those authors have stated that it is essential to replicate those trials in confirmatory studies before guidelines can be fully adopted by clinicians.
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Before any guidelines can be put in place, however, NSERC noted that universities must first define what constitutes a postdoctoral appointment.
Further validation is required before practical guidelines can be formulated with respect to these preparation steps.
Well-designed, standardised studies evaluating exercise or nutrition interventions are needed before treatment guidelines can be developed.
While their results reinforce previous studies, further investigation is needed before comprehensive practice guidelines can be established.
Additional steps are required before the set of guidelines can be validated and implemented.
Further confirmatory studies and a thorough consideration of the risk-benefit balance will be needed before changes to treatment guidelines can be recommended.
Further study, however, will be required to clinically confirm the validity of the correlations between BMD loss and reduced muscle strength determined in this study before widely applicable clinical guidelines can be generated.
However, before more differentiated exercise prescription guidelines can be used as clinical treatment guidelines, its medium to long-term efficacy should first be evaluated in more large-scale randomized controlled clinical trials.
EMS providers may require more time to gain proficiency in the guideline changes before the full potential of the guidelines can be realized.
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