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Many middle managers and leaders working in aged care have limited opportunities to prepare for these roles and lack clear, congruent guidelines to support them in the roles' responsibilities [ 41, 54].
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Treatment was congruent with guidelines in 68% of our sampling cases, when both type and dosage of the medications were considered.
In more than half of the cases, treatments not congruent with guidelines were due to inappropriate treatments with antidepressants; the remaining cases of non-concordance were due to the absence of psychotropic treatment or to inadequate dosage.
Working partnerships between the public health sector and community based organisations with a true involvement of women and men from practicing communities will allow for more sensitive and congruent clinical guidelines.
Our results suggest that clinicians have rapidly adopted the use of sitagliptin in the management of type 2 diabetes, but in most cases it is being used as add-on treatment rather than initial monotherapy (congruent with guidelines during the time of our study).
We will compare allopurinol with febuxostat in gout using appropriately titrated doses of both agents and a "treat-to-target" strategy congruent with specialty guidelines.
These threshold difficulties are congruent with the guidelines for the rating scales [ 42] in which calibrations increase monotonically with category number [ 37, 43].
Eight-four patients (74.3%) were prescribed with at least one treatment congruent with CANMAT guidelines when considering only the type of the treatment.
This wide time window of 180 days, although congruent with VHA guidelines for the routine baseline MetMon process, needs to be re-evaluated and narrowed down, so that optimally the monitoring event occurs at the index date.
However, to address their concern that the composition of a low-GI food may not always be congruent with nutritional guidelines, our suggestion would be to consider a GI claim in conjunction with a healthy food profile.
Guidelines generated without a systematic search of the literature and without systematic review of all the supporting evidence would be more likely to reflect the biases of developers and it would not be surprising if they were congruent with other guidelines in the same area.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com