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Given that guideline implementation is complex, the expertise and activities required to implement guidelines differs from the expertise and activities required to develop them.
Given that guideline adherence requires the use of topical and systematic therapy before beginning biologics use, only 34 patients (16.7%) met the guideline requirements.
Given that guideline adherence is a complex psychological phenomenon shaped by the individual as well as by the context, future research should further examine the reasons of non-adherence to guidelines.
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The presence of these issues within the top ten priorities of the practitioners, but not in the research agenda of the guideline seems anomalous given that guidelines generally recommend that low back pain should be managed in primary care [ 1].
Given that guidelines are mostly disease-oriented, they have been the subject of much criticism in primary care literature, partly due to potential conflicting recommendations when implementing those guidelines with patients presenting multiple concurrent chronic conditions [ 9- 12].
Given that this guideline is based on fasting plasma glucose, the recommended case finding might have also affected the reported overlap of the classifications based on the HbA1c level and the OGTT.
This, on reflection, should not have been surprising given that the guidelines produced in 2000 recommended ward closure (and in these guidelines it was a strong recommendation) as one of the measures to control an outbreak of diarrhoea and vomiting.
Moreover, given that the guidelines are an integral part of the overall process, the failure to adopt such guidelines blocks the negotiations.
Local consensus was regarded as being present when explicit information was given that the guidelines had been developed at the hospital or when major adaptations had been made to external guidelines before introduction at this hospital.
That type of analysis doesn't make sense given that the guidelines are voluntary, said Margo Wootan, director of nutrition policy at the Center for Science in the Public Interest.
In New York, questions about the evaluation system are widespread, given that state guidelines grant significant authority to principals and teachers to decide how student learning should be measured.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com