Many children and adolescents are failing to meet current physical activity (PA) guidelines and consequently not achieving the benefits associated with regular participation in PA, with girls consistently less active than boys.
Strengthening scientific knowledge and attitude towards its continuous improvement makes clinicians more prone to systematically reflect on the way they supply care, apply protocols, guidelines and, consequently, to reach a better level of appropriateness.
Besides, repeated non-compliance should trigger the revision of guidelines to follow the evolution of practices, or the development of new guidelines to manage special cases whose increasing frequency makes them regular, usual, cases, for example, oncogeriatric guidelines, and consequently the update of CDSSs in an iterative process part of quality improvement procedures.
At the start of our study, we hypothesised that the uptake of guideline recommendations, and consequently the improvement of patient outcomes, can be achieved by designing implementation interventions that are tailored to identifiable barriers affecting the uptake of guideline recommendations in the local context of GPs [ 17, 18].
Furthermore, some Muslim participants stated that questions about sexuality are useless because every 'real' Muslim already knows the answers - the Qur'an offers guidelines for every Muslim, and consequently it is redundant to look for answers elsewhere.
Data on the efficacy of combining androgen-deprivation therapy (ADT) with I-TPPB in this group remain limited and consequently the guidelines of the American Brachytherapy Society ABSS) provide no firm recommendations.
Despite a lack of evidence supporting the superiority of 0·9percentnt saline 7, it is commonly used as a resuscitation fluid and has generally served as the 'control fluid' in large trials 8, 9. Administration of 0·9percentnt saline causes hyperchloraemic metabolic acidosis 10– 15, and consequently some guidelines recommend the use of balanced solutions as a default during resuscitation 16.
Therefore, despite the growing attention on the role of patient engagement in the management of chronic diseases, up to now, a shared, evidence-based model has yet to be developed and, consequently, concrete guidelines for practice have not yet been determined [ 1].
A better understanding of and consensus about the mechanisms underpinning the effectiveness of foot orthoses therapy is needed in order to improve foot orthoses therapy, This must lead to unambiguous guidelines that enable improved education and consequently less variation between therapists.
Nurses reported that they felt that the guideline was to be followed and consequently there was a low level of practice-based inquiry because 'you just follow the guideline' [ 22].
Because these individuals were considered nondiabetic by the new definition, only 56.0 and 59.1% fulfilled the requirements for treatment by JNC-7 (≥140/90 mmHg) and NCEP-ATPIII (based on global risk score) guidelines, respectively; consequently, 19.8 and 23.5% could potentially miss treatment.
