Such guideline explains why nacre is strong and tough while most artificial nacreous nanocomposites aere not.
In our case, 'causation' was determined by considering the interaction between contexts (i.e., the circumstances and settings of guideline use), mechanisms (i.e., the processes operating within guidelines that explain why they are used in some circumstances but not in others) and outcomes (whether guidelines are used or not).
However, the lack of awareness of the guidelines may explain why many of the practitioners in this study did not routinely provide restrictions, and many believed that one should not participate in strength-training during pregnancy.
This may explain why guidelines have evolved during the past decade, recommending a target of 10 to12 g/dl for the latest KDOQI guidelines [ 16, 17], which is narrower for ERBP (11 12 g/dl) [ 18], and much higher than the new KDIGO (9.5-11.5 g/dl) [ 6].
Various models, building on the work of Rogers on diffusion of innovations and others [ 19] have been proposed both to explain why guidelines are not used as they should be and to suggest methods for improving the use of guidelines [ 20].
"Anybody can come in with their own tailored information and explain why the guidelines are inapplicable to them".
Ms. Verner did not explain why current guidelines that ban makers of pornographic films, among other things, from even applying for grants were inadequate.
This may explain why this guideline was the one with the highest overall score.
"When the guidelines were to be updated all the GPs were invited to a meeting…They presented the guidelines and explained why they had updated them, how we should handle the patients, when to refer them to secondary care and planned follow-up.
Some of the viewpoints illustrated in the focus group discussions may in part explain why research-supported guidelines about more frequent VF testing are not being implemented effectively in clinical practice.
