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The ideal guidelines for public reasoning would ensure that the discussion is inclusive, public, and free from any internal or external coercion, that anyone may raise a point that they believe is relevant to the topic at hand, that any participant is allowed to challenge the rules for agenda setting, and that discussion continues until a consensus is reached (Habermas 1996, 304 305).
While these may be ideal guidelines, more focused applications may not require as much training, and a degree of flexibility should be allowed to ensure that training does not interfere with treatment access.
However, such local standards are often aspirational, rather than grounded in practicality, and open to interpretation given a lack of national standards, protocols and algorithms, particularly where the realities of healthcare depart from ideal guidelines.
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In an ideal world, guidelines developers would employ a unified system to rate the quality of evidence and strengths of recommendations[ 11].
In an ideal world, guidelines regarding optimal timing of AV access surgery and physicians' recommendation to patients in this arena should be grounded in a thorough understanding of the natural history of advanced CKD.
When I was at WHO working on the Global Strategy on Diet and Physical Activity, we proposed to the then heads of nutrition and agriculture at FAO that we undertake a joint piece of long-term work that aimed to consider what the agricultural supply should look like in a world of the 2030s assuming people consumed according to our ideal nutrition guidelines.
On the other hand, the ideal WHO guideline for nighttime outside noise levels of 40 dB may be too restrictive in areas where buildings are heavily insulated.
Rather, philosophy provides a set of ideal rules or guidelines for the conduct of public reasoning.
Patient, practitioner, health care system and society related factors can all contribute to the less than ideal adoption of guidelines [ 12].
However, two very different thoughts were expressed by interviewees about the ideal format of guidelines: that they must be simple and quick to read and that they should be detailed and thorough.
In reality, generating an ideal set of guidelines for the gene therapy of complex diseases is not a simple task of linking mutant genotypes with the tools that are able to modify the expression of a number of genes.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com