In the same guidelines, severity classification is based on FEV1% predicted, with a cut-off for the first (mild) class set at 70%.
In the same guidelines, the CDC identified various research priorities, including 'the development of media with a reliable color indicator to signal the presence of GBS to improve accuracy of prenatal culture results and facilitate prenatal culture processing at clinical laboratories with limited technical capacity' [ 14].
In fact, in 2006, AJD used the same guideline for both patients under insulin lispro and patients under insulin aspart.
In addition, even when the same guideline is used, different units vary in their adherence to it, resulting in failure to deliver effective treatment [ 24].
Many guidelines to prevent atherothrombotic diseases recommend strict control of LDL cholesterol in diabetic patients but the same guideline for HDL cholesterol control (40 mg/dl) as that used for nondiabetic subjects (4– 7).
The World Health Organization (WHO) 10-step treatment has improved case fatality, in some settings, to under 5%[ 1- 3], however, in African hospitals implementation of the same guideline has achieved poorer results with numerous reports of unacceptably high case fatality rates[ 4, 5].
At least one trial has shown that a computerised guideline had a greater impact on care than the same guideline in a paper form [ 6].
The research question that the SPRING study (Self-monitoring and PRIskntion ofactorsfactors by Nurse practitioners in the region of Groningen) aimed to answer, was: is cardiovascular risk management according to the Dutch GP's Guideline [ 3], supported by self-monitoring, more effective than standard cardiovascular risk management according to the same guideline, in primary care?
Trusts or Health Boards that had more than one unit (n = 22) all indicated that the same guideline was in use across all units.
