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Although not technically national standards, they are ardently backed by the Obama administration and education officials who contend that outdated and inconsistent guidelines leave students ill prepared for college and the work force.
The report issued by Mrs. Whitman's panel in 1998 described a system in crisis: poorly paid, undertrained caseworkers given unmanageable caseloads; supervisors who provided little oversight; and unclear and inconsistent guidelines on how to evaluate the danger of any particular home and when a child should be removed.
These inconsistent guidelines increased the uncertainty of women making a decision regarding BSE.
The disagreement about surgical management and the inconsistent guidelines for operative procedures are unsatisfying.
Multiple – and often inconsistent – guidelines have been developed in Europe and the United States to advise the use of thromboprophylaxis in patients with cancer.
Knowledge that celiac disease can be a cause of iron deficiency was poor in a recent survey of hematologists in the US, 165 and erratic screening practices in patients with diabetes reflect a lack of and inconsistent guidelines.
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The score range was from 0 (knowledge minimal and inconsistent with guidelines) to 39 (knowledge maximal and consistent with guidelines).
But many of the doctors said they would also recommend the screening for a 35-year-old woman whose cervix had been removed but who had no history of cancer; testing in that situation would be inconsistent with guidelines.
For some diseases and questions of interest, sufficient and/or good quality scientific evidence about what to recommend is lacking [4] and subjective recommendations may sometimes be inconsistent across guidelines by different societies, or even harmful [5], [6].
38 As outlined above, based on these inconsistent results, guidelines published by UN, Japan and Italy recommended different drugs for the treatment of severe sepsis-induced coagulopathy.
The spread across range and IQR for each domain shows that scores for all domains were inconsistent across guidelines but more so for editorial independence, rigour of development, then applicability, followed by remaining domains.
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