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The currently recommended monitoring guidelines suggest leflunomide dose reduction or discontinuation when ALT levels are more than two to three times the normal level [ 24].
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These events are rare but serious, and guidelines suggest monitoring complete blood counts in patients on efalizumab.
48 52 Accordingly, the four national recommendations and the 1996 ACR guidelines suggest monitoring every 1 3 months, with initially more frequent assessments.
In intensive care patients, the S3 guidelines suggest monitoring means of intrathoracic blood volume, Doppler, B-mode and/or transthoracic echocardiography (GoR: 0).
Current guidelines suggest monitoring of TC [ 40] or the TC/HDL cholesterol ratio [ 41] in patients with RA and the use of these parameters in risk score models, similar to those recommended for the general population [ 42].
The gradual loss of blood from the gastrointestinal tract, as well as chronic inflammation, often leads to anemia, and professional guidelines suggest routinely monitoring for this.
Arizona's guidelines suggest cafeteria monitors be trained to "intervene quickly to help prevent trading of food or bullying activities".
Other methods to measure hand hygiene activity include measuring consumption rates of hand hygiene products, such as alcohol rubs, 45 and electronic systems for monitoring compliance, 46 but the WHO guidelines suggest that direct observation is still the gold standard.
Similarly, European AIDS Clinical Society (EACS) and BC CfE guidelines suggest more frequent monitoring of liver enzymes and renal function for patients taking hepatotoxic or nephrotoxic drugs, or patients with elevated risk of liver or kidney disease due to factors such as hepatitis C co-infection and diabetes [ 5, 9].
In addition, the guidelines suggest that brokers should limit the use of their personal cellphones and that companies should not allow the use of instant messaging or pin messaging if they cannot monitor it properly.
State sentencing guidelines suggest 30 months for a first offense.
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