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Even though Syria and Iraq do not have national guidelines, the Syrian Ministry of Health refers to the CIOMS guidelines and the ICH-GCP [ 21], while, on its website, the Iraqi Ministry of Health refers to guidelines extracted from an unknown reference, but mentions these with respect to Islamic law [ 22] (See Table 3).
Similarly, on the original rubric, there was a dimension titled "Student-directed Learning," which included the following attributes: refers to guidelines of rubric to direct work, divides and completes tasks, negotiates roles within group, checks for understanding regarding process and/or content, and provides peer feedback, assistance, and/or redirection.
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"I was too young and too old," he said, referring to guidelines for dispensing the scarce vaccine to only the most vulnerable people.
By 'failure' we refer to guidelines by NICE National Institute for Health and Care Excellencee) ([2002]) which stipulate a benchmark for hip implant revision of 10% at ten years, commonly translated to 1% per year of the life of the implanta.
Some protocols refer to guidelines or protocols for the determination of death [ 14, 15].
There are no guidelines for antimicrobial prescribing in the Caribbean and we referred to guidelines tailored for health care systems that do not exist locally or regionally.
On the other hand a few GPs reported that they referred to guidelines to avoid having sole responsibility for uncomfortable rationing decisions.
Forty-five percent of guidelines included evidence on cost-effectiveness, 68% referenced or referred to the Cochrane library, 68% referenced or referred to guidelines of other countries, and 55% were based on those of at least one other country.
British general practitioners, when interviewed about use of guidelines, said that they referred to guidelines for cases that they encountered either most commonly or most rarely in practice [ 12].
In addition, doctors do not typically refer to guidelines for every patient they see, particularly in areas where they are able to practice without seeking further information, and in these areas our data collection will be more limited.
The fact that clinicians do not routinely refer to guidelines, that they are time poor and have many competing priorities, suggests that tools to address the fragmented care present must be simple and effective.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com