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"Since this is the first time diet has been implicated in an important role for determining twinning rate," Dr. Steinman said in an e-mail message, "it must be confirmed by others before rigid recommendations can be made concerning health care".
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26 In contrast, NICE 2011 is fairly rigid with regard to treatment recommendations and does not recommend different treatment approaches for patients below and above 80 years of age.
Traditionally, their approach has been comparable to the Mets', though the Phillies are not as rigid in adhering to baseball's recommendations on how much to spend in various rounds of the draft.
After a patient who did not follow our recommendations and used a rigid flat shoe without further complications and after a biomechanical study, we asked ourselves; Why not use rigid flat shoe in the first metatarsophalangeal joint arthrodesis?
The histologic type of primary tumor was classified based on Page et al [ 24], and the College of American Pathologists recommendations [ 25], using rigid criteria for classification of special types.
We would like to point out that written recommendation should not be rigid.
This more general recommendation was believed to be less rigid and would facilitate more widespread dissemination and implementation.
If lung ultrasound is to be used routinely, our recommendation is to set up a rigid procedure of disinfection that must be strictly followed.
Our findings also support guidance for the adaptation of CBT for older populations, particularly the recommendation to avoid approaches relying on rigid manualisation [ 15].
But the Brussels-based European Commission also cautioned against the temptations of debt-fueled economic stimulus, stressing in its annual review of economic policy recommendations that Europe instead needs to dismantle rigid labor regulations and remove other "structural" obstacles to growth.
Best practice recommendations need to be drawn together without making guidelines so rigid that national contexts and protocols become secondary".
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