The reported 5-year survival in patients undergoing repeat resections of their liver metastases is in the region of 35 40% (Yamamoto et al, 1999a; Beard et al, 2000; Muratore et al, 2001; Suzuki et al, 2001; Yamada et al, 2001a; Gazelle et al, 2003) and therefore a follow-up aimed at detecting these resectable recurrences is useful and should be instigated at 6 months.
In other areas schools-based smoking cessation was viewed as being inappropriate because it was felt that smoking cessation should be instigated by an individual's desire to quit.
Where symptoms are suggestive of metastatic disease, appropriate investigations targeted to the respective organs should be instigated.
In addition, the facilitators felt that the 'buddying-up' system (the facilitators created and provided the opportunity and time for group members to exchange contact details) should be instigated and initiated by the group themselves, not the facilitators, as some group members found the concept of buddying too intrusive.
Charlie Wood, one of the co-founders of Underbelly, suggested a voluntary tourist levy should be instigated, but made it quite clear that if this was to happen the proceeds should not go to Edinburgh City Council but an independent trust that would then distribute the monies raised.
Infection can be prevented largely by good hand hygiene, although some healthcare settings and communities may be prone to the aerosolization of contaminated human excreta, and in these cases, precautionary measures should be instigated accordingly (11, 12 ).
I think contributions for a fitting Mac Millings monument should be instigated," says Ian Copestake.
Ideally, active mitigation techniques involving physical alterations such as sub-slab depressurization should be instigated, as these methods are more effective [ 150].
Case series that rigorously and systematically describe the effect of treatment on a consecutive series of patients with musculoskeletal pain at the end of life should be instigated.
Given this finding, appropriate antibiotic prophylaxis should be instigated perioperatively, 65 and immediate presumptive treatment with broad-spectrum antibiotics should be undertaken if there is any clinical suspicion of infection after surgery for child and adolescent meningioma.
