... doi:10.1186/1748-5908-6-62 Cite this article as: Hsu et al.: Applicationof GRADE: Making evidencebased recommendationsaboutdiagnostictestsinclinicalpracticeguidelines Implementation Science 2011 6:62 Submit ... from Page ofclinicalpracticeguidelines to facilitate implementation and strengthen confidence inrecommendationsaboutdiagnostictests The particular challenges ofmakingdiagnosticrecommendations ... transparency about the assumptions underlying the recommendations, including recommendationsabout the use ofdiagnostictests Thus, the guideline enterprise requires methods for engaging developers of recommendations...
... Examining the influence of clinician decision making on adherence to a clinical guideline Psychiatr Serv 2009, 60(5):698-701 McCormack JP, Loewen P: Adding "value" to clinicalpracticeguidelines ... public involvement programs inclinicalpracticeguidelines development and implementaFigure tion Conceptual framework: Patients and public involvement programs inclinicalpracticeguidelines ... H: Attributes ofclinicalguidelines that influence use ofguidelinesin general practice: observational study BMJ 1998, 317(7162):858-861 Boivin A, Légaré F, Gagnon M-P: Competing norms: Canadian...
... Examining the influence of clinician decision making on adherence to a clinical guideline Psychiatr Serv 2009, 60(5):698-701 McCormack JP, Loewen P: Adding "value" to clinicalpracticeguidelines ... public involvement programs inclinicalpracticeguidelines development and implementaFigure tion Conceptual framework: Patients and public involvement programs inclinicalpracticeguidelines ... H: Attributes ofclinicalguidelines that influence use ofguidelinesin general practice: observational study BMJ 1998, 317(7162):858-861 Boivin A, Légaré F, Gagnon M-P: Competing norms: Canadian...
... risk of recurrent TB CORTICOSTEROIDS IN OTHER FORMS OF EXTRAPULMONARY TB Credible evidence from clinical trials for the use of corticosteroids in other infrequent forms of TB, such as genitourinary ... imaging of the brain was also performed in a subset of patients in this study.36 It was found that use of corticosteroids possibly reduced the risk of developing hydrocephalus and vasculitic infarcts; ... tuberculosis-induced production of VEGF in vitro 39 However, clinical significance of these laboratory findings is unclear Thus, while credible evidence exists to support the beneficial effects of corticosteroids...
... those implementing innovations such as new guidelines and EBPs in medical settings should consider multiple levels and contexts including the innovation itself, the individual professional, the ... governmental/funding agencies and provider agencies [7] Challenges in administering day-to-day operations of clinics, including leadership abilities, high staff turnover, and need for adequate training and clinical ... [13-17], much of the existing evidence is from outside the US [18-20] or outside of healthcare settings [21,22] With regard to implementation ofevidence and guidelinesin medical settings, systematic...
... we need guidelines for guidelines: a study of the quality ofclinicalpracticeguidelinesin Australia Med J Aust 1996, 165:574-576 Boluyt N, Lincke CR, Offringa M: Quality of evidence- based pediatric ... benefits of doing what we know works, it is essential that we find ways of implementing evidence into practice One way of supporting implementation ofevidence is through evidence- basedclinicalpractice ... Selecting topic • Determining the scope of the CPG • Identifying and adapting existing CPGs • Forming a multidisciplinary guideline development group • Involving consumers • Establishing clinical...
... efficiency of feeding under various scenarios of ingredient cost and availability Whereas most of the optimizations target resolving nutritional bottlenecks in the formula, maintaining a stable ... 589 Introduction The strong fluctuations of feed ingredient prices in combination with low market prices for shrimp are challenging the profitability of fish and shrimp farming This has ... México, pp 588-597 595 Sampling using cast nets indicated the incidence of major mortalities during the first months after stocking The phytobiotic treatment maintained an advantage on survival...
... Number of Tumors A Ta Grade T1 Grade Single or multiple Single 26 29 B Ta Grade T1 Grade T1 Grade Single or multiple Multiple Single 26 26 C Ta Grade T1 Grade Single or multiple Multiple 23 23 ... tumour having a history of at least two occurrences within the prior 24 months were included in the study Patients were excluded if BC exceeded T1G2, in case of carcinoma in situ, history of tuberculosis, ... conducted in 43 centres in Spain, Hungary, France, Germany, Belgium and Luxembourg in accordance with the Declaration of Helsinki, the International Conference on Harmonisation guideline for Good Clinical...
... low frequency One of the most interesting findings in this study is the wide variability in distribution of sexual risk in the population The number of individuals engaging in risk behaviors, ... picture of the risk of drug resistance transmission via sexual risk behavior among patients with HIV infection and provide insight into the growing rate of drug resistance in incident HIV infections ... Journal of the International AIDS Society 2005, 8:72 Introduction The transmission of drug-resistant strains of HIV-1 to newly infected persons is now a major clinical and public health problem in...
... the following theorem of Clunie and Sheil-Small Theorem 1.1 see A harmonic function f h z g z locally univalent in D is a univalent mapping of D onto a domain convex in the direction of the real ... exist points zn converging to z and zn converging to z −1 such that lim Re ψ zn Sup Re ψ z , lim Re ψ zn Inf Re ψ z n→∞ |z|
... diameter of less than one millimeter were involved A thorough understanding of the indications and principles of the new technique is 13 14 Cushing H: Electro-surgery as an aid to the removal of intracranial ... surface (73 of 103 cases) and spot (46 of 103 cases) coagulation when vessels with a diameter of less than one millimeter were involved In large vessels the EMF system was ineffective in 88 of 103 ... effectiveness of the vaporizing function of the EMF system was directly affected by the location of the surgical field and the type of tissue involved The ergonomic design of the handpiece combined with...
... in their clinicalpractice Methods Search strategy Covering the period from 1990 to March 2006 and based on a list of 51 key articles in the field of shared decisionmaking (including a list of ... implementation of shared decision -making inclinicalpractice Implementation Science 2006, 1:16 decision making[ 63] Therefore, in order to not increase inequity in health (patients who are not invited ... to the outcome of interest: intention of health professionals to implement shared decision -making in their practice Finally, these results provide some insight into the type of interventions that...
... export of melanosomes to the hair, skin, and iris [6] There are two types of melanin, eumelanin (EM) and pheomelanin (PM) which differ mainly in sulfur content [6] Most melanin pigments present in ... transcription of tyrosinase and of Rab27a, which is an important protein in melanosome transport [24] Tyrosinase, once activated, acts on tyrosine to make dopaquinone and addition of cysteine if present ... determination Another SNP is rs1393350, which is located within an intronic region of the tyrosinase 11 (TYR) gene on chromosome 11 [33] Tyrosinase as mentioned, is a protein involved in melanin...
... that we need guidelines providing an evidence- based assessment of the most effective ways of managing the problem in a clinical setting ClinicalPracticeGuidelines for the Management of Overweight ... cause of weight gain or failure to lose weight ClinicalPracticeGuidelines for the Management of Overweight and Obesity in Adults II EVIDENCE- BASED STATEMENTS AND RECOMMENDATIONS Evidence- based ... effective in maintaining weight loss than more restrictive prescriptive, low energy diets xx I II ClinicalPracticeGuidelines for the Management of Overweight and Obesity in Adults EVIDENCE- BASED...
... Tuberculin skin testing guidelines are outlined in Appendix (Tuberculin Skin Testing Guidelines) Indications for Tuberculin Skin Testing Inmates should be evaluated for TB infection with a TST in ... vomiting, abdominal pain, decreased appetite, jaundice, dark urine, rash/ itching, joint pains, and tingling extremities 42 Federal Bureau of Prisons ClinicalPracticeGuidelines Management of ... http://www.who.int/tb/country/global_tb_database/en/index.html 35 Federal Bureau of Prisons ClinicalPracticeGuidelines Management of Tuberculosis Januay 2010 Appendix Tuberculin Skin Testing Guidelines Screening Criteria TST negative inmates:...
... ClinicalPracticeGuidelinesClinicalpractice guidelines: directions for a new program Washington, DC: National Academy Press, 1990:52–77 Luman ET, McCauley MM, Stokley S, et al Timeliness of ... overview In evaluating evidence regarding management of immunizations, the Expert Panel followed a process used in development of other IDSA guidelines The process included a systematic weighting of ... !12 months In this instance, measles immunization of infants as young as months of age can be performed as part of outbreak control Doses of measles-containing vaccine administered to infants aged...
... or signs Clinically defined ‘‘toxicity’’ based on clinical judgment or change in mental status Chest pain, splinting of the chest Inability to maintain oral intake and hydration Extent of abnormal ... regarding the efficacy of inhaled ribavirin for treatment of RSV CAP in infants Ribavirin has in vitro activity against RSV, but use of this drug for RSV infection is not routinely recommended in ... Field MJ, Lohr KN Institute of Medicine Committee to Advise the Public Health Service on ClinicalPracticeGuidelinesClinicalpractice guidelines: directions for a new program Washington, DC: National...
... measurement and feedback of HRQoL has as of yet not been widely implemented inclinicalpractice This may be explained by the initial lack of convincing data regarding the effectiveness of standardized ... functioning of the patient in terms of the impact of disease is "an essential part ofclinical diagnosis, a major determinant of therapeutic choices, a measure of their efficacy, and a guide in planning ... reported include general lack of time, money and human resources, impracticality of instruments, disruption ofclinical routine, lack of IT support and health professionals' lack of knowledge in this...