... University and Kingston General Hospital, Kingston, ON, Canada Deparmtent of Medicine, Division of Allergy and Clinical Immunology, McMaster University Hamilton, ON, Canada 4Division of Otolaryngology ... Nizankowska E, Szczeklik A, Zetterstrom O, Bochenek G, Kumlin M, Mastalerz L, Pinis G, Swanson LJ, Boodhoo TI, et al: Benefits from adding the 5-lipoxygenase inhibitor zileuton to conventional ... that may benefit symptoms of CRS Option Weak 34 Use of decongestants is an approach that may benefit symptoms of CRS Option Weak Weak Weak Option Moderate Weak Moderate Moderate Moderate 39 Part...
... prevention of coronary heart disease, stroke and diabetes mellitus in a cohort study of middle aged men BMJ 1997;314:1311–17 Tokunaga K, Matsuzawa Y, Kotani K, Keno Y, Kobatake T, Fujioka S et ... WPT, eds Handbook of obesity New York: Marcel Dekkker, 1998:725–39 Schachter LM, Salome CM, Peat JK, Woolcock AJ Obesity is a risk for asthma and wheeze but not airway hyper-responsiveness Thorax ... epiphysis: an international mulitcenter study Clin Orthpaed & Rel Res 1996;322:8–27 Klesges RC, Haddock CK, Stein RJ, Klesges LM, Eck LH, Hanson CL Relationship between psychosocial functioning and body...
... Daily, on consec Days Obtain monthly until culture conversion Obtain early morning sputums monthly until culture conversion is documented Extend treatment if culture conversion occurs after months ... certain risks and conditions such as HIV infection, taking anti-TNF alpha drugs, diabetes, chronic renal failure, injection drug use history, and close contact with someone who is sick with infectious ... Centers for Disease Control and Prevention Guidelines for environmental infection control in healthcare facilities: recommendations of CDC and the Healthcare Infection Control Practices Advisory...
... Lohr KN Institute of Medicine Committee to Advise the Public Health Service onClinicalPracticeGuidelinesClinicalpractice guidelines: directions for a new program Washington, DC: National ... Immunization information systems are confidential, computerized information systems that contain information about immunizations The National Vaccine Advisory Committee reviewed the nation’s progress on ... recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Morb Mortal Wkly Rep 2009; 58:1–52 Centers for Disease Control and Prevention General recommendations on immunization:...
... secondary abscess due to an underlying pulmonary anomaly or lesion (eg, congenital cystic adenomatoid malformation, pulmonary sequestration) require surgical consultation for evaluation of long-term ... infection are more likely to require hospitalization than otherwise healthy children [23, 63, 64] Although children who have chronic conditions may be at greater risk of pneumonia, these conditions ... are likely to be situations in which even strong recommendations may not apply to specific subgroups within a population that is intended for that recommendation For many conditions that lack moderate-...
... involving bone resorption by osteoclasts and bone formation by osteoblasts [38] Therefore, bone mass at any particular time reflects the balance between bone formation and resorption At the cellular ... obesity of bone? Nat Clin Pract Rheumatol 2006, 2(1):35-43 77 Lazarenko OP, Rzonca SO, Suva LJ, Lecka-Czernik B: Netoglitazone is a PPAR-gamma ligand with selective effects onbone and fat Bone 2006, ... regulation of bonemetabolism using obese animal models Dr Cao also investigates the effects of dietary protein and acid-base balance on calcium absorption, retention, and markers of bone metabolism...
... involving bone resorption by osteoclasts and bone formation by osteoblasts [38] Therefore, bone mass at any particular time reflects the balance between bone formation and resorption At the cellular ... obesity of bone? Nat Clin Pract Rheumatol 2006, 2(1):35-43 77 Lazarenko OP, Rzonca SO, Suva LJ, Lecka-Czernik B: Netoglitazone is a PPAR-gamma ligand with selective effects onbone and fat Bone 2006, ... regulation of bonemetabolism using obese animal models Dr Cao also investigates the effects of dietary protein and acid-base balance on calcium absorption, retention, and markers of bone metabolism...
... medications It provides information on potential contraindications for opioid therapy for chronic pain and suggestions for opioid management in patients at higher risk of misuse, diversion, adverse ... Automating complex guidelines for chronic disease: lessons learned J Am Med Inform Assoc 2003, 10:154-165 Worrall G, Chaulk P, Freake D: The effects of clinicalpracticeguidelineson patient outcomes ... 14 Bates DW, Kuperman GJ, Wang S, Gandhi T, Kittler A, Volk L, Spurr C, Khorasani R, Tanasijevic M, Middleton B: Ten commandments for effective clinical decision support: making the practice of...
... recommendations as either strong or conditional (also known as ‘weak’) In total, 15 recommendations about the use of diagnostic tests were made Discussion Strengths of this approach include consideration ... Importance 10001 Limitations Indirectness Inconsistency Imprecision Reporting bias 23 studies (2302 patients) Consecutive or nonconsecutive series Serious2 None Serious3 None Unlikely ⊕⊕OO low Prev ... Inconclusive5 23 studies (2302 patients) Consecutive or nonconsecutive series Serious2 None Serious3 None Unlikely ⊕⊕OO low Prev 80%: 264 Prev 40%: 132 Prev 10%: 33 CRITICAL study Non(310 consecutive...
... Medicine: Guidelines for Clinical Practice: From Development to use National Academic Press, Washington; 1992 Kendall E, Sunderland N, Muencheberger H, Armstrong K: When guidelines need guidance: considerations ... collective knowledge of our research team consisting of clinician scientists and knowledgetranslation researchers: ‘implementability/implementation’, clinicalpracticeguidelines , ‘knowledge ... guidelines and their relationship with uptake, but it considers only qualitative studies for inclusion and is a means of analysis only, offering little guidance on the complete process for conducting...
... Number of guidelines publishedb Updating guidelines Yes No a Analysis of included institutions; bOne institution unknown Figure Participation diagram for updating their guidelines, but only 19 ... absolute frequencies and proportions for all items We evaluated nonresponding institutions and compared their contact source (Guidelines International Network, National Guideline Clearinghouse, ... institutions (81%) said they check all recommendations and the full guideline text Less frequently, key questions and recommendations, supplementary annexes, and patient information are checked Alonso-Coello...
... Achieve consensus with our decision-maker partners on a proposed toolkit on PPIP that could be tested in a subsequent study In consultation with our decision-maker partners, we will engage in a consensus ... attention of policymakers, health professionals, patients, and the public The grey zone of decision making Clinical decisions largely occur in contexts of scientific uncertainty These grey zone ... potential conflicts of interests, contradictions in CPGs recommendations, and confusion among health professionals, patients, and the public [12,32-34] For example, the Canadian Diabetes Association...
... E, Scranton R, Sumption K, Hawkins R, Holmboe E, Scranton R, Sumption K, Hawkins R: Effect of medical record audit and feedback on residents' compliance with preventive health care guidelines ... 73:118-119 Nowalk MP, Zimmerman RK, Middleton DB, Sherwood RA, Ko FS, Kimmel SR, Troy JA, Nowalk MP, Zimmerman RK, Middleton DB, et al.: An evaluation of immunization education resources by family ... 4:59 http://www.implementationscience.com/content/4/1/59 Table 2: Answers to questions relating to teaching of the content of clinicalpractice guidelines; a national survey, 2007 Combined Family...
... 52 Pollock K: Concordance in medical consultations A critical review Radcliffe Publ Abingdon UK 2005 53 Bastian H: Raising the standard: practiceguidelines and consumer participation Int J Qual ... of individual patient’s preferences in decision making based onclinicalpracticeguidelines Our research questions are: How should clinicalpracticeguidelines be adapted to elicit individual ... impact on the success of implementation [45] In this project, we focus on the level of guideline use in clinicalpractice to enhance implementation of shared decision making by improving clinical practice...
... Achieve consensus with our decision-maker partners on a proposed toolkit on PPIP that could be tested in a subsequent study In consultation with our decision-maker partners, we will engage in a consensus ... attention of policymakers, health professionals, patients, and the public The grey zone of decision making Clinical decisions largely occur in contexts of scientific uncertainty These grey zone ... potential conflicts of interests, contradictions in CPGs recommendations, and confusion among health professionals, patients, and the public [12,32-34] For example, the Canadian Diabetes Association...
... E, Scranton R, Sumption K, Hawkins R, Holmboe E, Scranton R, Sumption K, Hawkins R: Effect of medical record audit and feedback on residents' compliance with preventive health care guidelines ... 73:118-119 Nowalk MP, Zimmerman RK, Middleton DB, Sherwood RA, Ko FS, Kimmel SR, Troy JA, Nowalk MP, Zimmerman RK, Middleton DB, et al.: An evaluation of immunization education resources by family ... 4:59 http://www.implementationscience.com/content/4/1/59 Table 2: Answers to questions relating to teaching of the content of clinicalpractice guidelines; a national survey, 2007 Combined Family...
... 52 Pollock K: Concordance in medical consultations A critical review Radcliffe Publ Abingdon UK 2005 53 Bastian H: Raising the standard: practiceguidelines and consumer participation Int J Qual ... of individual patient’s preferences in decision making based onclinicalpracticeguidelines Our research questions are: How should clinicalpracticeguidelines be adapted to elicit individual ... impact on the success of implementation [45] In this project, we focus on the level of guideline use in clinicalpractice to enhance implementation of shared decision making by improving clinical practice...
... invaluable feedback 21 References 23 10 Definitions of Key Terms In ClinicalPractice Guidelines: Directions for a New Program 1st edition Edited by: Field MJ, Lohr L Washington, DC: The National Academies ... originally conceived as individual efforts, have been strongly improved by international cooperation through organizations such as the Guidelines International Network (GIN) [4] and the Appraisal of Guidelines ... The exclusion criteria were: 1) guidelines targeted to patients (patients 'guidelines) and/or exclusively oriented to health services organization and not to clinical decision-making; 2) guidelines...
... questions While all handbooks mention clinical questions and some provide a great deal of useful information on what constitutes a good clinical question, the PICO (patient, intervention, comparison, ... (patient, intervention, comparison, outcome) framework, none of the handbooks address how to ascertain the clinical questions to be addressed by the CPG All six handbooks mention that systematic ... word recommendations including instructions that they should be 'standalone' and 'action-oriented' Similarly, all six handbooks mention the importance of facilitating consultation on the draft CPGs,...