We are here to consider whether the evidence of benefit from reducing dietary sodium in hypertensive patients or in the population at large is sufficient to justify recommendation to the general public that dietary Na is reduced. I shall concentrate on four questions. First, and most important, when reduction of dietary Na lowers blood pressure will the risks associated with high blood pressure...

since the incidence of symptomatic congenital cytomegalovirus infection is low (~0.05%) and risk factors are not well defined, it is difficult to develop strategies for prevention. the aim of this study was to recognise the utility of specific immunoglobulin g avidity analysis for distinguishing primary infection from past/recurrent infection. sera from 50 women with cytomegalovirus specific im...

S19 previous guidelines. These guidelines are not particularly applicable to any specific treatment setting and may need minor modifications to suit the needs of patients in a specific setting. The recommendations are primarily meant for adult patients. The needs of children or the elderly with schizophrenia may be different. Finally, it is expected that recommendations made will have to be tai...

the mean noise levels were measured in the different sections of six representative mills in the isfahan area, and audiometric measurements were made in 282 male workers employed in these mills. the mean noise levels were on average 95 dba in the weaving sections and 88 d ba in the spinning sections. the audiometric findings showed a significant loss of gearing in the textile workers as compare...

milk and milk products containing antibiotics especially penicillin may present a health hazard to individuals who are super sensitized to penicillin. a total of 620 samples of raw milk which were delivered to tehran pasteurization plant were examined. 294 samples were antibiotic-negative and 326 samples showed to contain antibiotic. considering the results obtained, certain recommendations wer...

Background. Appropriate recommendations for a followup exam after an index colonoscopy are an important quality indicator. Lack of knowledge of polyp pathology at the time of colonoscopy may be one reason that followup recommendations are not made. Aim. To describe and compare the accuracy of followup recommendations made at colonoscopy based on the size and number of polyps with recommendation...

Little is known about whether the recommendations made during telepsychiatry are actually implemented. We reviewed 100 telepsychiatry consultations, chosen randomly from a paediatric telepsychiatry programme serving rural communities in Ontario. Treatment recommendations had been made for each case reviewed and up to nine recommendations had been made for a single case. Twenty-seven percent of ...

BACKGROUND Risk-stratified treatment recommendations facilitate treatment decision-making that balances patient-specific risks and preferences. It is unclear if and how such recommendations are developed in clinical practice guidelines (CPGs). Our aim was to assess if and how CPGs develop risk-stratified treatment recommendations for the prevention or treatment of common chronic diseases. MET...

background previous research supports the claim that managers are vital players in the implementation of clinical practice guidelines (cpgs), yet little is known about interventions aiming to develop managers’ leadership in facilitating implementation. in this pilot study, process evaluation was employed to study the feasibility and usefulness of a leadership intervention by exploring the inter...