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Why don't physicians follow clinical practice guidelines? A framework for improvement.
TLDR
A differential diagnosis for why physicians do not follow practice guidelines is offered, as well as a rational approach toward improving guideline adherence and a framework for future research are offered. Expand
Human gut microbiota and its relationship to health and disease.
TLDR
The present review is based on webinar presentations that were developed by the American Gastroenterological Association and ISAPP and provided fundamental and current scientific information on the influence of gut microbiota on human health and disease, as well as clinical intervention strategies and practical guidelines for the use of probiotics and prebiotics. Expand
Pediatric Gastroesophageal Reflux Clinical Practice Guidelines: Joint Recommendations of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition and the European Society
TLDR
This document serves as an update of the North American and European societies for Pediatric Gastroenterology, Hepatology, and Nutrition 2009 clinical guidelines for the diagnosis and management of gastroesophageal reflux disease in infants and children and is intended to be applied in daily practice and as a basis for clinical trials. Expand
Does continuity of care improve patient outcomes?
TLDR
SCOC is associated with patient satisfaction, decreased hospitalizations and emergency department visits, and improved receipt of preventive services, and this association is consistently documented for patients with chronic conditions. Expand
Role of the gut microbiota in defining human health
TLDR
The literature in adult and pediatric GI microbiome studies, the emerging links between microbial community structure, function, infection and disease, and the approaches to manipulate this crucial ecosystem to improve host health are reviewed. Expand
Indices for Continuity of Care: A Systematic Review of the Literature
TLDR
A unique index that reflects continuity in the physicianpatient relationship for pediatric and chronic disease populations is needed. Expand
Reasons for pediatrician nonadherence to asthma guidelines.
TLDR
Although pediatricians in this sample were aware of the NHLBI guidelines, a variety of barriers precluded their successful use and tailored interventions that address the barriers characteristic of a given guideline component need to be implemented. Expand
Barriers pediatricians face when using asthma practice guidelines.
TLDR
Efforts to improve adherence to asthma guidelines should consider the range of barriers that pediatricians face, such as lack of awareness, familiarity, or agreement, and external barriers owing to environmental, guideline, or patient factors. Expand
Revised estimates of diagnostic test sensitivity and specificity in suspected biliary tract disease.
TLDR
Ultrasound is superior to oral cholecystogram for diagnosing cholelithiasis, and radionuclide scanning is the test of choice for acute choleCystitis, however, sensitivities and specificities are somewhat lower than commonly reported. Expand
Effect of vitamin D3 on asthma treatment failures in adults with symptomatic asthma and lower vitamin D levels: the VIDA randomized clinical trial.
TLDR
Vitamin D3 did not reduce the rate of first treatment failure or exacerbation in adults with persistent asthma and vitamin D insufficiency, and findings do not support a strategy of therapeutic vitamin D3 supplementation in patients with symptomatic asthma. Expand
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