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Doig GS, Heighes PT, Simpson F, Sweetman EA, Davies AR. Early enteral nutrition, provided within 24 h of injury or intensive care unit admission, significantly reduces mortality in critically ill patients: a meta-analysis of randomised controlled trials. Intensive Care Med. 2009;35(12):2018–27. Wilson KM, Brady TJ, Lesesne C. An organizing framework for translation in public health: the knowledge to action framework. Prev Chronic Dis. 2011;8(2):A46.

Selection of outcomes in a counterbalanced implementation study also requires a consideration of feasibility, as specific measurements may differ between health contexts. We recommend patient or health service outcomes be used as standard measurements of implementation success where feasible. Feasibility should be determined prior to study conduct by considering the difficulty and cost of obtaining outcomes. Data such as hospital length of stay and rate of adverse events are routinely collected by health services and could therefore be considered examples of feasible outcome measures [ 9, 79, 80]. It must also be considered whether participant recruitment is likely to reach adequate thresholds as to effect outcomes within clusters (e.g. wards, hospitals). Alternatively, changes in attitudes, knowledge, behaviour, or implementation process outcomes may be considered, where outcomes are not based on routinely collected data (e.g. patient comprehension errors), or recruitment is unlikely to alter outcomes at the cluster level. Potential source of bias counterbalance to sth Internet lobby groups have been a welcome counterbalance to the power of the multinationals.Two potential priority health contexts for the implementation of research evidence in practice are ‘management of community-acquired pneumonia’ and ‘nutrition in critically ill patients’. Community-acquired pneumonia is the second highest cause of mortality globally [ 26]. Evidence suggests that corticosteroid therapy may reduce mortality, need for mechanical ventilation, hospital length of stay, time to clinical stability, and severe complications [ 27, 28, 29]. Despite these findings, poor adherence to guidelines for the use of corticosteroids to treat community-acquired pneumonia has been reported [ 9, 30]. A second health context where current practice does not always align with the most contemporaneous research is nutrition in critically ill patients. Despite guidelines recommending the provision of early enteral nutrition for critically ill patients [ 31, 32, 33, 34, 35], many do not receive adequate nutritional support [ 34, 35, 36]. Slade SC, Philip K, Morris ME. Frameworks for embedding a research culture in allied health practice: a rapid review. Health Res Policy Syst. 2018;16(1):29. Provision focuses not on physical act of attending court, but on fitness when there to give evidence

All common law exceptions not explicitly preserved under section 118 are abolished. The remaining common law exceptions which are most likely to be encountered are as follows: Res GestaeIf there was such a statement, ask whether it was one of the purposes (not necessarily the only or dominant purpose) of the maker of the communication that the recipient, or any other person, should believe that matter or act upon it as true. If yes, it is hearsay. If no, it is not. Whether you are an academic novice, or you simply want to brush up your skills, this book will take your academic writing skills to the next level. Doig GS, Simpson F, Finfer S, Delaney A, Davies AR, Mitchell I, Dobb G. Effect of evidence-based feeding guidelines on mortality of critically ill adults: a cluster randomized controlled trial. Jama. 2008;300(23):2731–41. A statement made by a machine (e.g. a computer), which relies on information supplied by a person, is only admissible to the extent that the information provided was accurate: section 129(1). There is no absolute principle that a conviction based solely or decisively on hearsay evidence is unfair as there are counter balancing measures in the hearsay framework of the CJA to make the trial fair ( R v Horncastle[2010] 2 AC 373 ).