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Volume: 38
Number: 4
Index: December 2010
Clinical Focus:Respiratory Care
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December 2010
Clinical Focus: Respiratory Medicine
  • Asthma and the athlete
    • Vocal cord dysfunction
    • Exercise-induced asthma
    • Exercise-induced bronchospasm
  • COPD
    • Obesity and COPD
    • Relationship between COPD and nutrition intake
  • Treatment options for steroid-induced osteoporosis in men
  • Treatments for asthma
    • Bronchodilators, anticholinergics
    • Corticosteroids
    • Metered-dose vs other types of inhalers
  • Respiratory infections in winter sports athletes
  • Asthma in elite athletes
  • Pulmonary rehabilitation and physical activity
  • Fitness and long-term oxygen therapy/lung transplantation
  • Airflow function and the metabolic syndrome
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doi: 10.3810/psm.1996.06.1377
The Physician and Sportsmedicine: Volume 24: No.6
Practice Guidelines:
Which Ones to Follow?
John A. Lombardo, MD
Abstract: Three levels of recommendations have been amalgamated under the "practice guidelines" label: consensus papers of large groups such as the Bethesda Conference1, guidelines and criteria prepared by groups or individuals based on opinions about and interpretation of the literature, and algorithms developed by managed care organizations. If these various documents were religious worshippers, they would not only sit in different churches, but would worship a different Supreme Being. However, the two authors have used the terms interchangeably, resulting in a quagmire in which physicians and their patients can only sink and attorneys and insurers can flourish.

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