Implementation Of International Guidelines Research Articles

Experience in the intensive management of early postoperative lung transplantation patients of the Complexo Hospitalar Santa Casa Group of Porto Alegre, Brazil

After James Hardy's pioneer initiative (1963) and the advance of lung preservation techniques, the progress of immuno-suppressive treatment with the discovery of cyclosporine and the implementation of international guidelines for the selection of lung transplantation donors and candidates [1-3], lung transplantation became the treatment of choice for many lung diseases in the terminal state. However, lung transplantation morbidity and mortality rates remain elevated, and early postoperative state care is indispensable for a positive outcome. The aim of the present study is to examine the experience in the intensive management of early postoperative lung transplantation patients of the Complexo Hospitalar Santa Casa Group of Porto Alegre, Brazil.

Implementation of International Guidelines on Hypertension: The Indian Experience

The WHO-ISH Guidelines on Hypertension have been introduced in India but their implementation has not been systematically studied. The process of implementation of international guidelines involves several steps: (a) recognition of the guidelines by the national opinion makers (b) acceptance, adaptation and adoption of the guidelines by the main change agents (c) initiation of guidelines in healthcare practice by the trend setters (d) advocacy of the guidelines by the influential change agents (e) dissemination of guidelines across various levels of health care and (f) diffusion into routine health care practice. The previous WHO-ISH Guidelines had inadequate impact due to limitations at each of these levels. The implementation of the new guidelines in developing countries, such as India, requires a concerted campaign of social marketing involving partnerships of key stakeholders.