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In the setting of individual decision making, practitioners can be given greater latitude in how they interpret research and combine it with their clinical judgment. In 2005, Eddy offered an umbrella definition for the two branches of EBM: "Evidence based medicine is a set of principles and methods intended to ensure that to the greatest extent possible, medical decisions, guidelines, and other types of policies are based on and consistent with good evidence of effectiveness and benefit. "On the evidence based guidelines and policies side, explicit insistence on evidence of effectiveness was introduced by the American Cancer Society in 1980. The U. S. Preventive Services Task Force USPSTF began issuing guidelines for preventive interventions based on evidence based principles in 1984. In 1985, the Blue Cross Blue Shield Association applied strict evidence based criteria for covering new technologies. Beginning in 1987, specialty societies such as the American College of Physicians, and voluntary health organizations such as the American Heart Association, wrote many evidence based guidelines. In 1991, Kaiser Permanente, a managed care organization in the US, began an evidence based guidelines program. In 1991, Richard Smith wrote an editorial in the British Medical Journal and introduced the ideas of evidence based policies in the UK. In 1993, the Cochrane Collaboration created a network of 13 countries to produce systematic reviews and guidelines.



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Indeed, Eamonn McCann23 noted that By this time our conscious, if unspoken, strategy was to provoke the police into over reaction and thus spark off mass reaction against the authorities. 24 The same is true of the Tiananmen Square massacre in 1989. While violence achieves an immediate reaction, that is, violence on the part of institutional forces against non violent resistance stirs up righteous outrage, and clearly shows discontent, it has shortcomings by scaring off the less committed element within a movement. Disruption, as a form of contentious action, is merely the threat of violence, but it need not actually threaten public order. This can be done through non violent direct action, such as sit ins, marches, rallies, constructing barricades, blocking traffic, etc. Widespread non violent civil disobedience has perhaps been the most successful of all repertoires of collective action in the twentieth century.



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1979a: DYMOLA A Structured Model Language for Large Continuous Systems. Proc. Summer Computer Simulation Conference; Toronto; Canada. Elmqvist; H. 1979b: Manipulation of Continuous Models Based on Equations to Assignment Statements. Proc. Simulation of Systems 79; IMACS Congress 1979; Sorrento. North Holland Publ. Comp. Hennessy; J. L.

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