While it is important for the evidence supporting practice guidelines to be current, that is often not the case. The advent of living systematic reviews has made the concept of "living guidelines" realistic, with the promise to provide timely, up-to-date and high-quality guidance to target users. We define living guidelines as an optimization of the guideline development process to allow updating individual recommendations as soon as new relevant evidence becomes available. A major implication of that definition is that the unit of update is the individual recommendation and not the whole guideline. We then discuss when living guidelines are appropriate, the workflows required to support them, the collaboration between living systematic reviews and living guideline teams, the thresholds for changing recommendations, and potential approaches to publication and dissemination. The success and sustainability of the concept of living guideline will depend on those of its major pillar, the living systematic review. We conclude that guideline developers should both experiment with and research the process of living guidelines.

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In the present study, the role of rapid visual and auditory temporal processing in reading irregular and nonsense words was investigated with a group of normal readers. One hundred and five undergraduates participated in various visual and auditory temporal-processing tasks. Readers who primarily adopted the phonological route in reading (nonsense-word readers) showed a trend for better auditory temporal resolution but readers who primarily adopted sight word skills (irregular-word readers) did not exhibit better visual temporal resolution. Both the correlation and stepwise multiple-regression analyses, however, revealed a relationship between visual temporal processing and irregular-word reading as well as a relationship between auditory temporal processing and nonsense-word reading. The results support the involvement of visual and auditory processing in reading irregular and nonsense words respectively, and were discussed with respect to recent findings that only dyslexics with phonological impairment will display temporal deficits. Further, the temporal measures were not effective discriminants for the reading groups, suggesting a lack of association between reading ability and the choice of reading strategy.