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The American Academy of Pediatrics SteeringCommittee on Quality Improvement and Management (2004) notes that the strength of therecommendation serves as an “assessment of the importance of adherence to a particularrecommendation and is based on both the quality of the supporting evidence and the mag-nitude of the potential benefit or harm” as judged by those who developed the CPG and theorganizations that sponsored them.

Note the orderly and regular alignment ofthe bundles ofcol-lagen fibers.Tendinocytes are aligned in rows between the collagen fibers.

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