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Discussion : The process of CPG development in Canada since 1990 is characterized by formally selected committees of predominantly physicians who conducted computerized searches of the literature , attempted to grade the quality of the evidence nearly half the time , and used expert opinion and open discussion to reach consensus about values . This theme bridges the social , political , cultural , and economic discussions to produce a highly integrated text . The declared goal of the troika is to " encourage all sides involved in political discussions to reach agreement on new electoral legislation , on the role and functions of the future parliament which will emerge from [ this fall 's ] elections , and on the position of the media . We believe that , given the encouraging developments within Russia , the key players should now join in a free and open discussion to develop plans for how a specific project can be established - a project that addresses each requirement head-on . If this right is to truly crystallize , then it is essential to move from a theoretical or political discussion to practically oriented measures . As information technology moves from being a tool for scientific specialists to a utility serving the general population , issues about its use move from small discussions to very large and very public forums .