Are we waking up to the effects of NEFA?

Waking up to narcolepsy.

Narcolepsy with cataplexy, certainly one of the most fascinating problems in medicine, always seemed (to us) an unlikely candidate for an autoimmune or infectious etiology. In typical cases, the CSF is bland and MRI unrevealing. Powerful evidence (summarized in reference 1) that abnormalities of the hypocretin system contribute to narcolepsy came initially from genetic studies revealing that ca...

Waking up to Global Warming

Waking up to chronic care.

W e are currently experiencing in the United Kingdom something of a backlash against the recent assertions that the National Health Service (NHS) has something to learn from the large Health Maintenance Organizations in the United States such as Kaiser. Whatever the arguments about the relevance of comparisons between our systems, the Chronic Care Model (CCM) is a transatlantic development that...

Reflection for the undergraduate on writing in the portfolio: where are we now and where are we going?

Introduction: The portfolio can be seen as a tool for assessmentof a variety of learning activities that differ in content, usage, andassessment. The portfolio not only meets the learner’s educationalneeds but also the political and public reassurance demand thatthe health professional has achieved the required competency ofthe curriculum that allows him or her to practice safely with orwithout...

Solving the Mystery of Dengue in Iran; Are We Close to an Answer?

Dengue fever is a mosquito-borne infection which is endemic in Southeast Asia. Although it has not been distributed in Iran, locating near other countries where the Dengue has been revealed is a threat for Iran because different connection between countries may increase the rate of infection.