Enthusiasm for primary care

Implementation of "Chronic Care Model" for Diabetes Care in Iranian Primary Health Care: Does it work?

Objective: Traditional health care systems were not capable to face successfully with chronic diseases including diabetes mellitus. In this regard, the Chronic Care Model or CCM was created to promote quality of care. The aim of this study was to examine whether establishment of chronic care model, with focus on diabetic patients, has led to clinically significant outcomes in Iran. Materials a...

Tempered enthusiasm for fecal transplantation?

TO THE EDITOR—We read the case report by Solari et al [1] with great interest because the authors presented a fatal case of relapsing Clostridium difficile infection treated with fecal microbiota transplantation (FMT) using a gastrojejunostomy tube. This tube was placed through an already existing gastric feeding tube, and the patient died 4 days later due to septic shock; Pseudomonas aeruginos...

manpower for primary medical care in iran

iran is a large country with a total area of 1,645,000 square kilometers. the country’s population is estimated at about 31 millions. there is an uneven distribution of the population, varying from 2 to 50 per square kilometer. sixty per cent of the total population (18 millions) is living in nearly 66,000 small and large village’s scattered throughout the country. a total of 10,000 physicians ...

Enthusiasm: it's catching.

Engendering enthusiasm for sustainable disaster critical care response: why this is of consequence to critical care professionals?

Disaster medical response has historically focused on the pre-hospital and initial treatment needs of casualties. In particular, the critical care component of many disaster response plans is incomplete. Equally important, routinely available critical care resources are almost always insufficient to respond to disasters that generate anything beyond a 'modest' casualty stream. Large-scale monet...