License to Spill: How Do We Discuss Spillovers in Article IV Staff Reports

Staff Burnout… Do we need any intervention?

Dear Editor, As you know physical and mental wellness of physicians and nurses, as the main role in the treatment of patients, in conditions such as burnout, compassion fatigue, depression, and poor work-life balance, is one of the top priorities in the U.S.A. National Academy of Medicine  (1-4). Although healthcare team members are generally known as a caregiver to others;  their h...

Ethics; the Main License to Do Spinal Surgeries

If we want to be honest, how many percent of our surgically treated patients are satisfied with our treatment? 50%, 70%, or 90%? How many percent of our spinal surgeries can restore normal anatomy to the patient? Is it enough to have an academic degree for carrying out spinal surgeries? Does having a gun means having the right to shoot at everyone freely? "Conflict of interest" is a term common...

Do We Know What We Do not Know? A Response to Celine Bonnet

How do we stand?

OBJECTIVE To equip medical practitioners with up-to-date scientific and medical information on the health effects of exposure to fungi in indoor air, clinical evaluation of these health problems, and possible preventive measures. QUALITY OF EVIDENCE MEDLINE was searched from 1985 to 2000 using the MeSH words mould (mold), fungus, indoor air, and health effects. Nearly all studies were case repo...

How do we know?

We know that every improvement is a change—but how do we know that a change is an improvement? Improvement experts and patients, each in their own terms, ask this question with appropriate impatience. 3 For example, how can valid conclusions be drawn when an improvement initiative employs no control population, or if the study employs predominantly qualitative measures? Indeed, some argue that ...