BACKGROUND Few interventions have proven effective in reducing the overuse of antibiotics for acute respiratory infections. We evaluated the effect of DECISION+2, a shared decision-making training program, on the percentage of patients who decided to take antibiotics after consultation with a physician or resident. METHODS We performed a randomized trial, clustered at the level of family prac...

BACKGROUND Only about one-third of women in Palestine (West Bank and Gaza) obtain postpartum care. Therefore, the goal of this study was to assess factors associated with lack of postnatal care, women's reasons for not obtaining postnatal care, and their attitudes towards its importance. METHODS In early 2006, a cross-sectional survey was conducted at three clinics run by the Ministry of Heal...

OBJECTIVES 1) to evaluate the role of the pediatrician in detecting postnatal depression (PD) symptoms by the Edinburgh Postnatal Depression Scale (EPDS); 2) to detect factors increasing the risk of PD and, 3) to assess the importance of scores gained from fathers' questionnaire. METHODS we surveyed 1122 mothers and 499 fathers who were assessed using the EPDS during the first well-child visi...

The non-medical use of prescription opiates, such as Vicodin(®) and MSContin(®), has increased dramatically over the past decade. Of particular concern is the rising popularity of these drugs in adolescent female populations. Use during this critical developmental period could have significant long-term consequences for both the female user as well as potential effects on her future offspring. ...

This study compared the costs of providing antenatal, delivery and postnatal care in the home and in a basic obstetric facility in rural Bangladesh. The average costs were estimated by interviewing midwives and from institutional records. The main determinants of cost in each setting were also assessed. The cost of basic obstetric care in the home and in a facility was very similar, although ca...

At baseline, a very few newborns born at home in any of the six countries (range: 2% in Bangladesh to 14% in Bolivia) received care within three days. The baseline coverage for mothers receiving postpartum care was similarly low. Care was defined as either a clinic-visit or a home-visit by a trained or skilled healthcare worker. The content of the care varied from country to country and even in...

OBJECTIVES To compile a proposal of the system of taking complex prenatal, perinatal and postnatal care of pregnant immigrants in the Czech Republic with taking into account medical and salutogenic approaches. MATERIAL AND METHODS The research was implemented by the form of a controlled interview and was based on a questionnaire comprising 50 questions focused on the evaluation of taking the ...

Computerization of general practice is an international phenomenon. Many of the Electronic Patient Record (EPR) systems have developed organically with considerable variation in their interface and functionality. Consequently they have differing impact on the clinical consultation. There is a dearth of tools available to study their impact on the consultation. The objective is to use ALFA to fi...

change in transmitting time of impulses along axons is traditionally attributed to two parameters: the myelin formation and the diameter of neurite, both rising during the postnatal development. in the previous study, we showed that conduction velocity of the fibers projecting from the thalamus to the layer iv of the somatosensory (barrel) cortex increases as a function of age. however, the con...

objective: to determine the effectiveness of counseling in reducing anxiety of nulliparous pregnant women. materials and methods: in this quasi-experimental study, 110 nulliparous pregnant women were selected out of all pregnant women referring to fatemieh hospital in hamadan, iran. then, the subjects were divided into two groups in experimental and control (55 women in each). the data were col...