in this case we present a previously healthy child with sudden behavioral change and acute confusional state (acs). acs is a neurologic emergency. the clinical manifestations of acs are; confused affect, limited verbal response, disturbance in performing orders, some automatism, stable vital signs and absence of tonic-clonic movements and it has a wide range of differential diagnosis which shou...

background: professionalism is a core competency of physicians. this study was conducted to design a model for formative assessment of professional commitment in medical students according to stages of change theory.   methods: in this qualitative study, data were collected through literature review & focus group interviews in the tehran university of medical sciences in 2013 and analyzed using...

conclusions the results of this study showed that an educational intervention based on transtheoretical model can improve stages of change in physical activity behavior. it can also enhance cognitive factors such as perceived benefits and self-efficacy for exercise up to three months after the intervention, but over the time changes may decrease. results stages of change of physical activity in...

See related articles, p 2115. Although the most concerning diagnosis in patients presenting with thunderclap headache (abrupt onset of a severe unusual headache) is nontraumatic subarachnoid hemorrhage (SAH), only 8% to 12% of neurologically intact patients with thunderclap headache will have SAH; most have benign causes.1 Of those with aneurysmal SAH, 40% to 50% of patients will present neurol...

An important problem in the field of data stream analysis is change detection and monitoring. In many cases, the data stream can show changes over time which can be used for understanding the nature of several applications. We discuss the concept of velocity density estimation, a technique used to understand, visualize and determine trends in the evolution of fast data streams. We show how to u...

Diagnosing coeliac disease is not easy. Current recommendations stem from a 1970 statement of the European Society for Paediatric Gastroenterology and Nutrition (ESPGAN)l and call for: histological evidence of the lesion; evidence of its disappearance after an adequate period on a gluten free diet; and evidence of its recurrence after the reintroduction of gluten into the diet. Such a procedure...

Schizophrenia is considered a lifetime disorder, but in practice its diagnosis in a given patient can change over time. This study used a large clinical data that consisted of 4725 adult inpatients who had been admitted to hospitals twice to study the temporal stability of diagnosis of schizophrenia and to examine the change in the diagnosis between the two occasions. First, we measured tempora...

Background: To find out those reproductive factors to incidence of breast cancer overall and by menopausal status. Materials and Methods: This was a case – control study, in which, the risk of menstrual, pregnancy- delivery and menopausal factors were determined in women with breast cancer (case) against those without (control). The risk factors stratified by menopausal status also. A total of ...