background: considering the role of laboratory tests as a central part of controlling health expenditure, this study intends to investigate laboratory tests overutilization in iran to pave the way for future interventions.   methods: inappropriate laboratory utilization was reviewed in a cross-sectional survey through the retrospective analysis of 384 medical records at a tertiary center. to pa...

Intravenous immunoglobulin (IVIG) is an expensive medicine which is widely used for unlabeled indications. We conducted this drug utilization review (DUR) to evaluate the appropriateness of IVIG utilization in Tehran, Iran. This cross sectional study was conducted in a referral pediatric tertiary care hospital in Tehran. During a three month period in 2015, medical records of inpatients with IV...

INTRODUCTION Review of adverse outcomes is an essential element of healthcare governance. For each operational death, the post-mortem is attended by a member of Academic Department of Military Emergency Medicine and the case is assessed by a Mortality Peer Review Panel comprised of Defence Professors and other clinical and technical experts. METHODS A search was conducted of the Joint Theatre...

OBJECTIVES Overcrowding in the emergency department (ED) is common in the UK as in other countries worldwide. Computer simulation is one approach used for understanding the causes of ED overcrowding and assessing the likely impact of changes to the delivery of emergency care. However, little is known about the usefulness of computer simulation for analysis of ED patient flow. We undertook a sys...

A Swr-Edwards Silsstic hd-valve prosthesis was inserted in 100 seriously d l M e d patients with isolated aortic (55 case) or m i l d (45 caws) valve dbease. The follow-up study for periods of Urree years or more resulted in the following points. The o v e d mortslity rate reached 35 percent in both groups. but the operative risks were t h m times lea in the mrtic thno in the m i i d group. Thr...

stalk being 10–13 residues shorter than that of the 45-residue CD8␣ stalk (Kern et al., 1998). The presence of numerous proline residues plus O-glycans in both stalks indicate that they assume an extended conformation (Classon et al., 1992). CD8 glycan adducts change dur