The acquisition of competences (the set of knowledge, skills and attitudes required to perform a job to a professional level) is considered a fundamental part of medical training. Dermatology competences should include, in addition to effective clinical interviewing and detailed descriptions of skin lesions, appropriate management (diagnosis, differentiation, and treatment) of common skin disor...

There have been recent calls for a shift to an evidence-based paradigm in environmental management, grounded in systematic monitoring and evaluation, but achieving this will be complex and difficult. Evaluating the educational components of environmental initiatives presents particular challenges, because these programs often have multiple concurrent goals and may value 'human outcomes', such a...

the term degradation is used to specify the status of the environment. it is often associated with ‘improper use’. ‘use’ also implies environmental aspects other than physical ones and implies that the more intensive the use, the more susceptible the environment is to degradation, particularly if proper care for the environment is lacking. the question is, and has always been, how to map someth...

the aim of this paper is to determine the different types of theatrical policies applied by the states of iran within the years 198 9(the start of the first presidency of akbar hashemi rafsanjan) to 2009 (the end of the first presidency of mahmoud ahmadi nejad). the method of this research is content analysis. the cabinet approvals within these years which either in their titles or in their tex...

The Medicare Beneficiary Health Status Registry (MBHSR) is a proposed new survey program that would collect health status indicators annually from large probability samples of Medicine beneficiaries. For reasons of economy, the MBHSR would use mail survey procedures with telephone follow-up of nonrespondents. Because of concerns about response rates and the validity and reliability of the data ...

Concerns about rising health care costs and the often incremental nature of improvements in health outcomes continue to fuel intense debates about 'progress' and 'value' in cancer research. In times of tightening fiscal constraints, it is increasingly important for patients and their representatives to define what constitutes 'value' to them. It is clear that diverse stakeholders have different...

PURPOSE To validate a survey research measure of subjective income, as measured by perceived income adequacy, in an international context. DESIGN AND METHODS The study population comprised persons aged 50 years and older in 12 countries from the Survey of Health, Ageing and Retirement in Europe (n = 28,939). Perceived difficulty in making ends meet was regressed on sociodemographic variables,...

Levels and causes of mortality in mothers and babies are intrinsically linked, occurring at the same time and often to the same mother-baby dyad, although mortality rates are substantially higher in babies. Measuring levels, trends and causes of maternal, neonatal and foetal mortality are important for understanding priority areas for interventions and tracking the success of interventions at t...