The growing recognition of care fragmentation is causing many countries to explore new approaches to healthcare delivery that can bridge the boundaries between professions, providers and institutions and so better support the rising number of people with chronic health problems. This paper examines the role of the regulatory, funding and organisational context for the development and implementa...

background: microorganisms that cause early neonatal sepsis are usually already colonized rectovaginal area in mothers. the most common of these organisms is group b streptococci (gbs) and intestinal gram-negative bacteria mostly escherichia coli (e.coli). the use of prophylactic antibiotics against gbs has increased in recent years. this study aimed to determine the current situation and frequ...

abstract the prevalence of bilateral sudden sensorineural hearing loss (ssnhl) is less than 5% and the etiology of most cases is unknown. due to many structural and functional similarities between the kidney and inner ear, many conditions, diseases, and drugs have both renal and cochlear effects and toxicities. there are several reports of ssnhl in patients with crf, uraemic patient, hemodialys...

background: according to the text book of obstetrics and gynecology, prematurity is the first cause of perinatal mortality. therefore postponing delivery will become mandatory to prevent complications of prematurity. parental mgso4 is one of the most common and the safest medications for this purpose. case report: we present a primigravida patient with multiple uterine myoma who had premature l...

there is limited data in the literature on the normal size of the anterior fontanelle. this cross- sectional study was to determine normal values of anterior fontanelle size on the first day of life, using standard methods. anterior fontanelle size was measured in 400 term and healthy neonates delivered at the shariati hospital, tehran, iran. examination included assessment of head circumferenc...

conclusions sexual activity in last week of pregnancy might be associated with the onset of labor. therefore, in the absence of complications in term pregnancy, sexual activity can be considered as a natural way to prevent post term pregnancy. background pregnancy is one of the most critical periods in women's lives. sexual relationships change in this period. monitoring of uterine contractions...

Objective(s):Development of new generation of vaccines against leishmaniasis is possible because long-term protection is usually seen after recovery from cutaneous leishmaniasis. ISCOMATRIX is particulate antigen delivery system composed of antigen, cholesterol, phospholipid and saponin. In this study, the role of ISCOMATRIX bilayer composition made by different phase transition temperature (Tc...

OBJECTIVE A large trial published in 2000 concluded that planned vaginal delivery of term breech births is associated with high neonatal risks. Because the obstetric practices in that study differed from those in countries where planned vaginal delivery is still common, we conducted an observational prospective study to describe neonatal outcome according to the planned mode of delivery for ter...

OBJECTIVE The chronic care model is an increasingly used approach to improve the quality of care through system changes in care delivery. While theoretically these system changes are expected to increase productive patient-professional interaction empirical evidence is lacking. This study aims to identify the influence of quality of care on productive patient-professional interaction. SETTING...

BACKGROUND The ageing population in Europe is putting an ever increasing demand on the long-term care (LTC) services provided by these countries. This study analyses the relationship between the LTC institutional supply of beds and potential care needs, taking into account the social and health context, the supply of complementary and alternative services, along with informal care. METHODS An...