background: psychological and behavioral domains are important in coping with type ii diabetes. this study was conducted to assess supportive and coping obstacles in living with type ii diabetes among patients who visited hospitals affiliated to tehran university of medical sciences (tums). methods: this was a cross-sectional study with 600 subjects who participated in the study. data collectio...

BACKGROUND Medication decision-making poses a challenge for a significant proportion of patients. This is an even more challenging for patients who have complex, rare, immune conditions that affect them at a young age and are associated with the use of life-long treatment, perceived by some as having significant risk of side effects and toxicity. INTRODUCTION The aim of our study was to exami...

BACKGROUND The small group tutorial is a cornerstone of problem-based learning. By implication, the role of the facilitator is of pivotal importance. The present investigation canvassed perceptions of facilitators with differing levels of experience regarding their roles and duties in the tutorial. METHODS In January 2002, one year after problem-based learning implementation at the Nelson R. ...

Background: Approximately 16 million adolescent girls aged 15 to 19 years and 1 million teenage girls less than 15 years of age become pregnant worldwide annually, and the majority of these pregnancies are unintended. Unwanted adolescent pregnancy coupled with impaired and inadequate physical and mental health can lead to slow progression of the community and the short- and long-term negative c...

Abstract Background Implementation of high-quality clinical trials especially early in the pandemic caused burden on investigators given lack infrastructure, networks and systematic supports. To prepare for future pandemic, we investigated facilitator obstacles that enable to operate COIVD-19 Japan. Methods We conducted individual semistructured qualitative interviews assess process how COVID-1...

background aging is an irreversible natural process characterized by a decline in both the physical and mental status of individuals. because of multiple factors, this process and its consequences vary greatly between individuals. a successful aging (sa) is the target of current health policies and well-being of individuals. knowing the factors that contribute to sa and its barriers would trans...

abstract background: in most countries, one of the main reasons for developing more advanced roles for nurses is to improve access to care in the context of limited number of doctors. it is considered that the introduction of major policy initiatives, such as nurse prescribing, requires high-level discussion and policy development to ensure successful implementation. this study aimed to identif...

BACKGROUND Although disease-modifying anti-rheumatic drugs (DMARDs) are the cornerstone of treatment for inflammatory rheumatic diseases, medication adherence to DMARDs is often suboptimal. Effective interventions to improve adherence to DMARDs are lacking, and new targets are needed to improve adherence. The aim of the present study was to explore patients' barriers and facilitators of optimal...

BACKGROUND Today, medical students are introduced to patient contact, communication skills, and clinical examination in the preclinical years of the curriculum with the purpose of gaining clinical experience. These courses are often evaluated from the student perspective. Reports with an additional emphasis on the facilitator perspective are scarce. According to constructive alignment, an influ...