INTRODUCTION Pain education is a complex intervention developed to help clinicians manage low back pain. Although complex interventions are usually evaluated by their effects on outcomes, such as pain or disability, most do not directly target these outcomes; instead, they target intermediate factors that are presumed to be associated with the outcomes. The mechanisms underlying treatment effec...

Background: the nurse scheduling problem (NSP) is a serious and complex challenge in medical industry. Effective, efficient, high-quality services must be carried out by nurses hospitals.Purpose: goal of systematic review was to find how have positive impact on shift schedules professional hospitals.Methods: employed PRISMA approach. Electronic search engines from Proquest, Science Direct, Ebsc...

Breathing exercises and breathing retraining are often used in the management of asthma. One specific form of breathing therapy, known as the Buteyko breathing technique (BBT) has received considerable attention, but there is a paucity of rigorous research evidence to support its recommendation for asthma patients. There are only four published clinical trials and two conference abstracts evalu...

BACKGROUND People with Multiple Sclerosis (pwMS) often experience a disturbed gait function such as foot-drop. The objective of this pilot study was to investigate the medium term effects of using Functional Electrical Stimulation (FES) to treat foot-drop over a period 12 weeks on gait and patient reported outcomes of pwMS. METHODS AND FINDINGS Nine pwMS aged 35 to 64 (2 males, 7 females) wer...

Introduction: The demography of Bulgaria is characterized by a steady trend for a negative natural growth and increase of the relative share of elderly people. This is a challenge to the health and the social systems. Social reports point out: a) unsatisfactory pensions, and b) impoverishment of the group of elderly persons above retirement age. In this context a greater number of people with d...

BACKGROUND The question of how best to reduce waiting times for health care, particularly surgical procedures such as hip and knee replacements is among the most pressing concern of the Canadian health care system. The objective of this study was to test the hypothesis that significant seasonal variation exists in the performance of hip and knee replacement surgery in the province of Ontario. ...