Following exposure to a major traumatic event like Iran-Iraq war(1980-1988) various reaction occurs, some of which result in stress-related psychiatric disorder. We have briefly described one such case and used it to indicate some features of post-traumatic stress disorder. The patient, B.B, is a 54 years old man who has served in Iran-Iraq war operations for about 19 months. He expresses that ...

the article by brenna and spandonaro on interregional mobility for acute hospital care in italy raises important issues concerning social and territorial equity in a healthcare system. based on regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (cbm), demonstrated by statistical analysis, may be further explored using qualitative m...

background and objectives: patient safety culture is increasingly recognized as an essential driver of patient safety. to establish patient safety culture, firstly the current status of the construct should be assessed. valid assessment of patient safety culture is contingent on the availability of appropriate measurement tools. hospital survey on patient safety culture (hsops) developed by the...

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INTRODUCTION This paper introduces medical educators to the field of conversation analysis (CA) and its contributions to the understanding of the doctor-patient relationship. THE CONVERSATION ANALYSIS APPROACH Conversation analysis attempts to build bridges both to the ethnographic and the coding and quantitative studies of medical interviews, but examines the medical interview as an arena of...

S-MINDS is a speech translation system, which allows an English speaker to communicate with a limited English proficiency speaker easily within a question-and-answer, interview-style format. It can handle dialogs in specific settings such as nurse-patient interaction, or medical triage. We have built and tested an English-Spanish system for enabling nurse-patient interaction in a number of doma...

The PREPaRe system is a patient-oriented internet-based information system that is able to store, combine, process and visualize all types of medical data that are part of a "personal electronic medical record". This paper describes the visualization and interaction aspects of the PREPaRe system which is designed with respect to the user's needs. Special attention is given to the visualization ...

BACKGROUND During noninvasive ventilation (NIV) of COPD patients, delayed off-cycling of pressure support can cause patient ventilator mismatch and NIV failure. This systematic experimental study analyzes the effects of varying cycling criteria on patient-ventilator interaction. METHODS A lung simulator with COPD settings was connected to an ICU ventilator via helmet or face mask. Cycling was...

The role of anterior commissure (AC) and anterior parts of corpus callosum in visual interactions was investigated in a partial split-brain patient whose posterior and middle parts of the corpus callosum were resected surgically leaving intact only a thin portion of anterior corpus callosum. Although the primary visual areas of the two hemispheres are disconnected in the patient, we found that ...

Mechanically ventilated patients with chronic obstructive pulmonary disease often prove challenging to the clinician due to the complex pathophysiology of the disease and the high risk of patient-ventilator asynchrony. These problems are encountered in both intubated patients and those ventilated with noninvasive ventilation. Much knowledge has been gained over the years in our understanding of...