background: hb a2 is elevated in subjects with beta thalassemia minor but small percent of carriers have normal hb a2 with elevated levels of hbf (2-10%). this type of thalassemia is called delta beta thalassemia, and can be missed in pre-marriage hematologic consults or screening which leads to increased risk of child birth with beta thalassemia major. materials and methods: in this prospectiv...

background: behavioral disorders are common in the pediatric age group. this study aims to assess the relationship between the frequency of behavioral and mental disorders and counseling with family members and friends in a representative sample of iranian children and adolescents. methods: in this nationwide study, 14880 school students, aged 6–18 years, were selected by cluster and stratified...

results: the finding revealed that intention of family physicians to reduce referral rate of patients to specialists was significantly related to two theory-based variables of subjective norms (r = 0.38, p < 0.001) and perceived behavioral control (r = 0.43, p < 0.001), and not to attitudes. a stepwise regression entering direct measures of the theory variables explained 35% of the variance on ...

while it is important to support the development of methods for public participation, we argue that this should not be at the expense of a broader consideration of the role of public participation. we suggest that a rights based approach provides a framework for developing more meaningful approaches that move beyond public participation as synonymous with consultation to value the contribution ...

hospital ethics committees (hecs) help clinicians deal with the ethical challenges which have been raised during clinical practice. a comprehensive literature review was conducted to provide a historical background of the development of hecs internationally and describe their functions and practical challenges of their day to day work. this is the first part of a comprehensive literature review...

background: despite the importance of the postnatal consultation, in morocco, only 22% of women attended these consultations. the aim of this study was to identify associated factors with these consultations and offer suggestions to improve their use. methods: this study was conducted in 2014 in marrakech. a sample of women in reproductive age (15-49 yr) giving birth during 2013 year was enroll...

Abstract Aim During the first wave of COVID-19 pandemic, clinical guidelines advised implementation remote consultations with aim preventing viral transmission. Guidance included introduction telephone clinics and in March 2020, these were initiated for General Surgery at our rural DGH. The this study was to review patients’ perspectives consultations. Method Using clinic schedules, 100 patient...

Abstract Background Teleconsultations were introduced for cancer surgery follow-up to ease pressure on hospital services and facilitate patients’ access those services. Currently, there is limited evidence of perception the swift shift in service provision. Aim This qualitative systematic review aimed explore patient experiences teleconsultations within UK-based NHS services; better understand ...