BACKGROUND Lack of evidence contributes to unnecessary variation in treatment costs and outcomes. This study aimed to identify from interventions historically used for total knee or hip arthroplasty (TKA, THA): i) if routine use is supported by high-level evidence; ii) whether surgeon use aligns with the evidence. METHODS Part 1: Systematic search of electronic library databases for systemati...

INTRODUCTION Nurses' practice of beyond-the-routine view leads to a better treatment process and higher professional status for nurses. However, most studies show that such care is ignored in nursing. The objective of the present study is to analyze nurses' experiences with regard to beyond-the-routine care in order to know this type of better care and encourage nurses to practice it. METHODS...

Little is known about general pediatricians' experience and knowledge regarding the care of transgender youth. We surveyed N=50 general pediatricians practicing in an integrated Midwest health system. Few respondents had participated in medical management care for transgender patients, but one-third were willing to do so if training opportunities were made available. Notably, <60% of respondent...

background: the prevalence and complications of type2 diabetes showed that traditional educations are not effective. in this trial, we evaluated the effect of electronic self-care education and continue case in compare to the traditional training methods on the practice and fasting blood sugar of diabetic patients. methods: 170 type 2 diabetic patients were randomly allocated into two groups an...

conversations contain spontaneous use of routine formulas which lets speaker sinteract with each other to express opinions. gambits, as one of these formulas, act as an opening remark and help speakers to maintain the smooth flow of an everyday conversation. the lack of mastery of using gambits in maintaining the conversation leads to breakdowns in speaking. this paper aimedat comparingthe use ...

introduction: the role of ultrasonography in detection of pleural effusion has long been a subject of interest but controversial results have been reported. accordingly, this study aims to conduct a systematic review of the available literature on diagnostic value of ultrasonography and radiography in detection of pleural effusion through a meta-analytic approach. methods: an extended search wa...

introduction: hemothorax is one of the most prevalent injuries caused by thoracic traumas. early detection and treatment of this injury is of utmost importance in prognosis of the patient, but there are still controversial debates on the diagnostic value of imaging techniques in detection of hemothorax. therefore, the present study aimed to evaluate the diagnostic value of chest ultrasonography...