lack of scientific and confirmed researches and expert knowledge about evaluation systems for clinical governance development in iran have made studies on different evaluation systems for clinical governance development a necessity. these studies must provide applied strategies to design criteria of implementing clinical governance for hospital's accreditation. this is a descriptive and compara...

T he Registrar General of India's Sample Registration System (SRS), a large routine demographic survey, is the country's primary system for the collection of fertility and mortality data (Box 1). It is widely regarded as an innovative way of capturing essential information on mortality patterns that may infl uence public health policy. However, although this monitoring system has been in place ...

BACKGROUND Prospective assessments of oral health-related quality of life (OHRQoL) changes are prone to response shift effects when patients reconceptualize, reprioritize, or recalibrate the perceived meanings of OHRQoL test items. If this occurs, OHRQoL measurements are not "invariant" and may reflect changes in problem profiles or perceptions of OHRQoL test items. This suggests that response ...

OBJECTIVE The aim of this study was to investigate the course of alexithymia and its relation with anxiety and depression in patients with multiple sclerosis (MS), over a period of 5 years. METHODS Sixty-two MS patients were examined at two timepoints, 5 years apart, and they answered questionnaires collecting socio-demographic, medical, and psychological data (depression, anxiety, alexithymi...

BACKGROUND This paper investigates the properties and performance of the two generic measures, EQ-5D and SF-12, for Health-Related Quality of Life (HRQoL) assessments of pregnant women living with HIV in Kunming City, Yiliang County, Daguan County, Longchuan County, Tengchong County, Longling County and Fengqing County in Yunnan Province, China. METHODS As part of a screening programme for th...

BACKGROUND Pain is a common complaint of patients attending walk-in clinics, but timely and appropriate pain management is often lacking. AIM To evaluate the impact of a multifaceted intervention on pain management. DESIGN Prospective interventional study. METHODS Three cross-sectional surveys were conducted: before, 4 months after and 14 months after a multifaceted intervention at the me...

This paper aimed to review currently available cohort studies of subjects with mood disorders such as major depressive disorder (MDD) and bipolar disorder (BD). Using the PubMed and KoreaMed databases, we reviewed eight major cohort studies. Most studies recruited participants with MDD and BD separately, so direct comparison of factors associated with diagnostic changes was difficult. Regular a...

This study investigated the relationship between the development of effortful control (EC), a temperamental measure of self-regulation, and concurrent development of three regions of the prefrontal cortex (anterior cingulate cortex, ACC; dorsolateral prefrontal cortex, dlPFC; ventrolateral prefrontal cortex, vlPFC) between early- and mid-adolescence. It also examined whether development of EC m...

We thank all the Médecins Sans Frontières coordination and field teams involved for their help, particularly Fazil Tefera and Sandrina Simons. We acknowledge the invaluable assistance of many Angolan translators, and thank local authorities for their support and hospitality. Contributors: See bmj.com Funding: The study was financed entirely by Médecins Sans Frontières. Competing interests: None...

BACKGROUND It is well established that there is an association between the apolipoprotein E (APOE) ε4 allele (APOE*E4) and Alzheimer's disease. It is less clear whether there is also an association with geriatric depression. We examined the relationship between APOE*E4 and 5-year incidence of depression in a Swedish population-based sample of older adults without dementia and excluding older ad...