non-somatic causes of pain may aggravate painful complaints and complicate the conservative management of diseases such as lumbo-sacral disk root disease. the two-point discrimination test has been used for assessment of diseases, which change patients' skin sensation. this study aims to find out how applicable is two-point discrimination test in the conservative treatment of lumbo-sacral disk ...

background: heart failure is a severe chronic disease and has a negative impact on the health-related quality of life (hrql). in addition to preventing disease progress, one of the important goals in heart failure treatment is to improve the patient’s quality of life. this study is aimed to compare three generic to specific quality of life instruments that are used in cardiac rehabilitation set...

OBJECTIVE To examine the implementation of a protocol for the assessment of attention-deficit/hyperactivity disorder (ADHD) in rural pediatric practices. The protocol was designed to provide an efficient means for pediatricians to learn and use the ADHD guidelines put forth by the American Academy of Pediatrics (AAP). METHODS Primary care staff (physicians, nurses, etc) from 2 rural pediatric...

risk assessment provides the possibility of planning and management to prevent and reduce the risk of desertification. the present study is aimed to assess the hazard and risk of desertification and to develop management programs in the semi-arid western regions of golestan province in iran. desertification rate was obtained using the iranian model of desertification potential assessment. since...

Accurate assessment of pain intensity remains a critical aspect of successful pain management. Currently, the most widely used method of assessment involves various self-report scales (Williamson & Hoggart, 2005). Self-report scales rely on a cooperative, reliable patient and therefore are of limited use with unconscious, preverbal or cognitively impaired individuals. For verbal children, there...

Performing a multiscale assessment of water resource vulnerability on the basis of political boundaries and watersheds is necessary for adaptive water resources management. Using the Risk-Exposure-Sensitivity-Adaptability model (RESC model), the water resource vulnerability of the Huai River Basin was assessed using four scales, namely, Class II, Class III, Province-Class II, and Municipality-C...

regarding to importance of strategic planning and existence critical success factors (csfs) affecting strategic planning in national iranian gas company (nigc), these cfss identifies in this research using the experiences of managers and expert of nigc planning department and the other references like books, journals and new papers. the purpose of this research is identifying csfs of strategic ...

Pain as a problem of pediatrician and family doctor is very common, often requiring interdisciplinary interprofessional approaches. The first step in optimizing pain management its assessment characteristics, taking into account the age development patient. priority self-reported pain. Objectification characteristics achieved by using scales, including, if possible, with an objective instrument...

A self-assessment scale has been developed and found to be a reliable instrument for detecting states of depression and anxiety in the setting of an hospital medical outpatient clinic. The anxiety and depressive subscales are also valid measures of severity of the emotional disorder. It is suggested that the introduction of the scales into general hospital practice would facilitate the large ta...

To predict the profitability of a customer, today’s firms have to practice Customer Lifetime Value (CLV) computation. Different approaches are proposed in the last ten years to analyze the complex customer phenomenon. One of them is Markov Decision Process (MDP) model. The class of Markov Models is an effective and a flexibility decision model. Whereas the use of MDP model is limited by its ass...