BACKGROUND Iatrogenic injuries are relatively common and a potentially avoidable source of morbidity. The economic evaluation of this area has been limited by the lack of good quality national data to provide an estimate of incidence, associated disability, and preventability of iatrogenic injuries. Two recent surveys, the Quality in Australian Health Care Study (QAHCS) and the Utah Colorado St...

OBJECTIVE To assess the health-related quality of life (HRQoL) of children surviving to pediatric intensive care discharge. METHODS A prospective evaluation of HRQoL at admission and 6 months later was carried out with children aged 6 years or more, admitted to three tertiary pediatric intensive care units (PICUs) from May 2002 to June 2004. HRQoL was measured with the Health Utilities Index ...

OBJECTIVE To evaluate the effectiveness and safety of cervical arthroplasty and anterior cervical discectomy fusion methods. METHODS The randomised clinical trial was conducted at the neurosurgical clinic of University of Harran, Turkey, between February 2009 and January 2010. The patients had single level disc disorder between C4-C7 levels. Before surgery, all of the patients had taken medic...

The aim of this paper is to find features-patterns relating to the autonomy-disability level of elderly people living in nursing homes. These levels correspond to profiles based on performing activities of daily living, like washing, dressing and transferring... To achieve this aim, an unsupervised approach is used. In the article, we propose a new clustering approach based on the principal com...

OBJECTIVE To identify the risk factors for noncompletion of a functional restoration program for patients with chronic disabling occupational musculoskeletal disorders. DESIGN Prospective cohort study. SETTING Consecutive patients undergoing functional restoration treatment in a regional rehabilitation referral center. PARTICIPANTS A sample of 3052 consecutive patients, classified as eith...

OBJECTIVE We sought to determine whether vitamin D status is associated with developing new T2 lesions or contrast-enhancing lesions on brain magnetic resonance imaging (MRI) in relapsing multiple sclerosis (MS). METHODS EPIC is a 5-year longitudinal MS cohort study at the University of California at San Francisco. Participants had clinical evaluations, brain MRI, and blood draws annually. Fr...

Objective: To know the notable public health programs in Brazil and their associations with Unified Health System. Methods: This is a short communication about important Brazil. Scientific articles published last ten years were used. The choice was made through searches scientific databases. Results: It noted that user's understanding can be an indispensable source of knowledge for designing ev...

Down syndrome (DS) is recognized by characteristic facial features, intellectual disability, and an increased risk for cardiac malformations and duodenal atresia. Recently, Hirschsprung disease (HSCR), or congenital aganglionic megacolon, has been seen more often among patients with DS. Given the systemic nature of DS-related features, it is natural to attribute neonatal complications to the ch...

BACKGROUND Williams-Beuren syndrome (WBS; OMIM #194050) is a developmental disorder characterized by congenital heart disease, intellectual disability, dysmorphic facial features and ophthalmologic abnormalities. Oral abnormalities are also described in clinical manifestations of the disease. This paper describes orofacial features in patients with WBS. MATERIAL AND METHODS Seventeen patients...

It is important for individual dentists and the profession to have access to a process for evaluating the clinical competence of practitioners who are professionally impaired as a result of an accident or a medical disability. No common standards for such evaluations currently exist, however, as demand for this type of assessment is still rare. This article reviews the evaluative approach taken...