background following the implementation of family physician plan in rural areas, the quantity of provided services has been increased, but what leads on the next topic is the improvement in expected quality of service, as well. the present study aims at determining the gap between patients’ expectation and perception from the quality of services provided by family physicians during the spring a...

introduction: family physician plan in iran was conducted to establish service referral system. its urban step began in 2012 and it was supposed that the effectiveness is enhanced and the costs are reduced. the implementation of this program has faced some challenges, especially in human resources management. the aim of this study was to optimally allocate human resources for urban family physi...

background: breaking bad news to cancer patients is one of the important responsibilities in the oncology setting. the purpose of this study is develop and validate a new theoretically based tool for measurement of attitude and practice of physicians toward breaking bad news. methods: the psychometric properties of the scale were established by following the guidelines of clark and watson. in t...

care and evacuation. In addition, all of the chapters include material on the handling of mass casualties. This is a most useful and authoritative little book, which brings together current concepts in the care of the many forms of trauma seen in war time. To have access to such a handbook would be of great value to a physician faced with the problems of care of the wounded. It should be requir...

The practice of medicine is an exceedingly gratifying privilege, a notion that is commonly shared among the physicians. Also commonly understood but often not expressed is the humbling nature of this practice. Seldom, if ever, we know the true answers to our patients’ questions. Yet, we adeptly offer explanations, commonly based on the group data, and yet the essence of the practice of medicine...

We read with great interest the article by Glaser and Shah titled “Root Cause Analysis of Paraplegia Following Transforaminal Epidural Steroid Injections: The Unsafe Triangle (Pain Physician 2010; 13:237-244). For years, the well known “safe triangle” (when performing transforaminal lumbar epidural steroid injection) has been taught and learned by hundreds of interventionists in International S...

Microvascular imaging is a new ultrasound technique aiming to image and quantify the microvasculature, comprising arterioles, venules, maybe even capillaries. The uses an advanced clutter filter eliminate artifacts caused by breathing movement retains low-speed blood signals in microvessels. great advantage of microvascular ultrasonography that it allows physician intuitively detect very slow m...

The rapid Arab-Islamic conquest during the early Middle Ages led to major political and cultural changes in the Mediterranean world. Although the early medieval Muslim presence in the Iberian Peninsula is now well documented, based in the evaluation of archeological and historical sources, the Muslim expansion in the area north of the Pyrenees has only been documented so far through textual sou...