background and aims. it is believed that adherence of candida albicans to oral surfaces is a critical event in the colonization and development of oral diseases such as candida-associated denture stomatitis. although there is considerable information about the adherence of candida albicans to buccal epithelial cells and prosthetic materials, there is very little information available about the ...

BACKGROUND Physicians' heavy workload is often thought to jeopardise the quality of care and to be a barrier to improving quality. The relationship between these has, however, rarely been investigated. In this study quality of care is defined as care 'in accordance with professional guidelines'. In this study we investigated whether GPs with a higher workload adhere less to guidelines than thos...

conclusions with increasing the number of comorbid conditions, the proportion of patients with high adherence decreases. in our opinion, this finding is a useful clinical note for healthcare providers when managing patients with hypertension who have other medical problems at the same time. patients and methods two hundred and eighty consecutive hypertensive patients were interviewed in 4 citie...

BACKGROUND AND OBJECTIVE Changes in the Dutch GP remuneration system provided the opportunity to study the effects of changes in financial incentives on the quality of care. Separate remuneration systems for publicly insured patients (capitation) and privately insured patients (fee-for-service) were replaced by a combined system of capitation and fee-for-service for all in 2006. The effects of ...

BACKGROUND The Dutch Healthcare Inspectorate supervises care providers in order to improve quality of care. Recently the inspectorate assessed and promoted the use of a guideline on smoking-cessation counselling in midwifery practices. The supervision programme consisted of an announcement of the enforcement deadline for the guideline and site visits. The purpose of our qualitative study was to...

candida albicans is an opportunistic fungal pathogen found as mycoflora in the human body surfaces. sevral genes play a crucial rule in its virulence including hwp1 (hyphal wall protein 1), bcr1 and als gene family. hwp1 gene is a responsible for coding a cell surface protein, which mediates biofilm formation in candida albicans. here we investigated the presence of the hwp1gene was characteris...

Aims: Adherence to treatment is one of the most important concepts in the field of physical diseases, including hypertension. Many patients do not adhere to the treatment and ignore the doctor's instructions, which can cause many economic, physical and cultural problems for the individual, family and society. Many factors, including self-efficacy, self-regulation, and social support, are associ...

BACKGROUND Many studies have examined hand hygiene (HH) frequency and adherence in response to various interventions. This study used 2 methods to determine HH frequency and adherence to see how well the outcomes correlated. METHODS HH frequency was measured over 4, 1-month periods (phases 1-4), using 2 methods: an audit of HH solution used during each phase adjusted for patient-days and cove...

OBJECTIVE The objective of this work was to elucidate aspects of organizational culture associated with hospital performance in perioperative antibiotic prophylaxis using quantitative data in a multicenter and multidimensional study. DESIGN Cross-sectional retrospective study using a survey data and administrative data. SETTING Eighty-three acute hospitals in Japan. PARTICIPANTS A total o...