AIMS The aim of this study was to compare in patients presenting with acute chest pain the clinical outcomes and cost-effectiveness of an accelerated diagnostic protocol utilizing contemporary technology in a chest pain unit versus routine care in an internal medicine department. METHODS AND RESULTS Hospital and 90-day course were prospectively studied in 585 consecutive low-moderate risk acu...

OBJECTIVES To evaluate the cost effectiveness of soft tissue injury management by emergency nurse practitioners (ENPs) and extended scope physiotherapists (ESPs) compared with the routine care provided by doctors in an emergency department (ED). DESIGN Randomised, pragmatic trial of equivalence. SETTING A single ED in England. PARTICIPANTS 372 patients were randomised, 126 to the ESP grou...

realizing the cause of cushing's syndrome (cs) is one of the most challenging processes in clinical endocrinology. the long high dose dexamethasone suppression test (standard test) is costly and need an extended inpatient stay. in this study we want to show the clinical utility of the overnight 8 mg dexamethasone suppression test (dst) for differential diagnosis of cs in a referral center. retr...

Background: The rate of exclusive breast feeding is low in many societies and has diminished in recent years in Iran. This study was conducted to determine the effects of postpartum mother–infant skin-to-skin contact on exclusive breastfeeding in neonatal period. Materials and Methods: This was a randomized control trial. 114 healthy primiparous mothers and their neonates were recruited in Om-...