Drawing on FAO’s definition of “sustainable diet”, we propose a “sustainable food pyramid” (SFP) which aims to eradicate malnutrition, promote health and protect the environment. These aspirational objectives require changes in the productive system, eating habits of the population, and rebalancing power relations between all actors in the food chain. This study addresses the psychosocial attit...

BACKGROUND Governments in both developed and developing countries have adopted generic drug substitution policies to decrease pharmaceutical expenditures and improve access to medicine. In August 2015, the Ministry of Public Health (MOPH) in Lebanon introduced generic drug substitution and a unified medical prescription form as policy instruments to promote generic drug use. The objective of th...

Presentation Quality improvement research (QIR) and comparative effectiveness research (CER) share a common goal of achieving a higher-performing healthcare system. Both CER and QIR have grown considerably over the past decade, CER out of the need for more relevant information for clinical and policy decisions, QIR as a result of the increasing attention to the uneven quality of healthcare [1]....

Jung and Reidenberg have once again touched a nerve in their piece: Physicians Being Deceived. Always with a knack for highlighting key controversies in the medico-legal arena, they are to be applauded for this contribution that brings data to bear on an issue that has heretofore been subject to changing legal and regulatory currents without being informed by science. Physicians have more and m...

Ecotourism as the most attractive subset of the tourism industry can contribute to natural resource conservation and local development. Although great numbers of people annually visit Abbasabad area, in Veresk, Mazandaran, to enjoy its brilliant landscape and moderate ecologic condition, there is no applicable plan for many natural attractive zones in this area. As a result, some specific well ...

Background: A majority of people widely use acetaminophen as a sedative. Overusing the drug for prolonged periods of time can lead to acute liver damage. Mumijo, as a strong antioxidant and anti-inflammatory drug, could possibly reduce some of the acetaminophen-induced side effects on the liver. Thus, the aim of this study is to evaluate the effect of Mumijo on the liver damage...

Coronary Angioplasty Practice in the United States We wish to express some concern about the article by Dr Eric J. Topol and colleagues1 analyzing coronary angioplasty practice in the United States based on insurance-claims data. The key conclusion of this study was that the majority of coronary angioplasty procedures performed in this country are not preceded by objective evidence of myocardia...

Clinicians have been interested in the macroscopic and protocol (fig 1), based on that described by Pin et al using a relatively low output ultrasonic nebuliser (output 0.9 ml/ microscopic appearance of sputum in asthma since the last half of the 19th century when Charcot-Leyden crystals, min, particle size 5.6 lm), results in successful sputum induction in 76% of normal and asthmatic subjects ...

Since there is no gold-standard method of measuring adherence, one of the main difficulties in managing low adherence is a lack of accurate and affordable measures. Clinicians must frequently rely on their own judgement, but unfortunately demonstrate no better than chance accuracy in predicting the adherence of their patients (Stephenson et al, 1993), even among those for whom they feel confide...

Stewardship Begin at the Dinner Table? To the Editor—Waters et al [1] are to be congratulated for their work characterizing and profiling Staphylococcus aureus found in commercially available meat purchased throughout the United States. This study found that 50% of retail beef, pork, and poultry products are contaminated with S. aureus, and 96% of these isolates were resistant to at least 1 ant...