BACKGROUND There is a heightened interest in spiritual and religious interventions in clinical settings, an area marked by unease and lack of training by physicians. A potential resource for generalists is specialty consultation and referral services, although little is known about the prevalence and patterns of involvement of clergy or pastoral professionals in patient care. OBJECTIVES To id...

OBJECTIVE Dyspepsia usually presents first in primary care. There are many reasons for referral including urgent problems (for example, haematemesis and melaena), treatment failure, or to exclude serious pathology. Referral will change the population characteristics of primary and secondary care dyspeptics. Many of the guidelines for primary care dyspepsia, however, are based on secondary care ...

Background: Telemedicine has been incorporated into daily clinical practice. The purpose of this paper is to evaluate the economic impact electronic consultation as a means referring patients between Primary Care (PC) services and referral Cardiology Service (CS) tertiary hospital, in particular, cost reduced air pollution. Methods: direct indirect costs associated with all interconsultations P...

BACKGROUND The two primary objectives of this study were to the assess consultation load of occupational health physicians (OHPs), and their difficulties and needs with regard to their sickness certification tasks in sick-listed employees with severe medical unexplained physical symptoms (MUPS). Third objective was to determine which disease-, patient-, doctor- and practice-related factors are ...

BACKGROUND We identified factors associated with delayed first consultation for breast symptoms (patient delay), delayed diagnosis after first consultation (doctor delay), and advanced pathologic stage at presentation among 180 women with breast cancer in Thailand. METHODS In this cross-sectional study 180 patients with invasive breast cancer were interviewed about potential risk factors and ...

Background: The delayed medical care of intussusception is still the reason for morbidity and mortality in many developing countries. objective this study to take stock itinerary children treated intussusception, order reduce delay treatment. Methods: This a cross-sectional study, carried over three years (from 1st June 2016 31 May 2019), at Paediatric Surgery department Campus Teaching Hospita...

Palliative care consultations for patients with life-threatening illnesses provide benefits for the patients and their families as well as for the health care team. Patients have better quality of life and live longer but cost the health care system less. Still, many patients are not offered the opportunity to receive a palliative care consultation. Barriers to palliative care consultation for ...

PURPOSE To determine the impact of the establishment of a dedicated oncofertility clinic on the frequency of patient referrals for fertility preservation (FP) consultation and the time from patient referral to consultation. METHODS A retrospective chart review of all women aged 21 to 44 years with an active cancer diagnosis who were referred for FP consultation from 2011 to 2015. RESULTS A ...

background: there are various factors that may cause pain and dysfunction in the pelvic region. myofascial trigger points can likewise contribute in pelvic pain. common treatments for myofascial trigger points include electrotherapy, laser therapy, massage, ischemic compression, dry-needling, stretch, icing, heating, and biofeedback. case report: a 26 year old man with an exertion-related pain ...