background: medical complaints affect a large number of the physicians. apart from them being a waste of time, money and energy, lawsuits can be source of great stress for the physician. so far, no survey of medical complaints has been conducted in kermanshah. this study examines complaints processed through kermanshah medical council between 2001 and 2005. methods : in this descriptive study, ...

results we performed rush on 77 patients. kappa index was 0.71 (p value = 0.000), reflecting acceptable general agreement between initial impression and final diagnosis. for hypovolemic, cardiogenic and obstructive shock, the protocol had an npv above 97% yet it had a lower ppv. for shock with distributive or mixed etiology, rush showed a ppv of 100% but it had low sensitivity. subgroup analysi...

BACKGROUND Premature ejaculation is one of the most common sexual dysfunctions in men. Recent epidemiological studies suggest its prevalence in Australia may range from 21-31% OBJECTIVE This article will discuss the current definition of premature ejaculation from a urological perspective. It will provide an understanding of the pathogenesis of premature ejaculation, as well as assessment and...

In a cross-section study based on a national household sample survey, return visits with general practitioners (GPs) vary with the ratio of GPs to population. Thus, higher physician supply, which by itself would depress physician incomes, is compensated for by higher utilisation, in the form of increased return visits. Return visits also vary inversely with the regional ratio to population of l...

Computerized physician order entry (CPOE) eliminates illegible handwriting, reduces medical errors, and improves patient care. The administration, medical staff, nursing, and health information systems departments of a community teaching hospital cooperated to achieve organization-wide use of its CPOE system.

Computerized physician order entry (CPOE) is touted as a major improvement in patient safety, primarily as a result of the Institute of Medicine's 1999 report on medical errors and the subsequent formation of the "Leapfrog Group" of companies to preferentially direct their employees' health care to those institutions that install such systems (as part of directives that "Leapfrog" feels will im...

Portal vein thrombosis (PVT) is thrombosis of the portal -circulation, which may present with varied symptoms. However, increased use of abdominal imaging has noted a large number of incidental PVT. At the same time, PVT may be overlooked in the absence of the characteristic symptoms. More recently, a JAK2 mutation has been recognised as a cause of PVT. Anticoagulation is the mainstay of treatm...

introduction: critical thinking as a process of purposeful self-regulatory judgment leads to problem solving and correct decision making in individuals. in the modern world, health care faces rapid change and burgeoning amount of knowledge. possessing critical thinking is essential for individuals in health care centers, specially when they are forced to solve clinical problems. the aim of this...

principlism, in general and four principles approach in particular is largely discussed in current medical ethics. accord­ing to principlism, the ethical relationship between physician and patient has to be categorized based on some princi­ples, the prin­ciples which are general, action-guiding and could help both the patient and the physician to arrange their ethical behav­ior. four principles...