background: world health organization (who) defines three goals to assess the performance of a health system: the state of health, fairness in financial contribution and responsiveness. we assessed the responsiveness of health system for patients with diabetes in a defined population cohort in tehran, iran. methods: total responsiveness and eight domains (prompt attention, dignity, communicatio...

background: stroke is a major cause of death and disability in the world and these complications can be decreased by competent emergency care. emergency medical service (ems) transfer half of the stroke patients to hospitals. this study aimed to determine diagnosis of status and transfer time of stroke patients by ems to a main hospital (valiasr) in arak city. materials and methods: this study ...

abstract objectives: while great advances have been made in the field of pediatric dentistry, creating a friendly relationship with pediatric patients and getting them to readily accept dental treatment and cooperate remains challenging. cooperation by children can affect the quality of dental visit and the required time for the treatment. dentists’ attire could be one of the factors that signi...

introduction: health care organizations, especially hospitals, must focus on patient safety as their main strategy. cultural change is the most important challenge that they are faced with in creating a safe system. the present article aims to improve the patient safety culture with an assessment of the safety in fatemeh zahra hospital, najafabad, iran. methods: this descriptive and cross-secti...

conclusions a significant association was found between ages of women with their delays in consultation. delay is still prevalent amongst women with breast cancer. it seems necessary to design educating programs for women in both clinical and community settings, about breast cancer and early detection practices. results the mean age of women was 46.99 years. 38.4% of women were ≤ 40 years. 61% ...

background various researchers have shown that the health level, performance status, and quality of life (qol) are often less than expected especially in hemodialysis (hd) patients. objectives this study aimed to determine the effect of the two methods of educational programs on health- related qol (hrqol) in iranian hd patients. patients and methods in this quasi-experimental, pretest-posttest...

patients and methods a questionnaire was developed by a departmental checklist focus group, which aimed to identify the perception of health care checklists in general as well as specific checklists for routine and crisis situations in anesthesia. furthermore participants were asked regarding their perception of performing routine anesthesia and managing crisis situations without any cognitive ...

purpose: to report a patient with exotropia due to medial rectus muscle entrapment as a complication of endoscopic dacryocystorhinostomy (edcr). case report: a 34-year-old female was referred with left exotropia 18 days after edcr for treatment of primary nasolacrimal duct obstruction. she had a large angle left exotropia in primary position as well as complete limitation of adduction and parti...

Introduction: Radiation therapy is one of the main treatments for rectal cancer. In three-dimensional conformal radiotherapy, exposure of healthy tissue around the tumor is unavoidable. The small intestine is the most important organ at risk of rectal cancer radiotherapy. Intestinal complications are a major factor limiting the dose radiotherapy for rectal cancer. The most com...