BACKGROUND Recent interest has focused on the use of arterial conduits in diabetic subsets. To date, the long-term benefits of bilateral internal thoracic artery (BITA) grafting in this subgroup remain in question. METHODS Two hundred eighty-five consecutive oral-treated diabetics operated on nonemergent basis (1996 to 1998) were compared according to the surgical technique, left-sided skelet...

BACKGROUND AND PURPOSE The American Physical Therapy Association's Vision 2020 advocates that physical therapists be integral members of health care teams responsible for diagnosing and managing movement and functional disorders. This report details the design and early implementation of a physical therapist service in the emergency department (ED) of a large, urban hospital and presents recomm...

BACKGROUND AND OBJECTIVES Acute colorectal obstruction is a potentially life-threatening emergency that requires immediate surgical treatment. Emergency procedures had an associated mortality rate of 10% to 30%. This encouraged development of other options, most notably self-expanding metallic stents. The primary endpoint of this study to is to report our group's experience. METHODS We perfor...

OBJECTIVES The goal of this study was to determine whether outcomes of nonemergent coronary artery bypass grafting (CABG) differed between low- and high-volume hospitals in patients at different levels of surgical risk. BACKGROUND Regionalizing all CABG surgeries from low- to high-volume hospitals could improve surgical outcomes but reduce patient access and choice. "Targeted" regionalization...

Many surgeons advocate uniform performance of operative completion arteriography after leg bypass surgery to ensure technical success and to optimize shortand intermediate-term graft patency. To determine the impact of this practice on the outcome of reversed-vein bypass surgery and associated patient charges, we reviewed our series of consecutive nonemergent leg bypass procedures. Ninety-three...

background the importance of cross-border healthcare, medical and health tourism plays a significant role in the european health policy and health management. after dentistry, orthopaedic treatments are the leading motivation for seeking care in hungary, as patients with rheumatic and motion diseases are drawn to the thermal spas and well-established orthopaedic centres. this paper aims to gain...

conclusions the interaction quality and process quality were the key determinants of patient’s trust in the private hospitals of tehran. to enhance the patients' trust, quality improvement efforts should focus on service delivery aspects such as scheduling, timely and accurate doing of the service, and strengthening the interpersonal aspects of care and communication skills of doctors, nurses a...

conclusions patient and public participation in kashan hospitals are not adhered well. as the patient has an important role in improving the quality of services, more use of mass media especially local newspapers, hospital websites, and training programs are suggested to inform both the patients and public on their rights and roles in improving the healthcare services. background in the recent ...

the doctor-patient relationship (dpr) is one of the most important subjects in medical sociology and health policy. due to mutual understanding, undistorted dprs not only result in satisfaction of both doctors and patients, but also help to reduce financial burdens for patients and the health care system. the purpose of this research was to identify a dpr based on the qualitative paradigm model...