A central goal of The Academy of Breastfeeding Medicine is the development of clinical protocols, free from commercial interest or influence, for managing common medical problems that may impact breastfeeding success. These protocols serve only as guidelines for the care of breastfeeding mothers and infants and do not delineate an exclusive course of treatment or serve as standards of medical c...

Clinically relevant attitudes and guidelines issued by a rational evidence based medicine (EBM) approach integrate individual clinical expertise with the best available external clinical evidence from systematic research. However, many physicians, while considering the ultraliberal world they are practising in and fearing that the primary goal of managed care in a market environment is reducing...

Background and Objectives: With one of the highest rates of suicide in the world and high rates of suicidal ideation in the population, we set out to pilot a study to ascertain whether it is possible to conduct a randomised controlled trial. Secondly we aimed to study whether Cognitive Behavioural Therapy (CBT) for suicidal ideation is better than treatment as usual (TAU). Method: Those with su...

Uncertainty is a pervasive and important problem that has attracted increasing attention in health care, given the growing emphasis on evidence-based medicine, shared decision making, and patient-centered care. However, our understanding of this problem is limited, in part because of the absence of a unified, coherent concept of uncertainty. There are multiple meanings and varieties of uncertai...

extract today home health care is implementing in many countries. in iran, because of increasing population growth and hospital investments, home health care is not avoidable. home health care not only causes decreasing length of hospitalization and rapid offloading of hospital's beds for the use of other patients, but also presenting direct health services in home based on individual need...

Students in civil engineering and mechanical engineering fields may find the concepts of fluid mechanics abstract and have difficulty in grasping the real phenomena. Innovative learning methodologies are necessary to help arouse their interest. Yet, many web-based learning sites have common weaknesses including information being laid out basically in a textbook format and the lack of interactio...

A surge in hospital consolidation is fueling formation of ever larger multi-hospital systems throughout the United States. This article examines hospital prices in California over time with a focus on hospitals in the largest multi-hospital systems. Our data show that hospital prices in California grew substantially (+76% per hospital admission) across all hospitals and all services between 200...

PURPOSE The quality of nursing care in geriatric hospitals has been of concern. Nurses need to provide evidence-based nursing using best available research findings in order to maximize the quality of care. Research utilization is a major part of evidence-based nursing practice. Empowerment is an important factor that may influence the context of nursing practice. The purpose of this study was ...

effective clinical care requires nurses to obtain the capability of putting the research findings into application. during the recent years, evidence-based nursing (ebn) has proved itself as a way for health care and therapy based on new findings being used in clinical care practices. however, studies show that nurses have problem in evidence-based practice application the most of which reveals...

objective: to find out the quality of anc in the upazila health complexes (phc centres) of bangladesh. materials and methods: this cross sectional study was done in purposively selected three upazilas among the clients receiving antenatal care (anc). data were collected with questionnaire cum checklist in the context of two aspects of quality issues, namely assessment of physical arrangements f...