Background. Self-management support and team-based care are essential elements of the Chronic Care Model but are often limited by staff availability and reimbursement. Mobile phones are a promising platform for improving chronic care but there are few examples of successful health system implementation. Program Development. An iterative process of program design was built upon a pilot study and...

objective one of the prominent microorganisms in several reports of nosocomial infections is staphylococcus aureus (s. aureus) which is carried by several health care workers (hcw) many times throughout the day. the present investigation was conducted to assess the nasal and hand carriage rate of s. aureus amongst medical personnel of loghman hakim hospital's toxicological intensive care unit (...

background and objectives: spirituality and spiritual care, as essential components of holistic nursing care, are widely recognized, while spiritual aspect is still overlooked. spirituality has been associated with the caregiver’s sense of well-being and ability to cope. the aim of this study was to determine attitude of intensive care nurses toward spirituality and spiritual care and its relat...

background: perinatal asphyxia is a common cause of infant morbidity and mortality and long-term neurological disabilities. due to the high costs of admission, a large proportion of births and neonatal deaths occur in non-hospital settings. this study aimed to evaluate the incidence rate of perinatal asphyxia before and after the implementation of the health improvement program. methods: this d...

A principal specifies time paths of knowledge transfer, effort provision, and task allocation for a cash-constrained apprentice, who is free to walk away at any time. In the optimal contract the apprentice pays for training by working for low or no wages and by working ineffi ciently hard. The apprentice can work on both knowledge-complementary and knowledge-independent tasks. We study how the ...