background and objectives: visit length is a crucial aspect of patient-physician relationship that its inadequacy can negatively influence the treatment efficiency. studies on visit length and the factors influencing it are limited in developing countries. thus, the objective of this study was to survey this variable at provincial level, and provide data on factors affecting it.   methods: a sa...

background considering the effect of human right observance on patients’ satisfaction from the treatment process, in iran the patient rights charter (prc) was developed by the ministry of health and medical education (mohme) in 2001 and enforced to all hospitals across the country. the purpose of the current study was to evaluate patients’ awareness of their rights based on prc in two tertiary ...

introduction: based on individual independence rights, patients can refrain from being treated or can voluntarily discontinue their treatment after receiving full information. this study aimed to review the reasons of treatment refusal and the status of informed refusals for patients. methods: this was a cross-sectional descriptive study. the study population included 135 patients who refused t...

conclusions intravenous administration of paracetamol immediately after knee arthroscopy improved postoperative pain, decreased analgesic administration, maintained stable hemodynamic parameters, had no complications related to opiates, no nausea and vomiting, and increased patient satisfaction and comfort in comparison to pca with morphine. results there was no significant difference regarding...

idiopathic lobular grunulomatous mastitis is a chronic inflammatory disease of breast that can clinically mimic brent carcinoma or pyogenic abscess. the most common clinical presentation is a fine unilateral discrete mass associated inflammation of overlying skin. nipple retraction and sinus formation are present. breast tb should be considered in differential we present a few cause of our cent...

introduction: delivering bad news is a stressful moment for both physicians and patients. the purpose of this investigation was to explore the patients’ preferences and attitudes toward being informed about the bad news. methods: this cross-sectional study was done on patients admitted to imam khomeini hospital, sari, iran, from september 2014 to february 2015. patient attitude regarding breaki...

Bean DM, et al. BMJ Stel 2017;0:1–3. doi:10.1136/bmjstel-2017-000251 AbstrAct Simulation and analysis of patient flow can contribute to the safe and efficient functioning of a healthcare system, yet it is rarely incorporated into routine healthcare management, partially due to the technical training required. This paper introduces a free and open source patient flow simulation software tool tha...

Efficiency of non-invasive positive pressure ventilation in the treatment of respiratory failure has been shown in many published studies. In this review article, we introduced new modalities of non-invasive ventilation (NIV), clinical settings in which NIV can be used and a practical summary of the latest official guidelines published by the European Respiratory Clinical Practice. Clinical tri...

in the present work, an engineering method is developed to predict laminar and turbulent heating-rate solutions for blunt reentry spacecraft at hypersonic conditions. the calculation of aerodynamic heating around blunt bodies requires alternative solution of inviscid flow field around the hypersonic bodies. in this paper, the procedure is of an inverse nature, that is, a shock wave is assumed a...