the study of decentralization in fiji shows that increasing capacities is not necessarily related to increasing decision space of local officials, which is in contrast with earlier studies in pakistan. future studies should address the relationship among decision space, capacities, and health system performance.

Background Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach refl...

background : the aim of this study was to investigate the association between the two most commonly used generic and disease specific health-related quality of life (hrqol) measures in patients with chronic lung disease due to sm: medical outcomes study short form 36-item (sf-36) and st george's respiratory questionnaire (sgrq). methods : this is a secondary analysis of iranian chemical warfare...

lumbar puncture is one of the most common methods for assessment of central nervous system. allen is illustrating the role of nurses in relation to probable fears about this technique. question: what is lumbar puncture? answer: this technique is proper method that one needle and trocar enter to subarachnoid space in lumbar spine. this method is most common diagnostic test for central nervous sy...

organization of living environment is possible through a clear definition of private and public arenas and determinationof a spatial hierarchy. such defined arenas increase the sense of belonging to the environment which personalizesresidential environments. enclosure is among the quantities that play a significant role in defining the spaces. in fact,enclosure is the factor that defines a spac...

based on a meta-theoretical analysis of voting, the present paper is an attempt to present a theoretical model encompassing all the possible aspects of voting in an election action system, proposing four sub-systems of voting as follows: economic voting, political voting, cultural voting and moral voting. having distinguished among these sub-systems, the writer describes the constitutive elemen...

conclusions it seems that considering the clinical examination of patients before sa focusing on lumbar spinous process status, presence of lumbar deformity, calculation of bmi and radiological signs of lumbar vertebrae can be helpful in predicting sa difficulty. results hundred and one patients were enrolled. of these patients, 50 (49.5%) underwent sa by the first attempt of the first space, i...