background: anemia is the most common blood disorder observed in vulnerable groups and affects their efficiency in their everyday activities. possible complications of the disease may be reduced or prevented by screening of patients. screening programs impose certain costs upon the health system, which may offset their positive effects. whether the positive impacts of screening outweigh its cos...

breast cancer is the leading cause of malignancy among women. screening using mammography is proposed as an effective intervention for reducing early deaths due to breast cancer. we conducted a systematic review to assess the cost-effectiveness of such screening programs. we searched medline, scopus and google scholar and complemented it by other searches using sensitive search terms from 1993-...

factor xiii deficiency (fxiiid) is an extremely rare hemorrhagic disorder with a prevalence of 1/3-5 million. management of disease is performed by fresh frozen plasma (ffp), cryoprecipitate (cp) or fxiii concentrate (fibrogammin p®). our objective was to assess safety and effectiveness of fibrogammin p® in patients with fxiiid. for this purpose we designed this long-term follow up study on a l...

introduction: measurement of diabetes management effectiveness includes the process of care and its quality, health outcome and response to care before everything; it needs a conceptual framework about this universal disease. minimum data set (mds) of diabetes make this framework by using standard data element with unique definition and effectiveness indicators preparation of diabetes managemen...

objective: to systematically identify the various methods of speed management and their effects. methods: a systematic search was performed in science direct, ovid medline, scopus, pubmed and proquest databases from april to june 2015. hand searching and reference of selected articles were used to improve article identification. articles published after 1990 which had reported on efficacy/effec...

objective: dysfunctional beliefs of tuberculosis patients have pivotal role in treatment and development of their serious psychiatric problems. cognitive group psychotherapy has been utilized to manage the dysfunctional beliefs. methods: in a quasi-experimental study and a pretest and posttest design, 24 male tubercular patients were selected by convenient sampling and then randomly assigned to...

T he proliferation of costly therapies has led to an increased focus on value. In the treatment of patients with advanced heart failure (HF), one such expensive intervention, CardioMEMS (CardioMEMS Heart Failure System, St. Jude Medical Inc., Atlanta, Georgia), is a permanently implanted device to monitor pulmonary artery pressure and enable adjustments in therapy that could avert the need for ...

Incremental or marginal cost-effectiveness ratios are founded on a number of assumptions that weaken their suitability as a way to balance competing economic and clinical priorities. We therefore propose a more relevant and responsible way to gauge the impact of clinical management strategies based on “consumer protection” principles—explicit disclosure of (1) the total magnitude of expected be...

BACKGROUND Physical activity interventions that are targeted at individuals can be effective in encouraging people to be more physically active. However, most such interventions are too long or complex and not scalable to the general population. This trial will test the effectiveness and cost-effectiveness of a very brief physical activity intervention when delivered as part of preventative hea...