background and purpose: implementing the guidelines to prevent vap has been shown to have a significant effect on reducing the incidence of vap. studies indicate that icu staff have poor knowledge and low implementation rate of the standard preventive measures related to vap. the present study aims to evaluate the knowledge of nurses in the intensive care unit in university hospitals of sari. m...

evidence occupies a paramount position in any logical endeavor and research article is consensually considered a predominant site of such an endeavor. one interesting area of rhetoric which addresses the source and reliability of evidence is quality metadiscourse. in this qualitative study, quality metadiscourse strategies (i.e., evidentials, hedges, boosters and disclaimers) are examined to in...

in its course of evolution, the sassanian rule accepted a change in temporal exigencies, condition and manner of governance of each ruler where more attention was paid to the institutional establishment, grades/ranking, titles, symbols and administrative hierarchy. in a way, the organizational manner, to a larger extent, could engulf the period into a curtain of ambiguity. one of those ranks wa...

evidence-based medicine (ebm) is becoming an integral component of graduate medical education competency and a requirement for grad medical education practice-based learning core competency. this study tries to compare the efficacy of conferences utilizing small-group discussions with the traditional conference method in enhancing ebm competency. the participants in this randomized controlled t...

the muslim scholars, philologists and rhetoricians are unanimous that the eloquence of the holy prophet, peace be upon him and his household, is unparalleled and there is nothing like his style and discourse. to put it in other words, the speech of the prophet is beneath the speech of god but above that of people in that it gathers the most comprehensive discourses and wonders of eloquence and ...

Introduction: In the field of orthopedic surgery, highly impact journals like Journal of Bone and Surgery (JBJS-Am) and Clinical orthopedics and Related Research (CORR) publishing the LOE for their manuscript. JBJS-Am started to publish the level of evidence (LOE) for all manuscript since 2013. Results:310 articles were reviewed. Country of origin for these, were twelve different countries incl...

there has been too much of a one-way flow drift down a river of evidence. researchers from rich countries have produced the primary evidence which they proceed to summarise within reviews. these summaries have directed care worldwide. however, things are changing and the river of evidence can flow in the other direction. the care of women with eclampsia has been changed or refined throughout th...

there is controversy in the literature regarding a number of topics related to anterior cruciate ligament (acl)reconstruction. the purpose of this article is to answer the following questions: 1) bone patellar tendon bone (bptb) reconstruction or hamstring reconstruction (hr); 2) double bundle or single bundle; 3) allograft or authograft; 4) early or late reconstruction; 5) rate of return to sp...

There is controversy in the literature regarding a number of topics related to anterior cruciate ligament (ACL)reconstruction. The purpose of this article is to answer the following questions: 1) Bone patellar tendon bone (BPTB) reconstruction or hamstring reconstruction (HR); 2) Double bundle or single bundle; 3) Allograft or authograft; 4) Early or late reconstruction; 5) Rate of return to sp...

Governance in health is cited as one of the key factors in balancing the concerns of the government and public sector with the interests of civil society/private players, but often remains poorly described and operationalized. Richard Saltman and Antonio Duran look at two aspects in the search for new provider models in a context of health markets signalling liberalisation: (i) the role of the ...