the death of the english national health service (nhs) may be slow in coming but that does not mean that it is not the conservative-led uk government’s desired end state. the government is displaying tactical cunning in achieving its long-term purpose to remould the british state. powell seeks greater clarity amidst the confusion but the lack of clarity is a principal weapon in the government’s...

Epidemiology can be considered as a very old science. For example, John Graunt, a statistician, published Natural and Political Observations. In the Bills of Mortality in 1662, he analyzed the mortality rolls in London before the Great Plague, presented one of the first life tables, and reported time trends for many diseases. He provided statist...

T HE addition of neurological criteria of death – better known as brain death – to cardio-respiratory criteria of death was a paradigm shift which evolved when patients with acute brain injury could be resuscitated in emergency departments and intensive care units. Resuscitation of acute brain injury led to progression of devastating brain edema, shift, and eventually massive increase in intrac...

drug utilization evaluation (due) studies facilitate assessing the appropriateness and rational use of medications.the goal of the present study was to evaluate amphotericin b usage in neutropenic patients. a prospective due study was performed in hematology-oncology and stem cell transplantation wards at taleghani hospital for one-year. national comprehensive cancer network, clinical practice ...

ABSTRACT: Many cases of sudden unexplained death in the young are due to heritable mutations that cause disturbances in cardiac conduction that cannot be diagnosed at the time of autopsy. Screening of immediate family members of the deceased can identify individuals affected with the same condition. The collection and freezing of unfixed tissue at autopsy is crucial for the genetic confirmation...

Dear Editor: The American Heart Association published guidelines on neuro-prognostication strategies and treatment withdrawal after successful cardiopulmonary resuscitation. Instead of providing guidance on optimizing the quality of end-of-life care, the authors concluded with a Class I (strong) recommendation that ‘‘all patients who are resuscitated from cardiac arrest but who subsequently pro...

background: morbidity and mortality of preterm babies are important issues in perinatal medicine. in developed countries, preterm delivery is the cause of about 70% of mortality and 75% of morbidity in the neonatal period, respectively. objective: the aim of this study was to determine the risk factors for preterm labor and the outcomes, in terms of perinatal mortality and morbidity at the time...

Background:Evidence-based care guidelines are one of the new ways to improve the quality of care and increase patient satisfaction. In addition to the mental and emotional problems, mentally ill patient suffers from multiple health problems. The most common patient's bio-psycho problems are insomnia and constipation. Aim: The aim of this study was to designing and Accredit the evidence-based ca...

background: cardiovascular disease is an important non-obstetric cause of maternal and fetal /neonatal morbidity and mortality during pregnancy. for a pregnant woman with cardiac disease, the potential inability of the maternal cardiovascular system to contend with normal pregnancy-induced physiologic changes may produce deleterious effects on both mother and fetus. to determine the most freque...