Introduction: Diagnosis lies at the heart of general practice.Every day general practitioners (GPs) visit patients with awide variety of complaints and concerns, with often minor butsometimes serious symptoms. General practice has many featureswhich differentiate it from specialty care setting, but during thelast four decades little attention was paid to clinical reasoningin general practice. T...

abstract background and objectives: study of clinical competence in nursing helps determine the quality of health care delivered to patients. given the priority of observance of principles over caretaking and necessity of spirituality existence at the core of health care provision, this study was conducted to investigate clinical competence and its relationship with professional ethics and spir...

background and objectives: hand hygiene (hh) is crucial for preventing of infectious complications in health care settings. informing healthcare workers on the recommended hand washing method can promote this practice in the clinical staff. this study aimed to evaluate the impact of training the who-recommended five-moment hand washing method in promoting hand hygiene in a health care setting. ...

Derangements in the circulation are a common feature of sepsis, trauma, major surgery and other critical illnesses. Detailed evaluation of the circulation is therefore an essential aspect of the clinical management of such patients. The use of cardiac output monitoring technology is an increasingly important aspect of evaluating patients in the operating theatre, critical care unit and elsewher...

background and purpose: colorectal cancer (crc) is one of the most highly prevalent and life-threatening digestive tract cancers. crc and its treatment are associated with numerous complications in the patients. orem’s self-care model is a theory on clinical improvement and reducing fatigue in patients with crc. this study aimed to investigate the effects of orem’s self-care theory on the nutri...

from 1983 until 1987, 4177 outpatient urologic procedures were performed at shahid labbafi nejad medical center. 34% of the cases were open surgical, while 66% were endourologic procedures. there was no surgical complication related to the outpatient aspect of the procedure. rate of infection in open surgical cases was almost zero. the number of procedures was increased each succeeding year. al...

Progress in medical care has led to a shift in diabetes care and brought the issue of quality of life to the forefront. Sexuality, however, is an aspect of quality of life that has only recently gained more attention in clinical care. It is well known that diabetes can have an enormous influence on male sexual functioning. But what is known about the influence of diabetes on female sexual funct...

conclusions a significant number of patients would benefit from surgical therapy to treat their gerd symptoms, but some incorrect beliefs still misguide the indications for the surgical procedure. results our review showed that: (a) the mortality rate of the surgical procedure is negligible and ppi therapy is also accompanied with mortality; (b) there is a 5% chance of severe dysphagia after an...