BACKGROUND The prevalence of diabetes mellitus and its complications is higher among First Nations people and people with low socio-economic status (SES). Previous studies in Alberta have shown that provision of care through Primary Care Networks (PCNs) is associated with better quality of care and better outcomes for people with diabetes, possibly because of greater utilization of chronic dise...

On Mar. 12, 2003, the World Health Organization issued a global alert regarding cases of a severe atypical pneumonia termed "severe acute respiratory syndrome" (or SARS). In Singapore alone, there have been 238 SARS cases and 33 deaths, including 5 health care workers. With modern global inter-connectivity, SARS rapidly spread to become a worldwide phenomenon. This article describes the Singapo...

BACKGROUND Delivery of care to people with advanced cancer in the emergency department (ED) is complicated by competing service demands, workloads and physical design constraints. We explored emergency clinicians' attitudes to the ED environment when caring for patients who present with advanced cancer, and how these attitudes are affected by access to palliative care services, palliative care ...

Critical care in low-income countries remains rudimentary. When defined as all aspects of care for patients with sudden, serious, reversible disease, critical care is not disease or age specific and includes triage and emergency medicine, hospital systems, quality of care and Intensive Care Units. This review collates the literature on critical care in low-income countries and explores how the ...

background incomplete hospitalization is the cause of disease relapse, readmission, and increase in medical costs. discharge against medical advice (dama) in emergency department (ed) is critical for hospitals. this paper aims to explore the underlying reasons behind dama in ed of four teaching hospitals in kerman, iran.   methods this was a cross-sectional study in which the samples were drawn...

introduction: midazolam has turned into a common drug for pediatric procedural sedation and analgesia. however, there is not much data regarding its proper dose and potential side effects in the iranian children population. therefore, the present study was done to compare 2 doses of iv midazolam in this regard. methods:  the present clinical trial was performed to compare 0.1 and 0.3 mg/kg dose...

Hospital emergency departments are a critical part of the U.S. health care system, providing the only guaranteed source of health care for the uninsured and offering around-the-clock health care access to everyone. In 2006, more than ten million visits were made to California hospital emergency departments. Heavy use of emergency departments, including use by patients seeking treatment for nonu...

Background: Emergency department congestion is among the major barriers to receiving nursing care for high-priority conditions, like ischemic heart disease. Therefore, it can affect patients’ satisfaction with the quality of care. This study aimed to investigate satisfaction with emergency care among patients with ischemic heart disease. Methods: This cross-sectional study was conducted on 600...

BACKGROUND Primary percutaneous coronary intervention (PCI) is more effective on average than fibrinolytic therapy in the treatment of ST-segment-elevation myocardial infarction. Yet, most US hospitals are not equipped for PCI, and fibrinolytic therapy is still widely used. This study evaluated the comparative effectiveness of ST-segment-elevation myocardial infarction regionalization strategie...