The degree of fulfillment of clinical guidelines is considered a key factor when evaluating the quality of a clinical service. Guidelines can be seen as processes describing the sequence of activities to be done. Consequently, workflow formalisms seem to be a valid approach to model the flow of actions in the guideline and their temporal aspects. The application of a guideline to a specific pat...

BACKGROUND The Dutch Healthcare Inspectorate supervises care providers in order to improve quality of care. Recently the inspectorate assessed and promoted the use of a guideline on smoking-cessation counselling in midwifery practices. The supervision programme consisted of an announcement of the enforcement deadline for the guideline and site visits. The purpose of our qualitative study was to...

A freshwater Se guideline was developed for consideration based on concentrations in fish eggs or ovaries, with a focus on Canadian species, following the Canadian Council of Ministers of the Environment protocol for developing guideline values. When sufficient toxicity data are available, the protocol recommends deriving guidelines as the 5th percentile of the species sensitivity distribution ...

ramadan fasting is specific intermittent fasting comprising significant changes in routine lifestyle pattern and may affect body homeostasis and metabolism. in spite of several studies conducted on the effects of ramadan fasting on various aspects of health and disease, because of heterogeneity in methodology and procedures (sometimes inevitable), a comprehensive concluding for reliable results...

Iran including attractive places and high potential for tourism (external and internal) and investing on tourism industry including social and economic effects leading to constancy of tourism areas. Unfortunately, despite high capacity of developing tourism in our country, this capacity has not recognized well and has not utilized for development of Iran. The special factors influence on transi...

results there were minor differences in treatment preferences for graves’ disease in pregnancy and tests to monitor antithyroid drugs between endocrinologists and generalists; the major difference being targeted free thyroxin, and also thyroxin, depicted in the upper end of normal range, by the majority of endocrinologist and within the normal range, by generalists. compared to generalists, end...

background: the inappropriate use of aminoglycosides has harmful effects such as the development of resistant pathogens and the incidence of nephrotoxicity and ototoxicity. therefore, drug utilization evaluation of these drugs may improve their usage remarkably. the aim of this study was to assess the usage pattern of amikacin in an internal medicine ward. methods: this cross-sectional study wa...

compost is a gradual process in nature by which organic materials are decomposed in the presence of air by microorganisms and fungi. the product is a valuable fertilizer that is used in different places even in home little gardens, so that it has signed as an unnoticed asset. with due attention to the importance of compost, its guidelines and standards should be evaluated. it is pointed and com...