primary neuroendocrine carcinoma (nec) of the mediastinum is a rare type of carcinoma. according to the literature, only five cases of this condition have been reported so far. in this paper, we present a rare case of mediastinal nec of unknown primary site. the patient was a 34-year-old man with mediastinal nec, who presented with chronic dry cough and a right-sided mediastinal mass one year p...

this was a prospective cross-sectional study of consecutive transported patients by emergency medical service (ems) to a referral hospital. the goal of this study was the evaluation of emergency medical technician intermediate prediction about their transported patients disposition in emergency department of imam khomeini hospital. 2950 patients were transported to this hospital, questionnaires...

The question of admission and non-admission to the intensive care unit (ICU) raises several ethical questions. There is a fine line between the risk of loss-of-opportunity for the patient in case of non-admission, and the risk of unreasonable therapeutic obstinacy, in case of unjustified admission. Similar difficulties arise in decisions regarding re-admission or non-re-admission, with the sole...

Background Days alive and at home (DAH) is a patient centered outcome measureable in routinely collected health data. The validity minimally important difference (MID) hip fracture have not been evaluated. Objective We assessed construct predictive estimated MID for the patient-centred of DAH after admission. Methods This cross-sectional observational study using linked administrative data Onta...