background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

background: despite expanded coverage of family planning in iran, unwanted pregnancy is a common problem. the aim of this study was to explore women’s experiences of unwanted pregnancy in shahroud public health centers. methods: purposive sampling was conducted by means of focus group discussions (fgds) and in-depth interviews and by a semi-constructed questionnaire in this qualitative research...

Everyone has anequal right to adequate, appropriate,nutritious, and safe food but along with this comes a great responsibility which is ensure safety for all. Republic Act 10611 otherwise known as the Food Safety of 2013 was signed into law by President Benigno Aquino strengthen countrys regulatory structure. It primarily adheres declaration Philippine constitution safeguard promote people heal...

Purpose. To determine globalization threats to the economic sovereignty of transition economy countries based on analysis and systematization patterns in dynamics subindices KOF Globalization Index. Methodology. The methods synthesis are used systematize data structure method correlation-regression is assess statistical significance relation between development indicators sample. Findings. It s...

In Senegal mango production has long existed in traditional forms, especially the south and center of country. It accounts for 60% countrys fruit production, with an estimated annual output 150,000 tons. Despite a positive balance sheet recent years, orchardsareaffected by numerous phytosanitary constraints like diseases insect pests. Among diseases, malformation is considered one most deadly t...

urban perception is the result of mutual transaction between human and environment and the process of perception is developed through the three continuous steps of “sensation”, “perception” and “cognition”. in the first step (sensorial perception), the environmental signals are received via sensorial sensors and each different sense based on its own essence, performance and ability has its own ...

conclusions this research showed that iranian adolescents had the same experiences as other adolescents in other countries in many aspects yet in some issues, such as religious strategy, they had strong religious beliefs that would help them cope with their parents’ cancer. also it was shown that we must plan a program in which education and support should be provided to enable adolescents to c...

background: traffic accidents are the main cause of death and disability in the world and iran. the injuries caused by traffic accidents may result in severe limitations and worst outcomes in various aspects of lives of traffic accident injured people and their families. therefore, understanding their experiences is very important to design better programs with regard to their treatment and ret...

background: living with schizophrenic patients and its associated stress and negative psychological burden can bring about different experiences for their families. the provision of stress management training for these families can be helpful in increasing self-confidence and enhancing interpersonal communication in these caregivers, which can improve their mental health status and enhance the ...

background: gender identity disorder and its treatment with sex reassignment surgery is a profound experience, which can affect the mental, interpersonal, social and religious aspects of one’s life.   methods: this was a qualitative content analysis study focusing on the various dimensions of the experiences of seven patients suffering from gender identity disorder in a female-to-male subgroup....