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...

Background A comprehensive primary healthcare (PHC) approach requires clear referral and continuity of care pathways. South Africa is a lower-middle income country (LMIC) that lacks data on the role of intermediate care (IC) services in the health system. This study described the model of service provision at one facility in Cape Town, including reason for admission, the mix of services and ski...

background: in today's competitive world, organizations' survival and success depends on satisfying customer needs and ex­pec­tations. this is particularly important in health care sector where quality of service and customer relations are the key suc­cess factors. the purpose of this research was to determine whether there was a relationship between patient satisfaction and loyalty to the serv...

Intraventricular tuberculoma (IVT) is extremely rare, CT and MRI patterns have been only sparsely described.  Herein, a case of intraventricular tuberculoma in a 40 year-old woman is reported.  At admission, the patient displayed malaise and was confused and deteriorated suddenly.  Brain CT and MRI findings were very similar to intraventricular meningioma.  The patient underwent surgery and tub...

intraventricular tuberculoma (ivt) is extremely rare, ct and mri patterns have been only sparsely described.  herein, a case of intraventricular tuberculoma in a 40 year-old woman is reported.  at admission, the patient displayed malaise and was confused and deteriorated suddenly.  brain ct and mri findings were very similar to intraventricular meningioma.  the patient underwent surgery and tub...

three cases of hepatic coma due to acute hepatitis were treated by exchange transfusion with citrated blood. this was preformed in the first 2 cases (patients no 1 and no 2) after failing to respond to other forms of treatment, and in the last patient, who was admitted to hospital in coma, a few hours after admission. (patient no 3) two of the 3 patients, patients 1 and 3 recovered, 1 died, (pa...

Infectious pathogens are known for their rapid evolutionary rates with new mutations arising over days to weeks. The ability to rapidly recover whole genome sequences and analyze the spread and evolution of pathogens using genetic information and pathogen collection dates has lead to interest in real-time tracking of infectious transmission and outbreaks. However, the level of temporal resoluti...

asthma is one of the most common diseases in childhood, which has been increased during last decade because of epidemiological pattern changes with climate and industrialization of the communities. there are some controversies on the relationship between air pollution and asthma. tehran, as the capital of iran, is one of the densest populations and is one of the most polluted cities in the worl...