introduction: william's flexion exercise is recommended for any kind of non-specific low back pain. however, no clinical trial study has yet determined its effect. this study examines the effect of william's flexion exercise on pain intensity and disability in patient s with chronic non-specific and referral low back pain. materials and methods: this clinical t rial study included 32 patients w...

background few studies in india as well as in most developing countries have compared the mortality and morbidity rates between chronic kidney disease patients who were referred early to nephrologists and those who were referred late. objectives to study the mortality and morbidity patterns and to compare the various clinical parameters between the abovementioned early and late referrals. patie...

background and objective: congenital heart disease (chd) is the most form of cardiovascular disease in children. chd have different presentations, from defects that progress asymptomatically to those with significant symptoms and high mortality. this study was performed to highlight the importance of signs and symptoms to diagnosis of chd neonates. materials & methods: this descriptive an...

Background: Recognition and referral of sick children to a facility where they can obtain appropriate treatment is critical for helping reduce child mortality. A well-functioning referral system and compliance by caretakers with referrals are essential. This paper examines referral patterns for sick children, and factors that influence caretakers' compliance with referral of sick children to hi...

OBJECTIVE To examine the effect of referral management on diabetes care. STUDY DESIGN Cross-sectional analysis. PATIENTS AND METHODS Translating Research Into Action for Diabetes (TRIAD) is a multicenter study of managed care enrollees with diabetes. Prospective referral management was defined as "gatekeeping" and mandatory preauthorization from a utilization management office, and retrospe...

conclusions the evidence in the discussed topics was limited and controversial. this report is important because it exposes the current knowledge gap in head trauma studies in iran. evidence acquisition the guidelines were appraised using the appraisal of guidelines for research and evaluation (agree) instrument. all key recommendations were reviewed by 14 prominent iranian neurosurgeons; level...

BACKGROUND A cost-effectiveness analysis of timely dialysis referral after renal transplant failure was undertaken from the perspective of the Public Administration. The current Spanish situation, where all the patients undergoing graft function loss are referred back to dialysis in a late manner, was compared to an ideal scenario where all the patients are timely referred. METHODS A Markov m...

BACKGROUND Human immunodeficiency virus (HIV)-positive individuals who do not disclose their HIV status to their partners are more likely to present late for HIV and acquired immune deficiency syndrome (AIDS) care than those who have disclosed their HIV status to their partners. A major area of challenge with regards to HIV counseling for clients is disclosure of their HIV status to their partn...

BACKGROUND The burden of asthma and chronic obstructive pulmonary disease (COPD) on national healthcare systems is expected to increase substantially in future years. Referral guidelines for general practitioners (GPs) and pulmonologists may lead to more efficient use of healthcare facilities. We explored the prevailing views of pulmonologists regarding referral and once-only consultation in as...