The ideal medical therapy for fibroids is, arguably, a tablet that is taken by mouth, once a day or, even better, once a week, with minimal, if any, side-effects, that induces fibroid regression and thus a resolution of symptoms rapidly, but without affecting fertility. Such a magic bullet does not yet exist, and there are no indications that one is on the horizon. Driven by the observation tha...

introduction: human skills, knowledge and efficiency are important factors in the success of organizations and community health centers which have a critical role in total quality management (tqm) as a management system. knowledge is necessary as a source for the organizations survival. on the other hand, in order for implementation of knowledge management, there is a need for a relatively long...

since about four years ago, total quality management (tqm) has been informally introduced into our integrated healthcare and medical education system. with the aim of getting feedback/ learning from the experiences of the universities/schools of medical sciences in setting the ground for tqm implementation, an assessment was done. the survey results show that out of 31 universities/ schools of ...

background: non-ulcer dyspepsia (nud) is one of the common gastrointestinal disorders considered as a psychosomatic disorder. the effectiveness of psychological intervention in improving symptoms of this disease remains unclear. the objective of this study was to assess the effects of add-on stress management training on symptoms of nud. materials andmethods: in a randomized clinical trial, 28 ...

background and objectives: as with most countries, in the developing communities, providing high quality services in the field of health care is affected by limited financial resources. applying the positive stimuli germane to the private sector to public hospital may be one solution to the public sector's problems, and the health care system, in general, for reducing hospital construction and ...

A 67-year-old man with a history of hypertension and hyperlipidemia is seen for a routine examination. His medications include hydrochlorothiazide (25 mg daily), simvastatin (20 mg daily), and aspirin (81 mg daily). He drinks alcohol rarely and does not smoke. His body-mass index (the weight in kilograms divided by the square of the height in meters) is 27, consistent with overweight. His blood...

The initial management of a patient with suspected stroke necessitates a rapid and focused evaluation. Establishing the time of symptom onset, performing a focused neurologic examination, and interpreting ancillary tests facilitates delivery of acute stroke therapies to eligible patients. This review emphasizes the fundamentals of urgent stroke evaluation and evidence-based acute ischemic strok...