Background Approximately 1% to 2% of hospitalized patients get discharged or leave from the hospital against medical advice and up to 26% in some centers. They have higher readmission rate and risk of complications than patients who receive complete care. In this study we aimed to determine the rate of leave against medical advice (...

Experts from the North have long tried to teach countries in South how tax. For decades, they assumed main challenges were domestic and there was a right answer be found somewhere developed world that could replicated everywhere else. Only more recently dedicated attention international realm, yet their solutions remain tied technical rules designed by few specialists, as exemplified OECD Secre...

background: health technology assessment (hta) is a tool utilized for efficient dissemination of technology. for the purpose of encouraging decision-makers to utilize this tool, at first, we need to identify the obstacles in the processes of preparation, utilization, and implementation of htas. this study aims to define these barriers and offer solutions for effective utilization of hta reports...

background: to evaluate the frequency, clinical presentation and cardiac involvement of children with rf in the north-east of iran. methods: a case series analysis was conducted on 80 patients with acute rheumatic fever (arf), who were hospitalized   at ghaem hospital in mashad between 1994 and 2000, were studied. laboratory tests and results from echocardiographic examinations, and clinical fi...

of about 40 million people with epilepsy, who live in developing countries, the majority do notreceive appropriate treatment. nonetheless, there are striking disparities among the so-called developing countries,however generally speaking, access to and availability of epilepsy management programs in developingcountries are very limited and therefore, the issue of developing epilepsy centers in ...

conclusions: the major barriers for thrombolytic therapy for patients with ais in this setting were delays in the provision of in-hospital services, like initial patient assessment, ct scans or laboratory studies. these results were in contrast with previous reports. background: intravenous thrombolysis is an approved treatment method for patients with acute ischemic stroke (ais) and is recomme...

Over the last few years we have observed a prominent flourishing of empirical studies on the determinants of new business creation and its effect on the economy. The present study focuses on an important determinant of entrepreneurship: the quality of institutions. This paper is an empirical exploratory work that has the objective of uncovering the relationships between entrepreneurial dynamics...