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Measures for Improving the Quality of Health Care

of medical care to develop valid quality of care measures. J Qual Health Care 1999; (I):5-11. Moira Stewart. Towards a global definition of patient centred care: The patient should be the judge of patient centred care. BMJ 2001; 322:444. PMid:11222407 PMCid:1119673 Woodard TD. Addressing variation in hospital quality: Is six sigma the answer? Journal of Health Care Management, 2005; 50:4. Ahire SL. Management Science- Total Quality Management interfaces: An integrative framework

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Assessment of Quality and Risks Exposure in Histopathology Department

References 1. Schlickman JJ. ISO 9000 quality management system design: optimal design rules for documentation, implementation, and system effectiveness: ASQ Quality Press; 1998. 2. Nakhleh R. What is quality in surgical pathology? Journal of clinical pathology. 2006;59(7):669-72. 3. Iyengar JN. Quality control in the histopathology laboratory: an overview with stress on the need for a structured national external quality assessment scheme. Indian J Pathol Microbiol. 2009;52(1):1-5. 4. Hollensead SC, Lockwood WB, Elin RJ. Errors in

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Ventilator-associated pneumonias in children ( ii ) - prophylaxis and treatment

-resistant enterococci are endemic? Clin Infect Dis 2006;43(Suppl 2): S70-S74. 11. Allegranzi B, Pittet D. Role of hand hygiene in healthcare-associated infection prevention. J Hosp Infect 2009;73(4):305-15. 12. Bouadma L, Mourvillier B, Deiler V, et al. A multifaceted program to prevent ventilator-associated pneumonia: impact on compliance with preventive measures. Crit Care Med 2010;38(3):789-96. 13. American Thoracic Society. Guidelines for the management of adults with hospital-acquired, ventilatorassociated, and healthcare

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Going the Full Circle: Upgrading the Patient Field Chart and Tag for Electronic Mass Casualty Incidents Solutions in Romania

May; 34(5):16. doi: 10.1016/S0197-2510(09)70115-9 9. Mackway-Jones K, Major Incident Medical Management and Support: The Practical Approach at the Scene, Third Edition, Blackwell Publishing Ltd., 2012. 10. Marres GM, Taal L, Bemelman M et al., Online Victim Tracking and Tracing System (ViTTS) for major incident casualties, Prehosp Disaster Med., 2013 Oct; 28(5):445-53. doi: 10.1017/S1049023X13003567

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Error Analysis for Determination of Accuracy of Johnson’s Formula, Dare’s Formula and Mother's Opinion for the Estimation of Birth Weight: Results of an Iranian Cross‐Sectional Study


Accurate fetal weight estimation is important for the management of birth. According to the existing literature, none of the clinical techniques is superior to any other. This study aimed to compare error analysis for the determination of the accuracy of Johnson’s formula, Dare’s formula and mother's opinion for the estimation of birth weight. A cross-sectional study involving 147 full-term, cephalic, singleton pregnancies, was performed. The mother’s opinion was recorded and Johnson’s and Dare’s formulas were used to calculate the fetal weight. Accuracy was determined by percentage error, absolute percentage error, and proportion of estimates within 10% of actual birth-weight. Statistical analysis was done using the RM ANOVA, Friedman and Cochran. P < 0.05 was considered significant. The birth weight was correctly estimated in 34.7%, 58.5%, 66% of the cases using the mother’s estimate, Dare’s and Johnson’s formulas. Respectively the proportion of the mother's estimate and Dare’s formula was significantly lower than that of Johnson’s formula for all birth weights. No significant difference was observed in all the measures of accuracy for the low birth-weight range. The mean error of Johnson's formula in both normal weight and macrosomic groups was less than those obtained by the Dare's formula and mother's opinion. The Johnson’s formula is more accurate in actual birth weight estimation than the Dare ’s one and mother's opinion. In the normal weight range, Johnson’s formula is more accurate of the two, while in the macrosomic group, Dare’s formula appears to be more accurate.

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Clinical and Psychological Correlations between Job Loss and Depressive Experience


Introduction: Stressful life events have a negative effect on mental health. Job loss is an event with a psychotraumatic character. Identification of the main sources of stress faced by the individual is essential in the management of depression.

Objective: The aim of this study was to identify the main risk factors that play a role in the onset and maintenance of depression.

Material and methods: we made a prosepctive study including 68 outpatients aged over 18, recently diagnosed with Major Depressive Disorder (MDD), without psychotic features, with initiated antidepressant treatment, being in evidence of First Clinic of Psychiatry Tirgu-Mures, between 01.01.2013-31.12.2013. To assess the severity of depression and to measure the antidepressant treatment efficacy we used Hamilton Depression Scale (HAM-D17) at study onset, respectively at endpoint. The parameters followed were: HAM-D17 score, response to treatment, the mean number of hospitalizations in a year.

Results: The group included 82.35% women and 17.65% men, mostly from urban areas, aged between 35 and 68, with a HAM-D17 score between 24 and 27. The major stressful life events inventory shows that 20.58 % of the patients were unemployed. The observed effects were more extensive in men.

Conclusions: How stressful life events exert their influence on mood is complex. The onset of depression often seems to coincide with a stressful event, although sometimes the event is only the revelator of an episode ready to trigger. The findings indicate the need of prevention politics for relapse of the disease, which is a disadvantage regarding the re-employment.

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Papillary Thyroid Microcarcinomas: a 25 Years Retrospective, Institutional Study of 255 Cases

;(144):1038-43. 10. Udelsman R, Zhang Y. The epidemic of thyroid cancer in the United States: The role of endocrinologists and ultrasounds. Thyroid. 2014;24(3):472-479. 11. Furio Pacini . Management of Papillary Thyroid Microcarcinoma: Primum Non Nocere! J Clin Endocrinol Metab. 2013;98(4):1391-1393. 12. Kitahara CM, Platz EA, Beane Freeman LE, et al. Physical activity, diabetes, and thyroid cancer risk: A pooled analysis of five prospective studies. Cancer Causes & Control. 2012;23(3):463-71. 13. Howlander N, Noone AM, Krapcho M, et

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Management and Outcome of Uveal Melanoma in a Single Tertiary Cancer Center in Jordan

DR, Carducci MA, Compton CA, editors. AJCC cancer staging manual. 7th ed. New York: Springer; 2009. 547-53. 13. Alsuhaibani AH. Uveal melanoma in the Saudi Arabian population: Two decades of management at the King Khaled Eye Specialist Hospital. Saudi J Ophthalmol. 2009;23:157-63. 14. Kuo PK, Puliafito CA, Wang KM, Liu HS, Wu BF. Uveal melanoma in China. Int Ophthalmol Clin. 1982;22:57-71. 15. Manschot WA, van Strik R. Uveal melanoma: Therapeutic consequences of doubling times and irradiation results. A review. Int

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Morphometry of retroplacental vessels in preeclampsia

References 1. Vlădăreanu, R. (2006). Obstetrica si ginecologie clinica . Editura Universitara Carol Davila Bucureşti. 205-13 2. James, D., Steer, P., Weiner, C. & Gonik, B. et al. (2011). H igh Risk Pregnancy - Management Options. Elsevier Saunders. 599-626 3. El-Barbary, A.A. (1997). A modification of Weibel method for measuring microscopic structural diameters using inscript and outscript circles. Tanta Medical Journal . 92-111 4. True, L.D. (1996). Morphometric applications in

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Specialist Speech therapy in Poland in Children with Feeding and Swallowing Disorders

References 1. Manno CJ, Fox C, Eicher PS, Kerwin ME. Early oralmotor interventions for pediatric feeding problems: what, when, and how. The Journal of Early and Intensive Behavioral Intervention, fall 2005. 2. Palmer M. Identification and management of the transitional suck pattern in premature infants. JPNN 1993; 7(1): 66-75. PMid:8336292 3. Kron RE, Stein M, Goddard KE. A method of measuring sucking behaviour in newborn infants. Psychosomatic Med 1963; 25: 181-91. PMid:13927027 4

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