California has launched a new effort to expand the use of managed care within Medi-Cal, its Medicaid program. A cornerstone of this expansion is the “two-plan” model, in which each Medi-Cal enrollee in 11 counties will choose either a private commercial plan or one organized and operated by the county. Although the two-plan model is meant to enhance enrollee choice, its implementation raises ke...

OBJECTIVE To integrate informal registered medical practitioners (IRMP) in Directly Observed Therapy Short Course (DOTS) implementation to improve case detection rate. METHODS This interventional study was conducted in the settlement area of Malir district whereas New Karachi was taken as control, between February to November 2005. All registered healthcare providers within 5 kilometer around...

Neurenteric cysts are considered congenital lesions that may slowly expand over time. Although more commonly found in the spinal canal, they may be found intracranially, particularly in the posterior fossa. Here, we present an unusual case of a large, rapidly expanding histologically confirmed posterior fossa neurenteric cyst in a 53-year-old woman, who presented with quadriparesis. Computed to...

Abstract. The article presents the development of a methodology for collaborating data gathering carried out remotely in South American informal settlement purpose slum upgrading project. It was built progress considering issues, limitations, and opportunities that arose during collection. This text describes creation process as well considerations advice retrospect, those who may be interested...

Information about the location and extent of informal settlements is necessary to guide decision making and resource allocation for their upgrading. Very high resolution (VHR) satellite images can provide this useful information, however, different urban settlement types are hard to be automatically discriminated and extracted from VHR imagery, because of their abstract semantic class definitio...