Finding the optimal use of health-care resources requires the reliable estimation of costs and consequences. Acquiring these estimates may not be difficult for some common treatments. More difficult is the optimization of resources in the area of diagnostics. Only a few attempts have been made to optimize the use of resources in the area of prevention. Several aspects have to be considered when...

mexico, like many low- and middle-income countries (lmics), faces an epidemic of chronic non-communicable diseases (ncds), specifically diabetes, hypertension, obesity, and lipid disorders. many people with these ncds may not be aware that they have a disease, pointing to the need for broader screening programs. the traditional prevention policy in mexico was based on screening with a paper-bas...

Assessment techniques and treatment strategies, such as medical management, oxygen management, chest physical therapy, and pulmonary rehabilitation, for patients with chronic obstructive pulmonary disease (COPD) are discussed. Clinically appropriate, evidence-based rehabilitation programs for home care may help to reduce care costs, reduce the impact of this chronic disease on patients with COP...

abstract background: critical care patients are at higher risk for untreated pain. pain has persistent and untreated effects on most of the body systems and results in development of complications, chronic pain, and increased length of stay. the aim of this study was to determine the effects of the implementation of a pain management program on the length of stay in patients with decreased leve...

Disease management, a system of coordinated health care interventions and communications for chronically ill populations, relies on patient education and case management to engage individuals in the management of their condition. Disease management also aims to enhance the quality of interactions between doctors and patients and advance evidence-based medicine. Because these programs' intervent...

Local health department (LHD) vector control programs have experienced reductions in funding and capacity. Acknowledging this situation and its potential effect on the ability to respond to vector-borne diseases, the U.S. Centers for Disease Control and Prevention and the Public Health Foundation partnered on a performance management initiative for LHD vector control programs. The initiative in...

â  upper gastrointestinal tract (gastroduodenal) crohn’s disease (cd) is an uncommon condition, occurring in about 1-5% of all cd cases. our case was an extremely rare manifestation of cd, who presented with distal duodenal obstruction. as preoperative diagnosis was not estabâ­lished he underwent segmental resection and end-to-end anastomosis. postoperative small bowel fistulae were not obser...

context functional humeral bracing remains the gold standard for treatment of humeral shaft fractures. there is an increasing trend in the literature to perform operative fixation of these fractures. evidence acquisition the aim of this systematic review was to compare the level one evidence for the outcome of non-operative with operative management of humeral shaft fractures in adults. a compr...

conclusions the mothers studied in this research had inadequate knowledge about diagnosis and treatment of diarrhea. the educational programs must be an essential part of the health centers programs. results most of the mothers were 25-30 years old (43.8%). slightly more than half (55.6%) had just one child. the health center, educational programs and the personal reading were the main sources ...