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...

Sudden Oak Death has been impacting California's coastal forests for more than a decade. In that time, and in the absence of a centrally organized and coordinated set of mandatory management actions for this disease in California's wildlands and open spaces, many local communities have initiated their own management programs. We present five case studies to explore how local-level management ha...

BACKGROUND Based on the self-efficacy theory, an online and a face-to-face self-management programs 'Challenge your Arthritis' for young adults with a rheumatic disease have recently been developed. These two courses are led by young peer leaders. The objective of this study was to test the feasibility of the online and face-to-face self-management program. METHODS Feasibility was evaluated o...

BACKGROUND Previous studies have shown that relational coordination is positively associated with the delivery of hospital care, acute care, emergency care, trauma care, and nursing home care. The effect of relational coordination in primary care settings, such as disease-management programs, remains unknown. PURPOSE This study examined relational coordination between general practitioners an...

I t’s no less true for being obvious: Educating and managing patients with chronic conditions is an effective way to stabilize overall health care costs. Now it appears that health plans are beginning to grasp the obvious. “If you can’t manage comorbidities for those patients, there’s no hope of holding down costs,” says Michael Mustille, MD, associate executive director of the Permanente Feder...

supernumerary tooth is one of the developmental problems in children. mesiodens is a supernumerary tooth present in the midline between the two central incisors. it usually results in oral problems such as malocclusion, food impaction, poor aesthetics, and cyst formation. the prevalence of mesiodens varies between 0.09% and 2.05% in different studies. this paper reviews current literature on et...

conclusions this case was the first reported morbidity of fistula in the uterocutaneous pathway. introduction this was a report of uterocutaneous fistula as a rare complication of expectant management of placenta increta, and a review of the literature. case presentation a 38- year- old pregnant woman in her third term of pregnancy was operated on in a secondary hospital in arak (a city located...

BACKGROUND More than half of the patients with type 2 diabetes (T2DM) patients are diagnosed with one or more comorbid disorders. They can participate in several single-disease oriented disease management programs, which may lead to fragmented care because these programs are not well prepared for coordinating care between programs. Comorbid patients are therefore at risk for suboptimal treatmen...