A rare case of overlapping thoracic outlet syndrome attributed to an anatomical variation in the anterior scalene muscle: Diagnostic challenges and treatment approaches.

Mixed thoracic outlet syndrome, which compresses arteries and nerves, is a rare disorder. Mixed thoracic outlet syndrome due to anatomical abnormalities of the anterior scalene muscle is even more sporadic. We report a case of mixed thoracic outlet syndrome in a patient with no history of trauma or vigorous exercise.

Process improvement approach to the care of patients with type 2 diabetes. Providing physicians with tools to increase compliance and improve outcomes.

Diabetes care relies on patient/physician-initiated programs of periodic evaluation, monitoring, and treatment interventions. Clinical practice guidelines can assist clinicians in diabetes care. To improve outcomes, these methods must be designed and implemented in a way that promotes change in physician behavior.