Fifty-two (42%) of the HCPs identified suspected TB from a fictitious case described on paper; 34 (27%) were aware that free treatment was provided under the National Tuberculosis Programme (NTP). Knowledge about SUMMARY free NTP treatment predicted a higher rate of direct referrals to TB facilities (OR 5.80, 95%Cl 1.88-19.62) and greater ability to identify Pevonedistat purchase suspected TB from a fictitious case on paper (OR 5.14, 95%CI 2.36-11.73). Pharmacies with Good Pharmacy Practice (GPP) certification were less likely to refer simulated patients to TB facilities than non-GPP pharmacies (OR 0.10, 95%CI <= 0.01-079).
CONCLUSIONS: Nearly half of HCPs in private
pharmacies do not refer TB suspects, possibly contributing to delays in diagnosis and treatment. Knowledge about free NTP treatment predicted better performance of HCPs.”
“Objectives: Penile cancer, although statistically rare in Western countries (1: 100 000 per year), results in considerable physical and psychological morbidity. The treatment of choice for penile cancer is either partial or total amputation of the penis. Metastatic spread into the surrounding lymphatic system may require additional
surgery. To date, little is known of the lived experiences of men with penile cancer regarding the impact of the disease and its treatment on dimensions of masculinity.
Methods: A small-scale qualitative study using Interpretative Phenomenological Analysis (IPA). IPA aims at exploring the experience of life events and the meaning and implications for the person living through them. A purposive sample Epigenetics inhibitor of men with penile P505-15 cancer who were within a minimum of 18 months post-surgery were recruited via a specialist urology clinic (n = 9). Participants were interviewed by a male researcher using a pre-agreed semi-structured interview schedule; interviews were audio recorded for transcription with detailed analyses of main and sub-themes conducted independently by three researchers. To maintain analytical rigour, constant comparisons of main and sub-themes were made between
the individual transcripts and across the emergent themes within the research group.
Results: Central themes were (1) grappling with reality; (2) learning to cope and (3) changes to self.
Conclusions: That men should have an altered sense of masculine identity following penile cancer surgery is not unexpected. However, the ways in which altered masculinity manifested itself were both subtle and insidious. The results have implications for clinical practice and demonstrated the need for further research. Copyright (C) 2009 John Wiley & Sons, Ltd.”
“OBJECTIVES: 1) To explore the characteristics of patient and diagnostic delays among migrant tuberculosis (TB) patients in Shandong, China; and 2) to identify factors associated with patient and diagnostic delays, for the development and improvement of TB control strategy among migrants in China.