OBJECTIVES This study has used a combination of clinical information, spoligotyping, and georeferencing system to elucidate the genetic diversity of the Mycobacterium tuberculosis isolates circulating in a TB-prevalent municipality of Northeast Brazil. METHODS A total of 115 M. tuberculosis strains were isolated from pulmonary tuberculosis patients from January 2007 to March 2008 in Fortaleza...

BACKGROUND Phylogenetically distinct Mycobacterium tuberculosis lineages differ in their phenotypes and pathogenicity. Consequently, understanding mycobacterial population structures phylogeographically is essential for design, interpretation and generalizability of clinical trials. Comprehensive efforts are lacking to date to establish the West African mycobacterial population structure on a s...

background: this study provided the theoretical basis for program development through a new conceptualization of the concept of family physician related health care. methods: critical interpretive synthesis (cis) was used to carry out qualitative analysis and synthesis of the literature from 2006 until 2015. at the beginning of cis, the search strategy was designed to access electronic database...

BACKGROUND We aimed to characterize the genetic diversity of drug-resistant Mycobacterium tuberculosis (MTb) clinical isolates and investigate the molecular epidemiology of multidrug-resistant (MDR) tuberculosis from Minas Gerais State, Brazil. METHODS One hundred and four MTb clinical isolates were assessed by IS6110-RFLP, 24-locus mycobacterial interspersed repetitive units variable-number ...

Tuberculosis (TB) in the Caribbean remains a significant health issue with many countries exceeding the WHO target of 5 cases / 100,000 populations. As a developing nation, many of these Caribbean countries face serious challenges in the diagnosis, treatment, care and management of patients with tuberculosis. In light of the current problems facing the tuberculosis programs in the Caribbean, th...

people usually associate power with military force, multinational corporations, as well as ele-vated political positions. however, marriage and family are not exempted from power strug-gles too; couples often encounter power issues. present article discusses power in families with focussing on power between married partners or conjugal power.the paper also high-lights some of the questions like...