Advanced squamous cell carcinomas (SCC) of the skin can cause significant tissue destruction and may metastasize. Understanding the determinants of patient delay could help prevent advanced presentation. The purpose of the present study was to examine patient- and healthcare-related factors associated with delay before the detection and treatment of SCC. A sample of 308 patients with SCC treate...

OBJECTIVE To determine the length of delays from onset of symptoms to initiation of treatment of pulmonary tuberculosis (PTB). DESIGN Cross-sectional study. SETTING Chest/TB clinic, Moi Teaching and Referral Hospital (MTRH), Eldoret, Kenya. SUBJECTS Newly diagnosed smear positive pulmonary tuberculosis (PTB) patients. RESULTS Two hundred and thirty patients aged between 12 and 80 (media...

BACKGROUND Delay in tuberculosis (TB) diagnosis may worsen the disease and increase TB transmission. Therefore, timely diagnosis and treatment is critical in TB control. We aimed to assess the treatment delay of pulmonary TB and its determinants in two Ugandan districts where TB infection control (TBIC) guidelines were formerly implemented. METHODS A facility based cross-sectional study was c...

The patient's delay in the visit to a hospital seems to play an important role in prognosis in invasive cutaneous squamous cell carcinoma (SCC). This report explored prognostic factors of cutaneous SCC focusing on patient delay in hospital visit. Data of 117 Japanese patients who were treated for invasive cutaneous SCC in our facility between 2000 and 2010 were used for analysis. A multivariate...

introduction: glutaric academia type i is a metabolic disorder that is caused due to deficiency of glutaryl-coa dehydrogenase. macrocephaly is a common sign in ga1, although many infants usually appear healthy at birth.   case report a 5.5 year old boy with ga1was admitted to nicu. chief compliance of patient for hospitalization was pneumonia and sepsis and he was intubated and mechanically ven...

BACKGROUND Delay in diagnosis of breast cancer is associated with a poorer survival and a pivotal contribution to this delayed diagnosis comes from patient delay in presenting at a clinic. Reasons involved must be evaluated in order to decrease this reducible delay. OBJECTIVES i) To evaluate the reasons for patient delay in diagnosis of breast cancer; ii) to investigate any association with o...

Following the successful stories in the airline industry, many primary-care clinics have adopted overbooking to deal with their prevalent patient no-show problem. However, there has been very limited research, to the best of our knowledge, that analyzes the impact of overbooking on the major causes/factors of patient no-show and its implications. While overbooking has little impact on many rand...

We presented a case of a postoperative patient with low-flow priapism, possibly initiated by propofol-based anaesthesia or epidural anaesthesia. The delay in diagnosing priapism resulted in emergency interventions with a partially successful effect and eventually permanent erectile dysfunction. Due to the delay in treatment, erectile dysfunction ensued and was manageable with medication; hence,...

The beneficial use of biventricular pacing is reported in a patient with hypertrophic cardiomyopathy and intraventricular conduction delay. This resulted in improvements in symptomatic status and exercise tolerance that may be related to cardiac resynchronisation. The improvement in symptoms by biventricular pacing in a patient with hypertrophic cardiomyopathy and intraventricular conduction de...

IntroductionHealth care seeking is a central issue in all kinds of morbidity, since the duration of symptoms increases the probability of severe morbidity and harmful sequelae. Aim and Objectives1.To find out duration and main reasons responsible for patient delay.2.To assess socio demographic determinants of patient delay. Material and methodsThe present study was cross sectional, descriptive ...