RATIONALE South Africa has a high prevalence of tuberculosis (TB) and HIV-coinfected adults in whom TB is often diagnosed late in the course of disease. OBJECTIVES Improved case-finding approaches for TB and HIV are needed to reduce mortality and prevent transmission. METHODS We identified newly diagnosed index TB cases in a rural district and enrolled their households in a TB-HIV contact-t...

Background In Swaziland, as in many high HIV/TB burden settings, there is not information available regarding the household location of TB cases for identifying areas of increased TB incidence, limiting the development of targeted interventions. Data from "Butimba", a TB REACH active case finding project, was re-analyzed to provide insight into the location of TB cases surrounding Mbabane, Swaz...

BACKGROUND Current tuberculosis (TB) reporting protocols are insufficient to achieve the goals established by the Stop TB partnership. Some countries have recommended implementation of active case finding program. We assessed the effect of Cough Officer Screening (an active screening system) on the rate of TB detection and health care system delays over the course of four years. METHODS Patie...

in spite of continuous changes in different era, historic and old cities with their unique attraction can be considered as a best place for tourism activities. sanandaj as a capital of kurdistan, with its’ compressed and labyrinth old texture which during the time according the physical, social and natural features had been made, because fascinating historic architecture, unique cultural and ar...

no abstract

conclusions it is important to keep in mind that even peritoneal involvement may be seen despite intact hepatic cysts. careful excision of these cysts is the treatment of choice. case presentation a 40-year-old man was referred to the emergency department with dull and intermittent periumbilical pain in the left and right lower quadrant regions accompanied by moderate tenderness and rebound wit...

In this paper, we study beamforming in decode-andforward (DF) relaying using multiple relays, where the source node sends a secret message as well as a non-secret message to the destination node in the presence of multiple non-colluding eavesdroppers. The non-secret message is transmitted at a fixed rate R0 and requires no protection from the eavesdroppers, whereas the secret message needs to b...

The objective of this study was to use a modified Lot Quality Assurance Sampling methodology to classify communities according to prevalence of active trachoma and to estimate the prevalence of trachoma and trichiasis in Nioro department, Kaolack Region, Senegal. A survey was conducted using two-stage cluster sampling to select 50 children aged 2-5 years in each of 33 clusters. In total 1,648 c...

BACKGROUND WHO suggest that family physician is the core in the world efforts for quality improvement, cost effectiveness, and equity in the health care systems. This study evaluates the impact of the program on accessibility of the services, case finding, patient referral, feedback process and insurance coverage in the rural health units. METHODS This study was quasi experimental. It compare...

BACKGROUND Although there is a large increase in investment for tuberculosis control in Myanmar, there are few operational analyses to inform policies. Only 34% of nationally reported cases are from women. In this study, we investigate sex differences in tuberculosis diagnoses in Myanmar in order to identify potential health systems barriers that may be driving lower tuberculosis case finding a...