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Copyright of Numen: Revista de Estudos e Pesquisa da Religião is the property of Numen: Revista de Estudos e Pesquisa da Religiao and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to describe the level of knowledge physicians and nursing professionals have regarding risk factors, diagnosis and isolation measures for tuberculosis. Materials and methods: cross-sectional study carried out in eight health service providers (HSP) during 2017 through application of a questionnaire that was filled out by each participant. Results: a total of 72 people were surveyed (48 doctors and 24 nursing professionals) of whom 51.4% of were women and 44.4% were under 35 years of age. Among them, 59.7% worked in public HSPs while 40.3% worked in private HSPs (including 9.7% who worked in indigenous HSPs). Overall, 64.4% of the respondents were correct in the questions related to behavior or initial care measures for the patient and 60.8% were correct in their diagnosis impression. There were 66.7% correct answers on risk factors, 69.4% correct answers regarding the clinical profile of the disease, 67.0% correct answers on questions related to diagnosis and 47.5% correct answers related to isolation measures. According to the professions, physicians had a higher percentage of correct answers in questions about risk factors, clinical symptoms, and diagnosis, while nurses had better scores in questions about isolation measures. Conclusions: the general level of correct answers was 62.6%. The lowest levels of correct answers were found in questions related to isolation measures. These deficiencies in knowledge can influence the opportunity in the diagnosis and control of the disease and, as a consequence, continuous training programs on tuberculosis for these professionals should be strengthened. [ABSTRACT FROM AUTHOR]

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: There is a global consensus that early diagnosis and treatment of tuberculosis (TB) can accelerate its control and mitigate its consequences. The gradual increase in the TB mortality rate from 2014 to 2018 in Honduras, the reform of the health system in 2014, and the partial implementation of the "End TB" strategy motivated this study. Objective: To analyze barriers to and facilitators of diagnosis and treatment affecting the national TB program coverage using data from 2015 to 2019 and provide tools for the effective implementation of the "End TB" strategy in San Pedro Sula, Honduras. Materials and methods: This was an explanatory sequential mixed-methods study on smear-positive pulmonary TB patients older than 18 years of age. TB notification sheets and medical records from two primary health care facilities were reviewed. Semistructured interviews were conducted with health care providers, patients, and their families. Results: A total of 74.6% of the cases (297/398) did not receive a timely diagnosis; 62.3% (185/297) were men, 80.8% (240/297) were adults, 53.7% (108/297) had less than high school education, 49.2% (123/297) had some occupation, and 98.2% of participants received timely treatment. Identified barriers included low socioeconomic conditions, lack of coordination between public and private health systems, and boundaries set by gangs. Identified facilitators included good care and attitude of the health care personnel and the availability of medications. Conclusions: The lack of opportunity to diagnose the disease affected the coverage of the national TB program due to cultural and health care barriers. [ABSTRACT FROM AUTHOR]

Copyright of Archivos de Medicina (1657-320X) is the property of Revista Archivos de Medicina (Manizales) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Latinoamericana de Metodología de la Investigación Social is the property of Centro de Investigaciones y Estudios Sociologicos and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Ambiente e Água is the property of Revista Ambiente e Agua and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de la Universidad del Valle de Guatemala is the property of Universidad del Valle de Guatemala and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Médicas UIS is the property of Universidad Industrial de Santander and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Actualización en Nutrición is the property of Sociedad Argentina de Nutricion and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper presents a study of the participation of adolescents in criminal practices and indicators of public safety is performed. The aim will be to address the empirical data with speech advocates lowering the age of criminal policy. To carry out the work we're going to do a study of the arguments of some of the defense, in particular, parliamentarians and parliamentary amendments Project (CEP). Empirical data on the participation of adolescents in criminal practices were collected from the results of the survey "Study of Socio-Educational Municipal de Goiânia System" for the years 2012 and 2013. It is noted that there is a great discrepancy between the accounts linking criminal potential of adolescents and indices appearing effectively in indicators of violence. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Economia e Sociologia Rural is the property of Sociedade Brasileira de Economia e Sociologia Rural and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aunque el tratamiento para tuberculosis latente es una medida eficaz para su prevención en la infancia, en Colombia y el mundo los niños no acceden al tratamiento oportunamente. Las experiencias vividas con la Tuberculosis influyen en la adherencia y efectividad del tratamiento, pero estos asuntos han sido poco estudiados. Es por ello que el objetivo de esta investigación se basó en describir la percepción de padres/cuidadores, de menores de cinco años, convivientes con pacientes con Tuberculosis pulmonar, frente al tratamiento y condiciones de atención de la Tuberculosis latente. Enmarcado en un estudio de cohorte, se presentaron los avances de un componente cualitativo mediante técnicas etnográficas, para complementar el abordaje epidemiológico de la adherencia y efectividad del tratamiento para Tuberculosis latente en niños. Se realizó la observación y registro en diario de campo de las evaluaciones clínicas de ingreso de los niños participantes en el proyecto marco durante los seguimientos clínicos, reuniones técnicas y de socialización. Además, se realizaron entrevistas semiestructuradas a seis padres/cuidadores de los niños que participaron. Entre los resultados se encontró que, el acercamiento cualitativo ha permitido comprender la complejidad que subyace a la efectividad del tratamiento para Tuberculosis latente, además de reconocer las experiencias de los sujetos involucrados en el proceso y cómo esto determina la adherencia al tratamiento. Para esta investigación se configuraron tres categorías abarcadoras: la vida cotidiana y condiciones de posibilidad de los niños expuestos a Tuberculosis y sus familias (incluyendo la migración forzada); el Sistema General de Seguridad Social en Salud colombiano no garantiza el acceso real al tratamiento integral de la Tuberculosis y; percepciones y construcciones sociales alrededor de la Tuberculosis (entre ellas que la Tuberculosis sigue siendo un estigma). En conclusión, se requieren abordajes más integrales de la Tuberculosis que permitan superar las limitaciones impuestas por el sistema de salud y demás condiciones socioeconómicas de los niños y sus familias, las cuales generan inequidades en el acceso a la atención de los niños en contacto con Tuberculosis. [ABSTRACT FROM AUTHOR]

Objective. Estimate the cost-effectiveness ratio of the directly observed treatment short course (DOTS) for treatment of tuberculosis (TB), comparing it to a variation of this treatment that includes increased home-based guardian monitoring of patients (DOTS-R). Methods. Taking a social perspective that includes the costs for the health institutions, the patients, and their family members, and for other entities that contribute to making operation of the program effective, the costs incurred with each of the two strategies were evaluated and the cost-effectiveness ratios were estimated adopting the measures of effect used by the control programs. The estimate of the cost of each of the two strategies includes the cost to the health institutions that administer treatment, the patients and their family members, and the cost to the Ministry of Health that manages public health programs on the municipal level. Based on these costs and the number of cases cured and treatments completed as outcome measures of each of the strategies evaluated, the cost-effectiveness ratio and incremental cost were calculated. Results. The DOTS-R was found to be more cost-effective for achievement of successful treatments than the DOTS. The DOTS-R recorded costs of US$ 1 122.40 to US$ 1 152.70 for each case cured compared to values of US$ 1 137.00 to US$ 1 494.30 for the DOTS. The percentage of cases treated successfully was higher with DOTS-R than with DOTS. Conclusions. The DOTS-R is a promising cost-effective alternative for improved control of TB in endemic areas. It is recommended that the health authorities include home-based guardian monitoring of patients in their institutional management of the TB program, with the participation of health workers and the physical and financial resources that currently support this program. [ABSTRACT FROM AUTHOR]