ABSTRACT
SETTING: Households of TB patients in the Peruvian Amazon. OBJECTIVE: To investigate how knowledge and beliefs of household contacts about TB affected health seeking behavior. DESIGN: Interviews with 73 patients finishing treatment and 79 of their adult household contacts. RESULTS: Contacts were knowledgeable about free screening and treatment, but contacts who noted weight loss, not cough, were more likely to be screened for TB (P = 0.03). Forty-two per cent reported that TB was prevented by nutrition, 28% by separating eating utensils, and only 19% by avoiding a coughing patient. Only one household contact reported being stigmatized. Stigma centered upon nutrition, and only 12% knew of the association between TB and HIV. Only 14% had a BMI < 20, yet 30% reported regularly going to sleep hungry. Free food packages were reported to be the most important reason for treatment adherence by 33% of patients. CONCLUSION: Contacts misperceived TB as a nutritional disease and did not fear airborne transmission, which should be corrected by public health education. Weight loss, and not cough, led to screening. Stigma appeared to be minimized because risk was perceived as personal, through malnutrition, rather than exposure-based. Nutritional incentives that utilize these beliefs may reduce diagnostic delay and enhance treatment adherence.
Subject(s)
Family Health , Health Knowledge, Attitudes, Practice , Patient Acceptance of Health Care , Tuberculosis, Pulmonary/therapy , Adolescent , Adult , Aged , Aged, 80 and over , Female , Food , Humans , Male , Middle Aged , Nutrition Disorders , Perception , Peru , Surveys and Questionnaires , Tuberculosis, Pulmonary/diagnosisABSTRACT
The authors present recommendations for educating medical students and psychiatric residents in geropsychiatry. They are primarily concerned with the objectives and methods rather than the content of training. Proposals are structured in terms of training objectives and educational settings in which such training takes place. The proposals are intended to be specific enough to be truly useful and at the same time sufficiently generalizable to adapt to geropsychiatric training in a variety of institutions. Priority is given to integrating knowledge of normal and abnormal aging with the clinical skills and empathy necessary to approach patients with competence and understanding.
Subject(s)
Curriculum , Geriatric Psychiatry/education , Aged , Education, Medical, Undergraduate , Humans , Internship and Residency , Teaching/methods , United StatesABSTRACT
The finding of Eperythrozoon teganodes in splenectomized calves from the Santa Fe province, Argentina, is reported. The morphology of the agent and the clinical characteristics of the infection are described.
Subject(s)
Anaplasmataceae Infections/veterinary , Cattle Diseases/epidemiology , Cattle/parasitology , Mycoplasma Infections/veterinary , Mycoplasma/isolation & purification , Animals , Argentina , Cattle Diseases/parasitology , Postoperative Complications/veterinary , Splenectomy/veterinaryABSTRACT
Se comunica el hallazgo de Eperythrozoon teganodes en la provincia de Santa Fe, describiendo su morfologia y las caracteristicas clinicas que presento la infeccion en terneros esplenectomizados
Subject(s)
Animals , Cattle Diseases , Rickettsia Infections , SplenectomyABSTRACT
Se comunica el hallazgo de Eperythrozoon teganodes en la provincia de Santa Fe, describiendo su morfologia y las caracteristicas clinicas que presento la infeccion en terneros esplenectomizados
Subject(s)
Animals , Cattle Diseases , Splenectomy , Rickettsia InfectionsABSTRACT
The finding of Eperythrozoon teganodes in splenectomized calves from the Santa Fe province, Argentina, is reported. The morphology of the agent and the clinical characteristics of the infection are described.