Database : HANSEN
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Id:13654
Author:Nwosu, M. C; Nwosu, S. N. N
Title:Leprosy control in the post leprosaria abolition years in Nigeria: reasons for default and irregular attendance at treatment centres ..-
Source:s.l; s.n; July- Sept. 2002. 4 p. tab.
Abstract:A questionnaire was administered to all patients with leprosy seen at the four leprosy clinics in Anambra State in a face to face interview. The questions covered, among other items, the clinic attendance behaviour and the single most important reason, monthly, for absenteeism in the preceding year. The total and individual frequencies of the reasons for absenteeism were determined for the various behavioural subgroups. The differences in frequencies and associations were analysed. Values of P < 0.05 were considered as significant. The results showed that 27 females and 26 males were interviewed. 39.6 per cent of the patients were irregular attenders 735 per cent were defaulters. Attendance at meetings (P < .001); work at home (P < 0.01) fear/shame/indignation (P < 0.05); no confidence in treatment (P < 0.025) were significant reasons for absenteeism among irregular attenders inter-current illnesses as reasons for absenteeism did not differ significantly between regular and irregular attendees. The association between clinic attendance behaviour and lesion location (revealed Vs concealed) was not statistically significant (X(2)0.3). The findings in this study indicate that in the post leprosaria abolition years, default and irregular clinic attendance by patients with leprosy are numerically large and may compound the problems of control programmes, and thus negate the realization of the global goal of intercepting leprosy transmission. (AU).
Descriptors:ABSENTEISMO
INSTITUICOES DE ASSISTÊNCIA AMBULATORIAL/util
PESQUISAS SOBRE SERVICOS DE SAUDE
ACESSO AOS SERVICOS DE SAUDE/normas
HOSPITAIS DE DERMATOLOGIA SANITARIA DE PATOLOGIA TROPICAL
HANSENIASE/quimioter
HANSENIASE/epidemiol
HANSENIASE/psicol
NIGERIA/epidemiol
OCUPACOES/estatíst
COOPERACAO DO PACIENTE/psicol
CONHECIMENTOS, ATITUDES E PRATICA
 MOTIVACAO
 EDUCACAO DO PACIENTE
 SATISFACAO DO PACIENTE
 QUESTIONARIOS
 AUTOCUIDADO
 DISTRIBUICAO POR SEXO
 VIAGEM
Limits:HUMANO
MASCULINO
FEMININO
ADULTO
MEIA-IDADE
IDOSO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 09124/s


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Id:13302
Author:Levis, William R; Schuman, Joel S; Friedman, Stephen M; Newfield, Stanley A
Title:An epidemiologic evaluation of leprosy in New York City ..-
Source:s.l; s.n; jun. 1982. 7 p. mapas, tab.
Abstract:Leprosy is a transmissible disease that is propagated from human to human. At the US Public Health Service hospital, New York City, the number of new leprosy cases per year during the 1970s was about three times greater than in the previous decade. This review of our 100 most recent leprosy patients shows that 60% were of the lepromatous and borderline lepromatous type. Ninety-nine of the patients were foreign born, originating in more than 26 countries. This emphasizes that, at this time, the leprosy problem in New York City is almost exclusively a reflection of immigration patterns. The majority of the patients were asymptomatic at the time of entering the United States. The average latent period from entering the United States until onset of symptoms was 4.8 years, with a range of 0 to 38 years. These figures emphasize the need for physicians to be aware that leprosy can occur as long as five to 40 years after emigration from endemic areas. For all types of leprosy, the average lag from the onset of symptoms to the time of diagnosis was 29.0 months (range, 0 to 245 months). Our experience indicates that a program of urban leprosy treatment using available drugs and supportive care is feasible.(AU).
Descriptors:MIGRACAO INTERNACIONAL
ANTIGENOS HLA/genet
HANSENIASE/diag
HANSENIASE/epidemiol
HANSENIASE/genet
OCUPACOES
 AMERICA DO SUL/etnol
 CLASSE SOCIAL
 DIAGNOSTICO DIFERENCIAL
 CIDADE DE NOVA IORQUE
Limits:HUMANO
MASCULINO
FEMININO
Electronic Medium:http://www.ilsl.br
Location:BR191.1; 00915/s



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