The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease
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Int. J. Tuberc. Lung Dis. · Jun 2009
The cost of intensified case finding and isoniazid preventive therapy for HIV-infected patients in Battambang, Cambodia.
The current study evaluates one of four pilot sites initiated in Cambodia to establish feasible and effective ways to manage patients with human immunodeficiency virus (HIV) infection and tuberculosis (TB). ⋯ Economic evaluations of TB-HIV integrated services are necessary as countries move to establish or scale-up these services. Based upon the estimated effectiveness of ICF and IPT used by other studies examining the provision of integrated HIV-TB services, the cost per TB case prevented by ICF and IPT in Battambang, Cambodia, is less than the reported cost of treating a new smear-positive TB case.
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Int. J. Tuberc. Lung Dis. · Jun 2009
Economic evaluation of public-private mix for tuberculosis care and control, India. Part I. Socio-economic profile and costs among tuberculosis patients.
Bangalore City, India. ⋯ Patients treated under the RNTCP through a public-private mix approach were predominantly poor. Many of them experienced considerable health expenditures before starting treatment. Additional efforts are required to reduce the delays and the number of health care providers consulted, and to ensure that patients are shifted to subsidised treatment within the RNTCP.
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Int. J. Tuberc. Lung Dis. · Jun 2009
Economic evaluation of public-private mix for tuberculosis care and control, India. Part II. Cost and cost-effectiveness.
Bangalore City, India. ⋯ Implementation of PPM on a large scale in an urban setting can be cost-effective, and considerably reduces the financial burden of TB for patients.
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Int. J. Tuberc. Lung Dis. · Jun 2009
Classifying the severity of COPD: are the new severity scales better than the old?
Forced expiratory volume in 1 second cut-off points establish the severity of chronic obstructive pulmonary disease (COPD). ⋯ These guidelines did not consistently stratify patients with regard to 5-year mortality and HRQoL. Although the BTS system was slightly superior, none of the guidelines were closely related to these outcomes. Other instruments are needed for a better determination of the severity of COPD.
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Int. J. Tuberc. Lung Dis. · May 2009
Multicenter Study Comparative StudyOxygen for treatment of severe pneumonia in The Gambia, West Africa: a situational analysis.
Health facilities in The Gambia, West Africa. ⋯ National data showed that oxygen availability did not meet needs in most Gambian health facilities. Remedial options must be carefully assessed for real costs, reliability and site-by-site usability. Training is needed to support oxygen use and equipment maintenance.