International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association最新文献_第5页

The dynamics of stigma in leprosy. 麻风病的病耻感。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<437:TDOSIL>2.0.CO;2

M L Heijnders

{"title":"The dynamics of stigma in leprosy.","authors":"M L Heijnders","doi":"10.1489/1544-581X(2004)72<437:TDOSIL>2.0.CO;2","DOIUrl":"https://doi.org/10.1489/1544-581X(2004)72<437:TDOSIL>2.0.CO;2","url":null,"abstract":"Leprosy in Nepal is a stigmatizing disease. This paper explores the different coping strategies employed by people affected by leprosy to manage stigma. It is based on a qualitative study conducted in the eastern part of Nepal. It will show that a difference exists between experienced stigma and the anticipation of stigma. Both types of stigma result in different coping strategies. In managing stigma people go through different phases. This paper will show that stigma is a dynamic process, and I will elaborate on the concealment cycle, as developed by Hyland, to produce a more detailed understanding of the stigmatization process in Nepal. Doing so, it highlights the importance of a mutual concealment phase and the importance of triggers to exposure and discrimination. Changing from one phase to a subsequent phase in the stigmatization process is always triggered. It highlights further, that even within the same culture and even the same village, social differentiation makes a significant difference on the impact of stigma and the coping strategies employed in managing stigma. Stigma enforces already existing inequalities in social class, gender, and age.","PeriodicalId":14078,"journal":{"name":"International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association","volume":"72 4","pages":"437-47"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 78

The relapse rate in MB leprosy patients treated with 2-years of WHO-MDT is not low. 接受2年WHO-MDT治疗的MB麻风患者复发率不低。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<493:TRRIML>2.0.CO;2

Robert H Gelber, Victoria F Balagon, Roland V Cellona

引用次数: 58

A mutation at codon 516 in the rpoB gene of Mycobacterium leprae confers resistance to rifampin. 麻风分枝杆菌rpoB基因密码子516的突变使其对利福平产生耐药性。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<468:AMACIT>2.0.CO;2

Liangfen Zhang, Masako Namisato, Masanori Matsuoka

引用次数: 20

Regarding classification of leprosy. 关于麻风的分类。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<491a:RCOL>2.0.CO;2

Sunil Deepak

引用次数: 0

A comparison of economic aspects of hospitalization versus ambulatory care in the management of neuritis occurring in lepra reaction. 麻风反应中发生的神经炎的住院治疗与门诊治疗的经济方面的比较。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<448:ACOEAO>2.0.CO;2

Ravi H N, Renu George, Elizabeth P Eapen, Susanne A Pulimood, Chandran Gnanamuthu, Mary Jacob, K R John

{"title":"A comparison of economic aspects of hospitalization versus ambulatory care in the management of neuritis occurring in lepra reaction.","authors":"Ravi H N, Renu George, Elizabeth P Eapen, Susanne A Pulimood, Chandran Gnanamuthu, Mary Jacob, K R John","doi":"10.1489/1544-581X(2004)72<448:ACOEAO>2.0.CO;2","DOIUrl":"https://doi.org/10.1489/1544-581X(2004)72<448:ACOEAO>2.0.CO;2","url":null,"abstract":"Neuritis is one of the important causes of deformities and disabilities in leprosy. Neuritis has been managed both in the field and in hospital. This study was done to compare the economic aspects of cost of ambulatory vs in-patient management of neuritis in leprosy. The quality of life of the affected patients and the clinical improvement in the 2 groups were also studied. Twenty six patients fulfilling the study criteria were randomized into the ambulatory and in-patient group (13 in each group). The primary outcome examined was cost, in various categories; the secondary outcomes included pre- and post-treatment comparison of Quality of Life (QOL) scores and tests of sensory and motor function. The direct and indirect medical costs incurred by patients in the hospitalized group were higher than those patients in the ambulatory group. The difference in the direct medical costs between the two groups was Rs. 9110.5, and the extra direct non medical costs incurred by patients in the hospitalized group was Rs. 888.50 because of more frequent visits of family members. A greater percentage of ambulatory than in-patients returned to work in </= 15 days (53.8% vs 15.3%), and the mean duration before returning to work was 19.5 days ambulatory patients compared to 66.8 days for in-patients group. The QOL scores and motor and sensory function tests showed no significant difference between groups. Although the sample size was small, these preliminary results suggest that substantial cost minimization by ambulatory care is possible without significantly affecting the quality of life or peripheral nerve function.","PeriodicalId":14078,"journal":{"name":"International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association","volume":"72 4","pages":"448-56"},"PeriodicalIF":0.0,"publicationDate":"2004-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24996144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Methotrexate in resistant ENL. 甲氨蝶呤治疗耐药ENL。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<480:MIRE>2.0.CO;2

Bikash R Kar, Ravindra Babu

引用次数: 22

Deep vein thrombosis: a rare complication of thalidomide therapy in recurrent erythema nodosum leprosum. 深静脉血栓:沙利度胺治疗复发性麻风结节性红斑的罕见并发症。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<483:DVTARC>2.0.CO;2

Nand L Sharma, Vikas Sharma, Vinay Shanker, Vikram K Mahajan, Sandip Sarin

引用次数: 11

Epidemiology of leprosy. 麻风病流行病学。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-12-01 DOI: 10.1489/1544-581X(2004)72<491b:EOL>2.0.CO;2

R Ganapati

引用次数: 1

In situ hybridization in the histological diagnosis of early and clinically suspect leprosy. 原位杂交在早期和临床疑似麻风的组织学诊断中的应用。

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-09-01 DOI: 10.1489/0020-7349(2004)72<296:ISHITH>2.0.CO;2

Mohan Natrajan, Kiran Katoch, Vishwa M Katoch, Vishnu D Sharma, Dharmendra Singh, Devendra S Chauhan, Haribhan Singh

引用次数: 6

Commentary: is it really M. leprae? 评论:这真的是麻风分枝杆菌吗?

International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association Pub Date : 2004-09-01 DOI: 10.1489/0020-7349(2004)72<317:IIRML>2.0.CO;2

Paul E M Fine

引用次数: 2