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An Assessment of Knowledge and Practices Regarding Tuberculosis in the Context of RNTCP Among Non Allopathic Practitioners in Gwalior District  [cached]
Dhiraj Kumar Srivastava,Ashok Mishra,Neeraj Gour,Assistant Professor, Department of Community Medicine, Bundelkhand Medical College, Sagar, Madhya Pradesh
Online Journal of Health & Allied Sciences , 2011,
Abstract: Introduction: India has the highest TB burden accounting for one-fifth of the global incidence with an estimated 1.98 million cases. Non- allopathic practitioners are the major service providers especially in rural and peri-urban areas, treating not just patients of diarrhea, respiratory infections and abdominal Pain but also of tuberculosis. Objectives: To assess the knowledge of sign and symptoms of TB and its management as per the RNTCP guidelines and to assess the practicing pattern regarding tuberculosis. Material & Methods: The present was carried out among the registered non allopathic practitioners providing their services in Gwalior District during the study period. A total of 150 non allopathic practitioners of various methods from both government and private sectors were interviewed using a pre-designed, pre-tested semi-structured questionnaire. The information was collected on the General profile of the participant, knowledge about signs and symptoms of TB and its management, practices commonly adopted in the management and their views on involvement of non allopathic practitioners in RNTCP programme. Result: The average score of government practitioners was 7.3 compared to 4.6 by private practitioners. There was a statistically significant difference between the two group on issue related to the management of TB patients as per the RNTCP guidelines. Government practitioners relied mostly on sputum examination for diagnosis and follow up compared to private practitioners who chose other modalities like X-ray, blood examination for this work. Conclusion: There is a gap in knowledge and practices of practitioners of both the sectors. Some serious efforts were required to upgrade the knowledge of non allopathic practitioners if the government is serious about controlling tuberculosis in India.
A study on performance, response and outcome of treatment under RNTCP in a tuberculosis unit of Howrah district, West Bengal  [cached]
Bisoi Sukamal,Sarkar Amitabha,Mallik Sharmila,Haldar Anima
Indian Journal of Community Medicine , 2007,
Abstract: Objectives: To evaluate the Revised National Tuberculosis Control Programme (RNTCP) through assessment of performance, response and outcome of treatment of patients. Study Design: Cross-sectional observational study. Materials and Methods: In Domjur Tuberculosis Unit of Howrah district, West Bengal. Two hundred and eighty-six cases registered in the first two quarters (1 January to 30 June 2001) were selected for the study. Data were collected by review of records from all peripheral health units with a pre-designed and pre-tested schedule. Results: Sputum-positive among chest symptomatic were 89 (11.5%). Overall 78.3% were new cases and among them 67.1% were pulmonary, 48.4% were sputum-positive among new pulmonary cases detected. Sputum conversion rate of new sputum-positive cases at 2 or 3 months was 74.2%. Cure rate for new sputum-positive pulmonary TB cases was 53.8% and out of all smear-positive cases was 56.5%. Default among new smear-positive cases was 24.7%. Conclusion: Low sputum conversion rate after intensive phase of treatment, high defaulter rate and low cure rate among new sputum-positive cases in comparison to RNTCP norm have been reflected in this study.
Client Provider Collaboration for Service Bundling  [cached]
LETIA, I. A.,MARGINEAN, A.
Advances in Electrical and Computer Engineering , 2008,
Abstract: The key requirement for a service industry organization to reach competitive advantages through product diversification is the existence of a well defined method for building service bundles. Based on the idea that the quality of a service or its value is given by the difference between expectations and perceptions, we draw the main components of a frame that aims to support the client and the provider agent in an active collaboration meant to co-create service bundles. Following e3-value model, we structure the supporting knowledge around the relation between needs and satisfying services. We deal with different perspectives about quality through an ontological extension of Value Based Argumentation. The dialog between the client and the provider takes the form of a persuasion whose dynamic object is the current best configuration. Our approach for building service packages is a demand driven approach, allowing progressive disclosure of private knowledge.
Drug Susceptibility Profile Of M.Tuberculosis Among Category – Ii Failure Patients Under Rntcp Drug Susceptibility Of M. Tuberculosis  [PDF]
NK Jain,S Avashia,A Bajpai
SAARC Journal of Tuberculosis, Lung Diseases and HIV/AIDS , 2011, DOI: 10.3126/saarctb.v8i2.5894
Abstract: Introduction: The aim of this study was to evaluate level of drug resistance in Directly Observed Treatment, short course (DOTS) CAT-II failure Pulmonary tuberculosis patients admitted for retreatment according to Indian Revised National Tuberculosis Control Programme (RNTCP).
Effectiveness of different models of DOTS providers under RNTCP in Ahmedabad City, Gujarat  [cached]
Bhagyalaxmi A,Jain Shikha,Kadri A
Indian Journal of Community Medicine , 2010,
Abstract: Background: The most effective DOTS provider will be the one who is accessible, acceptable to the patient, and accountable to the health system. Objectives: The objective was to assess the effectiveness of the different types of DOTS providers functioning under Revised National Tuberculosis Control Programme (RNTCP). Materials and Methods: A total of 200 patients, treated under RNTCP during September to December 2004, were selected for the study. Results: A total of 105 and 95 patients were under the supervision of tuberculosis health visitors (TBHVs) and non-TBHVs, respectively. During the intensive phase, around 95% of the patients took the medicine under the direct observation in both the groups. Supervision of the first dose of treatment in a week during the continuation phase was significantly better with the TBHV (94.74%) as compared to the non-TBHV (79.31%). However, there was no significant difference in the cure and the completed rate which was 76.19% with the TBHV and 86.13% with the non-TBHV. Conclusion: The available community workforce could be involved in supervising the intermittent short course chemotherapy.
Knowledge, Attitude and Practice of Dots Providers Under RNTCP in Ujjain, Madhya Pradesh  [PDF]
Mayank Jain, Swarupa V Chakole, Amit S Pawaiya, Satish C Mehta
National Journal of Community Medicine , 2012,
Abstract: Background: India has the highest burden of TB worldwide. Every year approx 1.8 million people developed tuberculosis and 0.37 million die. Aim: To study knowledge, attitude and practice of DOTS Providers under RNTCP in Ujjain, Madhya Pradesh. Material and Method: All DOTS providers of Ujjain city were interviewed by using a questionnaire, which included questions regarding their knowledge about TB, their attitude and actually how they provide the DOTS. Result: 56.9% of DOTS provider has good knowledge of TB. It was significantly higher in men (72.4%; P=0.04), respondent aged< 30 (79.5%) (P< 0.05) and DOTS provider who are in health services (P=0.016). 100% identified cough for more than two weeks as the symptom of TB. Correct knowledge of case definition of default, relapse and failure was shown by 45.5%, 34.3%, 20.6 % respectively. 80.4 % provide DOTS during home visit. Conclusion: Knowledge of DOTS providers is not satisfactory about Tuberculosis. Knowledge is good in those who have higher qualification and are in health related services. Attitude and Practice of only 36.3 % of DOTS provider is very good.
IT outsourcing service provider dynamic evaluation model and algorithms based on Rough Set  [PDF]
Li Shi
International Journal of Computer Science Issues , 2013,
Abstract: The traditional supplier evaluation methods mostly belong to the static evaluation, and the actual information service provider selection is a dynamic process, need to use dynamic evaluation method to measure. In order to select the IT outsourcing service provider, the tool which uses complex scientific management system-thinking - Exploration diagram, established the index system for the selection of IT outsourcing. Based on it, the decision table of dynamic IT-Outsourcing service provider selection is made. The decision rule set of IT outsourcing service provider prediction is obtained by applying rough set theory of the decision table attribute reduction and value reduction. Finally, a calculation example of IT outsourcing service provider selection is illustratedwhich shows that the mentioned evaluation method is feasible and efficient for dynamic IT outsourcing service provider selection and prediction. Thus, it supplies reasonable analysis and policy making of IT outsourcing service provider.
Service Provider Revenue Dependence of Offered Number of Service Classes  [PDF]
V. Radonji?,V. S. A?imovi?-Raspopovi?
Telfor Journal , 2011,
Abstract: In this paper possible applications of responsive pricing scheme and Stackelberg game for pricing telecommunication services with service provider as a leader and users acting as followers are analyzed. We have classified users according to an elasticity criterion into inelastic, partially elastic and elastic users. Their preferences are modelled through utility functions, which describe users’ sensitivity to changes in the quality of service and price. In the proposed algorithm a bandwidth management server is responsible for performing automatic optimal bandwidth allocation to each user’s session while maximizing its expected utility and the overall service provider’s revenue. The pricing algorithm is used for congestion control and more efficient network capacity utilization. We have analyzed different scenarios of the proposed usage-based pricing algorithm. Particularly, the influence of the number of service classes on price setting in terms of service provider’s revenue and total users’ utility maximization are discussed. The model is verified through numerous simulations performed by software that we have developed for that purpose.
A follow up study on revised national tuberculosis control programme (RNTCP): Results from a single centre study
Prasad R,Verma S,Shrivastava P,Kant S
Lung India , 2008,
Abstract: Objective: To know the follow up status of tuberculosis patients after 1 year of completion of treatment in RNTCP. Material & Methods: Those patients of tuberculosis, who were registered from June 2003 to June 2004 at DOTS centre of our institution, were followed up at their homes after one year of completion of treatment between August 2005 and August 2006, with the help of health visitor. Patients were followed up clinically and symptomatic patients were also followed radiologically as we1l as bacteriologicalty. Results of the study were recorded in terms of number of patients remained asymptomatic, number of patients relapsed and number of patients died. Results: Out of 237 patients registered, 8 patients died during treatment period, 12 patients defaulted the treatment, the number of failures was 5 and 212 patients were declared cured/treatment completed. Out of these 212 patients 60 were unavailable for interview due to various reasons. The study observed that out of a total of 152 patients interviewed, 137 patients (90.1%) of remained asymptomatic, 11 patients (7.2%) had relapsed and 4 patients (2.6%) died during follow up. Conclusion: The study observed that majority of patients (90.1%) re-mained asymptomatic after the completion of one year of treatment under DOTS.
Service Provider DevOps network capabilities and tools  [PDF]
Rebecca Steinert,Wolfgang John,Pontus Sk?ldstr?m,Bertrand Pechenot,András Gulyás,István Pelle,Tamás Lévai,Felicián Németh,Juhoon Kim,Catalin Meirosu,Xuejun Cai,Chunyan Fu,Kostas Pentikousis,Sachin Sharma,Ioanna Papafili,Guido Marchetto,Riccardo Sisto,Fulvio Risso,Per Kreuger,Jan Ekman,Shaoteng Liu,Antonio Manzalini,Apoorv Shukla,Stefan Schmid
Computer Science , 2015,
Abstract: This report provides an understanding of how the UNIFY Service Provider (SP)-DevOps concept can be applied and integrated with a combined cloud and transport network NFV architecture. Specifically, the report contains technical descriptions of a set of novel SP-DevOps tools and support functions that facilitate observability, troubleshooting, verification, and VNF development processes. The tools and support functions are described in detail together with their architectural mapping, giving a wider understanding of the SP-DevOps concept as a whole, and how SP-DevOps tools can be used for supporting orchestration and programmability in the UNIFY NFV framework. The concept is further exemplified in a case study for deployment and scaling of an Elastic Firewall.
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