Slattery Odonnell (menushock3)
The mechanism could be through an accumulation of PTU in neutrophils, altering the structure of MPO and making it immunogenic. PTU can also induce ANCA-free or lupus vasculitis, maculopapular rashes or urticaria. Many other drugs can induce ANCA-associated vasculitis. To evaluate the health systems' response capacity according to the perception of chronic patients, and the factors related to that perception. Source of data patients diagnosed with at least one chronic disease who visited primary care centers during June and July 2015 in a basic health area of La Rioja. cross-sectional descriptive study based on interviews to over 18s who visited primary care centers. The dependent variable was the health systems' response capacity and independent variables were sociodemographic and health related. In order to collect data, trained interviewers conducted a short questionnaire in Spanish from the World Health Organization Multi-country Survey Study with 403 subjects. Descriptive statistics, bivariate and multivariate logistic regression were performed. The overall health systems' response capacity was considered good by 87.10%. The domains that scored highest were confidentiality (99.3%), dignity (98.3%) and communication (97.3%). Those evaluated worst were rapid service (38,6%) and quality of basic services (31.8%). Low social class was the most important factor associated with the responsiveness, mainly with autonomy and rapid service. Sex, educational level, and occupation were related to communication domain, and patients with worse perceived health rated the general response worse. The domains considered most important were dignity (33.5%) and rapid service (30.5%). The domains best evaluated were those related to respect for people. Rapid service has a low health systems' response capacity, but a high importance, and therefore requires priority action. The domains best evaluated were those related to respect for people. Rapid service has a low health systems' response capacity, but a high importance, and therefore requires priority action. To assess the quality of national cancer screening program leaflets in Japan from the informed-decision perspective. Cross-sectional content analysis of invitation leaflets issued by centralized organizations and used nationwide in Japan was conducted. Three members independently evaluated the materials using International Patient Decision Aids Standards six-item minimum criteria for qualifying patient decision aids. Co-author KH is a cancer patient himself. #link# We also sought feedbacks from three other cancer survivors and two bereaved family members. CID 49766530 -rater agreement was substantial (Fleiss' kappa=0.62). The median score was 2 out of 6 (range 2-3). All leaflets described the cancer (Q1 7/7) and screening modality (Q2 7/7). None stated not undergoing screening as an option. One stated another screening modality (Q3 1/7). None stated both the positive and negative features of multiple options (Q4 0/7. Q5 0/7). One described the psychological and social experience of screening but only its positive side (Q6 1/7). There is room for improvement in the content of the public cancer screening invitation leaflets in Japan from informed-decision perspective. Cancer screening leaflets should provide evidence-based, well-balanced, easy-to-understand information to educate people on cancer screening while maintaining people's autonomy. Cancer screening leaflets should provide evidence-based, well-balanced, easy-to-understand information to educate people on cancer screening while maintaining people's autonomy.In adults, the management of keratoconus has evolved in recent years to achieve a well-codified treatment algorithm. The technique of cross-linking (CXL) has allowed us to stabilize the progression of keratoconus and has been largely developed. It