BackgroundDelay in seeking care is a major impediment to effective management of tuberculosis (TB) in China. To elucidate factors that underpin patient and diagnostic delays in TB management, we conducted a systematic review and meta-analysis of factors that are associated with delays in TB care-seeking and diagnosis in the country.MethodsThis review was prepared following standard procedures of the Cochrane Collaboration and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and checklist. Relevant studies published up to November 2012 were identified from three major international and Chinese literature databases: Medline/PubMed, EMBASE and CNKI (China National Knowledge Infrastructure).ResultsWe included 29 studies involving 38,947 patients from 17 provinces in China. Qualitative analysis showed that key individual level determinants of delays included socio-demographic and economic factors, mostly poverty, rural residence, lack of health insurance, lower educational attainment, stigma and poor knowledge of TB. Health facility determinants included limited availability of resources to perform prompt diagnosis, lack of qualified health workers and geographical barriers.Quantitative meta-analysis indicated that living in rural areas was a risk factor for patient delays (pooled odds ratio (OR) (95% confidence interval (CI)): 1.79 (1.62, 1.98)) and diagnostic delays (pooled OR (95% CI): 1.40 (1.23, 1.59)). Female patients had higher risk of patient delay (pooled OR (95% CI): 1.94 (1.13, 3.33)). Low educational attainment (primary school and below) was also a risk factor for patient delay (pooled OR (95% CI): 2.14 (1.03, 4.47)). The practice of seeking care first from Traditional Chinese Medicine (TMC) providers was also identified as a risk factor for diagnostic delay (pooled OR (95% CI): 5.75 (3.03, 10.94)).ConclusionPatient and diagnostic delays in TB care are mediated by individual and health facility factors. Population-based interventions that seek to reduce TB stigma and raise awareness about the benefits of early diagnosis and prompt treatment are needed. Policies that remove patients’ financial barriers in access to TB care, and integration of the informal care sector into TB control in urban and rural settings are central factors in TB control.

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Human infections with Lophomonas blattarum are rare. However, the majority of the infections occurred in China, 94.4% (136 cases) of all cases in the world. This infection is difficult to differentiate from other pulmonary infections with similar symptoms. Here we reported a case of L. blattarum infection confirmed by bronchoalveolar lavage fluid smear on the microscopic observations. The patient was a 21-year-old female college student. The previous case which occurred in Chongqing was 20 years ago. We briefly reviewed on this infection reported in the world during the recent 20 years. The epidemiological characteristics, possible diagnostic basis, and treatment of this disease is discussed in order to provide a better understanding of recognition, diagnosis, and treatment of L. blattarum infection.

The removal of toxic dyes and insoluble oil from wastewater is a hot topic in both academic and industrial fields. Herein, we report a cationic absorbent poly­(epichlorohydrin)–ethylenediamine hydrogel (PEE-Gel) via a simple one-step copolymerization and it can be successfully used for the removal of toxic dyes and insoluble oil from wastewater. The adsorption toward anionic dyes shows high efficiency and high selectivity at a wide pH range (from 2 to 12). The adsorption capacity at low equilibrium concentration (10 mg L–1) is as high as 1411.4 mg g–1 which is very close to the maximum adsorption capacity (1540.19 mg g–1). The adsorption of dye molecules onto PEE-Gel is very steady and can be difficult to be regenerated. The PEE-Gel with full dye adsorption (PEE-Gel-Dye) shows superoleophobicity under water, and PEE-Gel-Dye can be reused to separate toluene-in-water emulsion with high efficiency and durability. These results suggest that PEE-Gel is a promising and competitive candidate for water purification.

The development of high-efficiency catalysts for hydrogen evolution via water splitting has been an effective strategy to solve the energy environmental problems and energy crisis. The abundant-reserving transition metals and their phosphides are becoming attractive Pt alternatives for hydrogen evolution reaction (HER). Herein, a crystalline/amorphous Co/CoP film was facilely prepared on nickel foam (NF) by a one-step electrodeposition technique at room temperature, named Co/CoP-NF. The as-prepared Co/CoP-NF electrocatalyst exhibits excellent electrocatalytic activity for HER, on par with Pt/C, showing a low overpotential of 35 mV at a current density of 10 mA·cm and small Tafel slope of 71 mV·dec in 1.0 M NaOH solution. More importantly, the Co/CoP-NF catalyst presents good long-term durability at an overpotential of 60 mV. Moreover, the influence of the electrodeposition parameters on the catalytic performance of the catalyst was discussed. This study offers an effective strategy to develop a non-noble-metal HER catalyst for industrial production of hydrogen.