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    Delay in presentation in leprosy

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    Developments and trends in rehabilitation in leprosy

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    This paper describes the thinking behind new approaches to the rehabilitation needs of people affected by leprosy. Three general principles are identified. First, programmes must be responsive to the broad impact of the disease – physical, psychological, social and economic. Second, for effective rehabilitation the response must be specific to the needs and concerns of each individual. Third, the concerns and priorities of families and communities must influence decision-making. A series of operational principles are discussed and illustrated with case studies from current programmes in contrasting cultural situations

    Social, psychological and behavioural research in leprosy

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    Social, behavioural and psychological aspects of leprosy and its control have been relatively neglected areas in terms of research. However, in the past five years there have been clear signs of a change with more research being undertaken, more publications in the field and a greater emphasis in funding research using these methods. Leprosy Review commissioned a special issue (1) on the topic of social aspects in December 2000. There were workshops, papers, posters and seminars addressing research using social, behavioural and psychological methods throughout the International Leprosy Congress in Brazil, 2002. The use of social and behavioural research methods is relevant across the spectrum of leprosy control activities and rehabilitation. This research approach is relevant to the issues of information, education and communication, and awareness of first symptoms. The approach is important in addressing help-seeking behaviours and contact with health care providers. There are psychological and behavioural dimensions to communicating the diagnosis and relationships with the family and community. Social behaviour is also relevant to adherence with treatment and prevention of disability and rehabilitation. Recent work is also focusing on issues of stigma and community behaviours and attitudes. This paper selects areas where social, psychological and behavioural research methods can make a particular contribution: community awareness and attitudes to leprosy, first symptoms, help-seeking behaviour and delay in presentation, adherence with treatment, stigma and stigmatization, and socioeconomic aspects of rehabilitation. The following sections draw attention to what is known from research, highlighting the relevance and importance, and raise questions as to whether more needs to be done in implementing knowledge or further research

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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