缅甸规划环境下接受居家护理的耐多药结核病患者：支持包对预防早期死亡的效果

数据集获取（Figshare）

• 源站标题：Patients with MDR-TB on domiciliary care in programmatic settings in Myanmar: Effect of a support package on preventing early deaths
• DOI：10.1371/journal.pone.0187223
• 发布日期：2017-12-20
• 文件数：2 个
• 文件总体积：957.72 KB
• 源站页面：https://plos.figshare.com/articles/dataset/Patients_with_MDR-TB_on_domiciliary_care_in_programmatic_settings_in_Myanmar_Effect_of_a_support_package_on_preventing_early_deaths/5723380

命令行下载

curl -L -o "S1 Fig.tif" "https://ndownloader.figshare.com/files/10066099"
curl -L -o "S2 Fig.tif" "https://ndownloader.figshare.com/files/10066126"

文件清单

• S1 Fig.tif（473.36 KB）
• S2 Fig.tif（484.35 KB）

文件总体积 957.72 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
The community-based MDR-TB care (CBMDR-TBC) project was implemented in 2015 by The Union in collaboration with national TB programme (NTP) in 33 townships of upper Myanmar to improve treatment outcomes among patients with MDR-TB registered under NTP. They received community-based support through the project staff, in addition to the routine domiciliary care provided by NTP staff. Each project township had a project nurse exclusively for MDR-TB and a community volunteer who provided evening directly observed therapy (in addition to morning directly observed therapy by NTP).
Objectives
To determine the effect of CBMDR-TBC project on death and unfavourable outcomes during the intensive phase of MDR-TB treatment.
Methods
In this cohort study involving record review, all patients diagnosed with MDR-TB between January 2015 and June 2016 in project townships and initiated on treatment till 31 Dec 2016 were included. CBMDR-TBC status was categorized as “receiving support” if project initiation in patient’s township was before treatment initiation, “receiving partial support” if project initiation was after treatment initiation, and “not receiving support” if project initiation was after intensive phase treatment outcome declaration. Time to event analysis (censored on 10 April 2017) and cox regression was done.
Results
Of 261 patients initiated on treatment, death and unfavourable outcomes were accounted for 13% and 21% among “receiving support (n = 163)”, 3% and 24% among “receiving partial support (n = 75)” and 13% and 26% among “not receiving support (n = 23)” respectively. After adjusting for other potential confounders, the association between CBMDR-TBC and unfavourable outcomes was not statistically significant. However, when compared to “not receiving support”, those “receiving support” and “receiving partial support” had 20% [aHR (0.95 CI: 0.8 (0.2–3.1)] and 90% lower hazard [aHR (0.95 CI: 0.1 (0.02–0.9)] of death, respectively. This was intriguing. Implementation of CBMDR-TBC coincided with implementation of decentralized MDR-TB centers at district level. Hence, patients that would have generally not accessed MDR-TB treatment before decentralization

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0187223（source: https://plos.figshare.com/articles/dataset/Patients_with_MDR-TB_on_domiciliary_care_in_programmatic_settings_in_Myanmar_Effect_of_a_support_package_on_preventing_early_deaths/5723380）。