Publications by authors named "G G Zakopaĭlo"

Autopsy protocols for 1989-1994 have been analyzed for 123 patients with pulmonary tuberculosis. Within the first year after the disease registration one-sixth of the patients died. Most of them were males over 50 living in rural regions.

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With a view to studying cases and causes of death in 87 those having contracted pulmonary tuberculosis in 1989-1991 and died within one year after its detection, medical histories and outpatient medical records of the deceased were analysed as were findings from post mortem examinations, data on those pulmonary tuberculosis cases detected too late. Men died twice as frequently as women. Overwhelming majority of these were people beyond fifty years of age.

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The investigation into the causes of late detection of pulmonary tuberculosis involving scrutiny of case records, data on new-onset cases, follow-up, protocols on the analysis of missed diagnoses has been performed for 772 cases registered in the Vinnitsa region through 1989-1991. The authors came to the conclusion that the shortcomings revealed in tuberculosis detection are primarily due to: violation of standard requirements as regards identification of primary tuberculosis; insufficient alertness of general practitioners related to possible tuberculosis; low quality of fluorographic examinations, unsatisfactory examinations of subjects suffering from chronic nonspecific pulmonary diseases, chronic alcoholics, diabetics, gastroduodenal ulcer patients; radiation hazards.

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A study is presented of the effect of social factors on the outcomes of pulmonary tuberculosis in patients with freshly detected disease mainly in rural localities in 1985-1989. The outcomes of treatment depended mainly on the form and extension of the pathological process and terms of treatment. It was also established that the outcomes of tuberculosis are also influenced by unfavourable social factors which are more pronounced in persons with an extensive process.

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The influence of social factors on tuberculosis morbidity in the Vinnitsa region was studied for the period of 1954-1965 (1365 examined subjects) and 1965-1989 (556 examined subjects). They included: income per family member, residence conditions, the nature of work and occupational hazards, education, bad habits, and marital status, etc.).

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