Publications by authors named "Sel'tsovskiĭ P"

Therapy for pulmonary tuberculosis in patients is complicated by their negative psychoemotional state frequently deteriorated by long inpatient stay. Enhancing the efficiency of rehabilitative measures in phthisiology requires active optimization of the patients' mental state. This problem can be solved by a package of correction measures involving psychological correction with reflex therapeutic normalization of the functional state of the cortical regions of the central nervous system in patients with pulmonary tuberculosis.

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DST was ascertained to have a high sensitivity in virtually all patients with tuberculosis and a positive reaction was first noted in the infected. With stabilization and regression, the response to DST was much less pronounced than that in clinical and primary infection (that to the Mantoux test being more evident). DST showed its use as a marker of active tuberculosis not only in its local forms, but also in latent tuberculous infection.

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The current approaches to training pediatric phthisiatricians (phthisiopediatricians) are described. In the authors' opinion, completion of a clinical residency in not only phthisiology, but also in pediatrics is optimal to this group of specialists. The training programs for pediatric phthisiatricians differ in relation to the basic specialty: a phthisiatrician or a local phthisiatrician.

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The paper describes the follow-up and treatment of patients with tuberculosis concurrent with HIV infection in Moscow in 2004-2005. Major epidemiological parameters, such as morbidity, mortality, and prevalence of this comorbidity, are given. Analysis of these indices suggests that the epidemic situation associated with tuberculosis concurrent with HIV infection became worse in the past 2 years.

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The implementation of the subprograms "Goal-oriented medical examination of the Moscow population for early tuberculosis visage a differential screening of the population in relation to the risk of tuberculosis; fitting of health care facilities with current digital fluorographic equipment; improvement of an epidemiological screening of patients with tuberculosis. Over 7 years of implementation of the Program, advances were made: the population's coverage with preventive examinations increased by 11%; that of detively; the active detection of patients with respiratory abnormalities and those with pulmonary tuberculosis increased by 2.0 and 2.

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Despite the violations made in filling in "Medical Death Certificates", the rate of tuberculosis mortality forms with a high degree of significance. To minimize the above pitfalls, it is necessary to keep a computer-aided record of deaths from tuberculosis, which involves the standardization of entries of a postmortem diagnosis, by decoding it in accordance with the lines of item 1 (a, b, c) of the "Certificate".

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The correlations between the time series of weather values of sociodemographic, socioeconomic, and epidemiological parameters of tuberculosis (death rates) in the 20th century were studied. Analysis of population indices confirmed the association of migratory processes and the intensity of the tuberculosis epidemic situation, as well as the significance of these processes for Moscow, the necessity of their notification for assessing the sociodemographic situation to plan tuberculosis-controlling measures. The study has indicated that there is a relationship of the salary/wage that determines the income of the bulk of the population to tuberculosis mortality rates and that regulation of a migratory process, population density, and improvement of living conditions are of considerable importance in the prevention of this disease.

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The tuberculosis mortality rate is largely determined by the organization of early identification of patients with this disease in the general population. At present the volume of prophylactic surveys has reduced, but, nevertheless, they are the method of choice in detecting tuberculosis in time. Since the prevalence of tuberculosis greatly differs in different populations, prophylactic examinations must be differential in relation to the risk of disease or epidemiological hazards.

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