[Analysis of mortality of patients with pulmonary tuberculosis in the course of a year after its detection].

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.

[The clinical characteristics of pulmonary tuberculosis in patients dying over the course of the year after its detection].

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.

[Deficiencies in the early detection of pulmonary tuberculosis and the possibilities for their elimination].

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.

[Factors affecting the treatment results with pulmonary tuberculosis patients].

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.

[The effect of social factors on tuberculosis morbidity].

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.).

[Status of knowledge regarding various aspects of tuberculosis among industrial workers].

The level of awareness of some aspects of tuberculosis by the workers of two industrial enterprises was analysed on the basis of 1700 anonymous questionnaires by them. Questions found the most difficult by the respondents were singled out. The necessity to restructure antituberculosis education activities with regard to the priorities in this matter was substantiated.

[The causes of death in tuberculosis patients at a tuberculosis dispensary].

The authors analyze 218 cases of death from pulmonary tuberculosis in the Vinnitsa Province Tuberculosis Dispensary from 1984 to 1987. A high proportion of mortality was noted among those who died at term under one year after diagnosis, patients with recurrences of the process indicating unsatisfactory measures for early diagnosis of patients with pulmonary tuberculosis, inadequate dispensary treatment and antirecurrence measures.

[Causes of death of patients with tuberculosis].

The causes of 156 deaths in patients with tuberculosis were analyzed within the period from 1984 to 1986. There was detected direct correlation between the deaths and severity of the specific process, complications and concomitant diseases. The proportion of patients observed for not more than a year after the disease statement and patients with relapsing tuberculosis was high among the deaths.