Declining use of the services of local dispensaries has often been suggested as a significant factor in the rising trend of tuberculosis in Turkey after 1970. Data confirming this view were insufficient until this study, which consists of an evaluation of the records of 51,086 subjects seen by the tuberculosis dispensary in Elaziğ between 1985-1989. We found that, despite an expected yearly population increase, there were no significant differences in the numbers of diagnostic and follow-up procedures as well as preventive and therapeutic interventions recorded in different years, and that cases of active tuberculosis lost to follow-up had gradually increased. The least effective method of case-finding, mass screening, had been employed most frequently. These results revealed a less than optimum use of the services of the tuberculosis dispensary and prompted us to suggest the following changes: (1) diversion of economic resources currently used for mass screening in order to use them for better purposes; (2) functional integration of tuberculosis dispensaries with local, general or university hospitals, since a separate system for tuberculosis care is accompanied by a segregating and stigmatising effect for all concerned; (3) entering all patients and contacts into a computerised database to alleviate the problems associated with inadequate follow-up. We conclude that existing control programmes should be reviewed and improved to prevent an increase of tuberculosis, particularly in developing countries like Turkey.
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http://dx.doi.org/10.1016/0041-3879(91)90053-u | DOI Listing |
Indian J Thorac Cardiovasc Surg
February 2025
Sechenov First Moscow State Medical University, Moscow, Russia.
Pulmonary arteriovenous malformation (PAVM) is a congenital vascular pathology, which is caused by the presence of a direct connection between the branches of the artery and the veins of the lungs, and the discharge of unoxygenated blood into the arterial bed. Arteriovenous malformations are characterized by a wide variety of clinical manifestations and, in some cases, may be accompanied with severe circulatory disorders.
View Article and Find Full Text PDFPLoS One
January 2025
Centre for International Health, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Background: With the proportion of tuberculosis cases that are extrapulmonary tuberculosis (EPTB) increasing in recent years, understanding and addressing factors contributing to the prolonged time to diagnosis (TTD) of EPTB patients is vital.
Methods: We enrolled presumptive EPTB patients for a cohort study from 2018-2020 in Ujjain, India. Based on a structured questionnaire, the patients were interviewed for socio-demographic and clinical information, including previously visited health facilities (HF) for this illness.
Healthcare (Basel)
November 2024
Department of Public Health, Faculty of Medicine, Hacettepe University, Ankara 06230, Türkiye.
Background/objectives: The objective of this study was to investigate the factors influencing adherence with tuberculosis medication therapy. Non-adherence can result in treatment failure, ongoing infectiousness, and the development of drug resistance. Therefore, understanding the reasons behind non-adherence is crucial for achieving the World Health Organization's target of 90% treatment success.
View Article and Find Full Text PDFIntroduction: Recurrence of non-muscle-invasive bladder cancer (NMIBC) occurs in 70% of cases, and the risk of progression to muscle-invasive bladder cancer is 20%. Intravesical BCG therapy is indicated in order to increase relapse-free survival in patients with intermediate and high-risk NMIBC. We carried out a survey of Russian urologists on the use of intravesical BCG therapy in the treatment of NMIBC, and also presented the regulatory framework for the use of BCG for the treatment of bladder cancer.
View Article and Find Full Text PDFPsychol Health Med
November 2024
Faculty of Medicine, Department of Chest Diseases, Gaziantep University, Gaziantep, Turkey.
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