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PubMed1990

[Determination of the activity of minor forms of pulmonary tuberculosis in adolescents in specialized sanatoria].

Koch's testing supplemented by a series of clinical and laboratory tests which could be made in a specialized tuberculosis sanatorium for adolescents demonstrated its diagnostic value. In 13.8% of the cases it happened to be positive, thus proving the activity of a tuberculous process and indicating the need for further specific therapy. If Koch's test data are questionable, a follow-up of the patient seems to be necessary when the preventive treatment is over. It is advisable to recommend Koch's test to be widely used in the practice of specialized sanatoria for children and adolescents.

Adolescent↗
PubMed1990

[The present aspect of tuberculous pleurisy--report of the 29th series (A) of CSUCT--Cooperative Study Unit of Chemotherapy of Tuberculosis (CSUCT) of the National Sanatoria in Japan].

UNLABELLED: CSUCT carried out 9-21 month's follow up of 273 patients with exudative tuberculous pleurisy who were admitted to 39 national sanatoria in 1985, and were treated for the first time. The background factors of the patients at the time of admission were as follows: the average age, 47.2; male/female ratio 3:1; idiopathic pleurisy 163 cases and secondary pleurisy 110 cases. Distribution of maximal temperature on admission; 37.0 degrees C or less 24.4%; 37.1-38.0 degrees C 37.8%; 38.1-39.0 degrees C 28.5%; higher than 39.0 degrees C 9.3%. Younger patients tended to show higher temperature than the older. The positivity of tuberculin reaction was 84.3%, and among them 34% were strongly positive (greater than or equal to 20 mm). There was no correlation between the volume of pleural effusion and the intensity of tuberculin reaction. In patients more than 60 years of ages, the positivity was low (76.0%). The erythrocyte sedimentation rate (after 1 hour) was 63.6 +/- 31.6 mm. CLINICAL SYMPTOMS: cough in 72%; sputum in 48.5%; chest pain in 57.5%; tubercle bacilli in sputum in 11.6%. We compared idiopathic pleurisy (I) and secondary pleurisy (S) and total cases of pleurisy (T) regarding several factors; average age (I: 46.7, S: 48.0, T: 47.2); peak season of incidence (I: Feb. Mar. S: Mar. April, T: Feb. Mar. April); the period of hospitalisation (I: 4.07 months, S: 5.80 months, T: 4.77 months); the positive rate of tubercle bacilli in the pleural effusion (I: 9.0%, S: 12.9%, T: 10.5%); %VC (mean value) on admission (I: 71.4%, S: 69.8%, T: 70.7 +/- 17.0%); %VC after treatment (I: 79.0%, S: 79.7%, T: 79.4 +/- 17.9%), and we found no significant difference in the above factors between I. and S. In 49 patients who were treated by chemotherapy with steroids, %VC before treatment was 68.9% (mean value), and that after treatment was 81.2% (mean value), however, there was no significant difference between the %VC of these patients and that of total patients. Recent chemotherapy (SM or EB + INH + RFP) greatly contributed to improve clinical symptoms by accelerating the absorption of pleural effusion and in minimizing the formation of pleural thickening. Previously, we experienced often deterioration of tuberculous lesions in relation to the use of steroids. By the use of recent intensified chemotherapy, the harmful side effects of steroids became almost insignificant, and at the same time, treatment with steroids is needed only in a few cases.

Adrenal Cortex Hormones↗
PubMed1988

[Current methods of follow-up and correction of the performance of the physical rehabilitation of patients with ischemic heart disease at sanatoria of the Caucasian Mineral Waters health resort].

A total of 1055 CHD patients aged 45 to 70 (680 men and 375 women) were examined during physical rehabilitation using tele-electrocardiographic and monitor control in the Caucasian Mineral Waters health resorts. A retrospective analysis of 400 case histories of CHD patients treated in the same sanatoria in 1985 without the use of present-day methods of control over physical training, was taken as control. Short- and long-term results showed that therapeutic efficacy was higher in the group where the levels of physical exercises were corrected by regular tele-electrocardiographic and monitor control.

Aged↗
PubMed1985

[Multi-factor prevention in sanatoria: its effect on increased arterial pressure].

Multifactor prophylaxis of CHD and arterial hypertension was tried in 12 sanatoria in 1982 in the population of men aged 40 to 59 with initial arterial hypertension using a unified method. A significant hypotensive effect was achieved, mainly at the expense of the fact of rest itself under sanatorium conditions as a factor of isolation from stresses of everyday life. A raised level of physical activity played the most important role in preventive measures enhancing this effect.

Adult↗