[Lesions of the serous membranes in adults with tuberculosis].
Explore the source record for details and available documents.
SEARCH · Search PubMed
Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.
Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A schematic conception of staged development of chronic bronchitis and a clinical-mathematical model of the diseases staging have been proposed. The study involved two samples of population: 5204 males aged 40-59 from small towns of the Lithuanian SSR and 1012 residents of the industrial city of Kaunas. It was established that various stages of the disease among which stage II predominated had different incidence rates. Long-term results of the stage-differentiated prophylaxis have furnished evidence for its effectiveness. This principle of stage-distributed therapeutic measures can be adopted for management of other affections.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A collaborative study was undertaken to assess the efficacy of multifactor prevention of myocardial infarction and cerebral stroke. A representative group of 5951 males aged 40-50 years was examined in Kaunas. Coronary heart disease (CHD) was detected in 11.1%, including 2.7% who had a history of myocardial infarction, 2.5% had exertional angina, its painless type was found in 5.9%. In males with CHD, arterial hypertension, hypercholesterolemia, obesity were more common and smoking was more infrequent than in those without the disease. The results of the 5-year follow-up showed that CHD males had higher total and cardiovascular mortality and myocardial infarction morbidity rates than males without CHD. Males with prior MI and pain-free CHD significantly differed from those from the control group in total and cardiovascular mortality rates. No statistically significant difference was found in MI mortality and morbidity rates between male patients with exertional angina and controls.
A study was made of the prevalence of intermittent claudication (IC) and risk factors among men aged 40 to 59 years and of the acute myocardial infarction lethality and incidence during ten years of the follow up. Using standard techniques a representative group of 6117 men were examined. The prevalence of IC amounted to 0.89% in the group under study (standardized according to age). Analysis of the relationship between the prevalence of IC and risk factors has demonstrated the presence of the significant correlation only among men with hypercholesterolemia and tobacco smokers. In men who suffered myocardial infarction, the rate of IC was higher than in men with angina pectoris of effort, painless coronary disease or without coronary disease. Analysis of the acute myocardial infarction lethality and incidence has shown that they are significantly higher among men with IC than in those without this pathology.
The article presents the results of a study of Legionella pneumophila morbidity in Lithuanian meat-processing factory workers, as well as the specific position of legionellosis in the fever diseases structure among the workers of the industry. The technique showed that Legionella pneumophila 1st serogroup seropositive reaction was traced among the healthy workers in 0.2% (antibody titer 1:64). Rather high percentage (7.1%) of persons with specific antibodies was found among those who had suffered the fever disease 6 month before the examination. Among 191 fever patients examined, in 35 (18.3%) cases antibodies against L. pneumophila were detected in diagnostic titers. In 26 workers legionellosis was diagnosed as a result of serologic testing, and Pontiac fever cases were predominant. 1 case was subsequently followed by pneumonia. A chronic nature of epidemic manifestations of legionellosis was established. The pathogenic antigen was detected in 4 of 32 water samples taken from the factory water pipes.
The authors analyzed the prevalence of coronary heart disease (CHD) and its various types detected by routine epidemiological methods among the examinees in four cities (Moscow, Kaunas, Kiev, and Kharkov). The results were obtained in the collaboration study, adhering to the rigid standardization of all the procedures applied. Examination of 17, 168 males aged 40-59 years revealed signs of CHD in 13.8%; 3.3% had a history of myocardial infarction; 5.3% suffered from exertional angina without prior myocardial infarction; 5.2% showed a painless course of CHD. The analysis demonstrated that simultaneous use of the standard epidemiological methods is the only way of ensuring a more complete detection of CHD. In different cities, from 36.4 to 60.8% were not aware of the presence of the disease. Secondary preventive measures should involve methods for identifying the major risk factors and eliminating the latter.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
An integrated prevention programme of chronic noncommunicable diseases (CND) was started by the Lithuanian SSR in 1983. Improvement of population's health status due to primary preventive activities aimed at prevention of risk factors' development and correction was defined as the basic long-term goal of the programme. Organizational aspects of the integrated programme carried out in the Kaishyador Region of the Lithuanian SSR were described. Some results obtained during the implementation of the programme on prevalence and correction of major CND risk factors were presented.
The groups of participants (5946 males) and nonparticipants (2626 males) in a population study, carried out in Kaunas, were compared on the basis of a 4.5-year follow-up, making use of the acute myocardial infarction register and the mortality register. The total mortality rate, as well as the rates of mortality due to cardiovascular diseases, traumas and accidents were higher in nonparticipants, as compared to the participants. The detectability of recent coronary disease was also higher among those who refused to participate in the study: 5.46 vs. 4.41, respectively, per 1000 people per year (p less than 0.05). It is demonstrated that particular attention must be paid to individuals avoiding preventive screening programs.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The analysis of a modern demographic situation, dynamics and causes of child mortality, the levels and patterns of pregnancy and childbirth pathology, the newborn and infants' disease rates in the Baltic Republics and the Byelorussian SSR enabled one to determine priority directions for the development of a complex programme on the improvement of mother and child health and reduction of child mortality in the Baltic Republics, these directions involve intensification of antenatal fetus protection due to the improvement of females' working conditions, development of medico-genetic counselling and wide application of prenatal diagnostic procedures for the detection of fetus developmental defects, optimization of women reproductive behavior under the conditions of complete provision with modern contraceptive means, propaganda of breast feeding.
The results of a prospective study of participants and non-participants in population surveys conducted in Moscow and Kaunas are presented. The average follow-up period was 5.5 years. There were 6656 male participants (P) and 5200 non-participants (NP) in Moscow and 5945 and 2528, respectively, in Kaunas. In Kaunas, indicators of both total mortality and mortality from cardiovascular diseases, injuries and accidents, malignant neoplasma and other diseases were higher in NP than in P. In Moscow the general tendency was the same but the difference between P and NP was significant only for mortality from injuries and accidents. As for the incidence of new cases of acute myocardial infarction, there was a tendency to higher figures in participants, especially in Moscow. The authors point to the danger of drawing incorrect conclusions on the mortality and morbidity in the population if they are based only on data gained from participants.