{"title":"[The epidemiological aspects of respiratory tuberculosis recorded in the last 12 years in those over 60].","authors":"C Didilescu, V Ionescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As the elements of geriatric epidemiology, pathology and sociology are more and more studied nowadays, the paper reports on several epidemiologic aspects resulting from the evolution of the tuberculous endemic, at the ages over 60, in the last 12 years (1976-1987) in the Constanţa County. The data presented show, in the 12 years of our study, important decreases of the incidence of the tuberculosis of the respiratory system at ages over 60, to values below 20% in the last years, with characteristics and evolution tendencies, generally superimposable, over the data recorded for the same time interval on a national scale. The paper insists on the epidemiologic impact, on a mass scale, of the patients with tuberculosis over 60 years old, dispersed among the whole population and having the most various possibilities of contact and transmittance of the infection and disease towards the receptive population mainly children and youngsters.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"121-6"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Pleuropulmonary decortication in the treatment of chronic pleural sacs].","authors":"D G Finichiu, C Manolache, C Panainte, F Răutu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper reports on the indications and results obtained, in the study of 224 autonomous or associated pleural pulmonary decortications. The decortication is aimed at removing the chronic pleural sack and the possible parenchymatous lesions and at the recovery of the maximum functional pulmonary parenchyma. For the recently chronic cases, the authors suggest the early surgical indication; the pleural pulmonary decortication is better achieved technically and gives better lesional and functional results if it is made earlier; the optimum operatory moment of the decortication superimposes on the moment of chronicization of the pleural sack (2-6 months). The decortications for chronic pleural tuberculous sacks were followed by good results in 85.72% of cases, and those for nontuberculous affections in 95.23%. The mortality for the whole sample was of 2.23%. Nowadays, when empyemas generated by old methods of medico-surgical collapse and the chronic bacillary pleurisies are more and more seldom, the pulmonary decortication seems to improve its lesional results, and mainly to give better functional results.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"157-72"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The comparative testing of the tuberculostatic sensitivity of M. tuberculosis strains in 2 diagnostic centers in Romania].","authors":"E Fanea, G Petrescu, C Diaconescu, T Vaida","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study of sensibility was carried out on 152 strains of M. tuberculosis by the method of absolute concentrations in two laboratories in Romania. The results obtained show an agreement in 71.05% of the cases. The high proportion of the disagreeing results shows the role of subjective and objective factors. The paper shows the possible modalities for correcting these factors.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"173-80"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Cioflec, N Ion, V Tudorache, O Hudiţeanu, Z Chira, V Luţă, D Neagoe, V Sfetcu, D Stoienescu, I Jemna
{"title":"[The evaluation of the measurement of serum fibronectin in pulmonary tuberculosis].","authors":"D Cioflec, N Ion, V Tudorache, O Hudiţeanu, Z Chira, V Luţă, D Neagoe, V Sfetcu, D Stoienescu, I Jemna","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The investigation was carried out in 125 patients with pulmonary tuberculosis in different stages of evolution. The treatment was that granted, used in triple and/or quadruple scheme twice a week. In the greatest part of the patients the concentration of serum fibronectine (sFN) was followed in its dynamics. A reasonable increase (statistical average) of the sFN was found in the patients with tuberculosis (tbc), active at the first treatment. The values regressed slowly, parallel to the favourable evolution under treatment. In the chronic forms, values situated at the normal or at the inferior limit were recorded. They were probably due to the sum of factors often met in these patients: protein-caloric malnutrition, chronic alcoholism with afferent hepatopathies, nonspecific chronic bronchial suppurations. No significant correlation of the sFN concentration was noticed in relation to the radiologic extension of the lesions, to the structure of the chemotherapeutic regimen, or to age. There exists a large variability of the sFN concentration in tbc, both at the beginning and during chemotherapy. The sFN level is not enough for the assessment of the disease stage or evolution; for increasing its informational value, the concentration of the immune circulatory complexes (ICC) and the lymphocytic subsets T were investigated.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"149-55"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The problems of clinico-morphological diagnosis in a case of fatal hemoptysis].","authors":"C Marica, P Galbenu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>28 children with bronchial asthma, between 6 and 18 years old, were followed by a varied period of time 3 months - 5 years. 7-8 functional tests were carried out. The cases were studied in different clinical phases: asymptomatic, manifest, crisis of bronchial asthma. The functional pulmonary investigation included: spirographic examination [vital capacity (VC), maximum expiratory volume per second (MEVS) the VC/MEVS ratio], plethysmographic examination (VGT, Raw), measurement of the maximum instantaneous expiratory flows on the flux-volume curve (MEF50). The average value, standard residual deviation and the variation coefficient were calculated for each parameter studied in different clinical moments. The results are presented on 3 groups: per total, symptomatic and asymptomatic. The analysis of the data found showed that the variation of the parameters measured during repeated functional examinations in children with bronchial asthma ranges within broad limits (2.9%-11.5%); the broadest variation was recorded for Raw followed by MEF50 and the slightest variation was that of the VC/MEVS ratio. This indicated the lower value of the information furnished by this ratio in children in appreciating the presence or severeness degree of the obstructive syndrome.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"187-91"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13287086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Percutaneous pleural drainage].","authors":"T Mihăescu, N Chirana, C Ionescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The paper reports on the technique of percutaneous pleural drainage. The advantages of the method are discussed: the technique of the percutaneous pleural drainage is superior to the repeated thoracenteses with needle; it has several advantages versus pieurotomy, in the case of pneumothorax and of the serofibinous pleurisy.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"135-8"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[The risk of tuberculous infection on the territory of Iaşi County in a 5-year period].","authors":"L Savin, C Ionescu","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors study the infection risk (IR) in the Iaşi County, between 1983 and 1987, at the age of 6-7 years old, in relation to the evolution of tuberculosis incidence in children and to the bacillary incidence and prevalence. TR was maintained, in the period of study, at about 0.90%, thus corresponding to the bacillary incidence on the territory, on average of 39% inhabitants. Calculation of the contagiousness parameter of the contaminating sources showed that a source is infectious for about 13 children at 100,000 inhabitants. The findings above plead for the necessity of improving the county fighting program against tuberculosis.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"127-33"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N Bîscă, S Duţu, Z Jienescu, O Fierbinţeanu, G Murgoci
{"title":"[The time variations in pulmonary functional parameters in children with bronchial asthma].","authors":"N Bîscă, S Duţu, Z Jienescu, O Fierbinţeanu, G Murgoci","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>28 children with bronchial asthma, between 6 and 18 years old, were followed by a varied period of time - 3 months - 5 years. 7-8 functional tests were carried out. The cases were studied in different clinical phases: asymptomatic, manifest, crisis of bronchial asthma. The functional pulmonary investigation included: spirographic examination [vital capacity (VC), maximum expiratory volume per second (MEVS) the VC/MEVS ratio], plethysmographic examination (VGT, Raw), measurement of the maximum instantaneous expiratory flows on the flux-volume curve (MEF50). The average value, standard residual deviation and the variation coefficient were calculated for each parameter studied in different clinical moments. The results are presented on 3 groups: per total, symptomatic and asymptomatic. The analysis of the data found showed that the variation of the parameters measured during repeated functional examinations in children with bronchial asthma ranges within broad limits (2.9%-11.5%); the broadest variation was recorded for Raw followed by MEF50 and the slightest variation was that of the VC/MEVS ratio. This indicated the lower value of the information furnished by this ratio in children, in appreciating the presence or severeness degree of the obstructive syndrome.</p>","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"139-48"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13286520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Difficulties in the diagnosis of hemoptysis in children].","authors":"G Murgoci","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77787,"journal":{"name":"Revista de igiena, medicina muncii, medicina sociala, bacteriologie, virusologie, parazitologie, epidemiologie, pneumoftiziologie. Pneumoftiziologie","volume":"39 2","pages":"181-5"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13287084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}