RESUMEN
Examining epidemiological and qualitative data on the prevention, detection, and treatment tuberculosis in Armenia in 1987 and 1997 revealed 58.6 and 24.0%, rises in tuberculosis incidence and prevalence, respectively; its mortality has increased by 2.5 times. The qualitative indices have become worse: the proportion of destructive pulmonary tuberculosis has risen from 58.0 to 62.4%, cavernous closure has decreased from 78.0 to 57.8%, and cessation of bacterial isolation lowered from 85.0 to 74.5%. Social and organizational reasons of the above worse indices are presented. A package of tuberculosis control measures, which has been adjusted to the present conditions, is recommended.
Asunto(s)
Control de Enfermedades Transmisibles/tendencias , Tuberculosis/prevención & control , Armenia/epidemiología , Humanos , Incidencia , Estudios Retrospectivos , Tasa de Supervivencia , Tuberculosis/epidemiologíaRESUMEN
A study was undertaken to examine 285 patients with hypertensive disease and 187 with secondary arterial hypertension. Their hemodynamic parameters were assessed by a radionuclide method. It was found that there were various blood circulatory types at each stage, no matter what the clinical type of the disease. The state of central hemodynamics was demonstrated to be associated with interaction of cardiac and peripheral mechanisms responsible for blood circulatory regulation.
Asunto(s)
Hemodinámica , Hipertensión/fisiopatología , Pielonefritis/complicaciones , Adulto , Anciano , Enfermedad Crónica , Femenino , Humanos , Hipertensión/etiología , Masculino , Persona de Mediana EdadRESUMEN
Dispensary care was provided to 122 patients with essential hypertension. During a 3-year follow-up period BP decrease in regularly treated patients (44) was accompanied by the restoration of hemodynamic cardiac function and regression of myocardial hypertrophy and ischemia. BP stabilization, transformation of the blood circulation of hemodynamic type, an increased degree of myocardial hypertrophy and ischemia were noted in irregularly treated patients.