[Chronic bronchitis and its problem].
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Biomedical subjects
Publications and source records attributed to B Fortic.
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Results of the inquiry among Slovene physicians regarding their smoking habits and accompanying symptoms are presented. At the same time some estimations are given concerning the differences in degree and specificity of mortality among physicians-smokers and physicians-non-smokers on the base of analysis of physicians died during the period from 1972 to 1986. Spreading of smoking among physicians is still a matter of great concern as there are as much as 30% of male doctors and 20% of female doctors who smoke regularly. Morbidity and mortality are among physicians-smokers significantly higher than among physicians non-smokers. Among the causes of death, cancer of the lung, myocardial infarction, digestive and respiratory diseases are significantly more frequent.
The early and late results of 6 months' chemotherapy (2/INH, RMP, PZA and 4/INH, RMP) of newly detected, bacteriologically positive pulmonary tuberculosis are presented. In the initial period during hospitalisation in nonselected 290 patients 100% conversion of sputum was obtained while in the continuous out-patients' treatment 1.3% of patients were again found to have sputum positive for acid fast bacilli. Toxic reactions on drugs were found in 5.8% of patients: in 3.4% the hepatitis developed yet in all in mild course. The narrowing of medical contraindications for 6 months' regimen is suggested especially in chronic alcoholics since in 15.2% of them the therapy with 9 months' regimen had to be introduced (INH, RMP, EMB/SM). In more than 2 yrs' follow up after the end of chemotherapy in 2.4% of patients--mostly noncooperative alcoholics--the recidivation was found already a few months after discontinuation of the therapy. The problem of chronic alcoholics and noncooperative patients for short course chemotherapy is discussed. The special measures are suggested: obligatory hospitalisation during initial therapy, supervising chemotherapy in out-patients' departments as well as intermittent regimen and prolongation of 6 months' therapy.
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