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Biomedical subjects

I F Kopylova

Publications and source records attributed to I F Kopylova.

15 recordsLinked to original sources
PubMed2002

[Psychological peculiarities in adolescent patients with tuberculosis].

The paper presents the results of psychological examination in 110 adolescent patients with respiratory tuberculosis and 89 healthy adolescents aged 13 to 17 years. Most adolescent patients were found to be highly anxious personalities, they were all diagnosed as having accentuation of character. The adolescent patients differed from healthy individuals by inadequate communicability, sensitive, liability to accumulation of negative emotions, by bad need for support and feelings to be taken hard, by marked internal strain and yearning for showing his/her individuality. This also had led to the lower behavioral range, made social adaptation difficult, promoted the susceptibility to stress exposure, and increased a risk for a disease. The psychological peculiarities found may be factors that predispose to tuberculosis.

Adaptation, Psychological↗
PubMed2002

[Composition and morphological characteristics of deaths from tuberculosis].

Two hundred and forty eighty deaths from pulmonary tuberculosis were analyzed in adults. The most frequent cause of deaths was progressive tuberculosis, mainly as caseous pneumonia (60.9%) and the less frequent one was a multicavernous process with bronchogenic (28%) and hematogenic (15%) dissemination. The high incidence of specific intrathoracic lymph nodal lesions, which has increased from 10.8% in 1994-1995 to 30.4% in 1997-1999, and a larger number of hematogenic dissemination from 6.7 to 25.6%, respectively, are noteworthy. Progressive tuberculosis was most commonly favoured by the patients' inadequate attitude towards their health: delayed visits to a doctor when they have symptoms of the disease, the absence of fluorographic examinations, treatment errors due to their incompliance.

Adult↗
PubMed2001

[The significance of polymerase chain reaction in diagnosing causes of subfebrility in children and adolescents].

Examination of 37 children and adolescents with long-term subfebrility and other manifestations of intoxication without local pathological changes included blood test (polymerase chain reaction) for M. tuberculosis. Tuberculous bacteriemia was discovered in 16(43.2%) cases. Non-acute onset and long-lasting intoxication, rejection of other reasons, tuberculin sensitivity, reduction or disappearance of the intoxication in antituberculous treatment, negative results of repeated PCR for M-tuberculosis gave grounds to suspect active tuberculosis in 13 children of 16. Clinical and x-ray picture corresponded to tuberculous intoxication in children and adolescents.

Adolescent↗
PubMed1997

[Thanatogenesis of respiratory tuberculosis under the present conditions].

Autoptic findings of 120 patients with respiratory tuberculosis indicate that under the present-day conditions, the prevalent cause of death was a progressive tuberculous process as caseous pneumonia (89% of cases), which is much higher than our previous findings (42.9% in 1989 versus 66.% in 1994). Caseous pneumonia chiefly resulted from fibrous-cavernous tuberculosis, less frequently from an independent entity or manifestations of disseminated tuberculosis. Fibrous-cavernous tuberculosis, the major clinical form in the deceased, was frequently associated with specific involvement of intrathoracic lymph nodes (10.8% of cases) and also complicated by the hematogenic generalization of the process (6.7%) and specific pericarditis (5.0%). Progressive tuberculosis resulted in its later detection in a third of cases and irregular treatment in two thirds.

Cause of Death↗
PubMed1997

[Specific features of the pattern and clinical manifestations of respiratory tuberculosis in new cases under the present-day conditions].

The study of clinical and X-ray manifestations of the disease in 270 patients has shown that the incidence of disseminated tuberculosis with its acute onset and marked clinical manifestations has greatly increased. It is difficult to make a diagnosis of recently more frequent tuberculosis of the intrathoracic lymph nodes in adults due to acute clinical manifestations resulting from nonspecific inflammation with frequent abscessing at the site of atelectasis in lobar and segmental bronchopulmonary lesions, due to late detection of meagre bacterial isolation, to frequent involvement sites in 3, 4, and 5 segments. Acute generalized disseminated tuberculosis generally follows obscure clinical manifestations from extrapulmonary inflammation in 2-4 months. Acute miliary tuberculosis has frequently accompanied by bacterial isolation and frequently destructions.

Adolescent↗
PubMed1993

[Medical and economic standards in antituberculosis services].

To meet the requirements of insurance medicine to be introduced in this country, special medical and economical standards as regards tuberculosis have been developed for antituberculosis services. The standards summarize and systematize the minimum preventive and treatment measures to be provided for the population of the districts and regions. Criteria of the treatment quality have been formulated. The patients of the antituberculosis institutions have been grouped by curability, follow-up duration, operability. The standards are to help in granting licences, opening credits for treatment and prophylactic institutions and in controlling their activities under insurance medicine.

Commonwealth of Independent States↗
PubMed1992

[The tuberculosis control work of a general medical network under the conditions of budgetary insurance medicine].

The first results are given of the elaboration of the specific features of antituberculous measures control in the general medical network under conditions of the budget-insurance medicine. The clinico-economic standards have been compiled, which are the obligatory programs of actions of medical prophylactic establishments as well as the required final results (quality standards). Systematization of the tasks of antituberculous work and methods of their solution for feldsher's station is presented as an example. A characteristic is given to the approaches to quality standards compilation A preliminary determination of a necessary volume of knowledge concerning tuberculosis is given as well as the list of the practical skills that a general practitioner should master. The documents elaborated make the basis for the medico-prophylactic establishments to be accredited, for certification of doctors and the evaluation of their work by the insurance companies.

Budgets↗
PubMed1990

[Elaboration of economic methods of the management of tuberculosis control and their introduction into practice].

To increase the efficiency of antituberculosis measures, some efforts have been taken to improve on the basis of economic methods of management the structure of district tuberculosis control service financing and activities. The network of antituberculosis institutions is centralized into big tuberculous associations and ++inter-district dispensaries. ++Clinico-statistical groups, including the quality standards and the models of end results, i. e. the lists of indicators and their standard values, were developed to support mutual financial operations and quality evaluation efforts of the current activities. The amount of material incentive of the medical personnel directly depends on the quality of its work. In this way a material incentive of every medical worker, structural unit, institution and service as a whole is ensured in bringing up the effectiveness of the antituberculosis activities. Initial positive results have already been obtained.

Adult↗