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V V Punga

Publications and source records attributed to V V Punga.

31 records · Page 2Linked to original sources

[Detection of tuberculosis in homeless persons and their sociopsychological characteristics].

Homeless patients with tuberculosis form a special group. Being out of therapeutical-and-prophylactic institutions sight and violating elementary sanitary regulations, they are, from an epidemic standpoint, the most dangerous part of a tuberculosis reservoir. Tuberculosis morbidity rates in the homeless are extremely high and tens times as great as those among other populations. The existing system for detecting tuberculosis among the homeless is not very effective. Much better results are achieved by nongovernmental philanthropic institutions where homeless persons apply to for medical and social aids. About half the homeless patients with tuberculosis were referred to Tuberculosis Hospital 11 of the International Organization "Physicians Without Boundaries". The patient's personality is, in general, the most vivid terms, characterized as asthenic; with low intelligence and constitution; asocial, aggressive, and being a carrier of the motive of acquired helplessness. This group of patients needs not only medical efforts, but sociolegal and sociopsychological rehabilitation. The activities of Tuberculosis Hospital 11 wherein a room of social aid and rehabilitation has been functioning since 1995 may be an example of a comprehensive approach to tackling the problem of homeless patients with tuberculosis.

Adult↗

[Tuberculosis morbidity in the USSR population and basic trends of its dynamics].

Data on tuberculosis morbidity covering the period 1950-1989 are presented: special features of tuberculosis epidemiology for the studied period are emphasized; grouping of the republics is given by tuberculosis morbidity rates and pattern; difficulties encountered in tuberculosis prevention and detection are discussed which can adversely affect the decline of tuberculosis mortality rates.

Adolescent↗

[Disability as a result of tuberculosis in newly diagnosed patients].

A combination of factors conducive to disability development due to tuberculosis infection was established in 1004 newly diagnosed cases. Stable loss of their working capacity was promoted by a combination of social and medical factors. Among the social factors, the unfavourable working conditions (70%) were most significant, while among the medical ones, the process progression (44.5%) and serious functional disturbances (61.6%) were predominant.

Adult↗

[Ways of increasing the effectiveness of tuberculosis control].

Ways for improving quality of tuberculosis control at the present stage are discussed. The necessity for estimating the quality of the activities of medical institutions by the final results with respect to all the parameters is grounded. Such results should be the level of tuberculosis incidence, susceptibility to tuberculosis, death rate due to tuberculosis, temporary and stable invalidity.

Adolescent↗