[Prophylaxis of communicable diseases treated at home].
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The instrumental and expressive activities performed by nurses and nurse's aides in the caring given to patients carrier of communicable diseases and that were hospitalized in an isolation unit of a general hospital were surveyed. The authors concluded that nursing team performed more instrumental activities than expressive ones the nursing attendant was one who did the higher number of the first activities, followed by the nursing auxiliary and the nurse.
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In the Fars province of the Islamic Republic of Iran, we established the Communicable Diseases Committee which determined 24 priority infectious diseases for active reporting. The Committee chose laboratory criteria for diagnosis of the selected diseases, trained reporters and follow-up staff and invited cooperation from heads of private and government laboratories. Cases were identified by the reporting staff and patients were interviewed by the follow-up staff, who also requested patients to complete an epidemiological questionnaire. Results were returned to the district health care centres and to the Committee for data analysis. Case-findings in 16 out of the 24 selected diseases showed an increase of up to 30 times compared to passive case-finding. This was due more to the greater efficiency of the method than to cohort epidemics.
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AIM: The profile of non communicable diseases (NCD) risk factors was identified in an industry by pre tested WHO's STEPS questionnaire. SETTINGS AND DESIGN: A cross-sectional survey of all employment categories of an Industry (2000 employees) was done after randomly selecting subjects (220) from worker (52%) and non worker categories (47.4%), after informed consent. MATERIALS AND METHODS: Information was collected on behavioural risk factors (STEP I), followed by anthropometric and blood pressure measurements by a trained investigator (STEP II). STEP III constituted biochemical assessment of "at risk" subjects (> 3 risk factors). STATISTICAL ANALYSIS: Percentage of subjects having NCD risk factors and the odds ratios were calculated. RESULTS: Overall risk factor profile of the study subjects revealed universal prevalence of 3 risk factors) with prevalence of hypercholesterolemia, hypertension and diabetes of 40.5, 38.2 and 19.1% respectively. CONCLUSIONS: A high prevalence of NCD risk factors in industrial setting was seen; therefore public health approaches are required at workplace settings to curtail the rising epidemic in the productive populations.
This presentation proposes that cause-specific mortality analyses are greatly enhanced by first examining the cause-specific pattern of the entire mortality structure instead of restricting initial assessments to a limited number of leading causes of death. Six broad cause groups are defined toward this end. The advantage of defining a single category for communicable diseases, both for the structural and the leading-cause approach is also pointed out. Some examples illustrate the potential usefulness of this approach to the study of the cause-specific mortality structure: a few broad all-inclusive cause-groups provide a first rough--but nevertheless quite informative--overview of the mortality profile, while at the same time offering guidance in regard to groups which should be looked into in greater detail.
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Review of medical journals is not common in India. A quantitative review of the articles published in the Journal of Communicable Diseases from 1982 through 1991 was undertaken in the present study to give feedback to all concerned and stimulate them for initiating constructive criticism of medical journals published in India. Articles were categorised as per the classes of four predetermined parameters and variations in the proportions of number of articles under different classes of each parameter are briefly discussed.
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In England and Wales between 1951 and 1980 233 reported outbreaks of communicable disease attributed to milk or dairy products affected nearly 10 000 people, of whom four died. Tuberculosis and brucellosis have been controlled, but milk-borne outbreaks of salmonellosis and campylobacter enteritis due to raw or defectively pasteurised milk are common and may be increasing in number. Universal heat treatment of milk is an effective preventive measure, and it is regrettable that the continued sale of untreated milk is to be permitted in England and Wales.
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