Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90068-4
{"title":"Selected list of publications","authors":"","doi":"10.1016/0041-3879(91)90068-4","DOIUrl":"https://doi.org/10.1016/0041-3879(91)90068-4","url":null,"abstract":"","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 311-316"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90068-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137204525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90060-6
John L. Stanford
{"title":"Reply from author","authors":"John L. Stanford","doi":"10.1016/0041-3879(91)90060-6","DOIUrl":"https://doi.org/10.1016/0041-3879(91)90060-6","url":null,"abstract":"","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 304-305"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90060-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137204526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90052-T
J.E. Clague, P. Fields, D.R. Graham, P.D.O. Davies
To examine the current practices and attitudes of health workers to the prevention of tuberculosis in our 55-bed chest unit, we investigated the tuberculin reactor status, reviewed pre-employment screening and reviewed the action taken after contact with tuberculosis by staff members. We assessed all 61 staff members, including 44 nurses, 1 physiotherapist, 11 doctors and 5 domestic workers. staff members had had BCG vaccination. Heaf testing revealed 3 Heaf-negative subjects and, of the remainder, 52 had grade 3 or stronger reactions. Only doctors, nurses and domestic workers had had any pre-employment screening. No action was taken by any doctor after their last contact with tuberculosis, whereas nurses and domestic workers had had chest X-rays. This study shows the low importance with which the risk of tuberculosis is perceived, particularly by doctors and demonstrates the need for stricter supervision and improved quality of pre-employment screening.
{"title":"Screening for tuberculosis: current practices and attitudes of hospital workers","authors":"J.E. Clague, P. Fields, D.R. Graham, P.D.O. Davies","doi":"10.1016/0041-3879(91)90052-T","DOIUrl":"10.1016/0041-3879(91)90052-T","url":null,"abstract":"<div><p>To examine the current practices and attitudes of health workers to the prevention of tuberculosis in our 55-bed chest unit, we investigated the tuberculin reactor status, reviewed pre-employment screening and reviewed the action taken after contact with tuberculosis by staff members. We assessed all 61 staff members, including 44 nurses, 1 physiotherapist, 11 doctors and 5 domestic workers. <span><math><mtext>47</mtext><mtext>61</mtext></math></span> staff members had had BCG vaccination. Heaf testing revealed 3 Heaf-negative subjects and, of the remainder, 52 had grade 3 or stronger reactions. Only <span><math><mtext>3</mtext><mtext>11</mtext></math></span> doctors, <span><math><mtext>36</mtext><mtext>44</mtext></math></span> nurses and <span><math><mtext>4</mtext><mtext>5</mtext></math></span> domestic workers had had any pre-employment screening. No action was taken by any doctor after their last contact with tuberculosis, whereas <span><math><mtext>10</mtext><mtext>44</mtext></math></span> nurses and <span><math><mtext>3</mtext><mtext>5</mtext></math></span> domestic workers had had chest X-rays. This study shows the low importance with which the risk of tuberculosis is perceived, particularly by doctors and demonstrates the need for stricter supervision and improved quality of pre-employment screening.</p></div>","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 265-267"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90052-T","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12974266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90056-X
M. Ip, K.P. Cheng, W.C. Cheung
A case of subclinical disseminated intravascular coagulopathy due to antituberculosis drugs, probably rifampicin, is described. The patient also developed marked leucocytosis, a 'flu-like illness, intravascular haemolysis, and acute renal failure as part of the drug reaction.
{"title":"Disseminated intravascular coagulopathy associated with rifampicin","authors":"M. Ip, K.P. Cheng, W.C. Cheung","doi":"10.1016/0041-3879(91)90056-X","DOIUrl":"10.1016/0041-3879(91)90056-X","url":null,"abstract":"<div><p>A case of subclinical disseminated intravascular coagulopathy due to antituberculosis drugs, probably rifampicin, is described. The patient also developed marked leucocytosis, a 'flu-like illness, intravascular haemolysis, and acute renal failure as part of the drug reaction.</p></div>","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 291-293"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90056-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12974270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90055-W
M.W. Uplekar , D.S. Shepard
Early detection and optimal treatment constitute the most important measures in the control of tuberculosis. This study of prescriptions for tuberculosis recommended by 102 private doctors, practising in the slums of Bombay, shows a lack of awareness among doctors who treat tuberculosis patients in their own clinics about the standard drug regimens for treatment of tuberculosis recommended by national and international agencies. While there are a few standard, efficient, recommended regimens, 100 private doctors prescribed 80 different regimens, most of which were both inappropriate and expensive. The study highlights the need for effective communication between those implementing national tuberculosis programmes and the practising private doctors, continuing education of these doctors for updating their knowledge and their active participation in at least those national disease programme for which their curative functions could contribute significantly to control of a disease.
{"title":"Treatment of tuberculosis by private general practitioners in India","authors":"M.W. Uplekar , D.S. Shepard","doi":"10.1016/0041-3879(91)90055-W","DOIUrl":"10.1016/0041-3879(91)90055-W","url":null,"abstract":"<div><p>Early detection and optimal treatment constitute the most important measures in the control of tuberculosis. This study of prescriptions for tuberculosis recommended by 102 private doctors, practising in the slums of Bombay, shows a lack of awareness among doctors who treat tuberculosis patients in their own clinics about the standard drug regimens for treatment of tuberculosis recommended by national and international agencies. While there are a few standard, efficient, recommended regimens, 100 private doctors prescribed 80 different regimens, most of which were both inappropriate and expensive. The study highlights the need for effective communication between those implementing national tuberculosis programmes and the practising private doctors, continuing education of these doctors for updating their knowledge and their active participation in at least those national disease programme for which their curative functions could contribute significantly to control of a disease.</p></div>","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 284-290"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90055-W","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12974269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90057-Y
K.M. Al Arabi, M.W. Al Sebai
We present a case of bifacetal dislocation following tuberculosis of the cervical spine with a minimal neurological deficit and a huge retropharyngeal abscess in a 14-year-old Saudi child. Treatment was by anterior debridement, decompression and bone grafting followed 2 weeks later by posterior wiring and fusion from C2 to C5. We also review the literature relating to this subject.
{"title":"Bifacetal dislocation following tuberculosis of the cervical spine","authors":"K.M. Al Arabi, M.W. Al Sebai","doi":"10.1016/0041-3879(91)90057-Y","DOIUrl":"10.1016/0041-3879(91)90057-Y","url":null,"abstract":"<div><p>We present a case of bifacetal dislocation following tuberculosis of the cervical spine with a minimal neurological deficit and a huge retropharyngeal abscess in a 14-year-old Saudi child. Treatment was by anterior debridement, decompression and bone grafting followed 2 weeks later by posterior wiring and fusion from C2 to C5. We also review the literature relating to this subject.</p></div>","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 294-298"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90057-Y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12974271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90067-3
W.W. Yew, K.S. Lau, M.H.M. Ling
{"title":"Phenytoin toxicity in a patient with isoniazid induced hepatitis","authors":"W.W. Yew, K.S. Lau, M.H.M. Ling","doi":"10.1016/0041-3879(91)90067-3","DOIUrl":"10.1016/0041-3879(91)90067-3","url":null,"abstract":"","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 309-310"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90067-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12974278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-12-01DOI: 10.1016/0041-3879(91)90049-X
G.A.W. Rook
{"title":"Mobilising the appropriate T-cell subset: the immune response as taxonomist?","authors":"G.A.W. Rook","doi":"10.1016/0041-3879(91)90049-X","DOIUrl":"10.1016/0041-3879(91)90049-X","url":null,"abstract":"","PeriodicalId":23472,"journal":{"name":"Tubercle","volume":"72 4","pages":"Pages 253-254"},"PeriodicalIF":0.0,"publicationDate":"1991-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0041-3879(91)90049-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12889659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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