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Jiu谷地区结核病的发病率:与诊断实践的关系及对治疗结果的影响

Morbidity by tuberculosis in the Jiu Valley: relation with diagnostic practice and the impact on therapeutic results.

作者信息

Petre Nicolae, Homorodean Daniela, Pop Carmen Monica

机构信息

County Hospital of Petrosani, Romania.

Leon Daniello Clinical Hospital of Pneumology, Cluj-Napoca, Romania.

出版信息

Clujul Med. 2017;90(1):49-53. doi: 10.15386/cjmed-649. Epub 2017 Jan 15.

Abstract

BACKGROUND AND AIM

In the last two and a half decades the dynamics of tuberculosis has been modelled by social and economic conditions, with consequences on the life style, and effects on the onset and evolution of the disease. The Jiu Valley is an area with social problems: mining, mines closing down and ceasing activity, poverty. We looked for a relationship between changes of life style in the Jiu Valley and the dynamics of tuberculosis.

METHODS

We studied 528 patients who asked for medical services in different hospitals in the Jiu Valley between 2010-2013. We structurally characterized this group, we identified the characteristics of life style, and we assessed the health state, in particular the relation with tuberculosis.

RESULTS

We found out that the quality of life was influenced by the health state, especially by tuberculous disease. Quality of life was influenced by the life style, professional factors and their long term consequences. The study evidenced a strong relationship between apparently very different factors such as life style, professional factors on one side and those characterizing tuberculosis.

CONCLUSIONS

We report the first detailed epidemiological data on tuberculosis in an economically poor area, the Jiu Valley.

摘要

背景与目的

在过去二十五年里,结核病的动态变化受到社会和经济状况的影响,这对生活方式产生了影响,并对疾病的发生和发展产生了作用。久河谷是一个存在社会问题的地区:采矿、矿山关闭和停止运营、贫困。我们探寻久河谷地区生活方式的变化与结核病动态之间的关系。

方法

我们研究了2010年至2013年间在久河谷不同医院寻求医疗服务的528名患者。我们对该群体进行了结构特征分析,确定了生活方式的特点,并评估了健康状况,特别是与结核病的关系。

结果

我们发现生活质量受到健康状况的影响,尤其是结核病。生活质量受到生活方式、职业因素及其长期后果的影响。该研究证明了生活方式、职业因素等明显不同的因素与结核病特征之间存在密切关系。

结论

我们报告了经济贫困地区久河谷关于结核病的首批详细流行病学数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbce/5305087/a3652204ff95/cm-90-49f1.jpg

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Trends in tuberculosis--United States, 2004.2004年美国结核病流行趋势
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