scholarly journals THE FOCAL PULMONARY TUBERCULOSIS OF CHILDREN AND ADULTS

1917 ◽  
Vol 25 (6) ◽  
pp. 855-876 ◽  
Author(s):  
Eugene L. Opie

Evidence of tuberculous infection has been found in the lungs of all of fifty adults who have been examined. Approximately one-half of all adults have encapsulated lesions of the lungs or bronchial lymphatic nodes, whereas in one-third pulmonary and lymphatic lesions are firmly calcified and completely healed. Tuberculous pulmonary lesions of adults who have died of diseases other than tuberculosis are of two types: (1) apical tuberculosis similar to the usual type of fatal phthisis and unaccompanied by caseation, of the regional lymphatic nodes; (2) focal tuberculosis not more commonly situated in the apices of the lungs than elsewhere and accompanied by caseation (or calcification) of the adjacent lymphatic nodes. Focal pulmonary tuberculosis of adults is identical with the tuberculosis of childhood. It occurs in at least 92 per cent of all adults. It may be acquired between the ages of 2 and 10 years but in more than half of all individuals (in this city) makes its appearance between the ages of 10 and 18 years. Tuberculosis of children does not select the apices of the lungs, is accompanied by massive tuberculosis of regional lymphatic nodes, and exhibits the characters of tuberculosis in a freshly infected animal, whereas tuberculosis which occurs in the pulmonary apices of adults has the characters of a second infection. Almost all human beings are spontaneously "vaccinated" with tuberculosis before they reach adult life.

2021 ◽  
Vol 20 (3) ◽  
pp. 40-45
Author(s):  
N.S. Pravada ◽  
◽  
A.M. Budritskiy ◽  
V.A. Seryogina ◽  
◽  
...  

Objectives. To assess the peculiarities of diagnosis and clinical course of tuberculosis in children and adolescents. Material and methods. Retrospective analysis of outpatient records of children and adolescents with tuberculosis in Vitebsk region during the period from 2016 to 2020 was made. Results. In the tuberculous disease structure in children and adolescents, pulmonary tuberculosis (infiltrative pulmonary tuberculosis) prevails. In the majority of cases, tuberculosis was diagnosed during adolescence. Almost all of the sick had close family contact with tuberculosis patients. The medical risk group included 25% of patients. In patients with infiltrative pulmonary tuberculosis, symptoms and changes in the total blood count were observed only in the phase of disintegration and seeding. Bacteriological excreters made up 75% of cases. More than half of children and adolescents with tuberculosis had multidrug resistance of mycobacterium tuberculosis. Immunodiagnosing plays an important role in the detection of tuberculosis in children and adolescents. Among the sick children, only extrapulmonary forms of tuberculosis were recorded. Conclusions. Most often, tuberculosis in children and adolescents affects the respiratory organs and is asymptomatic or oligosymptomatic. 75% of patients were bacteria discharging persons, more than half of them having multidrug resistance. Family contact is of great importance in tuberculosis in children and adolescents. Doctors of all specialties need to have phthisiatric alertness in relation to patients with diseases of various localization resistant to nonspecific therapy, especially to persons with chronic diseases and to those who contact with patients suffering from tuberculosis. In case of ineffective antibiotic therapy, it is necessary to take the material for the study and verification of tuberculous infection and to carry out immunodiagnosing of tuberculosis.


2010 ◽  
Vol 4 (1-2) ◽  
pp. 97-111
Author(s):  
Abdulrazaq Kilani

The menace of cultism in Nigeria society in general and our educational institutions in particular has reached an alarming stage that requires affirmative actions from all stakeholders. The scourge of cultism has claimed many lives of our youths and no serious authority can fold its arms and allow it to continue. It appears that the various efforts at curbing the menace have yielded no result. The corruption in most facets of our national life has finally subdued the educational institutions, which used to be the pride of place in the past. Most families are astonished to find out that children sent to school to learn and become better human beings in the society have initiated themselves into cult groups. The emergency of secret cultism has been characterized by some violent activities which include, physical torture of new recruits, maiming and killing of rival cult members and elimination of real and perceived enemies. Nigeria, Africa's most populous country, is composed of more than 250 ethnic groups with 36 states and one federal territory (Abuja). There are three major religions namely Islam (50%), Christianity (40%), and Africa Indigenous Religions (10%). The effect of globalization is also making other new religious movements to be making inroads into Nigeria. Nigeria has a population of about 141 million people (2006 census). Nigeria which is rich in both human and material resources is a country that is facing a lot of developmental challenges in almost all sectors due to poor leadership. The menace of cultism especially among youths and some influential people in the society represents one of the distortion facing the popular ‘giant’ of Africa. The aim of this chapter is to bring into the fore the menace of cultism in modern Nigeria as a brand of terrorism mind not the fact that there are even religious cults in both the developed and developing societies. The paper also adopted an Islamic lens to provide an analysis of the terror of cultism in contemporary Nigeria.


1983 ◽  
Vol 37 ◽  
pp. 4-5
Author(s):  
Peter Augustine Lawler

The serious study of the best examples of American political rhetoric can be used as the foundation for the introductory course in American government. The laws of most of our states understand the purpose of political education to be the creation of good citizens. Even at the college level, it makes sense to justify political education in terms of citizenship rather than with the benefits associated with a diffuse introduction to the technical discipline of political science.Citizenship, after all, is a quality shared by almost all human beings in our democratic regime, while only a very few of us ever will specialize in political science. The most cogent way of justifying the general requirement of study of a subject is by showing its universal utility, especially in a democracy, where utility is often the measure of worth.


2020 ◽  
pp. jrheum.191004
Author(s):  
Noortje Groot ◽  
Anne Kardolus ◽  
Marc Bijl ◽  
Radboud Dolhain ◽  
Onno Teng ◽  
...  

Objective Long-term outcome data in adults with childhood-onset SLE are limited. Here, we report the effects of cSLE on education, vocation and employment in a large cohort of adults with cSLE. Methods Patients were seen for a single study visit containing a structured history and physical examination. Medical records were retrieved to supplement information obtained during the study visit. Education and employment status were assessed by questionnaires. Health-related quality of life (HRQOL) was measured with the SF36. Results 106 cSLE patients (93% female, 73% white), with a median disease duration of 20 years, completed the visit and questionnaires. Almost all patients stated that cSLE had influenced their education, but level of completed education was similar to the general Dutch population. Half of the patients had adjusted their vocational choice due to the disease. Still, 44% of patients who had finished education did not have a paid job. Of the employed patients, 61% worked part-time. Disease damage was equally prevalent in patients with and without paid employment. A high percentage of patients (51%) were declared work disabled, which was related to damage. Patients who did not have paid employment were often work disabled. Both had a negative influence on HRQOL. Conclusion The effect of cSLE on academic achievements and employment is substantial, despite adjusting educational and vocational choices to the disease. Ongoing support, not only to help patients find suitable education and vocation, but also to offer guidance regarding potential adjustments during their career, is necessary to optimise participation in the community.


2014 ◽  
Vol 2 (2) ◽  
pp. 251
Author(s):  
Adistha Eka Noveyani ◽  
Santi Martini

ABSTRACTStrategy DOTS is the tuberculosis control programs. The program has implemented in Tanah Kalikedinding Health Center and has expected to reach CDR ≥ 70% and SR ≥ 85%, which closely related to the management of health centers. This study aimed to evaluate the implementation of the DOTS program in health center whose the results associated with indicators of tuberculosis. This was a descriptive design study with the population was all pulmonary specialist, tuberculosis officers and laboratory personnel and pulmonary tuberculosis patients. The number of Tuberculosis patient respondents was 32 respondents. Samples were chosen using purposive sampling. Data collected by interview questionnaire and checklist. The variables were the finding case, the TB treatment, the enabling factor and inhibiting factor, recording and reporting, and result of tuberculosis indicators. This study resulted that CDR in 2013 was 112% already reached the national target ≥ 70%. This success related to the finding case almost all patients > 2 weeks of cought and all (100%) patients were examinated sputum and diagnosed according to the steps of tuberculosis diagnosis in Indonesia Department of Health guidelines. While SR in 2013 was 65.5% did not reach the target ≥ 85%. It was caused of there are patients who did not have a taking drug observer (PMO). All (100%) patients ever forgot taking anti tuberculosis drugs. Change in schedule of visit to the continuation phase be 2×/month caused patients to forget taking anti tuberculosis drugs. The enabling factor was counseling routinely by health care workers in health center. Inhibiting factor was distance to health center by majority (65,5%) patients were > 1 km. So they needed vehicle to go to the health center. Recording and reporting using electronic systems and being reported by online. So it is expected all TB patients were expected have a taking drug observer and optimizing the role of the a taking drug observer to increase success rate.Keywords: DOTS strategy, Case Detection Rate, Success Rate, evaluation,                     Tuberculosis


Author(s):  
Poonam Bharat Mandhare ◽  
Deepa R. Kale

Background: Our health and overall well-being mainly depends on our eating habits, physical activities, sleep patterns etc. Human beings, in order to adjust themselves in the modern era, have been compiled to become fast and mechanical. Due to this they can’t give proper attention to diet and exercise. Due to this Aaharpachan Kriya gets affected leading to Agnimandya (low or decreased digestive power). According to Ayurveda Agnimandya is responsible for almost all diseases. Objectives: Objective is to study importance of Takrasevan in Agnimandya.  Material and methods: Ayurvedic / modern texts and literature, research paper. Discussion: Grahani, Atisar, Arsh etc. are the commonest diseases seen in today’s life.  These diseases are not life threatening but can cause great distress to patient.  Ayurveda gave an amount of treatment modalities; one of them is Takrasevan i. e. consumption of buttermilk. Takra having ushna virya, kashaya rasa, madhur vipak and ruksha guna properties which pacifies Vata, Pitta, Kapha and potentiate the Agni and digests as well as absorbs the food articles and treats the disease in generous way. Conclusion: By this study it can be conclude that Takra (Buttermilk) can use on daily basis as dietary product. As it contains Probiotics which facilitates proper digestion and absorption process, it maintains proper metabolism to keep person free from diseases.   


Author(s):  
Ahmad Zaini

<p>Man is a creature of God; This is one of the nature of human beings.<br />Another is that the nature of human beings is creatures whose development<br />is influenced by the nature and the environment. A human being is very<br />interesting. Therefore, he has been the target of studies since past, present,<br />and future. Almost all higher education institutions assess the human, and<br />the impact of his work on his own, community and environment. One of the<br />aims of man created by God is to be His vicegerent on earth. Therefore, people<br />should be educated from an early age even while still in his mother’s womb.<br />Early childhood is a group of children who are in the process of growth and<br />development that is unique, in the sense of having a pattern of growth and<br />development, intelligence, social, emotional, language and communication<br />in accordance with the rate of growth and development of children. The<br />importance of childhood and early childhood characteristics, demanding<br />approach to be used in learning activities that will be used in the learning<br />activities that focus on children. At the time of this early age, children need to be<br />educated as well as possible, with methods appropriate to their circumstances.<br />The educational methods that can be applied are such as, advice, stories, and<br />customs. No “bad” or ‘good’method. Because it highly depends on many factors.<br />The important thing taken into account teachers to set a method is knowing<br />the limits of goodness and weakness methods that will be used, thus allowing<br />it to formulate conclusions about the results/achievement of the objectives of<br />the decision.</p>


Author(s):  
Garrett Hardin

Before Malthus appeared on the scene, William Godwin recognized that the expanding population might ultimately produce an unfavorable ratio of population to resources which could create a problem. Five years later Malthus viewed this problem as an inevitable result of human nature reacting to a world of limits. Godwin, however (in the passage previously quoted at the end of Box 3-1) had proposed to solve the population by changing human nature. He suggested that some day our species might "cease to propagate." Since this was written in England two hundred years ago, in the absence of contradictory evidence we can only assume that Godwin was postulating an end to human sexual activity. He no doubt thought the sacrifice would be worthwhile because, in his Utopia, there would be "no war, no crimes, no administration of justice, as it is called, and no government. Besides this, there will be neither disease, anguish, melancholy, nor resentment." Most of Godwin's suppositions are too ridiculous to linger over, but one of them deserves an extended analysis because it touches on a general principle that will be called upon repeatedly as we continue to look for ways to avoid overpopulation. There is not the ghost of a chance that the human species will ever "cease to propagate." The reason is found in the great discovery made by Charles Darwin sixty years later: selection. Suppose, following Godwin, that the natural fertility of our species evolves almost all the way to zero. Then what? Initially, fertile individuals might be but a tiny minority of the whole; but, over time, selection would ensure the dominance of the fertile fraction. If there were even the slightest genetic basis for fecundity in human beings (as indeed there is in other animals) then fertile human beings would in time replace the infertile. To postulate a selection for universal sterility (as Godwin's scheme would require) is to perpetrate an oxymoron. Nature does not work with oxymorons. We who are alive now are the descendents of an unbroken line of fertile ancestors. This line extends back millions of years to the first humanoids—indeed, billions of years to the beginning of sexual life of any kind. Powerful though she is, Nature cannot create a self-sustaining, totally infertile, sexual species.


2020 ◽  
pp. 241-247

Many people are surprised to learn that James Still was not a native of eastern Kentucky but of central Alabama, for his name has become synonymous with Appalachian literature. Many of his short stories and poems as well as his novel River of Earth (1940) are set in Knott County, Kentucky, where he worked at the Hindman School and lived for almost all of his adult life. Still’s work delves deeply into the lives of people and communities in one corner of Appalachia but simultaneously speaks to experiences in rural places and small towns everywhere. His writing also explores nature and the individual’s relationship to it....


Author(s):  
J. Neuberger

Case History—A 22 yr old man, being treated for pulmonary tuberculosis, now presenting with confusion and jaundice. Drug-induced liver injury (DILI) is relatively uncommon but can very rarely be fatal. Almost all patterns of liver disease can be induced by drugs, and some drugs may be associated with more than one type of reaction. Some cases of DILI have a genetic component. Most cases present with jaundice and/or hepatitis....


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