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Management of tuberculosis in urban homeless indigents.
  • Published Date:
    1986 Sep-Oct
  • Source:
    Public Health Rep. 101(5):481-485
  • Language:
    English
Filetype[PDF-1.19 MB]


Details:
  • Personal Authors:
    Slutkin, G
  • Keywords:
  • Pubmed ID:
    3094077
  • Pubmed Central ID:
    PMCnull
  • Description:
    Tuberculosis patients who are homeless, indigent, and alcoholic infrequently complete a course of chemotherapy, risking treatment failure, recurrence, and continued spread of infection in the community. Obstacles to successful treatment include an erratic schedule, mistrust of authority, and uncooperative or aggressive behavior. Successful management of this problem requires the use of proven case holding techniques, a correct choice of drug regimen, and a prompt and appropriate response to the patient who is lost or refuses treatment. Nine- and six-month drug regimens with proven success are now available; however, the direct observation of medication-taking should be maximized. Patient default may be further minimized by encouraging prompt notification of the health department. Occasionally, the threat or use of existing public health laws on confinement for purposes of treatment are required for noncompliant patients.

  • Document Type:
    Journal Article
  • Collection(s):
    Public Health Reports
  • Main Document Checksum:
  • Supporting Files:
    No Additional Files
    1. Tuberculosis screening in Boston's homeless shelters.
      Personal Author:
      Barry, M A; Wall, C; Shirley, L; Bernardo, J; Schwingl, P; Brigandi, E; Lamb, G A;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):487-494
      Description:
      From February 1984, through March 1985, a total of 26 cases of tuberculosis (TB) were verified in homeless persons in Boston. Fifteen cases were resistant to isoniazid (INH) and streptomycin (SM) and were most likely the result of a common source exp...
      File Type:
      Filetype[PDF - 1.61 MB]
    2. The Los Angeles solution.
      Personal Author:
      Merewitz, S G
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):486-487
      File Type:
      Filetype[PDF - 391.63 KB]
    3. Treatment for choking infants: some controversy lingers.
      Personal Author:
      Greensher, J; Montgomery, W H;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):454-455
      File Type:
      Filetype[PDF - 364.35 KB]
    4. Smoking study formula may yield big errors.
      Personal Author:
      Chittenden, C E
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):455-456
      File Type:
      Filetype[PDF - 176.96 KB]
    5. Identifying mesotheliomas on death certificates.
      Personal Author:
      Percy, C
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):457
      File Type:
      Filetype[PDF - 114.93 KB]
    6. Overview of research on women in medicine--issues for public policymakers.
      Personal Author:
      Bowman, M; Gross, M L;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):513-521
      Description:
      The recent expansion of the nation's supply of physicians has brought with it dramatic increases in the number of women entering medical school and practice. This paper provides an overview of the literature on women in medicine and synthesizes major...
      File Type:
      Filetype[PDF - 1.66 MB]
    7. Effects of mandating seatbelt use: a series of surveys on compliance in Michigan.
      Personal Author:
      Wagenaar, A C; Wiviott, M B;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):505-513
      Description:
      Although proper use of automobile seatbelts reduces risk of serious injury or death in traffic crashes by 30 to 50 percent, seatbelt use remains low. Recently, several States have passed laws requiring the use of seatbelts. Michigan implemented such ...
      File Type:
      Filetype[PDF - 2.63 MB]
    8. The National Reporting Program for Mental Health Statistics: history and findings.
      Personal Author:
      Manderscheid, R W; Witkin, M J; Rosenstein, M J; Bass, R D;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):532-539
      Description:
      The National Reporting Program for Mental Health Statistics had its origins in the decennial U.S. census, with enumeration of the "insane and idiotic" in 1840. A series of special censuses of the insane and feebleminded in public and private hospital...
      File Type:
      Filetype[PDF - 1.96 MB]
    9. Issues in survey data on medical practice: some empirical comparisons.
      Personal Author:
      Greenwald, H P; Hart, L G;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):540-546
      Description:
      In recent years, researchers and policymakers have used data from large-scale surveys of physicians to address important issues. A review of several of these surveys explores potential problems in this method of gathering data on physicians' services...
      File Type:
      Filetype[PDF - 1.25 MB]
    10. The cognitive profile of those who intend to exercise but do not.
      Personal Author:
      Godin, G; Shephard, R J; Colantonio, A;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):521-526
      Description:
      The purpose of this study was to identify the cognitive profile of people who intend to exercise but fail to carry out this intention. A theoretical framework was adopted to study the attitudinal beliefs of these persons about exercise, their evaluat...
      File Type:
      Filetype[PDF - 987.18 KB]
    11. Federal health services grants, 1985.
      Personal Author:
      Zwick, D I
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):499-504
      Description:
      Federal health services grants amounted to about $1.8 billion in fiscal year 1985. The total amount was about $100 million less, about 6 percent, than in 1980. Reductions in the health planning program accounted for most of the decline in absolute do...
      File Type:
      Filetype[PDF - 1.28 MB]
    12. Cancer mortality, ethnicity, and socioeconomic status: two New York City groups.
      Personal Author:
      Shai, D
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):547-552
      Description:
      Cancer mortality rates for 1979-81 among Puerto Ricans and non-Hispanic whites in New York City are analyzed for cancer in six sites. They include cancers of the lung, esophagus, breast, stomach, colon, ovary, and all cancers. New York City health ar...
      File Type:
      Filetype[PDF - 1.53 MB]
    13. Role of nurses in meeting needs of the homeless: summary of a workshop for providers, researchers, and educators.
      Personal Author:
      Abdellah, F G; Chamberlain, J G; Levine, I S;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):494-498
      File Type:
      Filetype[PDF - 1.27 MB]
    14. Campers' diarrhea outbreak traced to water-sewage link.
      Personal Author:
      Starko, K M; Lippy, E C; Dominguez, L B; Haley, C E; Fisher, H J;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):527-531
      Description:
      From June through September 1979, diarrheal illness occurred in an estimated 1,850 persons who had camped at a private campground in Arizona. Illness occurred more frequently among campers at that campground than among those in the adjacent State par...
      File Type:
      Filetype[PDF - 1.73 MB]
    15. Back blows and chest thrusts for choking victims? Dr. Heimlich answers.
      Personal Author:
      Heimlich, H J
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):454
      File Type:
      Filetype[PDF - 187.84 KB]
    16. Time... and time again
      Personal Author:
      Windom, Robert E.
      Published:
      Sep 1986
      Source:
      Public Health Rep. 101(5):453
      File Type:
      Filetype[PDF - 159.35 KB]
    17. Public Health Rep
      Published:
      Sep-Oct 1986
      File Type:
      Filetype[PDF - 553.27 KB]
    18. Public Health Rep ; v. 101, no. 5 : Masthead
      Published:
      Sep-Oct 1986
      Source:
      Public Health Rep. 101(5)
      File Type:
      Filetype[PDF - 1.79 MB]
    19. Public Health Rep ; v. 101, no. 5 : table of contents
      Published:
      Sep-Oct 1986
      Source:
      Public Health Rep. 101(5)
      File Type:
      Filetype[PDF - 532.40 KB]
    20. Acquired immunodeficiency syndrome: current and future trends.
      Personal Author:
      Morgan, W M; Curran, J W;
      Published:
      1986 Sep-Oct
      Source:
      Public Health Rep. 101(5):459-465
      File Type:
      Filetype[PDF - 1.43 MB]
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