Sex, gender, and tuberculosis

Sex, gender, and tuberculosis
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DOI:
10.1016/s0140-6736(99)01318-5
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发表时间:
1999-03-20
期刊:
影响因子:
168.9
通讯作者:
Thorson, A
Thorson, A
中科院分区:
医学1区
文献类型:
--
作者:
Diwan, VK;Thorson, A

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医疗改革是痛苦的,但俄罗斯正开始正视疫情。俄罗斯人越来越支持采取更有效的方法来控制结核病。国际机构可以鼓励和哄骗,但研发、技术支持和急需药物的大量资源是必不可少的。MERLIN和托木斯克的经验表明,DOTS本身可能并不完全适合俄罗斯。初期抵抗率很高,可能感染艾滋病毒,这意味着不能再浪费时间了。一种具体的俄罗斯方法,基于圆点,
Health-sector reform is painful, but Russia is beginning to face up to the epidemic. Support is growing among Russians for more effective approaches to tuberculosis control. International agencies can encourage and cajole, but massive resources for research and development, technical support, and urgently needed drugs are essential.MERLIN and the Tomsk experience have shown that DOTS alone may not be entirely appropriate for Russia. The presence of a high rate of initial resistance, and the potential for HIV infection mean that there is no time to lose. A specifically Russian approach, based on DOTS,