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    Of them, patients with TB bacillus positive were 1362. 1438 cases were treated free of charge. DOTS management rate of the patients was 31.5%. Negative conversion rate of sputum TB bacillus after 2 months treatment was 81.3%.
    结果 项目实施 4个月来 ,共接诊门诊病人 74 2 4例 ,发现结核病人 4 378例 ,其中涂阳病人 136 2例 ,列入项目免费治疗 14 38例 ,项目病人直接监督短程疗法 (DOTS)管理率 31.5 % ,2个月痰菌转阴率 81.3% ,综合医院结核病转诊率平均 4 7.3%。
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    For patients with HARRT, most of them should be under control with National first-line regime of treatment, i.e. D4T+3TC+NVP, which was improved to be effective to control replication of viruses and to improve the immune status of the infected individuals to some extend.
    2)目前国家实施的免费抗病毒一线方案(D4T+3TC+NVP)能有效控制病毒的复制,也使感染个体的免疫功能得以一定程度的恢复。
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    Tuberculosis treatment with government financial support in Pudong New Area,Shanghai
    上海市浦东新区政府减免费治疗菌阳肺结核状况分析
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    Methods Standard antiviral therapy for treatment of AIDS patients with drugs freely provided by the country.
    方法应用国家免费提供的抗病毒治疗药品对符合治疗条件的艾滋病患者进行规范的抗病毒治疗,并进行病毒载量检测。
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    Methods In accotdance with Organization and technical stardards set by the project " the scheme put into effect" , DOTS strategy recommended by WHO was carried out to treat the temporary household ( experimental group) and perpetual household (control group) patients.
    方法 采用世界银行贷款中国结核病控制项目的管治方法,对暂住人口涂阳肺结核病人采用DOTS管理和免费治疗,以同期常住人口涂阳肺结核病人为对照组。
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    Results:5646 pulmonary tuberculosis cases have been found,2548 smear positive cases included.
    结果 :几年共发现活动性肺结核病例 5 6 4 6例 ,其中传染性病例 (痰涂片阳性 ) 2 5 4 8例、涂阴免费 4 10例。
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PedigreeQuery is distributed free of charge; it is available at http://mga.bionet.msc.ru/PedigreeQuery/PedigreeQuery.html and ftp://mga.bionet.nsc.ru/PedigreeQuery/.
      
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he progress of the World Bank loaned TB controlproject implemented from the second quarter of 1991 tothe fourth quarier of 1993 was described in this paper.In the past three years, 737 counties of the 12 provinceswith the population of 360 million has been covered bythe project. Among 95176 new smear positive cases di-covered , 93909 patients received free treatment of TB.The treatment coverage is 98.7% , of which 95% weretreated under full course supsrvision. The smear conver-sion rate at two , three months...

he progress of the World Bank loaned TB controlproject implemented from the second quarter of 1991 tothe fourth quarier of 1993 was described in this paper.In the past three years, 737 counties of the 12 provinceswith the population of 360 million has been covered bythe project. Among 95176 new smear positive cases di-covered , 93909 patients received free treatment of TB.The treatment coverage is 98.7% , of which 95% weretreated under full course supsrvision. The smear conver-sion rate at two , three months of new smear positive TBpatients are 83. 4% and 90. 6% respectively. The co-hort analysis showed that the cure rate is 89. 8% , whichhas reached the advanced level of the modern nationaltuberculosis control programme in the world.

报告世界银行贷款中国结核病控制项目自1991年第2季度试点工作起至1993年第4季度止的进展情况。三年来在12个省、自治区的737个县、3.6亿人口所在地区中实施了本项目,累计发现和登记涂阳肺结核病人95176例,有93909例病人接受了免费抗结核药物治疗,治疗覆盖率为98.7%,其中95%的病人接受全程督导化疗管理。新发涂阳病人治疗2、3个月的痰菌阴转率分别为83.4%和90.6%,治疗转归的队列分析:治愈率为89.8%,达到了当今世界“国家结核病控制规划”实施的先进水平。

A total of 1604 cases with pulmonary tuberculosis,there were tubercle bacillus in taking their sputa smears,were treated in free medical service in April,1992 to 1995.A total of 209 men,there werent tubercle bacillus in taking their sputa smears,were in free medical service.The curative rate for the pulmonary tuberculosis,there were tubercle bacillus in taking their sputa smears,was 86 96% in anti tuberculosis chemotherapy.It was need for curing a patient with pulmonary tuberculosis that average funds was...

A total of 1604 cases with pulmonary tuberculosis,there were tubercle bacillus in taking their sputa smears,were treated in free medical service in April,1992 to 1995.A total of 209 men,there werent tubercle bacillus in taking their sputa smears,were in free medical service.The curative rate for the pulmonary tuberculosis,there were tubercle bacillus in taking their sputa smears,was 86 96% in anti tuberculosis chemotherapy.It was need for curing a patient with pulmonary tuberculosis that average funds was 362 19 yuan.Productive value created by men,the patients with pulmonary tuberculosis have been cured can take part in work or partial work,reached more than 1354543 Yuan a year.These results showed potential economical results,social benefit results and principle of project,which is lower puting into controlling tuberculosis and higher getting results.

控制结核病的发生与流行,力求低投入、高效益的原则。本文对蓬溪县利用世界银行贷款控制结核病的发生与流行。从1992年4月~1995年底止共免费治疗痰涂片阳性肺结核病人1604例,涂阴免费209例,经全程督导间歇化疗涂阳病例治愈率86.96%(初治涂阳90.31%,复治涂阳82.14%)。平均发现并治愈1例肺结核病人需要经费362.19元,经治愈后完全或部分恢复劳动生产力者,年创生产总值达1357543元以上,充分显示了项目潜在的经济效益、社会效益和项目的抵投入、高效益的原则。

Objective: To research the probability and the model of Anti TB insurance.Methods: The fund was raising taking self payment by villagers and overall arrangement methods.The preventive vaccination for children was free of charge.50% of drug fee was reduced for the treatment and free of charge for the DOTs of tuberculosis patients.Results: The amount of insurance money is 0.67 yuan RMB every year for every one insured in the 3 years implented,which is 134 times of that before its.implementing.The annual case...

Objective: To research the probability and the model of Anti TB insurance.Methods: The fund was raising taking self payment by villagers and overall arrangement methods.The preventive vaccination for children was free of charge.50% of drug fee was reduced for the treatment and free of charge for the DOTs of tuberculosis patients.Results: The amount of insurance money is 0.67 yuan RMB every year for every one insured in the 3 years implented,which is 134 times of that before its.implementing.The annual case finding rate is 79.2/10 5,which is twice of that before.Over 90 persent of children were preventive vaccinated.The prevalencerate of TB was reduced 65%.And the incomes and expenses were balanced.Conclusion: Oberious social and economic effects have obtained and it is posible for the implementing of the insurance model.It is the key for the success of the anti TB insurance that the official's valuing it ,the wide spread propaganda and the sound three level anti TB networks.

目的:为了探讨结核病防治保险的可能性和模型。方法:采取村民自付、集体统筹为村民办理结核病防治保险,儿童免费预防接种、结核病人减免50%药费治疗,全免费实行全程督导化疗。结果:运行三年年人均防保金067元,为试点前的134倍;年结核病人发现率792/10万为试点前的2倍;活动病人治愈率953%(涂阳为916%),较试点前明显提高;90%以上儿童接受预防接种,三年结核病疫情下降65%;防治保险金收支平衡。结论:该保险模型是可行的,取得了显著的社会效益和经济效益;领导重视、广泛的宣传发动、健全三级防痨保健网是防治保险取得成功的关键。

 
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