|
|
Areály plícních léčeben - specifické objekty krajinářské architektury
Šimek, Pavel
The diploma thesis aims on description and development of the pulmonary hospitals as a specific objects of landscape architecture. The subject has been divided into three basic areas. First area focuses on the specialised sanatoriums for tuberculosis treatment and their greenery as the main field of study from the landscape architecture point of view. As a part of this thesis we have created detailed graphical overview of the environmental and natural conditions as well as overview of the historical background for selected sanatoriums in the Czech republic. Second area aims to provide complex study of contemporary trends in health care facilities greenery identified in the specialised literature. As a part of this section we have compiled proposal for differentiation of the functional type "greenery of the health care facilities". Last area presents verification study for the expansion and cultivation of the OLU Paseka medical facility. The study is based on the upper-mentioned findings and emphasises on the application of contemporary medical care trends in the landscape engineering.
|
|
|
Antituberculotic susceptibility testing of Mycobacterium tuberculosis isolates
SUCHÁ, Denisa
Mycobacterium tuberculosis was first described by a German physician and microbiologist Robert Koch in the year 1882. It is an obligate pathogen, which causes a very serious infectious disease - tuberculosis. This disease is an important epidemiological problem all over the world. It is necessary to diagnose all the clinical cases of the disease, isolate the patiens and apply an adequate treatment to reduce the incidence of the disease and to prevent its spread. Essential for the diagnosis of tuberculosis is a confirmation by cultivation, i.e. isolation of Mycobacterium tuberculosis from clinical specimens, exact identification of the isolates and antitubercular drug susceptibility testing. The theme of this thesis was to determine the susceptibility to the basic anti-tubercular agents (streptomycin, isoniazid, rifampicin, ethambutol and pyrazinamide). The theoretical part provides an overview of susceptibility testing methods. A group of 275 isolates of Mycobacterium tuberculosis isolated from January 2008 to June 2013 from clinical specimens, in the Department of Microbiology of the Faculty Hospital in Pilsen, the Laboratory for Diagnosis of Mycobacteria was examined within the practical part. The susceptibility to antitubercular drugs was tested in all the isolates by two methods the proportion method (Canetti, 1963) and the method in semi-closed system BACTEC? MGITÔ 960. The results showed 100% concordance between both methods. The resistance was proved to at least one of the basic antitubercular drugs in 24 of tested isolates. The file was also evaluated from the demographical and epidemiological point of view. There was a higher incidence of tuberculosis among men (75% men and 25% women). In terms of age, the highest incidence has been shown between 40 and 60 years of age. The percentage of foreigners in the investigated group was 30 %. The Czech Republic is a country with a low incidence of tuberculosis,however, this situation can not be underestimated, if only due to the fact that there is a constant migration of people into the Czech Republic from the countries with a high incidence of tuberculosis and its drug-resistant strains.
|
|
|
Laboratory diagnosis of tuberculosis based on Interferon-Gamma Release Assay (IGRA)
BEDNÁŘOVÁ, Marcela
Interferon-gamma release assay (IGRA) methods have become a common part of the routine tuberculosis (TB) diagnosis. These are indirect diagnostic methods, which detect the cell-mediated immune reactivity to the presence of Mycobacterium tuberculosis antigens inside the human body. The methods are based on the principle of detection of interferon-gama(IFN-gama) produced by the T-lymphocytes sensitized by TB antigens. Currently, there are two tests available (QuantiFERON -TB Gold In -Tube and T - SPOT.TB). This thesis is dealing with the principle, the practical use and the place of IGRA methods in the comprehensive diagnosis of TB. The Collection of 1554 blood samples, examined by QuantiFERON-TB Gold In-Tube in the period from 1st June 2011 to 30th June 2013 in the Mycobacteriology Laboratory of the University Hospital in Pilsen was evaluated in the practical part. The percentage of various types of health care settings indicating this examination, as well as the percentage of positive, negative and undetermined results in some selected groups of patients (screening before the initiation of biological treatment, in patients with primary lung tumors, in person with a high-risk of TB and person in contact with active form of the disease) was monitored. The results of patients with active TB verified by culture were also assessed. The results of this study indicated, that IGRA methods are of a great contribution in the TB diagnosis, in particular in the latent form, under certain conditions also in the active form. At the same time it should bementioned, that the diagnosis of tuberculosis must always be complex. This method should not be used for the TB diagnosis solely.
|
|
|
The problem of Tuberculosis in Zambia
LUBASI, Sundano Kutoma
Tuberculosis is one of the worlds? deadliest infectious diseases, and is one of the major causes of morbidity and mortality especially in poor countries. In Zambia, Tuberculosis remains a major health problem and is among the top ten causes of morbidity and mortality. Tuberculosis notifications have increased 5- fold in the last 20 years, mainly due to HIV/AIDS, it is estimated that approximately 70 % of all detected tuberculosis cases are also co-infected with HIV. The interaction of tuberculosis with the human immunodeficiency virus (HIV) infection has complicated and made difficult the Tuberculosis control program. Tuberculosis has become the leading cause of death among people living with HIV/AIDS. The management of tuberculosis in Zambia is faced with many challenges, such as lack of compliance to treatment by patients, poverty as well as lack of adequate finance for diagnosis, treatment and follow-up care. The main aim of my thesis was monitoring the problem of tuberculosis in Zambia, other accompanying aims were to find out how well informed the Zambian population is, about tuberculosis, monitor the diagnostic procedure for tuberculosis, analyse the tuberculosis treatment regime and lastly to analyse the preventive measures that have been implemented and how effective they have been. In this thesis, both qualitative and quantitative types of research were used. With the qualitative research, secondary analysis of data was used. Data from different sources of information like books, publications and research findings of various surveys and researches that were done not only by the Zambian Ministry of Health but also by other organizations was used. With the quantitative research, a questionnaire was formulated whose main aim was to find out about how well informed the Zambian people are about tuberculosis. This was done only in the capital city of Zambia which is Lusaka, and the number of respondents was 100. From the results obtained, the tuberculosis burden in Zambia still remains high and tuberculosis continues to be a serious public health problem. The implementation of the various preventive measures, though still facing difficulties, has however yielded positive results. There have been improvements in the treatment success rates from 77 % in the year 2000 to the current 86 %, the incidence rate per 100 000 population has also reduced from 504 in the year 2000 to the current 365 per 100 000 population. This reduction in incidence rates can be attributed to the preventive measures like the expansion of directly observed therapy treatment ? shortcourse (DOTS)strategy to all the districts in the country, the strengthening of the National Tuberculosis Control program and many others. This work can be used as a source of reference for future research in relation to the topic of tuberculosis in Zambia.
|
|
| |
|
| |
|
| |
|
| |
|
| |
|
| |
guest ::
