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Prevalence Study of Occurence of Nosocomial Gastro-enteritis of Virus Etiology in the Bohnice Asylum in Years 2003-2009.
NUSLOVÁ, Aneta
The degree work is concentrated on the problems of the epidemic as to acute viral gastro-enteritides of nosocomial nature occurring in the Mental Home Bohnice in the years 2003 {--} 2009. I chose for my work the methodology of quantitative research in the form of an epidemiological descriptive study with the technique ``data collection and analysis{\crq}q. The infectious diarrhoeal affections are very current all the time and great importance in developing and even in advanced countries of the world. About 5 {--} 10 million people are dying of diarrhoea often connected with undernourishment in developing countries of Asia, Africa and Latin America per year, whereof 4,6 millions are children aged up to 5 years. The infection diarrhoeal affections in advanced countries of the world are important mainly as to their high frequency because they represent the second most frequent infection just behind the infection of air passages. The theoretical part of the work is concentrated on general characterization of the acute viral gastro-enteritis, on the process of spreading, on the most frequent aetiologic agents and on the new possibilities of diagnosis and therapy. The attention is also paid to the observance of antiepidemical measures and rules fixed in the hygienic and antiinfectious regimen, that prevent further spreading of the diseases in the case that an epidemic has broken out. In this connection, the basic profile and structure of the Mental Home Bohnice is also presented inclusive of important facts concerning the hospitalized patients. These patients form a very specific group of persons in respect to the occurrence of epidemics caused by viral diarrhoeal diseases as they are hospitalized in an isolated environment often for long term and their heath condition depends on psychiatric diagnosis. The performed investigation resumes the general judgement on the problems of epidemics caused by the acute viral gastro-enteritides in the Mental Home. It determines the most frequent aetiologic agents giving rise to this disease and analyzes these epidemics in relation to the age and sex of the patients. Another aim of the work was to explain the seasonal nature of the epidemics and to evaluate the efficiency of antiepidemical measures taken in this establishment. It is necessary to conclusion that the epidemical occurrence of viral gastro-enteritides was registered in Mental Home Bohnice even before the year 2003, but the aetiologic agents could not be specified in greater detail owing to the possibilities of virologic diagnostics being at disposal at that time.
Detailed record
Problems of the tick encephalitis
NUSLOVÁ, Aneta
Problems of tick encephalitis The subject of this degree work is the analysis of some indexes as to the incidence of the tick encephalitis in two regions of the Czech Republic for the period of the years 1996-2006. The tick encephalitis is a grave common tick-borne neuroinfection. It occurs permanently on territory of the Czech Republic. Some localities of the Czech Republic are notable natural seats of the tick encephalitis even within the bounds of the Central Europe. The most effective protection against this grave illness is vaccination performed in due time. The aim of the work was the comparison of the incidence trends in the South Bohemian Region considering the character and area of the natural seats. The work analyses the occurrence of this illness in connection with the age, sex, domicile and the place of getting ticks as to cases reported in the districts of České Budějovice and Příbram during the judged period. The necessary documents were put at disposal by epidemiological departments of the Regional Hygienic Station for the South Bohemian Region with the seat at České Budějovice and of the Regional Hygienic Station with the seat at Prague and that of its territorial establishment in Příbram. The data analysis showed that the occurence of the tick encephalitis varied relatively greatly in the particular years of the investigated period. The highest number of cases reported in the South Bohemian Region was registered in the year 2000 where 232 persons altogether fell ill. The highest number of cases reported in the Central Bohemian Region was registered in the year 2006 where 113 persons altogether fell ill. It was established on the basis of the analysis in relation to the sex of patients that the men affected by this disease absolutely prevailed both in the district of České Budějovice and in the district of Příbram in the examined period. On the basis of the analysis in relation to the age of the patients the highest incidence was found in the age group of 55-64 years in the district of České Budějovice and in the age group of 45-54 years in the district of Příbram. The people living permanently in town are affected by the tick encephalitis predominantly on the both districts. The significant localities where ticks can be got are as cases reported in the district of the České Budějovice in an absolute majority part of suburban holiday areas situated in the valleys of Vltava and the tributaries thereof. It concerns for instance the localities of Borovany, Boršov, Kamenný Újezd, the area along the Rančický creek or the holiday area of Mrhal and Štilec. The lokalities of Trhové Sviny, Nové Hrady and Zliv are situated in the seat of the infection too. In district of Příbram it is especially the bank area around the artificial reservoir Orlík. The differences in the total incidence are determined by the different character of natural seats in the both investigated district. The South Bohemian seat can be classified as a large-area one. It is situated at an optielevation above sea level and has optimal hydrological and biological conditions that enable nearly a permanent circulation of the virus in the seat. The Central Bohemian natural seat covers a smaller area and depends of fluctuation of temperature and other climatic effect.
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Nušlová, Alice
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