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Primary and secondary prevention of birth defects and their social impact
POUZAROVÁ, Klára
Bachelor thesis on topic "Primary and secondary prevention of developmental defects and their social impact" deal with prevention before conception and in prenatal period. It also goes in for various types of screenings which are used for detection of congential developmental defects. This bachelor thesis also discuss the social impact on inclusion of people with congential developmental defects and possibility of employment of young adults. Bachelor thesis is divided into two parts theoretical and practical one. Theoretical part is focused on origin of developmental defects, genetics, developmental defects themselves and primary and secondary prevention of them. Goal of practical part is to found out the frequency of developmental defects of children of the Czech republic, also finding out current forms of primary and secondary prevention and the social impact of developmental defects. Another goal of this thesis is to found out the quality of life of families, children and young adults with developmental defects and the last one is to determine the possibility of employment of people with developmental defect. Research of life quality (questionnaire PedsQL) shows that the best quality of life in terms of health have people with orofacil cleft. From interviews with those people came out that the most crutial part was after their birth, when they had to visit specialized clinics in order to undergo the surgery of cleft. Right behind them, according to results of HRQOL, are girls with Down syndrome, who are capable of socialization with others, but from statements of their mothers came out, they will never be able of independent life because of associated mental retardation. Next place is taken by informant with phocomelia and the worst merit HRQOL came out by informants with cleft spine. It is necessary to take into consideration that everyone of them have a different type of cleft spine. One of them is fully dependant on care of his mother, other young adult girl suffers from health issues, but can take care of herself. The last goal of thesis is to find out about their possibilities to join the work process. Respondents were rather young and taking their age into consideration, we can't tell how they will or won't be able to find and keep a job. Research shows us that physical and mental condition play a big role in it. In case of associated mental retardation mothers of girls decided their daughters won't ever be able to go to work as healthy people.

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