Evolving trends in infective endocarditis: comparison with 156 cases from the National Survey in Slovakia.
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Haemophilia A is caused by a broad range of mutations in the factor VIII (FVIII) gene. The most frequent of them is a large inversion, which appears to be the underlying defect in approximately 45% of all severely affected patients (FVIII < or = 1%). The results here are of 84 unrelated Slovak haemophilia A cases. The factor VIII inversion was identified in 22 of 44 (50%) patients with severe haemophilia A and in 1 of 13 patients with moderately severe disease. The inversions of distal type were more frequent (82.6%) than proximal ones (17.4%).
The School of Public Health (SPH) in Bratislava was established on 1 July 1991, as an organisational unit of the Post-graduate Medical School, directly subordinated to the Ministry of Health of the Slovak Republic. The SPH performs both postgraduate and continuing education of specialists in individual public health branches. It participates in the research activities within the field of public health. Our SPH is engaged in the network of European schools of public health, in association with the Association of Schools of Public Health in the European Region (ASPHER). In coordination with these schools, the SPH elaborates on a system of training Europe-wide a comparable qualification degree in Master of Public Health (MPH). In collaboration with the World Health Organization (WHO), the SPH also organizes training courses and seminars with international participation. The SPH entered into the school year 1992/93 with its 5 departments and sub-departments in the following organisational structure: 1. Department of Health Strategy with sub-departments: Health Legislation Health Education Health Sociology 2. Department of Medical Informatics 3. Department of Health Management 4. Department of Medical Education 5. Department of Preventive Medicine with sub-departments: Epidemiology Hygiene of Children and Adolescents Environmental Hygiene Nutrition Preventive Occupational Health Health Protection against Ionization
Transferable resistance to cefotaxime was demonstrated in 21 nosocomial strains of Klebsiella pneumoniae and Escherichia coli subsequently isolated from patients in two large University clinics. Using the double-disk diffusion test, we could detect, in each such strain, as well as in E. coli 3110 K-12 transconjugants after the transfer, the production of an Extended Spectrum Beta-Lactamase (ESBL). Ceftibuten was demonstrated to be effective against the majority of strains studied.
In this study, three tick species (Ixodes ricinus, Dermacentor marginatus, and D. reticulatus), small terrestrial mammals, and game were examined by PCR for the presence of tick-borne pathogens Anaplasma phagocytophilum, Coxiella burnetii, Rickettsia spp., and Borrelia burgdorferi Sensu lato.
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In a survey of game animals and small mammals, the sera of 185 animals were examined for the presence of immunoglobulin G antibodies to the spirochete Borrelia burgdorferi sensu lato, which causes Lyme borreliosis. These animals comprised 59 fallow deer (Dama dama), 56 mouflons (Ovis musimon) and 70 small mammals of six different species. The sera of the fallow deer and the mouflons were examined by indirect haemagglutination assay. The sera of the small mammals were examined by modified enzyme-linked immunosorbent assay, which is available in a commercial kit. The sera of the 59 fallow deer demonstrated positivity of 40.77% (titres 1:40-1:80). The 56 mouflons demonstrated seropositivity of 17.8% (1:40-1:80). The sera of the small mammals were highly positive in the yellow-necked field mouse (Apodemus flavicollis) at 42.1% (titres 1:200-1:1,600), followed by the bank vole (Clethrionomys glareolus) at 14.3% (1:400-1:800), the common vole (Microtus arvalis) at 12.5% (1:200) and the black-striped field mouse (A. agrarius) at 10.0% (1:200-1:400-800). The authors also report the rate of infestation of these small mammals by the tick Ixodes ricinus, as these mammal species are potential reservoirs for this vector. The study focuses on the relationship between the possibility of infestation by I. ricinus and the reservoir competence of the different species under study, as well as the possible spread of disease. The detected rate of seroprevalence indicates that all the investigated animals have had contact with infected ticks.
The European Union Water Framework Directive requires the achievement of environmental objectives for the ecological quality of water bodies. A comparable implementation of the Directive throughout member countries of the European Union is necessary to verify equal protection of surface waters. The Directive specifies that member states determine ecological quality by means of biological indices. To improve comparability of water quality assessment, this research carried out an intercalibration trial between the Slovak Saprobic Index and the Italian protocol of the Extended Biotic Index, as part of a cooperative program between Italy and the Slovak Republic. When assessing streams with no or low pollution, statistics showed similar results for both methods. In contrast, the comparison of indices was not accurate in the case of severely affected waters. Reliable conversion formulas are feasible to transform the Italian Extended Biotic Index into the Slovak Saprobic Index, and not vice versa.