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Z Stembera

Publications and source records attributed to Z Stembera.

At least 55 records · Page 3Linked to original sources

Main principles of a selective (single-disease) screening and scoring system for prematurity.

The main principles for preparation of both a simple screening and of the more complex scoring systems are demonstrated by means of comparison of papers performing the prediction of the risk of premature delivery in different ways. The reliability of prediction, that is different for the risk of an individual and of a group, depends on the adherence to these principles. The mode of use of some of these principles is demonstrated by means to data obtained from the own epidemiologic study. The histograms document an objective possibility of assessment of the borderline of risk for the risk factors characterized by a numerical joint sequence. On the basis of calculation of the actual risk of some risk factors together with assessment of their frequency in the population and of their treatability it is possible to differentiate objectively to which of them the intervention strategy has to be focussed primarily in order to decrease the frequency of prematurity.

Adolescent

[The differentiated perinatal care for high-risk pregnancies (author's transl)].

The grounds for a change in the organisation of perinatal care in CSSR were the for years stagnating perinatal mortality and high of the perinatal morbidity. Since the modern diagnostics and effective therapy of the high-risk pregnancies represent considerable demands upon the instrumental and personnel equipment, a system of a differentiated ambulatory and institutional care for pregnant women and newborn has been worked out, that will ensure the maximal care to those who need it. The differentiated care for woman in the course of pregnancy and labour and for the newborns in the first weeks of life is divided into three degrees: basic for all, increased for risk cases and specialized for selected complications. The selection of risk cases is performed by means of simple screening methods, a further selection of the most serious cases by means of special diagnostic methods. The system of differentiated care has been worked out and checked in one of the Prague's districs with 200,000 of inhabitants under the guidance of the Institute for the Care of Mother and Child, Prague-Podolí. Now it is being introduced in all districts of the country.

Ambulatory Care