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What should be known about the activity of the Reference Center of the Ministry of Health and Social Welfare of the Republic of Croatia for Diagnosis of Lyme Disease.

Lyme borreliosis is very important for dermatovenereologists because of its skin manifestations that include erythema chronicum migrans, lymphadenosis benigna cutis, and aerodermatitis chronica atrophicans. In Croatia, the spirochete Borrelia burgodorferi was first isolated in 1991 at University Department of Dermatology and Venereology, Zagreb University Hospital Center. In October 2003, the Laboratory of Clinical Immunology, Immunofluorescence and Serodiagnosis was of the Ministry of Health and Social Welfare of the Republic of Croatia appointed Reference Center for the Diagnosis of Syphilis and Lyme Disease. Results of immunofluorescence diagnosis of Lyme disease are reported and areas in Croatia endemic for Lyme borreliosis are presented.

Borrelia burgdorferi Group↗

[The intervention against an outbreak of pulmonary tuberculosis in the dormitory of construction laborers--Connection with approaches from public health, medical treatment, social welfare, and labor management].

An outbreak of pulmonary tuberculosis (TB) in a dormitory of construction laborers took place, and this outbreak was presumed to be caused by the same sourse of infection, based on the results of restriction fragment length polymorphism (RFLP) analysis and other findings. After the first patient was admitted to the hospital with active TB, 18 new other TB patients were discovered by repeated contacts examinations. They were all male and single, and were aged from 41 to 67 years old (mean age 51.7). Among 19 patients, only 4 patients had a health insurance. As these patients lived together in the same dormitory, to prevent infection through close contact in the dormitory, repeated contacts examinations were further performed. In addition, several medical, social, and economical interventions were needed for these patients. It was also required to improve labor conditions in this construction company. It was concluded that comprehensive approaches including public health, medical treatment, social welfare, and labor management aspects were indispensable to prevent TB among relatively poor laborers.

Adult↗

Abnormal behavior of elderly people residing in institutions of medical and social welfare systems.

We investigated factors correlated with abnormal behavior in the elderly residing in a special nursing home (group A) and a psychiatric hospital (group B) using the dementia behavior disturbance scale, the mini mental state examination, the Japanese version of the Philadelphia Geriatric Center morale scale, and the ADL assessment scale. The cognitive function of group B was decreased compared with that of group A, but most activities of daily living (ADL) in the latter group were disrupted compared with those in the former. Only a few categories of ADL correlated with abnormal behavior in group A, whereas cognitive function, quality of life, and most categories of ADL correlated with abnormal behavior in group B. These results suggest that factors correlated with abnormal behavior in the elderly differ within institutions of medical and social welfare systems.

Aged↗