bluuebunny/crossref_metadata_2025 huggingface dataset:
Preventive central neck lymph node dissection as a stage in the treatment of papillary thyroid cancer
Authors: Tigrov М. S. , Yakovleva L. P. , Kropotov М. А. , Menshikova S. S.
Published: March 2024

Relevance: The need of prophylactic cervical lymph node dissection for the detection of low grade thyroid cancer remains debatable since preoperative examination does not always allow determining the involvement of a group VI regional lymph collector.

Objective: to evaluate the frequency of group VI nodes involvement with clinical N0–Nx based on the results of a morphological examination after performing a preventive central neck lymph node dissection.

Materials and methods: the study included 295 patients who underwent surgery from 2016 to 2022 for papillary thyroid cancer with cT1–T2, N0–Nx. There were 11.5 % of men included (n = 34) and 88.5 % of women (n = 261). Of these, 40.7 % (n = 120) were less than 55 years old. All patients underwent surgical treatment which included thyroidectomy or hemithyroidectomy with cervical lymph node dissection.

Results: The study included 295 patients with cT1 — 247 (83.7 %) and cT2 — 48 (16.3 %). Pathomorphological examination changed the T index in some patients: pT1 was found in 80.3 % of cases (n = 237); рТ2 — in 9.2 % (n = 27); рТ3 — in 10.5 % (n = 31). Central neck lymph nodes involvement was detected in 77 (26.1 %) out of 295 patients. There was a correlation between the frequency of metastases detection and the size of the primary tumor: 22.8 % (n = 54) of metastases with pT1, 33.3 % (n = 9) with pT2, and 45.2 % (n = 14) with pT3. Transient hypocalcemia was found in 32 % of patients with pT1, 69 % with pT2, and 84 % with pT3. Two patients had unilateral transient paresis of the larynx.

Conclusions: Our analysis demonstrates that the preventive central neck lymph node dissection in patients with low grade thyroid cancer is an important component of surgical treatment, which allows to improve the treatment results with a possible subsequent reduction in the risk of distant progression. In this study 77 (26.1 %) of 295 patients had metastases in the lymph nodes of the central neck. The number of postoperative complications affecting the quality of life of patients was acceptable with 0.67 % of paresis of the larynx and 39 % of mild hypocalcemia.
Importance of tumor microenvironment inflammation cells in breast cancer
Authors: Titov К. S. , Grekov D.  N. , Zakurdaev Е. I. , Lorie Z. V. , Paklina О. V. , Gordienko Е. N.
Published: March 2024

This review evaluates the role of the tumor microenvironment of breast cancer focusing on the evidence showing that tumor-associated macrophages, neutrophils, and mast cells directly participate in tumor initiation, proliferation, and metastasizing. This study also describes microenvironment cells pathologic assessment relevant for prognostication and treatment decision. Tumor-associated macrophages stimulate breast tumor progression, including tumor cell growth, invasion and metastasizing. Tumor-associated neutrophils are more prevalent in patients with severe disease or resistance to treatment and it can be explained by their pro-tumor / immunosuppressive characteristics. The contribution of mast cells to tumor development and progression appears to be a controversial area of research. The ability of mast cells to promote angiogenesis is viewed as a key process in promoting tumor development. However, elevated level of mast cells at tumor sites seems to be connected with improved outcomes.
Existing problems of prevention and treatment of chemo-induced peripheral neuropathy: world experience and own data
Authors: Chizh G.  А. , Rykov I.  V. , Orlova D.  S. , Kuzin S.  О. , Elmurzaev А. В. , Shishkin А. В. , Bogomolov V. V.
Published: March 2024

Chemotherapy-related peripheral neuropathy (CIPN) is a complication which occurs in the most cancer patients receiving taxanes and platinum-based systemic therapy. CIPN includes the wide range of clinical symptoms, and the peripheral sensitive disorders are the most common. Some patients have CIPN-related symptoms persistent after chemotherapy completion. Impact on patient's quality of life and high prevalence among cancer patients make an active search for new ways of CIPN medical correction relevant. We reviewed the existing data on medical prophylaxis and treatment of CIPN and also presented our observation data with CIPN patients. Based on our research results, we showed that the impact of CIPN on a patient's quality's life was spread beyond the peripheral sensitivity disorder. This should be taken into account for further studying of the possible correction of CIPN.
Keeping North Carolina Insured: Strategies to Support County Departments of Social Services and Continuous Enrollment
Authors: Bush Melanie
Published: March 2024

NC Medicaid experienced a dramatic increase in enrollment during the COVID-19 pandemic. To support county Departments of Social Services, NC Medicaid worked quickly to improve automation, provide flexibility, and streamline processes to better manage the workload increased by pandemic enrollment and Medicaid expansion implementation.
Impact on Appendix K Flexibilities in the NC Innovations Waiver During the COVID-19 Public Health Emergency
Authors: Goda Deb , Parker LaCosta
Published: March 2024

In March 2020, the COVID-19 public health emergency com¬pelled NC Medicaid to implement Appendix K flexibilities to change the 1915(c) Home & Community-Based Services Waivers. This paper will examine the impact of these flex¬ibilities and the subsequent decision to sunset them, with a focus on the Innovations Waiver.
Is Primary Care Adapting to Medicaid Managed Care in North Carolina? Implications for Expansion and Future Managed Care Transitions
Authors: Newman Lydia , Taylor Stan , Levis Hewson Denise , Wroth Tom
Published: March 2024

Realizing North Carolina’s comprehensive vision for Medicaid transformation requires strengthening the state’s primary care infrastructure. This can be done by build­ing upon the value-based care incentives in the Advanced Medical Home model, strengthening payor data, aligning quality measures, easing administrative burdens, investing in primary care and its workforce pipeline, and ensuring pay­ment models adequately support serving Medicaid expan­sion and the growing number of Medicaid health plans.
Q&A: Continuous Coverage Unwinding and Medicaid Expansion on the Ground in Two North Carolina Counties
Authors: Dowler Shannon
Published: March 2024

After three years of continuous Medicaid coverage as permitted by COVID-19-related waivers, in 2023 counties had to begin redeterminations of eligibility, “unwinding” this continuous coverage. As unwinding and eligibility determination continues, Medicaid expansion has begun, and county public health leaders are navigating uncertain but exciting waters. Lisa Macon Harrison, MPH, of Granville Vance Public Health, and Joshua Swift, MPH, of Forsyth County Department of Public Health, share their experiences, concerns, and hopes for the future.
Surgical techniques in bariatric surgery: minimally invasive approaches and long-term outcomes
Authors: Veloz Miguel Andrés Irua , Pinto Leslie Dayanna Rivera , Pérez Juan Carlos Navarrete , Marín Andrea Gabriela Parada , Molina Henry Paúl Velasco , Villafuerte Jean Pierre
Published: March 2024

Obesity is a worldwide epidemic, and current weight loss strategies frequently do not effectively tackle the problem. Bariatric surgery effectively addresses this issue. A systematic research study was done to investigate minimally invasive bariatric operations, using 32 studies from a pool of 2,118 data. Bariatric surgery was found to greatly assist in weight reduction and enhance general health results. Procedures such as gastric balloon, gastric banding, and gastric bypass can decrease the weight of obese people and alleviate associated health conditions. Sleeve gastrectomy is highly successful and yields favorable long-term results. The procedure used relies on the patient's health and the surgeon's discretion. The primary risk factor is the recurrence of weight or the need for revision surgery. Ultimately, bariatric procedures provide weight loss and long-term health benefits, but it is important to acknowledge the associated surgical risks. Immediate dangers include of blood clotting, intestine blockage, bleeding, infections, abdominal pain, nausea, heartburn, vomiting, ulcers, and other issues associated with surgery. Long-term consequences include of dumping syndrome, starvation, and weight regain.
Barbed suture related small bowel obstruction in bariatric surgery: a case series
Authors: Parks Kirra G. , Williams Nicholas E.
Published: March 2024

Bariatric surgeries are amongst the most commonly performed yet technically demanding laparoscopic procedures in Australia. The use of barbed suture has been widely adopted for use in gastric bypass surgeries to avoid the need for intracorporeal knot tying while maintaining tension and improving surgical efficiency. Whilst barbed suture has been reported as safe with similar outcomes to traditional suture use in bariatric surgery there is a risk that the barbs on the tail of the suture can grasp other tissues and form band adhesions resulting in small bowel obstruction (SBO). We present a series of four cases of barbed suture related SBO post Roux-en-Y gastric bypass (RYGB) surgery. In all four patients the SBO was caused by a band adhesion related to the tail of the non-absorbable (permanent) barbed suture used to close the mesenteric defect adjacent to the jejunojejunostomy. The time to presentation with SBO ranged from 1 day to 20 months post RYGB and all patients underwent diagnostic laparoscopy where the adhesion was divided and the tail of the suture trimmed. To avoid this uncommon complication, we recommend the use of absorbable barbed suture with two extra passes beyond the completion of the suture line and the tail cut almost flush with the tissue. Further data is needed to determine if the recommended modified technique still poses a risk of SBO or if use of absorbable suture to close the mesenteric defect increases the risk of internal hernia.
Emerging trends in disturbed function of the pancreas and dyspepsia: an Indian perspective
Authors: Rai Ramesh Roop , Bose Partha Pratim
Published: March 2024

Disturbed function of the pancreas, especially exocrine pancreatic insufficiency (EPI) results in inadequate synthesis or delivery of the pancreatic enzyme leading to maldigestion. Due to the lack of specific symptoms and overlapping manifestations of EPI, it often goes undiagnosed and untreated. Dyspepsia is another common condition characterized by upper gastrointestinal symptoms caused by a heterogeneous group of disorders. This consensus aims at providing a comprehensive overview of the diagnosis and management of disturbed function of the pancreas and dyspepsia. A total of 95 gastroenterologists participated in expert group meetings organized via virtual focus group discussions. Recent evidence elaborating various aspects like diagnosis and management of EPI and dyspepsia, including the use of pancreatic enzyme replacement therapy (PERT) and issues with compliance were discussed. The experts emphasized that clinical symptoms of maldigestion should not be ignored, and physicians should not wait to diagnose EPI until steatorrhea occurs. Fecal elastase (FE) test and imaging should be performed to confirm diagnosis. If EPI is diagnosed or the patient experiences weight loss or steatorrhea, PERT should be initiated while ensuring compliance. Reducing pill burden, active education, monitoring, and support from healthcare programs may help ensure compliance. EPI is also a cause of dyspepsia. Further, consuming lipid-rich foods worsens symptoms of dyspepsia. First-line treatment includes dietary changes and lifestyle modifications. Digestive enzyme supplements play a significant role in alleviating symptoms of indigestion. Routine enzyme supplementation is beneficial in managing dyspepsia caused by EPI, such as, in patients with EPI due to pancreatitis or diabetes.
Editorial – Polymeric Nanoparticles for Retinal Drug Delivery
Authors: Rad-Malekshahi Mazda
Published: March 2024

This is an Editorial and does not have an abstract. Please download the PDF or view the article in HTML.
Fluorescein versus Indocyanine Green Angiography Guided Half-Dose Photodynamic Therapy for Chronic Central Serous Chorioretinopathy
Authors: Moodi Farzan , Naseripour Masood , Zand Amin , Mirshah Reza , Moodi Vihan , Amirpooya Alemzadeh Sayyed , Ghasemi Falavarjani Khalil
Published: March 2024

Purpose: To compare the outcomes of fluorescein angiography (FA)-guided and indocyanine green angiography (ICGA)-guided half-dose photodynamic therapy (PDT) in patients with chronic central serous chorioretinopathy (CSC).
Methods: In this retrospective comparative study, medical records of eyes with chronic CSC who underwent half-dose PDT were reviewed. A retina specialist performed FA-guided half-dose PDT, and the other performed ICGA-guided treatment. The success of applying PDT in the resolution of subretinal fluid was compared between the FA- and ICGA-guided methods.
Results: Eighty-two eyes of 73 patients (41 eyes in each group) received half-dose PDT. After half-dose PDT, a significant improvement in the best-corrected visual acuity (BCVA) was found at the time of the last follow-up in both groups (both P < 0.001), with no significant intergroup difference. Central subfield and subfoveal choroidal thicknesses decreased significantly in both groups at the last follow-up (all P < 0.05), with no significant differences between the groups. Subretinal fluid (SRF) resolved in all eyes, and no persistent SRF was detected during the follow-up period.
Conclusion: FA-guided and ICG-guided half-dose PDT may have similar efficacy for the treatment of chronic CSC.
Dark Adaptometry and Optical Coherence Tomography-Angiography in Huntington Disease
Authors: Shah Aaditya , Fuller Spencer , Criswell Susan , Apte Rajendra
Published: March 2024

Purpose: Huntington’s Disease (HD) is a fully penetrant neurodegenerative disease leading to cognitive and motor disturbances. The retina may serve as a structural and functional extension of the central nervous system to identify biomarkers of HD using noninvasive imaging technology such as optical coherence tomography angiography (OCTA) and dark adaptometry.
Methods: This case–control study included 12 HD participants (24 eyes) recruited from the Huntington’s Disease Society of America Center of Excellence at Washington University in St. Louis along with 16 control participants (31 eyes). Disease-positive participants underwent imaging testing of retinal capillary density and foveal avascular zone utilizing OCTA along with dark adaptometry testing. Data were collected from November 2020 to February 2022.
Results: Individuals with HD had a lower mean age-adjusted superficial foveal capillary density and a higher mean deep foveal capillary density compared to control subjects. There was no significant difference in the mean foveal avascular zone or in dark adaptometry testing between the two groups.
Conclusion: This study suggests that changes in retinal biomarkers may exist in patients with HD and that additional investigations using multimodal techniques are warranted.
Polymeric Propranolol Nanoparticles for Intraocular Delivery: Formulation, Characterization, and Vitreous Pharmacokinetics
Authors: Chaharband Farkhondeh , Varshochian Reyhaneh , Dinarvand Rassoul , Sabbaghi Hamideh , Rezaei Kanavi Mozhgan , Daftarian Narsis , Nourinia Ramin
Published: March 2024

Purpose: Recent studies have reported the promising effect of intravitreal propranolol on retinal neovascularization. However, rapid clearance and short half-life of the drug in the vitreous are the main drawbacks of this therapeutic approach. This study investigates the extension of the residence time of propranolol in the vitreous by polymeric nanoparticles (NPs) with the prospect of improving choroidal neovascularization treatment.
Methods: The poly (lactic-co-glycolic) acid (PLGA) NPs were fabricated by a modified double emulsion solvent evaporation method and the obtained NPs were characterized for their size, poly dispersity index (PDI), and surface image. The in vitro release, cell cytotoxicity, and uptake of NPs were also evaluated. To investigate the effect of the vitreous pharmacokinetic drug loaded NPs versus that of the free propranolol, they were intravitreally injected into the rabbits’ eyes and the drug vitreous concentrations in defined intervals were analyzed by high performance liquid chromatography (HPLC).
Results: The spherical NPs with about 230 nm size, and almost 10% drug loading were obtained. Based on the 3-(4, 5-Dimethylthiazol-2-Yl)-2, 5-Diphenyltetrazolium Bromide (MTT) outcomes, 30 µg/ml of propranolol was considered as the guide dosage in the intravitreal injection. Confocal microscopy images verified the presence of labeled NPs in the posterior segment after five days of receiving the injection. In vivo assay revealed that the vanishing rate of propranolol in rabbits treated with propranolol NPs was reduced at twice the rate as compared to that of the vanishing rate experienced with only the free drug.
Conclusion: PLGA NPs can prolong the existence of propranolol in both vitreous and posterior ocular tissues, and thus, may provide an effective approach in treatment of posterior segment neovascularization.
The Effect of Cycloplegia on Ocular Alignment and AC/A Ratio
Authors: Asharlous Amir , Hashemi Hassan , Yekta Abbasali , Riazifar Alireza , Doostdar Asgar , Sadri Mahsa , Rakhshan Amir , Ostadimoghaddam Hadi , Khabazkhoob Mehdi
Published: March 2024

Purpose: The present study sets out to investigate the effect of cyclopentolate-induced cycloplegia on distance and near deviation and the accommodative convergence/accommodation (AC/A) ratio.
Methods: This prospective study was performed on 30 subjects. The inclusion criteria included a lack of any active ocular pathology and systemic diseases, no history of ocular surgery, and nonuse of various medications. Refraction, near and distance deviation were measured for all subjects, and the same examinations were repeated after the administration of two drops of cyclopentolate 1% to both eyes.
Results: The obtained data from 30 subjects, including 19 males, with a mean age of 22.53 ± 1.74 years were analyzed. The mean ± SD of near deviation in dry and cycloplegic conditions were – 6.9 ± 8.1 and +6.4 ± 9.1 prism diopters, respectively, which were statistically significant (P < 0.001). Distance deviation in cycloplegic conditions demonstrated an average difference of 0.8 prism diopters, compared to dry conditions (P < 0.001). AC/A ratios were 4.7 ± 2.5 and 9.7 ± 3.9 (Δ/D) in non-cycloplegic and cycloplegic conditions, respectively, which was a statistically significant difference (P < 0.001). The multiple regression indicated that among all under study variables, refraction (B coefficient: –2.4; P < 0.001) and near pre-cycloplegic deviation (B coefficient: 0.56; P < 0.001) were significantly associated with post-cycloplegic near deviation.
Conclusion: The results of this study indicated that cycloplegia causes a considerable esophoric shift in near deviation and a negligible esophoric shift in distance deviation. As a result, the AC/A ratio demonstrated a significant increase due to unequal changes in near and distance deviation.
Neuro-Ophthalmologic Complications of SARS-Cov-2 Infections and Vaccinations
Authors: Finsterer Josef , Alexandre Scorza Fulvio , Claudia Fiorini Ana
Published: March 2024

This is a Letter and does not have an abstract. Please download the PDF or view the article in HTML.
Vloga elektroenergetike v družbi The Role of Electro-Energetics in Society
Authors: Bokal Drago , Salobir Uroš , Krmelj Vlasta , Papič Igor , Jaklič Klemen , Šmon Ivan , Kajzer Špela , Hrast Marko
Published: March 2024

Družba, z njo pa tudi elektroenergetika, ki jo kot civilnodružbena organizacija zastopa združenje CIGRE-CIRED, se je znašla v turbulentnih časih, v katerih se zdijo posledice odločitev nepredvidljive. Zaradi tega pogosto niti strokovne razlage procesov, ki do posledic pripeljejo, niso preverljive. Za osvetlitev navedenih procesov je nastal pričujoči zapis poudarkov okrogle mize s 16. Konference slovenskih elektroenergetikov CIGRE-CIRED, na kateri so govorci v treh sklopih osvetlili pogled na vlogo elektroenergetike v družbi. Kot konkretno zapuščino okrogle mize govorci predlagajo tri sklepe, ki so povzeti v naslednjih iztočnicah: 1. Elektrika življenjsko pomembna dobrina in ne zgolj tržno blago, zato zahteva premišljeno upravljanje procesov elektroenergetskega sistema. 2. Združenje je pripravljeno sodelovati z vsemi dobronamernimi družbenimi deležniki, ki se trudijo, da se elektrika dojema kot temelj družbene blaginje, ne kot vir konfliktov. 3. Zavezani so k spodbujanju izobraževanja o bazičnih zakonitostih elektroenergetike v sodelovanju z izobraževalnimi institucijami.
Foresight analitik: analiza ključnih znanj z vidika ponudnikov visokošolskih izobraževanj v tujini in možnosti za implementacijo v slovenskem visokošolskem prostoru
Authors: Brezavšček Alenka , Jerebic Janja , Žnidaršič Anja
Published: March 2024

V prispevku obravnavamo koncept foresight analitike in njeno pomembnost v današnjem gospodarskem okolju. Izpostavljamo njeno ključno vlogo pri prilagajanju na tržne spremembe, napovedovanju trendov, upravljanju tveganj in oblikovanju trajnostnih strategij. Glavni del prispevka je osredotočen na identifikacijo znanj in veščin, ki so za foresight analitika ključna za uspešno vključitev na mednarodni trg dela. V ta namen smo izvedli analizo obstoječih študijskih programov, ki jih ponujajo visokošolske institucije v tujini. Nadalje smo proučili, kakšna je ponudba izobraževanj na temo foresight analitike v Sloveniji. Oblikovali smo smernice za prihodnji razvoj in implementacijo tega pomembnega področja v slovenski visokošolski prostor z namenom zadovoljevanja potreb gospodarstva.
Fostering Sustainable Rural Development Through Participatory Approaches
Authors: Cetina Edo
Published: March 2024

In the last twenty years, local self-governments in rural areas have initiated a transformative process to create appealing living environments capable of satisfying modern human needs while ensuring a high quality of life. With this aim, they are constantly trying to create optimal conditions that would keep the current population, and also attract new people and capital. In order to succeed in this, it is crucial to enable the entire local community to participate in the process of sustainable development, and a community is made of all stakeholders operating in one area, including local self-government. Therefore, when designing a local community development strategy, it is very important to take into account the needs of all local stakeholders in the area.
You Only Live Twice! – The Interrelations of Ambidexterity and Green Transition
Authors: Heidrich Balázs , Vajdovich Nóra
Published: March 2024

Wineries and their managers today are increasingly demonstrating the critical role of ambidextrous leadership in balancing the maintenance of traditional winemaking methods with advancement towards green transitions. This form of leadership, which involves both exploiting existing capabilities and exploring new opportunities, is essential in navigating the complexities of modern winemaking. Ambidextrous leaders in family-run wineries excel not only in preserving the rich heritage of winemaking but also in embracing ecological innovation and sustainability. The dual capability extends to aligning the goals of the family and the business. Ambidextrous leaders skilfully manage family relationships, values and objectives while ensuring that these align with the business’ growth, innovation, and environmental stewardship goals. By doing so, they create a harmonious blend of family unity and business success. This approach allows wineries to integrate respect for traditional winemaking with a commitment to environmental protection, signifying a progressive industry that honours its past while contributing positively to the future. Ambidextrous leadership in wineries thus emerges as a key factor in achieving a sustainable and successful balance between tradition and modernity, family values and business goals and environmental consciousness and industry progress.
Pomen podnebnega zakona za zeleni prehod
Authors: Igličar Albin
Published: March 2024

Vključevanje ciljev zelenega dogovora EU v evropsko in nacionalno zakonodajo je bistvenega pomena za sprejemanje in izvajanje družbenih odločitev na področju nizkoogljičnega krožnega gospodarstva in podnebno nevtralne celine. Uresničitev podnebnega cilja EU glede zmanjšanja emisij EU za vsaj 55 % do leta 2030 je postala z evropskimi podnebnimi pravili pravno obvezna za države članice. Države članice EU so obvezne sprejeti novo zakonodajo, da bi uresničile ta cilj in dosegle podnebno nevtralnost EU do leta 2050. V Sloveniji za področje zelenega prehoda daje ključne usmeritve in zavezujoče pravne okvire predlog podnebnega zakona. Določbe zakonskega predloga vključujejo ukrepe za zmanjševanje emisij toplogrednih plinov in za prilagajanje podnebnim spremembam ter ekonomske in finančne instrumente, potrebne za zeleni prehod.
Mapping of Digital Competence Frameworks Used in Practical Settings
Authors: Indihar Veličkovič Vid
Published: March 2024

This article presents our analysis of digital competence frameworks as used in practical settings. Our objective was to evaluate the acknowledgement of digital competence in practical settings and analyse its implementation through digital competence frameworks. The analysis consists of temporal analysis, geographic distribution analysis and the analysis of groups, targeted by identified frameworks. We identified 70 frameworks through means of mainstream search engine queries. Our findings underscore global recognition of digital competence as a crucial and current concept in practical settings.
AI and Internal Audit, Reporting Transformation
Authors: Jakovljević Nemanja , Dmitrović Veljko
Published: March 2024

The recent emergence of OpenAI and ChatGPT has brought numerous advantages for the professions of accountants and auditors, but at the same time numerous risks, threats and challenges. GPT's ability to understand, predict and generate human-like text has turned the technology into a clear foundation that redefines and shapes a wide range of activities, including internal auditing. GPT models have rapidly evolved from their initial roles in simple text generation to complex applications. Their ability to understand language and context, generate coherent and relevant text, and learn from vast amounts of data makes them ideal for tasks such as compiling internal audit reports. Internal audit reports summarize key findings and identify risks that need to be remedied for the audit committee, CEOs and senior management. However, writing and presenting such reports takes a lot of time, and using GPT can help significantly with that. The subject of the paper is a comprehensive review of a wide range of AI, internal audit, reporting transformation. The main conclusion points to the growing responsibility of internal auditors with the widespread use of generative artificial intelligence services to support audit reporting. Internal auditors must be aware of the risks and challenges brought by the new technology, based on artificial intelligence, which requires clear training and thematic areas incorporated into the curricula in the process of certification of internal auditors.
Bolnišnične obravnave zaradi bolezni mišično-skeletnega sistema in vezivnega tkiva v letu 2022 v Sloveniji
Authors: Jelenc Marjetka , Sedlak Sabina , Simonović Sandra
Published: March 2024

Bolezni mišično-skeletnega sistema in vezivnega tkiva obsegajo preko sto petdeset različnih obolenj. V Sloveniji predstavljajo javnozdravstveni problem, saj so pomemben vzrok odsotnosti z dela, neudejstvovanja v družbi, zgodnjega upokojevanja in bolnišničnih obravnav oz. hospitalizacij. V retrospektivni-opazovalni raziskavi smo analizirali bolnišnične obravnave zaradi bolezni mišično-skeletnega sistema in vezivnega tkiva v Sloveniji za leto 2022. V analizi so bili uporabljeni najnovejši podatki redne zdravstvene statistike, ki se zbirajo na Nacionalnem inštitutu za javno zdravje. Rezultati raziskave so pokazali, da so bili leta 2022 najpogostejši vzroki za bolnišnične obravnave zaradi bolezni mišično-skeletnega sistema in vezivnega tkiva artroza kolka, artroza kolena in spondilopatije. Zabeleženih je bilo 20.454 bolnišničnih obravnav zaradi tovrstnih bolezni, 9031 pri moških in 11.423 pri ženskah, kar je predstavljalo 8,4% vseh bolnišničnih obravnav v tem letu. Pričakovati je, da se bo število bolnišničnih obravnav zaradi teh bolezni povečevalo, kar nujno zahteva sledenje ustreznim strateškim dokumentom.
Upravljanje medgeneracijskega sodelovanja iz naslova predsodkov in izzivov
Authors: Kovačević Vanja , Marič Miha
Published: March 2024

Staranje prebivalstva pomembno vpliva na dinamiko delovne sile in zahteva učinkovito prilaganje spremembam. Osredotočili smo se na upravljanje medgeneracijskega sodelovanja in reševanje vrzeli, ki ob tem nastajajo. Starejše generacije imajo več delovnih in življenjskih izkušenj, na drugi strani pa mlajša generacija prinaša sveže ideje. Sodelovanje različnih generacij pomeni združevanje različnih perspektiv pri reševanju kompleksnih problemov, ki zahtevajo širok spekter znanj in izkušenj. Prilaganje spremembam za mlajšo generacijo ne predstavlja nekih večjih težav, na drugi strani pa se pogosto srečujemo s tem, da se starejši zaposleni težje prilagajajo novim okoliščinam. V delovnem okolju, kjer se dogajajo hitre tehnološke spremembe so starejši zaposleni pogosto zapostavljeni, saj se pojavljajo določeni predsodki, ki predstavljajo dodaten izziv pri upravljanju medgeneracijskega sodelovanja. Pri učinkovitem prilagajanju spremembam se starejši soočajo s specifičnimi izzivi pri uporabi digitalnih tehnologij. Reševanje teh izzivov zahteva prilagojene programe usposabljanja, ki temeljijo na individualnih potrebah zaposlenih. Ustvarjanje okolja, kjer se spodbuja sodelovanje med različnimi generacijami, se odraža z organizacijsko klimo, ki ima pozitiven vpliv celotno delovno okolje.
Digitalna podpora spremstvu pacientov s poudarkom na etiki skrbi in kakovosti storitev
Authors: Kralj Danijela
Published: March 2024

Na zagotavljanje celovite kakovosti za odgovorno in humano oskrbo pacientov vpliva vse veÄŤ dejavnikov, vkljuÄŤno z novimi tehnologijami. Med kljuÄŤnimi storitvami zdravstvene oskrbe pa je spremstvo pacientov. To zahteva premiĹˇljeno naÄŤrtovanje in skrbno delovanje, da je v vseh pogledih zagotovljeno spoĹˇtljivo, empatiÄŤno in etiÄŤno ravnanje. Uvajanje novih tehnologij, digitalne podpore in z njo povezane umetene inteligence tudi na podroÄŤju zdravstvene oskrbe prinaĹˇa vrsto novosti, tako koristi kot tveganj. Naslovni prispevek se v celoti osredotoÄŤa na uveljavljenih podlagah etike skrbi, ki ne zajema zgolj klasiÄŤne logistike, naroÄŤanja in izvajanj storitve spremstva, temveÄŤ pomembno prispeva k celostni, odgovorni in kakovostni oskrbi pacientov, vkljuÄŤno z etiÄŤno odgovornostjo pri uporabi novih tehnologij na tem podroÄŤju.
Vloga digitalne inteligence v uspešnosti razporejanja zasebnega in delovnega časa - pregled literature
Authors: Lavrač Janja , Žnidaršič Jasmina , Kljajć Borštnar Mirjana
Published: March 2024

Tehnologija je praktično del našega vsakdana, tako doma, kot v službi. Uspešno vključevanje v delovno in družbeno okolje posameznika je odvisno tudi od veščin uporabe sodobnih digitalnih tehnologij. Po eni strani digitalne tehnologije omogočajo bolj učinkovito delo in izrabo časa, po drugi strani pa neprestana dosegljivost od koderkoli lahko vpliva na nezmožnost razporejanja zasebnega in delovnega časa. Za obvladovanje izzivov, ki jih prinaša življenje v vse bolj digitalnem svetu pa niso dovolj le digitalne kompetence, pač pa skupek družbenih, čustvenih in kognitivnih sposobnosti. V prispevku bomo pripravili sistematični pregled raziskav na področju vpliva digitalne tehnologije na razporejanje zasebnega in delovnega časa. V ta namen bomo pregledali bibliografske podatkovne baze Web of Science, Scopus in ProQuest disertation in thesys po izbranih ključnih besedah. Cilj prispevka je opredeliti raziskovalno vrzel ter pripraviti nadaljnji načrt raziskave.
Pametne skupnosti in pametna policijska dejavnost v slovenskih občinah
Authors: Lobnikar Branko , Mihelič Anže , Prislan Mihelič Kaja
Published: March 2024

Po svetu se države in mesta osredotočajo na trajnostni razvoj z inovativnimi pristopi k družbenim problemom. Razvoj pametnih skupnosti vodi k učinkovitejšim, fleksibilnejšim in trajnostnim okoljem, izboljšuje kakovost življenja ter ponuja kakovostnejše storitve. Te skupnosti uvajajo inovacije na področjih energetike, mobilnosti, zdravstva, turizma, okolja, ekonomije, javnega upravljanja, šolstva in varnosti. Pametne skupnosti izkoriščajo informacijsko-komunikacijske tehnologije in inteligentne sisteme za reševanje varnostnih izzivov, kar vključuje tudi pametno policijsko delovanje. To je nov pristop v policijskem delu, osnovan na podatkih, ki združuje tehnologijo, raziskave in analitiko. Cilj je izboljšati preprečevanje in preiskovanje kriminalitete ter okrepiti na dejstvih temelječo policijsko delo. V Sloveniji smo septembra 2023 izvedli raziskavo med 57 odgovornimi za varnost v občinah, ki so ocenili razvoj pametnih skupnosti/mest. V prispevku so prikazani rezultati stopnje razvitosti posameznih področij pametnih skupnosti/mest v občinah ter predstavljeni projekti/rešitve s področja pametne policijske dejavnosti ali pametnega razvoja na področju zagotavljanja varnosti v lokalnih skupnostih.
Telemedicina in druge podporne tehnologije pri osebah z demenco na domu: Poročane izkušnje oseb z demenco in njihove ocene uporabnosti
Authors: Lovrečič Mercedes , Lovrečič Barbara
Published: March 2024

Uvod: Po ocenah bo do leta 2050 v svetu 151 milijonov oseb z demenco. Demenca je med najpogostejšimi vzroki odvisnosti od pomoči drugih. Vzporedno z naraščanjem pogostosti demence narašča povpraševanje po storitvah zdravstvenega in socialnovarstvenega varstva, značilnost Slovenije je neenaka dostopnost do teh storitev, hkrati se soočamo s kritičnim pomanjkanjem strokovnega kadra zato so potrebne alternativne rešitve. Metode: Izvedli smo pregled literature v podatkovni bazi PubMed po metodologiji PRISMA. Osredotočili smo se na tiste prispevke, ki so vsebovali poročane izkušnje in ocene uporabnosti s strani oseb z demenco, ki so moderne tehnologije predhodno uporabile. Rezultati: V času pandemije covid-19 se je razširila uporaba modernih tehnologij, še posebej v času popolnega zaprtja družbe (lockdown), kar je omogočalo osebam z demenco in njihovim oskrbovalcem vzdrževanje socialnega stika, pomoč pri aktivnostih ter stika s službami zdravstvenega varstva. Zaključek: Telemedicina in druge podporne tehnologije pripomorejo k premostitvi vrzeli med potrebami in dostopnostjo storitev zdravstvenega varstva, pa tudi na drugih področjih v kolikor so osnovane in prilagojene potrebam oseb z demenco.
Demenca in umetna inteligenca: uporaba asistenčnih socialnih robotov
Authors: Lovrečič Mercedes
Published: March 2024

Ozadje: Pri svetovnem prebivalstvu se podaljšuje življenjska doba, z naraščanjem starosti se povečuje tveganje za demenco. Po napovedih bomo do leta 2050 imeli na svetu več kot 150 milijonov oseb z demenco, ki so z napredovanjem bolezni vse bolj odvisne od pomoči drugih in socialnovarstvene namestitve. Trenutno v svetu potekajo raziskave uporabnosti umetne inteligence (UI) na področju demence. Metode: V skladu z metodologijo PRISMA smo pregledali obstoječo literaturo v podatkovni bazi PubMed na podlagi izbranih ključnih besed. Rezultati: Možnosti uporabe UI in asistenčnih socialnih robotov (ASR) na področju demence so obetavne. UI lahko pomembno pripomore na področju diagnosticiranja bolezni, spremljanja napredovanja bolezni in pri oskrbi ter podpori oseb z demenco na domu, kar predstavlja možnost daljšega bivanja v domačem okolju in daljšo samostojnost oseb z demenco. Zaključek: Ob naraščajočih potrebah oseb z demenco, ki so vse bolj odvisne od pomoči drugih, in ob pomanjkanju strokovnega kadra v sistemu zdravstva in sociale lahko predstavlja UI pomemben doprinos k zdravstvenemu in socialnem varstvu ter k boljši kvaliteti življenja.
Simulation as a Game-based Experiential Technique in English for Professional Purposes: Implementation and Evaluation
Authors: Marković Tatjana , Jokanović Vesna
Published: March 2024

The goal of this paper was to explore how effective simulation as a game-based instructional method is in teaching English for Professional Purposes. It explains the creation, implementation, and assessment of the Company Simulation, a social epistemic simulation game in which students act out roles in a predetermined scenario and learn about the concepts and relationships of the business world while immersed in a classroom-created micro-world. Students complete tasks that mimic real-world professional tasks by navigating a complex web of interactions and transactions. A students' perceptions questionnaire has shown that the simulation was unequivocally thought to be relevant, enjoyable, and useful. It has also helped participants acquire specific language, social, and domain competences and skills in a collaborative environment offering abundant learning opportunities, thus bridging the academia and industry gap and helping students develop 21st century work-related skills in a meaningful, integrated, and purposeful way.
Združevanje varnosti in zdravja pri delu ter trajnostnega razvoja: primer Slovenije in Srbije
Authors: Meško Maja , Živković Snežana , Radjenović Tamara , Markič Mirko
Published: March 2024

Varnost in zdravje pri delu sta ključna za uspešno delovanje organizacij v vseh državah. Prav tako sta ključna za trajnostni razvoj organizacij. V prispevku smo raziskali, kako povezati vidike varnosti in zdravja pri delu s spremembami, ki jih prinašata zeleni prehod in digitalna revolucija. Obe državi, Slovenija in Srbija, se soočata s temi spremembami, ki se odražajo v načinu dela in uvajanju novih tehnologij. V Sloveniji organizacije stremijo k zmanjšanju emisij, uporabi obnovljivih virov energije in učinkovitemu ravnanju z odpadki. V Srbiji pa posebno pozornost namenjajo ekološki obnovi industrijskih con. Pri teh spremembah je ključno povezati vidike varnosti in zdravja pri delu. Organizacije v obeh državah morajo zagotoviti varne delovne pogoje, ki upoštevajo nove tehnologije in njihov vpliv na zaposlene. To zmanjšuje verjetnost poškodb in bolezni ter izboljšuje delovno učinkovitost. V prispevku smo predstavili ukrepe za preprečevanje nevarnosti, ozaveščanje zaposlenih o novih tehnologijah ter izobraževanje o varnosti pri delu. Povezovanje vidikov varnosti in zdravja pri delu z zelenim prehodom in digitalno revolucijo lahko organizacijam v obeh državah prinese boljše rezultate, tako na gospodarskem kot tudi okoljskem področju.
Zeleni prehod oskrbovalnih verig: Izzivi, digitalizacija in ekonomski vidiki
Authors: Mežnar Dušan
Published: March 2024

Osnovni cilj tega članka je predstaviti in analizirati tveganja in priložnosti, ki jih prinaša zelena transformacija oskrbovalnih verig. Pri tem bo posebna pozornost namenjena ekonomski analizi s poudarkom na donosu naložb (ROI). Prvi sklop se nanaša na identifikacijo ključnih izzivov in nevarnosti pri prehodu na bolj trajnostne prakse v oskrbovalnih verigah s poudarkom na ekoloških, družbenih in ekonomskih tveganjih, ki so povezani z zelenim prehodom ter z analizo vpliva na stroške in dobičkonosnost podjetij. Drugi sklop predstavlja analizo korelacij med digitalizacijo in zelenim prehodom in sicer kako digitalizacija omogoča boljše upravljanje trajnostnih praks in procesov v oskrbovalnih verigah. Tretji sklop pa predstavi model za merjenje uspešnosti zelenega prehoda z metodo MFA. Gre za predstavitev metode matrične funkcionalne analize (MFA) kot orodja za merjenje in evalvacijo trajnostnih praks v oskrbovalnih verigah s praktičnimi smernicami za uporabo MFA pri oceni zelenega prehoda. Četrti sklop pa je diskusija o tem kako lahko podjetja dosežejo donosnost naložb (ROI) pri zelenem prehodu z uporabo digitalnih tehnologij.
Družbena odgovornost kot element izobraževanja v zdravstveni negi
Authors: Bahun Mateja , Pivač Sanela , Kalender Smajlović Sedina , Smodiš Marta
Published: March 2024

Po definiciji je družbena odgovornost tista osebna odgovornost, ki jo izkazujemo do celotne družbe. Cilj raziskave je ugotoviti razvitost osebne družbene odgovornosti študentov zdravstvene nege ter najti možna področja za razvoj odgovornosti. Metoda: Uporabili smo kvantitativno raziskovalno metodologijo in anketirali študente visokošolskega študijskega programa Zdravstvena nega (VS) na Fakulteti za zdravstvo Angele Boškin. Vzorec obsega 107 oseb. Merski instrument obsega trditve s področja družbeno odgovornega ravnanja ter motivov zanj. Rezultati: Anketiranim je med aktivnostmi družbeno odgovornega ravnanja najpomembnejša pomoč bolnim (71 %). V več kot 90 % pa sami sebe ocenjujejo s trditvami, ki jih lahko pripišemo v pravno in etično dimenzijo osebne družbene odgovornosti. Motivi za družbeno odgovorno ravnanje izhajajo iz notranje motivacije, najvišje je ocenjeno zadovoljstvo s svojim delom (PV = 4,7, SO = 0,6). Razprava: Rezultati so nam dali osnovo za umestitev vsebin osebne in družbene odgovornosti v študijske vsebine, saj izobražujemo in vzgajamo za poklice, kjer je ta zavest še kako pomembna, ravno tako kot je pomembna za prihodnost zdrave družbe.
Tradicionalne vrednote v digitalni dobi: študija primera družinskega podjetja
Authors: Nikolaeva Stoyanovich Anastasiya , Marič Miha
Published: March 2024

Družinska podjetja, kot posebna oblika podjetij, se pogosto soočajo s konfliktom med tradicijo in potrebo po digitalizaciji. Analiziramo konkreten primer družinskega podjetja, ki se ukvarja z mednarodnim poslovanjem, in raziskujemo konflikt med starejšo generacijo, ki poudarja osebni stik, in mlajšo generacijo, ki favorizira digitalno komunikacijo. V okviru raziskave so predstavljeni vidiki digitalizacije, ki kažejo na prednosti sedanje komunikacije, vključno z elektronsko pošto, video konferencami in družbenimi mediji. Tradicionalne vrednote, kot so osebni stik in zaupanje, so prav tako podrobno analizirane in poudarjene kot ključne v poslovanju družinskih podjetij. S študijo primera prikazujemo konkreten primer generacijskega konflikta v družinskem podjetju in raziskujemo, kako so z združevanjem tradicionalnih vrednot in digitalnih orodij dosegli uspešno mednarodno sodelovanje. Razprava poudarja pomembnost ravnotežja med tradicijo in tehnologijo, medtem ko zaključek izpostavlja potrebo po dialogu in izobraževanju med generacijami za doseganje harmonične kombinacije tradicije in sodobnih tehnologij.
Analysis of the Increase in Learning Success Through the use of Digital Tools in Repetitive Teaching Entry in Economics Lessons
Authors: Paape Björn , Maus Christoph , Kiereta Iwona , Lehmann Hendrik , Schmeink Thomas , Skorzak Kai
Published: March 2024

Vocational schools face the challenge of preparing learners for the digitalised world of work within the framework of media and digital education, which also includes advanced digital working methods. The focus of the present study is on the one hand on possible positive effects in relation to the learning success of the learners and on the other hand to differentiate between the male and female gender in this respect. The students come from business classes at the vocational college. In order to be able to record and illustrate the results of this study in a measurable way, a learning assessment was carried out at the end of the teaching sequence. The results show that the tool Kahoot! has a measurable and beneficial effect on the learners' performance. In addition, it could be measured that the positive effect mentioned has a stronger impact on the male students than on the female students.
Process Management of Organizational Changes in the Case of Education Process within Organizations
Authors: Patafta Dominik , Krhač Andrašec Eva , Kremsar Sara
Published: March 2024

In the rapidly changing business environment of recent years, organizations aim to constantly improve efficiency and effectiveness by adding value to products and services for their clients. One of the most critical factors is employees' knowledge and skills, which organizations address through modern technology. Exploring digital solutions revealed potential benefits: environmental impact, resource efficiency, accessibility, scalability, data insights, innovation opportunities, and economic competitiveness. This article explores the transformative potential of integrating digitalization into traditional education processes. We conducted a thorough analysis using the EPC technique with the ARIS tool, resulting in a well-documented and conceptually developed digital education process. Comparing traditional and digitalized processes, we investigate education process challenges. The outcome reveals a dynamic education process with fewer activities and documents, a bigger percentage of activities supported by the information technology, and a shorter process throughput time. With summarizing achievements, this article guides organizations in considering a similar transition.
The Influence of Digitalization on the Concept of Sustainable Development
Authors: Petković Jasna , Gaev Danka , Bukonja Luka
Published: March 2024

Digitalization has become an essential part of modern business, facilitating the conversion of analog data into digital format for easier storage, sharing, and access. As organizations continue to adopt digital technologies to streamline their operations and improve efficiency, they are also recognizing the importance of sustainability. Sustainability includes reducing environmental impact, minimizing waste and maintaining ethical business practices. This paper explores the intersection of digitalization and sustainability in the business world. Digitalization has had a significant impact on business operations, leading to increased efficiency and productivity at the same time, sustainability has emerged as a critical issue for organizations, with consumers and stakeholders demanding environmentally responsible practices. This paper seeks to examine how businesses can use digitalization to achieve sustainability goals and create a positive impact on the environment and society.
The Role of Social Networks in the Spread of Fake News
Authors: Rodič Blaž
Published: March 2024

Crises in human society have been accompanied by the deliberate and unintentional spread of false news since the time of ancient Egypt. However, the spread of misinformation has taken entirely new dimensions with the emergence of online social networks. According to the World Economic Forum, fake news represents one of the main threats to human society. The scope and speed of the dissemination of fake news and misinformation in today's world significantly negatively affect democratic processes. In this contribution, we present an overview of research on the spread of fake news on social networks, focusing on major global crises in recent times, such as the U.S. elections, the Covid-19 pandemic, and the war in Ukraine, and present the state of our ongoing research project in this field.