bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do the experiences of patients of state-employed family physicians and concessionaires in Slovenia differ?
Authors: Rotar Pavlic Danica , Sever Maja , Klemenc-Ketiš Zalika , Švab Igor , Kersnik Janko , Boerma Wienke 
Published: November 2017

Background: Family practice in Slovenia is provided by state-employed family physicians as well as concessionaires. However, both work under a contract withthe National Health Insurance Institute. This study focuses on comparing patients’ experiences with Slovenian concessionaires and state- employed physicians. Methods: We performed analyses using survey data from a cross-sectional study on patient experiences, which took place from September 2011 to April 2012 as a part of the international QUALICOPC study. The Slovenian branch of this study included 1,962 patients visiting family practices. Patients were classified into two groups regarding the registered status of their family physician. They completed the questionnaires immediately after visiting their family physicians. Data used in the analyses included 76variables:18socio-economic and 58variableslinked to the patient's experience. Results:The analyses showed few differences between concessionaires and state-employed family physicians. In comparison to patients of state-employed family physicians, patients of concessionaires were less likely to make an appointment for a visit (19.8% vs. 29.2%), were generally more frequent visitors (43.7% vs. 50.7%), and more often felt that opening hours are too restricted (25.7 % vs. 31.9%). Patients of concessionaires believed more often that in general, doctors can be trusted (40.1% vs.47.1 %). A smaller percentage of patients of concessionaires felt that their physician had the capacity to deal with personal problems as well as provide medical care (61.9% vs. 54.7%). Conclusions: There are few differences in patients’ experiences of state-employed family physicians and concessionaires. Slovenian patients have a generally positive experience with family practice services regardless of the family physicians’ status. Plans for organizational change of the health sector should include patients’ perceptions of services.
VPLIV TRAMADOLA NA ZDRAVLJENJE POOPERATIVNE BOLEČINE PO ODSTRANITVI ŽRELNICE IN NEBNIC PRI OTROCIH
Authors: Benedik Janez 
Published: November 2017

Background: Tonsillectomy is one of the most commonly performed surgical prcedures in childhood. Acute pain after tonsillectomy and adenoidectomy can be treated with non-opioid and opioid analgesics. Our hypothesis stated that tramadol iv after induction of anaesthesia has superior analgesic effect compared to acetaminophen.Methods: In a prospective, randomised study we compared analgesic efficacy of tramadol (group T: 2 mg/kgBW iv) and acetaminophen (group A: elixir 15 mg/kgBW before op. procedure) in a group of 108 children (age 3-7 years). Exclusion critheria: allergy, liver or kidney failure, epilepsy, febrile convulsions. A standard anaesthetic technique was used: propofol, alfentanil, vecuronium, positive pressure ventilation with 60% nitrous oxide in oxygen. After the procedure each child received acetaminophen suppositories (10 mg/kgBW/4-6h) and combined suppositories. Monitoring: vital signs during and after op. procedure, pain intensity on the ward (facial pain score). Results: There were no significant differences between the two groups in age distribution (mean age 5,2 years), ASA physical status, body weight, operative procedure, pain scores (VAS 6h after operative procedure; group T: 4,21±1,45; group A: 4,06±1,33), oxygen saturation, pulse frequency and the consumption of acetaminophen suppositories. Significant difference was in the consumption of combined suppositories (group T: 1,85±0,79; group A: 1,43±0,69, p=0,003). Conclusion: Our study has shown, that tramadol is not a superior analgesic for the relief of posttonsillectomy pain in children compared to acetaminophen.
NOVOSTI V OBRAVNAVI BOLEZNI PREBAVIL IN ZAPLETOV PRI CISTIČNI FIBROZI TER ORGANIZACIJA PREHODA IZ PEDIATRIČNEGA CENTRA V CENTER ZA CISTIČNO FIBROZO ZA ODRASLE
Authors: Praprotnik Marina , Bratanič Nevenka , Brecelj Jernej , Fležar Matjaž , Krivec Uroš 
Published: November 2017

Cystic fibrosis (CF) is the most common autosomal recessive lethal hereditary disorder among whites. Survival of patients with CF has progressively improved over the last four decades.As life expectancy has been greatly extended, complications like osteopenia and CF-related diabetes mellitus (CFRDM) occur. In our article, a new management of these two complications is described.Gastrointestinal tract, exocrine pancreas and liver are also affected in CF.Maintaining good nutrition while treating pancreatic insufficiency, treating gastroesophageal reflux disease and treating liver disease are very important issues in the treatment gastrointestinal tract disease in CF.As the CF patient population median survival increases, a growing number of adolescents require care in the adult health care system which must be capable of responding appropriately to their needs.We present a model of transition from paediatric to adult medical care in our CF center.
Amyotrophic lateral sclerosis in Slovenia – analysis of patient population at the Ljubljana Institute of Clinical Neurophysiology
Authors: Kirbiš Mojca , Koritnik Blaž , Leonardis Lea , Dolenc Grošelj Leja , Klinar Polona , Ristić Kovačič Stanka , Zidar Janez 
Published: November 2017

Backgorund: Data on epidemiology and disease characteristics of amyotrophic lateral sclerosis (ALS) are geographically limited and no systematically collected data exist for slovenian patients. We performed a retrospective descriptive study on clinical attributes and disease course of patients with ALS treated at the Institute of clinical neurophysiology (ICN), University Medical Centre Ljubljana since the foundation of a specialised ALS group.Methods: All 271 patients treated at ICN in the 10-year period between 2003 and 2012 were analysed. Data on basic demographic characteristics, phenotype of disease onset, diagnostic delay, survival, family history, use of percutaneous gastrostomy (PEG), of non-invasive ventilation and of riluzole were obtained.Results: Mean age at symptoms onset was 62.7 ± 11.4 years, median diagnostic delay 11 (IQ range 7–19) months and mean survival from time of enrolment 16.4 ± 15.1 months. 179 (66.1%)patients had spinal onset disease and 71 (26.2%) bulbar onset disease. Factors associated with longer survival were lower age at enrolment, longer diagnostic delay and use of PEG. The proportion of patients using non-invasive ventilatory support was rising through the analysed years.Conclusions: Disease characteristics and survival in our series are similar to data from other tertiary care centres. The need for non-invasive ventilatory support in ALS patients is increasing.
Izdaja Kell skladnih krvnih komponent z namenom preprečevanja anti-K senzibilizacij pri ženskah v rodni dobi.
Authors: Hrašovec-Lampret Andreja , Bricl Irena 
Published: November 2017

With selecting K compatible blood for transfusion, we prevent K immunization and many unnecessary prenatal testing and gynecological examinations for at least 78% of pregnant women with K negative partners, whose fetus is not at risk of hemolytic disease of fetus and newborn. Abstract Background Kell antibodies are beside RhD and c antibodies one of most clinically important antibodies that can cause severe hemolytic disease of the fetus and newborn (HDFN) in pregnancy,which is still remaining one of the major causes of perinatal morbidity and mortality. Therefore, pregnant women with eryhrocyte alloantibodies anti-K need many prenatal testing and gynecological examinations. The major cause for anti-K immunisation is transfusion of incompatible blood in the past. Methods We analysed retrospectively the data of 71 pregnant woman with alloantibodies anti-K, which were followed in Blood Transfusion Centre of Slovenia from 2004 -2014. We collected data of partner´s phenotype and woman´s transfusion history. Data were statistically analyzed with basic statistical methods. Results 61 out of 71 partners were tested (86%) and 48 were K negative (78%).The transfusion history was available for only 23 women (32%). The transfusion history was available for 23 out of 48 women with K negative partner (48%). All of them were transfused. 78% received incompatible-K positive blood, for the rest 22% women donations they received were not K typed. Conclusions From the obtained data, we found that in 78% of cases cause for K alloimunnization is transfusion of K incompatible blood in past. With selecting K compatible blood for transfusion, we can prevent K immunization and many unnecessary prenatal testing and gynecological examinations for 78% pregnant women with K negative partners .
SODOBNA PRAVNA UREDITEV IN ETIČNA NAČELA POSKUSOV NA ŽIVALIH
Authors: Perše Brigita , Perše Martina 
Published: November 2017

BackgroundThe experiments on animals remain to play an important and yet unreplaceble role in the progress of biomedicine. Therefore, under certain legal conditions, it is morally acceptable to use animals for scientific purposes. Directive 86/609/EEC adopted in 1986 has started to regulate the legislation on the protection of animals used for scientific purposes in Europe and in Slovenia. In 2010, after a public consultation involving scientific community and animal protectionist associations, the European parliament released revised Directive 2010/63/EU on the protection of animals used for scientific purposes. The aim of the paper is to present contemporary legislation from the field of experimental animals and basic ethical principles that are foundation of responsible use of animals in research as well as valid science. ConclusionThe society`s relationship to the animals varies throughtout history, also thanks to animal experimentation which definitively confirmed that animals are sentient beings that like humans experience pain, suffering, distres or enjoyment. In western developed society the number of people defending animal rights and contradicting the use of animals in experiments is increasing. Therefore, increasing effort and financial stimulation for the development and implementation of the methods to replace animal experimentation takes place in the EU. But as long as this does not occur the revised legislation requires careful and responsible use of animals in accordance with the legislative and contemporary ethical principles.
Pljučnica pri dojenčku, povzročena z bakterijo Chlamydiae trachomatis
Authors: Šivic Urška , Keše Darja , Mrvič Tatjana , Praprotnik Marina 
Published: November 2017

Chlamydia trachomatis is the most common bacterial pathogen causing sexually transmitted infections. As prenatal screening for C. trachomatis and treatment of pregnant women is not practice in Slovenia, perinatal transmission of C. trachomatis may therefore occur. We present a case of infant chlamydial pneumonia to illustrate that a high index of suspicion is necessary to make the diagnosis in an afebrile infant with cough and “bronchiolitis”. Unnecessary investigations can be avoided and treatment can be promptly instituted if a diagnosis is made on time.
INFORMIRANO SOGLASJE – PRAVICA ALI BREME
Authors: Stražišar Borut , Stražišar Branka 
Published: November 2017

Informed consent is legal institute that was introduced in the research area to prevent possible abuses in human research. Almost a century later it was introduced also in general medicine outside the research area. It’s a basic human right to decide about own body and thus also about possible interventions in such body. Fore decisions the quality information is necessary. Co-deciding on the type of medical treatment would result also in better result of such treatment (the patient would be more interested to cooperate in the treatment process). The present practice is that informed consent is mere a part of bureaucratic doctor-patient relation as a mode to prevent possible lawsuits. Taking into account other negative impacts on the patient (sc. nocebo effect) there is a serious question whether informed consent is adequate and fruitful. The submission posts some proposals that improve doctor-patient relationship and give patient real possibility to decide alone how and to what extent he/she would execute his/hers rights as a patient regarding medical treatments.
Kodeks zdravniške etike
Authors: SZD-SZZ . 
Published: November 2017

Te Code was approved on December 12, 1992, at the 3rd regular meeting of the General Assembly of the Medical Chamber of Slovenia and revised on April 24, 1997, at the 27th regular meeting of the General Assembly of the Medical Chamber of Slovenia. The Code was updated and harmonized with the Medical Association of Slovenia and approved on October 6, 2016, at the regular meeting of the General Assembly of the Medical Chamber of Slovenia.
Territoires MRC du Québec : planification et gouvernance d’État
Authors: Proulx Marc-Urbain 
Published: November 2017

En 1979, au Québec, on adopta une approche territoriale intitulée « perspective communautaire nouvelle ». Par voie de législation, les territoires supralocaux que sont les MRC (municipalités régionales de comté) ont été établis. À des degrés variables, ces aires de gestion ont fait l’objet d’une construction institutionnelle progressive par l’exercice de nouvelles fonctions publiques. Notre hypothèse est que les territoires des MRC présentent des spécificités étatiques. Sur la base d’un cadre théorique intégrateur apporté par la planification, les faits recueillis en plusieurs saisies documentaires permettent d’analyser les principaux attributs de la gouvernance territoriale. Tout en validant notre hypothèse, la mise à jour de ces données montre un hiatus très actuel. Une enquête récente permet à cet effet d’illustrer comment la médiation intersectorielle peut alimenter la poursuite du progrès institutionnel, ce qui représente un enjeu central pour la planification territoriale des MRC.
Le domicile des personnes vieillissantes : lieu de mise à l’épreuve de la professionnalité des infirmières libérales
Authors: Feyfant Véronique 
Published: November 2017

La professionnalité des infirmières libérales françaises se définit par l’autodétermination de leur activité, liée à leur statut libéral. L’article interroge la mise à l’épreuve de cette professionnalité lorsque des infirmières libérales interviennent dans les domiciles des personnes vieillissantes. Considéré tour à tour comme un lieu physique et matériel, comme un lieu d’accès à une intimité à la fois corporelle et identitaire liée au vieillissement, et enfin comme un lieu de sociabilités possibles, le domicile est interrogé comme mettant potentiellement au défi la professionnalité infirmière libérale. Cet article est basé sur une enquête qualitative menée entre 2011 et 2013, auprès de 53 personnes, tant des infirmières libérales et autres aidants professionnels, que des personnes vieillissantes. Les entretiens et les observations de situations de soins ou de réunions entre professionnelles ont donné lieu à une double analyse thématique et par « cas » qui ont permis de révéler que les soins infirmiers libéraux peuvent être déterminés par des éléments extérieurs tels que les caractéristiques physiques du domicile, l’intervention d’autres professionnels avec qui les infirmières communiquent, les enjeux de la relation qui s’instaure entre acteurs, mais aussi la visibilité sociale des soins infirmiers effectués. L’ensemble de ces éléments fait apparaitre une forme d’« hétérodétermination » du travail infirmier libéral (qui estompe l’autodétermination précitée), montrant par là un déplacement d’enjeu. Ce qui importe n’est pas tant d’exercer son métier de soignant que de créer et maintenir un lien avec l’ensemble des acteurs impliqués dans l’accompagnement de la personne vieillissante à son domicile.
Povezanost bazičnih i situaciono - motoričkih sposobnosti kod karatista kadetskog uzrasta
Authors: Kovač Relja , Trivun Milomir , Bajrić Osmo 
Published: November 2017

Istraživanje je sprovedeno na uzorku od 98 ispitanika selekcionisanih kadetskih karate takmičara uzrasta 15-16 godina, iz sljedećih karate klubova: KK „Ilidža“, iz Istočne Ilidže, KK „Pale“ iz Pala, KK „Rogatica“ iz Rogatice, KK „Romanija“ iz Sokoca i KK „Sarajevo“ iz Sarajeva. U istraživanju je primijenjen skup od petnaest varijabli za procjenu bazičnih motoričkih sposobnosti i pet varijabli za procjenu situaciono-motoričkih sposobnosti. Osnovni cilj istraživanja bio je utvrđivanje povezanosti bazičnih motoričkih sposobnosti i situaciono-motoričkih sposobnosti mladih karatista.Za utvrđivanje povezanosti dva istraživana prostora, bazičnih motoričkih i situaciono-motoričkih sposobnosti primijenjena je kanonička korelaciona analiza. Primjenom kanoničke korelacione analize izolovan je jedan par kanoničkih faktora.Na osnovu dobijenih rezultata kanoničke korelacione analize može se konstatovati da postoji statistički značajna povezanost bazičnih motoričkih sposobnosti i situaciono-motoričkih sposobnosti kod mladih karatista. Povezanost izolovanog para kanoničkih faktora iz sistema varijabli motoričkih sposobnosti i sistema varijabli situaciono-motoričkih sposobnosti pokazuje da selekcionisani karatisti postižu bolje rezultate u specifično motoričkim testovima zahvaljujući visokom nivou bazičnih motoričkih sposobnosti.
Research Review of the Development of the Explosive Strength in Basketball // Pregled istraživanja razvoja eksplozivne snage u košarci
Authors: Nikolić Dušan , Kocić Miodrag , Đošić Anđela , Veličković Marina 
Published: November 2017

The ultimate performance in every sport, including basketball, is the result of a series of “bricks” stacked in the correct order. One of the dice is definitely an explosive power that is defined as the ability to manifest the maximum power for the maximum short time. The aim of this study was to gather previous studies that dealt with the development of the explosive strength in basketball. Total amount of 49 studies published between 2001 and 2016 was collected and subjected to analysis. The results showed that, for the development of the explosive strength, the plyometric training method is usually used, both with male and female basketball players. Also, the explosive force can be developed by using the complex training; the aquatic plyometric training; a combination of plyometric training and some other kind of training (dynamic stretching, strengthening without weights, sprinting, weight training, training of strength (no lifting)); specific sprint training; SAQ training; skipping rope; training consisting of strength training, different types of stamina and basketball technique; circuit breaker program; circuit training; combination of the sprint training exercises with weights; the plyometric training with additional load and the training of dynamic stretching.
Bed site selection by a subordinate predator: an example with the cougar (Puma concolor) in the Greater Yellowstone Ecosystem
Authors: Kusler Anna , Elbroch L. Mark , Quigley Howard , Grigione Melissa 
Published: November 2017

As technology has improved, our ability to study cryptic animal behavior has increased. Bed site selection is one such example. Among prey species, bed site selection provides thermoregulatory benefits and mitigates predation risk, and may directly influence survival. We conducted research to test whether a subordinate carnivore also selected beds with similar characteristics in an ecosystem supporting a multi-species guild of competing predators. We employed a model comparison approach in which we tested whether cougar (Puma concolor) bed site attributes supported the thermoregulatory versus the predator avoidance hypotheses, or exhibited characteristics supporting both hypotheses. Between 2012–2016, we investigated 599 cougar bed sites in the Greater Yellowstone Ecosystem and examined attributes at two scales: the landscape (second-order,n = 599) and the microsite (fourth order,n = 140). At the landscape scale, cougars selected bed sites in winter that supported both the thermoregulatory and predator avoidance hypotheses: bed sites were on steeper slopes but at lower elevations, closer to the forest edge, away from sagebrush and meadow habitat types, and on southern, eastern, and western-facing slopes. In the summer, bed attributes supported the predator avoidance hypothesis over the thermoregulation hypothesis: beds were closer to forest edges, away from sagebrush and meadow habitat classes, and on steeper slopes. At the microsite scale, cougar bed attributes in both the winter and summer supported both the predator avoidance and thermoregulatory hypotheses: they selected bed sites with high canopy cover, high vegetative concealment, and in a rugged habitat class characterized by cliff bands and talus fields. We found that just like prey species, a subordinate predator selected bed sites that facilitated both thermoregulatory and anti-predator functions. In conclusion, we believe that measuring bed site attributes may provide a novel means of measuring the use of refugia by subordinate predators, and ultimately provide new insights into the habitat requirements and energetics of subordinate carnivores.
Attribute amnesia is greatly reduced with novel stimuli
Authors: Chen Weijia , Howe Piers D.L. 
Published: November 2017

Attribute amnesia is the counterintuitive phenomenon where observers are unable to report a salient aspect of a stimulus (e.g., its colour or its identity) immediately after the stimulus was presented, despite both attending to and processing the stimulus. Almost all previous attribute amnesia studies used highly familiar stimuli. Our study investigated whether attribute amnesia would also occur for unfamiliar stimuli. We conducted four experiments using stimuli that were highly familiar (colours or repeated animal images) or that were unfamiliar to the observers (unique animal images). Our results revealed that attribute amnesia was present for both sets of familiar stimuli, colour (p < .001) and repeated animals (p = .001); but was greatly attenuated, and possibly eliminated, when the stimuli were unique animals (p = .02). Our data shows that attribute amnesia is greatly reduced for novel stimuli.
Spatial Representativeness of Surface‐Measured Variations of Downward Solar Radiation
Authors: Schwarz M. , Folini D. , Hakuba M. Z. , Wild M. 
Published: November 2017

AbstractWhen using time series of ground‐based surface solar radiation (SSR) measurements in combination with gridded data, the spatial and temporal representativeness of the point observations must be considered. We use SSR data from surface observations and high‐resolution (0.05°) satellite‐derived data to infer the spatiotemporal representativeness of observations for monthly and longer time scales in Europe. The correlation analysis shows that the squared correlation coefficients (R2) between SSR times series decrease linearly with increasing distance between the surface observations. For deseasonalized monthly mean time series, R2 ranges from 0.85 for distances up to 25 km between the stations to 0.25 at distances of 500 km. A decorrelation length (i.e., the e‐folding distance of R2) on the order of 400 km (with spread of 100–600 km) was found. R2 from correlations between point observations and colocated grid box area means determined from satellite data were found to be 0.80 for a 1° grid. To quantify the error which arises when using a point observation as a surrogate for the area mean SSR of larger surroundings, we calculated a spatial sampling error (SSE) for a 1° grid of 8 (3) W/m2 for monthly (annual) time series. The SSE based on a 1° grid, therefore, is of the same magnitude as the measurement uncertainty. The analysis generally reveals that monthly mean (or longer temporally aggregated) point observations of SSR capture the larger‐scale variability well. This finding shows that comparing time series of SSR measurements with gridded data is feasible for those time scales.