1. Mechanism elucidation of high-pressure generation in cellular metal at high-velocity impactMasatoshi Nishi, Shigeru Tanaka, Akihisa Mori, Matej Vesenjak, Zoran Ren, Kazuyuki Hokamoto, 2022, original scientific article Abstract: Cellular metals exhibit diverse properties, depending on their geometries and base materials. This study investigated the mechanism of high-pressure generation during the high-velocity
impact of unidirectional cellular (UniPore) materials. Cubic UniPore copper samples were mounted
on a projectile and subjected to impact loading using a powder gun to induce direct impact of samples.
The specimens exhibited a unique phenomenon of high-pressure generation near the pores during
compression. We elucidate the mechanism of the high-pressure phenomenon and discuss the pore
geometries that contribute to the generation of high pressures.
Keywords: cellular metal, high-pressure, high-velocity impact, computational simulation, metal jet
Published in DKUM: 24.03.2025; Views: 0; Downloads: 2
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2. Scaling-up an integrated care for patients with non-communicable diseases : an analysis of healthcare barriers and facilitators in Slovenia and BelgiumČrt Zavrnik, Katrien Danhieux, Miriam Hurtado Monarres, Nataša Stojnić, Majda Mori-Lukančič, Monika Martens, Zalika Klemenc-Ketiš, Edwin Wouters, Josefien Van Olmen, Tonka Poplas-Susič, 2021, original scientific article Abstract: Introduction: Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium.
Methods: This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries.
Results: Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals.
Conclusions: This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.
Keywords: scale-up, noncommunicable diseases, patientcentered care, primary healthcare, integrated healthcare
Published in DKUM: 22.10.2024; Views: 0; Downloads: 7
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3. Implementation of integrated primary care for patients with diabetes and hypertension : a case from SloveniaZalika Klemenc-Ketiš, Nataša Stojnić, Črt Zavrnik, Nina Ružić Gorenjec, Katrien Danhieux, Majda Mori-Lukančič, Tonka Poplas-Susič, 2021, original scientific article Abstract: Introduction: Research on models of integrated health care for hypertension and diabetes is one of the priority issues in the world. There is a lack of knowledge about how integrated care is implemented in practice. Our study assessed its implementation in six areas: identification of patients, treatment, health education, self-management support, structured collaboration and organisation of care. Methods: This was a mixed methods study based on a triangulation method using quantitative and qualitative data. It took place in different types of primary health care organisations, in one urban and two rural regions of Slovenia. The main instrument for data collection was the Integrated Care Package (ICP) Grid, assessed through four methods: 1) a document analysis (of a current health policy and available protocols; 2) observation of the infrastructure of health centres, organisation of work, patient flow, interaction of patients with health professionals; 3) interview with key informants and 4) review of medical documentation of selected patients. Results: The implementation of the integrated care in Slovenia was assessed with the overall ICP score of 3.7 points (out of 5 possible points). The element Identification was almost fully implemented, while the element Self-management support was weakly implemented. Discussion: The implementation of the integrated care of patients with diabetes and/ or hypertension in Slovenian primary health care organisations achieved high levels of implementation. However, some week points were identified. Conclusion: Integrated care of the chronic patients in Slovenia is already provided at high levels, but the area of self-management support could be improved.
Keywords: delivery of health care, integrated, primary care, self-care
Published in DKUM: 27.08.2024; Views: 105; Downloads: 5
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4. Frailty in community-dwelling older people and nursing home residents : an adaptation and validation studySergej Kmetec, Zvonka Fekonja, Adam Davey, Barbara Kegl, Jernej Mori, Nataša Mlinar Reljić, Brendan McCormack, Mateja Lorber, 2024, original scientific article Abstract: Aim: The aim of this was to psychometrically adapt and evaluate the Tilburg Frailty Indicator to assess frailty among older people living in Slovenia's community and nursing home settings.
Design: A cross-cultural adaptation and validation of instruments throughout the cross-sectional study.
Methods: Older people living in the community and nursing homes throughout Slovenia were recruited between March and August 2021. Among 831 participants were 330 people living in nursing homes and 501 people living in the community, and all were older than 65 years.
Results: All items were translated into the Slovene language, and a slight cultural adjustment was made to improve the clarity of the meaning of all items. The average scale validity index of the scale was rated as good, which indicates satisfactory content validity. Cronbach's α was acceptable for the total items and subitems.
Conclusions: The Slovenian questionnaire version demonstrated adequate internal consistency, reliability, and construct and criterion validity. The questionnaire is suitable for investigating frailty in nursing homes, community dwelling and other settings where older people live.
Impact:The Slovenian questionnaire version can be used to measure and evaluate frailty among older adults. We have found that careful translation and adaptation processes have maintained the instrument's strong reliability and validity for use in a new cultural context. The instrument can foster international collaboration to identify and manage frailty among older people in nursing homes and community-dwelling homes.
Reporting Method: The Strengthening the Reporting of Observational Studies in Epidemiology checklist for reporting cross-sectional studies was used.
No Patient or Public Contribution: No patient or public involvement in the design or conduct of the study. Head nurses from nursing homes and community nurses helped recruit older adults. Older adults only contributed to the data collection and were collected from nursing homes and community dwelling.
Keywords: aged, chronic disease, frailty, instrument validation
Published in DKUM: 17.07.2024; Views: 106; Downloads: 26
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5. Peer support as part of scaling-up integrated care in patients with type 2 diabetes and arterial hypertension at the primary healthcare level : a study protocolTina Virtič, Matic Mihevc, Črt Zavrnik, Majda Mori-Lukančič, Tonka Poplas-Susič, Zalika Klemenc-Ketiš, 2023, original scientific article Abstract: Introduction: Type 2 diabetes (T2D) and arterial hypertension (AH) are among the greatest challenges facing health systems worldwide and require comprehensive patient-centred care. The key to successful management in chronic patients is self-management support, which was found to be only weakly implemented in Slovenia. The aim of the study is to develop an evidence-based model of peer support for people with T2D and AH at the primary healthcare level in Slovenia, which could represent a potential solution for upgrading integrated care for these patients.
Methods: A prospective interventional, mixed-methods pilot study will begin by recruiting approximately 40 eligible people with T2D and AH through purposive sampling. The participants will receive structured training, led by a specialist nurse, to become trained peer supporters. Each will voluntarily share their knowledge and experience at monthly group meetings with up to 10 people with T2D and AH over a three-month period in the local community. Data will be collected through interviews and focus groups and questionnaires about socio-demographic and clinical data, knowledge about T2D and AH, participants’ quality of life, level of empowerment and acceptability of the intervention.
Expected results: The study will provide an evidence-based model for integrating peer support into the local community. It is expected that the intervention will prove feasible and acceptable with educational, psychosocial and behavioural benefits.
Conclusion: Peer support through empowerment of people with T2D and AH, family members and other informal caregivers in the local community could scale-up the integrated care continuum and contribute to sustainability of the healthcare system.
Keywords: diabetes type 2, arterial hypertension, peer support, self-management, integrated primary, healthcare
Published in DKUM: 17.07.2024; Views: 103; Downloads: 4
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6. Telemonitoring of elderly with hypertension and type 2 diabetes at the primary care level : protocol for a multicentric randomized controlled pilot studyMatic Mihevc, Črt Zavrnik, Majda Mori-Lukančič, Tina Virtič, Valentina Prevolnik Rupel, Marija Petek Šter, Zalika Klemenc-Ketiš, Tonka Poplas-Susič, 2022, original scientific article Abstract: Introduction: Arterial hypertension (AH) and type 2 diabetes (T2D) represent a significant burden for the public health system, with an exceptionally high prevalence in patients aged ≥65 years. This study aims to test the acceptability, clinical effectiveness, and cost-effectiveness of telemonitoring in elderly patients with AH and T2D at the primary care level.
Methods: A m ulti-centre, prospective, randomized, controlled t rial w ill be conducted. Patients a ged ≥ 65 y ears with AH and T2D will be randomized in a 1:1 proportion to a mHealth intervention or standard care group. Patients in the intervention group will measure their blood pressure (BP) twice weekly and blood glucose (BG) once monthly. The readings will be synchronously transmitted via a mobile application to the telemonitoring platform, where they will be reviewed by a general practitioner who will indicate changes in measurement regimen or carry out a teleconsultation. The primary endpoint will be a change in systolic BP (SBP) and glycated haemoglobin (HbA1c) relative to standard care up to 12 months after inclusion. Secondary endpoints will be a change in other observed clinical variables, quality-of-life indexes, and costs.
Expected results: Telemonitoring will be an acceptable method of care associated with significant reductions in SBP and HbA1c levels and an increase in quality-of-life indexes in the intervention group. However, the cost-effectiveness threshold (incremental cost-effectiveness ratio below €25,000/quality-adjusted life year) might not be reached.
Conclusion: This study will provide new evidence for scaling up telemonitoring network at the primary care level and modifying telemonitoring protocols to achieve the best clinical and cost-effective outcomes.
Keywords: mobile health, telemonitoring, blood pressure, blood glucose, HbA1c, aged, primary health care, costs
Published in DKUM: 27.06.2024; Views: 178; Downloads: 9
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7. Perceptions of the primary health care team about the implementation of integrated care of patients with type 2 diabetes and hypertension in Slovenia : qualitative studyNataša Stojnić, Zalika Klemenc-Ketiš, Majda Mori-Lukančič, Črt Zavrnik, Tonka Poplas-Susič, 2023, original scientific article Abstract: Background
Integrated care involves good coordination, networking, and communication within health care services and externally between providers and patients or informal caregivers. It affects the quality of services, is more cost-effective, and contributes to greater satisfaction among individuals and providers of integrated care. In our study, we examined the implementation and understanding of integrated care from the perspective of providers - the health care team - and gained insights into the current situation.
Methods
Eight focus groups were conducted with health care teams, involving a total of 48 health care professionals, including family physicians, registered nurses, practice nurses, community nurses, and registered nurses working in a health education center. Prior to conducting the focus groups, a thematic guide was developed based on the literature and contextual knowledge with the main themes of the integrated care package. The analysis was conducted using the NVivo program.
Results
We identified 12 main themes with 49 subthemes. Health care professionals highlighted good accessibility and the method of diagnostic screening integrated with preventive examinations as positive aspects of the current system of integrated care in Slovenia. They mentioned the good cooperation within the team, with the involvement of registered nurses and community nurses being a particular advantage. Complaints were made about the high workload and the lack of workforce. They feel that patients do not take the disease seriously enough and that patients as teachers could be useful.
Conclusion
Primary care teams described the importance of implementing integrated care for diabetes and hypertension patients at four levels: Patient, community, care providers, and state. Primary care teams also recognized the importance of including more professionals from different health care settings on their team.
Keywords: integrated health care system, type-2-diabetes, Hypertension, Health care team, interdisciplinary primary care, qualitative research
Published in DKUM: 19.04.2024; Views: 250; Downloads: 12
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8. A company’s carbon footprint and sustainable developmentJure Gramc, Rok Stropnik, Mitja Mori, 2022, original scientific article Abstract: Climate changes are already here. And they will get much worse in time. The main reason for global warming is GHG emissions from anthropological sources. That includes transportation, industry, electricity production, agriculture, and others. The European Union has introduced a new Green Deal as an answer to climate change. The European Green Deal puts more pressure on companies to mitigate their carbon footprint and implement sustainable development. One of the basic steps in the analysis of the environmental profile of a company is the identification of hot spots by using the carbon footprint methodology. The workflow of the carbon footprint calculation follows GHG Protocol standardised methodology. The calculation was made for a medium-sized company in the plastics industry. For all GHG emission sources, hot spots were identified and analysed. Based on the hot spots, sensitivity analysis for different pre-defined scenarios has been made, which are aligned with the company’s mid- and long-term sustainability goals. The three main hot spots of the company within scopes 1 and 2 are purchased heat, purchased electricity, and combustion of fuels in company vehicles. GHG emissions of heat and electricity are dependent on their distributor and their electricity and heat sources. The hot spot of scope 3 is purchased goods, especially plastic granulate. In the study, we focus only on scope 1 and scope 2.
Keywords: carbon footprint, sustainable development, environmental impacts, GHG Protocol, greenhouse gas emissions, global warming, sensitivity analysis
Published in DKUM: 30.10.2023; Views: 533; Downloads: 14
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9. Izvedljivost programsko opredeljene infrastrukture za namen izvajanja načrta obnove po nesreči : magistrsko deloRok Mori, 2023, master's thesis Abstract: V magistrskem delu se ukvarjamo s prikazovanjem izvedljivosti programsko opredeljene infrastrukture za izvajanje načrta obnove po nesreči. Predstavimo teoretično ozadje metodologije programsko opredeljene infrastrukture in procesa obnove po nesreči. Opišemo delovanje orodij Terraform in Ansible, ki jih uporabimo za implementacijo praktičnega dela magistrske naloge. V praktičnem delu naloge zasnujemo hibridno strežniško infrastrukturo, ki jo nato implementiramo s pomočjo orodij programsko opredeljene infrastrukture. Pripravimo deset različnih testnih scenarijev, na osnovi katerih ovrednotimo implementirano rešitev. Ugotovimo, da je programsko opredeljena infrastruktura izvedljiva za namen izvajanja načrta obnove po nesreči.
Keywords: programsko opredeljena infrastruktura, obnova po nesreči, avtomatizacija, strežniška infrastruktura, Terraform, Ansible
Published in DKUM: 04.04.2023; Views: 550; Downloads: 61
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10. Digitalizacija poslovnega procesa za naročilo in nakup prevoza : diplomsko deloTim Mori, 2022, undergraduate thesis Abstract: V diplomski nalogi smo v teoretičnem delu poudarili, kaj je pomen in namen digitalizacije poslovnih procesov, predstavili korake digitalizacije poslovnega procesa ter opisali grafično notacijo BPMN (Business Process Model And Notation) za modeliranje poslovnih procesov. Pri izdelavi naloge smo si zastavili cilj, da bi z digitalizacijo poslovnega procesa naročilo in nakup prevoza podjetju Avtoprevozništvo Topler omogočili, da bi postalo konkurenčno ostalim sorodnim podjetjem na trgu. Na osnovi analize poslovnega procesa in izdelanih modelih poslovnega procesa (AS – IS in TO – BE) s pomočjo notacije BPMN v orodju Signavio smo razvili spletno rešitev za uporabnike, ki želijo naročiti prevoz. Rešitev ponuja različne možnosti uporabe neregistriranim uporabnikom – gostom in registriranim uporabnikom, kateri lahko na enem mestu opravijo vse korake, od povpraševanja za prevoz do nakupa prevoza. Hkrati pa spletna rešitev podjetju ponuja lažji način za pregled rezervacije prevozov. Po izdelavi končne rešitve smo s končnimi uporabniki preverili še uporabnost rešitve.
Keywords: Grafična notacija BPMN, Signavio, digitalizacija, spletni portal, prenova poslovnih procesov
Published in DKUM: 14.12.2022; Views: 878; Downloads: 240
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