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Diversity of spa types among MRSA isolates from Maribor University hospital
Božena Kotnik-Kevorkijan, Marija Klasinc, Slavica Lorenčič Robnik, Živa Petrovič, Maja Rupnik, 2009, original scientific article

Abstract: Background: Typing of pathogens is an important part in control and preventionof health care-associated infections. For methilcillin-resistant S. aureus (MRSA) a new sequence-based and easily internationally comparable typing method, spa typing, was recently described. We have used this method to analyze the MRSA types present in our hospital and to compare them with types reported elsewhere. Methods: 63 MRSA strains isolated from patients in Maribor University Hospital (MUH) during the year 2006 were spa typed. Typing data were compared to the patient hospitalization data to detect possible spatial and temporal clusters. Results: Sixty-three MRSA strains were distributed into 12 spa types. Seven spa types were represented only by a single isolate. The three most prevalent types (t001, t288, t003) included 80 % of all strains. The most prevalent type, t001, was present in many differentwards and during entire year. This type is also one of the mostly isolated types worldwide. High prevalence of other two types seems to be associated with small scale transmission events. Conclusions: Most of the spa types present in MUH are well known and widespread also elsewhere in Slovenia, in other EU countries and worldwide. Typing has helped us to follow the introduction of different MRSA types to the hospital environment and to detect occasional transmissions.
Keywords: MRSA, typing, spa types, health care-associated infections
Published: 10.07.2015; Views: 510; Downloads: 38
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English for Specific Purposes - Students of Nursing Bridging the Gap between Theory and Practice
Sofia Ha Vela, 2016, undergraduate thesis

Abstract: Theoretical framework: Mastering a foreign language is a necessary component in the pursuit of a successful nursing career. Needs analysis identifies the purposes of learning, the best teaching methods, and the possible problems in implementing the language program. Purpose: This thesis explored the academic and professional needs of the English language for nursing students at the Faculty of Health Sciences in Maribor and for health care employees within the region in order to build a bridge between theory and practice. Methodology: The quantitative method of research was applied and a survey questionnaire was used as an instrument to collect data. Questions included in the survey were mostly of the closed type. Microsoft Word and Microsoft Excel were used to analyze, examine, and edit the acquired information. Results: It was determined that the learning needs of the students should focus on verbal communication and listening comprehension and less on grammar. More emphasis should be placed on conversational English, as both the student and employee groups felt that this was the most efficient method for learning. Conclusion: The necessary information is now available to make improvements to the English language courses at the Faculty of Health Sciences in Maribor to better meet the needs of future health care professionals. Ultimately, this can improve communication between nurses and patients in a foreign language and increase the quality of care.
Keywords: English for Specific Purposes (ESP), student nurse, foreign language, needs analysis, health care workers, communication.
Published: 12.05.2016; Views: 562; Downloads: 28
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Discrete event simulation of administrative and medical processes
Robert Leskovar, Rok Accetto, Alenka Baggia, Zlatko Lazarevič, Goran Vukovič, Peter Požun, 2011, review article

Abstract: Background: Medical processes are often obstructed by administrative ones. The main issue in administrative processes is uneven workload resulting in an increased possibility of human errors. The system approach assures that medical and administrative processes are integrated. According to research reports and best practices, discrete event simulation is a proper method to implement the system approach. Methods: A detailed analysis of the administrative processes was performed using interviews, UML diagrams and flowcharts. Based on the data gathered from the information system and measurements on the site, the distribution of patient arrivals and service times were modelled. The aim of discrete event simulation models was to replicate the behaviour of the existing system (separate administration) and to simulate the changes proposed (joint administration). Results: Average utilizations of administrative personnel in 100 simulation runs for specific clinical departments are: 83.8 % at the Department of Rheumatology, 61.9 % at the Department of Hypertension, and 47.2 % at the Veteransć Medical Unit. Should joint administration be applied, the average utilization of administrative personnel would be 74.3%. Conclusions: Discrete event simulation proved that joint administration would contribute to a more even workload distribution among administrative personnel, higher quality of service and easier human resource management. The presented approach can be efficiently applied to large-scale systems e.g. organizational changes of processes in Specialist Outpatient Clinics.
Keywords: health care, discrete event simulation, quality of service
Published: 27.03.2017; Views: 314; Downloads: 65
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Correlates of depression in the slovenian working population
Zalika Klemenc-Ketiš, Borut Peterlin, 2013, original scientific article

Abstract: This multicentre, cross-sectional observational study aimed to determine the prevalence of depression among the working population of Slovenia and identify factors correlating with higher prevalence of depression. It was conducted in three occupational medicine practices within major Slovenian primary health care centres. The study population consisted of 1,474 respondents [73.7 % of the invited participants, 889 (60.3 %) men and 585 (39.7 %) women with mean age of (40.5±9.8) years] who visited these practices for their regular check-ups from November 2010 to June 2012 and were asked to fill in a self-developed questionnaire and score depression on the Zung’s self-rating depression scale. According to the rating, 50 (3.4 %) respondents suffered from depression. In the multivariate analysis, depression correlated with the following independent variables: self-perceived exposure to chronic stress, positive family history of depression, and primary school education.
Keywords: mental diseases, primary health care, cross-sectional study, demographic data, family history
Published: 30.03.2017; Views: 364; Downloads: 154
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Comparison of methods for detection of four common nosocomial pathogens on hospital textiles
Sabina Fijan, Sonja Šostar-Turk, Urška Rozman, 2014, original scientific article

Abstract: Introduction: Although the most common vehicle for transmission of health-care acquired infections is the personto- person transmission route, the role of environment should not be ignored and hospital linen may contribute to the spreading of nosocomial infections. The contact plate method and swabbing are common methods for sampling microorganisms on textiles; however, results are available after two days as they are based on incubation followed by phenotypeidentification. An important alternative is using quick wash-off methods followed by PCR detection, which shortens the identification process from two days to a few hours. Methods: The following test microorganisms at different concentrations were inoculated onto textile swatches and dried overnight: Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa and Clostridium difficile. RODAC plate sampling as well as a non-destructive wash-off method for capturing microorganisms from the textilesusing a Morapex device were used. The elution suspension from the Morapex device was used for two methods. In the first method, classical incubation on selective media followed by phenotypic identification was used and in the second method DNA was extracted from the elution suspension followed by amplification and agarose gel electrophoresis to visualize amplified products. Conclusions: All chosen bacteria were found using all methods. However, the most sensitive proved to be detection using PCR amplification as we detected the sample with initial concentration of 102 cfu/mL inoculated onto the textile surface before drying. The final detectablerecovered bacterial concentration on textiles was up to 10 cfu/mL.
Keywords: health care associated infections, hospital textiles, Staphylococcus aureus, Klebsiella pneumoniae, Pseudomonas aeruginosa, Clostridium difficile, Morapex
Published: 05.04.2017; Views: 588; Downloads: 161
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