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1.
PRVA POMOČ PRI OSKRBI PONESREČENCA V PROMETNIH NEZGODAH
Mitja Ločičnik, 2009, diplomsko delo

Opis: V diplomskem delu smo predstavili ekipo NMP v Sloveniji in njeno delovanje. Predstavili smo postopke in posege, tehnike in sisteme reševanja pri oskrbi poškodovancev na terenu, z vključitvijo vseh ostalih služb, ki pomagajo oziroma sodelujejo pri reševanju ponesrečencev v prometnih nezgodah na območju Šaleške regije. Obravnavali smo prometne nezgode, pri katerih je bila aktivirana ekipa NMP zdravstvenega doma Velenje. Analizirali smo 258 ponesrečencev v prometnih nezgodah, pri katerih je bila aktivirana ekipa NMP na vzorcu 205 protokolov od 1. 1. 2007 do 11. 11. 2009. Uporabili smo deskriptivno metodo s študijem literature za področje NMP in oskrbe ponesrečencev v prometnih nezgodah. Uporabili smo retrospektivno metodo (študija izpolnjenih protokolov nujnih intervencij). Podatke smo analizirali (grafi). V prometnih nezgodah je bilo udeleženih 258 ponesrečencev, od tega 163 moških (63,2 %) in 95 žensk (36,8 %). Mladoletnih oziroma starih do 21 let je bilo 79 (30,6 %), nad 21 let pa 179 ponesrečencev (69,4 %). V tem obdobju je v prometnih nesrečah umrlo 13 ponesrečencev (5 %), 57 ponesrečencev (22,1 %) je bilo hudo poškodovanih, 147 ponesrečencev (57 %) je utrpelo lažje poškodbe, 41 ponesrečencev (15,9 %) ni utrpelo vidnih poškodb. Pri 13 ponesrečencih (5 %) je bilo ugotovljeno uživanje alkohola, 6 ponesrečencev je uživalo psihoaktivne snovi (2,3 %), pri 2 ponesrečencih (0,8 %) je bil podan sum poizkusa samomora. Ugotovili smo, da je bilo udeleženih v prometnih nezgodah več kot 60 % moških, v večini stari nad 21 let. Ekipa NMP je Zdravstvenem domu Velenje zelo dobro organizirana, prav tako v celotni Sloveniji. V veliki meri sta za to zaslužna zelo dobra in sodobna opremljenost reševalnih vozil in pa strokovno izobraževan kader, ki se neprestano dodatno izpopolnjuje na seminarjih. Veliko pomanjkljivost smo odkrili pri kadru in sicer pri skupno vseh intervencijah je sodelovalo samo 34 (16,6 %) diplomiranih zdravstvenikov oziroma diplomiranih medicinskih sester, kajti zaposlena sta samo dva diplomirana zdravstvenika, oziroma zadnje leto le eden. V veliki večini so zdravstveni tehniki oziroma srednje medicinske sestre in pa vozniki s posebnim tečajem. Ugotovili smo tudi pomanjkljivost pri službi HNMP v Sloveniji, saj je omejena na dnevni čas delovanja, dolgi čas aktivacije in do prihoda bolnika v zdravstveno ustanovo, kar smo tudi dokazali na zemljevidu.
Ključne besede: - ABCDE: Airway, breathing, circulation, disability, exposure - AF: Atrijska fibrilacija - ASY: Asistolija - ATLS: Dodatni postopki obravnave (oživljanja) poškodovancev - AVPU: Ocenjevanalna lestvica (Alert- buden; Verbal- odziven na verbalni poziv; Pain- odziven na bolečino; Unresponsive- neodziven) - EKG: Elektrokardiogram - ETI: Endotrahealna intubacija - GCS: Glasgowska lestvica kome - GRS: Gorska reševalna služba - HNMP: Helikopterska nujna medicinska pomoč
Objavljeno: 15.02.2010; Ogledov: 3279; Prenosov: 623
.pdf Celotno besedilo (13,74 MB)

2.
DYSLEXIA IN A GENERAL PRIMARY EDUCATION ENGLISH CLASSROOM
Erika Golob, 2015, magistrsko delo

Opis: In the master’s thesis I defined the concept of dyslexia. I focused on two different views on dyslexia, namely dyslexia as a reading and writing disorder, something you need to repair or heal, and dyslexia as an added value that gives individuals abilities a person without dyslexia does not possess. The thesis briefly presents the causes of dyslexia, learning deficits, specifically difficulties in reading and writing, various approaches to tackle these difficulties and general guidelines to alleviate them. The thesis then offers some examples of good multi sensory teaching practice which could alleviate the dyslexic pupil’s learning process and could be used in a general education English classroom. The empirical part first gives an introduction to the survey and then presents the results. The survey was conducted on a sample of 160 primary school English teachers enquiring about how well they know dyslexia and its symptoms, how many students with confirmed dyslexia they teach and how they tackle the challenge of teaching such students in an English classroom the focus being on to what extent they accommodate teaching materials and teaching methods for their dyslexic pupils.
Ključne besede: dyslexia, the gift of dyslexia, learning disability, specific learning disability, general recommendations and accommodations, teacher’s support
Objavljeno: 14.04.2015; Ogledov: 1041; Prenosov: 91
.pdf Celotno besedilo (1,57 MB)

3.
Predictors of health-related quality of life and disability in patients with chronic nonspecific low back pain
Zalika Klemenc-Ketiš, 2011, izvirni znanstveni članek

Opis: Background: The quality of life in patients with chronic low-back pain is lower in comparison with that in general population. This seriously affects the functional ability and working status of young and adult population. The aim of this study was to determine the level of disability and the health-related quality of life in patients with chronic non-specific low back pain. Methods: We performed a cross-sectional study in 187 patients (45.5 % of men, mean age 50.1 years) with chronic non-specific low back pain attending physical therapy program. We used Visual Analog Pain Scale (VAS), Euroqol questionnaire (EQq), and Oswestry Disability Index (ODI). Results: Mean ODI score SD was 14.6 9.0. Mean score of EQ-5D was 3.6 1.6 points and of EQ-VAS 55.4 18.3 points. Mean score on VAS was 6.0 2.1 points. An independent factor associated with lower quality of life on EQ-VAS was higher level of chronic pain. Independent factors associated with a lower quality of life on EQ-5D were the presence of anxiety and depression, higher level of chronic pain, and the presence of chronic disease. Independent factors associated with greater disability measured on ODI were the presence of signs of anxiety and depression, higher level of chronic pain, and the presence of any chronic disease. Conclusions: Chronic low back pain can be the cause of greater disability and lower quality of life, especially in patients with somatic and mental co-morbidities, in female patients and in patients with higher levels of chronic pain. Doctors should focus on active search for signs of depression and anxiety and better pain management in patients with chronic low back pain, especially if somatic co-morbidities exist.
Ključne besede: quality of life, disability evaluation, low back pain, pain measurement
Objavljeno: 28.03.2017; Ogledov: 339; Prenosov: 25
.pdf Celotno besedilo (423,26 KB)
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4.
Disability in patients with chronic non-specific low back pain
Zalika Klemenc-Ketiš, 2011, izvirni znanstveni članek

Opis: Aim: To validate the Slovene version of the Oswestry Disability Index. Method: A case series study of 129 adult patients with non-specific chronic low back pain attending a 10-day physical therapy programme. Visual Analog Pain Scale (VAS), Euroqol questionnaire (EQq), and Oswestry Disability Index (ODI) were used at the beginning and at the end of the physical therapy programme. Results: Cronbach's a of the Slovene ODI was 0.876 at the beginning of the physical therapy programme and 0.901 at the end of the programme. All items of the questionnaire loaded on the same factor. A significant positive correlation existed between the Slovene ODI and VAS, EQ-5D and EQ-VAS at the beginning of the physical therapy programme (r=0.630, p<0.001; r=0.657, p<0.001; r=-0.510, p<0.001, respectively), as well as at the end of the programme (r=0.491, p<0.001; r=0.725, p<0.001; r=-0.648, p<0.001, respectively). The difference between ODI scores obtained at the first and at the second interview was 2.7 ± 5.2 (p<0.001), and the difference between ODI disability scores was 5.4 ± 10.5 (p<0.001). The effect size of the Slovene ODI questionnaire was 0.30. Conclusions: The Slovene ODI questionnaire is a reliable and valid instrument for assessing outcomes of physical therapy in patients with chronic non-specific low back pain.
Ključne besede: disability evaluation, low back pain, physical therapy, validation studies, questionnaire
Objavljeno: 05.04.2017; Ogledov: 543; Prenosov: 68
.pdf Celotno besedilo (152,66 KB)
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