1. Odškodninska odgovornost zdravnika in terapevtska svobodaNataša Samec Berghaus, 2024, samostojni znanstveni sestavek ali poglavje v monografski publikaciji Opis: V prispevku se po kriterijih, ki se uporabljajo v odškodninskih sporih v Sloveniji, kjer se ugotavlja, ali je prišlo do zdravniške napake pri uporabi določene metode konvencionalne medicine, analizira, ali (in kdaj) lahko pomeni zdravnikova uporaba posamezne metode nekonvencionalne medicine zdravniško napako in posledično tudi morebitno odškodninsko odgovornost zdravnika zaradi kršitev medicinskih standardov. Navedeno vprašanje je povezano z razumevanjem pojma terapevtska svoboda in terminologijo s področja nekonvencionalne medicine. Ker ne obstajajo pravila za »pravilno zdravljenje« posameznika, tudi ni mogoče postaviti splošnih pravil glede napačnega ravnanja pri izbiri metode zdravljenja. Bistveno pri zdravnikovem postopku odločanja in tehtanja glede uporabe metode nekonvencionalne medicine je, da je ravnal s skrbnostjo strokovnjaka dobrega zdravnika in opravil ustrezno pojasnilno dolžnost v zvezi z izbiro metode zdravljenja ter v tem okviru tudi upošteval pacientovo voljo in njegovo pravico do soodločanja.
Ključne besede: odškodninska odgovornost, terapevtska svoboda, nekonvencionalna medicina, zdravniki, konvencionalna medicina
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3. Biofilična arhitektura: zasnova centra za fizikalno medicino in rehabilitacijoKristina Turk, 2024, magistrsko delo Opis: Magistrsko delo podaja idejno rešitev za zasnovo centra za fizikalno medicino in rehabilitacijo, temeljenega na biofilični arhitekturi. Zasnova centra temelji na detajlni raziskavi in preučevanju literature ter ponuja premislek o možnostih tovrstnega oblikovanja in programa.
Skozi raziskave biofilije, biofiličnega oblikovanja, biofiličnih elemetov in referenc, razvijamo in ustvarjamo idejo o oblikovanju in delovanju novega centra. Povezava biofilije in tovrstnega programa, ponuja in odpira možnost oblikovanja funkcionalnega objekta. Zasnova programa, temelji na pravilnikih in referenc že izvedenih centrov, na področju Medžimurske županije in Evrope.
Na podlagi analiz širšega in ožjega območja, je izbrana lokacija za postavitev novega centra za fizikalno medicino in rehabilitacijo, ki omogoča povezavo z okolico in obstoječim kompleksom. Konceptulna rešitev izhaja iz prostora in prostorskih omejitev. Center je zasnovan kot povezava žive narave in grajenega okolja, kar omogoča zasnovo ugodnega bivalnega okolja, bivanje v neokrnjeni naravi v času okrevanja, hkrati pa pripomaga k programski pestrosti območja.
Ključne besede: fizikalna medicina, fizikalna rehabilitacija, biofilija, biofilična arhitektura, zelena fasada, zelena streha, vertikalna ozelenitev
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4. Ali so pogosti obiskovalci za zdravnika tudi težavni bolniki?Janko Kersnik, Marija Kuralt, 2008, izvirni znanstveni članek Ključne besede: osnovno zdravstvo, družinska medicina, odnos zdravnik-bolnik, obiski, stres, konzultacija, težaven bolnik, pogosti obiskovalci
Objavljeno v DKUM: 19.04.2024; Ogledov: 202; Prenosov: 11
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7. Pogostnost etičnih dilem med zdravniki družinske medicine v SlovenijiZalika Klemenc-Ketiš, Janko Kersnik, 2009, izvirni znanstveni članek Opis: Purpose: To de termine the per~ ceived prevalence of ethical dilem~ mas in family practice.Methods: Selfadministered ques~ tionnaire sent to a random sample of 259 Slovenian family physicians.The main outcome measure was the percentage of doctors reporting the frequency of ethical dilemmas on a 5 ~point scale.Results: Ethical dilemmas were common ( mean score standard de~viation, 36.2 12.5, out of a maxi~ mum of 100). The most common dilemmas involved decision~making regarding use of limited resources (23.9%), patient attempts to abuse the health care service (20.4%) and interfacing with the rest of the health care system (20.4%). Dealing with patients suspected of being physically abused, sexually abused, or involved in other violent acts was the least common ethical dilemma 0.1 %), followed by issues involving breaking bad news 0.1 %) and special situations regarding adolescents (0.7%).Older physicians and those with more experience reported ethical dilemmas less commonly (32.3 11.9 vs.40.1 11.9, P < 0.001; 32.4 11.8 vs. 39.5 12.2, P = O. OO 1 , respectively) . Specialists in family medicine and family medicine residents reported ethical dilemmas more commonly than general practitioners without specialist training (37.0 12.6 vs. 30.7 1O.8, P = 0.05 and 39.5 12.5 vs. 30.7 1O.8, P = 0.04, respectively).Conclusions: Ethical issues are common in Slovenian family practice and are most of ten reported byresidents in specialist training. This supports the need to continue and even improve specialist training in recognizing and comprehending ethical dilemmas.
Ključne besede: bioetika, pogostnost, družinska medicina, odnos med zdravnikom in bolnikom, presečna študija
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8. Stališča zdravnikov družinske medicine in njihovih bolnikov do izvajanja 24-urnega neinvazivnega merjenja krvnega tlaka v ambulanti družinske medicineMarija Petek Šter, Janko Kersnik, 2009, izvirni znanstveni članek Opis: Purpose: Ambulatory blood pressure monitoring (ABPM) is increasingly being used in general practice, but there is a lack of information about the attitudes of general practitioners and their patients about the use of ABPM inprimary care in Europe. Methods: Cross sectional survey performed on consecutive patients with uncontrolled hypertension treated by at least two different antihypertensive drugs and referred for ABPM in 38 general practicesin Slovenia. Patients and physicians completed a questionnaire about their satisfaction with, attitudes about and acceptance of ABPM in general practice; the latter two were assessed using 5 point Likert scales. Results: We obtained complete data for 185 patients; 95 female (51.4%) and 90 (48.6%) male, aged 37 to 79 years (mean 59.5, SD 9.5 years). 106 (67.3 %) patients were completely satisfied with the instructions given before ABPM. Patients found ABPM an acceptable method of blood pressure control. They believed that ABMP helped to reach better blood pressure control (Likert scale: 4.46, SD 1.03) and valued having access to ABPM in general practice (Likert scale: 4.65, SD 1.01). General practitioners strongly believed that ABPM was acceptable to patients, improved patient and physician interest in blood pressure control, improved compliance with treatment and reduced prescription of antihypertensive drugs. They recognised ABPM as being most valuable in cases of patients with suspected white-coat hypertension (Likert scale: 4.79, SD 0.49). Conclusions: Patients and general practitioners find ABPM to be an acceptable method for investigating blood pressure. Patients value being able to access ABPM in general practice rather than in a specialist setting.
Ključne besede: arterijska hipertenzija, 24-NMKT, stališča, sprejem, družinska medicina
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9. Učinkovitost zdravljenja sindroma policističnih jajčnikov z metforminomKatja Jerenec, Maša Samojlenko, Ksenija Geršak, Polonca Ferk, 2013, pregledni znanstveni članek Opis: Metformin is an oral antidiabetic drug with potentially beneficial effects in patients with polycystic ovary syndrome (PCOS). Different pharmacological responses to metformin have been reported in PCOS patients, which may be attribut able to various clinical, biochemical, genetic and other factors. Here, we have outlined a short review of the results from current clinical studies on metformin efficacy in PCOS patients. Additionally, preliminary results from a retrospective pharmacogenetic study by our group on a sample of Slovene PCOS patients are presented. Pharmacogenetics is an emerging science that should provide options for individualized medicine, the future of healthcare.
Ključne besede: sindrom policističnih jajčnikov, metformin, farmakogenetika, osebna medicina
Objavljeno v DKUM: 12.04.2024; Ogledov: 159; Prenosov: 11
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