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1.
Risk factors for systemic reactions in typical cold urticaria : results from the COLD-CE study
Mitja Košnik, Dejan Dinevski, Simon Francis Thomsen, Daria Fomina, Elena Borzova, Kanokvalai Kulthanan, Raisa Meshkova, Dalia Melina Ahsan, Mona Al-Ahmad, Jovan Miljković, Dorothea Terhorst, 2022, izvirni znanstveni članek

Opis: Background: Cold urticaria (ColdU), i.e. the occurrence of wheals or angioedema in response to cold exposure, is classified into typical and atypical forms. The diagnosis of typical ColdU relies on whealing in response to local cold stimulation testing (CST). It can also manifest with cold-induced anaphylaxis (ColdA). We aimed to determine risk factors for ColdA in typical ColdU. Methods: An international, cross-sectional study COLD-CE was carried out at 32 urticaria centers of reference and excellence (UCAREs). Detailed history was taken and CST with an ice cube and/or TempTest® performed. ColdA was defined as an acute cold-induced involvement of the skin and/or visible mucosal tissue and at least one of: cardiovascular manifestations, difficulty breathing, or gastrointestinal symptoms. Results: Of 551 ColdU patients, 75% (n=412) had a positive CST and ColdA occurred in 37% (n=151) of the latter. Cold-induced generalized wheals, angioedema, acral swelling, oropharyngeal/laryngeal symptoms, and itch of earlobes were identified as signs/symptoms of severe disease. ColdA was most commonly provoked by complete cold water immersion and ColdA caused by cold air was more common in countries with a warmer climate. Ten percent (n=40) of typical ColdU patients had a concomitant chronic spontaneous urticaria (CSU). They had a lower frequency of ColdA than those without CSU (4% vs 39%, p=0.003). We identified the following risk factors for cardiovascular manifestations: previous systemic reaction to a Hymenoptera sting, angioedema, oropharyngeal/laryngeal symptoms, and itchy earlobes. Conclusion: ColdA is common in typical ColdU. High-risk patients require education about their condition and how to use an adrenaline autoinjector.
Ključne besede: adrenaline autoinjector, cold urticaria, COLD-CE, risk factors, systemic reactions, epinephrine, therapeutic use, self administration, injections, intramuscular, methods
Objavljeno v DKUM: 06.08.2024; Ogledov: 139; Prenosov: 8
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2.
Antibacterial effect of topically administered tranexamic acid in large joint arthroplasty
Urban Slokar, Simon Kovač, Andrej Cör, Katja Šuster, 2023, izvirni znanstveni članek

Opis: Tranexamic acid (TXA) is a synthetic derivative of the amino acid lysine and is commonly used as an antifibrinolytic agent in large joint surgery, such as knee arthroplasty, to minimize blood loss and its associated complications. Some studies have suggested that perioperative intravenous TXA application lowers the incidence of postoperative infections after hip and knee arthroplasty. While its effects on bacteria are not its primary purpose, more research is needed further to elucidate the extent of TXA’s impact on bacterial inhibition and its clinical relevance. In order to determine possible inhibitory effects, 22 clinically relevant bacterial strains were exposed to different TXA concentrations. Two different assays were performed: a microdilution assay with traditional endpoint measurements and a kinetic growth assay for a time-dependent susceptibility assessment. With the microdilution technique, a growth inhibitory effect became evident at higher TXA concentrations (50 and 100 mg/mL) on eight tested bacterial strains, of which four demonstrated absence of growth at 100 mg/mL, suggesting minimal inhibitory concentration. However, the kinetic growth assay revealed more specific TXA-induced dynamic changes in the bacterial growth of all tested bacterial strains. This study showed that TXA affects the growth dynamics of bacteria by altering their lag phase duration, exponential growth rate, and population density and may contribute to the prevention of implant-associated infections.
Ključne besede: tranexamic acid, bacterial growth, antimicrobial effect, topical administration, arthroplasty
Objavljeno v DKUM: 19.04.2024; Ogledov: 155; Prenosov: 7
.pdf Celotno besedilo (1,96 MB)
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The (un)constitutionality of the financial investigation as provided by the Financial Administration Act – a case study
Benjamin Flander, 2022, izvirni znanstveni članek

Opis: Purpose: The article provides an in-depth analysis of the regulation of financial investigations under the Financial Administration Act (“Zakon o finančni upravi (ZFU)”, 2014) and the manner of implementing the regulatory framework of this instrument in Slovenia. It presents the conditions for the initiation of a financial investigation, along with the competence and authorisations of investigators, the status of a person under investigation, and the procedure and conclusion of a financial investigation. In the article we take the position that either the existing regulatory framework or the manner in which the regulatory framework of financial investigation is implemented is unconstitutional. Design/Methods/Approach: We applied the normative method, the analysis and synthesis method, and a case study. Findings: We claim that Article 100 of the “ZFU” (2014), which governs financial investigations, is not compliant with the Constitution or the manner in which this provision is implemented by the Financial Administration of the Republic of Slovenia, which also has support in courts’ decisions. The Financial Administration, the Administrative Court and courts of general jurisdiction interpret and implement Article 100 of the “ZFU”, in the section relating to the moment in which a financial investigation is completed and tax inspection proceedings begin, in a way that is not compliant with the explanation by the Constitutional Court of the Republic of Slovenia in decision No. U-I-69/22-4. Research Limitations/Implications: The research does not include a comparative analysis, i.e., an analysis of the regulation and practice of conducting financial investigations pertaining to infringements of tax regulations in other countries.
Ključne besede: Financial Administration Act, financial investigations, financial administration, constitution
Objavljeno v DKUM: 27.01.2023; Ogledov: 535; Prenosov: 19
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5.
Training needs assessment for leaders in nursing based on comparison of competency models
Andreja Kvas, Janko Seljak, Janez Stare, 2014, izvirni znanstveni članek

Opis: Background and Purpose: The main purpose behind the formation of leadership competency models must be the improvement of leadership. A competency model should serve as one of the tools for selecting the most suitable leaders, appraising their work, assessing training needs and preparing programmes of functional and formal education. The objective of this research is to assess the training needs of leaders in health care. A comparison of leadership competency models between different professional groups should serve as one of the tools with which to assess the training needs of various levels of leaders. Design/Methodology/Approach: A descriptive study using a survey design was conducted on 141 nurse leaders in Slovenia. Respondents indicated to what extent each of 95 different behaviours was characteristic of a person at their leadership level. Results: The most important competence dimensions (groups of behaviours) for leaders in health care are (1) at the first - top leadership level: strategic thinking, openness to change and responsibility; (2) for leaders at the second - middle leadership level: relations with co-workers, animation, resistance to stress; and (3) for leaders at the third leadership level: realisation skills, execution of procedures, communication. Training needs assessments were done for three leadership levels in nursing care. Conclusions: The greatest need for training of nurse leaders can be observed at the third leadership level. Special training programmes should be organised in the competency areas of realisation skills, execution of procedures, communication, education and ethics.
Ključne besede: competence, nursing care, leadership, public administration, Slovenia
Objavljeno v DKUM: 22.01.2018; Ogledov: 1656; Prenosov: 367
.pdf Celotno besedilo (288,01 KB)
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6.
The management of complaints in Slovene public administration
Janez Stare, Barbara Gruden, Polonca Kovač, 2008, izvirni znanstveni članek

Opis: The Slovene public administration is part of the broader social system, therefore it must be responsive and proactive. The instrument of complaint in the administrative procedure, and wider in the context of the entire administrative management, is very helpful to public administration for tracking social changes and should therefore be seen as a form of constructive criticism. On the basis of user complaints regarding its services or the parties to the administrative procedure, the public administration must learn permanently and, as learning organisation, must incorporate its findings into future practice. The starting point of this contribution is the problems of the complaint in the narrow sense - customer dissatisfaction with the functioning of the public administration or arising from the fact that one of the characteristics of the administrative procedure or other services is the direct contact between the customer and the provider of the service. With this approach, the public administration will develop part of an integral system of quality and excellence that underlines the meaning of satisfaction of (all) the users of public services.
Ključne besede: public administration, administrative procedure, administrative management, complaint, Slovenia, customers
Objavljeno v DKUM: 22.01.2018; Ogledov: 1363; Prenosov: 426
.pdf Celotno besedilo (113,68 KB)
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7.
Organizational and managerial challenges of reforming Slovenian public agencies
Polonca Kovač, 2014, izvirni znanstveni članek

Opis: Introduction: Agencies are among the key contemporary public organizations, prospering within reforms carried out worldwide to increase professionalism and rationalism in public administration (PA). Hence, countries have been establishing agencies and delegating them public tasks in order to achieve expertise-based instead of politically-driven and thus more efficient public policies. In such context, the present article addresses the most important strategic documents related to public administration reform (PAR) in Slovenia, analyzing their goals in terms of agencification and the main implementation results and gaps. Research Design: The research is dedicated to exploring the governmental approach to agencification as a key aspect of PAR. It analyzes (1) the main PAR strategic documents on public agencies in Slovenia since the mid-90s, and (2) the perceived implementation of structural and managerial autonomy as the declared goal of agencification. Combined research methods are applied, including descriptive analysis, regional comparisons, structural interviews among representatives of public agencies and their parent ministries, and selected statistical data analysis. Results: As proven by different research methods, the hypothesis whereby agencification goals in Slovenia are largely achieved as part of PAR documents in terms of autonomous organizational structure was confirmed. A more elaborated agencification in PAR documents relates to higher implementation of autonomy. Conclusion: Nevertheless, the professionalism of Slovenian agencies is still an on-going process, particularly as regards the efficiency implementation gap. As for the future, a more consistent PAR incorporating cross-sectoral policy on agencies is required to pursue the development of a democratic and efficient PA.
Ključne besede: public administration reform, agencies, autonomy, organization, management, Slovenia
Objavljeno v DKUM: 10.01.2018; Ogledov: 1146; Prenosov: 335
.pdf Celotno besedilo (459,56 KB)
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8.
Corruption in public administration units and organizational measures to prevent and fight corruption
Andrejka Mevc, Milan Pagon, 2008, izvirni znanstveni članek

Opis: This paper presents the results of a study that investigated the attitudes of civil servants in public administration units in Slovenia regarding corruption at work. The results show that civil servants employed in public administration units take corruption seriously. The employees' perceptions of corruption and their willingness to report the offender are closely connected to their opinion on how others - their colleagues - perceive it (i.e., how serious they find corruption and whether they are willing to report the offender). There are important gender differences regarding the perceptions of corruption, as well as differences in the function they have and their membership in organizational units. The authors conclude that it is necessary to develop and strengthen the feelings of the employees' security and increase the link between perceiving corruption and one's own judgment of the seriousness of corruptive behaviour, as well as to decrease the tolerance regarding corruption.
Ključne besede: administrative corruption, corruptive behaviour, code of silence, anticorruptive measures, offender, management, civil servant, public administration unit
Objavljeno v DKUM: 29.11.2017; Ogledov: 1176; Prenosov: 362
.pdf Celotno besedilo (760,73 KB)
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9.
Tax compliance and social security contributions : the case of Slovenia
Tomaž Lešnik, Davorin Kračun, Timotej Jagrič, 2014, izvirni znanstveni članek

Opis: In this paper, we will examine the causes behind the higher level of compliance with social security contributions in comparison with other tax categories in the case of Slovenia. The results of econometric models suggest that the activities of the Tax Administration of the Republic of Slovenia, which were more stringently performed in the area of social security contributions in the most recent period, are an important - but not the only factor - behind the higher level of compliance in connection with social security contributions. At the same time, the decrease in tax compliance with other taxes (income tax, corporate income tax, and VAT) did not essentially influence the higher level of compliance with social security contributions. The more consistent treatment of unpaid social security contributions as a criminal offence and the higher public awareness about the importance of paying social security contributions in the latest period are recognized as important factors which simultaneously constitute the main difference between social security contributions and other taxes. The higher level of public awareness about the benefits that result from public services financed with taxes is recognized as a possible way to more optimally collect taxes in Slovenia.
Ključne besede: social security contributions, activities of the Tax Administration of the Republic of Slovenia, tax compliance, punishment, public awareness
Objavljeno v DKUM: 14.07.2017; Ogledov: 1806; Prenosov: 92
.pdf Celotno besedilo (387,66 KB)
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10.
Ethics in public administration : evidence from Slovenia
Zlatko Nedelko, Vojko Potočan, 2013, izvirni znanstveni članek

Opis: The main purpose of this paper is to examine how employeesʼ personal ethics, expressed through their personal values and attitudes toward social and environmental issues, are associated with the ethics of organizations in public administration. The authors introduce their own theoretical model that examines the relations between employeesʼ personal ethics - expressed through employeesʼ personal values and attitudes toward natural and social environments - and the ethics of public administration. The reported study examined these relations and tested a proposed model based on the answers of 212 employees from public administration organizations in Slovenia. Employeesʼ attitudes toward natural and social environments and the ethics of their organizations were measured using a questionnaire designed to measure aspects of ethics whereas personal values were measured using the Schwartz value survey. The results demonstrated that employeesʼ self-enhancing values significantly influence their attitudes toward the natural environment. Employeesʼ self-transcendence and self-enhancement values significantly influence their attitudes toward the social environment and the ethics of organizations. In addition, research results about the mediation effect of employeesʼ attitudes toward natural and social environments on the association between the employeesʼ personal values and their perception of the ethics of public administration organizations reveals that employeesʼ social attitudes have a significant impact on the ethics of public administration while the impact of self-transcending and self-enhancing values becomes insignificant. Based on results of testing our model we can conclude that the employeeʼs attitudes toward to the social environment represent a significantly more powerful predictor of ethics in public administration organizations than the employeesʼ personal values. These results present a solid basis for further theoretical and practical advancement of public administration ethics.
Ključne besede: attitudes, ethics, natural environment, public administration, Slovenia, social environment, values
Objavljeno v DKUM: 14.07.2017; Ogledov: 1367; Prenosov: 452
.pdf Celotno besedilo (396,63 KB)
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