Iskanje po katalogu digitalne knjižnice

Opis: 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.
Ključne besede: scale-up, noncommunicable diseases, patientcentered care, primary healthcare, integrated healthcare
Objavljeno v DKUM: 22.10.2024; Ogledov: 0; Prenosov: 3
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Opis: Many researchers emphasize teachers' attitudes as a decisive component in ensuring successful inclusion of students with special needs (SN students). The empirical research that is presented in the main part of this article analyzes the attitudes of primary and secondary teachers towards the inclusion of SN students with respect to the type of school, the teachers' age, the number of SN students in the class, and the teachers') acquired skills. A questionnaire was devised for the study, based on two previous questionnaires: the Questionnaire on Attitudes towards Integration and the Teacher Stress and Coping Questionnaire. The secondary teachers showed more positive attitudes towards SN students than did their primary colleagues, as well as towards teaching and adaptation with respect to the students' SN and towards the psychophysical strain related to such work. The youngest group of teachers, those aged from 20 to 30, shows a higher level of agreement related to the provision of adequate support. Teachers with fewer SN students in class (up to two students) show a higher degree of support for inclusion of SN students than do other groups of teachers. Teachers without training for work with SN students in comparison with their colleagues who had it show a lower level of agreement with respect to support and assistance at educational work with SN students.
Ključne besede: defektologija, pristopi učiteljev, starost učiteljev, otroci s posebnimi potrebami, otroci z motnjami, integrirani otroci, socialna integracija, emocionalna integracija, motivacijska integracija, osnovne šole, srednje šole, defectology, teachers' attitudes, teachers' age, impaired children, integrated children, integration, social integration, emotional integration, motivational integration, primary schools, secondary schools
Objavljeno v DKUM: 17.09.2024; Ogledov: 0; Prenosov: 1
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Opis: 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.
Ključne besede: diabetes type 2, arterial hypertension, peer support, self-management, integrated primary, healthcare
Objavljeno v DKUM: 17.07.2024; Ogledov: 103; Prenosov: 4
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Opis: The reusage of water and steam utilities plays a key role in the mitigation of decarbonising and climate change, including reduced fossil-fuel energy consumption and reducing the dependence on natural gas. The water condensates can be used for utility and heat-recovery systems by an integrated fork technique, achieving economic benefits and a complete circular economy, presented in two steps. The main novelty of this fork technique includes the determination of a regulated heat flow rate for the integration between the dryer and evaporator, which enables an evaporation of the same water mass flow as by the existing evaporating system, which is performed in the first step. The main significance of this technique presents the manner of a fork system as a superstructure for waste condensates’ collection separately and combinedly, and sustainable reusage's alternatives of the condensates, such as steam or electricity cogeneration, presented in the second step. This technique is carried out in two steps, including real-simulated results using an Aspen Plus® simulator. This approach is illustrated using an existing sugar production, which is selected as the waste mass and energy reusage from the evaporator and dryer for low-pressure steam production, generating a possible increase profit of 1.9 MEUR/a. The saving of the heat flow rate after the integrated dryer with evaporator should be 15,816 kW, or 73 %, presenting as a percentage.
Ključne besede: steam utility, water condensate, fork technique, circular economy, integrated units, food industry
Objavljeno v DKUM: 10.05.2024; Ogledov: 229; Prenosov: 11
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Opis: V diplomskem delu je predstavljeno vodenje asinhronskega stroja s pretvornikom Siemens SINAMICS G120. Najprej sta predstavljeni uporabljena strojna in programska oprema, s pomočjo katerih smo izvedli eksperimentalno analizo. Podrobneje je predstavljen del programskega okolja Siemens Totally Integrated Automation Portal (TIA Portal), ki uporabnikom omogoča nastavljanje pogonskega sklopa. V okviru okolja TIA Portal so predstavljeni postopki za izvedbo vodenja z metodo U/f in za izvedbo vektorskega vodenja, pri čemer je poudarek na avtomatizirani nastavitvi parametrov pretvornika. Predstavljeni rezultati eksperimentalne analize zajemajo primerjavo med odzivi pogonskega sklopa v primeru različnih načinov vodenja, ki jih pretvornik omogoča. Na koncu so podani še napotki za ročno prilagoditev parametrov regulatorja hitrosti za doseganje želene dinamike pogona v primeru vektorskega vodenja.
Ključne besede: Asinhronski stroj, Siemens Totally Integrated Automation Portal, SINAMICS G120, vektorsko vodenje, vodenje U/f.
Objavljeno v DKUM: 13.10.2023; Ogledov: 382; Prenosov: 62
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