The Mental Health Project in BiH (PMZ BiH), Phase II, is a continuation of Phase I of the Mental Health Project. Direct results are: strengthened competencies and skills of multidisciplinary teams to provide better mental health services. In co-operation with sister associations from BiH, Swiss experts have supported the further strengthening of nursing sta ff in mental health through: support for the development of sister documentation, support in updating clinical guides with a focus on sister practice and providing training and / or direct support to selected members of sister associations in regarding the application of sister documentation and instructions for acting in their work. Assessment of the capacity of professional associations and speci fi c needs of mental health professionals, realized within the BiH Mental Health Project, resulted in the signing of the Memorandum of Understanding and Cooperation between the above mentioned associations: who implemented the Project: “Strengthening Nursing Competencies within the Center for the Protection of Mental Health”. Targeted sisterhood interventions will improve the orientation of the mental health system to the patient, provide health care with respect and understanding, and e ff ectively treat patients. Interventions will contribute to better health outcomes, a better quality of life for mental health users and the general well-being of people with mental disorders, as well as those at risk of having a mental disorder. The project encompasses 40 centers for the protection of mental health in BiH with one representative - a medical nurse / technician. The acquired knowledge and skills, trained nurses / technicians, were passed on to other employees in the centers. The users with whom the sister documentation is applied are more satis fi ed with the speed and method of obtaining professional help. In 55.51% of respondents, the time of establishing the fi nal diagnosis and condition is shortened. In 44.49% of users who are already in treatment in the centers, the deterioration of the disease is prevented by the introduction of a faster and better quality service.
We propose a new paradigm for telecommunications, and develop a framework drawing on concepts from information (i.e., different metrics of complexity) and computational (i.e., agent based modeling) theory, adapted from complex system science. We proceed in a systematic fashion by dividing network complexity understanding and analysis into different layers. Modelling layer forms the foundation of the proposed framework, supporting analysis and tuning layers. The modelling layer aims at capturing the significant attributes of networks and the interactions that shape them, through the application of tools such as agent-based modelling and graph theoretical abstractions, to derive new metrics that holistically describe a network. The analysis phase completes the core functionality of the framework by linking our new metrics to the overall network performance. The tuning layer augments this core with algorithms that aim at automatically guiding networks toward desired conditions. In order to maximize the impact of our ideas, the proposed approach is rooted in relevant, near-future architectures and use cases in 5G networks, i.e., Internet of Things (IoT) and self-organizing cellular networks.
The water supply system is a set of facilities related to a functional unit with the primary aim of ensuring sufficient quantities of quality water by the most economical way. Design and implementation of such systems requires extensive previous research and analysis aimed at finding the optimal solution of water supply system. This paper presents an analysis of the pressure pipeline of the water supply system in which discussed several alternatives with different input parameters. It is shown the influence of the position and the number of tanks in the system on the basic parameters such as a pressure in the pipeline, power of pump units and so on. It's analyzed the impact of changes in diameter of the pipe to the hydraulic parameters, and also to the initial and operating costs of the system. The main aim of the complete analysis is to establish a uniform depending of the analyzed elements in the system and finding the optimal parameters and their relationship that provide the most appropriate solution from the technical and economic aspects.
Nursing by nature is a profession with high level of stress. As a profession it is considered to be one of more difficult jobswhich requires physical, mental and emotional engagement of nurses and technicians. Determine stress levels and working conditions of nurses in primary and secondary health care. The research was conducted at the General Hospital in Trebinje (secondary health care) and the Medical Center of Foca (primary health care). The study included 90 nurses and technicians.The study lasted for a period from10/02/2017 to 28/02/2017. The data were collected by anonymous questionnaire to identify stress at work which is adapted to protect workers’ health by the WHO. The health center in Foca(primary health care) tested 47.8% of respondents, and the rest are respondents who are employed at the General Hospital in Trebinje (secondary health care) (52.2%). Of the total number of nurses / technicians, 61.1% believe that there is enough time to adequately carry out their work. More than a half of the respondents (51.1%) believe that the work in their institutionis stressful. Twenty percent of the medicine nurses / technicians is exposed to unfavourable physical conditions at work. Highly statistically significant is higher number of nurses / technicians from the primary health care who consider to have good prospects for career development in comparison to nurses / technicians from secondary health care (χ2 = 15.563, p = 0.001). The highest percentage of nurses / technicians, 65.6% believe that their incomesare not sufficient to meet their own needs and those of their families. The results analysis showed that the stress of nurses / technicians at both levelsof thehealth care is equally present, as well as that nurses in secondary health care encounter more difficultworking conditions. Besides that financial compensation for the work of nurses / technicians is not enough to satisfy their own needs and those of their families.
Introduction: Food protein-induced enterocolitis syndrome (FPIES) is a non-immunoglobulin E mediated gastrointestinal food hypersensitivity, probably mediated by cells. The pathophysiological mechanism remains unclear. Cow’s milk and cereals are among the most common causes of FPIES. The diagnosis is based on clinical history. Case description: We report a rare case of enterocolitis with potato in an infant with irrelevant family and neonatal history. The patient refused several times to eat the first soup (carrot and potato) and when he ingested it he had profuse vomiting with dehydration, but without the need for hospitalization. The skin prick tests with potato extract were negative and the oral food challenge was positive. Comments: The recognition of the clinical manifestations of FPIES and the awareness of the possible involvement of less common food proteins are crucial for the early diagnosis, avoiding inadequate diagnostic and therapeutic procedures.
Research on potentially toxic elements chromium and nickel and laboratory testing of their concentrations was carried out in the wider area of Maglaj, with the aim to detect and determine their quantities, which gave basis for discussion about origins of these pollutants in soil. Field and laboratory observations included 45 soil samples, taken by the network, which is dictated by geomorphological conditions. The most frequently sampled type of soil are fluvisol and humofluvisol. Concentration of chromium (Cr) and nickel (Ni) are obtained by the most sophisticated laboratory method (ICP-MS), with a highly sensitive detection threshold (0.1 to 10,000 ppm). Evaluation of test results showed that concentrations of Cr (max. 954 ppm, min 154 ppm, average 457.5 pmm) and Ni (max 504.5 ppm, min 103.5 ppm; average 275.57 pmm) are significantly increased compared to the concentrations prescribed in the Regulations on determination of allowed amounts of harmful and hazardous substances in soil (Cr max = 100 ppm and Ni max = 50 ppm). Considering geological settings of surrounding area (the dominant presence of igneous ultramafic and mafic rocks) it can be concluded that high concentrations of Cr and Ni have geogenic origins, what is mean that they originate from source rocks from which they are separated through the long-term decomposition and disintegration processes.
The paper is based on 237 chemical analysis of grou ndwater, where the determination of magnesium origin in groundwatersof northeastern Bosnia were p erformed. The determination of magnesium origin in groundwaterswere carried through on the basis of results, a distribution map of Mg
The paper presents the results of the geochemical-pedological researches based on the lead concentrations in soil of the Tuzla's urban area. The main goal of the research was to determine to what extent, the urban area of Tuzla was contaminated by lead and to determine the pollutant origin. The 129 soil samples were collected in situ on the of area about 100 km2. The testing of the lead concentration in soil samples was performed by mass spectrometry (ICP-MS) with detection range of 0.02 to 10.000 ppm. The exceeding of the maximum permissible concentrations of lead (as defined by the „Pravilnik o utvrđivanju dozvoljenih kolicina stetnih i opasnih tvari u zemljistu i metode njihovog ispitivanja“), was recorded in eight soil samples (samples 108, 170, 171, 182, 187, 189, 195 and 244), 6.20% of the total analyzed. The exceeded lead concentrations range from 114.0 - 190.82 ppm and the average value is 146.72 ppm. The concentration of lead in the soil, which is within the limits of the doses, ranges from 14.14 to 60.74 ppm, and the mean value is 33.68 ppm. Locations of elevated lead concentrations are closely related to the main road, resulting that the contamination is the result of the anthropogenic activities.
In this study, for the purpose of determining the q uality of a digital cadastral plan lines, we made production of digital lines plan, vectoring, and th e diameter of the original data and maintaining the diameter of the five types of lines. Since digital uti ity cadastre plan is the basis for making part of he database of the cadastre lines, but that lately oft en resorted vectorization of analogue lines plans, or "digitization on the screen" in this study we analy zed the accuracy and reliability of digital geodeti c plan lines created vectoring analogue plan. There w e also made individual and comparative analysis of digitized content, according to the type of lines, on the basis of which it was concluded that the ove rall quality of the digital plan lines obtained vectorin g pretty good that can meet the needs of most users of the cadastre lines. The conclusions drawn in this a rt cle can serve amendments and harmonization of existing geodetic and cadastral regulations with th e regulations related to the business owners lines, regulations governing zoning and help define the st rategy and development directions records of public infrastructure.
In paper is given overview on geotechnical characteristics of the terrain on location of a bridge number 3, on highway Tarcin – Konjic. Complexity of geological structure, in near surface where it consists from sediments of weathering crust to depth of around 30,0 m, as well as in substrate that consists of sediments of clayey debris, determined the way of foundation. On software package Geo 5 is done a semi-analytical approach for determining the load capacity of the pile and extent of subsidence in relation to given load. Pile is modeled with beam elements where is observed behavior of surrounding terrain according to Winkler-Pasternak modele, and shearing force to the contact of pile and soil are determined based on Mohr-Coulombo criteria. Changeable characteristics on the terrain demanded analysis of every pile for which are given propositions for foundation and allowed load.
Introduction: Orthodontic treatment, in addition to patient benefits, includes certain risks and complications that should not beignored. The side-effects of orthodontic therapy all therapists want to avoid or reduce to a minimum.The occurrence of these complications depends on the orthodontic technique, medical knowledge in this field, patient's generaland oral health, and oral hygiene habits. Part of the risk and complications depend on the patient's ability to understand andcooperate during the therapy. For this reason, it is a medico-legal obligation to inform our patients about side effects of any medicalintervention what will be undertaken. In the previous issue, an overview of local complications of orthodontic treatment - dentalcomplications was presented. The aim: The aim of this part is to present a detailed overview of the most common complications with local effect- periodontalcomplications in the context of the contemporary attitude of the risks and complications associated with orthodontic treatment. Material and methods: Classification was presented by Graber, 2004th, in its publication, "Risk Management in Orthodontics: AnExpert's Guide to Malpractice," used as a starting point for the development of this review. A complex search was performed (PubMed, Google Scholar, etc.), with the restriction upon of publication date (beginning with 2004) to find relevant current studies.Search keywords were combinations of words: complication, orthodontic treatment, risks, side effects. Concluding remarks: Periodontal complications are the most common side effects linked with orthodontic treatment according tocontemporary literature. Serious analysis of potential risk for periodontal complications is mandatory for orthodontic patientsbefore the treatment starts. It is the only correct way to minimize complications during and after orthodontic treatment.
This study was conducted to reveal what Memrise, an online vocabulary study tool, can offer to upper-intermediate EFL learners compared to traditional vocabulary exercises in L2 vocabulary learning. Two groups of upper-intermediate learners (N=80) were randomly assigned to the experimental group and the control group and were given the Vocabulary Knowledge Scale, VKS for short, as the pre-test and post-test. The participants in both groups were exposed to the target vocabulary items in the same reading text. While those in the experimental group created list of target vocabulary items collaboratively in Memrise and then studied the sets individually, the learners in the control group did traditional vocabulary exercises. The results of the post-tests indicated that there was a significant difference between the control group and the experimental group in favor of the experimental group. The researchers discuss possible pedagogical implications of this significant finding for EFL vocabulary instruction.
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