Background: According to recent statistics, the number of people who had fled their own home by 2015 was 59.5 million. In this context, the number of people who need a third person as a language link in communication with health care services has increased dramatically. This issue has led to a major challenge to healthcare providers to fulfill immigrants’ needs in communication with health care services in resettlement countries. Aim: To study Kurdish refugees’ experiences concerning communication with health care services in resettlement countries. Methods: Focus group interviews carried out with five groups of Kurdish refugees (N=21). The group interviews were transcribed, interpreted, analyzed and the text was categorized according to the content analysis method. Results: A number of difficulties regarding communication with health care services with the use of an interpreter, as well as with immigrants’ independent communication, were highlighted by the present study. Participants’ dissatisfaction with interpreters, and their competence in communication through an interpreter were reasons why some of them avoided using an interpreter although their language knowledge was limited. The other group finally had to use interpreters following their exaggeration of their language ability, meanwhile the third group waited until their language skills were good enough for independent communication. Conclusion: A number of difficulties concerning the Kurdish refugees’ communication with health care services in Scandinavian countries were revealed by the present study. Interpreters’ linguistic incompetence, their relatives’ impartially and lack of language knowledge in communication through interpreters were problems mentioned by participants. Dissatisfaction with professional interpreters’ competence, exaggeration of their own language ability by some of the participants and sufficient language knowledge were motives for Kurdish refugees’ tendency to make independent communication with health care services.
Introduction: The aim of this study was to assess core stabilization exercise effects in reducing functional disability in patients with chronic low back pain (CLBP).Methods: This study included total of 90 patients aged 40 to 60 years. After a ten-day rehabilitation program the patients from an examination group (n = 30) performed home exercise program five times a week, patients from a first control group (n = 30) three times a week, while patients from a second control group (n = 30) did not perform the exercises at all. The patients performed core stabilization exercises of moderate intensity once a day in 30 minutes sessions. The patient's functional disability was estimated using the Oswestry Disability Index (ODI).Results: After two months of rehabilitation there was a statistically significant increase in functional ability in patients who performed the core stabilization exercises five times a week(p = 0.0001) and in patients who performed the core stabilization exercises three times per week (p = 0.0001). A statistically significant difference in functional ability was not recorded in patients who did not perform the exercises. The analysis of the average values of the ODI differences at the beginning and after two months of rehabilitation showed a statistically significant difference between the group who did not perform the exercises and the group who performed the core stabilization exercises three times a week (p = 0.0001), and between the group who did not perform the exercises and the group who performed the core stabilization exercises five times a week (p = 0.0001).Conclusions: The implementation of the core stabilization exercises leads to a reduction of functional disability in patients with CLBP.
The connection of distributed sources and their impact on distribution grid has been the subject of intensive research in the last two decades. Creating a favorable environment for the production of electrical energy from renewable energy sources in many countries around the world made an evident increase in electrical energy production from renewable sources. Connecting these generators to distribution grid is not always an easy task, and often, in cases of inadequate analysis and poor choice of ways of connecting these sources, can have a negative impact on the quality of electrical energy in local distribution grids. In this paper, using a realistic test system, the focus of research is to identify the behavior of group synchronous generators connected to the medium-voltage distribution grid in "cascade" manner. The s elected test system presents the real power distribution system of the Municipality of Gornji Vakuf-Uskoplje, to which six synchronous generators are connected at the moment. Analyses results of the work of this power distribution system in the previous period indicate that there have been significant changes in the existing distribution grid (significant change in voltage, increased losses, etc.) after these generators were connected. Dynamic simulations are conducted on the basis of the appropriate mathematical models, and the response of the generators and changes in the voltage value in the distribution grid were simulated for several types of disturbances. The results show that generators remain in synchronism while tested on selected simulated disturbances, where the oscillations of the generator rotor disappear over a period of several seconds. Also, the changes of voltage value in distribution grids for simulated disturbances are within the permitted limits.
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