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Management, Communication in the Health Institution 卫生机构的管理、沟通
Pub Date : 2022-03-03 DOI: 10.7251/qol2201058v
Valentina Vrućan
If we look around, we can easily notice that the world would not function without communication. How could we express our thoughts and what we want unless we say it, show it and touch it? Therefore, the business world could not function without interpersonal communication either, especially in the health institutions. The beginning of the research was based on the hypothesis that communication had to be open for the system to function, and employees satisfied with the working atmosphere and the relationship with the facility management. It was assumed that verbal communication was the most common form of communication, which often resulted in conflicts among health professionals. The research showed that the respondents were aware of the importance of creating effective communication, both within the same health care facility and outside it, especially conversation, assuming that they can convey the most important information in the shortest possible time. The data on formal communication at workplace indicated that employees believe that communication with their colleagues did not have to be formal, because in that way collective work would be more productive and the working atmosphere more pleasant. It is very important for every health care institution to invest enough funds in the activities, such as the health service promotion. Teamwork, health managers and employees contributed to the development of the health institution.
如果我们环顾四周,我们很容易注意到,没有交流,世界就无法运转。我们怎么能表达我们的想法和我们想要什么,除非我们说出来,展示出来,触摸它?因此,商业世界也不能没有人际沟通,特别是在卫生机构。研究的开始是基于这样的假设:沟通必须是开放的,系统才能发挥作用,员工对工作氛围和与设施管理的关系感到满意。人们认为口头交流是最常见的交流形式,这往往导致卫生专业人员之间的冲突。研究表明,受访者意识到在同一医疗机构内外建立有效沟通的重要性,特别是对话,假设他们可以在尽可能短的时间内传达最重要的信息。关于工作场所正式沟通的数据表明,员工认为与同事的沟通不必是正式的,因为这样集体工作就会更有成效,工作氛围也会更愉快。每个卫生保健机构投入足够的资金进行卫生服务推广等活动是非常重要的。团队合作、卫生管理人员和员工为卫生机构的发展做出了贡献。
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引用次数: 0
Lifestyles related to NCD and utilization of preventive services among adults 与非传染性疾病相关的生活方式和成年人预防服务的利用
Pub Date : 2022-03-03 DOI: 10.7251/qol2201038s
Slađana Šiljak, L. Kovačević, D. Dragić
Leading behavioural risk factors for non communicable diseases (NCD) are smoking, harmful use of alcohol, physical inactivity and unhealthy diet. More than half of population between age 30 and 70 years die annually from NCDs which could be prevented by promotive and preventive measures. Goal of the paper is to determine lifesyle factors related to non communicable diseases and utilization of preventive services in primary health care center Zvezdara in Belgrade. Survey is cross sectional study with sample size of 210 adults randomly selected. The analysis of the survey data was performed using the statistical data processing program SPSS 19.0 for Windows. Lifestyles factors related to NCDs among adult population in Belgrade are smoking (38,1%), alcohol consumption (32,9%), poor eating habits with high salt intake, more than 5g (29%) and inadequate frequency of meals (61%), sedentary lifestyles during working time (27,1%) and during leisure time (20,4%). Only 16,7% of population have moderate physical activity according to WHO recommentations. Preventive services utilized each third men and each fifth women, people with high level of education (p=0.001), professionals (p=0.007) who are living in good social conditions (p=0.000). Preventive services need to be organized more flexible in relation to public opinion using modern methods of health education via electronic services, media and mobile communications.
非传染性疾病的主要行为风险因素是吸烟、有害使用酒精、缺乏身体活动和不健康的饮食。30至70岁人口中有一半以上每年死于非传染性疾病,可通过促进和预防措施加以预防。本文的目的是确定生活方式因素与非传染性疾病和预防服务的利用在初级卫生保健中心Zvezdara在贝尔格莱德。调查采用横断面研究,随机抽取210名成人为样本。使用统计数据处理程序SPSS 19.0 for Windows对调查数据进行分析。贝尔格莱德成年人中与非传染性疾病相关的生活方式因素包括吸烟(38.1%)、饮酒(32.9%)、不良饮食习惯(高盐摄入量,超过5克(29%)和进餐频率不足(61%)、工作时间久坐不动的生活方式(27.1%)和休闲时间(20.4%)。根据世卫组织的建议,只有16.7%的人口进行适度身体活动。利用预防服务的男性占三分之一,女性占五分之一,受教育程度高的人(p=0.001),生活在良好社会条件下的专业人员(p=0.007) (p=0.000)。预防服务的组织需要更灵活地结合公众舆论,利用电子服务、媒体和移动通信等现代保健教育方法。
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引用次数: 0
Disinfection of Drinking Water and Trihalomethanes
Pub Date : 2022-03-03 DOI: 10.7251/qol2201022k
Marina Kvaternik, M. Protić
Best known by-products of chlorination of drinking water are trihalomethanes (THMs) which can have negative effects on human health. The research goals in this paper were to emphasise the importance of THMs as by-products of disinfecting drinking water, to show the practice of controlling the THMs in drinking water on the example of three water supply systems in the Republic of Srpska and to propose measures for reducing formation of THMs in drinking water. The results have shown that values of THMs in drinking water in these three water supply systems were within the reference values, but the level of the proscribed control is significantly below the minimal requirements.
饮用水氯化最著名的副产品是三卤甲烷,它会对人体健康产生负面影响。本文的研究目标是强调作为饮用水消毒副产品的THMs的重要性,以斯普斯卡共和国的三个供水系统为例,展示控制饮用水中THMs的实践,并提出减少饮用水中THMs形成的措施。结果显示,三个供水系统的饮用水中THMs含量均在参考值范围内,但管制水平明显低于最低要求。
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引用次数: 0
The Influence of Recreational Aerobics on Subjective Assessment of Psychosomatic Status of Women 娱乐性健美操对女性心身状况主观评价的影响
Pub Date : 2021-10-03 DOI: 10.7251/qol2103104z
Radomir Zrnić, Saša Virijević Jovanović, Ž. Vukić, G. Tešanović
Sedentary life significantly affects the working abilities and health status of middle-aged women. On the other hand, appropriate systematic exercise can have a preventive effect on reducing symptoms and the appearance of some diseases, and thus have a positive effect on improving psychosomatic status. The research aimed to determine the subjective assessment of the psychosomatic status of women under the influence of recreational aerobics. The population from which the sample was drawn is a population of healthy women, age from 35 to 45 years, who dominantly live a sedentary lifestyle. For this study, a scale of subjective psychosomatic status assessment (SPPPS) was applied. The scale consists of 32 characteristic discomforts (disorders) which are divided into eight groups: shoulder and arm pain; back pain; leg pain; fatigue and sensorial discomfort; indigestion; cardiovascular disorders; neuropsychiatric disorders, symptoms of general fatigue. The Wilcoxon Signed Ranks test revealed statistically significant changes (p = 0.000) in all analyzed variables between initial and final measurements. Based on this finding, it can be concluded that recreational aerobics has a positive effect on improving the psychosomatic status of sedentary middle-aged women.
久坐生活对中年妇女的工作能力和健康状况有显著影响。另一方面,适当的系统运动可以起到预防作用,减轻症状和一些疾病的出现,从而对改善心身状态有积极的作用。本研究旨在确定女性在娱乐性有氧运动影响下的心身状态的主观评价。抽取样本的人群是年龄在35至45岁之间的健康女性,她们主要过着久坐不动的生活方式。本研究采用主观心身状态评估量表(SPPPS)。该量表包括32种典型的不适(疾病),分为8组:肩部和手臂疼痛;背部疼痛;腿部疼痛;疲劳和感觉不适;消化不良;心血管疾病;神经精神紊乱全身疲劳症状Wilcoxon sign rank检验显示,在初始和最终测量之间,所有分析变量的统计学显著变化(p = 0.000)。基于这一发现,我们可以得出结论,娱乐性有氧运动对改善久坐的中年女性的心身状态有积极的作用。
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引用次数: 0
Glass-Ceramics Produced by Vitrification of Coal Fly Ash 粉煤灰玻璃化制备微晶玻璃
Pub Date : 2021-10-03 DOI: 10.7251/qol2103085a
B. Angjusheva, E. Fidančevska
Glass-ceramics based on CAS (CaO-Al2O3-SiO2) system was produced by controlled crystallization of vitrified fly ash. Fly ash was pre-treated by magnetic separation and nonmagnetic part of fly ash (NFA) was used. Maximal crystallization of parent glass occurs in the temperature region from 900 oC to 1160 oC. Glass-ceramics was produced by consolidation of parent glass i.e. pressing (45 MPa) and sintering at 950, 1000, 1050 and 1100 oC, and isothermal time at the final temperature of 30, 60, 120 minutes. The dominant crystalline phase was calcium aluminum silicate (anorthite). The obtained glass-ceramics could be potentially used in construction applications.
采用玻璃化粉煤灰控制结晶法制备CAS (CaO-Al2O3-SiO2)微晶玻璃。采用磁选法对粉煤灰进行预处理,利用粉煤灰的非磁性部分(NFA)。母玻璃的最大结晶发生在900 ~ 1160℃的温度范围内。通过对母玻璃进行45 MPa压实和950、1000、1050、1100℃烧结,最终温度分别为30、60、120 min等温时间制备微晶玻璃。主要晶相为钙铝硅酸盐(钙长石)。所获得的微晶玻璃具有潜在的建筑应用价值。
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引用次数: 0
Performance Evaluation of Polymeric Membrane Permeability Characteristics Using Different Aqueous Solutions 不同水溶液下聚合物膜渗透特性的性能评价
Pub Date : 2021-10-03 DOI: 10.7251/qol2103093m
E. Mustafa, Katerina Atkovska, Stefan Kuvendziev, M. Marinkovski, K. Lisichkov
In the last decade the application of membrane separation technology is more increasing. The membrane in water purification and wastewater treatment is essential separation process used for water reclamation. The production of new membrane types with different permeable characteristics and performances allows them to be fitted in different membrane modules that can be used in the membrane filtration. The water characteristics are important for the membrane performance. It can seriously affect the permeability characteristics and increase the fouling on the membrane surface. In wastewater treatment, the characteristics of the aqueous influent can reduce the permeability of the membrane and the process efficiency of the membrane bioreactor (MBR). The aim of this paper is to explore the effect of different aqueous solutions on membrane permeability using dead end filtration process. For this purpose, NaCl solution with different concentration were prepared and the effect of the concentration polarization on the membrane was observed. The constructed membrane module was also tested with real water sample and the membrane permeability was analyzed. In this experiment a polymeric membrane produced from polyether sulphonate (PES), with diameter of 5.0 cm and pore size of 0.04 µm was assembled in a constructed module for dead-end filtration. The module was constructed in a way that would allow turbulence of the solution on the membrane surface. The following working parameters were examined: transmembrane pressure (TMP), the types of solutions, the working temperature, and the influence of agitation on the feeding to the specific membrane flux and permeability. The results showed that the membrane permeability is affected by the water organic and inorganic constituents and in the process of design of membrane reactor for wastewater treatment, the water composition should be taken in consideration.
近十年来,膜分离技术的应用越来越广泛。膜在水净化和废水处理中是水回收必不可少的分离工艺。具有不同渗透特性和性能的新型膜的生产允许它们安装在不同的膜模块中,可用于膜过滤。水特性对膜的性能有重要影响。它会严重影响膜的渗透特性,增加膜表面的污垢。在污水处理中,进水的特性会降低膜的渗透性,影响膜生物反应器(MBR)的处理效率。本文的目的是探讨不同水溶液对膜透性的影响,采用死端过滤工艺。为此,制备了不同浓度的NaCl溶液,观察了浓度极化对膜的影响。用实际水样对所构建的膜模块进行了测试,并对膜的透气性进行了分析。本实验将聚醚磺酸盐(PES)制备的直径为5.0 cm,孔径为0.04µm的聚合物膜组装在一个构建的模块中进行终端过滤。该模块的构造方式将允许溶液在膜表面湍流。考察了以下工作参数:跨膜压力(TMP)、溶液类型、工作温度以及搅拌对进料比膜通量和渗透率的影响。结果表明,膜的渗透性受水中有机和无机成分的影响,在设计膜反应器时应考虑水的组成。
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引用次数: 0
Risk Factors in Musculoskeletal Disorder Development in Children Connected With the Extended use of Information and Communication Technologies 儿童肌肉骨骼疾病发展的危险因素与信息和通信技术的广泛使用有关
Pub Date : 2021-10-03 DOI: 10.7251/qol2103113l
Miloš Lazić, A. Hadžiomerović, Dženan Pleho, Aldina Alibegović, Nino Alić
Introduction: The way of life in modern society goes along with new technological discoveries and achievements. This lifestyle leaves its positive and negative consequences on children. Such changes are especially reflected on health already in earliest stages of life. The studies show that most children have been using computers even since kindergarten and that children’s computer use is longer than recommended. It is more effective and cheaper to prevent musculoskeletal disorders than to cure them. Goal: To examine all risk factors concerning the development of musculoskeletal disorders connected with a long use of information and communication technologies by reviewing scientific literature. Material and methods: Non-experimental qualitative research into the risk factors of the development of musculoskeletal disorders connected with a long use of information and communication technologies based on relevant databases. Results and discussion: Based on a discussion of the attitudes and opinions of other authors, risk factors are divided in three basic groups: ergonomic, individual, and psychosocial risk factors. As it is shown in the discussion of this paper, a disbalance of the desk for a desktop computer, the non-ergonomic design of the furniture, the type and time of the ICT usage device, the sedentary way of using the ICT devices at school and at home are just some of the numerous risk factors to children’s health. Conclusion: By examining the risk factors in the development of musculoskeletal disorders in children connected with an extended use of information and communication technologies, the presented evidence in the discussion section based on other authors’ attitudes and opinions, leads us to the conclusion that numerous risk factors that affect children’s health are due to a larger and more frequent use of computers, console games, tablets and mobile phones.
引言:现代社会的生活方式伴随着新的技术发现和成就而发展。这种生活方式给孩子们带来了积极和消极的影响。这些变化尤其反映在生命最初阶段的健康状况上。研究表明,大多数孩子甚至从幼儿园就开始使用电脑,而且孩子们使用电脑的时间比建议的要长。预防肌肉骨骼疾病比治疗它们更有效,也更便宜。目的:通过回顾科学文献,研究与长期使用信息和通信技术有关的肌肉骨骼疾病发展的所有危险因素。材料和方法:基于相关数据库,对长期使用信息和通信技术的肌肉骨骼疾病发展的危险因素进行非实验定性研究。结果和讨论:基于对其他作者的态度和观点的讨论,危险因素被分为三个基本组:人体工程学、个人和社会心理危险因素。正如在本文的讨论中所显示的,台式电脑办公桌的不平衡,家具的非人体工程学设计,信息通信技术使用设备的类型和时间,在学校和家中使用信息通信技术设备的久坐方式只是儿童健康的众多风险因素中的一些。结论:通过研究儿童肌肉骨骼疾病发展的风险因素与信息和通信技术的长期使用有关,讨论部分根据其他作者的态度和观点提出的证据使我们得出这样的结论:影响儿童健康的许多风险因素是由于更广泛和更频繁地使用电脑、游戏机、平板电脑和手机。
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引用次数: 1
Phytoremediation of Soil Contaminated With Heavy Metals Using the Sunflower (Helianthus Annuus L.) 向日葵对重金属污染土壤的植物修复
Pub Date : 2021-10-03 DOI: 10.7251/qol2103077t
Merima Toromanović, V. Jogić, J. Ibrahimpašić, A. Džaferović, S. Dedić, H. Makic
Phytoremediation has proven to be a suitable method for removing heavy metals from the soil with the help of plants. To examine the phytoremediation potential, the experimental study monitored the influence of high and low concentrations of heavy metals (Pb, Cd, and Zn) on Helianthus annuus L., as well as their accumulation in seeds, roots, stems and leaves. The experiment was carried out during one growing season in outdoor conditions, in pots with a volume of 5L in which Helianthus annuus L. was planted, and the soil was contaminated with these heavy metals in concentrations below and above the maximum allowable concentration prescribed by the Rulebook on Determining Permissible Quantities of Harmful and Dangerous Substances in Soil and Methods of Their Testing. After growth and development of the plant, the experimental research examined the accumulation potential of the plant, the growth of the plant itself and its ability to survive depending on different concentrations of heavy metals. By processing the obtained results, statistically significant differences of heavy metals were determined in individual parts of the plants, depending on the applied concentration. The highest concentration of Zn was recorded in the leaves of the plant in the amount of 18.21 mg/kg, and the lowest concentration in the stem, 3.92 mg/kg. The measured values of heavy metals Cd and Pb differ from the above because the lowest concentrations of these heavy metals were recorded in the seed, and were 12.02 mg/kg for Pb and 9.20 mg/kg for Cd, which is a statistically significantly lower determined value relative to other parts of the plant.
植物修复已被证明是一种利用植物去除土壤重金属的合适方法。为了研究植物修复潜力,本实验研究监测了高浓度和低浓度重金属(Pb、Cd和Zn)对向日葵种子、根、茎和叶的影响以及它们在种子、根、茎和叶中的积累。试验在室外条件下进行,在一个生长季节,在容量为5L的盆栽中种植向日葵,土壤中这些重金属的浓度低于和高于《土壤中有害和危险物质允许量测定规则》规定的最大允许浓度及其测试方法。在植物生长发育后,实验研究考察了不同重金属浓度对植物积累潜力、植物自身生长和生存能力的影响。通过处理得到的结果,根据施用浓度的不同,确定了植物各个部位重金属的统计显著差异。叶片中锌含量最高,为18.21 mg/kg,茎中锌含量最低,为3.92 mg/kg。重金属Cd和Pb的测量值与上述不同,因为这些重金属的最低浓度记录在种子中,Pb为12.02 mg/kg, Cd为9.20 mg/kg,相对于植物其他部位的测定值具有统计学意义上的显着低。
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引用次数: 2
Comparative Overview of the Quality of Life in Serbia and North Macedonia Analyzed According to Numbeo Database 根据Numbeo数据库分析的塞尔维亚和北马其顿生活质量的比较概况
Pub Date : 2021-10-03 DOI: 10.7251/qol2103121d
Milan Dajić, Maja Staletović, Jelena Dajić
In economic theory and practice, the term standard of living has emerged in recent decades. It was created as a suitable response to problems related to people’s lives, regional inequalities in the level of development and served as an acceptable concept for more complex valorization of development potentials, especially in rural areas. The subject of the research is a comparative analysis of the quality of life in Serbia and Northern Macedonia according to Numbeo database. The aim of this paper is to point out the importance of living standards from both economic and sociological aspects, as well as to review the position of Serbia and Northern Macedonia in relation to other countries in the region based on the analysis of collected data and research. The reason for the comparative presentation of Serbia and Northern Macedonia is that the quality of life is at an approximate level. The salary of employees in education in these countries represents an average income that is sufficient for a satisfactory quality of life. The standard of living of a country depends on a number of factors such as political factors, economic factors, demographic, environmental and cultural factors.
在经济理论和实践中,“生活水平”一词是近几十年来出现的。它是作为对与人民生活、发展水平的区域不平等有关的问题的适当反应而建立的,并作为一个可接受的概念,用于更复杂地评估发展潜力,特别是在农村地区。该研究的主题是根据Numbeo数据库对塞尔维亚和北马其顿的生活质量进行比较分析。本文的目的是从经济和社会学两个方面指出生活水平的重要性,并根据收集的数据和研究分析,审查塞尔维亚和北马其顿相对于该地区其他国家的地位。塞尔维亚和北马其顿比较的原因是生活质量处于大致水平。在这些国家,教育工作者的工资代表着足以满足生活质量的平均收入。一个国家的生活水平取决于许多因素,如政治因素、经济因素、人口因素、环境因素和文化因素。
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引用次数: 0
Role of Sanitary Engineers in Prevention of Covid-19 Pandemic 卫生工程师在预防Covid-19大流行中的作用
Pub Date : 2021-02-17 DOI: 10.7251/qol2101061v
Darko Vujasinović, M. Stijepić, R. Grujić
Among the most emphasized consequences of pandemic COVID-19 influence is a negative trend of economic development and lock down of many production companies. One of areas where sanitary engineers can be engaged is drinking water safety and safety of wastewater. The new situation requires the change of actual teaching content during the teaching process of sanitary engineers, with the purpose of their training for inclusion in activities on prevention of virus spreading and controlling subjects in charge of people health protection, food safety and protection of living environment. It is very important that higher school institution authorities become familiar with knowledge gaps, potential implications on food, water and environment safety, research direction and other issues related to virus control, among which is also SARS–COV-2. The aim of this work is to encourage wider discussion on promotion of the actual study programs on higher institutions in Bosnia and Herzegovina and neighbouring countries as well as development of content proposals, which can lead to knowledge promotion, and competence of graduated students. During the recent discussion, we came to conclusion that it is necessary to develop studies, which have multidisciplinary approach, including the area of public health system, quality, food safety, environment protection and administrative law. Apart from that, students should obtain the necessary knowledge level in area of organization, management and economy, and with the purpose of enabling continuous production and income creation. We should also develop student research capabilities.
受新冠疫情影响,最受关注的后果是经济发展的负面趋势和许多生产企业的封锁。其中一个卫生工程师可以从事的领域是饮用水安全和废水的安全。新形势要求卫生工程师在教学过程中改变实际教学内容,将其培训纳入预防病毒传播活动和控制人员健康保护、食品安全和生活环境保护的主体。非常重要的是,高等院校当局要熟悉与病毒控制有关的知识差距、对食品、水和环境安全的潜在影响、研究方向和其他问题,其中也包括SARS-COV-2。这项工作的目的是鼓励更广泛地讨论促进波斯尼亚和黑塞哥维那及其邻国高等院校的实际学习方案,以及制定内容建议,这可以促进知识的推广,提高毕业生的能力。在最近的讨论中,我们得出结论,有必要开展多学科的研究,包括公共卫生系统,质量,食品安全,环境保护和行政法领域。除此之外,学生还应在组织、管理和经济方面获得必要的知识水平,以便能够持续生产和创造收入。我们还应该培养学生的研究能力。
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引用次数: 0
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Quality of Life (Banja Luka) - APEIRON
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