Pouk klasične kulture in književnosti je prostor, kjer dijaki poleg splošnega znanja in razgledanosti pridobivajo tudi sposobnosti čudenja, avtorefleksije, samokritičnosti in strpnosti. Proces ni ...nikoli zaključen, to za raziskovanje samega sebe velja že iz antičnih časov; kot bi rekel Kavafis, je včasih pomembna zlasti pot. Dijake po gimnaziji čaka še dolgo zorenje v »umetnosti življenja«, učiteljska prizadevanja ne obrodijo vedno takojšnjih sadov, morda občasno naletimo tudi na gluha ušesa. Važno je, da ne ustvarjamo fiktivnega prepada med snovjo in življenjem; tega se nenazadnje dijaki učijo celo preko razvozlavanja jezikovnih ugank zapletenih latinskih ali grških stavkov. Pouk klasičnih jezikov je skozi generacije izkazal in potrdil svojo vzgojno-izobraževalno vrednost. Novi časi vsekakor zahtevajo sveže učne pristope, ne pa nujno novih vsebin, saj človek išče odgovore na ista temeljna bivanjska vprašanja, kot jih je iskal v antiki.
Prispevek proučuje problematiko spremljanja rezultatov učenja v organizacijskem kontekstu in poskuša ponuditi odgovor na vprašanje, zakaj in kako na organizacijski ravni spremljamo učinkovanje ...načrtovanega učenja na uspešnost. S pomočjo pregleda literature na področju poslovnih ved avtor sistematizira razprave in ugotavlja, da pri tem zaradi kompleksnosti in zahteve po uporabi različnih metodoloških prijemov še vedno obstaja veliko nesoglasij. Kljub temu meni, da je spremljanje nujno, saj je prvi pogoj za identifikacijo pomembnih točk dela, pojasnjuje pričakovanja vodstva do zaposlenih in spodbuja njihovo kreativnost. V sklepu avtor poudarja, da je pri spremljanju treba poznati kontekst organizacije, proces načrtovanega učenja in njegove rezultate pa je treba spremljati večdimenzionalno ter na več ravneh. Pri tem je nujno ohraniti enostavnost izvedbe spremljanja in razumljivost ugotovitev.
The completeness and timeliness of the pertussis questionnaire-based enhanced surveillance system (ESS) among infants and reported pertussis data within the electronic nationwide notification system ...(NNS) in the years 2015, 2017 and 2019 were evaluated in a pilot study.
The completeness of the variables for demographic characteristics, date of symptom onset, hospitalisation and vaccination status were assessed in both systems. Timeliness of reporting in the NNS was analysed as the interval between symptom onset and a) the date of first specimen collection (diagnostic delay), and b) the date of the Regional Public Health Authority receiving notification (notification delay).
A total of 121 confirmed pertussis cases were reported to the NNS in the study years, while in the ESS a total of 104 confirmed cases were reported in infants. In both systems most cases were in the age group of one completed month of life (20% versus 23%) and males (55% versus 55%). The majority of cases were hospitalised (81% versus 85%) and unvaccinated (77% versus 78%). Within the NNS, the first dose of vaccine was reported in 13 cases, the second dose in 11, and third dose in three cases. Within the NNS, 100% completeness of following variables was found: symptom onset, week and region of reporting, age, gender and place of isolation. Median diagnostic delay was nine days. Median notification delay was 18 days.
Data completeness was high in the NNS, except for lack of vaccination data in those eligible by age. Efforts to improve the completeness of laboratory-related variables and timeliness are essential. Based on the study results, the project of improving the ESS for infants will continue with regular evaluation.
The objective was to present the results of surveillance of prion diseases in Slovenia that was established in 1996 and then to assess the interdisciplinary approach according to the algorithm of ...case management and reporting data to the National Register at the National Institute of Public Health.
A descriptive study of Creutzfeldt-Jakob disease (CJD) recorded in the period from 1996 to 2017 was carried out.
A total of 123 cases of prion disease were notified between 1996 and 2017. Out of these, 68 were recorded and confirmed by autopsy as sporadic CJD with an average incidence rate of 1,5 cases per million population per year. In one case a gene analysis showed mutation E200K in prion protein gene, PRNP. Two cases of the Gerstman-Sträussler Scheinker syndrome and one clinical case of fatal insomnia with new PRNP mutation, N181S, were notified. Diagnostic value of protein 14-3-3 analysis in the liquor reached 82% sensitivity and 71% specificity. 25 cases of notified clinically possible/probable CJD were disproved after autopsy. In eleven notified possible CJD cases the autopsy had not been performed. Variant CJD has not yet been proven in Slovenia.
Incidence rates were comparable with other European countries. Completeness of reporting and proper management of CJD cases according to the algorithm of reporting, management and case confirmation would need some improvement. A well-functioning surveillance system, including timely notifications, would enable an appropriate epidemiological investigation and an effective response to public health risks, thus the awareness of prion diseases should not decline.
To consider whether a revision of the national chlamydia surveillance system is needed, the objectives were to estimate the proportion of laboratory confirmed cases at the Institute of Microbiology ...and Immunology (IMI) not reported to the National Institute of Public Health (NIPH), and to assess the completeness of reporting for individual data items.
The dataset with information about the cases diagnosed at the IMI during 2007-2010, and the national chlamydia surveillance data at the NIPH, were linked using SOUNDEX code and the date of birth as unique identifier. The proportion of unreported cases was calculated. The proportions of records with missing data for individual variables were estimated for all reported cases during the same period. Chlamydia testing and reported rates for the period 2002-2010 were presented.
Of 576 laboratory confirmed chlamydia cases at the IMI during 2007-2010, 201 were reported to the NIPH, corresponding to 65.1% of the overall underreporting (50.4% among dermatovenerologists, 90.1% among gynaecologist and 100% among other specialists). Item response was above 99% for demographic variables and from 69% to 81% for sexual behaviour variables. Higher testing rates corresponded to higher diagnosed rates.
Surveillance data underestimated diagnosed chlamydia infection rates. Mandatory reporting of cases by laboratories with less variables, including unique identifier, gender, date of diagnosis, and reporting physician specialty, together with numbers of tests performed (for estimating testing and positivity rates) would simplify the surveillance system and eliminate underreporting of laboratory confirmed cases, while still providing necessary information for public health policies.
The objective was to present the results of the Slovenian National surgical site infections (SSIs) surveillance system from 2013 to 2016 and to compare them to the reference data for the European ...Union (EU) and European Economic Area (EEA) countries.
Surveillance was conducted according to the Slovenian protocol consistent with the European Centre for Disease Prevention and Control protocol. Descriptive analyses were performed.
Data were collected for 1080 patients of whom 57.4% were patients with cholecystectomy (from three hospitals), 29.0% with caesarean sections (from four hospitals) and 4.7%, 4.5% and 4.4% patients with hip prosthesis, knee prosthesis and colon surgery (each surgical category from one hospital). The pooled in-hospital SSI incidence density for caesarean section was 3.7 (95% CI: 1.4-8.1; inter-hospital range: 0.0-11.5) and for cholecystectomy 6.8 (95% CI: 3.5-11.9; inter-hospital range: 4.1-11.9) per 1000 post-operative patient-days. The in-hospital SSI incidence density for colon surgery was 24.8 (95% CI: 12.5-44.0) and for hip prosthesis 2.6 (95% CI: 0.1-14.2) per 1000 post-operative patient-days. No SSIs were reported among the 49 patients with knee prostheses.
The estimated SSIs incidence rates varied between different surgical categories and the different participating hospitals. In some of the participating hospitals and for some of the surgical procedures under surveillance they were rather high in comparison to the reference data for hospitals from EU/EEA countries. It is urgent to expand standardised SSIs surveillance to all Slovenian acute care hospitals with surgical wards to contribute to evidence-based SSIs prevention and control in Slovenia.
Background. Lyme borreliosis disease results from infection by members of the Borrelia burgdorferi sensu lato complex. The most common clinical presentation of Lyme borreliosis is erythema migrans ...(EM). To gain knowledge of the epidemiological parameters and the risk factors of EM in Slovenia, a survey has been carried out in 2010.
Methods. A short anonymous and self-administrated questionnaire was sent to 4917 notified EM patients in 2010, aiming to collect epidemiological data and assess socio-economic determinants in patients with EM.
Results. Three thousand and five (61%) patients with EM returned completed questionnaires. One thousand and nine hundred twenty-nine (74%) patients noted the tick where the EM developed. The tick bite was most often located on the legs in adults and in the head/neck area in children. The time that elapsed before the tick has been removed increased significantly with age. The attached tick was most frequently overlooked in preschool children. Nearly 70% of patients believed that they contracted the infection with borrelia near home. Infection away from their permanent residence was more often the case in those with a higher level of education and in 15-49 age groups. Compared to the Slovenian general population over 14 years of age, those with a higher level of education, the unemployed and farmers were overrepresented among the EM patients.
Conclusions. The risk of Lyme borreliosis is widespread in Slovenia, with some areas more affected then others. Determinants of exposure to infected ticks are different, and depend on the socio-economic status and demographic characteristics.
Izhodišče. Lymska borelioza je posledica okužbe z bakterijami kompleksa Borrelia burgdorferi sensu lato. Erythema migrans (EM) je najpogostejša klinična oblika lymske borelioze. Namen raziskave je bil pridobiti epidemiološke podatke in preučiti socialno-ekonomske značilnosti prijavljenih bolnikov z EM v Sloveniji.
Metode. Kratek anonimni vprašalnik je bil poslan vsem 4917 bolnikom, prijavljenih z diagnozo EM v letu 2010, da bi se zbrali epidemiološki podatki in ocenile socialno-ekonomske determinante.
Rezultati. 3005 (61%) bolnikov z EM je vrnilo popolno ali delno izpolnjene vprašalnike. 1929 bolnikov (74%) je navedlo, da se je EM pojavil na mestu predhodnega vboda klopa. Vbod klopa je bil največkrat na nogah pri odraslih in v predelu glave ali vratu pri otrocih. Čas od vboda klopa do njegove odstranitve je bil značilno daljši pri starejših, pogosteje pa so ga spregledali pri predšolskih otrocih kot pri odraslih bolnikih. Približno 70% bolnikov z EM je menilo, da so se z borelijo okužili v bližini doma. Okužba zunaj kraja stalnega prebivališča je bila pogostejša pri tistih z višjo stopnjo izobrazbe in v starostni skupini 15-49 let. V primerjavi s strukturo slovenskega prebivalstva nad 14 let je bilo med bolniki z EM več tistih z višjo stopnjo izobrazbe, brezposelnih in kmetov.
Zaključek. Lymska borelioza je v Sloveniji zelo razširjena, pri čemer je primerov več v nekaterih predelih. Determinante izpostavljenosti okuženim klopom so različne in odvisne od socialnoekonomskega statusa in demografskih značilnosti.
PDF
