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Deset let Državnega presejalnega programa za raka dojk Dora
Katja Jarm, Kristijana Hertl, Mateja Krajc, Cveto Šval, Veronika Kutnar, Mateja Kurir-Borovčić, Maja Primic-Žakelj, Vesna Zadnik, Maksimiljan Kadivec, 2020, izvirni znanstveni članek

Povzetek: Priporočila za vzpostavitev presejalnih programov za raka dojk je leta 2003 izdala Evropska komisija in države članice Evropske unije pozvala, da jih vzpostavijo do leta 2008. V Sloveniji od leta 2008 deluje Državni program za raka dojk DORA, ki je konec leta 2017 vključeval vse slovenske ženske iz ciljne skupine. Ženske v starosti od 50 do 69 let so vsaki dve leti pisno vabljene na presejalni pregled z mamografijo, ki omogoča odkritje še netipnih sprememb v dojki. Ob sumljivih spremembah na mamografiji so povabljene na nadaljnjo obravnavo, če je odkrit rak dojke, pa tudi na zdravljenje. Od leta 2018 v okviru programa deluje 21 mamografov v 16 stacionarnih in 3 mobilnih presejalnih enotah, kjer se opravljajo presejalne mamografije, in 2 presejalno- diagnostična centra za nadaljnjo obravnavo žensk in zdravljenje raka, odkritega v presejanju. Program DORA deluje v skladu z visokimi standardi Evropskih smernic za zagotavljanje kakovosti presejanja za raka dojk in zagotavlja enako obravnavo za vse udeleženke v katerikoli presejalni enoti v Sloveniji. Cilj presejalnega programa je ob vsaj 70-odstotni udeležbi žensk doseči znižanje umrljivosti za rakom dojk v ciljni populaciji za 25–30 %. Letno merjeni kazalniki kakovosti programa kažejo, da je program učinkovit in vodi k omenjenemu cilju. Značilnosti slovenskega organiziranega programa so: centraliziran populacijski program, vabljenje žensk z vnaprej določenim terminom slikanja, dvojno odčitavanje, konsenz konferenca, nadaljnja obravnava je del presejalnega postopka, multidisciplinarni sestanki, presejalni register z enotno aplikacijo za vnašanje vseh presejalnih korakov, od vabila do mamografij in nadaljnje obravnave, nadzor kakovosti dela radioloških inženirjev in radiologov, stalen strokovni nadzor nad izvajalci programa in letno merjenje kazalnikov kakovosti programa.
Ključne besede: presejalni programi, rak dojk, presejalni register
Objavljeno v DiRROS: 18.03.2021; Ogledov: 1419; Prenosov: 413
.pdf Celotno besedilo (322,91 KB)

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Towards a holistic approach to the geochemistry of solid inorganicparticles in the urban environment
Martin Gaberšek, Mateja Gosar, 2021, izvirni znanstveni članek

Povzetek: Airborne particulate matter (PM) has a major impact on the biogeochemical cycles of chemical elements in theurban environment. Anthropogenic-derived PM emissions are the cause of some of the most severe environmen-tal and health problems. The presented study aims to improve our knowledge of PM dynamics by introducing amulti-media, multi-analytical and multi-elemental holistic approach to geochemical studies of inorganic PM inthe urban environment. The importance of the holistic approach is highlighted and its application in a casestudy of Maribor (Slovenia) is presented. The chemical composition and individual particulate characteristicsof street, attic and household dust were determined and compared with the characteristics of airborne PM,and PM deposited in snow, together with the chemical composition of the soil. We found that the mineralogicaland chemical composition and the individual solid particle characteristics of the studied media differ consider-ably. Nevertheless, minerals of geogenic origin are present in all media. The highest levels of potentially toxic el-ements (PTEs) in all media, except household dust, are typical for industrial areas. Street dust primarily reflectsthe influence of winter road maintenance and industrial activities, while characteristics of household dust arepredominantly influenced by indoor activities and properties of dwellings. The comparison of the chemical com-position of attic and street dust indicates that emissions of As, Cd, Pb, S and Zn were higher in the past. The char-acterisation of airborne PM and PM deposited in snow is essential for the identification of the mostrecentsourcesof PTE-bearing particles. Several industrial sources and the fate of some particle types in the environment havebeen determined based on thefindings of the SEM/EDS analyses. This study confirms that various environmentalmedia are carriers of diverse geochemical information and highlights the importance of a holistic approach ingeochemistry of PM in urban areas.
Ključne besede: Street dust, attic dust, household dust, airborne particulate matter, potentially toxic elements, SEM/EDS
Objavljeno v DiRROS: 06.01.2021; Ogledov: 1730; Prenosov: 843
.pdf Celotno besedilo (2,91 MB)

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GLCCI1 polymorphism rs37973 and asthma treatment response to inhaled corticosteroids
Matija Rijavec, Mateja Žavbi, Anton Lopert, Matjaž Fležar, Peter Korošec, 2018, izvirni znanstveni članek

Povzetek: Background. Asthma treatment response is highly variable and pharmacogenetic markers that predict treatment response would be one step closer to personalized treatment. GWAS studies have shown that polymorphisms GLCCI1 could be associated with asthma treatment response to inhaled corticosteroids (ICS). Materials and methods. We genotyped rs37973 of GLCCI1 in 208 adult asthma patients treated with ICS. Change in % predicted FEV1 was analysed after short-term (3 months) and after long-term (at least 3 years) treatment. Treatment success was defined as good when FEV1 decreased less than 30 ml/year. Results. After 3 months of treatment, change of % predicted FEV1 was higher in patients with GG genotype than in patients with AG+AA genotype, and this genotype dependent difference was only evident in non-smokers. Similar results were found after at least 3 years of treatment when all patients were analysed, in non-smokers and patients with atopy. Even though, no differences in treatment success (good vs. poor response) were observed when analysing the entire group of patients, genotype dependent treatment success was highly influenced by smoking and atopy. GG genotype was overrepresented in non-smokers and patients with atopy with good response. Conclusions. Rs37973 was associated with short- and long-term treatment response; however, there was a great influence of smoking and atopy on pharmacogenetic association. Furthermore, we found GG genotype to be associated with better treatment response, what is contrary to results found in GWAS.
Ključne besede: asthma -- diagnosis -- therapy, pharmacogenetics, genetic polymorphism, smoking, inhaled corticosteroids, atopy, GLCCI1, FEV1, rs37973
Objavljeno v DiRROS: 16.12.2020; Ogledov: 1431; Prenosov: 393
URL Povezava na datoteko

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Dezinsekcija in deratizacija
MATEJA ČEBULAR, Aleš Krulec, Sara Tajnikar, samostojni strokovni sestavek ali poglavje v monografski publikaciji

Ključne besede: Dezinsekcija, deratizacija
Objavljeno v DiRROS: 16.11.2020; Ogledov: 1257; Prenosov: 0

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A comprehensive historical overview of public and environmental health as a means of promotion
Andrej Ovca, Sara Tajnikar, Andreja Kukec, Mateja Dovjak, Aleš Krulec, objavljeni strokovni prispevek na konferenci (vabljeno predavanje)

Ključne besede: public health, environmental health, Historia sanitaria
Objavljeno v DiRROS: 16.11.2020; Ogledov: 1917; Prenosov: 617
.pdf Celotno besedilo (1,48 MB)

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