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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
141

Farmakoepidemiologija antidijabetičnih lekova i odnos pacijenata prema leku i lečenju dijabetes melitusa tipa 2 u Republici Srpskoj / Pharmacoepidemiology of antidiabetic drugs and patients' relation towards drugs and treatment of type 2 diabetes mellitus in the Republic of Srpska

Popržen Jelena 20 September 2018 (has links)
<p>Iako je dijabetes melitus (DM) tip 2 je hronično oboljenje čija se stopa značajno povećala poslednjih decenija, podaci o odnosu pacijenta prema leku i lečenju dijabetes melitusa su retki i odnose se na pojedine aspekte terapije. Glavni kamen spoticanja u lečenju dijabetesa jeste nepridržavanje pacijenata propisanim lekovima, &scaron;to otežava održavanje normalne glikoregulacije i doprinosi razvoju te&scaron;kih komplikacija koje značajno utiču na kvalitet života pacijenata sa DM. Raspolaganje tačnim podacima o upotrebi antidijabetičnim lekova, kao i uvidom u realno stanje o odnosu pacijenata prema leku u lečenju DM tipa 2, omogućava pobolj&scaron;anje farmakoterapijske prakse i kreiranje intervencije za pobolj&scaron;anje adherencije pacijenata Ciljevi ovog istraživanja bili su: 1) analiza obima potro&scaron;nje i strukture antidijabetičnih lekova na teritoriji Republike Srpske i njihovo poređenje sa upotrebom i strukturom propisivanja u okolnim zemljama kao i državama sa razvijenom farmakoterapijskom praksom; 2) analiza obima potro&scaron;nje i strukture antidijabetičnih lekova u op&scaron;tini Foča i poređenje sa savremenim farmakoterapijskim smernicama; 3) određivanje procenta pokrivenosti antidijabetičnom terapijom pacijenata sa DM tip 2 tokom jedne godine u op&scaron;tini Foča; 4) određivanje adherencije pacijenata sa DM tipa 2 prema antidijabetičnoj terapiji metodom brojanja tableta/doza insulina i putem validiranog upitnika; 5) određivanje kvaliteta života povezanog sa zdravljem pacijenata sa DM tipa 2 u op&scaron;tini Foča primenom validiranog upitnika SF-36v2; 6) određivanje prediktora neadherenije kod primene obe metode merenja adherencije u odnosu na karakteristike i kvalitet života pacijenata sa DM tip 2 u op&scaron;tini Foča. Ispitivanje se sastojalo iz dva dela. U prvom delu sprovedeno je retrospektivno farmakoepidemiolo&scaron;ko praćenje upotrebe antidijabetičnih lekova kao i određivanje strukture ovih lekova na teritoriji Republike Srpske u periodu od 01.01.2013. do 31.12.2013.godine i izvr&scaron;eno je poređenje sa upotrebom i strukturom propisivanja u okolnim zemljama kao i državama sa razvijenom farmakoterapijskom praksom. U drugom delu ispitivanja sprovedeno je farmakoepidemiolo&scaron;ko ispitivanje primene antidijabetičnih lekova na nivou same op&scaron;tine Foča u okviru koje je pored analize obima potro&scaron;nje i strukture antidijabetičnih lekova u istom periodu kao i na teritoriji Republike Srpske i poređenja sa savremenim farmakoterapijskim smernicama, određivan i procenta pokrivenosti antidijabetičnom terapijom mereno redovno&scaron;ću ponovnih popunjavanja recepata od strane lekara op&scaron;te prakse tokom jednogodi&scaron;njeg perioda. Takođe je sprovedeno i ispitivanje adherencije prema antidijabetičnim lekovima primenom dve različite metode merenja kao i kvalitet života pacijenata sa DM tip 2 između 01.01.2015. i 31.12.2015.godine. Ukupna upotreba antidijabetika za lečenje dijabetesa tip 1 i tip 2 na teritoriji Republike Srpske iznosila je 38,29 DDD/1000st/dan. Upotreba insulina i analoga iznosila je 11,28 DDD/1000st/dan. Ukupna upotreba oralnih lekova koji snižavaju glukozu i krvi, isključujući insuline iznosila je 27,01 DDD/1000st/dan, a metformin je najče&scaron;će kori&scaron;ćeni predstavnik. Sličan obim i struktura upotrebe antidijabetičnih lekova utvrđena je i u op&scaron;tini Foča. Procenat pokrivenosti antidijabetičnom terapijom pacijenata sa DM tip 2 tokom jedne godine u op&scaron;tini Foča iznosio je vi&scaron;e od 94,91%. Adherencija određivana metodom brojanja tableta/doza insulina iznosila je 52,3%, a merena primenom validiranog upitnikom iznosila je svega 44,9%. Statistički značajni prediktori neadherencije određivane primenom metode brojanja tableta/doza insulina su doplata cena leka kao i niži skor dimenzije mentalnog zdravlja kada je u pitanju kvalitet života. Prediktori neadherencije merene primenom validiranog upitnikom bili su mu&scaron;ki pol, kao i niži skor dimenzije mentalnog kao i fizičkog zdravlja kada je u pitanju kvalitet života. Na osnovu ovih saznanja, intervencije za pobolj&scaron;anje adherencije pacijenata bi bile usmerene na edukaciju pacijenata mu&scaron;kog pola, zatim na smanjivanje izdataka pacijenata za lekove, &scaron;to će doprineti i boljem kvalitetu života ovih pacijenata.</p> / <p>Although diabetes mellitus (DM) type 2 is a chronic disease whose rate has increased significantly in recent decades, data on the patient&#39;s attitudes towards the medicine and the treatment of diabetes mellitus are rare and relate to individual aspects of the therapy. The main stumbling block in the treatment of diabetes is not taking prescribed drugs regularly, which makes it difficult to maintain normal glycoregulation and contribute to the development of severe complications that significantly affect the quality of life of patients with DM. The disposition of accurate data on the use of antidiabeticdrugs, as well as the insight into the real state of the patient&#39;s relationship with the medication in the treatment of DM type 2, enables the improvement of pharmacotherapeutic practice and the creation of an intervention to improve patient adherence.<br />The objectives of this research were:<br />1) analysis of the volume of consumption and structure of anti-diabetic medicines on the territory of the Republic of Srpska and their comparison with the use and structure of prescribing in the surrounding countries as well as countries with developed pharmacotherapeutic practice;<br />2) analysis of the volume of consumption and structure of antidiabetic drugs in the municipality of Foča and comparison with modern pharmacotherapeutic guidelines;<br />3) determining the percentage of coverage with antidiabetic therapy of patients with DM type 2 during one year in the municipality of Foča;<br />4) determining the adherence of patients with DM type 2 in antidiabetic therapy by the method of pill counts /volume of insulin and by validated questionnaire;<br />5) determining the quality of life associated with the health of patients with DM type 2 in the municipality of Foča using the validated questionnaire SF-36v2;<br />6) determination of the predictor of nonadherence in the application of both methods of adherence measurement in relation to the characteristics and quality of life of patients with DM type 2 in the municipality of Foča.<br />The investigation consisted of two parts.<br />In the first part, a retrospective pharmacoepidemiological monitoring of the use of antidiabetic drugs was carried out, as well as determining the structure of these drugs in the territory of the Republic of Srpska in the period from January, 1st 2013 until December, 31st 2013, and a comparison was made with the use and prescription structure in neighboring countries as well as countries with developed pharmacotherapeutic practices. In the second part of the study, a pharmacoepidemiological study was carried out on the use of antidiabetic drugs at the level of the municipality of Foča itself, in which, besides analyzing the volume of consumption and structure of anti-diabetic drugs in the same period as in the territory of the Republic of Srpska and comparison with modern pharmacotherapeutic guidelines, the percentage of coverage by antidiabetic therapy was measured by the regularity of the prescription prescribed by the general practitioner over a one-year period. Medication adherence to antidiabetic drugs was also carried out using two different methods of measurement as well as the quality of life of patients with DM type 2 between January, 1st 2015 and December, 31st 2015. The total use of antidiabetic for the treatment of type 1 diabetes and type 2 in the territory of the Republic of Srpska was 38.29 DDD / 1000st / day. The use of insulin and analogs was 11.28 DDD / 1000st / day. The total use of blood glucose lowering drugs , excluding insulins, was 27.01 DDD / 1000st / day, and metformin is the most commonly used representative. A similar volume and structure of the use of anti-diabetic drugs was also determined in the municipality of Foča. The percentage of coverage of antidiabetic therapy of patients with DM type 2 during one year in the municipality of Foca amounted to more than 94.91%. Adherence determined by the pill counts and the volume of insulin method was 52.3%, and measured by applying the validated questionnaire was only 44.9%. Statistically significant predictors of nonadherence determined by the method of pill counts/volume of insulin are copayment, a fix fee for prescription made by patients as well as the lower score of the mental health dimension when it comes to quality of life. The non-adherence predictors measured using the validated questionnaire were the male sex, as well as a lower score of the mental dimension as well as physical health when it comes to quality of life. Based on these findings, interventions to improve patient adherence would focus on health education of male patients, and policy changes regarding availability of antidiabetic medication through copayment reductions , which will contribute to a better quality of life for these patients.</p>
142

Den första motorvägen : problem av infrastrukturen i Bosnien och Hercegovina

Zorlak, Ema January 2006 (has links)
Internationella infrastrukturprojekt är globala och offentliga processer. Globala kan de anses vara för att flera länder är involverade, och offentliga är de för att allmänheten måste vara deltagande part under processens gång. Bosnien och Hercegovina är det enda landet i Europa som inte byggt en motorväg. Landet är ett efterkrigsland som har haft svårigheter med uppbyggnaden av infrastrukturen. Det största problemet var bristen på statliga finanser. 1997 blev BiH medlem i PETrN (Pan European Transport Net), varefter planerna för ett motorvägsbygge återinfördes och denna gång blev allvarligt studerade. Projektet fick namnet “5c”, ett vägnät som skulle integrera landet med resten av Europa. Under de senaste 5 åren har motorvägen varit aktuell. Problemen uppstod när finansieringsfrågan framträdde. Staten hade svårigheter med budgeten och privata investerare söktes. Ett stort bolag ställde upp på att finansiera hela projektet men motstånd fanns hos de politiska partierna. I samband med det här projektet har jag beskrivit ett annat, lyckat projekt, nämligen Öresundsbron. Öresundsprojektet har blivit lyckat eftersom resultaten visat sig positiva och framgångsrika. Frågan blir, vilka svårigheter måste BiH bemöta för att lyckas lika bra som Sverige gjorde. Infrastrukturprojekt har alltid haft anhängare och motståndare. Orsaken har att göra med projektets betydelse och vad det kommer att medföra. Allteftersom projektet är allmänt och berör alla så medför det eventuell kritik. De olika deltagande strävar efter olika mål och kräver olika lösningar. En beslutsprocess tar tid. Deltagare träffas vid särskilda sammanträden och förhandlar. Fördröjningar blir vanliga pga. deltagarnas olika intressen. Målet blir att åstadkomma kompromiss och finna lösningar på problemen. Men blir alla parter verkligen nöjda i slutändan?
143

"Jedna si jedina moja domovina?" Etno-demografické proměny Bosny a Hercegoviny v letech 1945 - 2012 / "Are You the One and Only Homeland I have?" Ethnodemographic Changes in Bosnia and Herzegovina 1945-2012

Žíla, Ondřej January 2014 (has links)
ŽÍLA, Ondřej: "Are You the One and Only Homeland I have?" Ethno-demographic Changes in Bosnia and Herzegovina 1945-2012 Abstract Thesis on "Are You the One and Only Homeland I have?" Ethno-demographic Changes in Bosnia and Herzegovina 1945-2012 analyses population development of three constitutive nations of Bosnia and Herzegovina, transformation of ethnic proportional representation of Bosnian population due to differences in demographic behaviour and spatial impacts of forced migration on population distribution after the end of the civil conflict in the 1990s. The main focus is on comparing the development of the ethno-demographic structure of socialist Bosnia and Herzegovina with the condition of the country after the war. The current demographic characteristics of the population, and contemporary ethnic composition of the country remains fundamentally affected by events related to the conflict: the so called forced migration and ethnic cleansing. The thesis compiles two fundamental approaches, one of them being the top-down approach. It focuses on the characteristics of the role of Western powers in the post-war peace-building process, specifically the analysis of their principal objective - restoration of the original ethnic heterogeneity by means of controlled repatriation of refugees, and evaluation...
144

Koalitionsdemokrati i Bosnien och Hercegovina : En fallstudie av demokratiutvecklingen i Bosnien och Hercegovina / Consociational Democracy in Bosnia and Herzegovina : A case study of the democracy development in Bosnia and Herzegovina

Sofic, Elvira January 2018 (has links)
This study aims to investigate the democracy development i Bosnia and Herzegovina. Since 1995, when the Dayton Peace Agreement was signed, Bosnia has been undergoing an democratization, but despite that the country is still year 2017 classified as ”partly free”. In this study the democracy-enhancing factors: civil society and the political system are being related to the Dayton Peace Agreement and are tested against liberal democratic values and Consociational Democracy theory. This study is a qualitative case study and following questions are being looked into:   -       Which factors within the civil society and political system limit the democracy development in Bosnia and Herzegovina? -       To what extent does the Dayton Peace Agreement limit Bosnia and Herzegovina’s democracy development? -       To what extent is Bosnia and Herzegovina an Consociational Democracy?   The fact that Bosnia has a divided and multiethnic society puts a foundational ground for a possible consolidated consociational democracy. Furthermore, the functions of the civil society, political system and the Dayton Peace Agreement are being discussed and the shortcomings of each are being highlighted. The results of this study indicate that Bosnia’s long democratization development is primarly based on the unwillingness to cooperation between the three constitutional groups, the exclusion of minority groups and the Dayton Peace Agreement’s regulations on a political system that is not sustainable for a stable democratic state.
145

Daytonavtalet och dess konsekvenser

Beso, Leila January 2010 (has links)
Fokus i denna uppsats kommer att ligga på de etniska konflikter som fortfarande pågår mellan de tre folkgrupper och den nya konstitutionen i landet sedan Daytonavtalet undertecknades. Vid krigets slut i Bosnien för ca fjorton år sedan då landet låg i spillror implementerades Daytonavtalet. Daytonavtalets  huvuduppgift var att sluta fred mellan de tre konfliktgrupperna samtidigt se till att landet utvecklas utan att minoriteterna skulle förtryckas. Medan Daytonavtalet lyckades stoppa kriget och uppehålla freden misslyckades den med statens sammanhållning och upprätthållning av en fungerande demokrati. Krisen i Bosnien har inte förändrats sedan krigets slut, de nationalistiska partierna av samtliga tre folkslag blir valda gång på gång, fattigdomen är fortfarande ett faktum och landet är fortfarande beroende av utländsk bistånd. Som det ser ut just nu går Bosnien inte en ljus framtid till mötes. 
146

Att förstå konflikter : En jämförelse av Angolas och Bosnien-Hercegovinas fredsprocesser

Ramic, Nedim January 2016 (has links)
This study has the ambition to examine and compare Angolas failed peace process with Bosnia-Herzegovina’s successful peace process through Kumar Rupesinghes theory in conflict transformation. By comparing the two peace processes through Rupesinghes theory we can get an answer why Angola’s peace failed while Bosnia-Herzegovina’s lasted.   This study has two purposes.   Based on a comparison of Angolas and Bosnia-Herzegovina’s peace processes, how well is it possible to explain the outcome of the two countries peace process?   How useful is Rupesinghes theory?   The study showed that Bosnia-Herzegovina employed factors from Rupesinghes theory, in a much higher sense than Angola. They were especially more successful in employing the economic factors from Rupesinghes theory. This therefore can be a reason why Angola’s peace failed while Bosnia’s lasted. In testing the theory’s usefulness the study showed that the theory is useful in many factors and can be used to give a qualified answer to why a peace lasts or fails. But the theory also has its flaws, some of the steps in the theory need a better explanation and some of the steps are more important depending on which country the theory is applied upon.     Key words: Angola, Bosnia-Herzegovina, Kumar Rupesinghe, conflict transformation, civil-war, peace, peace processes, Bicesse, Dayton
147

Rethinking the role of Roman Catholic and Sunni Islamic institutions in post-conflict state building

Dragovic, Denis January 2014 (has links)
This thesis develops a model that can be used to assess the ability of religious institutions to contribute to post-conflict state building. Highlighting the tendency in state building literature to stop short in discussing what seems to be inferred, but unnameable—religion—the research proposes a framework that identifies theoretical mechanisms through which religious institutions can contribute to post-conflict state building. Drawing from the theologies of Roman Catholicism and Sunni Islam the thesis then reflects upon why they would, of their own accord, lend their considerable legitimacy and resources. The thesis diverges from traditional approaches such as rational choice theory that suggest religious institutions act to maximise membership or assets, and instead embraces a teleological view recognizing the importance of belief structures in understanding a religious institution's motivations. It embraces salvation as a hermeneutical key to outline a Roman Catholic theology of state building while drawing upon the concept of justice for Sunni Islam. The thesis concludes by incorporating the particularistic nuances of Bosnia and Herzegovina's unique historically and culturally influenced religious practices, structures and theologies to suggest the ability and willingness of the two religions' institutions to contribute to their country's state building.
148

Western Balkans and Austrian position on the EU integration of Western Balkans / Western Balkans and Austrian position on the EU integration of Western Balkans

Holopírková, Petra January 2008 (has links)
Rozbor oficiálních stanovisek EU k rozšíření EU o země Západního Balkánu (Chorvatsko, Makedonie, Černá Hora, Albánie, BiH, Srbsko, nově Kosovo) ukazuje na zdrženlivost EU k vlastnímu aktu přijetí. Přes všechna prohlášení o vůli přijmout tyto země, tato vyjádření zůstávají spíše proklamací, bez vyhlášení konkrétních dat přijetí těchto zemí do společenství. Na rozdíl od Rakouska, která jako jediná země EU deklaruje co nejrychlejší rozšíření EU o země Západního Balkánu přímo ve vládním programu jako prioritu své zahraniční politiky. Motivace Rakouska je založena na důkladné ekonomické analýze situace, kdy Rakouské investice do těchto zemí jsou nejvyšší ze všech zemí EU. Mezi Rakouskem a zeměmi Západního Balkánu a Rakouskem probíhá čilý obchod i pohyb osob, na který ostatní země EU nejsou ještě připraveny. Překážkou rychlého přijetí se tedy jeví důvody povahy nikoliv ekonomické, ale politické. Evropská unie se shoduje na roku 2008 jako na roku klíčovém v přístupových jednáních. V době publikace této práce ovšem EU nebyla s to jako celek schválit nezávislost Kosova. Minimálně tento bod zůstává otevřen k dořešení v roce 2008 spolu s dalšími body týkajícími se příštího rozšíření. EU má v této chvíli (duben 2008) jasno, že favorizovanými kandidáty pro přístup jsou Chorvatsko, Makedonie a Albánie, zatím bez konkrétního data přístupu.
149

Právo národů na sebeurčení jako faktor mezinárodních vztahů / The Right of Peoples to Self-determination as a Factor of International Relations

Drahoňovská, Soňa January 2008 (has links)
This paper explores the current understanding of the right of peoples to self-determination and its impact on international relations. A number of new states have gained international recognition outside the scope of decolonisation, several of which have not fulfilled the usual criteria for statehood, based on existing state practice. In addition, the parent states of Bangladesh, Croatia, Bosnia and Herzegovina as well as Kosovo have not consented to the secession of these territories. The main purpose of this paper is to determine whether based on the stipulations of international documents and mainly on existing state practice, it is possible to verify the existence of a customary law enabling peoples to unilaterally secede. Such a right would pose a threat to the future application of the principle of territorial integrity as one of the basic principles of international relations. In order to answer this question I compare case studies of successful and unsuccessful nations striving for their own state outside the realm of decolonisation. Based on this comparison I analyse the current understanding of the right to self-determination and its impact on international relations. I conclude by stating that it is not possible to unambiguously confirm the existence of such a right. However, in practice the principle of territorial integrity is being breached nonetheless, due to persisting uncertainties regarding the possible application of secession by peoples whose internal right to self-determination was not respected. Together with the fact that the current concept of self-determination ignores collective rights of national groups, this poses a threat to international stability.
150

Jedna si jedina : En kvalitativ intervjustudie om kollektiv bosniakisk identitet, antagonism och skolgång i Sverige efter de jugoslaviska krigen / You are the One and Only : A qualitative interview study on collective Bosniak identity, antagonism and schooling in Sweden after the Yugoslavian wars

Andersson, Anton January 2021 (has links)
This study is a qualitative interview study that examines antagonism, identity and collective memory among second generation immigrants from Bosnia &amp; Herzegovina. The study is based on an existential history use-perspective and social constructivist socialization theory. The study shows that the Bosniak identity is seldom defined by their history and the Yugoslavian wars but rather by language and traditions. In addition, the results indicate that the Bosniak identity has been assimilated to a large extent into the Swedish majority culture. The results also show that antagonism against other ethnic groups in the Balkans mainly occurs among first-generation immigrants while the descendants do not relate to a large extent to the war crimes and atrocities that occurred against Bosnian Muslims. Instead, they express empathy and sympathy for their parents’ experiences of these traumas. The respondents also experienced a nonchalance towards their background in Swedish history teaching where their history was neglected in favor of other wars and genocides. While the respondents suspected a fear of conflict among teachers to account for the area, they also told examples when teachers failed in the relational pedagogy and homogenized the individuals by letting them represent an entire conflict and ethnic group. Overall, the study shows that the use of history is not a recurring phenomenon among second-generation Bosniak immigrants, and their attitude focuses on individuals rather than groups. In the didactic part of the study, the results emphasize that history teachers might need to self-educate based on the students' background to create a meaningful education and create a history awareness among students.

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