Validation of EOPs/FRGs Procedures Using LOHS Scenario

Validation of EOPs (Emergency Operating Procedures) and FRGs (Function Restoration Guidelines) can be achieved either through plant full scope simulator or on desk top exercises. The desk top exercise is conducted when for the given scenario plant full scope simulator is not suitable. In either verification cases predefined scenario should be evaluated and possible branching foreseen. The scenario presented is LOHS, with bleed and feed procedure initiated. Best estimate light water reactor transient analysis code RELAP5/mod3.3 was used in calculation. Standardized detailed plant model was used. Operator actions were modelled from beginning of the scenario to its termination

Nail Position has an Influence on Anterior Knee Pain after Tibial Intramedullary Nailing

Our aim was to determine the possible relationship between anterior knee pain (AKP) and nail position marked as a distance from tip of nail to tibial plateau (NP) and to the tuberositas tibiae (NT). Nail position has an influence on anterior knee pain after tibial intramedullary nailing. We evaluated postoperative outcome results of 50 patients in the last 3 years with healed fractures initially treated with intramedullary (IM) reamed nails with 2 or 3 interlocking screws on both parts of the nail and with the use of medial paratendinous incision for nail entry portal. Patients marked a point on the visual analog scale (VAS) that corresponded to the level of postoperative AKP felt. Two groups of patients were formed on the basis of AKP (pain level was neglected): groups A and B, with and without pain, respectively. The difference between the two groups concerning NP measurements was statistically significant (p<0.05), but not concerning NT measurements at the p<0.05 level. Patients were classified by pain with high accuracy (98%) according to a classification tree. Symptoms of AKP did not appear if the tip of the nail position was more than 6.0 mm from the NP and more than 2.6 mm from the NT. However, for better evaluation of these results it will be necessary to examine a larger number of postoperative patients with AKP

Innovative Conceptual Model of Socio-Cultural Components of Quality of Life in Elderly Persons

Glavni cilj istraživanja je istražiti utjecaj sociokulturnih čimbenika na kvalitetu života starijih osoba u Republici Hrvatskoj. Teorijski cilj istraživanja odnosi se na oblikovanje teorijskog konstrukta utjecaja sociokulturnih čimbenika na kvalitetu života starijih osoba te metodom modeliranja oblikovati model sociokulturnih čimbenika kvalitete života starijih osoba u Republici Hrvatskoj. Pozadina: Problem istraživanja je identifikacija sociokulturnih sastavnica kvalitete života starijih osoba u Republici Hrvatskoj. Osnovna svrha istraživanja je identificirati sastavnice modela sociokulturnih dimenzija koje utječu na kvalitetu života osoba starije životne dobi u Republici Hrvatskoj. Dizajn: U istraživanju je primijenjena kvantitativna istraživačka paradigma. Za postizanje teorijskih ciljeva istraživanja korištene su opće znanstvene metode. Podatci su prikupljeni upitnicima. Metode: Teorijski ciljevi istraživanja ispunjeni su pregledom novije znanstvene literature. U svrhu ovog istraživanja kao mjerni instrumenti primijenjeni su WHOQOL-BREF upitnik i Hofstedeov upitnik. Rezultati: Na temelju obrađenih podataka istraživanja napravljeni su konceptualni multivarijatni regresijski modeli zadovoljavajuće domene kvalitete života osoba starije životne dobi. Načinjeni multivarijatni regresijski modeli predikcije pojedinih domena kvalitete života u kojima prediktorske varijable u multivarijatnom okružju definiraju utjecaj na te domene. Način odabira prediktorskih varijabli uključivao je postavljene ciljeve (dobnu, spolnu, regionalnu, bračnu komponentu te sve domene Hofstedeovog upitnika). Zaključak: U konceptualnom modelu shematski je prikazano da sociokulturne sastavnice kvalitete života ovise o društvenoj nejednakosti, životnim usmjerenjima, kontroli neizvjesnosti, djelovanju pojedinca individualizmom ili kolektivizmom, te odnosom prema muškarcu i ženi. Sve to zajedno određuje nacionalnu kulturu i predstavlja sociokulturni kapital određenog društva. Postoje razlike prema spolu koje su određene kontrolom neizvjesnosti, tjelesnim i psihičkim zdravljem, socijalnim odnosimsa, osobnim stavovima i religioznosti, te okolinom u kojoj osoba živi. Važnost za kliničku praksu: Socijalna gerontologija je mlada znanstvena disciplina i istraživanja na njenom području nalaze svoju primjenu u modernom društvu implementacijom rezultata istraživanja u socijalno i političko okruženje inovativnim modelima u skrbi za starije osobe.The main objective of the study was to investigate the influence of socio-cultural factors on the quality of life in elderly persons in Croatia. The theoretical objective of the study was to form a theoretical construct of the influence of socio-cultural factors on the quality of life of the elderly and to create a model of the socio-cultural factors of the quality of life of the elderly in Croatia using the modelling method. Background: The study problem was to identify the sociocultural components of the quality of life in elderly persons in Croatia. The main purpose of the study was to identify the components of the model of socio-cultural dimensions that have an impact on the quality of life in elderly persons in Croatia. Design: The quantitative research paradigm was applied to the study. To achieve the theoretical objectives of the study, general scientific methods were used. Data were collected through questionnaires. Methods: The theoretical objectives of the study were reached by reviewing recent scientific literature. For the purpose of this study, the WHOQOL- BREF and the Hofstede questionnaires were used as measuring instruments. Findings: The conceptual multivariate regression models of a satisfactory domain of quality of life in elderly persons were created based on processed study data. The multivariate regression models for the prediction of certain domains of quality of life in which predictor variables in a multivariate environment define the impact on these domains were created. The method of selecting predictor variables included the set objectives (age, gender, regional, and marital components and all dimensions of the Hofstede questionnaire). Conclusion: The conceptual model presents a schematic overview of the socio-cultural components of the quality of life that depend on social inequality, life orientations, uncertainty control, acts by individuals through individualism or collectivism, and the attitude towards men and women. All this combined determines a national culture and represents the socio-cultural capital of a certain society. There are differences by gender that were determined by uncertainty control, physical and mental health, social relations, personal attitudes and religiosity, and the environment in which a person lives. Importance for clinical practice: Social gerontology is a young scientific discipline and research in this field finds its application in modern society by implementing research results on the social and political environment with innovative models of care for elderly persons

Nail Position has an Influence on Anterior Knee Pain after Tibial Intramedullary Nailing

Our aim was to determine the possible relationship between anterior knee pain (AKP) and nail position marked as a distance from tip of nail to tibial plateau (NP) and to the tuberositas tibiae (NT). Nail position has an influence on anterior knee pain after tibial intramedullary nailing. We evaluated postoperative outcome results of 50 patients in the last 3 years with healed fractures initially treated with intramedullary (IM) reamed nails with 2 or 3 interlocking screws on both parts of the nail and with the use of medial paratendinous incision for nail entry portal. Patients marked a point on the visual analog scale (VAS) that corresponded to the level of postoperative AKP felt. Two groups of patients were formed on the basis of AKP (pain level was neglected): groups A and B, with and without pain, respectively. The difference between the two groups concerning NP measurements was statistically significant (p<0.05), but not concerning NT measurements at the p<0.05 level. Patients were classified by pain with high accuracy (98%) according to a classification tree. Symptoms of AKP did not appear if the tip of the nail position was more than 6.0 mm from the NP and more than 2.6 mm from the NT. However, for better evaluation of these results it will be necessary to examine a larger number of postoperative patients with AKP