26 results on '"A Homan"'
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2. PERCUTANEOUS ENDOSCOPIC GASTROSTOMY IN CHILDREN: DATA FROM THE CHILDREN‘S HOSPITAL IN LJUBLJANA
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Tjaša Žagar, Matjaž Homan, and Nataša Podlogar
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children ,nutrient intake ,percutaneous endoscopic gastrostomy ,complications ,Medicine ,Pediatrics ,RJ1-570 - Abstract
Background: Adequate nutrient intake is very important in childhood. In some cases, feeding and drinking by mouth are not possible or does not meet the nutrient needs of the child. If the prognosis is not favorable and the child is expected to be dependent on enteral feeding for more than 4 weeks, a percutaneous endoscopic gastrostomy (PEG) should be inserted. This enables constant enteral access. Methods: The study is retrospective. We reviewed the medical records of children who had a PEG inserted between May 2011 and May 2019. Results: The study included 124 children, of whom 64 (51.6%) were boys. The median age at PEG insertion was 42 months. Most children (91.9%) received a dose of an antibiotic prior to PEG insertion. In the vast majority of children (96%), feeding through the PEG was instituted 24 hours after PEG insertion. 57.3% of children who underwent PEG insertion had a neurological disease. The primary gastrostomy was replaced with a low-profile gastrostomy after 5 months. One year after PEG insertion, the children had gained weight (on average 3 kg). Out of 124 children enrolled in the study, 96 (77.4%) developed one or more PEG-related complications, most of which were minor or transient.
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- 2021
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3. ENDOSKOPSKA GASTROSTOMA PRI OTROCIH: PODATKI S PEDIATRIČNE KLINIKE V LJUBLJANI
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Tjaša Žagar, Matjaž Homan, and Nataša Podlogar
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otroci ,vnos hranil ,perkutana endoskopska gastrostoma ,zapleti ,Medicine ,Pediatrics ,RJ1-570 - Abstract
Izhodišče: Zadosten vnos hranil je v otroštvu izrednega pomena. V nekaterih primerih hranjenje in pitje preko ust ni mogoče oziroma ne zadosti potrebam po hranilih pri otroku. Če napoved izida bolezni ni ugodna in bo otrok predvidoma več kot štiri tedne odvisen od enteralnega hranjenja, je smiselna vstavitev perkutane endoskopske gastrostome (PEG), ki omogoča stalen enteralni dostop. Metode: Raziskava je bila retrospektivna. Pregledali smo zdravstveno dokumentacijo otrok, ki smo jim vstavili PEG v obdobju od maja 2011 do maja 2019. Rezultati: V raziskavo je bilo vključenih 124 otrok, od tega 64 (51,6 %) fantov. Srednja starost ob vstavitvi PEG je bila 42 mesecev. Večina otrok (91,9 %) je pred vstavitvijo PEG prejela odmerek antibiotika. Veliko večino otrok (96 %) smo po PEG začeli hraniti 24 ur po vstavitvi PEG. 57,3 % otrok, ki smo jim vstavili PEG, je imelo nevrološko bolezen. V povprečju smo primarno gastrostomo zamenjali z nizkoprofilno gastrostomo po petih mesecih. V enem letu po vstavitvi PEG so otroci pridobili telesno maso (v povprečju 3 kg). Od 124 otrok, ki so bili vključeni v raziskavo, je 96 (77,4 %) otrok razvilo enega ali več zapletov, povezanih s PEG. Večina zapletov je bila lažjih oziroma prehodnih. Zaključek: Glede na podatke otrok, ki smo jim v zadnjih 8 letih vstavili PEG na otroški kliniki, lahko zaključimo, da je vstavitev hranilne cevke na endoskopski način varna in učinkovita metoda za zagotavljanje dolgotrajne enteralne prehrane pri kronično bolnih otrocih.
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- 2021
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4. Duchennova mišična distrofija – novosti pri diagnosticiranju in zdravljenju
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Tita Butenko, Tanja Loboda, Damjan Osredkar, Aleksandra Zver, Uroš Krivec, Primož Kotnik, Matjaž Homan, Mirko Topalović, Marko Pokorn, Katja Groleger Sršen, Petra Lešnik Musek, David Gosar, Alenka Piskar, and Tanja Golli
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duchennova mišična distrofija ,zdravljenje ,nove smernice ,izid ,Medicine - Abstract
Duchennova mišična distrofija (DMD) je najpogostejša in ena najresnejših mišičnih bolezni otroške dobe. Gre za na kromosom X vezano recesivno živčno-mišično bolezen, ki jo povzroča mutacija v genu za distrofin. Primarno prizadene skeletne mišice in srčno mišico. Pri večini dečkov se klinični znaki bolezni izrazijo z napredujočo mišično šibkostjo med 3. in 5. letom starosti. Mišična šibkost je bolj izražena v proksimalnih kot distalnih mišicah in v začetni fazi bolj vpliva na poslabšanje funkcije spodnjih kot zgornjih udov. Bolezen postopno napreduje. Pri nezdravljenih otrocih večinoma po 11. do 12. letu starosti vodi v takó resno zmanjšanje zmožnosti gibanja, da le-ti že za premagovanje krajših razdalj potrebujejo invalidski voziček. Napredujoča šibkost dihalnih mišic vodi v kronično dihalno odpoved in potrebo po pomoči pri predihavanju. Okvara funkcije srca je splošno prisotna, kajti po študijah so klinični znaki kardiomiopatije prisotni pri vseh bolnikih po 18. letu starosti. Na podlagi klinične slike diagnozo DMD potrdimo z laboratorijskimi in genetskimi preiskavami. V primeru negativnih rezultatov genetskih preiskav, a ob močnem kliničnem sumu za DMD, pa se za potrditev diagnoze poslužujemo mišične biopsije. Zdravljenje bolnikov z DMD zahteva multidisciplinarno obravnavo. Z uporabo kortikosteroidov (KS), fizioterapije, podpornega zdravljenja in opreme s pripomočki sta se življenjska doba in kakovost življenja bolnikov z DMD izboljšala. V fazi razvoja je več zdravil, katerih delovanje se usmerja v zmanjšanje okvare mišic, a tudi zdravil, ki bi odpravile osnovni, tj. genetski vzrok bolezni.
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- 2021
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5. Vnetje požiralnika, povzročeno s HSV, pri imunokompetentnem otroku
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Mateja Tiselj, Nina Zidar, and Matjaž Homan
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ezofagitis ,bruhanje ,herpes simplex ,imunokompetenten ,aciklovir ,Medicine - Abstract
Vnetje požiralnika, povzročeno z virusom herpes simpleks (HSV), je stanje, ki se pri imunokompetentnih posameznikih pojavi redko, še zlasti v obdobju otroštva. Če so pri otroku prisotni simptomi v zgornjih prebavilih, opravimo endoskopijo požiralnika z biopsijami sluznice, s katerimi potrdimo prisotnost HSV. Zdravljenje je največkrat samo podporno, se pa v otroškem obdobju hitreje odločimo za protivirusno zdravljenje. Predstavljamo primer 9-letnega otroka z vnetjem požiralnika, povzročenega s HSV, ki je bil zaradi vztrajnega bruhanja in nezmožnosti hranjenja iz regionalne bolnišnice premeščen na Klinični oddelek za gastroenterologijo, hepatologijo in nutricionistiko Pediatrične klinike v Ljubljani. Ob sprejemu je bila ob kliničnem pregledu prisotna bolečina v spodnjem delu trebuha; deček je bil izsušen. V laboratorijskih preiskavah smo ugotavljali blago povišane kazalce vnetja. Po začetnih preiskavah, vključno z ultrazvočnim pregledom (UZ) trebuha, nismo uspeli pojasniti dečkovega stanja, zato je bila opravljena ezofagogastroduodenoskopija (EGDS), ki je pokazala izrazito vnetje v področju požiralnika. Biopsija je potrdila prisotnost HSV tip 1. Serološke preiskave so potrdile prisotnost HSV IgM in normalno vrednost HSV IgG, nadaljnje testiranje krvi pa ni potrdilo imunske pomanjkljivosti.
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- 2020
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6. Obravnava otrok, okuženih z bakterijo Helicobacter pylori
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Matjaž Homan
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občutljivost na antibiotike ,otroci ,eradikacija ,Helicobacter pylori ,Medicine - Abstract
Izvleček Prevalenca Helicobacter pylori okužbe v razvitem svetu je nižja od 20 %. Helicobacter pylori infekcija pri otrocih v večini primerov povzroči asimptomatski kronični gastritis. Kronične bolečine v trebuhu, če ob endoskopiji zgornjih prebavil ne odkrijemo erozij ali ulkusov, pri otrocih niso povezane z bakterijsko okužbo. Glede na to diagnostika Helicobacter pylori okužbe z neinvazivnimi testi v otroštvu ni priporočljiva. Zdravljenje naj bo usmerjeno glede na antibiotično rezistenco seva bakterije, ki smo ga izolirali iz biopta želodčne sluznice ob endoskopiji zgornjih prebavil. V članku so povzeta priporočila, ki smo jih oblikovali letos v Odboru za Helicobacter pylori okužbo v okviru Severnoameriškega in Evropskega pediatričnega združenja za gastroenterologijo, hepatologijo in prehrano (NASPGHAN, ESPGHAN) na podlagi sistematičnega pregleda objavljenih raziskav s tega področja (1).
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- 2018
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7. Analiza prostotržne organiziranosti in gospodarskih politik dveh skupin članic Evropske unije
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Homan, Gregor and Sušjan, Andrej
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svobodna trgovina ,interventionism ,analiza ,mwembership ,analysis ,udc:339.923 ,članstvo ,EU ,intervencionizem ,mednarodne ekonomske integracije ,international economic integration ,free trade - Published
- 2021
8. Autoimmune liver disease and therapy in childhood
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Matjaž Homan
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autoimmune hepatitis ,children ,therapy ,corticosteroids ,Medicine - Abstract
Autoimmune hepatitis is a chronic immune-mediated disease of the liver. In childhood, autoimmune liver disorders include autoimmune hepatitis type I and II, autoimmune sclerosing cholangitis, Coombs-positive giant cell hepatitis, and de novo autoimmune hepatitis after liver transplantation. Autoimmune liver disease has a more aggressive course in children, especially autoimmune hepatitis type II. Standard therapy is a combination of corticosteroids and azathioprine. Around 80 % of children with autoimmune liver disease show a rapid response to combination therapy. The non-responders are treated with more potent drugs, otherwise autoimmune disease progresses to cirrhosis of the liver and the child needs liver transplantation as rescue therapy.
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- 2013
9. Probiotics in antibiotic associated diarrhea in children
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Matjaž Homan
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probiotics ,children ,antibiotic-associated diarrhea ,Medicine - Abstract
The use of antibiotics that disturb the gastrointestinal microbiota is associated with diarrhea, which occurs in up to half of treated children. Symptoms are usually mild and children do not need hospitalization. Probiotics are live microorganisms, which restore intestinal microbiota during antibiotic therapy through different mechanisms such as stimulation of immunity, secretion of anti-inflammatory factors, and production of antimicrobial substances. The use of different strains of probiotics in antibiotic-associated diarrhea was evaluated in several studies in adults but less frequently in pediatric population. They also confirmed the value of probiotics in the prevention of antibiotic-associated diarrhea in children, particularly Lactobacillus strain GG and Saccharomyces boulardii. The use of probiotics in childhood is safe. A proper strain must be introduced at the beginning of antibiotic treatment in a sufficient concentration.
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- 2013
10. Biliary atresia in Slovenia Congenital extrahepatic biliary atresia in children in Slovenia – epidemiological retrospective data
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Petja Fister, Rok Orel, Marjeta Sedmak, Diana Gvardijančič, and Matjaž Homan
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biliary atresia ,newborn ,cholestasis ,hepatoportoenterostomy ,liver transplantation ,Medicine - Abstract
Backg round: The objective of this study was to investigate the history, clinical, laboratory, imaging data and outcome of children with biliary atresia in Slovenia. Methods: In an epidemiological single-arm retrospective study health records of infants born in Slovenia between October 1996 and October 2011, who were diagnosed with biliary atresia at the University Children’s Hospital, University Medical Centre Ljubljana, were reviewed. Epi-demiological data and outcomes of patients with biliary atresia in Slovenia were studied. Results: In the 15-year period, 16 cases of biliary atresia were confirmed (1/20000 newborns). Two thirds of patients in our cohort were females. One child had associated laterality malformation. The majority of patients were born in autumn and winter months. The affected newborns were born mature with appropriate birth measures and healthy, but most of them became jaundiced in the first days of life. Primary surgery was done in 11 children at median age of 70 days. Of those children in whom the surgery was unsuccessful, 13 (81 %) underwent liver transplantation in foreign surgical centres. Median age at liver transplantation was 9 months, median time from Kasai operation to liver transplantation was 5 months. Median follow-up was 9.75 years (range 1.2–15.4). Conclusions: In Slovenia, the incidence of biliary atresia is low and biliary atresia splenic malformation very rare. The observed seasonal incidence might suggest the viral aetiology.
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- 2013
11. Vpliv spremembe embalaže na zaznavanje blagovne znamke Teekanne in nakupno odločanje
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Homan, Eva and Žabkar, Vesna
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nakup ,packaging ,odločanje ,consumer behaviour ,poslovno komuniciranje ,business communication ,decision making ,blagovne znamke ,Teekanne ,purchasing ,case study ,brands ,udc:366 ,marketing ,vedenje potrošnikov ,embalaža ,trženje - Published
- 2020
12. GUIDELINES FOR MANAGEMENT OF CHILDREN WITH CYSTIC FIBROSIS
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Andreja Borinc Beden, Jernej Brecelj, Nina Bratanič, Matjaž Homan, Matjaž Homšak, Klemen Jenko, Anton Kening, Majda Oštir, Lidija Skočir, and Andreja Širca Čampa
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Medicine - Abstract
BACKGROUND Cystic fibrosis is the most common autosomal recessive hereditary disease. The clinicalconsequences include multisystem disease characterised by progressive pulmonary disease leading to respiratory failure, pancreatic disfunction, liver disease that may progressto chirrhosis and men infertility due to atresia of the vas deferens. Early intervention andprevention of lung disease is of paramount importance, since the prognosis of the diseaseis substantially dependent on chronic respiratory infection and inflammation. Cysticfibrosis is a complex disease requiring a multidisciplinary approach to treatment. Centercare by a team of experienced health professionals is essential for optimal patient management and outcome. CONCLUSIONS The article presents diagnostic and therapeutic recommendations for the management of children with cystic fibrosi
- Published
- 2008
13. Lutka v Waldorfskem vrtcu
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Homan, Špela and Korošec, Helena
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puppets ,lutke - Abstract
Diplomsko delo z naslovom Lutka v waldorfskem vrtcu je sestavljeno iz treh delov. V prvem delu so opredeljene značilnosti waldorfske pedagogike, ki predstavljajo podlago za razumevanje značilnosti lutk in lutkovnih dejavnosti v waldorfskem vrtcu. Nato tema preide na lutke in njihov pomen. Majaron (2002) pravi, da lutka izvira iz ritualov. Izraža se s tremi nivoji stilizacije: vizualni, gibalni in zvočni. Lutke imajo takšno moč, da lahko postanejo posrednik med otrokom in vzgojiteljem. Zaradi njihove posebne moči in energije so za otroke zelo privlačne in z njimi dosežemo čarobno vzdušje v igralnici. Kasneje so podrobneje predstavljene waldorfske lutke in lutkovne predstave, ki jih primerjam z lutkami in lutkovnimi predstavami v javnem vrtcu. V empiričnem delu je predstavljeno opazovanje otrokove igre z lutko v Waldorfskem vrtcu Jutranja zarja Kranj. Utemeljitelj waldorfske pedagogike Rudolf Steiner pravi, da pozna dve magični besedi, s katerimi lahko prikažemo, kako otrok vzpostavlja povezavo z njegovim okoljem. To sta vzor in posnemanje (Oldfield, 2012). Glavno obliko učenja v predšolskem obdobju v waldorfskem vrtcu predstavlja ravno posnemanje. Z opazovanjem otrokove igre z lutko sem želela ugotoviti, ali se bodo pojavile razlike pri otrokovi igri z lutko pred in po lutkovni predstavi, ki jo je izvedla vzgojiteljica. Zanimalo me je tudi, ali bodo otroci spontano ter na podlagi posnemanja izvajali lutkovne predstave. Podrobneje je prestavljena tudi izvedba vzgojiteljičine waldorfske lutkovne predstave in predstave, ki sem jo za otroke ustvarila sama. Diplomsko delo se zaključi z ugotovitvami o opazovanju otrokove igre z lutko pred in po lutkovni predstavi, s primerjanjem značilnosti lutk, lutkovnih predstav in dejavnosti v javnem in waldorfskem vrtcu ter z mislijo, da obstajajo velike razlike med lutkami in lutkovnimi dejavnostmi v javnem in waldorfskem vrtcu. The Waldorf kindergarten puppetry graduate paper consists of three parts: The first part defines the characteristics of Waldorf education to form the basis for understanding the characteristics of puppets and puppetry in the Waldorf Kindergarten. The paper then focuses on puppets and their significance. Majaron (2002) says that puppets come from rituals. It is expressed through three stylization levels: visual, locomotive and acoustic. The puppets can become an intermediate between the child and the educator. The special powers and energies of the puppets are very attractive to children and they can be used to create a magical atmosphere in the playroom. Waldorf puppets and puppet shows are later presented in greater detail, and compared to puppets and puppetry in public kindergartens. The second, empirical part presents the observation of children playing with puppets in the Jutranja Zarja Kranj Waldorf Kindergarten. The founder of Waldorf school pedagogy Rudolf Steiner said that there are two magic words that can be used to show how children connect to their environment. These words are example and emulation (Oldfield, 2012). Emulation is the main form of learning during the preschool period. I wanted to observe whether the way children play with puppets will be any different before and after the puppet show that was performed by the teacher, and whether children will spontaneously emulate puppet shows. The paper then includes a detailed presentation of the teacher’s puppet show using Waldorf principles and the puppet show that I created myself. The final part of the graduate paper contains the results of observing the child’s play with puppets before and after the show, comparing the characteristics of the puppets, puppet shows and other activities in the public and Waldorf kindergartens, and concludes that there are major differences between the puppets that are used and puppet related activities between the public and the Waldorf kindergartens.
- Published
- 2019
14. Analiza trajnostnega managementa na primeru podjetja Iskraemeco
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Homan, Gregor and Peterlin, Judita
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analiza ,sustainable development ,industrial enterprises ,Slovenia ,industrijsko podjetje ,poslovanje podjetja ,varstvo okolja ,Iskraemeco ,trajnostni razvoj ,udc:005 ,Slovenija ,uspešnost poslovanja ,company performance ,business efficiency ,management ,environmental protection - Published
- 2019
15. Bolezni, ki jih lahko spremlja inkontinenca
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Gregor Homan
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urološke bolezni-komplikacije ,urinska inkontinenca ,Nursing ,RT1-120 - Published
- 1994
16. Oblikovanje ženske in moške kolekcije Floret
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Homan, Tina and Sadar, Almira
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tropsko cvetje ,digital print ,digitalni tisk ,uporaba cvetličnih vzorcev v oblikovanju ,modna hiša Kenzo ,tropical flora ,use of flower patterns ,Kenzo - Abstract
V diplomskem delu je prikazan celoten oblikovalski proces, od inspiracije do končnega izdelka. Namen diplomskega dela je bil oblikovati sodobno žensko in moško kolekcijo, ki sočasno črpata navdih iz modne hiše Kenzo in tropskega rastlinja. V teoretičnem delu so predstavljeni oblikovalci modne hiše Kenzo in značilnosti njihovega oblikovanja. Vsem je skupna inspiracija iz japonske kulture, potovanj ter uporaba živih barv in pestrih vzorcev. Digitalni tisk je prinesel precejšnje prednosti v oblikovanju vzorcev in močno vpliva na razvoj modnega oblikovanja. V nadaljevanju teoretičnega dela so predstavljeni najbolj zanimivi projekti iz področja mode, arhitekture in instalacij, ki navdih črpajo iz cvetličnih motivov. Eksperimentalni del prikazuje razvoj ženske in moške kolekcije, ki se navezujeta na teoretični del diplomske naloge in raziskavo tropskega rastlinja. Ženska oblačila so v nasprotju z moškimi zelo barvita, polna detajlov in tiskov, cvetlice so dobesedno prenešene tako po obliki krojev kot tudi s pomočjo digitalnega tiska. Moški del kolekcije se poleg elementov tropskega gozda povezuje še s hip hop kulturo, poudarek je na detajlih. Opisane so ciljne skupine, prikazan je celoten proces dela, od izhodišča, skic, tehničnih skic do fotografij končnih izdelkov. Predstavljene so tako barve in materiali kot tudi vzorci kolekcije. This thesis presents the full design process from concept creation to the final product. The goal of this thesis was to design a new modern fashion collection for men and women, which bases on inspiration taken from Kenzo and tropical flora. The theoretical portion of the thesis covers the main designers of Kenzo and their design traits. The connecting element between them is their fondness of Japanese culture, travel and use of live colours. Digital printing contributed heavily to pattern development and to how fashion is developing in the modern times. In the second portion of the theoretical segment we will present the most interesting project from fashion, architecture and installation, which all draw inspiration from flower motives. The practical part of the thesis presents the development of a new fashion collection for men and women, which is connected to the theoretical portion covering tropical flora. Women clothing is usually more colourful, full of details and interesting print, flowers are literary transferred to the design pattern with the help of digital printing. Clothing for men are designed with a mix of hip-hop and tropical with an emphasis on details. We described our target audience and present the full work process: starting with a concept drawn on sketches and ending with a fully realised concept design. We have included the used colour pallet, materials and samples of the collection.
- Published
- 2017
17. Vpliv telesne podobe na karierno uspešnost posameznika
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Homan, Mateja and Kohont, Andrej
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Graduate theses ,Body image ,Telesna lepota ,udc:111.85:005.966(043.2) ,Diplomska dela ,Telesna podoba ,Kariera ,Personal beauty ,Career - Published
- 2017
18. Prodajno okolje in trženje oblačil blagovne znamke višjega cenovnega razreda
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Homan, Dominika and Bizjak, Matejka
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udc:677 ,prodajno okolje ,osebna prodaja ,blagovna znamka ,vizualno prodajna izpostavitev - Published
- 2016
19. Organization Model of Therapeutic Activities in a Special Social Care Institution
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Homan Ban, Andreja and Ferjan, Marko
- Subjects
therapeutic activities ,poseben socialnovarstveni zavod, odrasle osebe s posebnimi potrebami, glasbena skupina Barve sveta, terapevtske aktivnosti ,special social care institution ,adults with special needs, music group Barve sveta(Colours of the World) - Abstract
Profesor Heinrich Ullrich je glasbeni terapevt in logoterapevt, ki je pred štiridesetimi leti začel razvijati terapevtska glasbila in barvni notni sistem, s pomočjo katerega lahko igrajo tudi osebe s posebnimi potrebami, ki pa na klasična glasbila ne morejo igrati. V magistrski nalogi je predstavljena glasbena skupina Barve sveta, katero je ustanovila avtorica magistrske naloge ter deluje znotraj posebnega socialno varstvenega zavoda v Republiki Sloveniji. Glasbena skupina Barve sveta uporablja metode profesorja Ullricha že dvanajst let. Predstavljen je model organiziranosti terapevtskih aktivnosti ter organizacija koncerta ob deseti obletnici delovanja glasbene skupine. Na vzorcu dvajsetih stanovalcev, članov glasbene skupine Barve sveta, smo vrednotili in preučevali učinke skupinskih glasbeno-, gibalno- in plesnoterapevtskih aktivnosti kot metod dela pri delu z odraslimi ljudmi s posebnimi potrebami, to je oseb z dolgotrajnimi težavami v duševnem zdravju in z zmernimi motnjami v duševnem razvoju, oseb s pogosto zmanjšano zmožnostjo prilagajanja v vsakodnevnem življenju. Nezadovoljiva komunikacija in vzpostavljanje medsebojnih odnosov z drugimi ljudmi jim ne omogočata vključevanja v širše okolje. Metodo kvantitativne analize s tehniko anketiranja stanovalcev smo uporabili za preverjanje stopnje zadovoljstva z načinom dela glasbene skupine, z učnimi vsebinami in z metodami dela. Izvedli smo metodo kvalitativne študije primera z odkritim opazovanjem vzpostavljanja kontaktov z drugimi osebami, sodelovanja pri terapevtskih aktivnostih in nastopih, počutja, preverjali napredek v znanju ter stopnjo zadovoljstva. Rezultati izvedene ankete o zadovoljstvu stanovalcev kažejo, da je stopnja zadovoljstva članov glasbene skupine z njenimi aktivnostmi zelo visoka. Trdimo, da so navedene terapevtske aktivnosti učinkovite in pozitivne pri delu z odraslimi osebami s posebnimi potrebami nasploh, saj omogočajo lažje vzpostavljanje kontaktov z drugimi osebami ter hitro in učinkovito vključitev v socialno okolje. Ugotavljamo zavzeto sodelovanje članov pri terapevtskih aktivnostih in nastopih ter napredek v znanju. Z glasbenimi, gibalnimi in plesnoterapevtskimi aktivnostmi razvijamo oblikovanje pozitivne samopodobe in samozavesti, spodbujamo ustvarjalnost in socialne spretnosti, oblikujemo vrednote in dobre navade ter zelo uspešno izboljšamo splošno počutje posameznika. Professor Heinrich Ullrich is a music therapist and logotherapist who began developing therapeutic instruments and a coloured notes musical system forty years ago. The system enables persons with special needs to play music as they are unable to play music with classical instruments. The thesis presents the music group Barve sveta (Colours of the World) which was founded by the author of this master's thesis and who works within a special social care institution in the Republic of Slovenia. The music group Colours of the World has been using Professor Ullrich's methods for twelve years. Here, a model of the organization of therapeutic activities and the organization of a concert on the tenth anniversary of the musical group has been presented. On a sample of twenty residents, members of the Colours of the World group, we have studied and evaluated the effects of the music, movement and dance therapeutic activities in a group. It is a method of dealing with adults with special needs, ie people with long-term mental health problems, people with moderate intellectual disabilities, persons with a reduced ability to adapt to everyday life. Their unsatisfactory communication and building interrelations with other people disable them to integrate into the wider environment. The method of quantitative analysis, together with the technique of interviewing the residents, was used to check the level of satisfaction with the method of approach of the music group, the teaching contents and the working methods. We carried out the method of qualitative case study by observing establishment of contacts with other people, cooperation in therapeutical activities and performances, well-being as well as tested the progress in their knowledge and the level of statisfaction. The results of the survey on how satisfied the residents are show that the level of the residents' satisfaction with the musical group activities is very high. We believe that these therapeutic activities are effective and positive while working with adults with special needs in general since they facilitate the establishment of contacts with other people and a rapid and effective integration into the social environment. We observe an active involvement of the members in these therapeutic activities and performances as well as the progress in their knowledge. Music, dance and motion therapeutic activities develop the formation of a positive self-image and self-esteem, encourage creativity and social skills, form values and good habits and successfully improve the general well-being of an individual.
- Published
- 2014
20. Študija racionalizacije glavnega odvoza premoga iz premogovnika Velenje : diplomsko delo visokošolskega študija
- Author
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Homan, Slavko and Polajnar, Andrej
- Subjects
udc:65.011.42:622 - Published
- 2007
21. Ureditev pokojninskih sistemov v svetu in v Sloveniji - uvedba drugega stebra
- Author
-
Homan, Nataša
- Subjects
pokojninsko zavarovanje, drugi steber, Slovenija - Abstract
V tem magisterskem delu se obdeluje ureditev pokojninskih sistemov v svetu in v Sloveniji - uvedba drugega stebra.
- Published
- 2002
22. Dieta z nizkim vnosom FODMAP kot način zdravljenja sindroma razdražljivega črevesja
- Author
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Bratina, Lucija and Homan, Matjaž
- Subjects
udc:612.3+613.2:616.3 ,dieta z nizkim vnosom fermentabilnih oligosaharidov ,irritable bowel syndrome ,dietna prehrana ,monosaharidov in poliolov ,monosaccharides ,and polyols diet ,sindrom razdražljivega črevesja ,diet nutrition ,FODMAP ,low fermentable oligosaccharides ,disaccharides ,disaharidov - Abstract
Sindrom razdražljivega črevesja (SRČ) je pogosta funkcionalna motnja prebavil, ki se lahko pojavi že v otroški dobi in prizadene do 20 % šoloobveznih otrok in mladostnikov. Pogosto se te črevesne težave nadaljujejo tudi v odrasli dobi. Zakaj se SRČ pojavi, zaenkrat še ni znano, najpogostejši razlogi pa so genetska nagnjenost, stres, nizek prag zaznavanja bolečine, motnje v motiliteti, intolerance na hrano, sestava mikrobiote, spremenjena povezava med možgani in črevesjem ter poškodovana epitelijska pregrada. Najpogostejši simptomi pri sindromu so bolečine v trebuhu, napihnjenost, vetrovi in potreba po hitrem odvajanju blata, ki se običajno pojavijo zelo hitro po zaužitem obroku. Najnovejša dognanja kažejo, da je pri odpravi simptomov izredno učinkovita dieta z nizkim vnosom fermentabilnih oligosaharidov, disaharidov, monosaharidov in poliolov (FODMAP). V raziskavi smo želeli raziskati, kako učinkovita je pri zdravljenju SRČ pri otrocih in mladostnikih, starih od 10 do 19 leta. Ker je pri dieti treba iz prehrane za 4 tedne izločiti vse skupine FODMAP, kar pomeni velik nabor živil, smo v raziskavi preverili, ali je energijski vnos, vnos prehranske vlaknine, kalcija, železa in cinka v času diete, skladen s trenutno veljavnimi priporočili. Simptome smo spremljali z vprašalnikom o oceni simptomov SRČ z uporabo štiristopenjske lestvice Likertovega tipa. Ugotovili smo, da so vsi pacienti po končani dieti čutili olajšanje simptomov. Največje izboljšanje smo opazili pri naslednjih simptomih: bolečine v trebuhu, glasna peristaltika v želodcu in napihnjenost v trebuhu. Ugotovili smo, da pacienti v času diete ne zadostijo potrebam po energijskem vnosu, vnosu prehranske vlaknine, kalcija in cinka glede na trenutno veljavna priporočila. Irritable bowel syndrome (IBS) is common functional gastrointestinal disorder, which often occurs in childhood and affects nearly 20 % of school-aged children. The majority of early onset IBS continue into adulthood. Pathogenesis and etiology of IBS is still unknown, it is probably multifactorial, and involves the interaction of genetic susceptibility, perceived stress, altered pain perception thresholds, motility disturbances, food intolerances, distortions in the gut microbiome, dysfunctional brain and gut axis, and a compromised epithelial barrier function. The most common IBS symptoms are abdominal pain, bloating, increased flatulence/wind and bowel urgency. Nowadays a very promising method to treat IBS symptoms is a diet low in fermentable oligosaccharides, disaccharides, monosaccharides, and polyols (low-FODMAP diet). Therefore the aim of our study was to evaluate the effectiveness of low-FODMAP diet as a possible treatment for IBS symptoms among children, aged 10 to 19 years. Low-FODMAP diet is restrictive diet, therefore we also examined whether patients treated with low-FODMAP diet consume sufficient amounts of calories, dietary fibre, calcium, iron, and zinc. Patients were evaluated for IBS symptoms by a questionnaire (four-point Likert scale). All patients reported about certain relief of their gut symptoms after four-week diet. The biggest improvement was observed in the symptoms such as abdominal pain, stomach/abdominal gurgling and abdominal bloating/distension. In addition, we concluded that the included children did not ingest sufficient amount of calories, dietary fibre, calcium and zinc according to the recommended national dietary guidelines.
- Published
- 2020
23. Ocena uspešnosti hipoalergene diete pri zdravljenju otrok z eozinofilnim ezofagitisom
- Author
-
Raztresen, Lea and Homan, Matjaž
- Subjects
milk elimination diet ,diet food ,udc:613.2-053.4/.6:616.329 ,diete ,hipoalergena dieta ,eozinofilni ezofagitis ,dietna prehrana ,eosinophilic esophagitis ,diets ,egg-free diet ,dieta z izločitvijo mleka ,dieta z izločitvijo živil ,dieta brez jajc ,elimination diet ,hypoallergenic diet - Abstract
Namen magistrskega dela je bil oceniti uspešnost petih najpogostejših diet, ki se uporabljajo za zdravljenje slovenskih pediatričnih bolnikov z eozinofilnim ezofagitisom (EoE). V retrospektivno raziskavo je bilo vključenih 70 pediatričnih bolnikov, starih med 0,7 in 18,0 let (povprečna starost = 9,3 let, standardni odklon = 4,6 let), ki so bili med leti 2005 in 2019 na novo diagnosticirani z EoE. Za vsakega pediatričnega bolnika smo zabeležili demografske podatke, podatke o klinični sliki, zdravstveno anamnezo bolezni z alergijsko etiologijo, endoskopske in histološke značilnosti sluznice požiralnika, rezultate alergoloških testov, ter podatke o vrsti, trajanju in uspešnosti zdravljenja. Izmed vseh pediatričnih bolnikov vključenih v raziskavo, je bilo 49 pediatričnih bolnikov zdravljenih s hipoalergeno dieto (HD). Poznamo različne oblike HD, najpogostejše so: dieta z izločitvijo mleka vseh sesalcev (kravje, kozje, ovčje, kobilje, bivolje, oslovsko in kamelje mleko) oziroma krajše dieta brez kravjega mleka (KML), ciljana hipoalergena dieta zasnovana na podlagi alergoloških testov (CHD), dieta z izločitvijo 6 skupin živil, ki vsebujejo mleko, pšenico, jajca, sojo, oreške ali morsko hrano (dieta 6), elementarna dieta (ED) in dieta brez jajc. Skupini pediatričnih bolnikov z ED in dieto brez jajc smo zaradi majhnega vzorca izključili iz podrobnejše primerjave diet. Rezultati raziskave so pokazali, da je 57 % pediatričnih bolnikov (n = 28) s HD doseglo histološko remisijo. Izmed diet vključenih v HD je bila najuspešnejša dieta 6 (71 % uspešnost), sledila je dieta brez KML (54 % uspešnost) in CHD (50 % uspešnost). Iz rezultatov raziskave je razvidno, da je uporaba HD uspešen način zdravljenja pediatričnih bolnikov z EoE. Poleg tega so rezultati pokazali, da med dieto brez KML, CHD in dieto 6, ni statistično značilnih razlik (p = 0,653) pri uspešnosti zdravljenja. The purpose of the research was to evaluate the effectiveness of the five most commonly used diets utilized to treat Slovenian pediatric patients with eosinophilic esophagitis (EoE). The retrospective study included 70 pediatric patients aged between 0,7 and 18,0 years (average age = 9,3 years, standard deviation = 4,57 years) who were diagnosed with EoE between 2005 and 2019. Demographic data, clinical picture, medical history, endoscopic and histological characteristics of the esophageal mucosa, results of allergy tests and data on the type, duration and success of treatment were recorded for each pediatric patient. Out of all the participants included in the study, 49 were treated with a hypoallergenic diet (HD). There are different forms of HD, most common are: diet excluding all mammalian milk (cow, goat, sheep, mare, buffalo, donkey and camel milk), shorter diet excluding milk, targeted hypoallergenic diet created on the basis of allergy tests (CHD), the six-food elimination diet that contains the most common allergens (diet 6), elemental diet (ED) and egg-free diet. The pediatric patient groups following ED or the egg-free diet were excluded from a more detailed diet comparison due to the small sample. The results of the study showed that 57% of pediatric patients (n = 28) following HD experienced hystologic remission. Among the diets included in HD, the most successful diet was diet 6 (71 % successfulness), followed by the diet excluding milk (54 % successfulness) and CHD (50 % successfulness). The results of the study prove that the use of HD is a successful way to treat pediatric patients with EoE. In addition, the results showed that there are no statistically significant differences (p = 0,653) between the diet excluding milk, CHD and diet 6 in treatment success.
- Published
- 2020
24. Pomanjkanje vitaminov in mineralov pri bolnikih s kronično vnetno črevesno boleznijo
- Author
-
Leben, Neža and Homan, Matjaž
- Subjects
Crohnova bolezen ,pomanjkanje mineralov ,vitamini ,diete ,kronična vnetna črevesna bolezen ,malnutrition ,minerals ,vitamins ,osteoporosis ,anemia ,udc:613.2:616.34 ,osteoporoza ,minerali ,podhranjenost ,Crohn's disease ,pomanjkanje vitaminov ,nutrition ,prehrana ,ulcerozni kolitis ,inflammatory bowel disease ,vitamin deficiency ,diets ,mineral deficiency ,slabokrvnost ,ulcerative colitis - Abstract
V diplomskem delu so predstavljeni glavni vzroki in posledice pomanjkanja določenih vitaminov in mineralov pri bolnikih s kronično vnetno črevesno boleznijo. Kronična vnetna črevesna bolezen (KVČB), med katero spadata Crohnova bolezen in ulcerozni kolitis, prizadene prebavni trakt, kar vpliva na absorpcijo hranil. Stanje pomanjkanja hranil nastopi kot posledica izgube krvi, kronične driske, okvare ali odstranitve določenih delov črevesja in malabsorpcije v tankem črevesju. Prav tako bolniki iz svoje prehrane pogosto izključujejo skupine živil, kot so žitarice, mlečni izdelki, sadje in zelenjava, ker jim ti povzročajo težave. Najpogostejša zapleta, ki nastaneta zaradi pomanjkanja vitamina D, vitamina K in kalcija, sta osteoporoza in osteopenija. Pomanjkanje železa, vitamina B9 in B12 pa vodi v anemijo in hiperkoagulabilnost. Pri bolnikih s KVČB je pomembno redno spremljanje njihovega prehranskega statusa in serumskega nivoja posameznih vitaminov in mineralov. Dober prehranski status namreč močno vpliva na potek bolezni in uspešnost zdravljenja, kot tudi na samo kakovost življenja. In the thesis are described main causes and consequences of vitamin and mineral deficiency in patients with inflammatory bowel disease. Inflammatory bowel disease, including Crohn's disease and ulcerative colitis, causes malabsorption in the gastrointestinal tract. Micronutrient deficiency can be a result of blood loss, chronic diarrhea, dysfunction or resection of certain parts of bowel. In addition, patients often try different diets to control the disease, with exclusion of wheat and dairy products, fruits and vegetables etc. The most common complications of inflammatory bowel disease are vitamin and mineral deficiencies. Vitamin D, vitamin K and calcium deficiency can lead to osteoporosis and osteopenia. Iron, vitamin B9 and B12 deficiency can cause anemia and hypercoagulability. Regular screening for certain deficiencies and maintaining a good nutritional status of patient is extremely important because it can affect the course of disease, improves chances of successful treatment and it also improves patient’s quality of life.
- Published
- 2020
25. Dejavniki, ki vplivajo na pojav prekrškov v striktni brezglutenski dieti pri otrocih s celiakijo
- Author
-
Lončarek, Barbara and Homan, Matjaž
- Subjects
mladostniki ,gluten-free diet ,children ,celiakija ,adherence to a gluten-free diet ,otroci ,adolescents ,brezglutenska dieta ,strict gluten-free diet ,dietni prekrški ,udc:613.24-053.2:641.56:616.34 ,coeliac disease ,striktna brezglutenska dieta - Abstract
Vodenje striktne brezglutenske diete je za osebe s celiakijo nujno, a hkrati zaradi različnih dejavnikov lahko tudi precej težavno. V raziskavo, s katero smo želeli identificirati dejavnike, odgovorne za dietne prekrške, smo vključili 61 otrok s celiakijo in vsaj enega izmed njihovih staršev. Vključitveni dejavniki so bili redni kontrolni pregledi med leti 2016 in 2018 na Pediatrični kliniki v Ljubljani ter starost otroka pod 19 let in redna brezglutenska dieta, ki traja najmanj eno leto. V raziskavi smo uporabili dva vprašalnika, prvi je bil oblikovan za otroka s celiakijo, drugi pa za njegovega starša. Statistična analiza, t-test za neodvisne vzorce, je razkril povezavo med starševskim znanjem o celiakiji in brezglutenski dieti ter pojavom dietnega prekrška pri otroku. Ni pa nam uspelo dokazati povezave med različnimi dejavniki, kot so otrokovo znanje o celiakiji in brezglutenski dieti, članstvo v društvu za celiakijo, dohodki in izobrazba staršev, vsakodnevno uživanje obroka izven doma ter število družinskih članov, ki imajo potrjeno diagnozo celiakije, in pojavom dietnega prekrška pri otroku s celiakijo. Na podlagi izvedene raziskave lahko zaključimo, da je najpomembnejši dejavnik, ki pripomore k striktnemu vodenju brezglutenske diete, znanje o celiakiji in brezglutenski dieti. Posledično kot eno izmed strategij za izboljšanje vodenja brezglutenske diete predlagamo izobraževanje bolnikov, zaposlenih v kuhinjah in strežbi ter splošne javnosti o celiakiji in brezglutenski dieti. Compliance with a gluten-free (GF) diet is mandatory for patients with coeliac disease. In order to identify factors responsible for diet transgressions, we conducted a study in which 61 children and adolescents with coeliac disease were included. Inclusion criteria were age under 19 years, being at least one year on a GF diet and regular outpatient clinic follow ups between years 2016 and 2018 at the Department of Gastroenterology, Hepatology, and Nutrition, University Children's Hospital in Ljubljana. Two types of questionnaires were used in the study, first one being designed for children with coeliac disease and second one for their parents. Statistically significant correlation between parental knowledge of coeliac disease and GF diet and adherence to GF diet in children was found. However, statistical analysis did not confirm correlation between several other factors, such as children knowledge about coeliac disease and GF diet, membership in coeliac society, level of parental education and family income, meal consumption outside home, family history of coeliac disease and dietary transgressions in children/adolescents with coeliac disease. Based on our results we conclude that education about coeliac disease and GF diet is the main factor influence adherence to strict GF diet. Consequently, one of proposed strategies for better compliance with GF diet could be education of patients, their families, cook chefs and general public about the disease.
- Published
- 2019
26. Vpliv visoko energijske diete na prognozo bolnikov s cistično fibrozo
- Author
-
Ogrin, Jernej and Homan, Matjaž
- Subjects
maščobe ,udc:613.2:616-002.17 ,dietary nutrition ,dieta ,cistična fibroza ,macronutrients ,recessive disease ,dietary recommendations ,cystic fibrosis ,energy diet ,nutritional status ,dietna prehrana ,status prehranjenosti ,energijska dieta ,fat ,makrohranila ,beljakovine ,diet ,protein ,recesivna bolezen ,prehranska priporočila - Abstract
Cistična fibroza je kljub velikemu razvoju in napredku sodobne medicine v zadnjih nekaj desetletjih tako za paciente, kot tudi za zdravstvene delavce zelo težka bolezen, ki je ne moremo ozdraviti, a lahko z multidisciplinarno oskrbo pacientom podaljšamo življenjsko dobo in jim z različnimi ukrepi olajšamo življenje. Poleg zagotavljanja ustreznega delovanja pljuč s čiščenjem sluzi in antibiotično terapijo je eden glavnih ukrepov za splošno zdravje pacientov skrb za njihov dober prehranski status. Že več desetletij je v redni uporabi visoko energijska dieta z visoko vsebnostjo maščob in beljakovin ter z nadomestnimi encimi trebušne slinavke, ki pacientom pomaga pri ustrezni rasti in razvoju v otroški in mladostniški dobi ter vzdrževanju telesne mase v odrasli dobi. Poleg tega primerna telesna masa pri bolniku zmanjša število okužb dihal in na ta način pripomore k ohranjanju pljučne funkcije. Tudi s pomočjo omenjene diete se je življenjska doba pacientov s cistično fibrozo močno podaljšala, boljša je tudi njihova kvaliteta življenja. Z daljšanjem življenjske dobe in z visokim vnosom maščob so se tudi pri bolnikih s cistično fibrozo začela pojavljati srčno-žilna obolenja. Even though there has been a major progress in modern medicine in the past couple of decades, cystic fibrosis still continues being a hard and complex disease for patients and for the medical team treating these patients. The disease can not be cured, but with the optimal treatment a longer life is expected and patients overall health and quality of life is significantly improved. A high-energy diet and pancreatic enzyme-replacement therapy are the main therapeutic modalities in treating patients with cystic fibrosis. It helps patients to achieve normal growth and development in childhood and an optimal and constant body mass later in life. It is also associated with a better pulmonary function with less acute and chronic lung complications. With longer life there is higher incidence of cardiovascular diseases among patients with cystic fibrosis, which is probably a consequence of their diet high in fat.
- Published
- 2017
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