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Assessment of the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients in healthcare settings in a Hungarian county 评估护士和社会护理人员对匈牙利某县医疗机构老年患者跌倒问题的认识和态度
Pub Date : 2024-07-03 DOI: 10.1556/2066.2024.00061
E. Boros, Z. Balogh
The aim of this descriptive study was to evaluate the knowledge and attitudes of nurses and social caregivers in relation to falls among elderly patients.A total of 442 nurses and social caregivers working in acute or chronic care settings participated in our study. Data were gathered on the participants' general characteristics, the characteristics of their workplace, and their levels of knowledge in relation to risk factors and types of falls. Our questionnaire also included a survey of attitudes towards fall prevention. Data were analysed using IBM SPSS software.Our results showed a significant correlation between the participants' level of knowledge and age, level of professional education, workplace localisation, form and type of care, risk evaluation scale score, and the existence of a healthcare protocol at the workplace. Participants demonstrated a positive attitude towards fall prevention: the mean value for attitude was 48.03 out of 65 points. Participants who experienced a lower number of falls among elderly patients at their workplace demonstrated a significantly more positive attitude to prevention compared to those experiencing falls more frequently.In our professional opinion, trainings focusing on fall prevention are required. In addition to knowledge transfer, these should emphasise the formation of attitudes, especially in the context of chronic healthcare, among professionals working in institutions in smaller towns.
这项描述性研究旨在评估护士和社会护理人员对老年患者跌倒的认识和态度。共有 442 名在急症或慢性病护理机构工作的护士和社会护理人员参与了我们的研究。我们收集的数据包括参与者的一般特征、工作场所特征以及他们对跌倒风险因素和类型的了解程度。我们的问卷还包括对预防跌倒态度的调查。我们的结果显示,参与者的知识水平与年龄、专业教育水平、工作场所的本地化程度、护理形式和类型、风险评估量表得分以及工作场所是否存在医疗保健协议之间存在显著的相关性。参与者对预防跌倒持积极态度:态度的平均值为 48.03(满分 65 分)。工作场所老年患者跌倒次数较少的参与者与跌倒次数较多的参与者相比,对预防跌倒的态度明显更为积极。我们的专业意见是,需要开展以预防跌倒为重点的培训,除了传授知识外,还应强调在小城镇机构工作的专业人员的态度养成,尤其是在慢性病医疗保健方面。
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引用次数: 0
A comparison of the results of old-generation (MEL 60) and new-generation (SCHWIND AMARIS) refractive excimer laser treatments 老一代(MEL 60)和新一代(SCHWIND AMARIS)准分子屈光激光治疗效果比较
Pub Date : 2024-06-10 DOI: 10.1556/2066.2024.00063
M. Dió, Sz. Molnár, Cs. Szekrényesi, B. Halmai, J. Takács, Z.Z. Nagy
The present study compares the efficacy of refractive surgery using third-generation and sixth-generation laser vision correction procedures in terms of postoperative visual acuity. The goal of the authors was to determine whether advances in laser technology had improved patients' uncorrected visual acuity, as measured at six-month follow-ups.Results were reported from one of Europe's leading laser eye clinics, which has performed an outstandingly high number of treatments (over 100,000). The results of the clinic's first 10,000 treatments and most recent 10,000 treatments were evaluated.The analysis was performed by treated dioptric range and age group. The raw six-month visual acuity results show a statistically significant improvement over the last 10,000 interventions. The treatments resulted in significant improvements in all groups compared to the previous technology. With the new devices, visual acuity increased to above 1.0 in young myopes. The best results were seen in patients between 18 and 45 years of age, in the dioptric range between −1.0 D and −6.0 D.It can be concluded that advances in technology improved refractive outcomes in all patient groups. This conclusion has excellent reliability and predictability due to the particularly high number of cases.
本研究比较了使用第三代和第六代激光视力矫正手术的屈光手术在术后视力方面的疗效。作者的目标是确定激光技术的进步是否提高了患者的未矫正视力,并在6个月的随访中进行测量。对该诊所前 10,000 次治疗和最近 10,000 次治疗的结果进行了评估。六个月的原始视力结果显示,在过去的 10,000 次干预中,视力有了统计学意义上的显著提高。与以前的技术相比,所有组别的治疗效果都有明显改善。使用新设备后,年轻近视患者的视力提高到了 1.0 以上。可以说,技术的进步改善了所有患者群体的屈光疗效。由于病例数量特别多,这一结论具有极高的可靠性和可预测性。
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引用次数: 0
Should academics be concerned about articles written by ChatGPT? 学术界是否应该关注 ChatGPT 撰写的文章?
Pub Date : 2024-05-22 DOI: 10.1556/2066.2024.00062
Alghazali Ahn, Alkhaqani Al
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引用次数: 0
Investigation of the effectiveness of a complex injury prevention programme among young swimmers 青少年游泳运动员综合伤害预防计划的有效性调查
Pub Date : 2024-03-05 DOI: 10.1556/2066.2024.00053
M. Chrenkó, Á. Mayer, G. Szendrő, A. Várnagy
The training load required at elite level can lead to shoulder pain even among the youngest swimmers, thus, besides modern water training plans and swimming technique development, the planning of dryland training with a preventive approach is of the utmost importance. The aim of the present study was to map kinetic patterns and sports injury risk factors among young competitive swimmers (between 9 and 12 years of age) and to investigate the effectiveness of a complex injury prevention programme on dry land.A total of 37 swimmers (19 girls and 18 boys, aged 10.8 ± 1 yrs) participated in the research. We performed a physical examination using the PostureScreen11.1 application, a digital goniometer, a manual dynamometer, and functional and diagnostic orthopaedic tests. The swimmers were divided into a trained group and a control group. A three-month complex injury prevention programme was developed for the trained group. We analysed our data using Statistica for Windows.We found that 19% of the swimmers had experienced shoulder pain since starting swimming. We also found several postural faults, a reduction in the rotational arc of motion in the shoulder joint, rotational muscle imbalance, serratus anterior weakness, and scapular dyskinesia. Following the programme, swimmers in the trained group showed significant improvement in the rotational arc of the shoulder joint, internal rotational range of motion, rotational muscle strength, and upper limb stability. Progress was also made in many other areas, although these results were not significant.As shoulder pain and its risk factors can be observed even among the youngest competitors, a dryland training plan tailored to this group can reduce the occurrence of sports injuries.
即使是最年轻的游泳运动员,精英水平所需的训练负荷也会导致肩部疼痛,因此,除了现代水上训练计划和游泳技术发展之外,以预防为主的旱地训练计划也至关重要。本研究旨在绘制青少年竞技游泳运动员(9 至 12 岁)的运动模式和运动损伤风险因素图,并调查旱地综合损伤预防计划的有效性。我们使用 PostureScreen11.1 应用程序、数字动态关节角度计、手动测力计以及功能性和诊断性骨科测试进行了体格检查。游泳运动员被分为训练组和对照组。我们为训练组制定了为期三个月的复杂损伤预防计划。我们使用 Statistica for Windows 对数据进行了分析。我们发现,19% 的游泳者在开始游泳后曾出现过肩部疼痛。我们还发现了一些姿势错误、肩关节旋转运动弧度减小、旋转肌肉失衡、前锯肌无力和肩胛运动障碍。该计划实施后,受训组的游泳运动员在肩关节旋转弧度、内旋转运动范围、旋转肌力和上肢稳定性方面均有显著改善。由于即使在最年轻的选手中也能观察到肩痛及其风险因素,因此针对这一群体的旱地训练计划可以减少运动损伤的发生。
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引用次数: 0
National eye health data from the Hungary's Comprehensive Health Protection Screening Program 2010–2020–2030 (MÁESZ) 2010-2020-2030 年匈牙利全面健康保护筛查计划 (MÁESZ) 中的全国眼健康数据
Pub Date : 2023-12-11 DOI: 10.1556/2066.2023.00054
J. Németh, Z. Z. Nagy, B. Tapasztó, T. Daiki, G. Dankovics, I. Barna
This paper provides a detailed presentation of the estimated number of people in Hungary with eye disease and refractive errors by both sex and age.In the past 12 years, 168,522 people (54.1% women and 45.9% men) have been screened under Hungary's Comprehensive Health Protection Screening Programme (MÁESZ).The total number of people with eye disease in the adult Hungarian population (about 8 million people) is estimated to be 1,684,818, with women (1,078,026) outnumbering men (606,792). Eye diseases were found to be more common in older age groups, and more common in women than men in each age group. The estimated number of people with refractive errors in the Hungarian adult population is 5,005,095. The overall number of people with myopia in the adult Hungarian population is estimated to be 3,058,536, with roughly equal numbers of men and women. The majority of people with myopia (63.3%) are between 18 and 45 years of age.The huge number of people in the Hungarian population affected by eye disease or refractive errors underscores the need to develop and implement an effective national strategy and specific programmes to prevent visual impairments.
在过去的 12 年中,共有 168,522 人(54.1% 为女性,45.9% 为男性)接受了匈牙利全面健康保护筛查计划(MÁESZ)的筛查。据估计,匈牙利成年人口(约 800 万人)中患有眼疾的总人数为 1,684,818 人,其中女性(1,078,026 人)多于男性(606,792 人)。在每个年龄组中,女性比男性更容易患眼疾。据估计,匈牙利成年人口中患有屈光不正的人数为 5 005 095 人。在匈牙利成年人口中,近视患者的总人数估计为 3 058 536 人,男女人数大致相同。匈牙利人口中受眼疾或屈光不正影响的人数众多,这突出表明有必要制定和实施有效的国家战略和具体方案,以预防视力损伤。
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引用次数: 0
The use of digital devices and changing habits among generation alpha in Hungary 匈牙利阿尔法一代的数字设备使用情况和习惯变化
Pub Date : 2023-12-01 DOI: 10.1556/2066.2023.00051
K. Réz, Z. Z. Nagy
The aim of the study was to analyse the use of digital devices among children.A specially designed questionnaire was distributed to 249 schoolchildren to assess their use of digital devices both in school and outside school. The questionnaire was used before the start of the COVID-19 pandemic. The children were asked about the extent of their use of digital devices, as well as about ophthalmic and general health complaints. Their responses were assessed statistically.Regarding age distribution, 145 children were between seven and 10 years old when they started to use digital devices. Most of the children used a digital device for between one and two hours a day. The majority preferred using smartphones. The second most popular devices were laptops and tablets, and the third most popular was the desktop computer. Fifty-six children wore glasses, 14 to correct hyperopia and 42 to correct myopia. 97 children spent between one and two hours a day outdoors; 99 children spent more than two hours outdoors; and 51 spent less than one hour outdoors. 71 children reported eye problems; 48 reported other general health problems (back and neck pain); and 43 mentioned blurred vision while using a digital device.The use of digital devices can be regarded as general among schoolchildren, and most children use a digital device for longer than the recommended time. Excessive use of digital devices may contribute to an increase in the prevalence of myopia and other general eye and back problems.
这项研究的目的是分析儿童使用电子设备的情况。我们向249名学童分发了一份特别设计的问卷,以评估他们在校内外使用数码设备的情况。该问卷是在COVID-19大流行开始之前使用的。这些儿童被问及他们使用数字设备的程度,以及眼科和一般健康问题。对他们的回答进行统计评估。在年龄分布方面,145名儿童在7至10岁之间开始使用数字设备。大多数孩子每天使用电子设备的时间在一到两个小时之间。大多数人更喜欢使用智能手机。第二受欢迎的设备是笔记本电脑和平板电脑,第三受欢迎的是台式电脑。56名儿童配戴眼镜,14名矫正远视,42名矫正近视。97名儿童每天在户外活动一到两个小时;99名儿童在户外度过了两个多小时;51人在户外的时间不到一个小时。71名儿童报告有眼部问题;48人报告了其他一般健康问题(背部和颈部疼痛);43人提到使用数码设备时视力模糊。数码设备的使用在学龄儿童中是普遍的,大多数儿童使用数码设备的时间超过了建议的时间。过度使用数码设备可能会增加近视和其他一般眼睛和背部问题的患病率。
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引用次数: 0
Attention deficit hyperactivity disorder (ADHD) syndrome across ages 跨年龄的注意缺陷多动障碍(ADHD)综合征
Pub Date : 2023-10-19 DOI: 10.1556/2066.2023.00050
I. Baji, A. Túri, D. L. Nagy, A. Sterczer
Abstract Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder that significantly impacts various aspects of life, including school, work, family, and social relationships. The disorder has a prevalence of 6–7% in children and 4–5% in adults and commonly manifests before the age of 12. Symptoms can be categorised into two groups: attention deficit; and hyperactivity/impulsivity. As individuals age, hyperactivity symptoms generally decrease, while attention deficit symptoms exhibit less change. Attention deficit hyperactivity disorder is associated with numerous adverse outcomes, such as comorbid psychiatric disorders, academic difficulties, accidents, injuries, and increased economic burdens on society and individuals. Children and adults with ADHD have a high rate of psychiatric comorbidity, including learning disorders, autism spectrum disorder, anxiety disorders, mood disorders, tic disorders, adolescent substance abuse, and antisocial personality disorder in adulthood. Timely detection, enhanced intervention strategies, and consistent care may alleviate the clinical and economic burden of ADHD.
注意缺陷多动障碍(ADHD)是一种神经发育障碍,严重影响生活的各个方面,包括学习、工作、家庭和社会关系。该疾病在儿童中患病率为6-7%,在成人中患病率为4-5%,通常在12岁之前出现。症状可分为两类:注意力缺陷;和多动/冲动。随着个体年龄的增长,多动症状通常会减轻,而注意力缺陷症状的变化较小。注意缺陷多动障碍与许多不良后果相关,如共病精神障碍、学习困难、事故、伤害以及社会和个人经济负担的增加。患有ADHD的儿童和成人有很高比例的精神疾病共病,包括学习障碍、自闭症谱系障碍、焦虑症、情绪障碍、抽动障碍、青少年药物滥用和成年后的反社会人格障碍。及时发现、加强干预策略和持续的护理可以减轻ADHD的临床和经济负担。
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引用次数: 0
Parafoveal capillary density as a potential biomarker in the assessment of diabetic retinopathy progression 中央凹旁毛细血管密度作为评估糖尿病视网膜病变进展的潜在生物标志物
Pub Date : 2023-08-07 DOI: 10.1556/2066.2023.00049
L. István, Z. Z. Nagy, I. Kovács
The aim of this study was to assess longitudinal changes in retinal vessel density in diabetic patients using optical coherence tomography angiography (OCTA) to identify the most sensitive parameter for detecting retinopathy progression.Patients with diabetes mellitus were enrolled in this study. Each study subject underwent two imaging sessions, during which three OCTA images of the macular area and three images of the optic nerve head were obtained. The two sessions took place one year apart. The OCTA imaging was performed using an AngioVue device. Superficial vessel density was evaluated in the central 3 mm and parafoveal area, and the nonflow area was measured using the built-in automated AngioAnalytics software of the Optovue system.This study included 78 eyes of 39 diabetic patients (age: 55.16 ± 13.73 years) with a mean of 7.70 ± 1.07 mmol L−1 HgA1c level at baseline. At the one-year visit, the eyes of the diabetic subjects had significantly lower superficial vessel density in the parafoveal macula compared to corresponding values at baseline (p < 0.05). There was no statistically significant difference between the baseline and one-year results for the other vascular density parameters and the foveal avascular zone (p > 0.05).At the one-year follow-up, we found that vessel density had decreased in the parafoveal ring in these patients, while there was no significant change in other vascular parameters. This result suggests that superficial parafoveal capillary density is the most sensitive OCTA parameter that can be used as a biomarker for diabetic retinopathy progression. None of the other vascular density parameters nor the foveal avascular zone were able to indicate the subtle changes in retinal microcirculation due to the progression of diabetic microvasculopathy.
本研究的目的是利用光学相干断层扫描血管造影(OCTA)评估糖尿病患者视网膜血管密度的纵向变化,以确定检测视网膜病变进展的最敏感参数。本研究纳入了糖尿病患者。每个研究对象进行两次成像,在此期间获得黄斑区域的三张OCTA图像和视神经头的三张图像。两会相隔一年。使用AngioVue设备进行OCTA成像。使用Optovue系统内置的自动化AngioAnalytics软件测量中心3mm和中央凹旁区域的浅表血管密度。本研究纳入39例糖尿病患者78只眼(年龄55.16±13.73岁),平均基线HgA1c水平为7.70±1.07 mmol L−1。1年随访时,糖尿病患者眼中央凹旁黄斑浅表血管密度较基线值明显降低(p < 0.05)。其他血管密度参数和中央凹无血管带的基线值与1年结果无统计学差异(p < 0.05)。在一年的随访中,我们发现这些患者的中央凹旁环血管密度下降,而其他血管参数无明显变化。该结果表明,浅表中央凹旁毛细血管密度是最敏感的OCTA参数,可作为糖尿病视网膜病变进展的生物标志物。其他血管密度参数和中央凹无血管区均不能显示糖尿病微血管病变进展引起的视网膜微循环的细微变化。
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引用次数: 0
The effect of a short breathing intervention on postural control and heart rate variability 短呼吸干预对体位控制和心率变异性的影响
Pub Date : 2023-08-07 DOI: 10.1556/2066.2023.00045
N. Sahebjamee, E. Nagy
The objective of this study was to determine the immediate effect of a short breathing intervention on postural control and heart rate variability in healthy individuals.The study involved 28 participants. Heart rate variability and heart rate were measured using a Polar (H10) sensor, and the sway path during posturography was recorded using the NeuroCom system, with participants standing on a firm then a foam surface in the eyes open and eyes closed conditions. All measurements were performed before and after the breathing intervention to provide baseline and post-intervention data. A short breathing intervention was performed between testing to stimulate the autonomic nervous system. In the Wilcoxon matched pairs comparison using Statistica software, P < 0.05 was considered statistically significant.The breathing intervention caused a significant decrease in heart rate variability and an increase in heart rate. In the eyes closed condition, on a firm surface, the breathing intervention significantly reduced the sway path.The breathing intervention reduced the sway path in conditions without visual information but appeared to have no effect on balance in conditions with visual information, suggesting that the postural function of the diaphragm becomes more prominent in nonvisual conditions. We obtained evidence of the relationship between the autonomic nervous system and postural control. The stimulation of the sympathetic tone by means of the breathing intervention had a significant effect on postural control on firm and foam surfaces without visual information and decreased postural sway.
本研究的目的是确定短呼吸干预对健康个体的姿势控制和心率变异性的直接影响。这项研究涉及28名参与者。心率变异性和心率使用Polar (H10)传感器进行测量,并使用NeuroCom系统记录姿势照相时的摇摆路径,参与者在睁眼和闭眼的情况下分别站在坚硬的泡沫表面上。在呼吸干预之前和之后进行所有测量,以提供基线和干预后的数据。在测试之间进行短呼吸干预以刺激自主神经系统。使用Statistica软件进行Wilcoxon配对对比较时,P < 0.05为差异有统计学意义。呼吸干预导致心率变异性的显著降低和心率的增加。在闭上眼睛的条件下,在坚实的表面上,呼吸干预显著减少了摇摆路径。在没有视觉信息的情况下,呼吸干预减少了摇摆路径,但在有视觉信息的情况下,似乎对平衡没有影响,这表明隔膜的姿势功能在非视觉条件下变得更加突出。我们获得了自主神经系统和姿势控制之间关系的证据。通过呼吸干预刺激交感神经张力对无视觉信息的硬面和泡沫面姿势控制和减少姿势摇摆有显著影响。
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引用次数: 0
A comparative study of the Hungarian-speaking Roma population living in the Carpathian Basin with regard to obesity during the COVID-19 pandemic 2019冠状病毒病大流行期间喀尔巴阡盆地讲匈牙利语的罗姆人肥胖的比较研究
Pub Date : 2022-12-26 DOI: 10.1556/2066.2022.00047
É. Kocsis, H.J. Feith
Obesity is the most threatening non-infectious disease of our time, the basis of many chronic diseases, increasing the mortality rate. The Roma ethnic minority is particularly affected.Cross-sectional–questionnaire and physical–survey in rural settlements of Hungary, Romania, Slovakia, where Roma live with the non-Roma, Hungarian-speaking population (N = 1893).The average BMI of the Hungarian (P < 0.001) and Romanian (P = 0.018) samples was significantly higher than that of the Slovak sample. In the case of Roma and non-Roma subjects, we found a significant difference in Hungary (P = 0.006) based on body composition, as well as in the case of visceral fat (P < 0.001). The extremely obese (<40 BMI) are mostly low educated in Romania and Hungary (P < 0.001), while those in normal weight have a tertiary education in Slovakia (P = 0.027). Hungarian Roma and non-Roma participants show significant differences in the physical activity dimension of the SF-36 questionnaire (P < 0.001), as well as in Romania (P < 0.001) and Slovakia (P = 0.002).In summary, it can be stated that rural Roma subjects in Hungary are in the worst situation in terms of obesity in the three countries studied. In our study, the results in Slovakia clearly suggest a healthier lifestyle.
肥胖是我们这个时代最具威胁性的非传染性疾病,是许多慢性疾病的根源,增加了死亡率。罗姆少数民族受到的影响尤其严重。在匈牙利、罗马尼亚、斯洛伐克的农村居民点,罗姆人与非罗姆人、讲匈牙利语的人口生活在一起,进行了横断面问卷调查和身体调查(N = 1893)。匈牙利(P < 0.001)和罗马尼亚(P = 0.018)样本的平均BMI显著高于斯洛伐克样本。在罗姆人和非罗姆人受试者的情况下,我们发现匈牙利人的身体成分有显著差异(P = 0.006),内脏脂肪也有显著差异(P < 0.001)。在罗马尼亚和匈牙利,极度肥胖(BMI <40)的人群大多受教育程度较低(P < 0.001),而在斯洛伐克,体重正常的人群受教育程度较高(P = 0.027)。匈牙利罗姆人和非罗姆人参与者在SF-36问卷的身体活动维度上表现出显著差异(P < 0.001),罗马尼亚(P < 0.001)和斯洛伐克(P = 0.002)也是如此。总之,可以这样说,匈牙利农村罗姆人的肥胖问题在三个被研究的国家中是最严重的。在我们的研究中,斯洛伐克的结果清楚地表明了一种更健康的生活方式。
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引用次数: 2
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