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Assessment of pressure ulcers in physically handicapped patients 肢体残疾患者压疮的评估
Pub Date : 2020-09-05 DOI: 10.1556/2066.2020.00006
J. Neugebauer, V. Tóthová
Assessment of pressure ulcers is an indicator of nursing care quality. In physically handicapped patients, the risk is elevated, due to the neuropathy and incontinence that frequently accompany paresis and paralysis. We conducted a systematic review of 4 assessment scales to assess their use and usefulness for these patients.We searched 5 databases for articles published between 2016 and 2018 that included terms related to the risk of pressure ulcers in physically handicapped patients, including the names of 4 assessment scales (Norton, Braden, Waterlow and Spinal Cord Injury Pressure Ulcer Scale). One hundred and three sources were returned, from which we selected 10. We also selected an earlier source, for a total of 11.The Braden and Waterlow scales are popular in clinical practice. The Norton scale is used for scientific comparisons and in clinical practice only sporadically. Expert opinion suggests that acceptance of the Spinal Cord Injury Pressure Ulcer Scale could reduce the incidence of pressure ulcers in physically handicapped patients.Introduction of a scale designed for handicapped patients, combined with better preventive measures, could result in the bedsore reduction of pressure ulcers. Research testing the effectiveness of the Spinal Cord Injury Pressure Ulcer Scale in the Czech population is needed to validate its use in clinical practice.
压疮的评估是护理质量的一个指标。在身体残疾的患者中,由于神经病变和尿失禁经常伴随轻瘫和瘫痪,风险升高。我们对4种评估量表进行了系统回顾,以评估其对这些患者的使用和有用性。我们检索了5个数据库,检索了2016年至2018年间发表的包含与肢体残疾患者压疮风险相关术语的文章,包括4种评估量表(Norton、Braden、Waterlow和脊髓损伤压疮量表)的名称。得到了103个来源,我们从中选择了10个。我们还选择了一个较早的来源,总共11个。Braden和Waterlow量表在临床实践中很流行。诺顿量表用于科学比较,在临床实践中只是偶尔使用。专家意见认为,接受脊髓损伤压疮量表可以减少肢体残疾患者压疮的发生率。采用为残疾患者设计的体重计,结合更好的预防措施,可减少褥疮褥疮的发生。需要研究测试脊髓损伤压疮量表在捷克人群中的有效性,以验证其在临床实践中的应用。
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引用次数: 2
Conference presentations at 13th Conference of the Hungarian Medical Association of America – Hungary chapter (HMAA-HC) 在美国匈牙利医学协会匈牙利分会第十三届会议上的会议发言
Pub Date : 2020-09-03 DOI: 10.1556/2066.2019.00001
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引用次数: 0
Erratum: Online information on chia seeds – A systematic content analysis 勘误:在线奇亚籽信息-系统的内容分析
Pub Date : 2020-08-11 DOI: 10.1556/2066.2019.00003
T. Biczók, Sz. Kassai, V. A. Gyarmathy
There has been a recent increase in interest in chia seeds as a growing number of people try to observe a healthy lifestyle, particularly healthy eating habits. Given the increasing popularity of chia seeds in Hungary as well, we performed a study to examine what information on chia seeds is available on Hungarian websites.We conducted a systematic, qualitative content analysis to examine the first 200 Hungarian results of a Google search on “chia seeds”.We identified five main topics: 1. general information, 2. effects/side-effects, 3. modes of preparation, 4. target audience, and 5. tone of the article. Sometimes information (especially on the effects) was presented in a sensationalist manner, and some claims were not scientifically well-founded, but rather based on subjective opinion.In the online media, chia seed consumption was mainly recommended for those who are trying to lose weight and for diabetics, even though there is currently no proof that it can improve the condition of such people. Further studies are needed to demonstrate and confirm claims related to the beneficial effects of the chia seed. Until this has been done, readers of Google-search results – especially those who have a health condition – should be cautious about certain statements published on non-scientific websites.
最近,随着越来越多的人试图遵循健康的生活方式,尤其是健康的饮食习惯,人们对奇亚籽的兴趣有所增加。鉴于奇亚籽在匈牙利越来越受欢迎,我们进行了一项研究,以检查匈牙利网站上有哪些关于奇亚籽的信息。我们进行了系统的定性内容分析,以检查谷歌搜索“奇亚籽”的前200个匈牙利结果。我们确定了五个主要主题:1。2.一般信息;影响/副作用,3。4.准备方式;目标受众;文章的语气。有时,信息(尤其是关于影响的信息)是以一种耸人听闻的方式呈现的,有些说法没有科学依据,而是基于主观意见。在网络媒体上,奇亚籽主要被推荐给那些试图减肥的人和糖尿病患者,尽管目前没有证据表明它可以改善这些人的病情。需要进一步的研究来证明和证实与奇亚籽有益作用有关的说法。在此之前,谷歌搜索结果的读者——尤其是那些有健康问题的人——应该对非科学网站上发表的某些声明保持谨慎。
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引用次数: 0
The health psychology approach to normal ageing 正常衰老的健康心理学途径
Pub Date : 2020-08-07 DOI: 10.1556/2066.2020.00001
M. Hoyer
Approaching the process of normal ageing with a health psychology model was an important development in health science. In earlier healing models, questions of old age were either ignored or dealt with only in the context of various diseases. Definitions of the stages of human life have changed and pushed the limits of old age to a higher level. The expanding human life course raises important medical, psychological, and sociological issues. The definition of ageing and the characteristics of normal ageing need to be reconsidered. The cognitive representations of ageing people are a good reflection of how they think about themselves, the world, and the stage of life ahead. The contribution of health psychology as a modern approach to healthy ageing has greatly altered the attitudes of healthcare professionals. The concept of active old age helps to deal with the growing number of elderly people in a new context. In this brief overview of the health psychology approach to normal ageing, we aim to help healthcare professionals better manage the problems in their daily work. In a brief introduction, we review the physical and mental symptoms of ageing. We strive to isolate the normal variants from gerontopsychiatric and neuropsychiatric disorders. While normal ageing does not require clinical attention, psychiatric disorders do, and we briefly describe the therapeutic forms. Psychoeducation, group therapy, and supportive techniques prove to be the most effective.
用健康心理学模型来探讨正常衰老的过程是健康科学的重要发展。在早期的治疗模式中,老年问题要么被忽视,要么只在各种疾病的背景下处理。人类生命阶段的定义已经改变,并将老年的界限推向了一个更高的水平。人类寿命的延长引发了重要的医学、心理学和社会学问题。老化的定义和正常老化的特征需要重新考虑。老年人的认知表征很好地反映了他们如何看待自己、世界和未来的生活阶段。健康心理学作为健康老龄化的一种现代方法,其贡献极大地改变了卫生保健专业人员的态度。积极老年的概念有助于在新的背景下应对日益增多的老年人。我们在此简要介绍健康心理学对正常老化的看法,旨在帮助医护人员在日常工作中更好地处理这些问题。在简要介绍中,我们回顾了衰老的生理和心理症状。我们努力从老年精神疾病和神经精神疾病中分离出正常变异。虽然正常的衰老不需要临床关注,但精神疾病需要,我们简要地描述了治疗形式。心理教育、团体治疗和支持性技术被证明是最有效的。
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引用次数: 0
History of cataract surgery from ancient times to today 白内障手术从古至今的历史
Pub Date : 2020-07-31 DOI: 10.1556/2066.2019.00002
Z. Nagy
Cataract surgery is the most frequently performed ophthalmic surgery worldwide. This year approximately 32 million surgeries will be performed. The journey to modern, quick, and safe cataract surgery has been quite long. This review covers topics from ancient couching to the most modern phacoemulsification and femtosecond laser-assisted cataract surgery. The gain in quality of life is the largest with cataract surgery compared to other implant surgeries (e.g. knee, hip replacement, etc.). Ophthalmology has made huge advancements in recent decades. New microsurgical tools and diagnostic equipment have been developed, together with new surgical methods and foldable intraocular lenses, made from biocompatible material. From monofocal lenses, through aspheric, toric, and multifocal lenses, to multifocal toric lenses, today almost all kinds of refractive error can be compensated, including presbyopia. Teamwork, precise preoperative assessment, and fine surgical technique should also be emphasized in order to achieve the best and most predictable postoperative results for both patient and surgeon.
白内障手术是世界上最常见的眼科手术。今年将进行大约3200万例手术。现代、快速、安全的白内障手术的发展历程相当漫长。这篇综述涵盖了从古代到现代的超声乳化术和飞秒激光辅助白内障手术。与其他植入手术(如膝关节、髋关节置换术等)相比,白内障手术对生活质量的改善是最大的。近几十年来,眼科取得了巨大的进步。新的显微外科手术工具和诊断设备,以及新的手术方法和由生物相容性材料制成的可折叠人工晶体已经开发出来。从单焦点晶状体,到非球面晶状体,到多焦点晶状体,再到多焦点晶状体,今天几乎所有类型的屈光不正都可以得到补偿,包括老花眼。团队合作,精确的术前评估和良好的手术技术也应得到强调,以达到最佳和最可预测的术后结果,为患者和外科医生。
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引用次数: 0
Nutritional intake and body composition in children with inflammatory bowel disease 炎症性肠病儿童的营养摄入和身体成分
Pub Date : 2020-07-31 DOI: 10.1556/2066.2019.00004
H. Pinter, K. Boros, E. Pálfi, G. Veres
In this study we assessed nutritional intake, body composition, and their relationship in patients with paediatric inflammatory bowel disease (IBD).We conducted a longitudinal, prospective study of 38 patients' nutritional intake using 3-day food records (FR) and bioimpedance analysis of body composition. FR were evaluated by Nutricomp DietCAD software. Results were analysed with Microsoft Excel 2013 and IBM SPSS Statistics 22 software.Patients treated with biological and conventional therapy (CT) had a higher intake of vegetable protein and carbohydrate from starch than those treated earlier with exclusive enteral nutrition (EEN) in the remission phase (F = 5.926, F = 5.130, P < 0.05). The former EEN group had a higher intake of iron compared to the other two groups (F = 3.967, P = 0.036). Protein intake and fat-free mass (FFM) had a significant positive correlation, while added sugar correlated with body fat mass (BFM) in the same way (R2 = 0.122, R2 = 0.169, P < 0.05). Body-fat mass in patients of the biological therapy (BT) group overstepped the healthy median, and the FFM in the EEN group stayed under it.Our results confirm that it is essential to monitor body composition and not only measure body weight. Patients should be advised based on their body composition, therapy, and phase of the disease.
在这项研究中,我们评估了儿童炎症性肠病(IBD)患者的营养摄入、身体组成及其关系。我们使用3天食物记录(FR)和身体成分生物阻抗分析对38例患者的营养摄入进行了纵向前瞻性研究。采用Nutricomp DietCAD软件对FR进行评价。采用Microsoft Excel 2013和IBM SPSS Statistics 22软件对结果进行分析。生物和常规治疗(CT)组患者在缓解期植物蛋白和淀粉碳水化合物的摄入量高于早期单纯肠内营养(EEN)组(F = 5.926, F = 5.130, P < 0.05)。与其他两组相比,前EEN组的铁摄入量更高(F = 3.967, P = 0.036)。蛋白质摄入量与体脂质量(FFM)呈显著正相关,添加糖与体脂质量(BFM)呈显著正相关(R2 = 0.122, R2 = 0.169, P < 0.05)。生物治疗组体脂质量超过健康中值,EEN组体脂质量低于健康中值。我们的研究结果证实,监测身体成分是必要的,而不仅仅是测量体重。应根据患者的身体组成、治疗方法和疾病的阶段向患者提供建议。
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引用次数: 0
Post-sports career healthy ageing: The Janus-faced, high-performance sport 运动后职业健康老龄化:双面人,高性能运动
Pub Date : 2020-07-31 DOI: 10.1556/2066.2020.00002
A. Lelbach, G. Dörnyei, F. Ihász, A. Koller
By now, there is no doubt that regular physical exercise has an overall beneficial effect on each organ of the body. However, the effects of highly competitive sports (HCS) are more complex, as they exert greater demands on the cardiovascular and metabolic systems, among others. Strength, athletic, and aesthetic sport types each has a different exercise intensity and nutritional loading, as well as a different prevalence of cardiometabolic diseases at a later age. HCS athletes experience hypertension and mental stress during competitions and high nutritional loads between them. The post-career effects of this behaviour on the heart, arteries, cellular metabolism, and risk of obesity, are not well known and are not often the focus of research. In this review, we aimed to summarize the post-career effects of HCS. Based on data in the literature, we propose that athletes involved in highly competitive strength sports progressively develop metabolic syndrome and sustained elevated blood pressure.
到目前为止,毫无疑问,有规律的体育锻炼对身体的每个器官都有全面的有益影响。然而,高竞争性运动(HCS)的影响更为复杂,因为它们对心血管和代谢系统等施加了更大的要求。力量、运动和审美运动类型都有不同的运动强度和营养负荷,以及不同年龄的心脏代谢疾病的患病率。HCS运动员在比赛期间会经历高血压和精神压力,并且两者之间的营养负荷很高。这种行为对心脏、动脉、细胞代谢和肥胖风险的职业后影响并不为人所知,也往往不是研究的重点。在这篇综述中,我们旨在总结HCS的职业后效应。根据文献数据,我们认为参加高强度竞技运动的运动员会逐渐发展为代谢综合征和持续的血压升高。
{"title":"Post-sports career healthy ageing: The Janus-faced, high-performance sport","authors":"A. Lelbach, G. Dörnyei, F. Ihász, A. Koller","doi":"10.1556/2066.2020.00002","DOIUrl":"https://doi.org/10.1556/2066.2020.00002","url":null,"abstract":"By now, there is no doubt that regular physical exercise has an overall beneficial effect on each organ of the body. However, the effects of highly competitive sports (HCS) are more complex, as they exert greater demands on the cardiovascular and metabolic systems, among others. Strength, athletic, and aesthetic sport types each has a different exercise intensity and nutritional loading, as well as a different prevalence of cardiometabolic diseases at a later age. HCS athletes experience hypertension and mental stress during competitions and high nutritional loads between them. The post-career effects of this behaviour on the heart, arteries, cellular metabolism, and risk of obesity, are not well known and are not often the focus of research. In this review, we aimed to summarize the post-career effects of HCS. Based on data in the literature, we propose that athletes involved in highly competitive strength sports progressively develop metabolic syndrome and sustained elevated blood pressure.","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87724289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postpartum female sexual dysfunctions in Hungary: A cross-sectional study 匈牙利产后女性性功能障碍:一项横断面研究
Pub Date : 2020-03-23 DOI: 10.1556/2066.2019.00006
K. Szöllősi, L. Szabó
Although the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.We designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.Women suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.
尽管人们普遍认为产后性功能障碍的发生率很高,但在匈牙利并没有得到很好的调查。本研究的目的是评估产后3个月女性的性功能,并探讨一些可能影响性功能的预测因素。我们使用在线问卷设计了一项横断面研究,并招募了253名参与者。风险因素如婴儿喂养方式和尿失禁被评估与性功能障碍的潜在关系。采用女性性功能指数(FSFI)评价性功能。根据FSFI总分,48.79%的参与者报告有性功能障碍(M = 25.16, SD = 7.00)。婴儿喂养方式与性功能障碍有显著相关(P = 0.003)。与混合或配方奶喂养的母亲相比,纯母乳喂养的母亲性功能障碍更为常见。尿失禁女性的FSFI总分显著低于无尿失禁女性(P = 0.006),在性唤起(P = 0.033)、润滑(P = 0.022)、满意度(P = 0.006)和疼痛(P = 0.032)方面均低于无尿失禁女性。患有尿失禁的女性更有可能出现性问题,尤其是性交困难的风险更高,性兴趣和湿气的水平更低。纯母乳喂养对性功能有负面影响。
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引用次数: 0
Exploring adherence and attitude towards the Mediterranean diet in a Spanish population 探索西班牙人群对地中海饮食的依从性和态度
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.010
A. Posta
The traditional Mediterranean diet (MD) is recognized worldwide as one of the healthiest existing dietary patterns. However, over the past few decades, a significant deviance from this diet has been observed in a number of Mediterranean countries. The purpose of this study was to assess the Spanish population’s degree of deviance from the MD and to explore the possible causes. A survey was completed by a total of 126 Spanish citizens over the age of 18 years. Dietary and lifestyle habits were assessed using MEDLIFE, a validated index, which was complemented with a questionnaire developed for this study, as well as a 24-hour recall. The mean MEDLIFE score of 15 ± 3.07 revealed the average adherence to the MD, while the maximum score was 28. This study showed no significant positive correlation between MEDLIFE scores and age. The mean ratio of macronutrient intake was 20%E protein, 47%E carbohydrates, and 33%E fat. The results of the study indicate a deviation from several components of the MD. Low MD adherence could be associated with insufficient knowledge regarding the exact composition and health effects of the MD.
传统的地中海饮食(MD)是世界公认的最健康的饮食模式之一。然而,在过去的几十年里,在一些地中海国家发现了与这种饮食的显著偏差。本研究的目的是评估西班牙人口偏离MD的程度,并探讨可能的原因。共有126名18岁以上的西班牙公民完成了一项调查。使用MEDLIFE(一种经过验证的指数)对饮食和生活习惯进行评估,并辅以为本研究开发的问卷和24小时回忆。MEDLIFE平均评分为15±3.07分,最高评分为28分。本研究显示MEDLIFE评分与年龄无显著正相关。大量营养素摄入的平均比例为20%E -蛋白质,47%E -碳水化合物和33%E -脂肪。研究结果表明,与MD的几个组成部分存在偏差。低MD依从性可能与对MD的确切组成和健康影响的认识不足有关。
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引用次数: 2
Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot 通过耻骨上膀胱抽吸获得的尿液样本的微生物学:十年流行病学快照
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.012
M. Gajdács, Marianna Ábrók, Andrea Lázár, K. Burián
Suprapubic bladder aspiration is an invasive procedure in which a needle is used to obtain a urine sample directly from the bladder. Its advantages are sensitivity (detection of significant bacteriuria is close to 100%), suitability for cultivation of anaerobic bacteria, and low risk of contamination. Our purpose was to characterize the microbiology and epidemiology of urine samples obtained through this procedure in the Clinical Center of the University of Szeged’s Institute of Clinical Microbiology between 2008 and 2017. Over the 10-year period, patient data were collected and suprapubic bladder aspirations were performed, and the samples are processed in accordance with routine laboratory procedures in clinical bacteriology. Of 187 urine samples obtained from 148 patients, 32.6% (n = 61) were culture-positive (defined as 102 colony forming units/ml or more). This method should be considered an important sampling procedure in the differential diagnostics of upper urinary tract infections, particularly in children <2 years of age, and in older people, hospitalized patients.
耻骨上膀胱抽吸是一种侵入性手术,用针直接从膀胱中获取尿液样本。其优点是灵敏度高(对显著菌尿的检出率接近100%),适合培养厌氧菌,污染风险低。我们的目的是表征2008年至2017年在塞格德大学临床微生物学研究所临床中心通过该程序获得的尿液样本的微生物学和流行病学特征。在10年的时间里,我们收集了患者的资料,并进行了耻骨上膀胱的抽吸,并按照临床细菌学的常规实验室程序对样本进行了处理。在148例患者的187份尿液样本中,32.6% (n = 61)为培养阳性(定义为102个菌落形成单位/ml或更多)。这种方法应被认为是鉴别诊断上尿路感染的重要抽样程序,特别是在2岁以下的儿童、老年人和住院患者中。
{"title":"Microbiology of urine samples obtained through suprapubic bladder aspiration: A 10-year epidemiological snapshot","authors":"M. Gajdács, Marianna Ábrók, Andrea Lázár, K. Burián","doi":"10.1556/2066.2.2019.012","DOIUrl":"https://doi.org/10.1556/2066.2.2019.012","url":null,"abstract":"\u0000 \u0000 Suprapubic bladder aspiration is an invasive procedure in which a needle is used to obtain a urine sample directly from the bladder. Its advantages are sensitivity (detection of significant bacteriuria is close to 100%), suitability for cultivation of anaerobic bacteria, and low risk of contamination. Our purpose was to characterize the microbiology and epidemiology of urine samples obtained through this procedure in the Clinical Center of the University of Szeged’s Institute of Clinical Microbiology between 2008 and 2017.\u0000 \u0000 \u0000 \u0000 Over the 10-year period, patient data were collected and suprapubic bladder aspirations were performed, and the samples are processed in accordance with routine laboratory procedures in clinical bacteriology.\u0000 \u0000 \u0000 \u0000 Of 187 urine samples obtained from 148 patients, 32.6% (n = 61) were culture-positive (defined as 102 colony forming units/ml or more).\u0000 \u0000 \u0000 \u0000 This method should be considered an important sampling procedure in the differential diagnostics of upper urinary tract infections, particularly in children <2 years of age, and in older people, hospitalized patients.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91199221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 13
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Developments in Health Sciences
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