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Epidemiology and antibiotic resistance trends of Pantoea species in a tertiary-care teaching hospital: A 12-year retrospective study 某三级教学医院泛古菌的流行病学及耐药性趋势:12年回顾性研究
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.009
M. Gajdács
Pantoea species are pigmented, Gram-negative rods belonging to the Enterobacterales order. They are considered rare, opportunistic pathogens and are mostly implicated in nosocomial outbreaks affecting neonates and immunocompromised patients. The aim of this study was to describe the prevalence and antibiotic susceptibility of Pantoea species during a 12-year period. This retrospective study was carried out using microbiological data collected between January 1, 2006 and December 31, 2017. Patients’ data such as age, sex, inpatient/outpatient status, and empiric antibiotic therapy were also collected. Antimicrobial susceptibility testing was performed using E-tests; the interpretation was based on European Committee on Antimicrobial Susceptibility Testing breakpoints for Enterobacterales. Seventy individual Pantoea spp. isolates were identified; the most frequently isolated species was Pantoea agglomerans. Most isolates were susceptible to relevant antibiotics. In 61 out of 68 patients, ampicillin was the empirically administered antibiotic. The highest levels of resistance were to amoxicillin–clavulanic acid and ampicillin. No extended spectrum beta-lactamase-positive isolate was detected. There is a scarcity of data available on the susceptibility patterns of Pantoea species, but our results correspond to what we could find in the literature. The development of multidrug-resistant (MDR) Gram-negative bacteria is a grave concern, and the development of MDR Pantoea spp. may be expected in the future.
泛菌属属肠杆菌目,属革兰氏阴性杆状菌。它们被认为是罕见的机会性病原体,主要与影响新生儿和免疫功能低下患者的医院暴发有关。本研究的目的是描述在12年期间Pantoea种的流行和抗生素敏感性。这项回顾性研究使用了2006年1月1日至2017年12月31日期间收集的微生物学数据。患者的数据,如年龄、性别、住院/门诊状况和经验性抗生素治疗也被收集。采用e -试验进行药敏试验;这一解释是基于欧洲肠杆菌抗微生物药敏试验委员会的断点。鉴定出70株Pantoea sp .分离株;最常见的分离种是Pantoea agglomerans。多数分离株对相关抗生素敏感。68例患者中有61例氨苄西林是经验性使用的抗生素。耐药水平最高的是阿莫西林-克拉维酸和氨苄西林。未检出广谱β -内酰胺酶阳性分离物。关于泛古菌的易感模式的数据很少,但我们的结果与我们在文献中发现的一致。耐多药革兰氏阴性菌的发展是一个严重的问题,耐多药革兰氏阴性菌Pantoea在未来的发展是可以预期的。
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引用次数: 9
Comparative analysis of functional mobility among Hungarian community-living and institutionalized elderly individuals 匈牙利社区生活老年人与机构老年人功能活动能力的比较分析
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.007
É. Kovács, I. Sztruhár, L. Mészáros, Zsigmond Gyombolai, András Simon, Valéria Farkas
Reduced functional mobility is a risk factor for falls. The Timed Up and Go test is a complex measurement tool for functional mobility. Our aims were to assess the functional mobility of: (a) community-living elderly who were participating in an exercise programme (n = 40; mean age = 73.7 years), (b) community-living elderly who were physically inactive (n = 40; mean age = 74.1 years), and (c) institutionalized elderly (n = 40; mean age = 73.5 years) and to compare the results with cut-off values for risk of fall. After measuring functional mobility, one-way independent ANOVAs and sample t-tests were used for analysis. The functional mobility of the active participants was better than that of the inactive (p < .001) and institutionalized participants (p < .001). There was no significant difference between the inactive and institutionalized participants (p = .990). The functional mobility of the active participants was better, whereas the functional mobility of the inactive participants was worse than the cut-off value of 13.5 s for risk of fall for community-living elderly. The functional mobility of the institutionalized participants did not differ from the 15-s reference value for predicting risk of fall. The results indicate that regular physical activity has a positive effect on maintaining functional mobility among both community-living and institutionalized elderly individuals.
功能活动能力降低是跌倒的危险因素。Timed Up and Go测试是一种复杂的功能移动测量工具。我们的目的是评估:(a)参加锻炼计划的社区生活老年人的功能活动能力(n = 40;平均年龄= 73.7岁),(b)社区生活老年人,缺乏身体活动(n = 40;平均年龄= 74.1岁)和(c)机构老年人(n = 40;平均年龄= 73.5岁),并将结果与跌倒风险的临界值进行比较。测量功能迁移度后,采用单因素独立方差分析和样本t检验进行分析。积极参与者的功能流动性优于不积极参与者(p < .001)和制度化参与者(p < .001)。不活动和制度化参与者之间无显著差异(p = .990)。运动参与者的功能活动能力较好,而不运动参与者的功能活动能力低于社区生活老年人跌倒风险的临界值13.5 s。机构参与者的功能活动能力与预测跌倒风险的15-s参考值没有差异。结果表明,有规律的身体活动对社区生活和机构老年人的功能活动能力维持均有积极作用。
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引用次数: 1
The relationship between daily physical activity, subjective sleep quality, and mood in sedentary Hungarian adults: A longitudinal within-subjects study 久坐不动的匈牙利成年人的日常体力活动、主观睡眠质量和情绪之间的关系:一项纵向研究
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.013
J. Takács, Ľ. Török
This study investigated the day-to-day variability of daily physical activity and its effect on sleep and mood in a longitudinal within-subjects study for 7 days and 6 nights. Healthy office employees aged 25–35 years with a sedentary lifestyle participated in the study. Seven-day sleep diaries were used to evaluate sleep patterns. Ten-point scales were used to measure the level of happiness and stress. Daily physical activity was measured in steps/day using pedometers. Two hundred forty-five steps/day scores and changes induced in sleep and mood were analysed. There is a relationship between daily physical activity and sleep/mood. An inverted U-shaped relationship may be assumed between sleep duration, sleep quality, feelings after waking up, and the number of steps/day. Increasing the number of steps/day decreases the level of stress and daytime sleepiness and increases sleep efficiency. Sleep efficiency/daytime sleepiness and sleep duration did not show any association. Based on the results, after a physically exhausting day, decreased stress and improved sleep efficiency may be experienced, while sleep duration may decrease, which may reduce the participants’ motivation to develop an active lifestyle. For further studies, it would be crucial to use individual exercise intervention programmes to reinforce the positive effects of exercise on sleep and/or mood.
本研究在一项为期7天6夜的纵向研究中调查了日常体育活动的日常变化及其对睡眠和情绪的影响。年龄在25-35岁之间、习惯久坐不动的健康办公室员工参与了这项研究。七天的睡眠日记被用来评估睡眠模式。10分制被用来衡量幸福和压力的水平。使用计步器以步数/天为单位测量每日体力活动。研究人员分析了每天245步的得分以及睡眠和情绪的变化。每天的体力活动和睡眠/情绪之间有一定的关系。睡眠时间、睡眠质量、醒来后的感觉和每天的步数之间呈倒u型关系。增加每天的步数可以减少压力和白天的困倦,提高睡眠效率。睡眠效率/白天嗜睡和睡眠时间没有任何关联。根据研究结果,在身体疲惫的一天之后,可能会经历压力减轻和睡眠效率提高,而睡眠时间可能会减少,这可能会降低参与者发展积极生活方式的动机。对于进一步的研究,使用个人运动干预计划来加强运动对睡眠和/或情绪的积极影响将是至关重要的。
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引用次数: 2
The effectiveness of training given to nurses for reducing ventilator-associated pneumonia in intensive care patients 对护士进行培训以减少重症监护患者呼吸机相关肺炎的有效性
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.006
Hatice Oner Cengiz, Nevin Kanan
The aim of this study it to determine the effect of training intensive care unit (ICU) nurses in reducing ventilator-associated pneumonia (VAP). A quasi-experimental (single group, pre-test–post-test) model was used. The study was conducted in 2015, in nine adult ICUs in Istanbul, where we observed the VAP rate and trained study group nurses. Sixty nurses were given two VAP training sessions (averaging 45 min each) at intervals of 6 months. Forty-nine nurses were in the control group. Data were collected with an Introductory Information Form, a VAP Information Test, and an Application Status of VAP Preventive/Reducing Initiatives Form. The incidences of VAP in 2014 and 2015 were also compared. Frequencies, percentages, means, standard deviations, t-tests, Wilcoxon tests, and χ2 tests were used to evaluate the data. The values of p less than .05 were considered significant. The mean-total-knowledge score increased significantly in the study group. The application of preventive/reducing initiatives also increased significantly in the study group, but in the last measurement, the difference between the groups was not statistically significant. The incidences of VAP decreased significantly in the study group. The study showed that the VAP training given to intensive care nurses increased their knowledge level and decreased the incidence of VAP in their ICUs.
本研究旨在探讨重症监护病房(ICU)护士培训对降低呼吸机相关性肺炎(VAP)的效果。采用准实验(单组,前测后测)模型。该研究于2015年在伊斯坦布尔的9个成人icu中进行,在那里我们观察了VAP率并培训了研究组护士。60名护士接受两次VAP培训(每次平均45分钟),间隔6个月。对照组为49名护士。数据通过介绍信息表、VAP信息测试和VAP预防/减少措施应用状态表收集。比较2014年和2015年VAP的发病率。采用频率、百分比、均值、标准差、t检验、Wilcoxon检验和χ2检验对数据进行评价。p值小于0.05被认为是显著的。研究组的平均总知识得分显著提高。预防/减少措施的应用在研究组中也显著增加,但在最后一次测量中,组间差异无统计学意义。研究组VAP发生率明显降低。研究表明,对重症监护护士进行的VAP培训提高了重症监护护士的知识水平,降低了重症监护病房中VAP的发生率。
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引用次数: 4
Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine 培训匈牙利新生儿运输护士用远程医疗筛查早产儿视网膜病变
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.011
Z. Somogyvári, E. Maka, J. Németh, Z. Nagy
Remote screening for retinopathy of prematurity by wide-field digital imaging and network telemedicine is increasingly used to prevent blindness without the unnecessary transport of infants. Our purpose was to train and license dedicated neonatal transport nurses to do this in Hungary. We developed a complex, four-step curriculum in mobile retinotelemetry. Using a robust selection process, we invited eight transport nurses (NtNP/RtN) to receive training during the 2008–2017 project. The curriculum started with the basics of ophthalmology. Using an artificial eye, it continued with the theory and practice of ophthalmologic exams. Then, supervised by an ophthalmologist, each nurse performed 50 video recordings of anaesthetized and non-anaesthetized infants. After demonstrating their competence, five of the eight candidate nurses received a license for retinotelemetry. During their subsequent practice, they had to undergo case reviews half-yearly by a specialist and renew their license every 2–3 years. During the 2008–2016 period, we analysed 7,177 remote screenings from a training perspective. During January 1–August 31 in 2017 period, we analysed extra data from 795 remote screenings of 332 infants from specific prevention perspectives. With the cooperation of preexisting neonatal transport service and the ophthalmological reading centre of a university hospital, a mobile telemedicine screening network was successfully developed in Hungary. Our results demonstrate how retinotelemetry can support different levels of prevention medicine. The network should work effectively and efficiently with continuous professional development.
通过宽视场数字成像和网络远程医疗远程筛查早产儿视网膜病变越来越多地用于预防失明,而无需不必要的婴儿运输。我们的目的是培训和许可专门的新生儿运输护士在匈牙利做这件事。我们开发了一个复杂的四步移动视网膜遥测课程。通过严格的选拔程序,我们邀请了8名运输护士(NtNP/RtN)在2008-2017年项目期间接受培训。课程从眼科学基础开始。使用人工眼,它继续了眼科检查的理论和实践。然后,在一名眼科医生的监督下,每位护士对麻醉和未麻醉的婴儿进行了50次录像。在证明了他们的能力后,8名护士候选人中的5名获得了视网膜遥测执照。在随后的实践中,他们必须每半年接受专家的病例审查,并每2-3年更新一次执照。在2008-2016年期间,我们从培训的角度分析了7177个远程筛查。在2017年1月1日至8月31日期间,我们从具体预防角度分析了来自332名婴儿的795次远程筛查的额外数据。在已有的新生儿运输服务和一所大学医院眼科阅读中心的合作下,匈牙利成功地建立了一个移动远程医疗筛查网络。我们的研究结果表明,视网膜遥测技术可以支持不同层次的预防医学。该网络应有效和高效地与持续的专业发展。
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引用次数: 1
Nursing approach to the use of buttonhole and rope ladder cannulation of arteriovenous fistula based on a survey in Nigeria 钮扣眼和绳梯插管治疗尼日利亚动静脉瘘的护理体会
Pub Date : 2019-09-01 DOI: 10.1556/2066.2.2019.008
M. Jared, V. Rajki
The main purpose of this study is to examine the nursing aspect of two types of cannulation techniques and to investigate the outcomes of using cannulations on an arteriovenous fistula, as well as analysing their impact on outcome. Data were collected using a self-developed questionnaire. Data were obtained from haemodialysis (HD) patients in Rivon Dialysis Centre in the city of Rivers State named Port Harcourt with over 60 HD patients and with over 15 HD nurses. Only 50 patients met the inclusive criteria after answering the questionnaire, 25 for rope ladder (RL) and 25 for buttonhole (BH) and 10 nurses chosen answered the questionnaire. This study revealed that patients who are using the BH cannulation technique reported a better outcome than the RL group patients. Patients reported lower occurrence of complication, for instance, out of 25 patients, 8 of them using the BH and 15 of them using the RL reported to have infection. Based on the results, it is possible to conclude that the patients who are cannulated with the RL cannulation technique have a higher risk of experiencing complications than the patients using the BH site cannulation technique.
本研究的主要目的是检查两种类型的插管技术的护理方面,并调查在动静脉瘘上使用插管的结果,以及分析它们对结果的影响。数据收集使用自行开发的问卷。数据来自河州哈科特港市Rivon透析中心的血液透析(HD)患者,该中心有60多名HD患者和15多名HD护士。只有50例患者在回答问卷后符合纳入标准,绳梯(RL) 25例,扣眼(BH) 25例,选择10名护士回答了问卷。这项研究表明,使用BH插管技术的患者比RL组患者报告了更好的结果。患者报告并发症发生率较低,例如,在25名患者中,使用BH的8名患者和使用RL的15名患者报告有感染。基于这些结果,我们可以得出结论,使用RL插管技术的患者比使用BH部位插管技术的患者有更高的并发症风险。
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引用次数: 1
Factors contributing to post-traumatic growth following breast cancer: Results from a randomized longitudinal clinical trial containing psychological interventions 影响乳腺癌创伤后生长的因素:一项包含心理干预的随机纵向临床试验的结果
Pub Date : 2019-08-22 DOI: 10.1556/2066.2.2019.005
O. Zsigmond, A. Vargay, E. Józsa, É. Bányai
The purpose of this study was to explore the factors influencing post-traumatic growth in breast cancer patients during 3 years after diagnosis. Our longitudinal study involved 71 medium and high-risk breast cancer patients, who received special attention and either hypnosis or music psychological intervention while receiving the same chemotherapy protocol. The influences of the interventions, as well as the demographic (age, marital status, and educational level) and psychosocial factors (coping, post-traumatic stress, and well-being), on post-traumatic growth were explored. The results showed that over 97% of our patients experienced post-traumatic growth. It was positively associated with Quality of Life domains 3 years after diagnosis, and with Psychological Immune Competence cumulative scores after treatment and 3 years after diagnosis. Psychological Immune Competence, emotional severity of post-traumatic stress symptoms, and the social support scale of Quality of Life explained 33.9% of the variance of post-traumatic growth. The results confirm that positive coping strategies, emotional severity of post-traumatic stress symptoms, and social support contribute to post-traumatic growth, and that post-traumatic growth has a weak to moderate association with quality of life.
本研究的目的是探讨乳腺癌患者在诊断后3年内影响创伤后生长的因素。我们的纵向研究涉及71名中高危乳腺癌患者,他们在接受相同的化疗方案的同时接受了特别的关注和催眠或音乐心理干预。探讨了干预措施以及人口统计学因素(年龄、婚姻状况和教育水平)和心理社会因素(应对、创伤后压力和幸福感)对创伤后成长的影响。结果显示,超过97%的患者经历了创伤后成长。与诊断后3年生活质量域呈正相关,与治疗后和诊断后3年心理免疫能力累积得分呈正相关。心理免疫能力、创伤后应激症状的情绪严重程度和生活质量的社会支持量表解释了创伤后成长方差的33.9%。结果证实,积极的应对策略、创伤后应激症状的情绪严重程度和社会支持有助于创伤后成长,并且创伤后成长与生活质量有弱至中度的关联。
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引用次数: 5
Likelihood of healthy eating among adolescents based on the health belief model 基于健康信念模型的青少年健康饮食可能性
Pub Date : 2019-03-01 DOI: 10.1556/2066.2.2019.004
K. Szabó, B. Piko
Maintaining appropriate eating habits is one of the key components of good health. It is especially difficult during adolescence, a critical period in life because of the increased autonomy and the intention to take risks. Investigating the theoretical background of adolescents’ eating behaviour is therefore a worthwhile line of research. We applied the widely used health belief model to explore adolescents’ likelihood of healthy eating. A sample of adolescents (Szeged, Hungary; N = 400, age = 14–19 years; mean age = 16.01 years, SD = 1.18 years; 37% males) participated in the study. Data were collected through online, self-administered/anonymous questionnaires. Based on bidirectional correlations of the variables, we used a path analysis to examine relationships between elements of a modified health belief model. Our modified model showed the direct impacts of cues to action, benefits, barriers, and self-efficacy, and the indirect impacts of perceived severity and susceptibility-via-cues-to-action on the likelihood of healthy eating. Elements of the health belief model play a decisive role in estimating adolescents’ healthy eating behaviour. We suggest that the model can serve as a useful theoretical background in planning and evaluating prevention programs to reduce obesity and promote healthy eating.
保持适当的饮食习惯是健康的关键因素之一。在青春期尤其困难,因为这是人生的关键时期,因为自主权和冒险的意愿增加了。因此,调查青少年饮食行为的理论背景是一个有价值的研究方向。我们运用广泛使用的健康信念模型来探讨青少年健康饮食的可能性。青少年样本(匈牙利塞格德;N = 400,年龄= 14-19岁;平均年龄= 16.01岁,SD = 1.18岁;37%的男性)参与了这项研究。数据通过在线、自我管理/匿名问卷收集。基于变量的双向相关性,我们使用通径分析来检查修改后的健康信念模型的元素之间的关系。我们修改的模型显示了行动提示、益处、障碍和自我效能的直接影响,以及通过行动提示感知的严重程度和易感性对健康饮食可能性的间接影响。健康信念模型的要素在评估青少年健康饮食行为中起决定性作用。我们建议该模型可以作为规划和评估预防方案以减少肥胖和促进健康饮食的有用理论背景。
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引用次数: 3
Effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with chronic low-back pain 运动疗法对慢性腰痛患者体位稳定性、多裂肌厚度和疼痛强度的影响
Pub Date : 2019-03-01 DOI: 10.1556/2066.2.2019.003
Regina Finta, I. Polyák, T. Bender, E. Nagy
We examined the effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with low-back pain. Subjects were divided into a chronic low-back pain (CLBP; n = 10) group and a healthy control (C; n = 10) group. Group CLBP took part in an 8-week training programme, whereas group C did not. The thickness of the multifidus in both groups was assessed using ultrasonography before and after 8 weeks, in prone and kneeling positions, in relaxed and contracted states. A standing heel-raising test was used to assess postural stability. After the intervention in group CLBP, the thickness of the contracted multifidus increased in the prone position, whereas the thickness of both the contracted and relaxed multifidus decreased in the kneeling position. In group C after 8 weeks, multifidus thickness decreased in both positions, while both relaxed and contracted. Group C performed the standing heel-raising test significantly better than group CLBP before the 8-week period. After the training, group CLBP improved significantly, but no changes were found in group C. Changes in thickness of the multifidus correlate with improved postural stability and decreased pain intensity. Decreasing thickness in healthy individuals may be an early sign of developing CLBP.
我们研究了运动疗法对腰痛患者的姿势稳定性、多裂肌厚度和疼痛强度的影响。受试者被分为慢性腰痛组(CLBP;n = 10)组和健康对照组(C;N = 10)组。CLBP组参加了为期8周的培训计划,而C组则没有。8周前后,俯卧位和跪卧位,松弛状态和收缩状态下,超声检查两组多裂肌厚度。站立脚跟抬高试验用于评估姿势稳定性。CLBP组干预后,俯卧位多裂肌收缩厚度增加,跪位多裂肌收缩和松弛厚度均减少。C组8周后,两体位多裂肌厚度均下降,同时松弛和收缩。8周前,C组站立式足跟抬高试验明显优于CLBP组。训练后,CLBP组明显改善,但c组没有发现变化。多裂肌厚度的变化与姿势稳定性的改善和疼痛强度的降低相关。健康个体的厚度下降可能是发生CLBP的早期征兆。
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引用次数: 1
The incidence of malnutrition between 1 and 5 years of age on the basis of the preventive primary care data 基于预防性初级保健数据的1至5岁儿童营养不良发生率
Pub Date : 2019-03-01 DOI: 10.1556/2066.2.2019.002
M. Kádár, G. Szőllősi, S. Molnár, L. Szabó
Malnutrition inhibits children from normal development and leads to irreversible consequences with respect to mental and physical performance. We analysed the aggregate data in the 2013–2015 reports of regional visiting nurses on the nutritional status of Hungarian children at the ages of 1, 3, and 5 years. In the regions of Hungary, stratum-specific proportions were calculated with 95% confidence intervals for the proportion of children with lower than a 10th percentile score. The proportions of malnutrition among children whose score was below the 10th percentile nationwide were 8.14% [8.03%–8.25%] at age 1, 6.87% [8.03%–8.25%] at age 3, and 5.68% [5.59%–5.78%] at age 5. In all three age groups, the proportion of children below the 10th percentile was significantly lower in the Central Hungarian region than in the national reference proportion and in Northern Hungary and the Southern Great Plain. These results indicate that Hungary’s incidence of malnutrition is no better than the worldwide average. To improve this situation, Hungarian healthcare professionals must at least begin following a precise, standardized protocol for the compulsory assessment of nutritional status in the framework of their reporting on the primary care of children.
营养不良会阻碍儿童的正常发育,并在智力和身体表现方面造成不可逆转的后果。我们分析了2013-2015年区域访问护士关于匈牙利1岁、3岁和5岁儿童营养状况报告中的汇总数据。在匈牙利地区,以95%的置信区间计算了分数低于第10百分位的儿童所占比例的分层比例。全国范围内得分低于第10百分位的儿童1岁营养不良比例为8.14%[8.03% ~ 8.25%],3岁营养不良比例为6.87%[8.03% ~ 8.25%],5岁营养不良比例为5.68%[5.59% ~ 5.78%]。在所有三个年龄组中,匈牙利中部地区低于第10百分位的儿童比例明显低于全国参考比例以及匈牙利北部和大平原南部。这些结果表明,匈牙利的营养不良发生率并不比世界平均水平高。为了改善这种状况,匈牙利保健专业人员至少必须开始遵循一项精确、标准化的协议,在报告儿童初级保健的框架内对营养状况进行强制性评估。
{"title":"The incidence of malnutrition between 1 and 5 years of age on the basis of the preventive primary care data","authors":"M. Kádár, G. Szőllősi, S. Molnár, L. Szabó","doi":"10.1556/2066.2.2019.002","DOIUrl":"https://doi.org/10.1556/2066.2.2019.002","url":null,"abstract":"\u0000 \u0000 Malnutrition inhibits children from normal development and leads to irreversible consequences with respect to mental and physical performance.\u0000 \u0000 \u0000 \u0000 We analysed the aggregate data in the 2013–2015 reports of regional visiting nurses on the nutritional status of Hungarian children at the ages of 1, 3, and 5 years. In the regions of Hungary, stratum-specific proportions were calculated with 95% confidence intervals for the proportion of children with lower than a 10th percentile score.\u0000 \u0000 \u0000 \u0000 The proportions of malnutrition among children whose score was below the 10th percentile nationwide were 8.14% [8.03%–8.25%] at age 1, 6.87% [8.03%–8.25%] at age 3, and 5.68% [5.59%–5.78%] at age 5. In all three age groups, the proportion of children below the 10th percentile was significantly lower in the Central Hungarian region than in the national reference proportion and in Northern Hungary and the Southern Great Plain.\u0000 \u0000 \u0000 \u0000 These results indicate that Hungary’s incidence of malnutrition is no better than the worldwide average. To improve this situation, Hungarian healthcare professionals must at least begin following a precise, standardized protocol for the compulsory assessment of nutritional status in the framework of their reporting on the primary care of children.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78018673","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: 2
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Developments in Health Sciences
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