[Gyakorlati szempontok az osteoporosisos beteg ellátásában 2008-ban]

JANUARY 22, 2008

Ca&Bone - 2008;11(01)




Further articles in this publication


[Professional guidelines and recommendations]


[Professional guidelines and recommendations, 2008;11(01)]



[ 2008;11(01)]

All articles in the issue

Related contents

Clinical Neuroscience

[Dysphagiafelmérések akut stroke-ban]

SZABÓ Pál Tamás, MÛHELYI Viktória, BÉRES-MOLNÁR Katalin Anna, KOVÁCS Andrea, BALOGH Zoltán, FOLYOVICH András

[Stroke associated dysphagia can have serious consequences such as aspiration pneumonia. The Hungarian guideline on nutritional therapy for stroke patients recommends dysphagia assessment, as early screening can optimize disease outcome and hospital cost. Thus far, this may be the first study in Hungarian that has documented a systematic review about the available validated dysphagia assessments of acute stroke. Purpose – The aim of this study was to summarize the instrumentally validated bedside dysphagia screening tools for acute stroke patients, which were published in the last twenty years. Our objective was to describe the characteristics of the validation studies, examine their study design, and sample the sub-tests and the diagnostic accuracy of the assessments. A systematic research was carried out of the literature between 2001 and 2021 in eight scientific databases with search terms appropriate to our objectives. Subjects of the study – 652 articles were found and were reduced to eight. We made a comparative analysis of these. The GUSS test reached a high level of sensitivity compared to the others. In our study sample, the prevalence of instrumentally confirmed dysphagia among acute stroke patients was 56.1%. The focus and the composition of the analyzed studies differed and posed problems such as the ambiguity of the concept of dysphagia, the difference in outcome indicators, or the timing of screening. The GUSS test, which offers domestic management, is a suitable tool for the Hungarian clinical use.]

Hypertension and nephrology

[Dialysis service in coronavirus pandemic]

SZEGEDI János, HORN Péter, GERGELY László, TÖLGYESI Katalin, MOLNÁR Gergely

[The coronavirus pandemic started at December 2019 from Wuhan. The rate of spread of the coronavirus epidemic has shocked the entire world, and the WHO declared it as a pandemic in March 2020. The first case in Hungary was confirmed in March 2020. The infection primarily damages the lungs but can also infect other organs. The relationship between coronavirus infection and the kidney is bidirectional. On the one hand, the infection can cause acute renal damage, and on the other hand, chronic kidney patients and patients receiving renal replacement therapy are at increased risk of infection due to their immune compromised status. Chronic kidney patients are three times more likely to have a severe Covid-19 infection than the general population. Among patients with severe Covid-19, the incidence of acute renal failure may exceed. Patients treated with the HD program have a higher risk of infection due to transportation and treatment in the common area. The mortality rate of Covid-19 infected patients receiving renal replacement therapy is 20-35% according to international data. Infections occured in all the dialysis centers of the B.Braun Avitum Dialysis Network during both the 2nd and 3rd wave of the epidemic. Epidemiological data confirm that preventive measures are of paramount importance in the field of prevention of infections and in the care of the pandemic. Effective prevention and patient care can only be ensured on the basis of correct epidemiological data. The management of the B.Braun Avitum Dialysis Network decided at the time of the outbreak in Hungary to establish an Operational Staff to perform tasks related to the epidemic. The tasks of the Operational Staff are the following: to ensure an effective, up-to-date connection with the dialysis centers, to update the epidemiological data, and to develop and operate an effective prevention program and action plan. To address the epidemic situation, complex measures were introduced in the Network regulated in a pandemic plan which was periodically reviewed. This document includes detailed hygiene regulations regarding patient transport, screening of dialysis center entrants, proper use of mask and personal protective equipment, hand hygiene, contact and respiratory isolation, rules of behavior, ordering a visitation ban, and regulation of cooperation with the hospital. ]

Lege Artis Medicinae

[‘Bánk Bán’, our National Opera – Historical Background, Preceding Works, Variants ]


Lege Artis Medicinae


[MOTESZ is admitted to the European Union of Medical Specialists (UEMS); Hungarian-French medical education seminar; Smoking in the third trimester hinders foetal development; In Canada, cigarettes will only be sold in plain packaging in the future; Smoking during pregnancy can cause asthma in the unborn child; Smoking or health centre in NEVI; Smoking ban has not reduced restaurant sales in the US; Smoking during pregnancy can cause limb developmental abnormalities in the foetus; Dr. Zoltán Ajkay's five studies on health insurance reform; Diagnostic centre in Pécs; International meeting in Balatonszárszó; New information centre in Budapest;]

Journal of Nursing Theory and Practice

[Changing in the daily nursing duties – epidemiological interventions and protocols in residential care facilities related to elderly care]

HADOBÁSNÉ Kiss Hedvig, BALOGH Zoltán

[In this publication we will represent the SWOT-analysis and abilities of the social residential institutes in terms of safety measures and strategies, against the current pandemic situation caused by the Covid-19 outbreak. Our analysis involves the retirement homes and other caretaking facilities in Szabolcs-Szatmár-Bereg County. The data was acquired through anonym only surveys. We will introduce new challenges and task in the daily life of the retirement homes, furthermore we will provide advice and references to these institutes to help them create their own epidemiological protocols and to measure their own preparedness from a professional viewpoint. The aim of study: The goal of our examination was to assess the entire Szabolcs-Szatmár-Bereg County, which by we can gain insight into the situation of the retirement homes during the current pandemic period in the whole county. In Szabolcs-Szatmár-Bereg County there are 97 active retirement homes and caretaking facilities, the leaders of the facilities were asked to fill out an anonymous online survey. Based on the received data, we formed our opinion and draw conclusions. Based on the aspects of the SWOT-analysis used in the research and after the analysis of the results, we can state that the epidemiological experience, knowledge and expertise of the people working in health care show an insufficient picture. Many institutions have faced unresolved labour challenges and challenges, the difficulty of converting living quarters for isolation, and the general unpreparedness to deal with a viral situation of this caliber. The ban on visits to prevent the spread of the virus has also made it more difficult to care for those in need of special care, and in several cases, the attitude of relatives hindered the work of the institutions. Fortunately, in addition to the difficulties that arise, some positive changes should be also highlighted, such as the conscientious approach to the task of forging a team of employees. As a consequence, we can conclude that in the analysis we obtained and evaluated the serious difficulties in relation to the problems of the institutions, there are some options as solution to these. Possible solutions include further training, institution-specific guidelines, development and application of protocols in epidemic situations, support for crisis management and crisis communication within institutions. In the heightened situation, the acquisition of appropriate communication techniques to reassure relatives and patients are essential tools for the solution. Central guidance, monitoring and support are also needed to make all of these options a reality.]