Hypertension and nephrology

[Accredited Postgraduate Training]

OCTOBER 23, 2019

Hypertension and nephrology - 2019;23(05)

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Hypertension and nephrology

[Obesity and Cardiovascular Risk. A Joint Action Program by ESH and EASO ]

SIMONYI Gábor

Hypertension and nephrology

[Congress Report of the 27th Congress of the Hungarian Society of Hypertension ]

CSEPREKÁL Orsolya

Hypertension and nephrology

[Hyperuricemia as a cardiovascular risk factor: novelties in therapeutic guidelines]

ALFÖLDI Sándor

Hypertension and nephrology

[GLP-1 receptor agonists in the treatment of type 2 diabetes]

WINKLER Gábor

[The glucagon-like peptide (GLP)-1 receptor agonists and somewhat later, the sodium-glucose cotransporter (SGLT) -2 inhibitors have brought new perspectives in the antihyperglycemic treatment of type 2 diabetes. The article overviews clinicopharmacologic characteristics of the GLP-1 receptor agonist group, their glycemic and non-glycemic effects, results of the cardiovascular endpoint studies as well as their place in the recent therapeutic guidelines. It is proven, that both glycemic and weight reducing effect is greater of the long-acting (non-prandial) coumpounds as compared to that of the short acting (prandial) derivates, further, that in studies with cardiovascular endpoints they reduced the relative risk of the composite endpoint of non-fatal myocardial infarct, non-fatal stroke and cardiovascular death. Due to the favolurable glycemic and non-glycemic properties their use is advised already in the early course of type 2 diabetes, as combination of the metformin therapy.]

Hypertension and nephrology

[When to Eat for Well-Being? ]

VÁLYI Péter

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Related contents

Clinical Neuroscience

Relationship between Status Epilepticus Severity Score and etiology in adult NCSE patients

GENC Fatma, ERDAL Abidin, AKCA Gizem, KARACAY Ertan, GÖKSU Özaydın Eylem, KUTLU Gülnihal, GÖMCELI Bicer Yasemin

Purpose - Nonconvulsive status epilepticus (NCSE) is a heterogeneous, severe neurological disorder of different etiologies. In this study, the outcomes of NCSE episodes was assessed in a large series of adult patients. Our objective was to evaluate relationship between Status Epilepticus Severity Score (STESS) and etiology and the role of etiological factors on predicting the outcomes. Method - In this retrospective study, the medical records of 95 patients over 18 years of age who were diagnosed with NCSE between June 2011 and December 2015 were reviewed. Their treatment and follow-up for NCSE was performed at the Epilepsy Unit in Department of Neurology, Antalya Research and Training Hospital. Etiological factors thought to be responsible for NCSE episodes as well as the prognostic data were retrieved. The etiological factors were classified into three groups as those with a known history of epilepsy (Group 1), primary neurological disorder (Group 2), or systemic/unknown etiology (Group 3). STESS was retrospectively applied to patients. Results - There were 95 participants, 59 of whom were female. Group 1, Group 2, and Group 3 consisted of 11 (7 female), 54 (33 female), and 30 (19 female) patients, respectively. Of the 18 total deaths, 12 occurred in Group 2, and 6 in Group 3. The negative predictive value for a STESS score of ≤ 2 was 93.88% (+LR 2.05 95% CI: 1.44-2.9 and -LR 0.3 95% CI 0.10-0.84 ) in the overall study group. While the corresponding values for Group 1 (patients with epilepsy), Group 2 (patients with primary neurological disorder), and group 3 (patients with systemic or unknown etiology) were 100%, 92.59% (+LR 2.06 95%CI: 1.32-3.21 and -LR 0.28 95% CI 0.08-1.02 ) 83.33% (+LR 1.14 95%CI: 0.59-2.9 and -LR 0.80 95% CI 0.23-2.73). Conclusions - This study included the one of the largest patients series ever reported in whom STESS, a clinical scoring system proposed for use in patients with status epilepticus, has been implemented. Although STESS appeared to be quite useful for predicting a favorable outcome in NCSE patients with epilepsy and primary neurological disorders, its predictive value in patients with systemic or unknown etiology was lower. Further prospective studies including larger NCSE samples are warranted.

Journal of Nursing Theory and Practice

[Experiences with the combined use of Versiva, non-adhesive foam dressing and Curiosa gel in chronic wound care]

BOROS Katalin Gyöngyi, TAKÁCS Tibor, VARGÁNÉ TERHES Anita, CSERNUS Mariann

[Up-to-date wound care is a kind of teamwork that requires modern bandage, a high degree of theoretical knowledge and a strong sense of vocation. The authors describe the complete healing of a patient’s diabetic foot ulcer with all these three factors present. Patients suffering from all the complications of diabetes can often have faith only in the dedicated medical staff. An old patient having almost lost his vision can be treated successfully for diabetic foot ulcer in the period of 11 months due to modern wound management and vascular surgery. With the presentation of this case the authors wish to emphasise the need for devoting more time to medical training concerning modern wound care, and to improve the psychological management of the affected patient. ]

Journal of Nursing Theory and Practice

[Nursing career of the high-school students]

TISÓCZKI Evelin, BALOGH Zoltán

[Aim of the research: The aim of the study is to analyze the trends of student orientation in the age and compulsory education process by age group. In our research, we would like to answer the question of how much „popularity” the health care profession as a professional area among students participating in Hungarian public education. If you feel this area of expertise close to you, what kind of vision you have. Research and sampling methods: A self-constructed questionnaire was administered during 24 Oct 2017 - 13 Jan 2018. In all counties of Hungary, the authors sent it to at least one of the training sites and filled up with me (N=329). These training sites are involved in healthcare training. Data were analysed with SPSS 15.0 for Windows statistical program. Chi square, Mann-Whitney tests were applied (p <0,05). Results: Out of the 159 people (48%), 170 (52%) in the family have healthcare workers. When performing the controls of the distributions, we can conclude that there is no significant difference in the distribution between the two groups, so there is the same number - that is, statistically significant difference - of the proportion of those willing to choose the health care path. In terms of career choice, 276 (86%) of respondents believe it is likely to be oriented towards the health care path, with 46 people (14%) planning their life is in another direction. Seven of its principal did not answer the question. By completing the Mann-Whitney test, we can conclude that there is no significant difference between the two groups in the medians, so there is no difference - that is, statistically significant difference - with respect to career choice as a nursing profession’s esteem. Of the 329 participants, 215 (65%) replied that they would like to work as a nurse, while 114 (35%) responded that they would not choose this job. Conclusion: Don’t influence significantly the career entrant if there is a healthcare worker in the family. Who stand in front of career choice don’t influence significantly the appreciation but is more motivated by sympathy and helplessness toward another person.]

Journal of Nursing Theory and Practice

[Nurses education project management tools to help introduce the practice of the administration of parenteral incretin mimetics]

DIHELNÉ TÓTH Tóth Anikó, SZABÓ Roberta

[Aim of the study: The goal of the authors was to further educate diabetes health care professionals and keep their knowledge up to date during the explosive development of diabetes science. The team members should be competent to administer modern therapies adapted to the patients’ satisfaction in order to improve the quality of life of the patients. Materials and methods: Diabetes education nurses team members were professionally educated in the administration of liraglutide therapy at Uzsoki Hospital, II. Department of Internal Medicine (N=20). The introduction of the new therapeutic steps of this treatment was carried out using project management techniques. The effectiveness of knowledge-education placement tests conducted by comparing. Results: After the introduction of planning and execution, it was found that the professionals mastered the education of liraglutide therapy. Included in the scope of the project, besides the educational training of the team was the introduction of the treatment stages in liraglutide therapy. In order to assess the level of the knowledge acquired among the team members, survey questions were evaluated. According to the results, it can be stated that trained team members learned the new skills in the field of educational modification. Conclusions: The most important question of patient management quality care is whether the patient is able to optimally manage his/her life independently. The continuous presence of an educator team - which is up to date in the rapid development of the clinical science of diabetology - is essential in the achievement of this goal. The supervisor of the department is responsible for the ongoing training and monitoring of educator nurses. ]

Hypertension and nephrology

[Professor István Taraba MD., the scientist, physician and man. - „Difficulties are to defeat them!”]

POLNER Kálmán

[Only few such outstanding physicians lived, whose achievements and personality influenced the development of the Hungarian nephrology as remarkably as professor István Taraba did. He started his university career as an experimental researcher at the Institute of Physiology on Semmelweis University, Budapest, then at the age of 34, after completing his Ph.D thesis, decided to treat patients to utilize his acquired knowledge in the field of renal failure’s pathophysiology. This way he devoted himself to cure patients with kidney failure being in very poor circumstances at that time. Besides his daily clinical activity, he accomplished outstanding organizing work in establishing and leading the Hungarian Nephrology Society, and also in initiating specialty training for nephrologists and nephrology nurses. The hallmark of his professional work was that in spite of extremely adverse circumstances he forced to improve the quality of dialysis treatment to approach European standards. Among the renal replacement treatment modalities- antecedently to his age - he respected peritoneal dialysis equal to hemodialysis, and attempted to popularize it in his country. Under his leadership the Nephrology Department of Margit Hospital in Budapest became the therapeutic and educational centre of Hungarian nephrology. His achievements have been acknowledged internationally, and his early death is substantial loss for Hungarian nephrology as a whole. It was a great honour to me to work beside him during the whole period he spent in the Margit Hospital, and since March of 1997 I have the opportunity to lead the department he had established in his intellectuality.]