Journal of Nursing Theory and Practice

[A Bit of History]

SÖVÉNYI Ferencné

JULY 30, 2012

Journal of Nursing Theory and Practice - 2012;25(04)

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Further articles in this publication

Journal of Nursing Theory and Practice

[The working conditions of paramedical professionals in general, paediatric and combined medical practices in Hungary]

HIRDI Henriett Éva, KÁLMÁNNÉ SIMON Mária, BALOGH Zoltán

[Aim of the study: To assess the working conditions of paramedical professionals in general, child and family practices, and to compare the data with the results of the survey conducted by the Hungarian Chamber of Paramedical Professionals (MESZK) in 2006 and by the National Institute of Primary Care (OALI) in 2004. Methodology and sample: The cross-sectional survey was conducted between 13 May 2012 and 30 June 2012 among paramedical professionals working in general, child and family practices, selected using a random, sampling method (N=812). The data gathering took place using a web-based, anonymous, self-completion questionnaire. The authors analysed the gathered data with Microsoft Excel 2007 software, employing a descriptive and mathematical statistical methods. Results: Based on the results of the survey it was concluded that the primary task of the nurses (95%) was the preparation of reports and data submissions, and keeping the electronic patients records system up-to-date accordingly. Their second most common activity (94%) is participation in the performance of tasks related to patient care. 67% of the nurses that responded perform health education, health awareness and advisory activities, primarily in relation to the topics of healthy nutrition, recommended screening tests and the spread of infectious diseases. The nurses are generally satisfi ed with their physical working conditions (72%), their job security (77%), their work schedule (77%) and their co-workers (83%), but they expressed the least satisfaction (73%) with their fi nancial compensation. Conclusions: Everyday experience and the results of the research show that the situation of paramedical workers, in terms of the activities they perform, their income, the allocation of holiday leave, and substitution, has not improved at all in comparison to the fi ndings of the 2006 survey. A signifi cant proportion of the nurses would like to perform more substantive and professionally challenging tasks, but their working environment does not allow this.]

Journal of Nursing Theory and Practice

[Comparison of somatic and psychological health of health care workers in Csongrád County between the years of 2008 and 2012]

NÉMETH Anikó, IRINYI Tamás

[Aims of the study: To asses the changes in psychosomatic status, burn-out level and judgment of own health of health care workers in Csongrád County since 2008. Furthermore we investigated how much they intend to continue working in their current position judging from psychological and somatic point of view. Methodology and sample: Both cross-sectional studies were carried out by the means of self-designed self-report questionnaires sent to registered members of MESZK living in Csongrád County in 2008 and 2012. Results: The judgement of own health got worse since 2008, but in psychosomatic symptoms there was a non-signifi cant improvement. The incidence of headaches decreased signifi cantly. The points on the burn-out scale increased signifi cantly which implies worse psychological condition. Conclusions: The population of health care workers is aging and it is characterised by worsening psychological state.]

Journal of Nursing Theory and Practice

[The nursing challenges related to gestational diabetes]

MENG Zsuzsa, VÁRADYNÉ HORVÁTH Ágnes, OLÁH András

[Aim of the study: To assess how age and BMI affect the result of the OGTT, and to study the data on blood sugar levels. Methodology and sample: Retrospective, quantitative, cross sectional, with non-random sampling. GDM patients aged 16- 50 years were surveyed (n=123 persons), with analysis of the data relating to multiparas (n=51) and primiparas (n=72). The research took the form of an analysis of medical and nursing documents. Results: In a study of the BMI and the 2-hour OGTT results, and in a study of age and BMI, signifi cance was observed in the case of the multiparas. Comparing the 0’ OGTT values with the empty-stomach blood sugar results from the 1st control test following the diagnosis of GDM, signifi cance was observed in both groups. Conclusions: Based on the fi ndings of the research it can be concluded that a higher BMI is generally associated with more advanced age, and that it has an unfavourable impact on the results of the OGTT. It is necessary to repeat the reclassifi cation in the later stage of the pregnancy, in the 6th week following birth, and upon cessation of breastfeeding.]

Journal of Nursing Theory and Practice

[25 Years in Patient Care. Always Find and Hope]

HUDOBA Mihályné

All articles in the issue

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Cases of inborn errors of metabolism diagnosed in children with autism

CAKAR Emel Nafiye, YILMAZBAS Pınar

Autism spectrum disorder is a neurodevelopmental disorder with a heterogeneous presentation, the etiology of which is not clearly elucidated. In recent years, comorbidity has become more evident with the increase in the frequency of autism and diagnostic possibilities of inborn errors of metabolism. One hundred and seventy-nine patients with diagnosis of autism spectrum disorder who presented to the Pediatric Metabolism outpatient clinic between 01/September/2018-29/February/2020 constituted the study population. The personal information, routine and specific metabolic tests of the patients were analyzed retrospectively. Out of the 3261 patients who presented to our outpatient clinic, 179 (5.48%) were diagnosed with autism spectrum disorder and were included in the study. As a result of specific metabolic examinations performed, 6 (3.3%) patients were diagnosed with inborn errors of metabolism. Two of our patients were diagnosed with classical phenylketonuria, two with classical homocystinuria, one with mucopolysaccharidosis type 3D (Sanfilippo syndrome) and one with 3-methylchrotonyl Co-A carboxylase deficiency. Inborn errors of metabolism may rarely present with autism spectrum disorder symptoms. Careful evaluation of the history, physical examination and additional findings in patients diagnosed with autism spectrum disorder will guide the clinician in the decision-making process and chose the appropriate specific metabolic investigation. An underlying inborn errors of metabolism may be a treatable cause of autism.

Clinical Neuroscience

[What happens to vertiginous population after emission from the Emergency Department?]

MAIHOUB Stefani, MOLNÁR András, CSIKÓS András, KANIZSAI Péter, TAMÁS László, SZIRMAI Ágnes

[Background – Dizziness is one of the most frequent complaints when a patient is searching for medical care and resolution. This can be a problematic presentation in the emergency department, both from a diagnostic and a management standpoint. Purpose – The aim of our study is to clarify what happens to patients after leaving the emergency department. Methods – 879 patients were examined at the Semmel­weis University Emergency Department with vertigo and dizziness. We sent a questionnaire to these patients and we had 308 completed papers back (110 male, 198 female patients, mean age 61.8 ± 12.31 SD), which we further analyzed. Results – Based on the emergency department diagnosis we had the following results: central vestibular lesion (n = 71), dizziness or giddiness (n = 64) and BPPV (n = 51) were among the most frequent diagnosis. Clarification of the final post-examination diagnosis took several days (28.8%), and weeks (24.2%). It was also noticed that 24.02% of this population never received a proper diagnosis. Among the population only 80 patients (25.8%) got proper diagnosis of their complaints, which was supported by qualitative statistical analysis (Cohen Kappa test) result (κ = 0.560). Discussion – The correlation between our emergency department diagnosis and final diagnosis given to patients is low, a phenomenon that is also observable in other countries. Therefore, patient follow-up is an important issue, including the importance of neurotology and possibly neurological examination. Conclusion – Emergency diagnosis of vertigo is a great challenge, but despite of difficulties the targeted and quick case history and exact examination can evaluate the central or peripheral cause of the balance disorder. Therefore, to prevent declination of the quality of life the importance of further investigation is high.]

Lege Artis Medicinae

[A short chronicle of three decades ]

KAPRONCZAY Katalin

[Hungarian professional periodicals started quite late in European context. Their publish­ing, editing and editorial philosophy were equally influenced by specific historical and political situations. Certain breaking points of history resulted in termina­tion of professional journals (War of In­de­pendence 1848-1849, First and Se­cond World Wars), however there were pe­riods, which instigated the progress of sciences and founding of new scientific journals. Both trends were apparent in years after the fall of former Hungarian regime in 1990. The structure of book and journal publishing has changed substantially, some publishers fell “victim” others started successfully as well. The latters include the then-established publishing house Literatura Medica and its own scientific journal, Lege Artis Me­di­cinae (according to its subtitle: New Hun­garian Medical Herald) issued first in 1990. Its appearance enhanced significantly the medical press market. Its scientific publications compete with articles of the well-established domestic medical journals however its philosophy set brand-new trends on the market. Concerning the medical community, it takes on its problems and provides a forum for them. These problems are emerging questions in health care, economy and prevention, in close interrelation with system of public health institutions, infrastructure and situation of those providing individual health services. In all of them, Lege Artis Medicinae follows consequently the ideas of traditional social medicine.]

Lege Artis Medicinae

[History of vaccine production in Hungary ]

ÓCSAI Lajos

[This study presents the complete history of the Hungarian vaccine production, partly in association with the process of fighting vaccine-preventable infectious diseases, and underlines the fact that every government actively contributed to the age-adjusted mandatory vaccination schedule of the past 140 years. It demonstrates the various achievements from the smallpox lymph production through the launch of diphtheria serum production at Phylaxia and the establishment of the National Public Health Institute (OKI) with its vaccine production and the later institutional transformation of OKI into Humán as economic corporation to its closure. Among all OKI’s vaccine production activities, this study focuses on the production of influenza vaccines, due to its international importance in the 1960s and 1970s. The vaccine production against diphtheria tetanus and pertussis stands out from Humán’s activities, and the tetanus component of this vaccine is still used in the products of a multinational vaccine manufacturer. ]

Lege Artis Medicinae

[Focus on Lege Artis Medicinae (LAM)]

VASAS Lívia, GEGES József

[Three decades ago, LAM was launched with the goal of providing scientific information about medicine and its frontiers. From the very beginning, LAM has also concerned a special subject area while connecting medicine with the world of art. In the palette of medical articles, it remained a special feature to this day. The analysis of the history of LAM to date was performed using internationally accepted publication guidelines and scientific databases as a pledge of objectivity. We examined the practice of LAM if it meets the main criteria, the professional expectations of our days, when publishing contents of the traditional printed edition and its electronic version. We explored the visibility of articles in the largest bibliographic and scientific metric databases, and reviewed the LAM's place among the Hun­ga­rian professional journals. Our results show that in recent years LAM has gained international reputation des­pite publishing in Hungarian spoken by a few people. This is due to articles with foreign co-authors as well as references to LAM in articles written exclusively by foreign researchers. The journal is of course full readable in the Hungarian bibliographic databases, and its popularity is among the leading ones. The great virtue of the journal is the wide spectrum of the authors' affiliation, with which they cover almost completely the Hungarian health care institutional sys­tem. The special feature of its columns is enhanced by the publication of writings on art, which may increase Hungarian and foreign interest like that of medical articles.]