Journal of Nursing Theory and Practice

[A poisonous heart killer]

RUTTKAY Bánk, CSIRIK Gyuláné

DECEMBER 30, 2016

Journal of Nursing Theory and Practice - 2016;29(06)

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Journal of Nursing Theory and Practice

[The examination of the factors which are the underlying causes of the intrauterine fetal death]

ZUBOR Mónika, SZABÓ László, KARÁCSONY Ilona Hajnalka

[The aim of the study: Nowadays the most common obstetric complication is the stillbirth. The affected families suffer spiritually as well. The aim of our research was to identify those most common maternal factors which lead to the intrauterine death of the fetus. Material and methods: The retrospective research was carried out between January of 2007 and December of 2014 in Markusovszky Educational Hospital in Szombathely. During the non-random, targeted sampling, the research was carried out with the help of an essay which included the data of 50 people. Beside the descriptive statistics the authors also used Chi-squared test with the help of the Microsoft Excel program (p<0,05). Results: If we take into account the frequency of stillbirth, there is significant relationship between singular pregnancies and twin pregnancies (p<0,05). Among women from different ages there is a significant relationship between the frequency of endocrine diseases and stillbirth as well (p<0,05). According to the results the most common cause of the intrauterine death was hypoxia (32,6%). Conclusion:With the identification of high risk pregnancies at an early age and with the prevention the complications we could reduce the number of stillbirths.]

Journal of Nursing Theory and Practice

[The role of nurses in care of patients with Guillain- Barré syndrome]

ÁDÁM Éva

[The aim of study: development of nursing diagnoses that contribute to these patients’ quality of supply, and to work out a procedure for patients with Guillot-Barré syndrome, used by datas in the literature. Test method and sample: The test method is document analysis. I analyze and compare the literature da-tas, between 1 July 2007 and 31 October 2015, details of handled GBS patients suffering from neurologi-cal department. Following the presentation of GBS epidemiology, and anatomy background I present cli-nical symptoms of the disease, their justification, the opportunities to diagnosys, the treatment criterias, required in order to achieve quality patient care. Results: Treatment and Care of determining the recovery and rehabilitation of Guillain-Barré syndrome is concerned. The quality of care plays a key role in the patient’s quality of life regarding the future, which are summarized in a procedural order.]

Journal of Nursing Theory and Practice

[Elements of health literacy among the Hungarian working population]

SZOBOTA Lívia, HIRDI Henriett Éva, BALOGH Zoltán

[Aim of the research: The authors’ objective was to reveal the state of health, lifestyle and health behaviour of economically active population. Research and sampling methods: The cross-sectional survey was conducted among white-collar workers in Hungary, selected using a random, sampling method. The data gathering took place using web-based, anonymous, self-completion questionnaire. The proprietary questionnaire used was based on the questionnaire used in the National Population Health Survey (OLEF) for the standard survey of health behaviour. The authors analysed the gathered data with Microsoft Excel 2010 software, using chi-square test and descriptive statistical method. They regarded the value of p <0,05 as significant. Results: The survey was completed by 735 workers (63% man, 37% woman). The average health value of workeres in the survey was 9.6 on a scale of ten grades. We separately analysed smoking habits and physical activity. Examining their state of health based on the psychosomatic symptoms scale, the respondents most frequently indicated back and lumbal pain, and sleep disorders. Conclusions: The results of survey revealed that the health condition of respondents is unsatisfying. Many white-collar workers are suffering from psychosomatic symptoms. On the whole it can be concluded that health behavior of workers needs to be changed. ]

Journal of Nursing Theory and Practice

[The problem-based learning benefits in nursing education]

POZSÁR Hajnalka

[Modern teaching in the schools of the XXI century is marked by terms of flexibility, innovation and requires the introduction of numerous innovations. Schools are required to modernize the curriculum and education technologies, and to leave the traditional teaching methods. Modern educational systems and teaching methods reflect the relevant didactic assumptions to improve the effectiveness of teaching. Emphasis will be put the changes that are designed to create independent and creative personalities. The attention in education is no longer a person who learn, rather the individual who is critical thinking, this is extremely important in the nursing profession. The nurse is the only profile of health workers trained in health care. They are a standalone members of the health team, in the area of its work with the necessary cooperation with other members of the health team. This paper analyzes the characteristics of modern educational systems and teaching methods to improve nurse education, especially problem-based learning and cooperative work, as an important segment in the nurse education. Analysing the modern educational systems, we expect results which will serve as a guide, how to change traditional „ex cathedra” teaching, to interactive and modern education.]

Journal of Nursing Theory and Practice

[Dr. Mária Baloghy’s Memorial Exhibition]

HIRDI Henriett Éva

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DOJCSÁKNÉ Kiss-Tóth Éva

[Energy drinks have been gaining unbroken popularity, especially among youngsters and children since they were introduced to the market. Manufacturers promise to improve performance and stamina with consuming the products, classified as non-alcoholic soft drinks. In addition to the vitamins and plant extracts, they contain a significant amount of caffeine and other stimulants (taurine, guarana). Among the active ingredients, caffeine has an outstanding effect and thereby a danger, since its overconsumption – in addition to milder he­mo­dynamic changes – can cause severe cardio­vascular consequences, cardiac arrhythmias, ion channel diseases, increased blood coagulation, myocardial infarction or reduced cerebral blood flow in susceptible consumers. Many case studies have also reported serious cardiovascular attacks among young chronic energy drink consumers. Health impairments of excessive and long-term consumption of energy drinks have been studied increasingly, however there is limited and contradictory evidence on the safety of consumption and the effectiveness of performance enhancement. ]

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[The possibilities of pharmacological treatment of obesity]

PADOS Gyula, SIMONYI Gábor, BEDROS J. Róbert

[There have been attempts to treat obesity with medicines for nearly 100 years, since the discovery of ephedrine. For decades amphetamine derivates and agents stimulating or inhibiting the release of noradrenaline and dopamine have been applied. However, most of theses drugs had to be gradually withdrawn, due to their adverse effects on the cardiovascular and central nervous system or their sympaticotonic effect. Dexfenfluramine (Isolipan), which was introduced in the 90s, did not have such side effects, but it turned out to potentially cause valvular heart disease. Finally, sibutramin (Reductil) was introduced, which again had to be withdrawn in 2010 due to its hypertensive and cardiovascular side effects. After all, we were left without any appetite-suppressant drugs. Orlistat therapy, (Xenical 120 mg, alli 60 mg - OTC), which inhibits the absorption of fat, can eliminate only 30% of the consumed food’s fat content, at the price of gastrointestinal side effects. The latest result of research carried out wordwide is that in 2012 the FDA approved commercial distribution of the selective 5HT2/c serotonin agonist lorcaserin (Belviq), which enhances satiety, in the USA. Unfortunately, in 2013 the EMEA temporarily postponed the lauch of this drug, until certain adverse effects are excluded. For diabetic patients, the GLP-1 agonist exenatid and the GLP-analog liraglutid, which can also reduce body weight, are available in the form of injections.]

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[NON-INVASIVE CORONARY ANGIOGRAPHY BY MULTISLICE COMPUTED TOMOGRAPHY]

PRÉDA István, KERECSEN Gábor, MAUROVICH-HORVAT Pál

[This review summarizes the diagnostic spectrum, ways of application and methodological difficulties of multislice computed tomographic (MSCT) coronary angiography. The non-invasive assessment of cardiac and coronary anatomy is now possible with computed tomographic coronary angiography using the modern 16 to 64-slice technology. This technique finds its main use today in the screening of patients with moderate probability of having coronary artery disease (atypical chest pain). Its negative predictive value varies between 97% and 99%, thus, a negative result of this non-invasive outpatient procedure can reduce the possibility of coronary artery disease to the minimum. Other important diagnostic applications include the follow-up of patients with coronary artery bypass, accurate diagnosis of coronary artery anomalies, and the simultaneous examination of the heart and great vessels. The future development of the technique is directed to coronary plaque characterization, particularly the detection of vulnerable plaques. The radiation exposure is relatively low (7-13 mSv), comparable with that of invasive coronary angiography.]

Hypertension and nephrology

[Role of β-blockers, especially carvedilol in the treatment of hypertension]

PÁLL Dénes, MARODA László, ZRÍNYI Miklós

[Changes in hypertension guidelines in the past years have affected the clinical thinking about β-blockers. Authors reviewed the development of β-blockers emphasizing the differences across various active pharmaceutical agents. Different hemodynamic and metabolic effects are being discussed in details for the third ge - neration vasodilatator carvedilol. Carvedilol has no effect on cardiac output but decreases peripheral vascular resistance which results in lower blood pressure values. However, carvedilol, opposite to unfavorable effects of traditional β-blockers, has a neutral impact on both carbohydrate and lipid metabolisms. Its more advanced cardiac effects include decreased left ventricular hypertrophy and increased coronary flow reserve. Vasodilatator type β-blockers (carvedilol, nebivolol) are indicated in the combi - nation treatment of hypertension, especially when the patient has heart failure, coronary disease or suffered from a previous heart attack.]

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[ANALYIS OF MOTIVATIONS OF SMOKING CESSATION]

SUSÁNSZKY Éva, SZÁNTÓ Zsuzsa, KOPP Mária

[INTRODUCTION - The aim of the study was to explore the differences in motivations between successful quitters and smokers who just consider quitting. Self-reported motivations of exsmokers' smoking cessation and the reasoning of current smokers who consider quitting were analyzed. SUBJECTS AND METHODS - The study is based on Hungarostudy Health Panel conducted in 2005, which is the second wave of Hungarostudy 2002, a national representative health survey of the adult Hungarian population. Of the subjects involved in this follow-up study, data from 3701 persons could be analyzed. RESULTS - About half of the respondents had never smoked, one fifth of them had quitted and 28 percent smoked. More than half of the current smokers (52%) contemplated on giving up smoking. Among ex-smokers and contemplating current smokers alike (38-40%), disease prevention was mentioned as the single most important reason of cessation. Financial reasons were mostly mentioned by current smokers; ex-smokers were more likely to explain their decision with deteriorating health, the occurrence of certain diseases. Among these, cardio-vascular morbidity played the most important role in smoking cessation while cancers, respiratory disease and diabetes also significantly increased the odds of quitting. Social pressure was a reason for quitting mostly among women and elderly persons. Among current smokers, those living in partner relationship and the better-off tended to entertain thoughts of quitting because of social pressure. CONCLUSION - The results confirm the importance of cardiovascular diseases in smoking cessation: although people emphasize primary preventive purposes of their cessation efforts, in fact secondary prevention, i.e., existing circulatory and heart problems play the major role both in actual cessation and in quitting considerations.]