Journal of Nursing Theory and Practice

[Perfusionist’s status in Hungary and the application of the low prime in coronary artery bypass]

DEÁK András1, FUSZ Katalin2, PRÉMUSZ Viktória3, RAPOSA L. Bence4, VÁRADYNÉ Horváth Ágnes, MADARÁSZ Ildikó5, OLÁH András6

DECEMBER 30, 2019

Journal of Nursing Theory and Practice - 2019;32(6)

[With the development of the equipments of extracorporeal circulation, international studies underline reducing the amount of filling fluid. Our retrospective study was conducted at the Heart Surgery Clinic of the University of Pécs between 1 January 2017 - 31 December 2017 with ECC cardiac operated patients. During the document analysis, data were collected from 157 patients between 50 and 70 years who underwent CAB surgery. They were classified into Low- (n=47) and Standard-prime (n=110) group. Medium negative correlation (r=-0.28; p<0.001) was found between prime/body surface area and haematocrit during last perfusion. As inflammatory parameter, the last measured CRP values were 36.00 mg/l (low) vs. 70.62 mg/l (standard). Our research justified the use of low-prime during ECC. The implementation of the method requires the scientific advancement of perfusionists, the preparation of national protocols and the improvement of the perfusionist’s training and legal background. ]


  1. Pécsi Tudományegyetem Klinikai Központ, Sürgősségi Orvostani Tanszék, Pécs
  2. Pécsi Tudományegyetem Általános Orvostudományi Kar, Élettani Intézet, Pécs
  3. Pécsi Tudományegyetem Egészségtudományi Kar, Egészségtudományi Doktori Iskola
  4. Pécsi Tudományegyetem, Egészségtudományi Kar, Alapozó Egészségtudományi és Analitikai Laboratóriumi Kutatóközpont, Pécs
  5. Pécsi Tudományegyetem Egészségtudományi Kar, Pécs
  6. Pécsi Tudományegyetem, Egészségtudományi Kar, Ápolástudományi, Alapozó Egészségtudományi és Védônôi Intézet, Pécs



Further articles in this publication

Journal of Nursing Theory and Practice

[A centuries-old history of a secondary school in Újpest Part I]

PERKÓ Magdolna

Journal of Nursing Theory and Practice

[Nutritional changes in the elderly]


[Since population ageing is one of the greatest problem of our time, we should aim not only to increase life expectancy but also healthy life years. Ageing is considered to be a normal biological process that can be characterized by the decline of body functions contributing to the age-related changes in nutrition as well. Although the process is not necessarily accompanied by pathological conditions (such as malnutrition, dehydration, obstipation, cognitive deterioration, fragility, polypharmacy), the evolving physiological changes undoubtedly increase the susceptibility to diseases and accidents. Elderly care should be adapted to the evolving changes, and should meet the person’s specific needs. ]

Journal of Nursing Theory and Practice

[Health awareness among nurses]


[The purpose of this study is to demonstrate the dietary habits and health behaviors of nurses studying in SE-ETK. The study describes in a descriptive/informative manner the main characteristics of the target group mentioned above. In our research, and in our conclusions drawn and deduced from it, we sought answers to questions that have been addressed in the literature from other approaches so far. Our own research focused on nurses’ dietary habits and their health awareness. To explore whether occupational harm can only be considered, or whether the links here are much deeper and more complex. Based on the data, we can say that their theoretical knowledge of healthy eating is more complete, but in practice, their health awareness/behavior is not. Their answers to our eating and sports questions have an inverse relationship with their BMI data. This is probably because their workplace conditions (shifts) do not allow their health awareness to develop. ]

Journal of Nursing Theory and Practice

[Report on the 2nd National Nursing History and Professional Competition]


Journal of Nursing Theory and Practice

[Report on ‘How can we stay healthy?’ Drawing Competition’ results announcement]


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Lege Artis Medicinae

[The positive additive effect of rosuvastatin on platelet aggregation parameters in patients with cerebrovascular disease]

FEHÉR Gergely

[Statin therapy is the cornerstone of anti-atherosclerotic treatment, and it considered obligatory in the secondary prevention of atherosclerotic diseases. Rosuvastatin is well-known and efficacious lipid-lowering agent and seems to have benefitial antiplatelet efficacy and anti-inflammatory profile. The aim of our study was to determined the antiplatelet effect of 20 mg rosuvastatin (Xeter®, Richter Gedeon Nyrt.) in clopidogrel treated cerebrovascular patients. 20 patients with documented ischaemic cerebrovascular events and on 75 mg clopidogrel daily treatment were included in our study. 20 mg generic rosuvastatin significantly decreased total cholesterol (5.67 vs. 3.99 mmol/l, p<0.05), low-density lipoprotein (3.11 vs. 1.92 mmol/l, p<0.05) and trigliceride levels (1.75 vs. 1.29 mmol/l, p<0.05), and there was a non-significant high-density lipoprotein increasing (1.28 vs. 1.36 mmol/l, p=0.09) and high-sensitive C-reactive protein level decreasing tendency (3.35 vs. 2.99 mg/l, p=0.07). Rosu­vastatin treatment significantly decreased ADP 5 µM (46.15 vs. 31.35%) and collagen 2 mg/ml (68.62 vs. 52.22%) induced platelet aggregation (p<0.05). 20 mg rosuvastatin has a robust antilipaemic profile with benefitial additive effect on agonist induced platelet aggregation.]

Clinical Neuroscience

Alexithymia is associated with cognitive impairment in patients with Parkinson’s disease

SENGUL Yildizhan, KOCAK Müge, CORAKCI Zeynep, SENGUL Serdar Hakan, USTUN Ismet

Cognitive dysfunction (CD) is a common non-motor symptom of Parkinson’s disease (PD). Alexithy­mia is a still poorly understood neuropsychiatric feature of PD. Cognitive impairment (especially visuospatial dysfunction and executive dysfunction) and alexithymia share com­mon pathology of neuroanatomical structures. We hypo­thesized that there must be a correlation between CD and alexithymia levels considering this relationship of neuroanatomy. Objective – The aim of this study was to evaluate the association between alexithymia and neurocognitive function in patients with PD. Thirty-five patients with PD were included in this study. The Toronto Alexithymia Scale–20 (TAS-20), Geriatric Depression Inventory (GDI) and a detailed neuropsychological evaluation were performed. Higher TAS-20 scores were negatively correlated with Wechsler Adult Intelligence Scale (WAIS) similarities test score (r =-0.71, p value 0.02), clock drawing test (CDT) scores (r=-0.72, p=0.02) and verbal fluency (VF) (r=-0.77, p<0.01). Difficulty identifying feelings subscale score was negatively correlated with CDT scores (r=-0.74, p=0.02), VF scores (r=-0.66, p=0.04), visual memory immediate recall (r=-0.74, p=0.01). VF scores were also correlated with difficulty describing feelings (DDF) scores (r=-0.66, p=0.04). There was a reverse relationship bet­ween WAIS similarities and DDF scores (r=-0.70, p=0.02), and externally oriented-thinking (r=-0.77,p<0.01). Executive function Z score was correlated with the mean TAS-20 score (r=-62, p=0.03) and DDF subscale score (r=-0.70, p=0.01) Alexithymia was found to be associated with poorer performance on visuospatial and executive function test results. We also found that alexithymia was significantly correlated with depressive symptoms. Presence of alexithymia should therefore warn the clinicians for co-existing CD.

Hypertension and nephrology

[About the care of patients with hyperuricaemia and gout]

[This consensus document is intended to provide guidance for the effective and efficient treatment of asymptomatic individuals with high uric acid levels and gout patients.]

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.]