Journal of Nursing Theory and Practice

[Risk factors for naevus pigmentosus]

ZITÁS Éva, MÉSZÁROS Judit

APRIL 30, 2016

Journal of Nursing Theory and Practice - 2016;29(02)

[Naevi are the most frequent disorders of the skin, which usually do not cause a problem. It can occur though, that some of them develop into a malign tumour, called melanoma malignum. This process, called malignisation, has perceivable introductory symptoms; and if they are detected in time and the affected birthmark is removed expertly, it can save the patient’s life. The article describes these symptoms and provides guidelines to the removal of birthmarks.]

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Further articles in this publication

Journal of Nursing Theory and Practice

[Recognizing colorectal cancer, education of patients and preparing them for the stomal therapy]

TUSÓCZKI Evelin, NÉMETH Anikó

[Aim of the research: The study investigated the circumstances of the diagnosis of the disorder. The assessment of information given to patients, communication of the staff and the preparation for the stomal therapy was also part of the study. Research and sampling methods: A self-constructed questionnaire was administered during October and December of 2015. The inventory was uploaded to self-help sites for colorectal cancer patients and questionnaires were also handed out on surgical wards (N=114). Data were analysed with SPSS 22.0. Chi square, Mann-Whitney and Kruskal-Wallis tests were applied (p<0.05). Results: Colorectal cancer screening has never been attended by 81.6% of the responders. Constipation was a more frequent warning sign by women (p=0.045). The patients who received guidance from both doctors and nurses about oncology treatment were more satisfied with the information compared to those who only communicated with one person (p<0.001). The patients who could contact a stomal therapy nurse on-demand were able to handle their stomas autonomously (p=0.035). Conclusions: Information provided by more staff members help to dissolve anxiety. Contacting stomal therapy nurses on-demand should be preferred. ]

Journal of Nursing Theory and Practice

[Thinking about the nursing competences]

ADORJÁNNÉ ZDENKÓ Erzsébet

[Nursing is a complex profession consisting of several vocational skills such as empathy, theoretical, clinical, ethical, and communication skills. Beside these, technical knowledge is also essential for a nurse. The conventional methods of knowledge transfer are less and less able to meet the changed requests of the labor market. As a result of that nurse education has adapted to these changes, therefore the aim of the recent education system is to bring the acquisition of skills and competencies into prominence by using simulations as a helpful teaching strategy. Although for nurses working bedside at present improving their adequate technical skills still needs to be solved. The author wants to draw attention to the importance of maintaining and improving the acquired nursing competences, and that unregulated nursing competences are also important to be revised.]

Journal of Nursing Theory and Practice

[The endometriosis in the focus]

KOVÁCS Zsuzsanna, VÁRADYNÉ HORVÁTH Ágnes, KOZMANN Krisztina, FERENCZY Mónika, PAKAI Annamária

[Aim of the research was to investigate the deeply infiltrating endometriosis disease perioperative changes impact on the quality of life and on the sexuality. Research and sampling methods: A retrospective, partly longitudinal research, following surgery document analysis (n = 61) and we made a processing of the individually structured questionnaire with standard elements. We used 15D to measure the quality of life and MFSQ standard questionnaire to measure the sexuality (n=44). We calculated relative and absolute frequency, mean, standard deviation, paired t-test, χ2- test, correlation and one way analysis of variance (p<0,05) with the help of the SPSS 22. program. Results: 73.8% of the patients had at least 3 organ with endometriosis involvement and 82,5% were removed by laparoscopic surgery. The length of stay showed an upward turn tendency in the context of the complications (p <0.001). The sample vitality and sexual relations 40,9% were characterized by no complaint and between sexual partners and satisfaction (r = 0.442, p = 0.003) and between orgasm and sexual partners (r = 0.518, p = <0.001) medium correlation were detected. Conclusions: The surgery was efficient in the treatment of the DIE, but there are no detectable correlation the positive perception of sexual satisfaction. ]

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Lege Artis Medicinae

[NEUROFIBROMATOSIS, MALIGNANT MELANOMA AND HYPERTHYREOIDISM IN A HCV POSITIVE PATIENT]

FOLHOFFER Anikó, HORVÁTH Andrea, CSÁK Tímea, NÉBENFÜHRER László, TELKES Márta, IVÁNYI András, SZALAY Ferenc

[INTRODUCTION - Similar occirrence of neurofibromatosis and malignant melanoma is rare. We report a patient with neurofibromatosis, cutaneous melanoma, hyperthyreoidism and HCV positivity. CASE REPORT - A 43-year-old woman has been under care for neurofibromatosis for 16 years when she presented with increased serum ?- glutamyltransferase, alkaline phosphatase activity and anti-HCV antibody positivity at regular checkup. A pigmented lesion removed from her back histologically proved to be cutan melanoma. Interferon treatment was applied. She lost 8 kilograms in half a year which was caused not by the tumor progression, but hyperthyreoidism. A rapid clinical and laboratory improvement was observed for thyreostatic treatment and she regained her bodyweight. One year later she presented with a cough caused by pulmonary tumor. The tumor was surgically removed and histologically diagnosed as metastasis of melanoma. Cytostatic treatment was applied and she became asymptomatic. Four years after the diagnosis of melanoma she died of apoplexy. During the autopsy there was no sign of either melanoma or liver disease. CONCLUSIONS - The careful investigation of skin should be emphasised even in case of long established neurofibromatosis. The presented case shows an association of malignant melanoma and neurofibromatosis. In the background of loss of bodyweight even in a patient with history of malignant disease other causes should also be searched such as hyperthyreoidism especially during interferon therapy.]

Clinical Oncology

[Targeted therapy in melanoma]

EMRI Gabriella

[The incidence of melanoma is increasing, and although most of the melanomas are diagnosed at low tumour thickness, the number of metastatic cases is also increasing. In systemic treatment of metastatic and/or unresectable melanoma, targeted molecular inhibitor or immunotherapy can be used as fi rst-line option depending on molecular pathological report. Targeted treatment results in rapid decrease of tumour burden in high percentage of cases; however, the loss of effect is also frequent due to acquired drug resistance. Further improvement on prognosis of metastatic disease is expected from proper sequencing and/or combination of targeted and immunotherapy.]

Clinical Oncology

[Treatments of brain tumors in adults – an up-date]

BAGÓ Attila György

[The prognosis of brain metastases is very poor. Surgery and radiotherapy provides the fi rst line treatment, while systemic therapy has limited value. Nevertheless, our knowledge is increasing: normal cells contribute signifi cantly to the homing and growth of tumor cells; the molecular profi le of the primary tumor and its metastases could be different, which infl uences the therapeutic strategies; the type of blood supply can change during the tumor growth. It would be very important to optimize the cooperation of the different therapeutic modalities, and to fi nd markers which could predict the risk of metastatization.]