Journal of Nursing Theory and Practice

[Socio-cultural environment as a factor influencing perception of overweight and obesity]

VĚRA Olišarová, VALÉRIE Tóthová, FRANTIŠEK Dolák

DECEMBER 30, 2014

Journal of Nursing Theory and Practice - 2014;27(06)

[The increase of incidence of overweight and obesity is a worldwide problem. Its therapy, as well as prevention, require holistic perception of the issue. The results demonstrate that these diseases cannot be perceived separately but from the perspective of health impact. The socio-economic area, the influences of ethnicity, cultural particularities and a lot of other factors must be considered. This article is focusing on the relation between the socio-cultural environment and perception of overweight and obesity as factors which can be directly reflected with preventive and therapeutic measures. The results show that ethnicity, cultural particularities, acculturation level, social status etc. are factors that influence the incidence of the relevant diseases to some degree. At present, there is lack of sufficient research studies which support the creation and implementation of culturally adequate interventions not only on the territory of the Czech Republic but worldwide. ]



Further articles in this publication

Journal of Nursing Theory and Practice

[Comparative analysis of attitudes during stroke among risk-exposed gypsy and caucasian hungarian population]

SÁNTHA Emese, PAPP László

[Aim of the study: The authors’s aim was to examine causasian and gypsy hungarians attitude towards illness and their knowledge about stroke. Further aim was to study whether the social and financial status and scholastic qualification have an impact on attitude during illness. Sample and methods: A self-made questionnaire was used for data collection. The authors asked 53 gypsy hungarians with a response rate of 85% (45 in total) and 50 causasian hungarians (response rate: 100%, 50 in total). Results: The gypsy persons have less knowledge about stroke than hungarians. The gypsys’ sociodemographic indicators are significantly worse than the other study group. Bad financial conditions and low employment rate seem to sustain the aversive attitude towards illness. Conclusions: If the non-desirable attitude is sustained by low qualification, employment rate and bad financial conditions, then the settlement of these areas could have an effect on the persons’ health. This study expands previous results, since it shows that the attitude towards illness is not only influenced by the knowledge about health and sickness, but also by the level of education. ]

Journal of Nursing Theory and Practice

[Complications and affecting factors of the healing after amputation]

KISS Bernadett Mária

[Aims of the study: To assess whether what complication following primary amputation and what are the chances of the proportion of patients healing who were treated with diabetic foot syndrome and/or lower extremity vascular disease at the Surgical Ward of the Hospital Siofok. Furthermore, to assess the factors that adversely affect the process of healing (addiction, other diseases, type of care after postoperative period and social conditions). Sample and methods: Patients were amputated by reason of diabetic foot syndrome and/or lower extremity vascular disease at the Surgical Ward of the Hospital Siofok between January of 2012 and September of 2013. (N=100) The method of data collection was analysis of the patient’s documentations. Results: 52% of the sample affected by the post-primary lower limb amputation complications. There was no significant correlation between the type of care after postoperative period and conduct of reamputatio. There was no significant correlation between the number of amputations experienced by the patients and the regular appearance of specialized controls. Conclusions: The proposals were formulated based on the following criteria: using for primary, secondary, and tertiary prevention.]

Journal of Nursing Theory and Practice

[Disabled children in the family]

MÓRICZ Lászlóné

[Aim of the study: The arrival of a disabled child at the family is not a happy event at all. The whole life of the family would change and they must face lots of difficulties and impediments. Parents of disabled children become underprivileged financially and socially. They must continuously deal with the structural problems of the social system and the probability of out casting process which are the objects of this study. Sample and methods: Present case study is about a girl suffering from Mucopalysaccharidosis disease and her family. This descriptive study is based on observations, data collecting and analyzing and interviews with the mother. Results: This case is a perfect example to show the structural problems of the social system, which can be latent or not having received the necessary emphasis as most of the time only the parents concerned can see them so they remain unsolved. At the same time it causes great permanent changes having considerable effects on the life of the family. Conclusions: Solutions to the above mentioned problem can be the specialization of the education, the inspection of the nursing districts’ boundaries, the prevention of burning out syndrome of the helpers with proper trainings or if necessary, where there would be only one possible solution, the modification of the legislation.]

All articles in the issue

Related contents

Clinical Neuroscience

[Personalised epilepsy treatment]


[Epilepsy is one of the most common chronic neurological disease in childhood. Patients with epilepsy – even with so-called benign epilepsy – need medication for years. During this time, children go through a very big change, not only gaining weight and height, but also changing hormonal and metabolic processes. Maturation processes in different brain areas also take place at different rates depending on age. All of these should be considered when preparing a therapeutic plan. In everyday practice after the diagnosis of epilepsy, the applied drug is most often selected based on the shape and type of seizure. However, a number of other factors need to be considered when designing a therapeutic strategy: 1. efficacy (form of epilepsy, type of seizure), 2. age, gender, 3. pharmacological properties of the drug, 4. adverse drug reaction profile, 5. lifestyle (community), figure (skinny, corpulent, obese), 6. other comorbidities (nutrition, behavioral and learning problems, circulatory disorders, kidney or liver disease), 7. expected interactions with other drugs already used, 8. genetics, 9. other aspects (drug registration and prescription rules). The purpose of this article is to help to decide which antiepileptic drugs are expected to have the least side effects in a particular child with different comorbidities and which medications should be avoided if possible.]

Clinical Neuroscience

Positive airway pressure normalizes glucose metabolism in obstructive sleep apnea independent of diabetes and obesity

KABELOĞLU Vasfiye, SENEL Benbir Gulçin, KARADENIZ Derya

The relationship among obstructive sleep apnea syndrome (OSAS), type 2 diabetes mellitus (DM2) and obesity is very complex and multi-directional. Obesity and increased visceral fat are important perpetuating factors for DM2 in patients with OSAS. On the other hand, OSAS itself leads to obesity by causing both leptin and insulin resistance as a consequence of activation of the sympathetic nervous system. Risk for developing DM2 further increases in patients with OSAS and obesity. Data regarding effects of positive airway pressure (PAP) therapy, gold standard treatment for OSAS, on glycemic control were inconsistent due to variability in duration of and adherence to PAP therapy. In our cohort study we investigated effects of PAP treatment on glucose metabolism in normal-weighted non-diabetic OSAS patients, in obese non-diabetic OSAS patients, and in OSAS patients with DM2. We prospectively analyzed 67 patients diagnosed with OSAS and documented to be effectively treated with PAP therapy for three months. Apnea-hypopnea index was highest in the diabetic group, being significantly higher than in the normal-weighted group (p=0.021). Mean HOMA values were significantly higher in obese (p=0.002) and diabetic group (p=0.001) than normal-weighted group; the differences were still significant after PAP therapy. HbA1c levels were significantly higher in diabetic group compared to those in normal-weighted (p=0.012) and obese (p=0.001) groups. After PAP treatment, decrease in HbA1c levels were significant in normal-weighted (p=0.008), obese (p=0.034), and diabetic (p=0.011) groups. There was no correlation with the change in HbA1c levels and age (p=0.212), BMI (p=0.322), AHI (p=0.098) or oxygen levels (p=0.122). Our study showed that treatment of OSAS by PAP therapy offers beneficial effect on glucose metabolism, not only in diabetic patients, but also in obese and normal-weighted OSAS patients. Although data regarding overall effects of PAP therapy on glycemic control present contradictory results in the literature, it should be emphasized that duration and adherence to PAP therapy were main determinants for beneficial outcome of treatment.

Lege Artis Medicinae

[Insulin: alfa and omega]

KIS János Tibor, BALOGH Bernadett, KISS Zsófia, SCHANDL László

[Type 1 diabetes (T1DM) is caused by the autoimmune death of insulin-producing β-cells. In the background there is by all probability the primary antigen (if the theory of primary antigen is correct) the insulin itself or the proinsulin. However, treatment of T1DM is virtually equivalent to the insulin treatment. The earlier we recognize T1DM and start treatment, the better gly­caemic results we achieve, the more likely we can maintain all functional β-cell stocks. Insulin also plays a key role in the immunopathogenesis, development and treatment of T1DM, thus insulin is the alpha and omega in this condition.]

Lege Artis Medicinae

[Ways of treatment in traditional, complementary and integrative medicine of COVID-19]

SZÔKE Henrik, DARÓCZI Zoltán, VERZÁR Zsófia

[This study presents the results and expert opinions about the most important, amply evidence based, most widespread and af­fordable therapeutic procedures and supp­lementary preparations, which may support or and possibly replace conventional treatments. Traditional, complementary, and integrative medicine offers a number of options to enhance physical, psychic and mental resilience that may also be useful in the prevention and treatment of COVID-19 patients. It will be worthwhile to analyse the evidences of clinical experiences on potential benefits. This brief summary might serve as a useful starting point for further research on this topic.]

Hypertension and nephrology

[Changes in systolic blood pressure in the Hungárián aduit population between 2010 and 2018 based on public health screening data]


[Using our mobile public health screening system, we examined the changes in systolic blood pressure averages and systolic pressure distribution between 2010 and 2018 by analyzing the data of 72,857 women (mean age 42.3±13.9 years) and 61,563 mén (mean age 42.2±13.9 years) in three consecutive time periods. The SBP averages have been gradually and significantly decreased since 2010 in all age groups. The parametric and non-parametric characteristics of the systolic distribution curves alsó showed a favorable change during the indicated period. The observed changes may indicate that the primary and secondary prevention, as well as the treatment of hypertension and the physician-patient cooperation in Hungarywere successful in the indicated period.]