Journal of Nursing Theory and Practice

[The History of the Founding of the first State School of Nursing ]

SÖVÉNYI Ferencné, PERKÓ Magdolna, FEDINECZNÉ Vittay Katalin

JUNE 30, 2020

Journal of Nursing Theory and Practice - 2020;33(3)

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Journal of Nursing Theory and Practice

[Remembering Judit Mészáros]

BALOGH Zoltán, HIRDI Henriett Éva

Journal of Nursing Theory and Practice

[BLS Quality Assessment – The Effectiveness of Telephone Cardiopulmonary Resuscitation Inst­ruction]

KÖCSE Tamás, MÁTÉ Martin, HORVÁTH Balázs, PAKAI Annamária, MÁTÉ-PÓHR Kitti

[The aim of the presented study is to monitor the effectiveness of BLS, to investigate its effectiveness in laymen’s groups, and to compare whether non-instructional or T-CPR is more effective. Our quantitative, cross -section study was conducted on the open day of 112 Call Center in Szombathely. The target group consisted of visiting lay people who signed a statement of consent to process their observation results (n = 19). Descriptive statistics were calculated using IBM SPSS for Windows 22.0 and Fisher-exact test and independent samples T-test (p <0.05). In the case of chest compressions, all parameters examined were more effective during manual resuscitation with telephone instruction. Without instructions, it takes an average of 12 sec. from the rescue call to start the compression, in the situation where instruction takes an average of 1 m. 25 sec. Our results suggest that T-CPR takes longer to complete chest compressions than non-instructed cases, but overall, chest compressions are more effective. ]

Journal of Nursing Theory and Practice

[Examination of Parental Treatment among Outgoing Ambulance Workers]

MOSKOLA Vladimír, SUSÁNSZKY Éva, SZÉKELY Andrea, HORNYÁK István, OZSVÁRT Barbara, NÉNINGER Tibor, BALOGH Zoltán

[The development of the family, family relations and family socialization play a decisive role in becoming an adult and in the development of later forms of behavior. Parental treatment is closely related to problem-solving skills, which is why they can influence adequate responses to unexpected situations in ambulance care. The aim of the study: to explore and analyze the parental attitudes and behaviors that emerged during the upbringing of outgoing ambulance workers and can be related to the demographic, socio-economic characteristics of the study sample, as well as work, workplace and health behaviors. The survey was conducted between the employees of the National Ambulance Service and the participants of the National Ambulance Professional Section of the HHCP. In addition to demographic, workplace, and health status questions, the authors surveyed a shortened, 23-question version of the Egna Minnen Beträffande Uppfostran (s-EMBU) questionnaire developed by Perris et al. SPSS version 25.0 was used for statistical analyses. Types of analyses included descriptive statistics, two-sample t-test, correlation calculation, analysis of variance. The authors found striking correlations between religion, especially school graduation and female gender, as well as restrictive and gay parental treatment. The maternal rejection and paternal overprotection have been shown to be prominent among people those working in the capital, with the correlation that the “diversity” provided by the big city is particularly conducive to breakaway behavior and good social relationships. The parental restriction, as one of the characteristic parental behaviors revealed in our research, and its positive relationship with religiosity and higher school graduation in the part of Emergency Medical officers who work in higher positions raises the possibility that the professional appearance of helping and life-saving activities is influenced by religiosity and the resulting development of moral and social sensitivity during upbringing. ]

Journal of Nursing Theory and Practice

[Examination of the Strength of Core- and Perineal Muscles in Case of Different Movements]

KISS Noémi, BAJSZ Viktória, PAKAI Annamária, CSÁSZÁR Gabriella Edit

[Aims of the study: to measure the strength of core-, perineal muscles in three groups, to compare different exercises for the aspect of these muscles. 11 sedentary-, 10 women’s doing Pilates, 13 inactive female sudent’s core- and perineal muscles were measured in longitudinal study by DAVID-machine, modified Plank-test, FemiScan at Univerity of Pécs, Faculty of Health Sciences, Zalaegerszeg, 2016. february-november. Data analysis: ANOVA, Scheffe Post Hoc test, two-tailed T-test. The TS-group’s muscles became more symmetrical (p=0.043). According to Plank test, the TS-group’s 3th result became stronger than FH-group (p=0.001) and the PT-group (p=0.018) at first. About the perineal-muscles: usually the PT-group achieved the best results. The FH-group’s perineal-muscles in case of relaxation were significantly symmetrical (p=0.038) than the TS-group’s after training. Pilates-method turned out to be effective to improve the strength and stamina of core muscles. Core-training is effective to improve core muscles, but not enough for perineal muscles with the given frequency and intensity. ]

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[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.]

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[The Comprehensive Aphasia Test in Hungarian]

ZAKARIÁS Lilla, RÓZSA Sándor, LUKÁCS Ágnes

[In this paper we present the Comprehensive Aphasia Test-Hungarian (CAT-H; Zakariás and Lukács, in preparation), an assessment tool newly adapted to Hungarian, currently under standardisation. The test is suitable for the assessment of an acquired language disorder, post-stroke aphasia. The aims of this paper are to present 1) the main characteristics of the test, its areas of application, and the process of the Hungarian adaptation and standardisation, 2) the first results from a sample of Hungarian people with aphasia and healthy controls. Ninety-nine people with aphasia, mostly with unilateral, left hemisphere stroke, and 19 neurologically intact control participants were administered the CAT-H. In addition, we developed a questionnaire assessing demographic and clinical information. The CAT-H consists of two parts, a Cognitive Screening Test and a Language Test. People with aphasia performed significantly worse than the control group in all language and almost all cognitive subtests of the CAT-H. Consistent with our expectations, the control group performed close to ceiling in all subtests, whereas people with aphasia exhibited great individual variability both in the language and the cognitive subtests. In addition, we found that age, time post-onset, and type of stroke were associated with cognitive and linguistic abilities measured by the CAT-H. Our results and our experiences clearly show that the CAT-H provides a comprehensive profile of a person’s impaired and intact language abilities and can be used to monitor language recovery as well as to screen for basic cognitive deficits in aphasia. We hope that the CAT-H will be a unique resource for rehabilitation professionals and aphasia researchers in aphasia assessment and diagnostics in Hungary. ]

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Lege Artis Medicinae

[Dear Reader! Greetings to the 30th anniversary of founding the LAM]

KAPÓCS Gábor

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[Cases of inborn errors of metabolism diagnosed in children with autism ]

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[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.]