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Clinical Oncology

FEBRUARY 15, 2016

[Surgical view on the perioperative oncological treatment of liver metastases originated from colorectal cancer]

KUPCSULIK Péter

[Recent development of surgery resulted in fundamental changes in assessment of resectability of liver tumors. Surgical interventions became more radical and more effective. Colorectal liver metastasis (CLM) represents the most frequent hepatic tumor, where therapeutic options require close collaboration between surgeons and oncologists, and up-to-date approach from both. As the fact is, that CLM is a metastasis of a primary colorectal carcinoma, it seems to be obvious to apply perioperative chemotherapy. Results justify serious precaution. Neoadjuvant chemotherapy did not improve overall survival. Several data testify, that even perioperative chemotherapy is not indicated in these cases. Adjuvant chemotherapy can be applied after extended liver resections and two stages hepatectomies. About 20% of patients with initially inoperable CLM may be rendered resecable after systemic chemotherapy. Prognosis of synchron CLM is bad, 5 year survival is less than 20%. Disappearing CLM needs special respect, high level of perfection in liver surgery is essential. After chemotherapy postoperative morbidity is rising, technical diffi culties may occur. Further studies are required to examine possible effect of new targeted molecular therapy-based regimens on resectability. Individualized multidisciplinary treatment planning is mandatory.]

Hypertension and nephrology

APRIL 08, 2017

Journal of Nursing Theory and Practice

OCTOBER 30, 2016

[Delivery of the bad news communication in the pediatrics]

NÉMETH Andrea, MÁTÉ Orsolya

[The aim of the study: Evaluation of health professionals’ attitude and the circumstances of delivering bad news in a pediatric inpatient institute. Materials and methods: Exploring, quantitative and cross-section study with the help of self-administered questionnaires among doctors and nurses (n=109). The electronic software used for analysis: SPSS 20.0. Descriptive statistics, chi-squared test and ANOVA-test were applied (p<0.05). Satisfaction with the delivery of bad news and the circumstances of communication were considered as dependent variables. Demographic data, as well as experience in communication trainings/ skills in delivering bad news were defined as independent variables. Results: Health professionals working in the studied institute cannot rely on any protocol regarding the delivery of bad news. However 65.1% of respondents feel the need for a guideline. 56% of subjects did not have any education on the communication of bad news. Emotional support of parents is achieved through information materials (24.8%) and psychological guidance (60.6%). Conclusions: The study shows that in pediatric institutes it would be necessary to work out a guideline for delivering bad news and to organize communicational trainings for those involved.]

Lege Artis Medicinae

AUGUST 20, 2016

[Defending the statins]

MÁRK László

[Taking into account the frequent occurrence of coronary heart disease and the mortality related to this, it is obvious that the primary and secondary prevention of cardiovascular events is nowadays a major challenge in medicine. The lipid lowering therapy has become the basic element of the prevention and the statins are first-choice drugs in this field. Despite the great amount of the evidences coming from studies based on the principles of the evidence based medicine, the statins are frequently in the crossfire of undeserved offensives. The unexplainable reluctance to statins is frequent not only among the misled patients but among doctors too. The attitude of the latter to the treatment determines the patients’ compliance. The change of this attitude is the aim of this paper. This potential change and the continuous education of the patients are the most common possibilities for the improvement of the bad statin persistence and adherence. ]

Hypertension and nephrology

APRIL 10, 2016

Hypertension and nephrology

FEBRUARY 10, 2016

Journal of Nursing Theory and Practice

DECEMBER 30, 2014

[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. ]

Lege Artis Medicinae

NOVEMBER 20, 2014

[Education and psychological support of parents in cases of postnatally detected Down syndrome]

MÁTÉ Orsolya, KÍVÉS Zsuzsanna, OLÁH András, FULLÉR Noémi, PAKAI Annamária

[OBJECTIVE - Since the 60’s several publications dealt with the phenomenon how physicians inform parents of newborns about postnatal recognition of Down’s syndrome and the support they receive right after breaking the bad news. Howe - ver, the rest of these studies concentrated on surveying parental satisfaction, while relatively few international studies deal with the other side of the communicational situation, the opinion of the informer. Our study focused on the circumstances of parental information in Hungarian institutions of obstetrics in order to evaluate the possibilities for interventions. METHODS - The Down’s team operating at the University of Pécs Faculty of Health Sciences carried out a national survey in 2005 - an interview-based questionnaire filled by physicians of institutions of obstetrics - with the help of the National Register for Congenital Diseases of the National Centre for Epidemiology and Down’s Foun dation. RESULTS - The coverage of the survey reached 74%. Rest of the surveyed institutions did not have information protocol, however, 70% of them believes it would be necessary. Only 44% of the physicians received communication training and 81% of them believe they can manage communication, 33% have felt that the mother of a newborn with Down’s syndrome would expect special help that the institutions are unable to provide. CONCLUSION - There are serious problems with the circumstances of parental informing in Hungarian institutions of obstetrics. This situation would obviously require intervention. An aimed communicational training based on international experience and exploiting the openness of physicians, as well as the establishment of information protocol could be elements of such intervention.]