{"title":"Epidemiology and antibiotic resistance trends of Pantoea species in a tertiary-care teaching hospital: A 12-year retrospective study","authors":"M. Gajdács","doi":"10.1556/2066.2.2019.009","DOIUrl":"https://doi.org/10.1556/2066.2.2019.009","url":null,"abstract":"\u0000 \u0000 \u0000 Pantoea species are pigmented, Gram-negative rods belonging to the Enterobacterales order. They are considered rare, opportunistic pathogens and are mostly implicated in nosocomial outbreaks affecting neonates and immunocompromised patients. The aim of this study was to describe the prevalence and antibiotic susceptibility of Pantoea species during a 12-year period.\u0000 \u0000 \u0000 \u0000 This retrospective study was carried out using microbiological data collected between January 1, 2006 and December 31, 2017. Patients’ data such as age, sex, inpatient/outpatient status, and empiric antibiotic therapy were also collected. Antimicrobial susceptibility testing was performed using E-tests; the interpretation was based on European Committee on Antimicrobial Susceptibility Testing breakpoints for Enterobacterales.\u0000 \u0000 \u0000 \u0000 Seventy individual Pantoea spp. isolates were identified; the most frequently isolated species was Pantoea agglomerans. Most isolates were susceptible to relevant antibiotics. In 61 out of 68 patients, ampicillin was the empirically administered antibiotic. The highest levels of resistance were to amoxicillin–clavulanic acid and ampicillin. No extended spectrum beta-lactamase-positive isolate was detected.\u0000 \u0000 \u0000 \u0000 There is a scarcity of data available on the susceptibility patterns of Pantoea species, but our results correspond to what we could find in the literature. The development of multidrug-resistant (MDR) Gram-negative bacteria is a grave concern, and the development of MDR Pantoea spp. may be expected in the future.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75515941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
É. Kovács, I. Sztruhár, L. Mészáros, Zsigmond Gyombolai, András Simon, Valéria Farkas
{"title":"Comparative analysis of functional mobility among Hungarian community-living and institutionalized elderly individuals","authors":"É. Kovács, I. Sztruhár, L. Mészáros, Zsigmond Gyombolai, András Simon, Valéria Farkas","doi":"10.1556/2066.2.2019.007","DOIUrl":"https://doi.org/10.1556/2066.2.2019.007","url":null,"abstract":"\u0000 \u0000 Reduced functional mobility is a risk factor for falls. The Timed Up and Go test is a complex measurement tool for functional mobility. Our aims were to assess the functional mobility of: (a) community-living elderly who were participating in an exercise programme (n = 40; mean age = 73.7 years), (b) community-living elderly who were physically inactive (n = 40; mean age = 74.1 years), and (c) institutionalized elderly (n = 40; mean age = 73.5 years) and to compare the results with cut-off values for risk of fall.\u0000 \u0000 \u0000 \u0000 After measuring functional mobility, one-way independent ANOVAs and sample t-tests were used for analysis.\u0000 \u0000 \u0000 \u0000 The functional mobility of the active participants was better than that of the inactive (p < .001) and institutionalized participants (p < .001). There was no significant difference between the inactive and institutionalized participants (p = .990). The functional mobility of the active participants was better, whereas the functional mobility of the inactive participants was worse than the cut-off value of 13.5 s for risk of fall for community-living elderly. The functional mobility of the institutionalized participants did not differ from the 15-s reference value for predicting risk of fall.\u0000 \u0000 \u0000 \u0000 The results indicate that regular physical activity has a positive effect on maintaining functional mobility among both community-living and institutionalized elderly individuals.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"129 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76400741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between daily physical activity, subjective sleep quality, and mood in sedentary Hungarian adults: A longitudinal within-subjects study","authors":"J. Takács, Ľ. Török","doi":"10.1556/2066.2.2019.013","DOIUrl":"https://doi.org/10.1556/2066.2.2019.013","url":null,"abstract":"\u0000 \u0000 This study investigated the day-to-day variability of daily physical activity and its effect on sleep and mood in a longitudinal within-subjects study for 7 days and 6 nights.\u0000 \u0000 \u0000 \u0000 Healthy office employees aged 25–35 years with a sedentary lifestyle participated in the study. Seven-day sleep diaries were used to evaluate sleep patterns. Ten-point scales were used to measure the level of happiness and stress. Daily physical activity was measured in steps/day using pedometers. Two hundred forty-five steps/day scores and changes induced in sleep and mood were analysed.\u0000 \u0000 \u0000 \u0000 There is a relationship between daily physical activity and sleep/mood. An inverted U-shaped relationship may be assumed between sleep duration, sleep quality, feelings after waking up, and the number of steps/day. Increasing the number of steps/day decreases the level of stress and daytime sleepiness and increases sleep efficiency. Sleep efficiency/daytime sleepiness and sleep duration did not show any association.\u0000 \u0000 \u0000 \u0000 Based on the results, after a physically exhausting day, decreased stress and improved sleep efficiency may be experienced, while sleep duration may decrease, which may reduce the participants’ motivation to develop an active lifestyle. For further studies, it would be crucial to use individual exercise intervention programmes to reinforce the positive effects of exercise on sleep and/or mood.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79969585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effectiveness of training given to nurses for reducing ventilator-associated pneumonia in intensive care patients","authors":"Hatice Oner Cengiz, Nevin Kanan","doi":"10.1556/2066.2.2019.006","DOIUrl":"https://doi.org/10.1556/2066.2.2019.006","url":null,"abstract":"\u0000 \u0000 The aim of this study it to determine the effect of training intensive care unit (ICU) nurses in reducing ventilator-associated pneumonia (VAP).\u0000 \u0000 \u0000 \u0000 A quasi-experimental (single group, pre-test–post-test) model was used. The study was conducted in 2015, in nine adult ICUs in Istanbul, where we observed the VAP rate and trained study group nurses. Sixty nurses were given two VAP training sessions (averaging 45 min each) at intervals of 6 months. Forty-nine nurses were in the control group. Data were collected with an Introductory Information Form, a VAP Information Test, and an Application Status of VAP Preventive/Reducing Initiatives Form. The incidences of VAP in 2014 and 2015 were also compared. Frequencies, percentages, means, standard deviations, t-tests, Wilcoxon tests, and χ2 tests were used to evaluate the data. The values of p less than .05 were considered significant.\u0000 \u0000 \u0000 \u0000 The mean-total-knowledge score increased significantly in the study group. The application of preventive/reducing initiatives also increased significantly in the study group, but in the last measurement, the difference between the groups was not statistically significant. The incidences of VAP decreased significantly in the study group.\u0000 \u0000 \u0000 \u0000 The study showed that the VAP training given to intensive care nurses increased their knowledge level and decreased the incidence of VAP in their ICUs.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"85 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86907943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Training Hungarian neonatal transport nurses in screening for retinopathy of prematurity with telemedicine","authors":"Z. Somogyvári, E. Maka, J. Németh, Z. Nagy","doi":"10.1556/2066.2.2019.011","DOIUrl":"https://doi.org/10.1556/2066.2.2019.011","url":null,"abstract":"\u0000 \u0000 Remote screening for retinopathy of prematurity by wide-field digital imaging and network telemedicine is increasingly used to prevent blindness without the unnecessary transport of infants. Our purpose was to train and license dedicated neonatal transport nurses to do this in Hungary.\u0000 \u0000 \u0000 \u0000 We developed a complex, four-step curriculum in mobile retinotelemetry. Using a robust selection process, we invited eight transport nurses (NtNP/RtN) to receive training during the 2008–2017 project. The curriculum started with the basics of ophthalmology. Using an artificial eye, it continued with the theory and practice of ophthalmologic exams. Then, supervised by an ophthalmologist, each nurse performed 50 video recordings of anaesthetized and non-anaesthetized infants.\u0000 \u0000 \u0000 \u0000 After demonstrating their competence, five of the eight candidate nurses received a license for retinotelemetry. During their subsequent practice, they had to undergo case reviews half-yearly by a specialist and renew their license every 2–3 years. During the 2008–2016 period, we analysed 7,177 remote screenings from a training perspective. During January 1–August 31 in 2017 period, we analysed extra data from 795 remote screenings of 332 infants from specific prevention perspectives.\u0000 \u0000 \u0000 \u0000 With the cooperation of preexisting neonatal transport service and the ophthalmological reading centre of a university hospital, a mobile telemedicine screening network was successfully developed in Hungary. Our results demonstrate how retinotelemetry can support different levels of prevention medicine. The network should work effectively and efficiently with continuous professional development.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73827302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing approach to the use of buttonhole and rope ladder cannulation of arteriovenous fistula based on a survey in Nigeria","authors":"M. Jared, V. Rajki","doi":"10.1556/2066.2.2019.008","DOIUrl":"https://doi.org/10.1556/2066.2.2019.008","url":null,"abstract":"\u0000 \u0000 The main purpose of this study is to examine the nursing aspect of two types of cannulation techniques and to investigate the outcomes of using cannulations on an arteriovenous fistula, as well as analysing their impact on outcome.\u0000 \u0000 \u0000 \u0000 Data were collected using a self-developed questionnaire. Data were obtained from haemodialysis (HD) patients in Rivon Dialysis Centre in the city of Rivers State named Port Harcourt with over 60 HD patients and with over 15 HD nurses. Only 50 patients met the inclusive criteria after answering the questionnaire, 25 for rope ladder (RL) and 25 for buttonhole (BH) and 10 nurses chosen answered the questionnaire.\u0000 \u0000 \u0000 \u0000 This study revealed that patients who are using the BH cannulation technique reported a better outcome than the RL group patients. Patients reported lower occurrence of complication, for instance, out of 25 patients, 8 of them using the BH and 15 of them using the RL reported to have infection.\u0000 \u0000 \u0000 \u0000 Based on the results, it is possible to conclude that the patients who are cannulated with the RL cannulation technique have a higher risk of experiencing complications than the patients using the BH site cannulation technique.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"133 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79390238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factors contributing to post-traumatic growth following breast cancer: Results from a randomized longitudinal clinical trial containing psychological interventions","authors":"O. Zsigmond, A. Vargay, E. Józsa, É. Bányai","doi":"10.1556/2066.2.2019.005","DOIUrl":"https://doi.org/10.1556/2066.2.2019.005","url":null,"abstract":"\u0000 \u0000 The purpose of this study was to explore the factors influencing post-traumatic growth in breast cancer patients during 3 years after diagnosis.\u0000 \u0000 \u0000 \u0000 Our longitudinal study involved 71 medium and high-risk breast cancer patients, who received special attention and either hypnosis or music psychological intervention while receiving the same chemotherapy protocol. The influences of the interventions, as well as the demographic (age, marital status, and educational level) and psychosocial factors (coping, post-traumatic stress, and well-being), on post-traumatic growth were explored.\u0000 \u0000 \u0000 \u0000 The results showed that over 97% of our patients experienced post-traumatic growth. It was positively associated with Quality of Life domains 3 years after diagnosis, and with Psychological Immune Competence cumulative scores after treatment and 3 years after diagnosis. Psychological Immune Competence, emotional severity of post-traumatic stress symptoms, and the social support scale of Quality of Life explained 33.9% of the variance of post-traumatic growth.\u0000 \u0000 \u0000 \u0000 The results confirm that positive coping strategies, emotional severity of post-traumatic stress symptoms, and social support contribute to post-traumatic growth, and that post-traumatic growth has a weak to moderate association with quality of life.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75276417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Likelihood of healthy eating among adolescents based on the health belief model","authors":"K. Szabó, B. Piko","doi":"10.1556/2066.2.2019.004","DOIUrl":"https://doi.org/10.1556/2066.2.2019.004","url":null,"abstract":"\u0000 \u0000 Maintaining appropriate eating habits is one of the key components of good health. It is especially difficult during adolescence, a critical period in life because of the increased autonomy and the intention to take risks. Investigating the theoretical background of adolescents’ eating behaviour is therefore a worthwhile line of research. We applied the widely used health belief model to explore adolescents’ likelihood of healthy eating.\u0000 \u0000 \u0000 \u0000 A sample of adolescents (Szeged, Hungary; N = 400, age = 14–19 years; mean age = 16.01 years, SD = 1.18 years; 37% males) participated in the study. Data were collected through online, self-administered/anonymous questionnaires. Based on bidirectional correlations of the variables, we used a path analysis to examine relationships between elements of a modified health belief model.\u0000 \u0000 \u0000 \u0000 Our modified model showed the direct impacts of cues to action, benefits, barriers, and self-efficacy, and the indirect impacts of perceived severity and susceptibility-via-cues-to-action on the likelihood of healthy eating.\u0000 \u0000 \u0000 \u0000 Elements of the health belief model play a decisive role in estimating adolescents’ healthy eating behaviour. We suggest that the model can serve as a useful theoretical background in planning and evaluating prevention programs to reduce obesity and promote healthy eating.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"342 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76912676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with chronic low-back pain","authors":"Regina Finta, I. Polyák, T. Bender, E. Nagy","doi":"10.1556/2066.2.2019.003","DOIUrl":"https://doi.org/10.1556/2066.2.2019.003","url":null,"abstract":"\u0000 \u0000 We examined the effects of exercise therapy on postural stability, multifidus thickness, and pain intensity in patients with low-back pain.\u0000 \u0000 \u0000 \u0000 Subjects were divided into a chronic low-back pain (CLBP; n = 10) group and a healthy control (C; n = 10) group. Group CLBP took part in an 8-week training programme, whereas group C did not. The thickness of the multifidus in both groups was assessed using ultrasonography before and after 8 weeks, in prone and kneeling positions, in relaxed and contracted states. A standing heel-raising test was used to assess postural stability.\u0000 \u0000 \u0000 \u0000 After the intervention in group CLBP, the thickness of the contracted multifidus increased in the prone position, whereas the thickness of both the contracted and relaxed multifidus decreased in the kneeling position. In group C after 8 weeks, multifidus thickness decreased in both positions, while both relaxed and contracted. Group C performed the standing heel-raising test significantly better than group CLBP before the 8-week period. After the training, group CLBP improved significantly, but no changes were found in group C.\u0000 \u0000 \u0000 \u0000 Changes in thickness of the multifidus correlate with improved postural stability and decreased pain intensity. Decreasing thickness in healthy individuals may be an early sign of developing CLBP.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73758742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The incidence of malnutrition between 1 and 5 years of age on the basis of the preventive primary care data","authors":"M. Kádár, G. Szőllősi, S. Molnár, L. Szabó","doi":"10.1556/2066.2.2019.002","DOIUrl":"https://doi.org/10.1556/2066.2.2019.002","url":null,"abstract":"\u0000 \u0000 Malnutrition inhibits children from normal development and leads to irreversible consequences with respect to mental and physical performance.\u0000 \u0000 \u0000 \u0000 We analysed the aggregate data in the 2013–2015 reports of regional visiting nurses on the nutritional status of Hungarian children at the ages of 1, 3, and 5 years. In the regions of Hungary, stratum-specific proportions were calculated with 95% confidence intervals for the proportion of children with lower than a 10th percentile score.\u0000 \u0000 \u0000 \u0000 The proportions of malnutrition among children whose score was below the 10th percentile nationwide were 8.14% [8.03%–8.25%] at age 1, 6.87% [8.03%–8.25%] at age 3, and 5.68% [5.59%–5.78%] at age 5. In all three age groups, the proportion of children below the 10th percentile was significantly lower in the Central Hungarian region than in the national reference proportion and in Northern Hungary and the Southern Great Plain.\u0000 \u0000 \u0000 \u0000 These results indicate that Hungary’s incidence of malnutrition is no better than the worldwide average. To improve this situation, Hungarian healthcare professionals must at least begin following a precise, standardized protocol for the compulsory assessment of nutritional status in the framework of their reporting on the primary care of children.\u0000","PeriodicalId":52607,"journal":{"name":"Developments in Health Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78018673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}