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Factors associated with postural control in nursing home residents

Oral presentation at the 13th Conference of the Hungarian Medical Association of America – Hungary Chapter (HMAA-HC) at 30–31 August 2019, in Balatonfüred, Hungary

Authors: R.L. Erdős, I. Jónásné Sztruhár, A. Simon and É. Kovács

Abstract

Purpose

Decline of the sensory and motor systems in older people negatively affects postural control. This increases the risk of falls, which is dangerous for older people in long-term care. Being aware of the quality of postural control and the factors affecting it among elderly people, is crucial in implementing an effective fall-prevention program. This study aimed to measure postural control and the demographic, health-related, and functional factors presumed to be correlated with it among nursing home residents. Another aim was to find valid screening tools based on these factors.

Materials and methods

Seventy one nursing home residents were included. Postural control was measured using the Berg Balance Scale. Grip strength, the 30-s chair stand test, and the Timed Up and Go test were used to measure global muscle strength, and functional mobility, respectively. The results of these functional tests were dichotomized using age-specific reference values.

Results

Postural control was significantly worse in those who did not reach the age-specific reference values in any of the three functional tests. Effect sizes were large for functional mobility and medium for muscle strength. Multimorbidity and gender had no effect on postural control in our sample.

Conclusions

Among nursing home residents, postural control is related to functional mobility and muscle strength. Thus, routine testing of these skills among elderly people is an important task of the physiotherapist.

Open access

History of cataract surgery from ancient times to today

Honorary Lecture at the 13th Conference of the Hungarian Medical Association of America – Hungary Chapter (HMAA-HC) at 30–31 August 2019, in Balatonfüred, Hungary

Author: Z. Z. Nagy

Abstract

Cataract surgery is the most frequently performed ophthalmic surgery worldwide. This year approximately 32 million surgeries will be performed. The journey to modern, quick, and safe cataract surgery has been quite long. This review covers topics from ancient couching to the most modern phacoemulsification and femtosecond laser-assisted cataract surgery. The gain in quality of life is the largest with cataract surgery compared to other implant surgeries (e.g. knee, hip replacement, etc.). Ophthalmology has made huge advancements in recent decades. New microsurgical tools and diagnostic equipment have been developed, together with new surgical methods and foldable intraocular lenses, made from biocompatible material. From monofocal lenses, through aspheric, toric, and multifocal lenses, to multifocal toric lenses, today almost all kinds of refractive error can be compensated, including presbyopia. Teamwork, precise preoperative assessment, and fine surgical technique should also be emphasized in order to achieve the best and most predictable postoperative results for both patient and surgeon.

Open access

Abstract

Although Ethiopia is one of the Heavily Indebted Poor Countries (HIPC), there is a lack of empirical studies about the determinants of its external indebtedness. This paper aims to fill this gap by examining the macroeconomic determinants of the external indebtedness of Ethiopia between 1981 and 2016, using the two- and three-gap models as a theoretical framework and an autoregressive distributed lag bound testing approach. The result shows that in the long run, the savings-investment gap, trade deficit, fiscal deficit, and debt service have a positive and significant impact on external indebtedness. However, the growth rate of gross domestic product, trade openness, and inflation negatively and significantly affect the external indebtedness of the country. These results coincide with the predictions of the two- and three-gap models of the theoretical framework. The study argues that appropriate macroeconomic, social, and supply-side policies are essential to reducing the external indebtedness of Ethiopia.

Open access

Nutritional intake and body composition in children with inflammatory bowel disease

Oral presentation at the 13th Conference of the Hungarian Medical Association of America – Hungary Chapter (HMAA-HC) at 30–31 August 2019, in Balatonfüred, Hungary

Authors: H. K. Pintér, K. K. Boros, E. Pálfi and G. Veres

Abstract

Purpose

In this study we assessed nutritional intake, body composition, and their relationship in patients with paediatric inflammatory bowel disease (IBD).

Methods

We conducted a longitudinal, prospective study of 38 patients' nutritional intake using 3-day food records (FR) and bioimpedance analysis of body composition. FR were evaluated by Nutricomp DietCAD software. Results were analysed with Microsoft Excel 2013 and IBM SPSS Statistics 22 software.

Results

Patients treated with biological and conventional therapy (CT) had a higher intake of vegetable protein and carbohydrate from starch than those treated earlier with exclusive enteral nutrition (EEN) in the remission phase (F = 5.926, F = 5.130, P < 0.05). The former EEN group had a higher intake of iron compared to the other two groups (F = 3.967, P = 0.036). Protein intake and fat-free mass (FFM) had a significant positive correlation, while added sugar correlated with body fat mass (BFM) in the same way (R 2 = 0.122, R 2 = 0.169, P < 0.05). Body-fat mass in patients of the biological therapy (BT) group overstepped the healthy median, and the FFM in the EEN group stayed under it.

Conclusions

Our results confirm that it is essential to monitor body composition and not only measure body weight. Patients should be advised based on their body composition, therapy, and phase of the disease.

Open access

Abstract

By now, there is no doubt that regular physical exercise has an overall beneficial effect on each organ of the body. However, the effects of highly competitive sports (HCS) are more complex, as they exert greater demands on the cardiovascular and metabolic systems, among others. Strength, athletic, and aesthetic sport types each has a different exercise intensity and nutritional loading, as well as a different prevalence of cardiometabolic diseases at a later age. HCS athletes experience hypertension and mental stress during competitions and high nutritional loads between them. The post-career effects of this behaviour on the heart, arteries, cellular metabolism, and risk of obesity, are not well known and are not often the focus of research. In this review, we aimed to summarize the post-career effects of HCS. Based on data in the literature, we propose that athletes involved in highly competitive strength sports progressively develop metabolic syndrome and sustained elevated blood pressure.

Open access

Postpartum female sexual dysfunctions in Hungary: A cross-sectional study

Oral presentation at the 13th Conference of the Hungarian Medical Association of America – Hungary Chapter (HMAA-HC) at 30–31 August 2019, in Balatonfüred, Hungary

Authors: K. Szöllősi and L. Szabó

Abstract

Purpose

Although the prevalence of sexual dysfunction after delivery is generally considered high, this has not been well examined in Hungary. The aim of our study was to evaluate female sexual function at 3-months postpartum and to investigate some of the possible predictor factors which might influence it.

Materials and Methods

We designed a cross-sectional study using online questionnaires and recruited 253 participants. Risk factors such as infant-feeding method and urinary incontinence were assessed for a potential relationship with sexual dysfunction. The Female Sexual Function Index (FSFI) was used to assess sexual function. We wrote our own questions about potential predictors.

Results

48.79% of participants reported sexual dysfunction according to total FSFI score (M = 25.16, SD = 7.00). A significant relationship was found between infant-feeding method and sexual dysfunction (P = 0.003). Sexual dysfunction was more common in exclusive-breastfeeding mothers than in mixed or formula-feeding mothers. Women with urinary incontinence had significantly lower total FSFI scores (P = 0.006), and in the arousal (P = 0.033), lubrication (P = 0.022), satisfaction (P = 0.006) and pain (P = 0.032) domains compared to women with no incontinence problem.

Conclusions

Women suffering from urinary incontinence are more likely to have sexual problems, especially a higher risk of dyspareunia and a lower level of sexual interest and wetness. Exclusive breastfeeding has a negative effect on sexual function.

Open access
Authors: Óscar Brito Fernandes, Mukhethwa Netshiombo, László Gulácsi, Niek S. Klazinga, Márta Péntek and Petra Baji

Abstract

The South African Ministry of Health has recognized experiences of care as key to strengthen patient-centred care. This case study aims to measure patient-reported experiences of care at a clinic in South Africa, and its associations with the respondents' sociodemographic characteristics. A survey was conducted in 2019 on a convenience sample of 179 respondents. Questions on experiences of care were based on a standardised set of questions by the Organization for Economic Co-operation and Development (OECD). Logistic regression was used to examine the effects of respondents' characteristics on their experiences. The proportion of respondents who reported that a nurse spent adequate time with them during consultation was significantly higher among literate respondents (92.3 vs. 79.5%). Those who reported past negative experiences were significantly more likely to report a positive experience in regard to perceiving adequate consulting time (odds ratio = 3.865, with a 95% confidence interval between 1.555 and 9.607), receiving easy-to-understand explanations (4.308; 1.665–11.145), being given the opportunity to ask questions (2.156; 1.013–4.589) and shared decision–making (3.822; 1.728–8.457). The results can spur comparisons with other clinics in a similar setting and inform key stakeholders on aspects of the care experience that need greater improvement within the national framework for quality and safety assurance and patient experience measurement.

Open access
Authors: Giordano Novak Rossi, Eduardo José Crevelin, Gabriela de Oliveira Silveira, Maria Eugênia Costa Queiroz, Mauricio Yonamine, Jaime Eduardo Cecilio Hallak and Rafael Guimarães Dos Santos
Open access
Authors: Ahmed S. Al-Zuhairi, Alaa H. Altimimy, Ali T. Al-Aqbi and Hazim M. Al-Kargole

Abstract

Growing ramification in WSN contemplations are not restricted to routing, construction of protocols, dynamic of mobile nodes and infrastructure of the network. Although transcended to geometric level demonstrated as computational and dynamical geometries in spite of graph theory. In this paper we present step forward recognition features of a network devoted to solve the problem of reconstructing the disconnected network by connecting any disconnected chains. It considers geometrical properties of random depletion nodes deviated from unit grid. Number of chains and number of nodes in each chain are calculated with the average number of connections to a total nodes and longest chain. Histogram represented number of chains and numbers of nodes for each chain are used to show fragmentation of the network. Algorithm included a method to translate adjacent matrix to chain matrix and vice versa to check the agreement of initial case with the results. The amount of chain deviation and average connections per node for longest connected chain and for the total network are drawn as bar charts and conduct interpretations.

Open access