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Purpose

The aim of this study is to present a situation assessment within the framework of a comprehensive study of the social services for people with mental illness in Hungary. After setting the historical background, we describe in detail the current services, their anomalies, and the ongoing implementation of a strategy to deinstitutionalize them.

Materials and methods

We reviewed the related academic literature and systematically collected and elaborated upon legal documents, decisions, and data from national databases.

Results

We established that a paradigm shift is taking place in the social care of people with mental disorders in Hungary. The lack of human resources, the paternalistic, institution-centered attitude, the mass supply of social services in dilapidated buildings, and the stigmatization of patients are among the greatest problems. Cooperation between the health and social sectors is inadequate and, in the interests of patients, needs to be improved.

Conclusions

Hungary needs a complex, integrated, health-and-social-care supply system for people living with mental illness, one that takes into account both personal needs and assistance to recovery. In the continuation of the deinstitutionalization process, emphasis should be placed on social sensitization.

Open access

Introduction

Sepsis is a challenge for health professionals. The increasing number of cases emphasizes the importance of early recognition resulting in better survival.

Materials and methods

Questionnaires were spread focusing on the prehospital recognition, treatment, and care pathway of septic patients. After presenting an initial scenario, other sepsis-like diseases were given as diagnosis of choice and the answers were registered. After redefining the situation, the same potential diagnoses were given and the difference in correct answers was detected.

Results

The number of responders was 120. Among them, 33% of responders chose hypovolaemia, 10% allergic reaction, 2.5% endocrine disease, 30.8% systemic inflammatory response syndrome/sepsis, 0.83% internal bleeding, 0.83% drug effect, 2.5% pulmonary embolism, and 19.17% metabolic disorder as primary diagnosis with a significantly higher number of trained paramedics highlighting the correct answer. After redefining the scenario, 63% changed the diagnosis, while 37% did not change (p < .001). Further management was correctly chosen by the majority of responders.

Discussion

The small number of correct answers from non-paramedics highlights the need for more education in identifying the pitfalls of early recognition and therapy of those who attend patients first.

Conclusion

Trained paramedics recognize the sepsis better than other representatives, necessitating the introduction of new guidelines.

Open access
Acta Alimentaria
Authors:
A. Nath
,
S. Mondal
,
A. Csighy
,
M.A. Molnár
,
K. Pásztorné-Huszár
,
Z. Kovács
,
A. Koris
, and
Gy. Vatai

In the dairy industry different types of prebiotics, such galacto-oligosaccharide, lactulose, lactosucrose, tagatose, lactitol, lactobiono- and glucono-δ-lactone are synthesized through different chemical and biochemical reactions (hydrolysis, transgalactosylation, isomerization, fructosyl-transfer, reduction, and oxidation) as well as microbial fermentation processes using raw whey or isolated lactose as feedstock. Lactose-derived prebiotics have several functional and nutritional values. The biochemical activities of lactose-based prebiotics are expressed in the presence of probiotics (lactic acid bacteria, yeasts, Bacillus spp.). Galacto-oligosaccharide and lactosucrose reduce the risk of bowel disorder (diarrhea), inflammatory bowel disease (ulcerative colitis and crohn’s disease), and colon cancer. Galacto-oligosaccharide helps colonic absorption of minerals (iron, magnesium and calcium) and prevents osteoporosis. Lactulose, galacto-oligosaccharide, and lactitol promote laxative activity. Furthermore, lactulose may decrease the risk of hepatic encephalopathy. Prebiotics have low calorific value and glycemic index. Galacto-oligosaccharide and tagatose reduce the risks of hyperglycemia (Type 2 diabetes) and low density lipid (lipoprotein) accumulation in blood stream. Moreover, prebiotics improve immunomodulation, which reduces the risk of respiratory infection and allergies. This review describes unique biochemical mechanisms of several types of lactose-derived prebiotics.

Open access

Abstract

The aim of our research was to study the water and ethanol extractable polyphenols of stinging nettle (Urtica dioica L.) harvested in different seasons and to determine their antimicrobial activity against certain human pathogenic and food spoiling bacteria and yeasts.

Our results indicate that the spring leaf extracts had higher polyphenol contents than the root one; however, close to the end of the vegetation period these values decreased considerably in both leaves and roots. Detection and quantification of the most abundant phenolic compounds in the spring extracts by HPLC revealed the occurrence of 12 different phenol carboxylic acids and flavonoids. Flavonoid compounds were more abundant than phenol carboxylic acids in the leaves; however, their proportion was equal in the case of the roots. Nettle leaf extracts had remarkable antimicrobial activity, the spring extracts were more efficient than the autumn ones. Escherichia coli and Staphylococcus aureus were sensitive to every leaf extract, while Listeria monocytogenes and Pseudomonas aeruginosa had reduced but remarkable sensitivity patterns. Among the yeasts, Candida glabrata was strongly inhibited by the aqueous leaf extracts. Most of the strains were insensitive to the root extracts, although Enterococcus faecalis was inhibited by the root and not the leaf extracts.

Open access