7 research outputs found
A pozitĂv csalĂĄdtervezĂ©s gyakorlata az OrszĂĄgos GyermekegĂ©szsĂ©gĂŒgyi IntĂ©zetben â az elmĂșlt hat Ă©v tĂŒkrĂ©ben = Current Practice of Positive Family Planning Service in the National Institute of Child Health in the Last Six Years
A pozitĂv csalĂĄdtervezĂ©s cĂ©lja a koraszĂŒlĂ©s Ă©s a veleszĂŒletett rendellenessĂ©gek megelĆzĂ©se. Az ebben az idĆszakban alkalmazott primer prevenciĂłs modellek a gyakori halĂĄlokokat jelentĆ betegsĂ©gek megelĆzĂ©sĂ©t is lehetĆvĂ© teszik. Az OrszĂĄgos GyermekegĂ©szsĂ©gĂŒgyi IntĂ©zet (OGYEI) kĂŒldetĂ©sĂ©nek tekinti a prekoncepcionĂĄlis egĂ©szsĂ©g Ă©s Ăgy az anya Ă©s csecsemĆ egĂ©szsĂ©gĂ©nek fejlesztĂ©sĂ©t. A jelen közlemĂ©ny az intĂ©zet csalĂĄdtervezĂ©si osztĂĄlyĂĄnak gyakorlatĂĄt Ă©s az elmĂșlt hat Ă©v munkĂĄjĂĄt mutatja be.
The aim of positive family planning is to prevent preterm delivery and congenital abnormalities. Using primer prevention models at this time helps to prevent the common disorders which are the leading causes of death. The mission of the National Institute of Child Health is to promote preconceptional health and thus, mother and babyâs health. This article introduces the practice of our instituteâs family planning department and the last six yearsâ experiences
Seasonal changes in relative contribution of environmental control and spatial structuring on different dispersal groups of stream macroinvertebrates
Does isolation influence the relative role of environmental and dispersal-related processes in stream networks? An empirical test of the network position hypothesis using multiple taxa
SZEXUALITĂS ĂS TĂRSADALMI TĂKRĂZĆDĂSE. Intim szĂ©psĂ©g = SEXUALITY AND SOCIAL REFLECTION. Intimate beauty
Napjaink nyugati kultĂșrĂĄja erĆsen hangsĂșlyozza a âkinĂ©zet mindenâ elvĂ©t. A mĂ©dia folyamatosan azt ĂŒzeni, hogy sikeresnek, fiatalnak Ă©s szĂ©pnek kell lenni Ă©s maradni. Az ĂŒzenet nem hatĂĄstalan, hiszen az USA-ban több milliĂĄrd dollĂĄrt költenek a megjelenĂ©sĂŒk fokozĂĄsĂĄra az emberek (Rossman, 2017).A szĂ©psĂ©g tĂĄg fogalom, a törtĂ©nelem sorĂĄn majdâ minden kor megalkotta a maga ideĂĄljĂĄt, amelyet az adott kultĂșra erĆsen befolyĂĄsolt. Az Ćskorban a Willendorf-i VĂ©nusz teltkarcsĂș vonalai a termĂ©kenysĂ©get Ă©s az akkori tökĂ©letessĂ©get testesĂtettĂ©k meg. Az Ăłkorban az arĂĄnyos, lĂĄgy alkat adott örök szabĂĄlyrendszert a szĂ©psĂ©g ĂĄbrĂĄzolĂĄsĂĄhoz. A barokk kor ma elhĂzottnak ĂtĂ©lt, gömbölyded szĂ©psĂ©gei az akkori idĆkben a jĂłltĂĄplĂĄltsĂĄg Ă©s az egĂ©szsĂ©g megtestesĂtĆi voltak
A csalĂĄdtervezĂ©s MagyarorszĂĄgon: mĂșlt Ă©s jelen = Family planning in Hungary: past and present
A perikoncepcionĂĄlis gondozĂĄs 3 hĂłnappal a tervezett terhessĂ©get megelĆzĆen kezdĆdik Ă©s a 3. terhessĂ©gi hĂłnapig tart. A cĂ©lja, hogy a veleszĂŒletett rendellenessĂ©gek Ă©s a koraszĂŒlĂ©s kockĂĄzatĂĄt csökkentse. Jelenleg a fejlett orszĂĄgokban a csecsemĆhalandĂłsĂĄg 20â25%-ĂĄĂ©rt a veleszĂŒletett rendellenessĂ©gek felelĆsek Ă©s a vezetĆ halĂĄlokok közĂ© tartoznak. JellemzĆ rĂĄjuk, hogy defekt ĂĄllapotot kĂ©pviselnek, s a teljes gyĂłgyulĂĄs ritkĂĄn Ă©rhetĆ el. EzĂ©rt az elsĆdleges megelĆzĂ©s jelentheti az egĂ©szsĂ©gĂŒgyi ellĂĄtĂĄs szĂĄmĂĄra az egyetlen optimĂĄlis megoldĂĄst. Az elmĂșlt 25 Ă©vben szĂĄmos vizsgĂĄlat igazolta a perikoncepcionĂĄlis idĆszakban alkalmazott folsavszupplementĂĄciĂł hatĂ©konysĂĄgĂĄt a veleszĂŒletett rendellenessĂ©gek â fĆleg az idegcsĆ-zĂĄrĂłdĂĄsi rendellenessĂ©g â terĂ©n. A csalĂĄdtervezĂ©si szolgĂĄltatĂĄs MagyarorszĂĄgon 1984 Ăłta mƱködik. Ez a modell optimĂĄlis lehetĆsĂ©g a perikoncepcionĂĄlis folsav/multivitamin szupplementĂĄciĂł bevezetĂ©sĂ©re, Ăgy eredmĂ©nyes eljĂĄrĂĄst biztosĂt veleszĂŒletett rendellenessĂ©gek megelĆzĂ©sĂ©re. Orv. Hetil,
45,
1858â1862.
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Periconceptional Care Service begins 3 month before the planned pregnancy and continues until 12th week of pregnancy. Its goal is to prevent congenital abnormalities (CAs) and preterm birth. Nowadays, 20-25% of infant mortality is caused by CAs in industrialized countries and CAs are among the leading causes of death. An important feature of CAs is that they represent a defect condition; therefore itâs difficult to achieve a complete recovery. Thus, prevention is considered the only optimal solution in the medical care of cases affected with CA. In the last 25 years, several studies confirmed the possible prevention of CAs mainly neural-tube defects (NTDs) by folic acid supplementation during periconceptional period. Family Planning Service exists in Hungary since 1984. This model is optimal for the introduction of periconceptional folic acid/multivitamin supplementation, thus provide an effective method for primary prevention of birth defects. Orv. Hetil,
45,
1858â1862
A perinatalis depressziĂł Ă©s szorongĂĄs megelĆzĂ©se perikoncepcionĂĄlis gondozĂĄssal = Prevention of perinatal depression and anxiety with periconceptional care
A köztudatban a terhessĂ©g, a szĂŒlĂ©s Ă©s az ĂșjszĂŒlött gondozĂĄsa a legcsodĂĄlatosabb Ă©lmĂ©nykĂ©nt Ă©l. Ugyanakkor az epidemiolĂłgiai kutatĂĄsok szerint a pszichiĂĄtriai betegsĂ©gek kockĂĄzata a perinatalis idĆszakban megsokszorozĂłdik. A terhessĂ©g drĂĄmai testi, lelki Ă©s tĂĄrsadalmi szerepbeli vĂĄltozĂĄsokkal jĂĄr. A szĂŒlĂ©s pedig egy nagy, irreverzĂbilis Ă©letesemĂ©ny, amit szokĂĄs ârite of passageâ-nak is nevezni. Ez a folyamat normatĂv krĂzist jelent az Ă©letben, amelynek sorĂĄn Ășj copingmechanizmusok kifejlesztĂ©se szĂŒksĂ©ges. A stressz Ă©s a szorongĂĄs a magzat fejlĆdĂ©sĂ©re rövid Ă©s hosszĂș tĂĄvĂș negatĂv következmĂ©nyekkel jĂĄr, Ă©s egyben az anyĂĄra nĂ©zve is veszĂ©lyes szövĆdmĂ©nyekhez vezethet. A szĂŒlĂ©st követĆ idĆszakban a major depressziĂłs tĂŒnetek elĆfordulĂĄsa megközelĂtĆen 15â20%, leggyakrabban a szĂŒlĂ©st követĆ 6 hĂłnapon belĂŒl jelentkeznek, de a gyermek 2 Ă©ves korĂĄig bĂĄrmikor fellĂ©phetnek. A post partum depressziĂł legsĂșlyosabb veszĂ©lye a suicidium Ă©s a csecsemĆgyilkossĂĄg, de egyben a legkomolyabb teratogĂ©n hatĂĄst is jelenti a gyermek kognitĂv Ă©s pszichomotoros fejlĆdĂ©sĂ©re. FelismerĂ©sĂ©t nehezĂti, hogy a tĂŒnetek jĂłrĂ©szt megegyeznek az Ă©let bĂĄrmely mĂĄs szakaszĂĄban fellĂ©pĆ depresszióéval, de nĂ©hĂĄny tĂŒnet a normĂĄlis terhessĂ©g Ă©s szĂŒlĂ©s utĂĄni idĆszakban elĆfordulĂł panasszal azonos. RĂĄadĂĄsul a nĆk többsĂ©ge nehezen ismeri fel a problĂ©mĂĄt Ă©s fordul orvoshoz, mivel a tĂĄrsadalmi elvĂĄrĂĄsok szerint boldogsĂĄgot kellene Ă©reznie. A kockĂĄzati tĂ©nyezĆk feltĂĄrĂĄsĂĄt követĆen a preventĂv körĂŒlmĂ©nyek biztosĂtĂĄsa Ă©s az anyaszerepre törtĂ©nĆ felkĂ©szĂtĂ©s eredmĂ©nyes a perinatalis depressziĂł kialakulĂĄsĂĄnak megelĆzĂ©sĂ©ben. A hatĂ©kony terĂĄpia elsĆsorban coachingszemlĂ©leten alapszik Ă©s többirĂĄnyĂș megközelĂtĂ©st igĂ©nyel. Orv. Hetil., 2011, 152, 903â908.
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In the public mind, pregnancy, childbirth and newborn care is one of the most wonderful living experiences. However, epidemiological studies have shown that the risks of psychiatric disorders in the perinatal period are multiplying. Pregnancy entails with dramatic physical, mental and social role changing. The birth is a big, irreversible life event, and it should also be nominated as ârite of passageâ. This process represents a normative crisis during life, which needs new coping mechanisms to be developed. The stress and anxiety during the development of the fetus causes negative consequences in the short and long-term and it causes dangerous complications for the mother, too. During postpartum period, the incidence of major depression is approximately 15-20% that most frequently occurs within 6 months after birth but until the child is 2 years old it can develop any time. Serious risks of the postpartum depression are suicide and infanticide. In addition, it also represents serious teratogenic effects of cognitive and psychomotor development of children. It makes harder to recognize that the symptoms are largely the same as in any other stage of depression occurring during lifetime, but some of the symptoms compliant of normal pregnancy and the postpartum period. In addition, the majorities of women recognize heavily the problem and visit a doctor, because based of social expectations they should feel happiness. After the disclosure of risk factors and securing preventive conditions, preparing to be a mother is effective in prevention of development of perinatal depression. The effective therapy is primarily based on the coaching approach, and requires multi-directional approach. Orv. Hetil., 2011, 152, 903â908
The effects of locally applied glycerol and xylitol on the hydration, barrier function and morphological parameters of the skin
Glycerol and xylitol hydrate the skin and improve its barrier function over a short period. We studied the effects of glycerol and xylitol on the physiological properties and morphology of the skin after longer-term application. Twelve volunteers with dry skin were examined. Three areas on the arms were determined. Area 1 served as untreated control. The vehicle was applied to area 2, while area 3 was treated twice daily with a formulation containing glycerol (5%) and xylitol (5%) for 14 days. Transepidermal water loss (TEWL), hydration and biomechanical properties of the skin were monitored. Biopsies were taken for routine histology and immunohistochemistry for filaggrin and matrix metalloproteinase-1 (MMP-1). The polyols increased the skin hydration and protein quantity of filaggrin, elevated the interdigitaion index, decreased the TEWL and improved the biomechanical properties of the skin, but did not change the protein expression of MMP-1. A combination of glycerol and xylitol can be useful additional therapy for dry skin