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001-es BibID:BIBFORM065478
Első szerző:Csenteri Orsolya Karola (népegészségügyi ellenőr, rehabilitációs szakember)
Cím:The role of hyperinsulinemia as a cardiometabolic risk factor independent of obesity in polycystic ovary syndrome / Orsolya Karola Csenteri, János Sándor, Edit Kalina, Harjit Pal Bhattoa, Sándor Gődény
Dátum:2017
ISSN:0951-3590
Megjegyzések:The aim of this study was to utilize various insulin resistance measuring methods to determinewhether insulin resistance and other parameters impact the serum lipid levels of polycysticovary syndrome (PCOS) patients and how the serum lipid levels in these patients are affectedby the body mass index (BMI). Our dataset included patients between the ages of 16 and 42(N?228) from the outpatient endocrinology clinic of the Department of Obstetrics andGynecology, who demonstrated increased hair growth and bleeding disorders and came for aroutine oral glucose tolerance test (OGTT). Differences in the serum lipid levels were evaluatedby t-test and linear regression analysis after adjusting for BMI. A stepwise regression model wasconstructed to evaluate the influence of each variable on the lipid levels. In PCOS patients, wefound that dyslipidemia is more prevalent among hyperinsulinemic women compared withnormoinsulinemic women, even after normalizing for BMI. PCOS patients with insulinresistance, determined by the insulin sensitivity index (ISI) method, showed more significantlipid abnormalities such as low high-density lipoprotein (HDL) and apo-A levels and high totalcholesterol, low-density lipoprotein (LDL) and apo-B levels than if insulin resistance (IR)determination was based on insulin level or homeostatic model assessment (HOMA).
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
cardiovascular risk
insulin resistance
Obesity
polycystic
ovary syndrome
Megjelenés:Gynecological Endocrinology 33 : 1 (2017), p. 34-38. -
További szerzők:Sándor János (1966-) (orvos-epidemiológus) Kalina Edit (1971-) (laboratóriumi analitikus) Bhattoa Harjit Pal (1973-) (laboratóriumi szakorvos) Gődény Sándor (1951-) (nőgyógyász, egészségügyi minőségbiztosítási szakember)
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DOI
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2.

001-es BibID:BIBFORM072270
Első szerző:Dombrádi Viktor (egészségpolitikai szakember)
Cím:Investigation of the conditions affecting the joining of Hungarian hospitals to an accreditation programme : a crosssectional study / Viktor Dombrádi, Barnabás Margitai, Csaba Dózsa, Orsolya Karola Bárdos-Csenteri, János Sándor, Tibor Gáll, Sándor Gődény
Dátum:2018
ISSN:2044-6055
Megjegyzések:Objective Quantitative studies have shown the various benefits for having accreditation in hospitals. However, neither of these explored the general conditions before applying for an accreditation. To close this gap, this study aimed to investigate the possible association between joining an accreditation programme with various hospital characteristics.Design A cross-sectional study was implemented using the databases of the 2013 Hungarian hospital survey and of the Hungarian State Treasury.Setting Public general hospitals in Hungary. Participants The analysis involved 44 public generalhospitals, 14 of which joined the preparatory project for a newly developed accreditation programme.Main outcome measures The outcomes included the percentage of compliance in quality management, patient information and identification, internal professional regulation, safe surgery, pressure sore prevention, infection control, the opinions of the heads of quality management regarding the usefulness of quality management and clinical audits, and finally, the total debt of the hospital per bed and per discharged patient.Results According to our findings, the general hospitals joining the preparatory project of the accreditation programme performed better in four of the six investigated activities, the head of quality management had a better opinion on the usefulness of quality management, and both the debt per bed number and the debt per discharged patient were lower than those who did not join. However, no statistically significant differences between the two groups were found in any of the examined outcomes.Conclusions The findings suggest that hospitals applying for an accreditation programme do not differ significantly in characteristics from those which did not apply. This means that if in the future the accredited hospitals become better than other hospitals, then the improvement could be solely contributed to the accreditation.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:BMJ Open. - 8 (2018), p. 1-9. -
További szerzők:Margitai Barnabás (Budapest) Dózsa Csaba Csenteri Orsolya Karola (1987-) (népegészségügyi ellenőr, rehabilitációs szakember) Sándor János (1966-) (orvos-epidemiológus) Gáll Tibor (1969-) (egészségügyi menedzser) Gődény Sándor (1951-) (nőgyógyász, egészségügyi minőségbiztosítási szakember)
Pályázati támogatás:GINOP-2.3.2-15-2016-00005
GINOP
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM068197
Első szerző:Dombrádi Viktor (egészségpolitikai szakember)
Cím:Association between the application of ISO 9001:2008 alone or in combination with health-specific standards and quality-related activities in Hungarian hospitals / Viktor Dombrádi, Orsolya Karola Csenteri, János Sándor, Sándor Gődény
Dátum:2017
ISSN:1353-4505 1464-3677
Megjegyzések:OBJECTIVE:To investigate how International Organization for Standardization (ISO) 9001 and the Hungarian Health Care Standards (HHCS) certifications are associated with quality management, patient safety, patient rights and human resource management activities.DESIGN:A cross-sectional study was implemented using the 2009 Hungarian hospital survey's database.SETTING:Hungary.PARTICIPANTS:Fifty-three general hospitals were included in the statistical analysis.INTERVENTION:No intervention was carried out in the study.MAIN OUTCOME MEASURES:The outcomes included the percentage of compliance in the dimensions of quality management, patient safety, patient rights, human resource management and the overall score for each hospital, and they were grouped according to the hospitals' certifications.RESULTS:Sixteen hospitals did not have either ISO 9001 or HHCS certifications, 19 had ISO 9001 certification only and 18 had both. Hospitals with ISO 9001 alone or in combination with the HHCS significantly outperformed hospitals with no certifications in terms of quality management and human resource management activities but not in terms of patient safety or patient rights activities. Combined, the two models provided the highest median levels in all cases. Nevertheless, no significant differences were observed when the hospitals with both certifications were compared with hospitals with ISO 9001 only.CONCLUSIONS:Although the combination of ISO 9001 and the HHCS showed the best results, the benefits were not decisive. Furthermore, although the HHCS include standards addressing patient safety, no direct association was found with regard to compliance. Thus, further investigation is required to understand this enigma.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Hungary
certification
hospital care
patient safety
quality management
standards
Megjelenés:International Journal for Quality in Health Care 29 : 2 (2017), p. 283-289. -
További szerzők:Csenteri Orsolya Karola (1987-) (népegészségügyi ellenőr, rehabilitációs szakember) Sándor János (1966-) (orvos-epidemiológus) Gődény Sándor (1951-) (nőgyógyász, egészségügyi minőségbiztosítási szakember)
Internet cím:DOI
Intézményi repozitóriumban (DEA) tárolt változat
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