The deficit mechanism of the Hungarian municipalities

OpenAIRE

Vasvári, Tamás

2012-01-01

The management of the Hungarian municipal sector has received special attention since the crisis in 2008 and interest in the sector increased further due to the changes in legislation in 2011. A great number of economy experts and speakers on behalf of the government or the municipalities provided further details on prevailing issues in the municipal sector, however, their assessment of the severity of these issues varied greatly. By describing the logical framework of the deficit mechanism t...

TAXONOMY AND STRUCTURE OF HUNGARIAN PERSONALITY-TRAITS

NARCIS (Netherlands)

SZIRMAK, Z; DERAAD, B

This study reports on the application of the principles of the lexical approach to a non-Indo-European language, namely Hungarian. This language is a Uralic island surrounded on all sides by Indo-European languages. In addition, the Hungarians are, in terms of cultural features, Europeans. These

4. Congress of the Hungarian Radiotherapy Society

International Nuclear Information System (INIS)

1999-01-01

Clinical experiences with radiotherapeutic treatment of patients with malignant tumors at several Hungarian hospitals and technical aspects of irradiation devices and irradiation procedures has been reported in the 50 lectures given at the congress. Abstracts of the lectures are published in Hungarian or English or German. (N.T.)

Implementation of the Hungarian RW management project: Results and lessons

International Nuclear Information System (INIS)

Vigassy, J.; Czoch, I.; Ormai, P.

1995-01-01

In 1993, a National RW Management Project was launched to solve handling and disposal of LLW/ILW of the Paks Nuclear Power Plant and to elaborate a complex strategy for the management of radwastes from the NPP, including HLW, spent fuel and wastes from the decommissioning. It was intended to implement the project so as to have selected the possible site (or sites) for the LLW/ILW waste repository by 1996. This paper describes the first results of the nation-wide screening for suitable areas and the problems related to the comparative evaluation process to select potential sites for a surface or geological LLW/ILW disposal facility. International tenders were issued to find the most appropriate technology to reduce the quantity of liquid and solid radwaste in the Nuclear Power Plant. Their results will provide a better basis for planning the characteristics and quantity of radwaste. The applications revealed that supercompacting can be ordered as a service when the need arises, and thus it was possible to re-allocate the funding originally foreseen for the equipment to treat solid wastes. Great importance is attached in the Project to public acceptance and PR activity. An expert organization was selected in a two-phase bidding process, and it was decided that detailed exploration of a potential site will take place only if public acceptance is assured. The original program of the Hungarian RW Management Project was extended in 1994 to perform on-site underground investigations (with Canadian support) in a silt-stone formation. The first results confirm that this is a potential site for deep geological disposal of HLW. The financial and legal framework of the RW management is also to be solved. The new law on nuclear energy -- now in preparation -- will deal with that problem in one of its most important chapters, defining the responsibilities for RW management and the sources of funding

Association between the application of ISO 9001:2008 alone or in combination with health-specific standards and quality-related activities in Hungarian hospitals.

Science.gov (United States)

Dombrádi, Viktor; Csenteri, Orsolya Karola; Sándor, János; Godény, Sándor

2017-04-01

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. A cross-sectional study was implemented using the 2009 Hungarian hospital survey's database. Hungary. Fifty-three general hospitals were included in the statistical analysis. No intervention was carried out in the study. 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. 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. 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. © The Author 2017. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com

Ethnic Attitudes of Hungarian Students in Romania

Science.gov (United States)

Ives, Bob; Obenchain, Kathryn M.; Oikonomidoy, Eleni

2012-01-01

Participants in this study were ethnic Hungarian secondary students attending high schools in Romania in which Hungarian was the primary language of instruction. Attitudes of participants toward ethnic and cultural groups were measured using a variation of the Bogardus (1933) Scale of Social Distance. Results were consistent with predictions based…

Strategic Foresight Process - Improvements for the Hungarian Ministry of Defense

Science.gov (United States)

2016-06-01

data by modeling and econometric techniques including trend curves and trend extrapolations, among others; the kind of extrapolation of past data that...strategic management, Hungary, Hungarian Ministry of Defense, migration, Russia 15. NUMBER OF PAGES 79 16. PRICE CODE 17. SECURITY ...CLASSIFICATION OF REPORT Unclassified 18. SECURITY CLASSIFICATION OF THIS PAGE Unclassified 19. SECURITY CLASSIFICATION OF ABSTRACT Unclassified 20

STRATEGY IMPLEMENTATION STYLES OF MALAYSIAN, THAI AND HUNGARIAN MIDDLE MANAGERS

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Maheshkumar P. Joshi

2004-01-01

Full Text Available There is a need for more comparative empirical research that examines middle manager roles in strategic change. This paper reports a study of middle managers in two dynamic settings: the Asia/Pacific region – Malaysia and Thailand; and Central/Eastern Europe – Hungary. Results of 213 respondents across three countries indicate that middle managers from all three tend toward use of authoritarian management styles even in proactive strategic change situations. However, Hungarians are less likely to use these styles than Thai and Malaysian middle managers. For all three countries, managers with less work experience were found to have lower tendencies to use an authoritarian style of implementation. When top managers exhibit an aggressive strategic posture, middle-managers from all three countries are also less likely to use an authoritarian style.Firms that want to stay competitive in the global market place must continuously evolve by successfully accomplishing strategic change (Struckman & Yammarino 2003. Although senior managers are critical in leading the strategic change process, even the best-planned strategic changes will not achieve their full potential unless they are well implemented. Part of the strategic leadership responsibility, therefore, includes establishing a climate in which the organization's rank and file will experience both a positive attitude about change and the confidence to actively seek change opportunities (Kanter 2003. Research attention is bringing more insight into the important roles of middle-managers in this process of implementing strategic change (Balogun & Jenkins 2003; Floyd & Wooldridge, 1992, 1994; Wooldridge & Floyd 1990. Although there is little doubt that active support by middle managers is critical for the strategies to be well implemented (Guth & MacMillan 1986, there remain many important questions with regard to how middle managers participate in this process (Balogun 2003.The need for research

The Hungarian youth's knowledge and attitude in the nuclear field

International Nuclear Information System (INIS)

Petoefi, G.; Legradi, G.

2000-01-01

The Hungarian Youth for Nuclear (FINE) was established in 1999 as the Hungarian branch of the Young Generation Network. Our purpose is to remove the misconceptions and fears that have arisen around the nuclear techniques, mainly nuclear energetics, and to reply to the questions brought up by the Hungarian youth on this topic. This year, our main activity was to take part in the Student Island with a Nuclear-tent. In this paper we delineate our experience that we have gained with the help of our programmes about the attitude and knowledge of the Hungarian youth. (authors)

New Spirit and New Hero: How Hungarian Startups Redefine the Ideas of Local Capitalism

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Szabó Natasa

2016-12-01

Full Text Available The present paper investigates how the Bridge Budapest, a CSR organization founded by leading Hungarian IT startups, attempts to shape the values of Hungarian society towards capitalism in general, and towards entrepreneurship in particular. In my paper I argue that the central aim of the organization is to facilitate Hungary’s catching up with the core capitalist countries through the transformation of the attitudes and the ideologies surrounding capitalism in the Hungarian context, i.e. the local spirit of capitalism. This consists, on the one hand, of restoring the legitimation of some of the core institutions of capitalism, such as the enterprise and the entrepreneur, and of confronting the risk-taking, innovative and ethical figure of the entrepreneur hero with the provincial figure of the ‘postcommunist cheater’. On the other hand, it also consists of propagating a new management of work that aims to produce self-controlling and self-motivating employees. In the narrative of Bridge Budapest IT companies appear as the perfect moral and economic subjects – the bearers of the new spirit of capitalism – that have the expertise to offer solutions to the problems of Hungarian society, and around which the local capitalism should be built.

Quantitative Investigations in Hungarian Phonotactics and Syllable Structure

Science.gov (United States)

Grimes, Stephen M.

2010-01-01

This dissertation investigates statistical properties of segment collocation and syllable geometry of the Hungarian language. A corpus and dictionary based approach to studying language phonologies is outlined. In order to conduct research on Hungarian, a phonological lexicon was created by compiling existing dictionaries and corpora and using a…

Linguistic layers of Old Hungarian hydronyms

OpenAIRE

Győrffy, Erzsébet

2014-01-01

When analysing the etymological layers of Hungarian river names, it becomes soon clear that loan names make up a much larger group than in the group of settlement names, for instance. This fact can be due to the phenomenon that in the case of hydronyms, name-giving and name-usage is driven mainly by communicative needs, while other (e. g. socio-cultural or political) factors only rarely influence name-giving. In my paper, it was my aim to provide an etymological typology of Hungarian hydronym...

Assessing Hungary’s Stance on Migration and Asylum in Light of the European and Hungarian Migration Strategies

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Juhász Krisztina

2017-06-01

Full Text Available The European Union and its member states are facing one of their biggest challenges in recent years due to the surge in migration. This crisis saw more than a million migrants and refugees cross into Europe in 2015. Solutions and policies have been advanced at both the European and national levels, keeping in mind that migration policy is an area of shared competence under Article 4 of the Treaty on the Functioning of the European Union (TFEU. On 13 May 2015, the EU adopted the European Agenda on Migration, which set out immediate and medium-term actions designed to tackle the crisis more effectively. Earlier, in October 2013, the Hungarian government adopted its own migration strategy. The first part of this study provides some insight into the aims and measures contained in the European and Hungarian migration strategies. In the second part, I focus on the steps taken by the Hungarian government regarding asylum policy and crisis management. I conclude that the actions and communications of the Hungarian government are contrary to both these strategic documents.

Lessons from Objects: Designing a Modern Hungarian Childhood 1890-1950

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Amber Winick

2016-01-01

Full Text Available Art and architecture assisted Hungary’s delivery into modern Europe, and many Hungarian designs of the early twentieth century invoked the child rather than the adult as the ideal citizen. Throughout the first half of the twentieth century, Hungarian designers, design reformers and the Ministry of Culture and Education expressed national identity through design, emphasizing objects and spaces for children as a key element in defining a national culture. This research unfolds a vital dimension of Hungarian culture by examining a selection of objects and spaces—nursery designs, children’s clothing, school architecture, the Budapest Zoo and book illustrations—made for Hungary’s children during different periods of the last century. Working in partnership with the Iparművészeti Múzeum—the Museum of Applied Arts in Budapest—as well as several public and private collections across Hungary, I researched a number of important children’s designs that helped to shape the lives and experiences of twentieth century Hungarian children.  Central to my research is how social and political forces shaped designs and how these designs helped children identify as Hungarian citizens. Looking at five material case studies, I hope to demonstrate the ways in which designers negotiated issues of Hungarian identity, tradition, and modernity.

US-Hungarian Relations Ten Years After 1956

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Tibor Glant

2016-10-01

Full Text Available 1966, the tenth anniversary of the 1956 Revolution, was a key year in US–Hungarian relations. Diplomatic relations were raised from the lowest to the highest level, but suspicion and tension remained. Neither side knew what to expect from the other on account of the anniversary, the Vietnam War, economic and cultural negotiations, and the fate of Cardinal Mindszenty. A traditional diplomatic historical approach is supplemented here with cultural materials to present the full scale of contacts ranging from high political issues to the visit of Hollywood movie star Kirk Douglas in Budapest. First Secretary of the Legation for Press and Cultural Affairs Edward Alexander receives special attention, because he played a crucial role in the events of 1966. As press secretary, he helped calm Hungarian fears over what American journalists might report about the anniversary, while as cultural affairs officer he worked on documenting and expanding American cultural presence in Hungary. In the latter capacity, he opened the USIA Library at the Legation, fraternized with blacklisted painters of the Zuglói Kör [‘Zugló Circle’], monitored the Hungarian stage production of My Fair Lady, and reported on the publication of American literature in Hungarian.

Hungarian University Students' Misunderstandings in Thermodynamics and Chemical Kinetics

Science.gov (United States)

Turanyi, Tamas; Toth, Zoltan

2013-01-01

The misunderstandings related to thermodynamics (including chemical equilibrium) and chemical kinetics of first and second year Hungarian students of chemistry, environmental science, biology and pharmacy were investigated. We demonstrated that Hungarian university students have similar misunderstandings in physical chemistry to those reported in…

Check list of the Hungarian Salticidae with biogeographical notes

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Szüts, Tamás

2003-04-01

Full Text Available An updated check list of the Hungarian jumping spider fauna is presented. 70 species are recorded from Hungary so far. Four species are new to the Hungarian fauna: Hasarius adansoni, Neon valentulus, Sitticus caricis, Synageles subcingulatus. With 12 original drawings.

The Steins and the Hungarians

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Barki, Gergely

2014-05-01

Full Text Available The traveling exhibition entitled "The Steins Collect" (2011-12 again drew attention – and on this occasion in a manner perhaps more vivid than any exhibition to date – to the importance of the systematically canon-shaping work that took place in two tiny Parisian ateliers (one in the Rue de Fleurus, the other in the Rue de Madame in terms of the new painterly movements that emerged at the beginning of the 20th century. Leo, Gertrude, and Michael, three siblings from the Stein family, a family of Jewish origin from San Francisco, along with Michael's wife Sarah, not only built within the space of a few years the most important contemporary art collection in Paris, but through their lively salons came to be the most influential shapers and propagators of universal modernism, making their influence felt to this day on assessments of avant-garde art. In the course of preparations for the exhibition and the publication of the accompanying catalogue, both of which provide a comprehensive survey of the Steins' activity, light was cast on the family's Hungarian connections as well. Consequently, one painting by the Hungarian Vilmos Pelrott-Csaba was included at the American venues (San Francisco and New York of the exhibition, and a presentation on the family's ties to Hungary was held at the scholarly conference organized in connection with the exhibition. Despite the fact that several essays have been published on this subject, the written sources have not been collected – neither those dealing with the large number of Hungarians present at the Steins' Saturday evening gatherings, nor those covering the Hungarian pupils at the Académie Matisse, which was closely aligned with the Steins. This essay is a revised version of the presentation held at the Metropolitan Museum of Art in New York, supplemented with additional source-material.

Using Learning Management Systems in Business and Economics Studies in Hungarian Higher Education

Science.gov (United States)

Nagy, Judit T.

2016-01-01

This paper explores all uses of LMS in teaching Business Mathematics in Hungarian undergraduate training from the point of view of the instructors. Since no similar survey had been carried out in Hungary earlier, the aim was to fill in this gap and to investigate which LMS systems are being used by the instructors, to what specific purposes and…

Rama in the royal title of the Hungarian kings

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Živković Tibor D.

2004-01-01

Full Text Available The region (župa of Rama was enlisted in the official title of the Hungarian kings around 1138, as it is known from an official document. The exact answer to the question under which circumstances it happened has never been reached. It is most probable that Rama was not just other name for Bosnia as it was proposed in historiography, neither was a part of Bosnia conquered by military action of the Hungarian king around 1135. Having in mind that Rama was a part of the principality of Raška during the Early Middle Ages, it is quite possible that Rama became part of the official title of the Hungarian kings through some direct connections between ruling families of Hungary and Raška. The most probable answer could be reached through the examination of these relations. Namely, a daughter of Raška's župan, Uroš I, Helena, was married to the Hungarian crown prince Bela in 1129, when Rama was, most probably, part of Helena's dowry. When the crown prince became king of Hungary in 1131, Rama was included in his royal title. Later on during the Middle Ages Rama became part of Bosnia giving ground to the Hungarian kings to claim whole Bosnia as their heritage. .

The next 20 years operation of the 36 years old Hungarian training reactor

International Nuclear Information System (INIS)

Aszodi, A.

2007-01-01

Hungary prepares for extending the design lifetime of the four VVER-440/213 type units; in that case they will finish operation between 2032 and 2037. Discussion on possible new nuclear units in Hungary was recently commenced. The paper describes actions in human resource management and knowledge management, and also the new safety analysis methods which were applied during the recent Periodic Safety Review of the Hungarian Training Reactor

The Representation of Jews in Nineteenth- and Twentieth-Century Hungarian Proverb Collections

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Ilana Rosen

2017-09-01

Full Text Available Proverbs are concise formulations of folk wisdom and as such, when seen in masses, they may well express the spirit of their time and place. In Hungarian proverbial lore Jews figure prominently in nineteenth-century proverb collections but fade out of such collections as of the mid-twentieth century. In the nineteenth-century proverb collections Jews are invariably portrayed as faithless, dishonest, greedy, physically weak and unattractive. Largely, this portrayal as well as the dynamics of the earlier presence of Jews versus their later disappearance from Hungarian proverb collections match the shared history of Hungarians and Hungarian Jews since the 1867 Emancipation of the country's Jews and possibly even earlier, through their growing integration in significant arenas of their host society, up to their persecution and annihilation in the Holocaust, and later their decade long forced merging into the general Hungarian society under communism. This article traces the occurrence and disappearance of Jews in Hungarian proverb collections throughout the last two centuries and analyzes the language, content and messages of the proverbs about Jews in these collections.

Fragments of a Hungarian Past in the Literature of 1.5 and Second-Generation Austro-Hungarian Immigrants in Israel

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Ilana Rosen

2015-01-01

Full Text Available Contemporary Israeli literature is presently preoccupied with the past diasporic lives of the previous generation, the one that came to Israel from practically all four winds in the mid-late twentieth century. Hungarian-Israeli writers—e.g., Yoel Hoffmann, Judith Rotem, Yael Neeman and Esti G. Hayim—constitute a distinct group within this stream of 1.5 and second generation poets and novelists who have written about immigration and State foundation, often using a documentary or fictionalized memoirist mode. This article highlights the components of these writers' complex burden of a whole world destroyed, in most cases, not long before they were born and which they strive to restore or at least re-imagine in their oeuvre as contemporary Israeli writers. These components include: Holocaust trauma and its transference to the second generation, Hungarian speaking families within the Israeli multicultural setting, the ties of these families with their Hungarian foreign relatives, and household objects related to this past.

Estimating wage equations for Hungarian higher-education graduates

OpenAIRE

Galasi, Peter

2003-01-01

The paper investigates the wage determination of Hungarian highereducation graduates with using two samples of Hungarian careerbeginners, applying IV techniques and the multiple indicator solution so as to diminish potential estimation biases due to endogeneity of independent variables (especially the education variable) and the simultaneity of wages and working time. The results show that university education yields considerable wage premium as compared to college education, and that the ret...

Lexical Borrowing in the Speech of First-Generation Hungarian Immigrants in Australia

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Anikó Hatoss

2016-09-01

Full Text Available This article reports findings of a sociolinguistic project which investigated language contact phenomena in the speech of first-generation Hungarian Australians living in Sydney. The research aimed to identify and analyze English lexical items borrowed into the spoken Hungarian of first-generation Hungarian–English bilinguals. This research had a mixed methods approach including a quantitative element (count of lexical manifestations by categories such as part of speech and a qualitative element in which the various lexical manifestations have been subjected to a linguistic analysis. The Hungarian National Corpus was used as a reference guide to determine the status of these phenomena in the lexicon of Standard Hungarian. The data were collected through semi-structured sociolinguistic interviews with 22 Hungarian Australians living in Sydney. The findings demonstrate that (a first-generation Hungarians are highly creative language users and integrate a large number of English lexical items into their speech. Most lexical borrowings belong to the derivational blends with the highest proportion of the nominal group. Lexical borrowings from English are morphologically integrated with Hungarian-derivational suffixes and inflectional case markings. This research provides original empirical data to better understand the various inter-language lexical manifestations in Hungarian–English bilingual contexts. The study adds to the relatively small body of research on Hungarian–English bilingualism in diasporic context and contributes to understanding lexical borrowing from a contact linguistic perspective.

Reliability and validity study on the Hungarian versions of the oswestry disability index and the Quebec back pain disability scale.

Science.gov (United States)

Valasek, Tamás; Varga, Peter Paul; Szövérfi, Zsolt; Kümin, Michelle; Fairbank, Jeremy; Lazary, Aron

2013-05-01

Patient-reported outcome measurements (PROMs) are widely used in spine care. The development of reliable and valid National versions of spine-related disability questionnaires is strongly recommended from both the clinical and scientific points-of-view. The aims of this study were to adapt and validate the Oswestry Disability Index (ODI) and the Quebec back pain disability scale (QDS) for use with the Hungarian language. After translating and culturally adapting the ODI and QDS, 133 patients with lumbar degenerative spinal disorder filled in the questionnaire booklet twice within 2 weeks. Subjects completed the Hungarian versions of the two PROMs as well as the WHOQoL-BREF validated as a general life quality questionnaire and Visual Analogue Scale of pain. Internal consistency, reliability and construct validity of the questionnaires were determined, as were the standard error of measurement (SEM) and minimal detectable change (MDC) scores. The Hungarian ODI consisted of one factor that showed good internal consistency (Cronbach-α 0.890). The QDS showed a four-factor structure with Cronbach-α values between 0.788 and 0.917. No significant floor or ceiling effects were observed. The test-retest analysis showed excellent reliability of the Hungarian ODI and QDS. The intraclass correlation coefficients (ICC) were 0.927 and 0.923, respectively. SEM values of 4.8 and 5.2 resulted in a MDC of 13 and 14 points in the Hungarian ODI and QDS, respectively. The correlation coefficient (r) between pain and ODI was 0.680 (p 0.4, p disability measured by the Hungarian ODI and QDS was significantly higher in the surgical subgroup than in non-surgically treated patients (p < 0.001). Translation and cultural adaptation of the ODI and QDS were successful. Hungarian versions of the ODI and QDS proved to be reliable, valid PROMs confirming that they can be used in future clinical and scientific work with Hungarian-speaking spine patients.

Collaborative care management effectively promotes self-management: patient evaluation of care management for depression in primary care.

Science.gov (United States)

DeJesus, Ramona S; Howell, Lisa; Williams, Mark; Hathaway, Julie; Vickers, Kristin S

2014-03-01

Chronic disease management in the primary care setting increasingly involves self-management support from a nurse care manager. Prior research had shown patient acceptance and willingness to work with care managers. This survey study evaluated patient-perceived satisfaction with care management and patient opinions on the effectiveness of care management in promoting self-management. Qualitative and quantitative survey responses were collected from 125 patients (79% female; average age 46; 94% Caucasian) enrolled in care management for depression. Qualitative responses were coded with methods of content analysis by 2 independent analysts. Patients were satisfied with depression care management. Patients felt that care management improved their treatment above and beyond other aspects of their depression treatment (mean score, 6.7 [SD, 2]; 10 = Very much), increased their understanding of depression self-management (mean score, 7.2 [SD, 2]; 10 = Very much), and increased the frequency of self-management goal setting (mean score, 6.9 [SD, 3]; 10 = Very much). Predominant qualitative themes emphasized that patients value emotional, motivational, and relational aspects of the care manager relationship. Patients viewed care managers as caring and supportive, helpful in creating accountability for patients and knowledgeable in the area of depression care. Care managers empower patients to take on an active role in depression self-management. Some logistical challenges associated with a telephonic intervention are described. Care manager training should include communication and motivation strategies, specifically self-management education, as these strategies are valued by patients. Barriers to care management, such as scheduling telephone calls, should be addressed in future care management implementation and study.

Sociolinguistic and Contact-induced Variation in Hungarian Language Use in Subcarpathia, Ukraine

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István Csernicskó

2012-01-01

Full Text Available In addition to showing regional and social variation, the language use of the minority Hungarians of Subcarpathia, Ukraine, also presents a reflection of the region’s complex linguistic history and its effects from contact with Russian and Ukrainian. On the basis of quantitative empirical findings, this study shows Subcarpathian Hungarians to be a sociolinguistically stratified group of speakers whose Hungarian language use varies in a systematic manner according to sex, age, level of education, and place of residence. The paper also outlines some of the main differences in the language use of Hungarians in Subcarpathia and Hungary which are manifested in statistically significant ways.

Managing care.

Science.gov (United States)

Sandifer, Q D

1997-09-01

The terms 'managed care' and 'disease management' are gaining common usage in the health service but their meaning is not widely understood. Managed care is a generic term describing any health care system that integrates the financing and delivery of medical care. Its growth in the United States has been driven by pressure to control costs, and there is circumstantial evidence that costs are slowing as a result of better management of resources. However, it is not clear how much of this is due to managed care, the selection of more favourable enrollees to health plans or other factors. Research evidence is limited, and that available is constrained by the rapidly changing nature of managed care. In the United States a bewildering variety of managed care arrangements have emerged, although several common characteristics can be identified: limited choice of physician providers; controlled access to secondary care; selective contracting; financial incentives; quality management; and utilization management. All are present in the National Health Service (NHS), which exemplifies a nationalized managed care system. Disease management is an extension of managed care that takes a global approach to patient care by attempting to co-ordinate resources across the entire health care delivery system throughout the life cycle of the disease. This is poorly developed in the NHS, so that the attention of commercial organizations has been attracted. However, concern has been expressed about the implications of commercial involvement: the fragmentation of general medical services; effect of for-profit status; and use of patient-based data. Recent policy developments could allow disease management to develop within the NHS.

Hungarian Minority Politics in Post-Socialist Romania: Interests, Strategies, and Discourses

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Toró Tibor

2016-12-01

Full Text Available This paper analyses the integration strategies formulated by the Democratic Alliance of Hungarians in Romania and the Hungarian political elite in the post-communist period. It argues that the internal debates of the political community are formulated in a field where other actors (the Hungarian and the Romanian state, political parties, European institutions, etc. carry out their activities, which deeply influences both the chosen strategies and the needed resources for their implementation. Moreover, it questions the monolithic organization of the minority organization, showing that DAHR as the representative of the minority community was shaped by several internal debates and conflicts. Also from 2003 these conflicts have grown beyond the borders of the organization and since 2008 we can follow a whole new type of institutionalization. In achieving this, I introduce three strategies - individual integration, collective integration, and organizational integration - which are chosen by different fragments of the Hungarian minority elite both toward the Hungarian and the Romanian political sphere. Throughout the 1989-2012 period, the outcome of the conflict between the supporters of these strategies is deeply influenced by the policies of the two states.

Translating Shakespeare for the Hungarian Stage: Contemporary Perspectives

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Bálint Szele

2016-01-01

Full Text Available This paper presents trends in today’s Shakespeare translation in Hungary based on interviews with Hungarian translators and scholars. Instead of a collection of names and dates of translators and translations, it focuses on the organic development of Hungarian Shakespeare translation, which has been going on for more than two hundred years, and tries to fit new developments into the tradition of translating Shakespeare in a theoretical framework. “Hungarian Shakespeare,” now seen as a broad collection of Hungarian translations and adaptations, lives on, is kept alive in theaters, but it is undergoing a process of simplification. It was very hard work to do away with the forced prudishness and mannerism of the nineteenth century Shakespeare translations. After World War II, during the dominance of Communist culture, it was not allowed for several translations of Shakespeare to co-exist, so a politically appointed committee was set up to decide which one fit into the official canon. Only the selected texts could be printed and used in performances. After the political changes in Hungary in 1989, there was an upsurge of interest in Shakespeare, and since the 1990s there has been an unprecedented plurality of Shakespeare translations. I aim to examine the processes that led to the development of today’s easy-to-understand and naturalistic translations, and to the abandonment of century-old classical ones.

POPULISM AS A DISCOURSE OF HUNGARIAN ELITES

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A. Bozóki

2012-01-01

Full Text Available Since the end of the 19th century populist movements emerged as significant actors of the Hungarian politics. The attempts to assess populism appeared to be as ambiguous, as the attempts by politicians and pundits to describe it. The study of its development demonstrates that it is not linked to the traditional division between left and right, but represents dissatisfaction with the established elites in the society. The article considers changing nature of Hungarian populism on different stages of national history. Specific attention is devoted to the content and value of populist policies in the current Hungary.

A New Adaptive Hungarian Mating Scheme in Genetic Algorithms

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Chanju Jung

2016-01-01

Full Text Available In genetic algorithms, selection or mating scheme is one of the important operations. In this paper, we suggest an adaptive mating scheme using previously suggested Hungarian mating schemes. Hungarian mating schemes consist of maximizing the sum of mating distances, minimizing the sum, and random matching. We propose an algorithm to elect one of these Hungarian mating schemes. Every mated pair of solutions has to vote for the next generation mating scheme. The distance between parents and the distance between parent and offspring are considered when they vote. Well-known combinatorial optimization problems, the traveling salesperson problem, and the graph bisection problem are used for the test bed of our method. Our adaptive strategy showed better results than not only pure and previous hybrid schemes but also existing distance-based mating schemes.

Bayesian inference of genetic parameters on litter size and gestation length in Hungarian Landrace and Hungarian Large White pigs

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Zoltán Csörnyei

2010-01-01

Full Text Available Genetic parameters of number of piglets born alive (NBA and gestation length (GL were analyzed for 39798 Hungarian Landrace (HLA, 141397 records and 70356 Hungarian Large White (HLW, 246961 records sows. Bivariate repeatability animal models were used, applying a Bayesian statistics. Estimated and heritabilitie repeatabilities (within brackets, were low for NBA, 0.07 (0.14 for HLA and 0.08 (0.17 for HLW, but somewhat higher for GL, 0.18 (0.27 for HLA and 0.26 (0.35 for HLW. Estimated genetic correlations between NBA and GL were low, -0.08 for HLA and -0.05 for HLW.

The Outsider Within: Béla Tarr and Hungarian National Cinema

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Lilla Tőke

2016-10-01

Full Text Available Béla Tarr is probably the most paradoxical figure in contemporary Hungarian cinema. His artistic trajectory shows a movement from documentary style realism (Family Nest, 1979 towards more modernist cinematic practices (Satan’s Tango, 1994, Werckmeister Harmonies, 2000, and The Man from London, 2007. A major celebrity in the global film culture that prides itself in being transnational, international, and in crossing linguistic and ethnic boundaries, Tarr has consistently found himself on the fringes of the Hungarian cultural and political establishment. In this study Tőke considers Tarr’s films and public persona as catalysts in the debates about what constitutes “Hungarian cinema” in a globalizing world from the 1970s until today.

[Motivations for foreign employment and carrier change among Hungarian physiotherapists].

Science.gov (United States)

Pónusz, Róbert; Kovács, Dalma; Raposa, László Bence; Hock, Márta; Decsi, Tamás; Kránicz, János; Endrei, Dóra

2016-02-28

An increasing motivation can be experienced among professional workers within the Hungarian healthcare system towards foreign employment or career change. The aim of the authors was to assess Hungarian physiotherapists' migration and career changing behaviour and to understand the underlying factors. A national survey in Hungary from April to August, 2014 was performed. Only physiotherapists who practice in Hungary were included (n = 215). The results suggest that age (pappreciation experienced in the workplace (pappreciated, are 55 times more likely to search for employment outside the country's borders [OR = 55.28 CI (95%) = 18.85 to 161.12]. The most common causes for that are unfavourable financial (pappreciation of the profession within the Hungarian healthcare system.

Development of the security system of the new Hungarian banknotes

Science.gov (United States)

Peterfi, Sandor

2000-04-01

The more than 75 year old Hungarian Banknote Printing Corporation is an enterprise with a rich history. It is located in the very center of the capital, only some blocks away form the Parliament. Most people on this side of the Atlantic may not even have heard about the Hungarian currency, the Forint. Some may remember that after the WWII it was Hungary, where the severest hyperinflation in the world took place. As we come from a manufacturing company , we can give you information about deliberation and experiences of application of optically variable features on banknotes and some observations made in the past two years since the new Hungarian bank note series is ins circulation.

Reflections on the Status of Hungarian Loanwords in Old Romanian Translations

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Pál Enikő

2015-03-01

Full Text Available Translation has always been important for religion as a way of preaching God's word. The first Romanian translations of religious texts, including the first (although incomplete translation of the Bible, date from the sixteenth century. In this early period of Romanian writing, Romanian translators encountered several problems in conveying the meaning of these texts of a great complexity. Some of the difficulties were due to the source texts available in the epoch, others to the ideal of literal translation, to the principle of legitimacy or to the relatively poor development of Romanian language which limited the translators' options. The present study focuses on the causes and purposes for which lexical items of Hungarian origin interweave old Romanian translations. In this epoch, Hungarian influence was favoured by a complex of political, legal, administrative and socioculturel factors, sometimes even forced by these circumstances. On the one hand, given the premises of vivid contacts between Romanians and Hungarians in the regions where the old Romanian translations (or their originals can be located, a number of Hungarian loanwords of folk origin penetrated these texts. On the other hand, when using Hungarian sources, translators have imported useful source language caiques and loanwords, which have enriched Romanian language.

The stigmatization of obesity among Gypsy and Hungarian children.

Science.gov (United States)

Papp, Ildikó; Túry, Ferenc

2013-06-01

Prejudice against obese people has been widely confirmed in scientific papers. Therefore, recent studies have increasingly focused on investigating the individual and cultural factors related to attitudes towards obesity. Since there have been no comparative studies involving Gypsy people, our present research aimed at exploring the possible discrepancies in children's attitudes towards obese children between Gypsy and Hungarian cultures. Our survey included 247 children aged 9-16 (108 boys and 139 girls), of which 136 considered themselves Hungarian (55.1 %), while 111 children (44.9 %) claimed themselves as Gypsy. The subjects were asked to rank six male and six female figure drawings according to their preference. Each sequence of figure drawings included a healthy child, an obese child, and four drawings depicted children with disabilities. According to our results, the drawings portraying the healthy child figure were rated most preferable and those portraying the obese child figure the least preferable amongst the subjects regardless of gender and origin. However, the obese girl figures and boy figures were rated significantly more positively by Gypsy children than Hungarian children. Our results suggest that there is a difference in attitude towards obesity among Gypsy and Hungarian children. Therefore, it is worthwhile to further explore this phenomenon.

Brahms J. Hungarian Dances. London Symphony Orchestra, Neeme Järvi / Jonathan Swain

Index Scriptorium Estoniae

Swain, Jonathan

1991-01-01

Uuest heliplaadist "Brahms J. Hungarian Dances. London Symphony Orchestra, Neeme Järvi. Chandos MC ABTD 1496; CD CHAN 8885 (57 minutes). Brahms J. Hungarian Dances. Staatskapelle Berlin. Otmar Suitner." Denon CD CO- 74597 (53 minutes)

The New Etymological Dictionary of Hungarian Idioms and Proverbs

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Bárdosi Vilmos

2017-01-01

Full Text Available After briefly surveying the research carried out in Hungary on the origin of sayings, proverbs and adages, this paper introduces and exemplifies the way the new Hungarian phraseological etymological dictionary has been compiled. It subsequently presents excerpts from the dictionary that will expound on the origin of 1800 set phrases and statistically analyses the linguistic, cultural-historical, historical, literary, ethnographic and intercultural background of the Hungarian set phrases included in the dictionary.

Examination of Performance Management Targets in Case of an International Corporation’s Eastern Hungarian Operating Unit

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Nemeth Zoltan

2016-06-01

Full Text Available Nowadays, due to the social and economic changes, the human is already the main resource which determines the successfulness of corporations. The expertise in managing the human resources is a key factor of competitiveness therefore it has become a strategic question. Primary aim of the treatise is to outline the most important principles, targets and peculiarities of performance management system, which is a central element of human resource management, as well as its interconnectedness with the individual performance evaluation and human resource development through the mirror of one of today’s biggest Hungarian economic corporations. We aimed to explore, by means of document analysis as well as methods of case study and interview, how the targets of performance management are used for increasing the economic productivity, preserving the competitiveness, retaining and enhancing the satisfaction of workers. It can be stated that the PM system was continuously improved in case of the organization examined because the corporate goals and the expected performances were adjusted to the changing market demands over time but, at the same time the goal of differentiation has remained unchanged. Each worker evaluates his/her performance individually, the base of which is the extent of contribution to the corporate results. Based on the results, it can overall be stated that such a well-functioning performance management system is applied in the operating unit of the corporation examined which is strongly supported by the organizational culture and which contributes to the joint fulfilment of personal as well as organizational goals.

Assessing quality of maternity care in Hungary: expert validation and testing of the mother-centered prenatal care (MCPC) survey instrument.

Science.gov (United States)

Rubashkin, Nicholas; Szebik, Imre; Baji, Petra; Szántó, Zsuzsa; Susánszky, Éva; Vedam, Saraswathi

2017-11-16

Instruments to assess quality of maternity care in Central and Eastern European (CEE) region are scarce, despite reports of poor doctor-patient communication, non-evidence-based care, and informal cash payments. We validated and tested an online questionnaire to study maternity care experiences among Hungarian women. Following literature review, we collated validated items and scales from two previous English-language surveys and adapted them to the Hungarian context. An expert panel assessed items for clarity and relevance on a 4-point ordinal scale. We calculated item-level Content Validation Index (CVI) scores. We designed 9 new items concerning informal cash payments, as well as 7 new "model of care" categories based on mode of payment. The final questionnaire (N = 111 items) was tested in two samples of Hungarian women, representative (N = 600) and convenience (N = 657). We conducted bivariate analysis and thematic analysis of open-ended responses. Experts rated pre-existing English-language items as clear and relevant to Hungarian women's maternity care experiences with an average CVI for included questions of 0.97. Significant differences emerged across the model of care categories in terms of informal payments, informed consent practices, and women's perceptions of autonomy. Thematic analysis (N = 1015) of women's responses identified 13 priority areas of the maternity care experience, 9 of which were addressed by the questionnaire. We developed and validated a comprehensive questionnaire that can be used to evaluate respectful maternity care, evidence-based practice, and informal cash payments in CEE region and beyond.

Disease Management, Case Management, Care Management, and Care Coordination: A Framework and a Brief Manual for Care Programs and Staff.

Science.gov (United States)

Ahmed, Osman I

2016-01-01

With the changing landscape of health care delivery in the United States since the passage of the Patient Protection and Affordable Care Act in 2010, health care organizations have struggled to keep pace with the evolving paradigm, particularly as it pertains to population health management. New nomenclature emerged to describe components of the new environment, and familiar words were put to use in an entirely different context. This article proposes a working framework for activities performed in case management, disease management, care management, and care coordination. The author offers standard working definitions for some of the most frequently used words in the health care industry with the goal of increasing consistency for their use, especially in the backdrop of the Centers for Medicaid & Medicare Services offering a "chronic case management fee" to primary care providers for managing the sickest, high-cost Medicare patients. Health care organizations performing case management, care management, disease management, and care coordination. Road map for consistency among users, in reporting, comparison, and for success of care management/coordination programs. This article offers a working framework for disease managers, case and care managers, and care coordinators. It suggests standard definitions to use for disease management, case management, care management, and care coordination. Moreover, the use of clear terminology will facilitate comparing, contrasting, and evaluating all care programs and increase consistency. The article can improve understanding of care program components and success factors, estimate program value and effectiveness, heighten awareness of consumer engagement tools, recognize current state and challenges for care programs, understand the role of health information technology solutions in care programs, and use information and knowledge gained to assess and improve care programs to design the "next generation" of programs.

Innovation and Internationalization of Hungarian SMEs in the IT Industry

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Csonka László

2014-10-01

Full Text Available The aim of this paper is to look at the extent and type of internationalization among Hungarian information technology (IT small- and medium-sized enterprises (SMEs and the possible relationship between the degree of innovativeness and the internationalization of these companies. Information technologies play an important role in the Hungarian economy: this sector is one of the most R&D intensive industries in which many SMEs are active.

The Hungarian car insurance cartel saga

NARCIS (Netherlands)

Cseres, K.J.; Szilágyi, P.; Rodger, B.

2013-01-01

his chapter discusses the landmark Hungarian case relating to the car insurance and repair markets, which involved both vertical and horizontal agreements. The case concerned the horizontal relationship between Hungary’s two largest insurance companies and their vertical relationships with car

The new system of the talent development program in Hungarian soccer

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Csáki István

2014-10-01

Full Text Available Study aim: due to a series of failures and the drastic reduction in the quality of Hungarian soccer, greater emphasis should be put on coaches’ professional development and talent development programs. The aim of this study was to present the newly established Hungarian Soccer Development Program that focuses on the development of youth talent.

The fate of Hungarian Jewish dermatologists during the Holocaust: Part 2: Under Nazi rule.

Science.gov (United States)

Bock, Julia; Burgdorf, Walter H C; Hoenig, Leonard J; Parish, Lawrence Charles

At least 564,500 Hungarian Jews perished during the Holocaust, including many physicians. Exactly how many Jewish dermatologists were killed is not known. We have identified 62 Hungarian Jewish dermatologists from this period: 19 of these dermatologists died in concentration camps or were shot in Hungary, 3 committed suicide, and 1 died shortly after the Holocaust, exhausted by the War. Fortunately, many Hungarian Jewish dermatologists survived the Holocaust. Some had fled Europe before the Nazi takeover, as was described in Part 1 of this contribution. Two Holocaust survivors, Ferenc Földvári and Ödön Rajka, became presidents of the Hungarian Dermatologic Society and helped rebuild the profession of dermatology in Hungary after the War. This contribution provides one of the first accounts of the fate of Hungarian Jewish dermatologists during the Holocaust and serves as a remembrance of their suffering and ordeal. Copyright © 2016. Published by Elsevier Inc.

Some spiders (Araneae new to the Hungarian fauna, including three genera and one famil

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Pfliegler, W.

2012-12-01

Full Text Available We report the occurrence of new species of spiders to Hungary: Acantholycosa lignaria (Clerck, 1758, Episinus maculipes Cavanna, 1876, Oecobius maculatus Simon, 1870 and Pandava laminata (Thorell, 1878. We also report Clubiona neglecta O. P.-Cambridge, 1862 (previously only mentioned in a table in a Hungarian-language dissertation. The genus Acantholycosa (Dahl, 1908 was hitherto unknown in Hungary, yet expected to occur. The family Oecobiidae Blackwall, 1862 is new to the Hungarian fauna. The Southeast-Asian neozoon Pandava laminata is also recorded as new to Hungary. All further species found to be new to the Hungarian fauna or described in Hungary after the most recent publication of a Hungarian spider checklist are briefly mentioned.

Linguistic Representation of Emotions in Japanese and Hungarian: Quantity and Abstractness

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Márton SZEMEREY

2012-05-01

Full Text Available In the present paper, two linguistic aspects of emotion expression are studied in the form they are performed in present day Japanese and Hungarian. After a brief summary on the recent emotional researches connected to Japanese culture and language, the concept of Linguistic Category Model is introduced. The quantitative study presented afterwards investigates emotion expression in terms of amount and abstraction. Translations were used for comparison and the results showed that 1 Japanese tend to use less explicit emotion terms compared to Hungarians and 2 emotion language in Japanese is characterized by the choice of less abstract phrases compared to Hungarian. These findings are discussed in the light of their relevance to former researches of cross-cultural psychology and linguistics.

Research on Relative Age in Hungarian Swimming

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Nagy Nikoletta

2015-12-01

Full Text Available In 2017, the 19th World Swimming Championship will be organized in Hungary. Up to now, many people have already been working with swimmers to achieve good results. However, in the next period they must work even harder to ensure that the national swimmers of a country as small as Hungary can achieve the outstanding results of their predecessors. Since high-level competitions in swimming have become more intense, innovations including scientific studies are needed during preparation for the event. The purpose of this paper is to present the major results of an independent study carried out by the authors about the relative age of the best Hungarian swimmers with the aim of contributing to their preparation. The research population consisted of selected age groups of swimmers registered by the Hungarian Swimming Association (N=400. The method for data collection was an analysis of documents. To evaluate the data, the Chi-square and Kruskal-Wallis tests were used. The results are presented according to the period of the competitor’s date of birth, gender, and age group. The results confirm only partly the hypothesis that people born in the first quarters of the year play a dominant role in Hungarian national swimming teams. In the conclusion, the authors recommend further research on relative age in swimming and in other sports.

THE BIOGRAPHY OF JÁNOS NAGYVÁTHY - THE FIRST HUNGARIAN AGRICULTURAL WRITER

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Gábor LUKÁCS

2002-03-01

experience and the regularities regarding animals and plants discovered by the developing sciences. His main source is ’Elementa rei rusticae’ by Mitterpacher but he also mentioned 51 different books as sources, (34 of them in the section about plant cultivation. Plant cultivation had the same importance and number of pages as in the work of Mitterpacher but animal husbandry had twice as many pages. He wrote about the breeding of all farm animals but it was not the chapters on animal husbandry that pointed ahead but his remarks to help the rationalization of farming and the fact that he wrote about plant cultivation and animal husbandry as a whole. The book made him well-known in the country. He was offered the post of a land steward by Széchenyi Ferenc and Festetics György. Accepting the latter he moved to Keszthely and he took over the management of the domain of 162ooo acres. The earl left the army at that time and started to restore his neglected domain. Nagyváthy’s main task was to improve farm management. He introduced strict accountancy and applied double-entry book-keeping for the first time and Hungary and his main principle was to put down all farming activities in writing. The farm managers were not suitable for this task so he convinced Festetics to found a school for them and an other secondary grammar school in the other centre of the domain in Csurgó. By 1797 the condition of the domain improved significantly and the Earl founded ’Georgikon’ the first agricultural college in Europe though without the land steward who favoured the idea of enlightment (the court in Vienna would not approve it. After the expiration of his contract he retired and moved to Csurgó, where he inspected the secondary grammar school as a secular inspector. He spent the last 22 years of his life here ’hard working in respectable poverty’. He died on 13th February 1819 (according to other sources on 24th. His posthumous books are as follows: ’Hungarian housewife on the farm

Twenty years of isotope applications in the Hungarian aluminium industry

International Nuclear Information System (INIS)

Bujdoso, E.

1982-01-01

After a short review of the isotope techniques applied in the Hungarian aluminium industry some special applications and their results are briefly outlined. Industrial and laboratory scale trace constituent determinations, isotope and activation analytical methods and the application of sealed radiation sources are discussed. It has been shown that the related R+D activity followed closely the development trends of the aluminium industry. The references given is a comprehensive bibliography of Hungarian publications in this field. (author)

Behind the Exporters’ Success: Analysis of Successful Hungarian Exporter Companies From a Strategic Perspective

OpenAIRE

Annamaria Kazai Onodi; Krisztina Pecze

2014-01-01

The purpose of the study is to provide an overview of export success from a strategic management perspective. The paper empirically tested the relationships between the firm’s export performance, strategic thinking, adaptation to the changing environment and companies’ capabilities. The research is based on the Hungarian Competitiveness Research database of 2013 that consists of 300 firms. Cluster analysis differentiated successful export-oriented and stagnant companies. Both of them had high...

The Greek charter of the Hungarian King Stephen I

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Stojkovski Boris

2016-01-01

Full Text Available The first Hungarian Christian ruler, King Stephen I (997-1038 issued several charters that have survived to this day. One of them is the charter issued on behalf of the nuns from the Monastery of the Holy Theotokos in Veszprémvölgy. The charter was written in the Greek language, and has been the subject of many studies. The original has not been preserved; what remains is a copy from the time of King Coloman, dated to 1109. The charter has not been published in a critical edition in any language other than Hungarian and even though it has been examined by numerous Hungarian scholars, many questions remain open. The aim of the author is to provide a critical edition and an English translation of the charter, but also to clarify some remaining doubts about the charter and its contents. Furthermore, some comparisons will be made with the Byzantine charters issued at the beginning of the 11th and during the 12th century.

The First Steps to a New Comprehensive Slovenian-Hungarian Dictionary: The Analysis of Relevant Bilingual Resources

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Júlia Bálint Čeh

2018-01-01

Full Text Available The paper presents the analysis of existing bilingual Slovenian-Hungarian dictionaries, which was made as part of the project aiming to design a concept for a new comprehensive Slovenian-Hungarian dictionary. First, a short historical overview of Slovenian-Hungarian lexicography is provided, including first collections of dialect vocabulary, glossaries, and collections and dictionaries of idioms. Then, an overview of Slovenian-Hungarian and Hungarian-Slovenian dictionaries is made, the first one being published in 1961. The paper then focuses on a comparison on three Slovenian-Hungarian dictionaries, which are currently used by majority of users, namely Slovenian-Hungarian part of the dictionary by Elizabeta Bernjak (1995, Slovenian-Hungarian dictionary by Jože Hradil (1996, and Slovenian-Hungarian part of the Hradil’s bidirectional dictionary. The dictionaries are compared in terms of size, headword list, coverage, headword presentation, grammar information, as well as in terms of other elements of dictionary microstructure such as translations and examples. The discussion section includes an analysis of the coverage offered by the dictionaries of the vocabulary compilled by teachers at bilingual schools in Prekmurje. The results indicate that the coverage of various levels of vocabulary, frequent or rare, is rather poor; as dictionaries are medium-sized and outdated, this is to be expected, however as the analysis shows, some basic concepts are also often not covered (e.g. research, death, allergy. The second part of the discussion is dedicated to the presentation of selected examples of good practice in bilingual lexicography, such as Comprehensive English-Slovenian dictionary Oxford-DZS as the first bilingual dictionary in Slovenia to use the corpus-based approach, as well as offer much more contextual information on the headwords. Also presented are English-Spanish online dictionaries by Oxford University Press and Collins, the focus

Long memory in the Croatian and Hungarian stock market returns

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Silvo Dajčman

2012-06-01

Full Text Available The objective of this paper is to analyze and compare the fractal structure of the Croatian and Hungarian stock market returns. The presence of long memory components in asset returns provides evidence against the weak-form of stock market efficiency. The starting working hypothesis that there is no long memory in the Croatian and Hungarian stock market returns is tested by applying the Kwiatkowski-Phillips-Schmidt-Shin (KPSS (1992 test, Lo’s (1991 modified rescaled range (R/S test, and the wavelet ordinary least squares (WOLS estimator of Jensen (1999. The research showed that the WOLS estimator may lead to different conclusions regarding long memory presence in the stock returns from the KPSS and unit root tests or Lo’s R/S test. Furthermore, it proved that the fractal structure of individual stock returns may be masked in aggregated stock market returns (i.e. in returns of stock index. The main finding of the paper is that both the Croatian stock index Crobex and individual stocks in this index exhibit long memory. Long memory is identified for some stocks in the Hungarian stock market as well, but not for the stock market index BUX. Based on the results of the long memory tests, it can be concluded that while the Hungarian stock market is weakform efficient, the Croatian stock market is not.

Early Morphological Productivity in Hungarian: Evidence from Sentence Repetition and Elicited Production

Science.gov (United States)

Gabor, Balint; Lukacs, Agnes

2012-01-01

This paper investigates early productivity of morpheme use in Hungarian children aged between 2 ; 1 and 5 ; 3. Hungarian has a rich morphology which is the core marker of grammatical functions. A new method is introduced using the novel word paradigm in a sentence repetition task with masked inflections (i.e. a disguised elicited production task).…

Hollywood on the Danube: Hungarian Filmmakers in a Transnational Context

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Catherine Portuges

2012-01-01

Full Text Available Exile, emigration and displacement have marked the trajectories of Hungarian filmmakers over the past century. Michael Curtiz, the Korda brothers—Alexander, Vincent and Zoltán—André de Toth, Emeric Pressburger, Vilmos Zsigmond, Miklós Rózsa, Peter Lorre, Géza von Radvány and other talented artists have crossed borders, cultures and languages, creating such classics as Casablanca, Somewhere in Europe, The Red Shoes and The Lost One. The legendary sign posted in Hollywood studios read: "It is not enough to be Hungarian, you have to have talent, too!" Accompanied by film extracts, rare footage, personal interviews, archive photographs, and documentary materials, my presentation explores the transnational odysseys of these Hungarian directors, producers, cinematographers, composers, actors and screenwriters whose artistic contributions became an indispensable part of international cinema, suggesting that the challenges of emigration may also offer opportunities for critique, self-examination and artistic creativity.

Assessing and Promoting the Level of Safeguards Culture in Hungarian Nuclear Facilities

International Nuclear Information System (INIS)

Stefanka, Z.; Vincze, A.

2015-01-01

The Hungarian SSAC has introduced a comprehensive domestic safeguards verification system consisting of regular comprehensive SSAC verifications in the whole lifetime of the facilities. The main goals of the comprehensive verification system are: (i) to assess the facility's safeguards system compliance with the relevant national legislation and recommendations, (ii) to assess the activities of the facility aimed at maintaining and further developing its safeguards system, and, (iii) to revise validity of data and information previously provided by the facility subject to safeguards licencing procedures. The maintenance level of the system as well as the available knowledge on the possible needs for change reflect the top management's awareness of this issue and is a good indicator of the present and future effectiveness of the facility level safeguards system and the level of safeguards culture. The structure, preparation, conduction, documentation and initial experiences of the comprehensive safeguards verification system is introduced in the paper. Additionally, HAEA has just introduced a safeguards indexing method for evaluation the safeguards culture at Hungarian nuclear facilities. The main goal of indexing method and the evaluated parameters are also shown in the paper. (author)

Radiology education in Hungarian schools

International Nuclear Information System (INIS)

Marx, G.

1999-01-01

Basic concepts of nuclear physics are not more abstract and more difficult than those of electricity. For the orientation of the citizens of the 21st century, the Hungarian school curriculum has made them compulsory for all teenagers. According to the teachers' experience, the students find nuclear issues more relevant and more interesting than the topics inherited from the schoolbooks of earlier centuries. (author)

Radiology education in Hungarian schools

Energy Technology Data Exchange (ETDEWEB)

Marx, G. [Department of Atomic Physics, Boetvoes Univ., Budapest (Hungary)

1999-09-01

Basic concepts of nuclear physics are not more abstract and more difficult than those of electricity. For the orientation of the citizens of the 21st century, the Hungarian school curriculum has made them compulsory for all teenagers. According to the teachers' experience, the students find nuclear issues more relevant and more interesting than the topics inherited from the schoolbooks of earlier centuries. (author)

Hungarian norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A.

Science.gov (United States)

Költő, András; Gősi-Greguss, Anna C; Varga, Katalin; Bányai, Éva I

2015-01-01

Hungarian norms for the Harvard Group Scale of Hypnotic Susceptibility, Form A (HGSHS:A) are presented. The Hungarian translation of the HGSHS:A was administered under standard conditions to 434 participants (190 males, 244 females) of several professions. In addition to the traditional self-scoring, hypnotic behavior was also recorded by trained observers. Female participants proved to be more hypnotizable than males and so were psychology students and professionals as compared to nonpsychologists. Hypnotizability varied across different group sizes. The normative data-including means, standard deviations, and indicators of reliability-are comparable with previously published results. The authors conclude that measuring observer-scores increases the ecological validity of the scale. The Hungarian version of the HGSHS:A seems to be a reliable and valid measure of hypnotizability.

Named Entity Recognition in a Hungarian NL Based QA System

Science.gov (United States)

Tikkl, Domonkos; Szidarovszky, P. Ferenc; Kardkovacs, Zsolt T.; Magyar, Gábor

In WoW project our purpose is to create a complex search interface with the following features: search in the deep web content of contracted partners' databases, processing Hungarian natural language (NL) questions and transforming them to SQL queries for database access, image search supported by a visual thesaurus that describes in a structural form the visual content of images (also in Hungarian). This paper primarily focuses on a particular problem of question processing task: the entity recognition. Before going into details we give a short overview of the project's aims.

THE IMPORTANCE OF STATE’S ROLE IN THE HUNGARIAN VENTURE CAPITAL MARKET

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Jenő Konecsny

2011-07-01

Full Text Available The presence of state also has an indirect and direct effect on the developement of the Hungarian venture capital market. Indirect effect is realized through the law legislation and the direct one by the operate of the different venture capital firms and funds which invest public financial sources. The main purpose of the direct intervention is to finance the under-capitalized small and medium-sized start-up companies with equity. The paper examines the Hungarian venture capital market from the aspect of state intervention. It starts with an European overview which summarizes the common and different attributes of state’s role in the venture capital market between several European countries. The paper focuses on the Hungarian situation, it describes concisely the effect and efficiency of the governmental instructions which were taken for the legislation of the venture capital market. Using the results of a previous research the paper also examines the characteristics of the direct instructions. The paper decribes briefly the main details of the publicprivate initiative called JEREMIE-program, which started on the Hungarian venture capital market in the recent past.

The Hungarian environmental private law under the influence of jus publicum

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Julesz Máté

2016-01-01

Full Text Available The relationship between environmental public law and environmental private law is of a growing significance. Not only environmental criminal law has an effect on environmental private law, but, since the beginning of the new legal, economic and political era in 1989, private law elements are also to be found in the environmental administrative law. The reciprocity between environmental private and administrative law is clear-cut. Private law institutions, like injunction or deposit, are upheld in environmental administrative contracts. The effect of an administrative ruling has legal consequences in the relationship between, e.g., neighbors: there are cases in which a noisy neighbor can be brought before the public administration. The objective liability in the field of environmental private law is accepted by the courts and by the citizens. The level of objectivity may, though, vary from country to country. In the practice of the Hungarian environmental private law, after 3 years, the objective liability is subrogated by a subjective liability, this latter one making exculpation easier. The res ipsa loquitur liability in space law is not an absolute liability, though it establishes a praesumptio juris that the environmental damage caused by a space object (e.g. a satellite is to be covered by the state which has sent the satellite into space. The presumption is, though not easily, rebuttable. In the Hungarian case law, objective environmental liability has been applied sub judice since the novella of the Civil Code in 1977. This novella made environmental private law a part of environmental law. The novella of the Civil Code was preceded by the Act on Environmental Protection of1976. The importance of economics in environmental private law has only recently been accepted by the Hungarian legal science. The role of the Coase theory is indisputable. The environmental private law is quite a new phenomenon in the Hungarian legal science, however

THE HUNGARIAN CRISIS: AN AUSTRIAN SCHOOL EXPLANATION

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Andras Toth

2013-07-01

Full Text Available The Hungarian model was heralded as one of the most successful post-socialist way of integration into the globalised world economy and European economic area in the nineties. Currently, Hungary is suffering from a full-blown crisis 1996 onwards. Increasingly large number of Hungarians is losing their faith in political parties, institutions, democracy and in market economy. The government, elected in 2010 by supermajority and still enjoying a broad support despite the deepening recession, condemns the development path taken after 1989 and openly rejects the wrong model of the last 20 years. The government intends to build a new economic model following a model, which one can call a model of economic nationalism as the only way out of the crisis. The paper intends to portray, through the case of Hungary, how economy and politics is interconnected, and why political elites are choosing a credit fuelled development path. The paper intends to portray how a credit fuelled growth was induced by politics and ended up in tears. Moreover, the paper describes the consequences of pro-etatist shift in the public sentiment due to the alleged “market-failure”, which was in reality a crisis, at first place, created for political purposes by political means. This article, based on the Austrian business cycle theory, argues that the tragedy of Hungary was that it went through a government inspired spending binge in the first half of the 2000s. The deficit spending of the government was accompanied by the expansion of credit by the commercial banks, mostly denominated in Swiss francs. The combined effect of deficit spending and credit expansion was the build-up of debt and loss of cost competitiveness. The 2008 crisis ended the credit fuelled development path and has started the long and painful period of deleveraging crisis. On the other hand, the Hungarian crisis is a post-Keynesian crisis. It had broken out when the state was already heavily indebted and

Hungarian Economic Development Prospects – in the Light of the One Belt and One Road Initiative

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Tamás Novák

2018-04-01

Full Text Available This paper attempts to delineate the most important aspects of the historical Hungarian economic development path, while shedding light on long-term Chinese investment and trade opportunities in Hungary. In order to make the One Belt and One Road Initiative a success, China needs proper knowledge of the Central European countries’ long-term development needs and goals. This analysis delivers a first assessment of the basic long-term questions of Hungarian economic development. The paper reviews milestones of economic progress after 1990 until the present, and shortly looks into the effects of the economic transformation of the 90s, and the main repercussions of the Global Financial Crisis (2008-2009. At the end of the paper a short glimpse is given on how the Hungarian economy could develop, and what are the possible development models to be utilized by Hungarian decision-makers. At the same time, it will be clear where Hungarian and Chinese need can intersect each other.

Between the Word of the Law and Practice: a Case of the Hungarian Speakers in Serbia

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Mandić Marija

2017-12-01

Full Text Available The paper initially presents the Serbian legislative framework relevant to the use of minority languages. The ethnolinguistic vitality of the Hungarian-speaking population in Serbia is then analysed, particularly in the Serbian province of Vojvodina. The paper then focuses upon the sociolinguistic survey of Hungarian language use in Belgrade. The emphasis is placed upon the survey responses related to the awareness of language rights among the Hungarian speakers.

[Hungarian Diet and Nutritional Status Survey - OTÁP2014. II. Energy and macronutrient intake of the Hungarian population].

Science.gov (United States)

Sarkadi Nagy, Eszter; Bakacs, Márta; Illés, Éva; Nagy, Barbara; Varga, Anita; Kis, Orsolya; Schreiberné Molnár, Erzsébet; Martos, Éva

2017-04-01

The aim of the study was to assess and monitor the dietary habits and nutrient intake of Hungarian adults. Three-day dietary records were used for dietary assessment, the sample was representative for the Hungarian population aged ≥18ys by gender and age. The mean proportion of energy from fat was higher (men: 38 energy%, women: 37 energy%), that from carbohydrates was lower (men: 45 energy%, women: 47 energy%) than recommended, the protein intake is adequate. Unfavorable change compared to the previous survey in 2009 was the increase of fat and saturated fatty acid energy percent in women, the decrease in fruit and vegetable consumption, which explains the decreased fiber intake. An increasing trend in added sugar energy percent in each age groups of both genders was observed compared to 2009. Interventions focusing on the promotion of fruit and vegetable consumption and decreasing of saturated fat and added sugar intake are needed. Orv. Hetil., 2017, 158(15), 587-597.

Experience of Hungarian model project: 'Strengthening training for operational safety at Paks NPP'

International Nuclear Information System (INIS)

Kiss, I.

1998-01-01

Training of Operational Safety at Paks NPP is described including all the features of the project including namely: description of Paks NPP, its properties and performances; reasons for establishing Hungarian Model Project, its main goals, mentioning Hungarian and IAEA experts involved in the Project, its organization, operation, budget, current status together with its short term and long term impact

L2 Romanian Influence in the Acquisition of the English Passive by L1 Speakers of Hungarian

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Tankó Enikő

2015-03-01

Full Text Available The main question to be investigated is to what extent native speakers of Hungarian understand and acquire the English passive voice, as there is no generalized syntactic passive construction in Hungarian. As we will show, native speakers of Hungarian tend to use the predicative verbal adverbial construction when translating English passive sentences, as this construction is the closest syntactic equivalent of the English passive voice. Another question to be investigated is whether L2 Romanian works as a facilitating factor in the process of acquiring the L3 English passive voice. If all our subjects, Hungarian students living in Romania, were Hungarian-Romanian bilinguals, it would be obvious that knowledge of Romanian helps them in acquiring the English passive. However, as it will be shown, the bilingualism hypothesis is disconfirmed. Still, passive knowledge of Romanian influences to some extent the acquisition of the English passive voice.

Hungarian activity in cosmic physics in the last 20 years

International Nuclear Information System (INIS)

Szabo, Ferenc.

1987-01-01

The Hungarian activity in cosmic physics is reviewed. Hungary is participant of the Interkosmos collaboration and participates in research programs to study the Earth's magnetosphere, interplanetary space, solar activity, planets of the Solar system, comets (e.g. Vega project to study Halley's comet). Cosmic geodesy is also cultivated in Hungary. A broadening field of the Hungarian cosmic physical activity is the design and construction of measuring intstruments used on board of probes and those of other space probe components, e.g. power supplies, telemetric and telecommunication systems. A brief summary of recent and future projects is also presented. (D.Gy.)

The Hungarian youth's knowledge and attitude in the nuclear field

International Nuclear Information System (INIS)

Petofi, G.; Legradi, G.

2001-01-01

The Young People for the Nuclear Energetics (FINE) was established in 1999 as the Hungarian branch of the Young Generation Network. Our purpose is to remove the misbelieves and fears arisen around the nuclear techniques and mainly the nuclear energetics and to reply the questions brought up by the Hungarian youth in this topic. In this year our main activity was to take part in the Student Island festival with a Nuclear-tent. In this paper our experience is delineated what we drawn with the help of our programmes about the attitude and the knowledge of the youth. (authors)

[VALIDATION OF THE HUNGARIAN MDS-UPDRS: WHY DO WE NEED A NEW PARKINSON SCALE?].

Science.gov (United States)

Horvath, Krisztina; Aschermann Zsuzsanna; Acs, Péter; Bosnyák, Edit; Deli, Gabriella; Pál, Endre; Késmárki, Ildikó; Horváth Réka; Takács, Katalin; Komoly, Sámuel; Bokor, Magdolna; Rigó, Eszter; Lajtos, Júlia; Klivényi, Péter; Dibó, György; Vécsei, László; Takáts, Annamária; Tóth, Adrián; Imre, Piroska; Nagy, Ferenc; Herceg, Mihály; Hidasi, Eszter; Kovács, Norbert

2014-03-30

The Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS) has been published in 2008 as the successor of the original UPDRS. The MDS-UPDRS organizing team developed guidelines for the development of official non-English translations consisting of four steps: translation/back-translation, cognitive pretesting, large field testing, and clinimetric analysis. The aim of this paper was to introduce the new MDS-UPDRS and its validation process into Hungarian. Two independent groups of neurologists translated the text of the MDS-UPDRS into Hungarian and subsequently back-translated into English. After the review of the back-translated English version by the MDS-UPDRS translation administration team, cognitive pretesting was conducted with ten patients. Based on the results of the initial cognitive pretesting, another round was conducted. For the large field testing phase, the Hungarian official working draft version of MDS-UPDRS was tested with 357 patients with Parkinson's disease (PD). Confirmatory factor analyses (CFA) determined whether the factor structure for the English-language MDS-UPDRS could be confirmed in data collected using the Hungarian Official Draft Version. To become an official translation, the Comparative Fit Index (CFI) had to be ≥ 0.90 compared to the English-language version. For all four parts of the Hungarian MDS-UPDRS, the CFI was ≥ 0.94. The overall factor structure of the Hungarian version was consistent with that of the English version based on the high CFIs for all the four parts of the MDS-UPDRS in the CFA; therefore, this version was designated as the "OFFICIAL GUNGARIAN VERSION OF THE MDS-UPDRS'.

Selected English-Language Bibliography of Interest for Hungarian Cultural Studies: 2014-2015

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Louise O. Vasvari

2016-01-01

Full Text Available As the above title indicates, because of the publication schedule of Hungarian Cultural Studies this bibliography straddles 2014-2015, covering the period since the publication in the fall of 2014 of last year’s bibliography in this journal. Each year’s bibliography is supplemented by earlier items, which were only retrieved recently. Although this bibliography series can only concentrate on English-language items, occasional items of particular interest in other languages may be included. For a more extensive bibliography of Hungarian Studies from about 2000 to 2010, for which this is a continuing update, see Louise O. Vasvári, Steven Tötösy de Zepetnek, and Carlo Salzani. “Bibliography for Work in Hungarian Studies as Comparative Central European Studies.” CLCWeb: Comparative Literature and Culture (Library (2011:  http://docs.lib.purdue.edu/clcweblibrary/hungarianstudiesbibliography.

Aggressive Neighborhood Watch or Unconventional Threat? The Hungarian Extreme Right-Wing Self-Defense Movements

Science.gov (United States)

2014-12-01

paramilitary force, for instance the Hungarian Guard.33 The Guard was formed in 2007 through an ‘oath of allegiance’ taken by men and women wearing black...gyorgy-gyulat.html. 35 9. 10/07/2012 Disruption of the Hungarian National Front.90 Gyula Thurmer, leader of the (Communist) Labour Party and the

The Use of Hungarian and Serbian in the City of Szabadka/Subotica : An Empirical Study

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Siarl Ferdinand

2017-09-01

Full Text Available In this study Ferdinand and Komlosi analyze the use of Hungarian and Serbian in the city of Szabadka/Subotica, which is located in the Serbian region of Northern Vajdaság/Vojvodina. A mostly Hungarian speaking city for centuries, Szabadka/Subotica suffered the strong pro-Serbian language policy implemented by the Yugoslavian government from the end of the First World War until the dismantlement of Yugoslavia in the 1990s, which gave Hungarian and other local minority languages a second chance to survive. Nowadays, Szabadka/Subotica is home to two main language groups, southern Slavic languages such a Serbian and Croatian (over sixty per cent and Hungarian (thirty three per cent. Although Ferdinand and Komlosi employed official figures from the Serbian censuses to determine the size of each group, the situation of each language was mapped through empirical observation of language use in informal conversations, in official signage, and in permanent as well as temporary commercial signage. The results show that the role of Serbian (mostly written in Latin script is dominant in almost all spheres of public life and as a lingua franca among various groups. Nevertheless, Hungarian maintains a strong presence in the city, especially in the center and in its northwestern districts. In this paper, Ferdinand and Komlosi aim to contribute to a better general understanding of group dynamics in bilingual settings and, specifically, to provide a clearer view of the language situation in one of the Hungarian-speaking regions lost by the historic Kingdom of Hungary after World War I.

Abstracts of the “26th Hungarian Conference on Rabbit Production”

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26th Hungarian Conference on Rabbit Prod Kaposvár, Hungary, May 31, 2014

2015-03-01

Full Text Available About 100 participants attended the 26th Hungarian Conference on Rabbit Production at Kaposvár, organised by Kaposvár University, the Hungarian Branch of the WRSA and the Rabbit Production Board. This is the largest and most popular event for rabbit breeders in Hungary. Twenty papers were presented by senior and young scientists. Topics of the papers covered all fields of rabbit production (production, housing and welfare, reproduction, genetics, nutrition, meat quality. Full papers are available from the organiser (matics.zsolt@ke.hu on request.

Reforming health care in Hungary.

Science.gov (United States)

Császi, L; Kullberg, P

1985-01-01

Over the past two decades Hungary has initiated a series of social and economic reforms which have emphasized decentralization of control and the reintroduction of market mechanisms into the socialized economy. These reforms both reflect and reinforce a changing social structure, in particular the growing influence of upper class special interest groups. Market reforms are an expression of concurrent ideological shifts in Hungarian society. We examined the political significance of three recent proposals to reform health services against the backdrop of broader social and economic changes taking place. The first proposes a bureaucratic reorganization, the second, patient co-payments, and the third, a voucher system. The problems each proposal identifies, as well as the constituency each represents, reveal a trend toward consolidation of class structure in Hungary. Only one of these proposals has any potential to democratize the control and management of the heath care system. Moreover, despite a governmental push toward decentralization, two of these proposals would actually increase centralized bureaucratic control. Two of the reforms incorporate market logic into their arguments, an indication that the philosophical premises of capitalism are re-emerging as an important component of the Hungarian world-view. In Hungary, as well as in other countries, social analysis of proposed health care reforms can effectively illuminate the social and political dynamics of the larger society.

The Notion of the Foreign in Hungarian and Bulgarian Phraseologisms

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Lesnichkova Lilyana

2017-12-01

Full Text Available The confrontation between the native and the foreign is a problem that focuses research efforts on a number of humanities, e.g. cultural studies, anthropology, linguistics, ethnography, etc. The following report analyses the notion of the foreign, the other, the different, reflected in the phraseological wealth of the Hungarian and Bulgarian languages. The reviewed phrasemes concentrate the shock upon collision with the different or evaluation of the experience gained in the continuous communication with the other. The foreign is usually individualized by outlining and exaggerating some of its characteristics using parallels, oppositions, and metaphors. The negative attitudes and judgments prevail over the others: the fear of the collective “I” losing its own identity creates a negative attitude towards the foreign, distorted, or wrong notion of the other and the different. Many of the idioms reflect interethnic relations from times long gone, and so they are no longer a significant part of the active vocabulary of Hungarians and Bulgarians. Their analysis, however, is of great interest as they preserve the collective memory of the Hungarian and Bulgarian cultural communities and reveal their traditional notions and knowledge.

What do the Hungarian young people think about the nuclear?

Energy Technology Data Exchange (ETDEWEB)

Pazmandi, T.; Aszodi, A.; Boros, I.; Hanti, A.; Legradi, G.; Petofi, G. [Budapest University of Technology and Economys, Institute of Nuclear Techniques, Budapest (Hungary)

2001-07-01

During the last few years new challenges and opportunities appeared on the nuclear agenda, like the improvement of the economic competitiveness, enhancing radiation and waste safety, strengthening of the role of the public acceptance. It seems that the future of the nuclear industry depends on several things. On the one hand the scientific and technical development in the last decades worked up sufficient nuclear safety and radiation protection, and nuclear methods are widely used in the industry, agriculture and medical systems, as well. On the other hand there are some other interesting questions, like Human Relations and the public acceptance of the nuclear energy still lying ahead of us. The Hungarian Youth for Nuclear (FINE) was established in 1998 as the Hungarian branch of the Young Generation Network. Our purpose is to remove the misbelieves and fears arisen around the nuclear techniques and mainly the nuclear energetics and to answer the questions brought up by the Hungarian youth in this topic. In this paper our experience what we have drawn with the help of our programmes about the attitude and the knowledge of the youth is summarised. (author)

What do the Hungarian young people think about the nuclear?

International Nuclear Information System (INIS)

Pazmandi, T.; Aszodi, A.; Boros, I.; Hanti, A.; Legradi, G.; Petofi, G.

2001-01-01

During the last few years new challenges and opportunities appeared on the nuclear agenda, like the improvement of the economic competitiveness, enhancing radiation and waste safety, strengthening of the role of the public acceptance. It seems that the future of the nuclear industry depends on several things. On the one hand the scientific and technical development in the last decades worked up sufficient nuclear safety and radiation protection, and nuclear methods are widely used in the industry, agriculture and medical systems, as well. On the other hand there are some other interesting questions, like Human Relations and the public acceptance of the nuclear energy still lying ahead of us. The Hungarian Youth for Nuclear (FINE) was established in 1998 as the Hungarian branch of the Young Generation Network. Our purpose is to remove the misbelieves and fears arisen around the nuclear techniques and mainly the nuclear energetics and to answer the questions brought up by the Hungarian youth in this topic. In this paper our experience what we have drawn with the help of our programmes about the attitude and the knowledge of the youth is summarised. (author)

Hungarian Competition Law & Policy: The Watermelon Omen

OpenAIRE

Pal Szilagyi

2012-01-01

If we look at recent developments from a wider perspective, we can see some radical changes in the attitudes of the Hungarian legislature and the society. Pál Szilágyi (Péter Pázmány Catholic University )

Nation-building under the Austro-Hungarian sceptre Croat-Serb antagonism and cooperation

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Trbovich Ana S.

2006-01-01

Full Text Available In the nineteenth century many European nations, including Serbs and Croats became politically conscious of their "nationhood", which became a contributory factor in the crumbling of the two great empires in Central-East Europe - the Habsburg and the Ottoman - at the beginning of the following century. The Serbs had, since medieval times, an awareness of their long history and tradition, great medieval civilization and cultural unity regardless of the fact that they lived under several different adminis­trations. As in the case of Habsburg Serbs, language and literature became building blocks of Croat national consciousness in the nineteenth century. Unlike Serb nationalism centred on people, Croat nationalism was mainly territory-related. Since both Serbs and Croats inhabited the Austro-Hungarian provinces claimed by the Croats as their "historical Right" (absorption in 1097 of the small medieval Croat state by the Hungarians is interpreted, by many Croat historians, as a voluntary act of union, the different conceptions of nationalism resulted in competing claims. Croatian politics became one of opposing any recognition of Serbian institutions and cultural characteristics without Serbs previously accepting the concept that the only "political nation" in the Austro-Hungarian Province of Croatia was Croatian. Nonetheless, Croats compromised when in need of Serb assistance in opposing Hungarian domination. In turn, Serb politics was divided between those supporting cooperation with the Croats in order to achieve greater autonomy from the Hungarians in the Dual Monarchy, and those who supported some cooperation but insisted on forming an entity separate from the Croats in the future and joining with the Kingdom of Serbia, which regained its independence in 1878. The ensuing world and civil wars brought the Croato-Serb conflict to the fore, with the first and the second Yugoslavia failing to accommodate the two nations' opposing aspirations.

["Hannibal ante portas" -- technical development and health care reorganization].

Science.gov (United States)

Fülesdi, Béla; Velkey, György

2011-11-20

Authors intend to analyze the impact of medical technical development on the Hungarian health care system and try to draw attention to potentially necessary measures for professional and structural health care reorganization.

Banking union through Hungarian eyes–assessment of a possible close cooperation

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Anikó Szombati

2017-03-01

Full Text Available Legislation laying down the first two pillars of the institutional system of the Banking Union was finalised in April 2014. In accordance with the regulations, non-euro area Member States, including Hungary, may notify the ECB at any time if they wish to participate in the common system even before the euro is adopted. The paper aims at summarising the possible pros and cons vis-à-vis the Banking Union from a Hungarian perspective. It highlights the reasons for not opting in at the inception of the new supervisory system and also gives indications about those major milestones that could give rise to the reconsideration of the present position. In its existing form, the single supervisory and crisis management mechanism has not achieved the initial target, i.e. the separation of the stability of national banking systems and the fiscal capacity of Member States and the elimination of interdependencies. In addition, close cooperation implies weaker powers than those provided by actual membership, and the separation of central bank and supervisory functions carries risks in non-euro area countries. By contrast, the attraction of Banking Union membership lies in the opportunity to join a uniform European system, a wider analyst base and ultimately, the “ammunition” of the EUR 98 billion available for crisis management in comparison to the Hungarian banking system. In October 2013, a uniform supervisory system integrated into the central bank was set up in Hungary, and the domestic resolution institutional system was complete by the end of 2014. Therefore, until the finalisation of the Banking Union through the creation of the common deposit insurance fund and a common fiscal backstop, it is reasonable to put the decision to join on hold; indeed, such a decision should be made in light of several factors presented in this study.

CHALLENGES OF HUNGARIAN HIGHER EDUCATION IN UKRAINE

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Viktória Ferenc

2011-01-01

Full Text Available Hungarians in Ukraine have a well organized educational system that covers institutions from the kindergarten to the university. At first glance it may look like that the maintenance of the Transcarpathian Hungarians in Ukraine is guaranteed, however,we have to see that minority education (which is one of the key-issue of the maintenance of the community is threatened by several factors. In the given paper I will take under investigation only two of these factors. On the one hand the Ukrainian state language policy would like to strengthen the position of the state language even at the expense of other languages and education is used as a means of achieving these aims. On the other hand, while education is one of the effective and powerful means of achieving social goals of the minority and choosing the language of instruction is a crucial part of language education policy, minority universities neglect serious language planning activity. It is high time for every institute to work out an individual university language policy taking into account their own aims and personal conditions.

Hungarian participation in the intercosmos program

International Nuclear Information System (INIS)

Ferencz, Cs.

1981-01-01

Hungarian specialists have been interested in all fields of space research from the beginning. They also participate in the program in accordance with the scientific and technical state-of-the-art and financial possibilities of Hungary. The author summarizes the most important results of more than twenty years achieved in the field of cosmic physics, cosmic meteorology, space telecommunication, medical biology and the research of energy resources. (author)

[Validation of Hungarian Smartphone Deprivation Inventory (HSDI) with school children].

Science.gov (United States)

Csibi, Sándor; Demetrovics, Zsolt; Szabo, Attila

2017-01-01

The widespread use of smartphones generates new habits and behaviors among the users, including schoolchildren. Advance technology-based applications, capturing interest and attention, influence cognitive focus and time spent with the device. Examination of these factors points toward the risk of addiction, as well as the deprivations sensations associated with the latter, that call for scholastic attention. The aim of this study was to validate a Hungarian Smartphone Deprivation Inventory (HSDI), to gauge the deprivation feelings and their severity in schoolchildren when they cannot access their device. A 9-item, 7-point, agree-disagree inventory was developed on the basis of an earlier exercise deprivation scale (Robbins and Joseph, 1985). The inventory was completed by 258 Hungarian schoolchildren (mean age=12.4 ± SD = 1.71 years). The participants also completed the Hungarian version of the Brief Addiction to Smartphone Scale (BASS). An exploratory factor analysis of the HSDI yielded a single factor that accounted for 55.84 % of the variance. The internal consistency of the inventory was excellent (Cronbach's α = 0.90). Content validity of the HSDI was checked by comparing the scores of those scoring above and below the median on the BASS that yielded statistically significant differences (p smartphone access in schoolchildren.

[Types of conflicts and conflict management among Hungarian healthcare workers].

Science.gov (United States)

Csupor, Éva; Kuna, Ágnes; Pintér, Judit Nóra; Kaló, Zsuzsa; Csabai, Márta

2017-04-01

Efficient communication, conflict management and cooperation are the key factors of a successful patient care. This study is part of an international comparative research. The aim of this study is to unfold conflicts among healthcare workers. 73 healthcare workers were interviewed using a standardized interview protocol. The in-person interviews used the critical incident method. 30 interviews (15 doctors, 15 nurses) were analysed with the Atlas.ti 7 content analysis software. The sources, types, effects of conflicts and conflict management strategies were investigated. The content analysis unfolded the specificities of conflicts in healthcare based on personal experiences. Organizational hierarchy was a substantial source of conflict, especially among physicians, which originates from implicit rules. As a result of the avoiding conflict management the conflicts remain partly unresolved which has negative individual and group effect. Our conceptual framework helps to develop a proper intervention specific to healthcare. Orv. Hetil., 2017, 158(16), 625-632.

Genetic analysis of the Hungarian draft horse population using partial mitochondrial DNA D-loop sequencing

Science.gov (United States)

2018-01-01

Background The Hungarian draft is a horse breed with a recent mixed ancestry created in the 1920s by crossing local mares with draught horses imported from France and Belgium. The interest in its conservation and characterization has increased over the last few years. The aim of this work is to contribute to the characterization of the endangered Hungarian heavy draft horse populations in order to obtain useful information to implement conservation strategies for these genetic stocks. Methods To genetically characterize the breed and to set up the basis for a conservation program, in the present study a hypervariable region of the mitochrondial DNA (D-loop) was used to assess genetic diversity in Hungarian draft horses. Two hundred and eighty five sequences obtained in our laboratory and 419 downloaded sequences available from Genbank were analyzed. Results One hundred and sixty-four haplotypes and thirty-six polymorphic sites were observed. High haplotype and nucleotide diversity values (Hd = 0.954 ± 0.004; π = 0.028 ± 0.0004) were identified in Hungarian population, although they were higher within than among the different populations (Hd = 0.972 ± 0.002; π = 0.03097 ± 0.002). Fourteen of the previously observed seventeen haplogroups were detected. Discussion Our samples showed a large intra- and interbreed variation. There was no clear clustering on the median joining network figure. The overall information collected in this work led us to consider that the genetic scenario observed for Hungarian draft breed is more likely the result of contributions from ‘ancestrally’ different genetic backgrounds. This study could contribute to the development of a breeding plan for Hungarian draft horses and help to formulate a genetic conservation plan, avoiding inbreeding while. PMID:29404201

Ottoman-Hungarian Conflict through Venetian Eyes

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N. Zeynep YELÇE

2017-04-01

Full Text Available The new phase in Ottoman-Hungarian relations starting with the ascension of Süleyman I and the following period of conflict have been thoroughly examined by scholars; causes and effects have been analyzed; and the process has been evaluated in a wide array of perspectives ranging from evaluations as a process of glorious conquest to a process of tragic enslavement. This paper moves away from such grand narratives to explore the way the process was perceived by contemporaries as they lived through the conflict. As such, this paper focuses on the letters of Lorenzo Orio, the Venetian ambassador in Buda between 1519-1523. From his arrival in Buda on June 5, 1519, to his presentation of his report to the Pregadi on December 22, 1523; Orio has been a close witness of the relations and conflicts between the Ottomans, Habsburgs, and the Hungarians. The information offered by Orio in these tumultuous times, as he tried to present a neutral stance for Venice, has not only added to the soft power of Venice but presents us the experience and perception of an era. In other words, it opens a window to the rumors, gossip, fears, and hopes in the daily lives of the contemporaries.

Hungarian Accounting Regulations: Exposed to the Cross-Fire

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Rita Ambrus

2015-09-01

Full Text Available The aim of the paper is to highlight two factors influencing Hungarian accounting regulations: the legislation of accounting in the last 25 years and the most important features of the taxation system. Both of them can influence the main requirement of the Hungarian Act on Accounting, the true and fair view. The research methods are based on a synthesis of the national and international literature. The authors examine the regulation system embedded in the legal and economic environment. The paper shows the accounting legislation in Hungary after the changing of the regime, its asymmetry, the attitude of the legislators and the current situation. The analysis of the tax system is connected to the provisions of accounting, highlighting the problems of the tax administration, the relation between corporate tax and the resultsof accounting and the intention to simplify it. The main conclusion is to make the system more flexible, in line with the legal and fiscal institutions, to fulfil its important requirements.

Translating Welsh Drama Into Hungarian Through English: A Contextual Introduction to Sêra Moore Williams’ Crash in Hungarian Translation

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Márta Minier

2016-01-01

Full Text Available This article offers a predominantly contextual introduction to my translation of a contemporary Welsh play by Sêra Moore Williams, Crash (2004, into Hungarian. Williams' three-person drama for young people was written originally in the author's native language, Welsh, and translated into English by the playwright herself. In my translation process of the play from English to Hungarian the intermediary role played by English raises ethical concerns from a postcolonial perspective, while in a pragmatic sense it is almost a necessity to rely on it when communicating Welsh-language cultural production to the broader international public, including to other minor languages. The article will place the drama in its generic context, introducing the play as a Theater in Education piece, as Williams' work has been inspirational in the development of tantermi színház [classroom theater] in Hungary since the early 2000s. As a specific case study within the case study, the additional discussion of the translation of Williams' polysemic title will provide an insight into the role such a significant paratext plays in uprooting a dramatic text from one culture to another.

Decarbonising the Hungarian Electricity and Heat Sectors: What Is the Least impossible?

International Nuclear Information System (INIS)

Kaderjak, P.

2012-01-01

The presentation will report on an economic assessment of decarbonisation scenarios for the Hungarian electricity and heat sectors by 2050. The assessment is based on economic modeling that assumes an expanding application of existing technologies. The results suggest that CO 2 abatement in the heat sector might be a cheaper and more realistic option for decarbonisation in the Hungarian case. With regard to the electricity sector, decarbonisation foreseen in the Commission's 2050 vision (90-95%) is not feasible without a massive application of CCS technology or without a non-foreseeable technology breakthrough.(author)

Energy conservation and energy prices: the Hungarian experience

International Nuclear Information System (INIS)

Molnar, L.

1997-01-01

The main sources of emissions into the outdoor air are from the energy sector (e.g. power plants), industry, the transport sector and the residential sector (buildings). The danger from most of these emissions is the fact that heat plants and boilers of residential buildings in particular, are usually in the areas where people live and work and therefore their emissions may have a direct effect on health. The best way to improve this situation - to diminish emissions and to improve air quality - is to increase the efficiency of both energy production and use. This also has important consequences for the economic use of the national energy carrier stock and diminishes the need to import energy which increases the competitiveness of goods produced. The Hungarian government has set out an Energy Saving Programme to address, among other things the fact that the Hungarian average energy consumption per capita is less than the EU average but the energy intensity (the necessary energy to produce 1 USD GDP) is 3.5-4.0 times higher than the EU average. It has been shown that the best way to save energy is to invest in energy-conscious behaviour and training. Recent studies in public and residential buildings have shown that there is a potential for high energy saving in Hungarian buildings which is independent from the building technology used. Also, the pay-back times of investment in the building envelope are significantly higher than the pay-back times of investment in heating-ventilating or control systems, while the energy saved was of the same magnitude. (author) 5 figs., 5 tabs., 6 refs

The regulatory role of the Hungarian Geological Survey in the closure of Mecsek uranium mine

International Nuclear Information System (INIS)

Hamor, T.; Gombor, L.

2001-01-01

Under Mining Act XLIII established in 1993, the Hungarian Geological Survey was given a wide range of authority related to the environment, mining, nuclear and general constructions. In implementing these task the Survey will be supported by the well established Geological Institute of Hungary and the Eoetvoes Lorand Geophysical Institute. The Survey's role in the nuclear field includes the licensing of plans and reports on geologically related research to any nuclear facilities. The Hungarian Geological Survey is also co-authority on matters related to the establishment, construction, modification and closure, environmental protection of nuclear facilities in general and all matter related to uranium mining. The Survey's regulatory activity in radioactive waste management follows the Decree of the Minister of Industry and Tourism 62/1997 which is based on the Atomic Energy Act CXVI of 1966. These regulations were prepared in harmony with the OECD Nuclear Energy Agency and the International Atomic Energy Agency conventions, standards and guides and those of other countries. Case histories on the applications of these regulations to the closure of Mecsek uranium mine and the operation of the research laboratory tunnel for long-lived, high level radioactive waste are presented here. (author)

Media Literacy and Cigarette Smoking in Hungarian Adolescents

Science.gov (United States)

Page, Randy M.; Piko, Bettina F.; Balazs, Mate A.; Struk, Tamara

2011-01-01

Objective: To assess smoking media literacy in a sample of Hungarian youth and to determine its association with current smoking and susceptibility to future smoking. Design: Quantitative cross-sectional survey. Setting: Four elementary and four high schools in Mako, Hungary. Method: A survey form was administered in regularly-scheduled classes to…

Hungarian system for nuclear emergency preparedness

International Nuclear Information System (INIS)

Borsi, Laszlo; Szabo, Laszlo; Ronaky, Jozsef

2000-01-01

The Hungarian Government had established in 1989 on the basis of national and international experience the National System for Nuclear Emergency Preparedness (NSNEP). Its guidance is ad-ministered by the Governmental Commission for Nuclear Emergency Preparedness (GCNEP). The work of the Governmental Commission is designated to be assisted by the Secretariat, the Operational Staff and by the Technical Scientific Council. The leading and guiding duties of the relevant ministries and national agencies are performed by the Sectional Organisations for Nuclear Emergency Preparedness (SONEP), together with those of the Metropolitan Agencies and of the county agencies by the Metropolitan Local Committee (MLCNEP) and by County Local Committees. The chairman of the Governmental Commission is the Minister of the Interior whose authority covers the guidance of the NSNEP's activities. The Secretariat of the Governmental Commission (SGC) co-ordinates the activities of the bodies of the Governmental Commission, the sectional organisations, the local committees for nuclear emergency preparedness and those of the other bodies responsible for implementing action. The Emergency Information Centre (EIC) of GCNEP as the central body of the National Radiation Monitoring, Warning and Surveillance System provides the information needed for preparing decisions at Governmental Commission level. The technical-scientific establishment of the governmental decisions in preparation for nuclear emergency situations and the elimination of their consequences are tasks of the Technical-Scientific Council. The Centre for Emergency Response, Training and Analysis (CERTA) of the Hungarian Atomic Energy Authority (HAEA) may be treated as a body of the Governmental Commission as well. The National Radiation Monitoring, Warning and Surveillance System (NRMWSS) is integral part of the NSNEP. The NRMWSS consists of the elements operated by the ministries and the operation of nation-wide measuring network in

Phylogenetic analysis of Hungarian goose parvovirus isolates and vaccine strains.

Science.gov (United States)

Tatár-Kis, Tímea; Mató, Tamás; Markos, Béla; Palya, Vilmos

2004-08-01

Polymerase chain reaction and sequencing were used to analyse goose parvovirus field isolates and vaccine strains. Two fragments of the genome were amplified. Fragment "A" represents a region of VP3 gene, while fragment "B" represents a region upstream of the VP3 gene, encompassing part of the VP1 gene. In the region of fragment "A" the deduced amino acid sequence of the strains was identical, therefore differentiation among strains could be done only at the nucleotide level, which resulted in the formation of three groups: Hungarian, West-European and Asian strains. In the region of fragment "B", separation of groups could be done by both nucleotide and deduced amino acid sequence level. The nucleotide sequences resulted in the same groups as for fragment "A" but with a different clustering pattern among the Hungarian strains. Within the "Hungarian" group most of the recent field isolates fell into one cluster, very closely related or identical to each other, indicating a very slow evolutionary change. The attenuated strains and field isolates from 1979/80 formed a separate cluster. When vaccine strains and field isolates were compared, two specific amino acid differences were found that can be considered as possible markers for vaccinal strains. Sequence analysis of fragment "B" seems to be a suitable method for differentiation of attenuated vaccine strains from virulent strains. Copyright 2004 Houghton Trust Ltd

Care management in nursing within emergency care units

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Roberta Juliane Tono de Oliveira

2015-12-01

Full Text Available Objective.Understand the conditions involved in the management of nursing care in emergency care units. Methodology. Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. Results. Hindering factors to care management are: lack of experience and knowledge of professionals in emergency services; inadequate number of professionals; work overload of emergency care units in the urgent care network; difficulty in implementing nursing care systematization, and need for team meetings. Facilitating factors are: teamwork; importance of professionals; and confidence of the nursing technicians in the presence of the nurse. Conclusion. Whereas the hindering factors in care management are related to the organizational aspects of the emergency care units in the urgency care network, the facilitating ones include specific aspects of teamwork.

Care management in nursing within emergency care units.

Science.gov (United States)

Tono de Oliveira, Roberta Juliane; Vieira Hermida, Patrícia Madalena; da Silva Copelli, Fernanda Hannah; Guedes Dos Santos, José Luís; Lorenzini Erdmann, Alacoque; Regina de Andrade, Selma

2015-12-01

Understand the conditions involved in the management of nursing care in emergency care units. Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. Hindering factors to care management are: lack of experience and knowledge of professionals in emergency services; inadequate number of professionals; work overload of emergency care units in the urgent care network; difficulty in implementing nursing care systematization, and need for team meetings. Facilitating factors are: teamwork; importance of professionals; and confidence of the nursing technicians in the presence of the nurse. Whereas the hindering factors in care management are related to the organizational aspects of the emergency care units in the urgency care network, the facilitating ones include specific aspects of teamwork.

[Pre-travel advice and patient education of Hungarian travellers].

Science.gov (United States)

Lengyel, Ingrid; Felkai, Péter

2018-03-01

According to international surveys, over half of the travellers face some kind of health issue when travelling. The overwhelming majority of travel-related illnesses can be prevented with pre-travel medical consultations, but the syllabus and content of the consultation have to match the travel habits and culture of the given society. This publication explores the specificities and travel habits of Hungarian travellers. One hundred participants of a travel exhibition completed a survey about their international travel. As the survey was not representative, the data could only be processed through simple statistical methods. However, since the exhibition was presumably attended by those wishing to travel, the conclusions drawn from the results are worth publishing, since no similar survey in Hungary has been published before. Based on the suitable classification of age groups in travel medicine, 11% of the participants were adolescents / young adults (aged 15-24), 81% adults (25-59) and 8% elderly (60-74). Twenty-eight percent of the participants travel multiple times a year, 40% yearly and 32% of them less frequently; 16% of the adults, 8% of the adolescents and 4% of the elderly age group travel multiple times a year. The travel destinations of Hungarian travellers have remained practically unchanged since a study was conducted 13 years ago: the vast majority (95%) travelled within Europe, 2% to the United States, and 11% of them elsewhere. Since Hungarians do not travel to endemic areas, only 5% consulted their general practitioners (GPs) prior to travelling, and 29% did when they had to be vaccinated. Forty-two percent of those wishing to travel never consult their GPs, even though 29% of them are aware of some chronic illness. Instead, 51% gather their health information from the internet and only 6% from their doctors. By the contradiction between the poor health status of the majority of Hungarian travellers and the negligence of seeking pre-travel advice

Operations management in health care.

Science.gov (United States)

Henderson, M D

1995-01-01

Health care operations encompass the totality of those health care functions that allow those who practice health care delivery to do so. As the health care industry undergoes dramatic reform, so will the jobs of those who manage health care delivery systems. Although health care operations managers play one of the most vital and substantial roles in the new delivery system, the criteria for their success (or failure) are being defined now. Yet, the new and vital role of the operations manager has been stunted in its development, which is primarily because of old and outdated antipathy between hospital administrators and physicians. This article defines the skills and characteristics of today's health care operations managers.

Chemical composition and utilization of Hungarian spent sulfite liquor

Energy Technology Data Exchange (ETDEWEB)

Toth, B

1968-01-01

A review on the composition of Hungarian spent sulfite liquor and on its possible utilization, e.g., for the manufacturing of vanillin, yeast protein, or ethanol, as well as its direct utilization as a plasticizer for cement, additive for insecticides, or in adhesives.

Comparative analysis of some bioecological characteristics of Hungarian oak and Turkey oak

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Vukin Marina

2013-01-01

Full Text Available This paper gives an in-depth study of some bioecological characteristics of the Hungarian and Turkey oak, autochthonous oak species and edificators of climatogenic communities of central Serbia. Today, these forest complexes are mostly of coppice origin and as such, they require implementation of reclamation operations. In order to determine biological dominance, select the optimal reclamation operations and finally improve the state of these forests, we studied the environmental conditions, stand state, development and position of individual trees in a mixed coppice stand of Hungarian and Turkey oak in a suburban zone of the city of Belgrade.

Internet map of the Hungarian nuclear field

International Nuclear Information System (INIS)

Besenyei, Elisabeth

2001-01-01

The increasing role of Internet in the dissemination of information cannot be questioned. The organisations dealing with public information have to face with this challenge. New methods and ways are needed in order to effectively use this opportunity. An effective communication requires certain knowledge on the characteristics of the target group. The present situation on the Internet use in Hungary has been studied by a number of public opinion polls. In Europe Hungary is the eleventh in the row concerning the population percentage of Internet users. At the same time it is hard to define the exact number as it is continuously increasing. From the public opinion polls it can be seen that about 49 % of active Internet users, about 37 percent seek for information on the Internet. The organisations playing role in nuclear field includes nuclear facilities, research institutes, regulatory bodies as well as civil associations. Almost all of them realised the importance of the appearance on the Internet and have their web site. Among the web-sites of the Hungarian nuclear facilities the new home page of the Paks NPP (www.npp.hu) is especially well designed and worth to visit. The Atomic Energy Research Institute operates the 10 MW Budapest Research Reactor. The main features of the reactor can be found on the web site of the institute (www.kfki.hu/~aekihp/). Information about the research possibilities of the training reactor of the Institute of Nuclear Techniques of the Technical University of Budapest is provided on the web site (www.reak.bme.hu). The web site of the Hungarian Atomic Energy Authority (www.haea.gov.hu) has been renewed recently. Certainly, the list of the web sites of the Hungarian organisations active in nuclear field cannot be complete as it is a continuously evolving area. Nevertheless one can see that the players realised the importance of the challenge given by the Internet. While considerable effort is needed to maintain and refresh the web site

Delineating the genetic heterogeneity of OCA in Hungarian patients.

Science.gov (United States)

Fábos, Beáta; Farkas, Katalin; Tóth, Lola; Sulák, Adrienn; Tripolszki, Kornélia; Tihanyi, Mariann; Németh, Réka; Vas, Krisztina; Csoma, Zsanett; Kemény, Lajos; Széll, Márta; Nagy, Nikoletta

2017-06-19

Oculocutaneous albinism (OCA) is a clinically and genetically heterogenic group of pigmentation abnormalities characterized by variable hair, skin, and ocular hypopigmentation. Six known genes and a locus on human chromosome 4q24 have been implicated in the etiology of isolated OCA forms (OCA 1-7). The most frequent OCA types among Caucasians are OCA1, OCA2, and OCA4. We aimed to investigate genes responsible for the development of these OCA forms in Hungarian OCA patients (n = 13). Mutation screening and polymorphism analysis were performed by direct sequencing on TYR, OCA2, SLC45A2 genes. Although the clinical features of the investigated Hungarian OCA patients were identical, the molecular genetic data suggested OCA1 subtype in eight cases and OCA4 subtype in two cases. The molecular diagnosis was not clearly identifiable in three cases. In four patients, two different heterozygous known pathogenic or predicted to be pathogenic mutations were present. Seven patients had only one pathogenic mutation, which was associated with non-pathogenic variants in six cases. In two patients no pathogenic mutation was identified. Our results suggest that the concomitant screening of the non-pathogenic variants-which alone do not cause the development of OCA, but might have clinical significance in association with a pathogenic variant-is important. Our results also show significant variation in the disease spectrum compared to other populations. These data also confirm that the concomitant analysis of OCA genes is critical, providing new insights to the phenotypic diversity of OCA and expanding the mutation spectrum of OCA genes in Hungarian patients.

Female students of Hungarian origin in the higher education system of Serbia: A gender perspective

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Lendak-Kabok Karolina

2015-01-01

Full Text Available The number of students of Hungarian origin studying at the University of Novi Sad (Vojvodina, Serbia is considerably lower than expected, based on the size of the Hungarian national community living in Vojvodina. This fact is caused by various reasons, but the most important is that one third of the Hungarian students continue their higher education in Hungary instead of Serbia. The primary cause of this brain drain is that they cannot continue their studies in their mother tongue. Hungary is a member of the European union, and therefore prospective students choose it over Serbia, as a Eu university degree opens up better employment opportunities, especially in the Eu. This paper analyzes the number of female students from the Hungarian national community in Vojvodina, who are studying at the university of Novi Sad, and compares their number to the number of students of Serbian nationality at the same university, as well as the gender aspect of their faculty choices. The aim of this study is to express the lower representation of Hungarian female students at the university of Novi Sad, especially in the areas of technical sciences studies and computing and information sciences, and to propose measures and solutions in order to overcome the above mentioned lower representation. The research results indicate a decrease in the number of female Hungarian students and a seriously biased structure of their faculty choices at the university of Novi Sad, as well as the fact that their faculty choices result in problems which they face later when they start looking for employment. It would be of great importance if the government, as the founder of higher educational institutions, would take action. The civil society's engagement is needed as well in this field, through affirmative and other measures which could increase the number of students in the technical study areas and thereby increase the likeliness of finding suitable employment opportunities

The application of heptadecanoic acid (HDA) labelled with Hungarian-made 123I with a Hungarian method in human diagnostics

International Nuclear Information System (INIS)

Horvath, Mihaly; Pszota, Agnes; Koernyei, Jozsef; Lakatos, Mihaly; Mahunka, Imre; Mikecz, Pal

1988-01-01

In 15 examinations made in ergometric load and 2 in quiet state the regional distributions of the uptake of 123 I-HDA and that of 201 Tl coincided. HDA kinetics was also analyzed by computerized circumferential profile programme and it was demonstrated that the results of the examinations made previously with foreign-made preparate are comparable with those of the Hungarian one. (author) 13 refs.; 7 figs

THE SHEEPSKIN EFFECT IN THE HUNGARIAN LABOUR MARKET 2010-2012: ANALYSIS OF DATA FROM THE HUNGARIAN GRADUATE TRACKING SYSTEM

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Kun Andras Istvan

2014-07-01

Full Text Available The sheepskin effect is a wage increase connected to the attainment of a degree (or credential in addition to the wage gap connected to the completion of a schooling level (school years, exams passed etc.. This effect is often referred to as a phenomenon supporting the signaling (or screening hypothesis against human capital theory in the so called ‘signaling vs. human capital debate’ over the economic role of education. Many empirical studies in many countries have tested (mostly successfully this hypothesis during the last decades, but it has never been tested in Hungary. Therefore the main goal of the current study is to identify and measure the sheepskin effect in Hungarian higher education based on the country-wide, representative databases of the Hungarian Graduate Career Tracking System (HGCTS. The 2 databases used in the analysis are two HGCTS surveys from the years 2011 and 2012. The first part of the article is a literature review that summarises the results of the existing empirical sheepskin research and highlights their connections to the signaling vs. human capital debate. In the second part, empirical research is carried out based on the HGCTS data. This research has two phases. In the first phase subjective data are analysed (according to the perceived negative effect of not obtaining the degree in time, while in the second, mean differences are tested between net hourly wages of responder groups (1 who have the educational credential and (2 do not have it (even though they have finished all courses and passed all exams at the given educational level. The statistical analysis identified significant wage gaps between graduated responders and those who had not graduated but had passed the state exam (and so had finished all the exams in higher education before graduating on nearly all levels and in both samples (the only exemption was the post-Bologna master level in the 2011 sample. We can conclude that the existence of the

Physiological strain in the Hungarian mining industry: The impact of physical and psychological factors

OpenAIRE

József Varga; Imre Nagy; László Szirtes; János Pórszász

2016-01-01

Objectives: The objectives of these investigations completed on workplaces in the Hungarian mining industry were to characterize the physiological strain of workers by means of work pulse and to examine the effects of work-related psychological factors. Material and Methods: Continuous heart rate (HR) recording was completed on 71 miners over a total of 794 shifts between 1987 and 1992 in mining plants of the Hungarian mining industry using a 6-channel recorder – Bioport (ZAK, Germany). The w...

Ármin Vámbéry (1832-1913 as a Historian of Early Hungarian Settlement in the Carpathian Basin

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Nándor Dreisziger

2016-01-01

Full Text Available In the English-speaking world Ármin Vámbéry is known as a traveler in Central Asia and a student of Turkic cultures and languages. In his native Hungary he is also known for his disagreement with linguists who believed that Hungarian belonged to the Ugric branch of the Finno-Ugric languages—a part of the Uralic linguistic family. Rather than accepting this theory, Vámbéry contended that Hungarian was largely a Turkic language that belonged more to the Altaic family. Few people know that Vámbéry also expressed strong opinions about the genesis of the Hungarian nation. The most important aspect of Vámbéry’s theory about Hungarian origins is the thesis that Hungarian ethnogenesis took place—beginning with late Roman times or even earlier—in the Carpathian Basin. A corollary of this proposition is that the nomadic tribes that conquered the Carpathian Basin at the end of the ninth century were Turkic peoples who were few in numbers and were assimilated by the region’s autochthonous—and by then Hungarian-speaking—population. This paper outlines Vámbéry’s arguments and describes to what extent research on this subject in the century since Vámbéry’s death has confirmed or contradicted his unconventional ideas.

Health care engineering management.

Science.gov (United States)

Jarzembski, W B

1980-01-01

Today, health care engineering management is merely a concept of dreamers, with most engineering decisions in health care being made by nonengineers. It is the purpose of this paper to present a rationale for an integrated hospital engineering group, and to acquaint the clinical engineer with some of the salient features of management concepts. Included are general management concepts, organization, personnel management, and hospital engineering systems.

Strategic management of health care information systems: nurse managers' perceptions.

Science.gov (United States)

Lammintakanen, Johanna; Kivinen, Tuula; Saranto, Kaija; Kinnunen, Juha

2009-01-01

The aim of this study is to describe nurse managers' perceptions of the strategic management of information systems in health care. Lack of strategic thinking is a typical feature in health care and this may also concern information systems. The data for this study was collected by eight focus group interviews including altogether 48 nurse managers from primary and specialised health care. Five main categories described the strategic management of information systems in health care; IT as an emphasis of strategy; lack of strategic management of information systems; the importance of management; problems in privacy protection; and costs of IT. Although IT was emphasised in the strategies of many health care organisations, a typical feature was a lack of strategic management of information systems. This was seen both as an underutilisation of IT opportunities in health care organisations and as increased workload from nurse managers' perspective. Furthermore, the nurse managers reported that implementation of IT strengthened their managerial roles but also required stronger management. In conclusion, strategic management of information systems needs to be strengthened in health care and nurse managers should be more involved in this process.

Care management in nursing within emergency care units

OpenAIRE

Roberta Juliane Tono de Oliveira; Patrícia Madalena Vieira Hermida; Fernanda Hannah da Silva Copelli; José Luís Guedes dos Santos; Alacoque Lorenzini Erdmann; Selma Regina de Andrade

2015-01-01

Objective.Understand the conditions involved in the management of nursing care in emergency care units. Methodology. Qualitative research using the methodological framework of the Grounded Theory. Data collection occurred from September 2011 to June 2012 through semi-structured interviews with 20 participants of the two emergency care units in the city of Florianopolis, Brazil. Results. Hindering factors to care management are: lack of experience and knowledge of professionals in emergency se...

All Roads Lead To… Options and Variations in Acquiring Native Proficiency in Hungarian

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Judit H. Ward

2008-01-01

Full Text Available This paper describes a case study conducted with a first generation American heritage learner of Hungarian in a college setting. We have found our study important for several reasons. The latest developments in technology made a variety of new learning environments available, which are used mostly by the new generation of language learners. As a result, instructors are expected to accommodate a variety of learning styles. Are there appropriate resources for the learners of Hungarian, including courses, instructors, textbooks and other learning material? Can they meet the needs of the different generations of language learners with evolving new learning styles?

[Multidisciplinary approach of hip fractures based on Hungarian data].

Science.gov (United States)

Juhász, Krisztina; Turchányi, Béla; Mintál, Tibor; Somogyi, Péter

2016-09-01

Hip fractures are described by increased mortality, loss of quality of life, functional decline and burden of diseases. They show a growing number worldwide. The aim of the present study is to summarise the existing data on the incidence, mortality, complications and rehabilitation of hip fractures, which relevance is reported only by few studies. To reduce mortality and complications of hip fractures the authors emphasize the importance of primary treatment within 12 hours, appropriate selection of surgical methods corresponding to the fracture type after the assessment of femoral head viability, vitamin D supplementation, same conditions for primary treatment during everyday of the week, and an adequate acute treatment and rehabilitation for patient's general health status. In the future integrated processing of multidisciplinary results of hip fractures based on Hungarian data can support the development of efficient treatment and prevention strategies, which can be advantageous for the patient, families, health care system, and the society, too, by the reduction of costly complications of hip fracture healing and mortality. Orv. Hetil., 2016, 157(37), 1469-1475.

[The relationship of work-related psychosocial risk factors with depressive symptoms among Hungarian workers: preliminary results of the Hungarian Work Stress Survey].

Science.gov (United States)

Nistor, Katalin; Nistor, Anikó; Ádám, Szilvia; Szabó, Anita; Konkolÿ Thege, Barna; Stauder, Adrienne

2015-03-01

Research has shown that psychosocial stress acts as a risk factor for mental disorders. The present study aims at processing the preliminary results of the Hungarian Survey of Work Stress, concerning the relationship between depressive symptoms and work stress. Cross-sectional survey among Hungarian workers was carried out (n = 1058, 27.5% man, 72.5% woman, age 37.2 years, SD = 11 years). Psychosocial factors were measured using the COPSOQ II questionnaire, while BDI-9 was used for the assessment of depressive symptoms. Statistical analysis was carried out applying Spearman's correlation and logistic regression. A quarter of the workers reported moderate or severe symptoms of depression (BDI≥19). The study confirmed the association between depressive symptoms and work-family conflict (OR = 2.21, CI: 1.82-2.68), possibilities for development (OR = 0.76, CI: 0.59-0.97) meaning of work (OR = 0.69, CI: 0.59-0.89) and commitment (OR = 0.60, CI: 0.47-0.78). The results point toward the need of such organizational measures that allow for the reduction of psychosocial stress.

Managing high-risk patients: the Mass General care management programme

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Dennis L Kodner

2015-09-01

Full Text Available The Massachusetts General Care Management Program (Mass General CMP or CMP was designed as a federally supported demonstration to test the impact of intensive, practice-based care management on high-cost Medicare fee-for-service (FFS beneficiaries—primarily older persons—with multiple hospitalisations and multiple chronic conditions. The Massachusetts General Care Management Program operated over a 6-year period in two phases (3 years each. It started during the first phase at Massachusetts General Hospital, a major academic medical centre in Boston, Massachusetts in collaboration with Massachusetts General Physicians Organisation. During the second phase, the programme expanded to two more affiliated sites in and around the Boston area, including a community hospital, as well as incorporated several modifications primarily focused on the management of transitions to post-acute care in skilled nursing facilities. At the close of the demonstration in July 2012, Mass General Massachusetts General Care Management Program became a component of a new Pioneer accountable care organisation (ACO. The Massachusetts General Care Management Program is focused on individuals meeting defined eligibility criteria who are offered care that is integrated by a case manager embedded in a primary care practice. The demonstration project showed substantial cost savings compared to fee-for-service patients served in the traditional Medicare system but no impact on hospital readmissions. The Massachusetts General Care Management Program does not rest upon a “whole systems” approach to integrated care. It is an excellent example of how an innovative care co-ordination programme can be implemented in an existing health-care organisation without making fundamental changes in its underlying structure or the way in which direct patient care services are paid for. The accountable care organisation version of the Massachusetts General Care Management Program

Problems of a Declining Hungarian Birth Rate: A Historical Perspective

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Ildikó Szántó

2015-01-01

about 0.15 – 0.20 percent per year, and currently fertility in Hungary is one of the lowest in Europe. The Hungarian age structure will become increasingly problematic as the fertile age group of the population continues to shrink.

Collecting money at a global level. The UN fundraising campaign for the 1956 Hungarian refugees

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Gusztáv D. KECSKÉS

2014-12-01

Full Text Available The present study examines the role that the UN played in providing the financial means for the international reception of the 1956 Hungarian refugees. According to the author’s conclusions, through the coordination of moneyraising efforts, authorised by international law (that is, by the UN General Assembly’s decisions and the professional and trustworthy documentation of humanitarian needs and activities, the institutional network of the UN contributed considerably to the formation and practical implementation of Western governments’ international humanitarian action aimed at solving the crisis of the 1956 Hungarian refugees. This study is based on documents in the UN archives (New York, Geneva, the Swedish National Library (Stockholm, the UNHCR Archives, the Archives of the International Committee of the Red Cross, (Geneva and the NATO Archives (Brussels, and in the Diplomatic Archives Center (La Courneuve, Nantes, Diplomatic Archive (Brussels and the Hungarian National Archives (Budapest.

The American Reception and Settlement of Hungarian Refugees in 1956–1957

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Peter Pastor

2016-10-01

Full Text Available In the wake of the Hungarian Revolution of 1956, close to two hundred thousand Hungarians crossed into Austria.  About thirty thousand of these refugees were allowed to enter the United States. Their common experience of living under totalitarian communism and participating or being a witness to the exhilarating thirteen days of the revolution and their sudden, previously unplanned, departure from the homeland gave them a collective identity that was different from the one shared by the people of previous waves of Hungarian influx to the United States. The high educational level of the refugees attained before and after their arrival made their absorption into the mainstream relatively easy. The integration process was facilitated by the shaping of a positive image of the 1956 refugees by the US government and the media.  The reestablishment of the communist system in post-1956 Hungary contributed to the perception that, for the refugees in the United States, there was no hope for return to the homeland.  This assumption strengthened the attitudes of those who wished to embrace the American melting pot model.  Many of the 1956-ers in the United Sates, however, were also comfortable with the notion of ethnic pride and believed in the shaping of a dual national identity.

The Mid-Hungarian line: a zone of repeated tectonic inversions

Science.gov (United States)

Csontos, László; Nagymarosy, András

1998-11-01

The Mid-Hungarian line is a major tectonic feature of the Intra-Carpathian area separating two terranes of different origin and tectonic structure. Although this tectonic line was known from borehole records, it has not been described in seismic sections. The study presents interpreted seismic lines crossing the supposed trace of the Mid-Hungarian line. These seismic sections show north-dipping normal faults and thrust faults as well as cross-cutting young strike-slip faults. A complex tectonic history is deduced, including intra-Oligocene-Early Miocene thrusting, Middle Miocene extension, local Late Miocene inversion and Late Miocene-Pliocene normal faulting and left-lateral wrenching. In the light of our seismic study we think that the best candidate for the Mid-Hungarian line is a north-dipping detachment fault beneath large masses of Neogene volcanics. The auxiliary structures to the north seen on seismic sections suggest that it moved as a south-vergent thrust fault during the Palaeogene-Early Miocene which later was reactivated as a set of normal faults. The northern Alcapa unit overrode the southern Tisza-Dacia unit along this fault zone. The same relative positions are observed in the northern termination of the line. Other structures along the supposed trace of the line are north-dipping normal- or strike-slip faults which frequently were reactivated as smaller thrust faults during the late Neogene. Palaeogene-Early Miocene thrusting along the line might be the result of the opposite Tertiary rotations of the two major units, as suggested by palaeomagnetic measurements and earlier models.

FINANCIAL PERFORMANCE ANALYSIS AND BANKRUPTCY PREDICTION IN HUNGARIAN DAIRY SECTOR

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Rozsa Andrea

2014-07-01

The preliminary sample for the analysis is framed on the basis of three criteria: amount of the subscribed capital, sales revenues and product structure. Those companies are regarded as competitors that have subscribed capitals in excess of HUF 250 million, consistently high levels of sales revenues and diversified product structures. The preliminary sample consists of 7 companies. In 2012, their total sales revenues were as high as about 50% of the overall amount of sales revenues in the sector. Three of the 7 companies are possessed by foreign owners in full or part, whereas 4 of them belong to Hungarian owners. In 2012, Hungarian-owned companies covered more than one-third of the combined sales revenues of the 7 leading companies. Hence, the competitive positions of these 4 companies based on their financial positions are examined. These calculations have relied on the annual reports for the period of 2008–2012 (balance sheets, income statements, cash flow statements. The research has implemented a comprehensive and comparative financial analysis. The main question is what the key financial characteristics of the Hungarian-owned companies are. Financial indicators are calculated and their time-series analysis is accomplished to describe the sample companies’ capital structures, liquidity and profitability. Using comparative analysis of the applied financial ratios the study determines (1 which company has the most advantageous financial conditions for the successful operation; (2 which companies have disadvantageous financial situation; and (3 which companies are in potential financial distress situation. Potential bankruptcy positions are examined by the applications of Altman and Springate models.

Using Social Network Analysis to Examine the Effect of Care Management Structure on Chronic Disease Management Communication Within Primary Care.

Science.gov (United States)

Holtrop, Jodi Summers; Ruland, Sandra; Diaz, Stephanie; Morrato, Elaine H; Jones, Eric

2018-05-01

Care management and care managers are becoming increasingly prevalent in primary care medical practice as a means of improving population health and reducing unnecessary care. Care managers are often involved in chronic disease management and associated transitional care. In this study, we examined the communication regarding chronic disease care within 24 primary care practices in Michigan and Colorado. We sought to answer the following questions: Do care managers play a key role in chronic disease management in the practice? Does the prominence of the care manager's connectivity within the practice's communication network vary by the type of care management structure implemented? Individual written surveys were given to all practice members in the participating practices. Survey questions assessed demographics as well as practice culture, quality improvement, care management activities, and communication regarding chronic disease care. Using social network analysis and other statistical methods, we analyzed the communication dynamics related to chronic disease care for each practice. The structure of chronic disease communication varies greatly from practice to practice. Care managers who were embedded in the practice or co-located were more likely to be in the core of the communication network than were off-site care managers. These care managers also had higher in-degree centrality, indicating that they acted as a hub for communication with team members in many other roles. Social network analysis provided a useful means of examining chronic disease communication in practice, and highlighted the central role of care managers in this communication when their role structure supported such communication. Structuring care managers as embedded team members within the practice has important implications for their role in chronic disease communication within primary care.

Hungarian experience in using the IAEA planning methodologies

International Nuclear Information System (INIS)

Bacsko, M.

1997-01-01

The Hungarian Power Companies Ltd. has been using the IAEA planning methodologies since 1985 when it acquired the WASP model. Since then this model has been applied on a regular basis to determine the least cost expansion plan of the power generating system of the country. This report describes this experience as well as the application of the WASP model for other types of studies. (author)

Hungarian experience in using the IAEA planning methodologies

Energy Technology Data Exchange (ETDEWEB)

Bacsko, M [Hungarian Power Companis Ltd, Budapest (Hungary)

1997-09-01

The Hungarian Power Companies Ltd. has been using the IAEA planning methodologies since 1985 when it acquired the WASP model. Since then this model has been applied on a regular basis to determine the least cost expansion plan of the power generating system of the country. This report describes this experience as well as the application of the WASP model for other types of studies. (author).

Medical Liability in the Light of New Hungarian Civil Code

Science.gov (United States)

Barzó, Tímea

2015-01-01

The number of medical malpractice lawsuits filed each year in Hungary has considerably increased since the change of regime. The judicial decisions and practices on determining and awarding wrongful damages recoverable for medical malpractices in the Hungarian civil law have been developing for decades.

Towards an integrated flood management approach to address trade-offs between ecosystem services: Insights from the Dutch and German Rhine, Hungarian Tisza, and Chinese Yangtze basins

Science.gov (United States)

Halbe, Johannes; Knüppe, Kathrin; Knieper, Christian; Pahl-Wostl, Claudia

2018-04-01

The utilization of ecosystem services in flood management is challenged by the complexity of human-nature interactions and practical implementation barriers towards more ecosystem-based solutions, such as riverine urban areas or technical infrastructure. This paper analyses how flood management has dealt with trade-offs between ecosystem services and practical constrains towards more ecosystem-based solutions. To this end, we study the evolution of flood management in four case studies in the Dutch and German Rhine, the Hungarian Tisza, and the Chinese Yangtze basins during the last decades, focusing on the development and implementation of institutions and their link to ecosystem services. The complexity of human-nature interactions is addressed by exploring the impacts on ecosystem services through the lens of three management paradigms: (1) the control paradigm, (2) the ecosystem-based paradigm, and (3) the stakeholder involvement paradigm. Case study data from expert interviews and a literature search were structured using a database approach prior to qualitative interpretation. Results show the growing importance of the ecosystem-based and stakeholder involvement paradigms which has led to the consideration of a range of regulating and cultural ecosystem services that had previously been neglected. We detected a trend in flood management practice towards the combination of the different paradigms under the umbrella of integrated flood management, which aims at finding the most suitable solution depending on the respective regional conditions.

The evolving role and care management approaches of safety-net Medicaid managed care plans.

Science.gov (United States)

Gusmano, Michael K; Sparer, Michael S; Brown, Lawrence D; Rowe, Catherine; Gray, Bradford

2002-12-01

This article provides new empirical data about the viability and the care management activities of Medicaid managed-care plans sponsored by provider organizations that serve Medicaid and other low-income populations. Using survey and case study methods, we studied these "safety-net" health plans in 1998 and 2000. Although the number of safety-net plans declined over this period, the surviving plans were larger and enjoying greater financial success than the plans we surveyed in 1998. We also found that, based on a partnership with providers, safety-net plans are moving toward more sophisticated efforts to manage the care of their enrollees. Our study suggests that, with supportive state policies, safety-net plans are capable of remaining viable. Contracting with safety-net plans may not be an efficient mechanism for enabling Medicaid recipients to "enter the mainstream of American health care," but it may provide states with an effective way to manage and coordinate the care of Medicaid recipients, while helping to maintain the health care safety-net for the uninsured.

The impact of managed care in dentistry.

Science.gov (United States)

Clouse, H R

1999-01-01

Managed care plans attempt to control health care expenditures aggressively. These plans directly influence access to medical care and the type, level, and frequency of care rendered. As a result, hospital stays are reduced, focus shifts from inpatient to outpatient care, and patients are responsible for a larger share of health care costs. Dentistry is not immune from the impact of managed care. The attractiveness of the dental market has drawn many managed care organizations, insurers, and entrepreneurs to encourage dentists to participate in a wide variety of managed care programs. However, the delivery of dental care differs markedly in many respects from that of medical care. Therefore, many of the cost saving aspects of managed care that have been so successful in medicine may not result in similar cost savings in dentistry.

The Mythical Power of the Dual River-System of the Carpathian Basin: The Notion of a Hungarian Mesopotamia

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Róbert Keményfi

2016-01-01

Full Text Available Gyula Prinz is responsible for the notion of “Magyar Mezopotámia” [Hungarian Mesopotamia]. The natural basis for this idea is that Hungarian culture developed on the surface of an alluvial plains area. This sort of natural environment was the precondition of great civilizations based on agriculture. In other words, the intrinsic Duna-Tisza [Danubius-Tibiscus] river structure, which is similar to that of the rivers Tigris and Euphrates, would elevate Hungary to the status of a mesopotamic country. This is how the central Hungarian area could become the distributing core of culture and how this culture could be radiated towards the neighboring peoples who also lived together with us in the Carpathian Basin. Our “cultural power” therefore “elevated” the cultural level of other peoples who lived with us on the edges of the Carpathian Basin. Accordingly, the end, or the borderline, of the highbrow “core culture” is located where the territory populated by Hungarians ends, or where the plains area shifts into the Carpathian Mountains.

Health care operations management

NARCIS (Netherlands)

Carter, M.W.; Hans, Elias W.; Kolisch, R.

2012-01-01

Health care operations management has become a major topic for health care service providers and society. Operations research already has and further will make considerable contributions for the effective and efficient delivery of health care services. This special issue collects seven carefully

[Managed care. Its impact on health care in the USA, especially on anesthesia and intensive care].

Science.gov (United States)

Bauer, M; Bach, A

1998-06-01

Managed care, i.e., the integration of health insurance and delivery of care under the direction of one organization, is gaining importance in the USA health market. The initial effects consisted of a decrease in insurance premiums, a very attractive feature for employers. Managed care promises to contain expenditures for health care. Given the shrinking public resources in Germany, managed care seems attractive for the German health system, too. In this review the development of managed care, the principal elements, forms of organisation and practical tools are outlined. The regulation of the delivery of care by means of controlling and financial incentives threatens the autonomy of physicians: the physician must act as a "double agent", caring for the interest for the individual patient and being restricted by the contract with the managed care organisation. Cost containment by managed care was achieved by reducing the fees for physicians and hospitals (and partly by restricting care for patients). Only a fraction of this cost reduction was handed over to the enrollee or employer, and most of the money was returned with profit to the shareholders of the managed care organisations. The preeminent role of primary care physicians as gatekeepers of the health network led to a reduced demand for specialist services in general and for university hospitals and anesthesiologists in particular. The paradigm of managed care, i.e., to guide the patient and the care giver through the health care system in order to achieve cost-effective and high quality care, seems very attractive. The stress on cost minimization by any means in the daily practice of managed care makes it doubtful if managed care should be an option for the German health system, in particular because there are a number of restrictions on it in German law.

Behaviour Profile of Hungarian Adolescent Outpatients with a Dual Diagnosis

Science.gov (United States)

Dinya, Elek; Csorba, Janos; Suli, Agota; Grosz, Zsofia

2012-01-01

The behaviour dimensions of 244 Hungarian adolescent psychiatric outpatients with a dual diagnosis (intellectual disability and psychiatric diagnosis) were examined by means of the adapted version of the Behaviour Problem Inventory (BPI, Rojahn, Matson, Lott, Esbensen, & Smalls, 2001). Four IQ subgroups were created: borderline, mild, moderate…

Wrench tectonics control on Neogene-Quaternary sedimentation along the Mid-Hungarian Mobile Belt

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Pogacsas, Gyorgy; Juhász, Györgyi; Mádl-Szőnyi, Judit; Simon, Szilvia; Lukács, Szilveszter; Csizmeg, János

2010-05-01

The Neogene Pannonian basin is underlain by a large orogenic collage which is built up by several tectonostratigraphic terrains. The basement of the Pannonian Basin became imbricate nappes during the Cretaceous Alpine collision. Nappes of Late Cretaceous in age have been proven below the Great Hungarian Plain (Grow et al 1994). The boundary of the two main terrains, the northwestern ALCAPA (Alpine-Carpathian-Pannonian) and the southeastern TISZA, is the Mid-Hungarian Mobile Belt. It is the most significant neotectonic zone of the Pannonian Basin. The structural analysis of the middle section of the Mid-Hungarian Mobile Belt was carried out on a 120km x 50km area, between the Danube and the Tisza river, on the basis of interpretation of seismic data. The structural analysis of the Neogene-Quaternary sediments was supported by sequence stratigraphic interpretation of seismic, well log and core-sample data. Regional seismic profiles were both oriented in the dip direction, which highlights sediment supply routes into the basin, and strike-oriented. The studied segment of the Mid-Hungarian Mobile Belt consists of several long (some ten kilometres long) strike slip fault zones. The offset lengths of the individual strike slipe faults varies between a few and a dozens of kilometres. Activity along the Mid-Hungarian Mobile Belt can be characterised by four periods, the size and shape of facies zones of each development period were controlled by tectonics: 1. During the early Miocene, the ALPACA moved eastward, bounded by sinistral strike-slipe system along its northern side and dextral strike-slipe fault system along its contact with the Southern Alps and the TISZA terrain. The largest movement took part during the Ottnangian-Karpatian (19-16.5 Ma). The TISZA unit moved northeastward over the remnant Carpathian Flysch Basin (Nemcok et al 2006). These terrains movements resulted in right lateral, convergent wide wrench along the Mid-Hungarian Mobile Belt. The ALPACA

Pancreatic Cancer: Multicenter Prospective Data Collection and Analysis by the Hungarian Pancreatic Study Group.

Science.gov (United States)

Lakatos, Gábor; Balázs, Anita; Kui, Balázs; Gódi, Szilárd; Szücs, Ákos; Szentesi, Andrea; Szentkereszty, Zsolt; Szmola, Richárd; Kelemen, Dezső; Papp, Róbert; Vincze, Áron; Czimmer, József; Pár, Gabriella; Bajor, Judit; Szabó, Imre; Izbéki, Ferenc; Halász, Adrienn; Leindler, László; Farkas, Gyula; Takács, Tamás; Czakó, László; Szepes, Zoltán; Hegyi, Péter; Kahán, Zsuzsanna

2016-06-01

Pancreatic cancer is a devastating disease with poor prognosis. There is very limited information available regarding the epidemiology and treatment strategies of pancreatic cancer in Central Europe. The purpose of the study was to prospectively collect and analyze data of pancreatic cancer in the Hungarian population. The Hungarian Pancreatic Study Group (HPSG) organized prospective, uniform data collection. Altogether 354 patients were enrolled from 14 Hungarian centers. Chronic pancreatitis was present in 3.7% of the cases, while 33.7% of the patients had diabetes. Family history for pancreatic cancer was positive in 4.8%. The most frequent presenting symptoms included pain (63.8%), weight loss (63%) and jaundice (52.5%). The reported frequency of smoking and alcohol consumption was lower than expected (28.5% and 27.4%, respectively). The majority of patients (75.6%) were diagnosed with advanced disease. Most patients (83.6%) had a primary tumor located in the pancreatic head. The histological diagnosis was ductal adenocarcinoma in 90.7% of the cases, while neuroendocrine tumor was present in 5.3%. Biliary stent implantation was performed in 166 patients, 59.2% of them received metal stents. Primary tumor resection was performed in 60 (16.9%) patients. Enteral or biliary bypass was done in 35 and 49 patients, respectively. In a multivariate Cox-regression model, smoking status and presence of gemcitabine-based chemotherapy were identified as independent predictors for overall survival. We report the first data from a large cohort of Hungarian pancreatic cancer patients. We identified smoking status and chemotherapy as independent predictors in this cohort.

On the history of codification of Hungarian civil law and the new Hungarian civil code

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Salma Jožef

2014-01-01

Full Text Available The first part of the paper examines the basic tendencies in the development of the codification of Hungarian civil law in the period of representative and civil society. The second part deals with the new Hungarian Civil Code (2013/14 its content, methods of regulation and its relation to other civil legislation, temporal validity with the adherence to the idea of validity pro futuro, as well as its tendency to harmonize its norms with the guidelines of the European civil law. In accordance with the idea of completeness, the lawmakers incorporated all of the areas of civil law according to the pandecta system - personal law, corporate law with civil association law, family law, obligations and inheritance. The Code is based on the principle of equality of parties in civil relations, the principle of good faith, fraus legis prohibition. Family law is based on specific principles of protection of marriage, family and children. Contract law is based on the freedom of contract, limited by good customs and morality. Tort law is guided by the principle of prohibiting the harm to others, full compensation of material and imaterial damages. Contractual responsibility is regulated separately, so that the tort rules apply if the specific rules of contractual responsibility donot say otherwise. Other grounds for obligations are also regulated, as well as unjustified enrichment, doing business without order or authority, unilateral expression of intention and securities. The grounds for inheritance are contractual, statutory or based on the will. Freedom of disposition by will is limited by statutory rules regulating the forced share. The system of transfer of property ex lege after the death is adopted. The state is a successor if there are no testamentary, statutory or contractual inheritors.

Professional management for eye care

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AK Sivakumar

2006-09-01

Full Text Available IntroductionThe global initiative VISION 2020: The Right to Sight, estimates that only 25 per cent of existing infrastructure is used for eye care, while the target utilisation is set at 90 per cent. This requires a complete reorganisation. Many providers have the potential to significantly enhance their service by adopting professional management practice and new technologies in clinical services. This article addresses this opportunity from a professional management perspective.The responsibilities of a hospital administrator could be broadly classified as managing patient care, functional areas, support services, and developmental work. Eye care providers need to focus on four key areas. Strategic management to enhance the efficiency of their organisations requires: human resources management; quality management; marketing; and financial sustainability.

Hungarian-Vietnamese Nuclear Energy Train the Trainers Course

International Nuclear Information System (INIS)

Aszódi, Attila; Boros, Ildikó; Czifrus, Szabolcs; Kiss, István

2014-01-01

HUVINETT 2012-2013: Hungarian-Vietnamese Nuclear Energy „Train the Trainers” Course: HUVINETT Courses at Paks NPP - • 3 weeks of practice oriented training; • Practical application of nuclear theory and knowledge; • Plant technology; • Importance of nuclear safety; • Behavioral standards and required attitude in a nuclear power plant; • Practice in real working environment: – Maintenance Performance Improvement Center; – Simulator; – Labs and workshops of the plant

Management challenges faced by managers of New Zealand long-term care facilities.

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Madas, E; North, N

2000-01-01

This article reports on a postal survey of 78 long-term care managers in one region of New Zealand, of whom 45 (58%) responded. Most long-term care managers (73.2%) were middle-aged females holding nursing but not management qualifications. Most long-term care facilities (69%) tended to be stand-alone facilities providing a single type of care (rest home or continuing care hospital). The most prominent issues facing managers were considered to be inadequate funding to match the growing costs of providing long-term care and occupancy levels. Managers believed that political/regulatory, economic and social factors influenced these issues. Despite a turbulent health care environment and the challenges facing managers, long-term care managers reported they were coping well and valued networking.

An overview of Medicaid managed care litigation.

Science.gov (United States)

Rosenbaum, S; Teitelbaum, J; Kirby, C; Priebe, L; Klement, T

1998-11-01

Since the enactment of Medicaid in 1965, states have had the option of offering beneficiaries enrollment in managed care arrangements. With the advent of mandatory managed care reaching millions of beneficiaries (including a growing proportion of disabled recipients), the amount and scope of litigation involving Medicaid managed care plans can be expected to grow. A review of the current litigation regarding Medicaid managed care reveals two basic types of lawsuits: (1) those that challenge the practices of managed care companies under various federal and state laws that safeguard consumer rights, protect health care quality, and prohibit discrimination; and (2) suits that assert claims arising directly under the Medicaid statute and implementing regulations, as well as claims related to Constitutional safeguards that undergird the program. Lawsuits asserting claims arising under Medicaid tend to raise two basic questions: (1) the extent to which enrollment in a Medicaid managed care plan alters existing Medicaid beneficiary rights and state agency duties under federal or state Medicaid law; and (2) the extent to which managed care companies, as agents of the state, act under "color of law" (i.e., undertaking to perform official duties or acting with the imprimatur of state authority). Additionally, states might see an increase in litigation brought by prospective and current contractors who assert that they have been wrongfully denied contracts or improperly penalized for poor performance. These assertions may involve claims that are grounded in federal and state law, the Medicaid statute, and the Constitution. Moreover, in light of the consumer protection elements of the managed care reforms contained in the Balanced Budget Act, future managed care litigation may focus on the manner in which companies carry out states' obligations toward managed care enrollees. Resolution of Medicaid managed care cases involves the application of general principles of

[Rare diseases and their patient organization: the Hungarian Federation of People with Rare and Congenital Diseases].

Science.gov (United States)

Pogány, Gábor

2014-03-02

The aim of the author is to discuss special issues of rare diseases, with emphasis on circumstances present in Hungary, including those leading to the foundation of the non-governmental organization, the Hungarian Federation of People with Rare and Congenital Diseases. The author briefly reviews the most important findings of current international surveys which have been performed with or without the involvement of member associations of the Hungarian Federation of People with Rare and Congenital Diseases. At the level of medical and social services in Hungary, it is still "incidental" to get to the appropriate expert or centre providing the diagnosis or treatment. It is difficult to find the still very few existing services due to the lack of suitable "pathways" and referrals. There are long delays in obtaining the first appointment, resulting in vulnerability and inequality along the regions. The overall consequence is the insufficiency or lack of access to medical and social services. There are also difficulties related to the supply of orphan medication and the long duration of hospitalization. At the level of patient organizations financial scarcity and uncertainty are typical, combined with inappropriate infrastructural background and human resources. The poor quality of organization of patient bodies along with insufficient cooperation among them are characteristic as well. The author concludes that a National Plan or Strategy is needed to improve the current fragmentation of services which would enable patients and health, social and educational professionals to provide and use the best care in the practice. This would ensure all patients with rare diseases to be diagnosed within a possible shortest time allowing access to the care and support needed in time resulting in a decrease in burden of families and society.

Designing the role of the embedded care manager.

Science.gov (United States)

Hines, Patricia; Mercury, Marge

2013-01-01

: The role of the professional case manager is changing rapidly. Health reform has called upon the industry to ensure that care is delivered in an efficient, effective, and high-quality and low cost manner. As a means to achieve this objective, health plans and health systems are moving the care manager out of a centralized location within their organizations to "embedding" them into physician offices. This move enables the care manager to work alongside the primary care physicians and their high-risk patients. This article discusses the framework for designing and implementing an embedded care manager role into a physician practice. Key elements of the program are discussed. IMPLICATIONS FOR CARE MANAGEMENT:: Historically care management has played a foundational role in improving the quality of care for individuals and populations via the efficient and effective use of resources. Now with the goals of health care reform, a successful transition from a volume-based to value-based reimbursement system requires primary care physicians to welcome care managers into their practices to improve patient care, quality, and costs through care coordination across health care settings and populations. : As patient-centered medical homes and integrated delivery systems formulate their plans for population health management, their efforts have included embedding a care manager in the primary practice setting. Having care managers embedded at the physician offices increases their ability to collaborate with the physician and their staff in the implementation and monitoring care plans for their patients. : Implementing an embedded care manager into an existing physician's practice requires the following:Although the embedded care manager is a highly evolving role, physician groups are beginning to realize the benefits from their care management collaborations. Examples cited include improved outreach and coordination, patient adherence to care plans, and improved quality of life.

Moral challenges in managed care

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Leandri Hattingh

2015-11-01

Full Text Available Managed health care in South Africa is faced with complex moral challenges, where different stakeholders appeal to different ethics principles to guide decision making. The traditional bio-medical ethics principles of beneficence, non-maleficence and respect for autonomy are typically emphasised in clinical practice, while third party funders appeal to the principle of justice to guide the allocation of limited, pooled resources. Health care professionals working in managed care are particularly exposed to these conflicts, vis-à-vis incongruence between the ethics guidelines from their professional bodies and the legislation pertaining to managed care. Common understanding of the claims and responsibilities of each of the stakeholders may promote a more coherent, sustainable health care system. 

Retrospective assessment of the most common mitochondrial DNA mutations in a large Hungarian cohort of suspect mitochondrial cases.

Science.gov (United States)

Remenyi, Viktoria; Inczedy-Farkas, Gabriella; Komlosi, Katalin; Horvath, Rita; Maasz, Anita; Janicsek, Ingrid; Pentelenyi, Klara; Gal, Aniko; Karcagi, Veronika; Melegh, Bela; Molnar, Maria Judit

2015-08-01

Prevalence estimations for mitochondrial disorders still vary widely and only few epidemiologic studies have been carried out so far. With the present work we aim to give a comprehensive overview about frequencies of the most common mitochondrial mutations in Hungarian patients. A total of 1328 patients were tested between 1999 and 2012. Among them, 882 were screened for the m.3243A > G, m.8344A > G, m.8993T > C/G mutations and deletions, 446 for LHON primary mutations. The mutation frequency in our cohort was 2.61% for the m.3243A > G, 1.47% for the m.8344A > G, 17.94% for Leber's Hereditary Optic Neuropathy (m.3460G > A, m.11778G > A, m.14484T > C) and 0.45% for the m.8993T > C/G substitutions. Single mtDNA deletions were detected in 14.97%, while multiple deletions in 6.01% of the cases. The mutation frequency in Hungarian patients suggestive of mitochondrial disease was similar to other Caucasian populations. Further retrospective studies of different populations are needed in order to accurately assess the importance of mitochondrial diseases and manage these patients.

The Moderating Effect of Valenced Contact: Slovak Language Media Use, Acculturation and L2 Confidence among Young Hungarian Speakers

Science.gov (United States)

Vincze, Laszlo; Gasiorek, Jessica

2016-01-01

Integrating the tenets of the social context model of L2 acquisition with insights from the parasocial contact hypothesis, the present paper addresses the role of mass media in L2 acquisition and acculturation among young Hungarian speakers in Slovakia. Questionnaire data were collected among Hungarian-speaking secondary school students (N = 310).…

Early Hungarian Information about the Mongol Western Campaign (1235–1242 »

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Roman Hautala

2015-09-01

Full Text Available The author of this article examines the origin of the primary information about the Mongol Western Campaign spread in the Kingdom of Hungary on the eve of the Mongol invasion of Eastern Europe. At the beginning of this article, the author pays particular attention to the information on the Mongol expansion, which appeared in the Hungarian Kingdom through the Cumans of southern Moldova. After that the author goes on to consider the earliest news about the beginning of the Mongol Western Campaign delivered to the Hungarian Kingdom by Catholic missionaries as a result of their persistent attempts to find a historic ancestral home of the western Hungarians. The primary information about the beginning of the Mongol Western Campaign was brought to Europe by Dominican Friar Julian, after his return from a journey to the Trans-Volga Magyars in the late 1235. In addition to the valuable description of the Eastern European peoples on the eve of the Mongol invasion, Julian’s report on his first journey to the East contains interesting information about both the early Jochid expansion that preceded the Mongol Western Campaign and the arrival to the land of the Trans-Volga Magyars of the official representative of the Mongol power who informed the Magyars on the completion of the all-Mongolian kuriltai of 1235, which made the decision on the beginning of the Mongol campaign in the West. In turn, the letter of Friar Julian written at the beginning of 1238 is repleted with information about the Mongol tactical warfare, previous military campaigns of Genghis Khan and Jochi, and the first Mongol conquest in the early stages of the Western campaign of Batu. But the most important news brought by Friar Julian in Hungary was an oral report of the Prince of Vladimir on the Mongol plans to attack the Hungarian Kingdom confirming both by the contents of the Batu’s ultimatum and eschatological interpretations of future events.

Design and application of a theory-based case/care management model for home care: advanced practice for nurses as care managers.

Science.gov (United States)

Sears, Nancy A

2002-01-01

Case management has developed in a variety of health care, social service, and insurance industries. Its historical pattern of development has resulted in practices that are generally administrative and technical in nature as well as being relatively generic and often undifferentiated between being a role and process. Research over the last decade has resulted in the opportunity to move case management practice for home care into a structured theory-based model and practice. Design and implementation of a specialized advanced practice care management model reflective of care management research and theory design by British researchers is beginning to show clinical and systemic results that should be replicable in other regions.

Cross-cultural adaptation and validation of the Hungarian version of the Core Outcome Measures Index for the back (COMI Back).

Science.gov (United States)

Klemencsics, Istvan; Lazary, Aron; Valasek, Tamas; Szoverfi, Zsolt; Bozsodi, Arpad; Eltes, Peter; Fekete, Tamás Fülöp; Varga, Peter Pal

2016-01-01

The Core Outcome Measure Index (COMI) is a short, multidimensional outcome instrument developed for the evaluation of patients with spinal conditions. The aim of this study was to produce a cross-culturally adapted and validated Hungarian version of the COMI Back questionnaire. A cross-cultural adaptation of the COMI into Hungarian was carried out using established guidelines. Low back pain patients completed a booklet of questionnaires containing the Hungarian versions of COMI, Oswestry Disability Index (ODI) and WHO Quality of Life-BREF assessment (WHOQOL-BREF). The validation of the COMI included assessment of its construct validity, reliability, and responsiveness. 145 patients participated in the assessment of reliability and 159 surgically treated patients were included in the responsiveness study. Excellent correlation was found between COMI and ODI scores (rho = 0.83, p cross-cultural adaptation of the COMI into the Hungarian language was successful, resulting in a reliable and valid measurement tool with good clinimetric properties.

Look Behind the (Animated Pictures. Notes on the Role of the Aesopic Language in Hungarian Animated Film

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Varga Zoltán

2015-08-01

Full Text Available The essay explores a certain tendency of Hungarian animated film related to a strategy of constructing meaning. The so-called Aesopic language, which can be found in Hungarian animated film, is interested in creating ambiguity, hidden meanings, especially against oppressive political systems. The paper approaches the development of the Aesopic language in Hungarian animated film based on two factors. The first one examines the characteristics of the animated film in general, focusing on the double sense of the animated image. The second one is a historical approach, considering how the Communist regime affected artistic freedom, and how the Aesopic language became general in Central and Eastern Europe during the decades of Communism. After delineating the concept, the essay continues with interpretations of Hungarian animated films produced by the famous Pannonia Film Studio as examples of the Aesopic language. The paper distinguishes between a less and a more direct variant of creating ambiguity, depending on whether the animated films lack or contain explicit references to the Communist system. The group o|f the less direct variant includes Rondino, Changing Times and The Fly, among the examples of the more direct variant we can find Storv about N, Our Holidays and Mind the Steps!.

The importance of management information systems in a managed care environment.

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Porro, M R; Brill, K R

1995-06-01

Keys to successful information systems for home care providers are planning and control. With managed care's emphasis on data, agencies need to have information systems that can handle the demands managed care puts on agencies today--planning before hurrying to install a system will ensure control as the managed care contracts add up.

How will computerization revolutionize managed care?

Science.gov (United States)

Trabin, T

1994-01-01

Computerization of behavioral health care information systems is revolutionizing how payors, managed care companies, and providers exchange information. In this article, an imaginary scenario is depicted of how patient data will be accessed and communicated to facilitate care management of behavioral health care services in the near future.

Managed care: mastering the moving parts.

Science.gov (United States)

Boyd, Dawn; Finman, Larry

2010-05-01

A hospital's success with managed care depends on how thoroughly the hospital understands its interrelated aspects, including: Managed care strategy Contract negotiations. Contract language. Key performance indicators. Modeling. Contract termination provisions. Movement from wholesale to retail health care.

Multiple sclerosis care: an integrated disease-management model.

Science.gov (United States)

Burks, J

1998-04-01

A disease-management model must be integrated, comprehensive, individual patient focused and outcome driven. In addition to high quality care, the successful model must reduce variations in care and costs. MS specialists need to be intimately involved in the long-term care of MS patients, while not neglecting primary care issues. A nurse care manager is the "glue" between the managed care company, health care providers and the patient/family. Disease management focuses on education and prevention, and can be cost effective as well as patient specific. To implement a successful program, managed care companies and health care providers must work together.

FROM THE ZITZER CLUB TO THE BATTLE OF LASLOVO. The involvement of the Hungarian minorities in the 1991-1995 Yugoslav wars

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Szabolcs LÁSZLÓ

2012-12-01

Full Text Available The paper addresses a ‘blind-spot’ of the scholarly works dealing the 1991- 1995 wars in former Yugoslavia, namely: examining the involvement of the Hungarian minorities of the Baranja and Vojvodina regions in the armed conflicts of the war in Croatia. It starts with a short presentation of the demographic and political situation of the Hungarian communities living in the two regions. The following comparative analysis will embed the issue in the ongoing scholarly discussions on ethnicity formation and ethnic conflict, giving a conceptualization of the phenomenon discussed, and explaining the nature of the involvement of the Hungarian minority in the war. The case of the Hungarian minorities reinforces the perspective that the armed conflict was not an ‘ethnic war’, but an artificially imposed aggression and polarizing force that went against the ‘normal’ frame of mind and social behavior of a multiethnic federal state.

Thermoluminescence dating of some Hungarian medieval churches

International Nuclear Information System (INIS)

Kasa, I.; Bajnoczy, G.

1984-01-01

Thermoluminescence dating of three Hungarian historic churches was performed using the quarz inclusion technique and sup(60)Co gamma irradiation. Quarz grains obtained from the bricks were irradiated and the radiation doses were measured by CaSOsub(4):Dy TL dosemeters. Glow curves of irradiated and non-irradiated samples were also measured. From the results it was concluded that the ages of two churches were 10 and 30 percent less, respectively, than the ages estimated earlier. The age of the third church proved to be correct. (R.P.)

Food irradiation and Hungarian experiences with it

Energy Technology Data Exchange (ETDEWEB)

Farkas, Jozsef; Kiss, Istvan

1988-01-01

Among the different types of food irradiation techniques using ionizing radiations the methods serving - in a direct or indirect way - the purposes of health protection are reviewed. Based on foreign and Hungarian examples radurization of vegetables (potatoes, onions, garlics) by low irradiation doses, radiosterilization of corn, tropic and subtropic fruits, radicidation of dry additivies (spice, medicinal herb) and foodstuffs of animal origin (meat, poultry, egg, fish, shrimp, etc.) are discussed. The general situation of food irradiation in Hungary inlcuding licensing procedures is evaluated. (V.N.) 32 refs.; 3 figs.

Care for children with special health care needs in a managed care system: a patient satisfaction survey.

Science.gov (United States)

Flynn, J M; Bravo, C J; Reyes, O

2001-09-01

In 1994 the government of Puerto Rico adopted a capitated managed health care system for the medically indigent. The new law has been implemented in most municipalities. A survey of children with special health care needs treated at a tertiary pediatric center under the capitated managed care system and the prior non-capitated system was analyzed using the Consumer Assessments of Health Plan Survey (CHAPS) instrument. One third of the patients who were under the new capitated managed care system were not satisfied with the medial care they were receiving. The parents of children with multidisciplinary conditions found it much more difficult to access care at the tertiary center. It took parents two years to learn to navigate within the capitated managed care system. Studies to measure outcome and health quality of children with special health care needs in capitated managed health care programs must be developed to learn how the potential benefits of managed care can be maximized and the potential harms minimized. The purpose of this study was to analyze the accessibility and satisfaction of caretakers of children with special health care needs under a capitated managed health care system.

[Quality management in intensive care medicine].

Science.gov (United States)

Martin, J; Braun, J-P

2013-09-01

Treatment of critical ill patients in the intensive care unit is tantamount to well-designed risk or quality management. Several tools of quality management and quality assurance have been developed in intensive care medicine. In addition to extern quality assurance by benchmarking with regard to the intensive care medicine, peer review procedures have been established for external quality assurance in recent years. In the process of peer review of an intensive care unit (ICU), external physicians and nurses visit the ICU, evaluate on-site proceedings, and discuss with the managing team of the ICU possibilities for optimization. Furthermore, internal quality management in the ICU is possible based on the 10 quality indicators of the German Interdisciplinary Society for Intensive Care Medicine (DIVI, "Deutschen Interdisziplinären Vereinigung für Intensiv- und Notfallmedizin"). Thereby every ICU has numerous possibilities to improve their quality management system.

Reengineering health care materials management.

Science.gov (United States)

Connor, L R

1998-01-01

Health care executives across the country, faced with intense competition, are being forced to consider drastic cost cutting measures as a matter of survival. The entire health care industry is under siege from boards of directors, management and others who encourage health care systems to take actions ranging from strategic acquisitions and mergers to simple "downsizing" or "rightsizing," to improve their perceived competitive positions in terms of costs, revenues and market share. In some cases, management is poorly prepared to work within this new competitive paradigm and turns to consultants who promise that following their methodologies can result in competitive advantage. One favored methodology is reengineering. Frequently, cost cutting attention is focused on the materials management budget because it is relatively large and is viewed as being comprised mostly of controllable expenses. Also, materials management is seldom considered a core competency for the health care system and the organization performing these activities does not occupy a strongly defensible position. This paper focuses on the application of a reengineering methodology to healthcare materials management.

Development of banking in Herzegovina during the Austro-Hungarian occupation

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Vujović Milan

2015-01-01

Full Text Available This paper gives an overview of the development of cash offices and banks in Herzegovina under Austro-Hungarian occupation. Priority in development was given to its economy and banks by Austro-Hungarian authorities, especially banks with foreign capital in relation to the founding and development of domestic banks in Herzegovina. New authorities were especially active in building military barracks, headquarters, fixing the roads and other infrastructure, which increased employment, cash flow and the need to found banks. On the other hand, by repressive measures and divisions according to religion and nationality, occupying authorities were holding back a faster economic, cultural and sports development of the domestic population. At the initiative of the Serbian and other nations in Herzegovina, they founded economic, banking, cultural and sports organizations and associations which were actively involved in the country's development. That was the foundation for the development of a network of banking organizations and cash offices, which contributed to larger cash flow and the advancement of economy, crafts, trade and other activities in the country.

Importance of the Hungarian phytosociological school established at the University of Debrecen in development of current field botany.

Science.gov (United States)

Borhidi, A; Salamon-Albert, Eva

2010-01-01

The paper gives a short panoramic historical survey about the main activities of the Hungarian phytosociology, their chief protagonists, the fundamental role of professor Rezső Soó in the creation and development of the phytosociological school of Debrecen established by him in the Botanical Department of the University of Debrecen, which is celebrating the 80 anniversary of its existence and has played a determinant role in the Hungarian botany.

Respiratory care management information systems.

Science.gov (United States)

Ford, Richard M

2004-04-01

Hospital-wide computerized information systems evolved from the need to capture patient information and perform billing and other financial functions. These systems, however, have fallen short of meeting the needs of respiratory care departments regarding work load assessment, productivity management, and the level of outcome reporting required to support programs such as patient-driven protocols. The respiratory care management information systems (RCMIS) of today offer many advantages over paper-based systems and hospital-wide computer systems. RCMIS are designed to facilitate functions specific to respiratory care, including assessing work demand, assigning and tracking resources, charting, billing, and reporting results. RCMIS incorporate mobile, point-of-care charting and are highly configurable to meet the specific needs of individual respiratory care departments. Important and substantial benefits can be realized with an RCMIS and mobile, wireless charting devices. The initial and ongoing costs of an RCMIS are justified by increased charge capture and reduced costs, by way of improved productivity and efficiency. It is not unusual to recover the total cost of an RCMIS within the first year of its operation. In addition, such systems can facilitate and monitor patient-care protocols and help to efficiently manage the vast amounts of information encountered during the practitioner's workday. Respiratory care departments that invest in RCMIS have an advantage in the provision of quality care and in reducing expenses. A centralized respiratory therapy department with an RCMIS is the most efficient and cost-effective way to monitor work demand and manage the hospital-wide allocation of respiratory care services.

HOW DOES THE JEREMIE PROGRAM AFFECT THE HUNGARIAN VENTURE CAPITAL MARKET?

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Zsuzsanna Széles

2011-01-01

Full Text Available In the 2007-2013 EU's budgetary period a new program was introduced for SMEs. JEREMIE - Joint European Resources for Micro to medium Enterprises - offers to EU Member States and regions the possibility to invest some of their EU structural funds allocations in revolving funds and so recycle financial resources in order to enhance and accelerate investments in enterprises. The market for venture capital and private equity is relatively small in Central and Eastern Europe, but has matured during the past decade and yields are better than in Western Europe. In 2009 Hungary got the first notification for the venture capital part of the JEREMIE program, and started to organize the channel to distribute this renewable source for Hungarian start-up and innovative (from micro to medium enterprises. 2010 was the first year of the “JEREMIE venture capital funds” in Hungary. There are no tangible results yet, but a snapshot could be taken about how this program affects the Hungarian venture capital market.

Tailoring Self-Management in Chronic Care

NARCIS (Netherlands)

Touwen, ID

2016-01-01

Self-management is nowadays seen as an important element in chronic care and therefore, self-management is increasingly embedded in chronic care guidelines; however, implementation in clinical practice is a slow and difficult process. Evidence, from research on self-management interventions, shows

Typically Female Features in Hungarian Shopping Tourism

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Gábor Michalkó

2006-06-01

Full Text Available Although shopping has been long acknowledged as a major tourist activity, the extent and characteristics of shopping tourism have only recently become the subject of academic research and discussion. As a contribution to this field of knowledge, the paper presents the characteristics of shopping tourism in Hungary, and discusses the typically female features of outbound Hungarian shopping tourism. The research is based on a survey of 2473 Hungarian tourists carried out in 2005. As the findings of the study indicate, while female respondents were altogether more likely to be involved in tourist shopping than male travellers, no significant difference was experienced between the genders concerning the share of shopping expenses compared to their total travel budget. In their shopping behaviour, women were typically affected by price levels, and they proved to be both more selfish and more altruistic than men by purchasing more products for themselves and for their family members. The most significant differences between men and women were found in their product preferences as female tourists were more likely to purchase typically feminine goods such as clothes, shoes, bags and accessories, in the timing of shopping activities while abroad, and in the information sources used by tourists, since interpersonal influences such as friends’, guides’ and fellow travellers’ recommendations played a higher role in female travellers’ decisions.

The impact of the language barrier on the success of Hungarian minority women in the higher education system of Serbia

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Lendák-Kabók Karolina

2017-01-01

Full Text Available The subject of the paper is to analyze the impact of the language barrier faced by Hungarian minority female professors and students in the higher education sys­tem of Serbia. The aim of this paper is to propose measures which might allow Hungarian minority students to overcome the language barrier more easily and to raise awareness for the need of more Hungarian women in the fields of science, technology, engineering and mathematics (STEM. The analysis is based on twenty four semi-structured interviews conducted with minority Hungarian female professors and students, who are working or studying at the University of Novi Sad, Serbia. Interviews were conducted with a pre-composed questionnaire between the end of 2014 and the beginning of 2015. Interviewees were chosen with a snowball sampling method. Results of analysis show that the majority of Hungarian women face a language barrier at the start of their studies, mostly because of their limited knowledge of the majority’s language. These barriers were more pronounced in Hungarian female students than with professor. This phenomenon can be attributed to the time in which they grew up, or to a different social environment of the twentieth century, when bilingualism was completely natural, from which, less segregation of the nations resulted and a better knowledge of the Serbian language. The professors particularly point out that being bilingual is a great advantage and that their knowledge of several languages was a key advantage in their academic careers. With the analysis of the interviews it was determined that the language barrier was mostly pronounced for students of social sciences and humanities (SSH, where language is the primary tool of communication. The language barrier was less important for the students studying in STEM sciences, where students and professors interact through formulas and written exams.

Hungarian climate change action plan

Energy Technology Data Exchange (ETDEWEB)

Molnar, S.; Takacs, T. [Systemexpert Consulting Ltd., Budapest (Hungary); Arpasi, M. [MOL, Budapest (Hungary); Farago, T.; Palvoelgyi, T. [Ministry for Environment and Regional Policy, Budapest (Hungary); Harnos, Z. [Univ. of Horticulture, Budapest (Hungary); Lontay, Z. [EGI-Contracting Engineering Co. Ltd., Budapest (Hungary); Somogyi, Z. [Forest Research Inst., Budapest (Hungary); Tajthy, T. [Univ. of Technology, Budapest (Hungary)

1998-12-31

In 1994--1996, within the framework of the US Country Studies Program, the Hungarian Country Study Team developed the national greenhouse gas emission inventory, and elaborated the mitigation options for the different sectors of the economy. In 1997, the development of a National Action Plan was begun as the continuation of this work. Results of the inventory study showed that greenhouse gas emissions decreased from the selected base level (i.e., from the yearly average emissions of 1985--1987) until 1994 by cca. 25%. However, this decrease was primarily caused by the deep economic recession. Therefore the policy makers have to face the problem of economic recovery without a relevant increase of greenhouse gas emissions in the near future. This is the main focus of the mitigation analysis and the National Action Plan.

Pseudo-realia in the Romanian Translations of Various Hungarian Institutions and in the Hungarian Translations of Romanian Public Administration Terms

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Zopus Andras

2016-12-01

Full Text Available My presentation addresses an issue translators of Romanian–Hungarian legal and economic texts encounter almost day by day. Each field of translation is special in its kind, but translating legal/economic texts requires an especially accurate knowledge of the acts, laws, and concepts of both the source and target language since this is essential for the translated text to be really a quality, professional, and – last but not least – an intelligible one to the target-language audience, i.e. the customers.

From new clones to flowers – innovative business models in the Hungarian wine economy

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Kismarjai Balázs

2017-01-01

Full Text Available Due to the ovestocked Hungarian wine sector wineries often need to find entirely new ways that enable them to increase their market share. These opportunities are determined by the current market potentials, the geographic location and of course the wine district itself. In this study I examined some examples of outbreak opportunities for producers in this difficult economic situation. Young winemakers from different Hungarian wine districts unite to open wine bars - these are now present in several towns all over the country. Other winemakers have been experimenting with new clones in less recognized wine districts. A small winery from a historic wine district recommends its wines with flowers in a new shop.

Hungarian situation of the technologically enhanced naturally occuring radioactive materials

International Nuclear Information System (INIS)

Juhasz, L.; Szerbin, P.; Czoch, I.

2003-01-01

Full text: In Hungary, the main goal is that the Hungarian regulations should meet with the EU Directive No. 96/29. For this aim, a surveying project has been launched in order to collect all relevant information about the Hungarian TENORM situation. This surveying programme covers a lot of data collection (work activities, disposal places, residue quantities) and radiological measurements on the TENORM site. The Hungarian situation of TENORM definitely differs from other countries in the aspect of occurrence forms of natural sources (or in the imported raw materials), in the quantities of exploitation, in the level of the radioactivity and in the applied technological processes. Firstly, those work activities have been choosen where the huge amount of residues have been produced. The other criteria is that the activity concentration in a great portion of the given residues is much higher than the average activity concentration of the typical Hungarian soil. After filtering and ranking, the following main activities enhanced the radioactivity level are left: uranium mining and milling, coal mining, coal firing in power plants, bauxite mining and aluminous earth production. At the uranium mining and milling area the uranium content of residues ranges from 20 to 70 g t -1 , and above those the dose rate is 0.4-10 μSv h -1 . The waste rock piles and heaps for leaching were restored and the remediation of tailings ponds is still under way. In the mountain Mecsek and on the territory from the highland Balaton to the mountain Vertes, the radioactivity level of the coals is 10-50 times higher than the worldwide average. The coal fired plants have piled up in the order of magnitude of 10 million tons of fly ash, bottom ash and slag in ponds around the plants. The radioactivity of U-238 series of ash and slag is in the range from 200 to 2000 Bq·kg -1 . The radionuclide concentrations of bauxite ores range from 200 to 300 Bq·kg -1 . At the refining factories, a lot of red

Palliative care - managing pain

Science.gov (United States)

... page, please enable JavaScript. Palliative care is a holistic approach to care that focuses on treating pain ... stressful for you and your family. But with treatment, pain can be managed. How Pain is Measured ...

Comparison of Trust and Social Relations among Students in Russian and Hungarian Higher Education

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Kornélia Lazányi

2017-12-01

Full Text Available Trust is the basis of social relations and the building block of every society. However, various societies have different levels of social trust, which is a consequence of various cultural dimensions’ as well as historic and economic variables’ interplay. The paper intends to explore the relation of social embeddedness and the level of interpersonal trust in two significantly different cultures – Russian and Hungarian. The results presented in the article are, on the one hand, the outcomes of secondary analysis of the data obtained from the World Values Survey and the European Social Survey, on the other hand, they also offer an insight into the still ongoing primary research on 585 students in business higher education in Hungary and Russia. The results indicate that although there are gender and other demographic variables based differences, social embeddedness and national culture (values, attitudes, behaviour is of relevant influence on the level of interpersonal trust. According to the data presented, the Hungarians – despite being a low-trust nation – in general trust their peers more than the Russians do. However, if we distinguish between two forms of trust – thick and thin – the Hungarians then achieve significantly higher scores in thin trust only.

Playing with anthems: The formation of the cult of empress Elisabeth in Hungarian music

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Windhager Ákos

2016-01-01

Full Text Available In this paper I reveal how the cult of Empress Elisabeth affected the reception of three different volumes of Hungarian music. These three works are: Erzsébet-emlény (Elisabeth Memorial Album, 1854 edited by Kornél Ábrányi; Erzsébet (Elisabeth, 1854 opera by Károly Doppler, Ferenc Doppler and Ferenc Erkel; and Die Legende von der heiligen Elisabeth (The Legend of Saint Elisabeth, 1865 by Franz Liszt. In spite of their high artistic level, the first two works were banned by the cultural elite who interpreted them as Habsburgian political music after the downfall of the dual state. On the other hand, the intentionally apolitical oratorio by Franz Liszt was regarded by the same cultural elite as the highest standard of artistic representation of the Empress. As a consequence of parallel distribution of both imperially and nationally constructed memories, a strange diffusion appeared in the social sphere, especially in Hungarian cultural memory. Conflicting memories emerged due to the discrepancy between the original Hungarian political myth (Kossuth-myth and Empress Elisabeth’s cult. Using the terminology introduced by Claude Lévi-Strauss, I have labeled this situation as the clash of the cold and hot society in Hungary during the 19th century.

Allowance officers Russian and Austro-Hungarian armies on the eve of the First World War

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Alexander P. Abramov

2016-09-01

Full Text Available On the basis of historical material provides information on measures of state and military administration on the eve of the First World War to improve the welfare of Russian officers and Austro-Hungary, through various forms of material incentives, which are reflected in the cash payments, promotions, awards and social guarantees. On the basis of archival materials of the study period, open scientific publications and Internet resources there are disclosed the features of the destination of salaries, various allowances and compensations Russian army in comparison to the Austro-Hungarian army, who spoke Russian opponent in the First World War. The author notes that the existing system of money allowances in the Russian army was more advantageous than in the Austro-Hungarian army. However, neither one nor the other could not fully meet the needs of the majority of officers of both armies, entered as opponents in the First World War. One of its major shortcomings, both in Russia and in the Austro-Hungarian Empire, was a wide gap in the amounts of all kinds of money allowances between chief officers, staff officers and generals.

Introduction. The formation of the Hungarian Information Society in the last ten years

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Róbert Sinka

2014-02-01

Full Text Available Hungary was an example to follow as one of the initiators of the change that ultimately resulted in the elimination of the Soviet dependence, as well as in the democratization of Eastern-Central European countries. The iron curtain pulled down in 1989 opened up the country to the world. The comfortable protection was suddenly replaced by the new challenges of the global market economy and culture. The forming of the Hungarian information society could have brought one of the most radical changes among these. The present paper studies the successes and failures of the development of the Hungarian information society in the last decade on the basis of the research report (MITJ, 2008 prepared by ITTK (Information Society and Trend Research Centre http://ittk.hu/english/index.html

[Sleep quality of nurses working in shifts - Hungarian adaptation of the Bergen Shift Work Sleep Questionnaire].

Science.gov (United States)

Fusz, Katalin; Tóth, Ákos; Fullér, Noémi; Müller, Ágnes; Oláh, András

2015-12-06

Sleep disorders among shift workers are common problems due to the disturbed circadian rhythm. The Bergen Shift Work Sleep Questionnaire assesses discrete sleep problems related to work shifts (day, evening and night shifts) and rest days. The aim of the study was to develop the Hungarian version of this questionnaire and to compare the sleep quality of nurses in different work schedules. 326 nurses working in shifts filled in the questionnaire. The authors made convergent and discriminant validation of the questionnaire with the Athens Insomnia Scale and the Perceived Stress Questionnaire. The questionnaire based on psychometric characteristics was suitable to assess sleep disorders associated with shift work in a Hungarian sample. The frequency of discrete symptoms significantly (pshifts. Nurses experienced the worst sleep quality and daytime fatigue after the night shift. Nurses working in irregular shift system had worse sleep quality than nurses working in regular and flexible shift system (pworking in shifts should be assessed with the Hungarian version of the Bergen Shift Work Sleep Questionnaire on a nationally representative sample, and the least burdensome shift system could be established.

Geotechnical research in the Hungarian Central Institute for the Development of Mining

International Nuclear Information System (INIS)

Schmieder, A.

1979-01-01

The paper describes the geotechnical project of the Hungarian Central Institute for the Development of Mining. The activities of the Department of Geophysics and Nuclear Technology in the field of isotope and radiochemistry for geotechnical research are discussed in detail. (Sz.J.)

"As Long as You Work Hard, You Can Achieve Your Goals" : Hungarian Immigrants on the American Dream

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Orsolya Kolozsvari

2012-06-01

Full Text Available Immigrants to the United States frequently perceive America as the land of endless opportunities and prosperity, and this perception is very frequently a propelling force in the decision for immigration. Through 20 in-depth interviews with middle-class Hungarians who live in the United States I will discuss how immigration to the United States has influenced the perceptions of these Hungarians of opportunities in the United States. I will also highlight how reasons for immigration and perceptions of the American Dream vary by gender.

Information Needs of Nurse Care Managers

Science.gov (United States)

Dorr, David A.; Tran, Hanh; Gorman, Paul; Wilcox, Adam B.

2006-01-01

Unmet information needs of physicians and patients are common, but those of nurse care managers – defined as collaborative care planners for with chronic conditions – are less well understood. We taped and transcribed daily activities and conducted semi-structured interviews of 7 care managers, and analyzed questions elicited through this work through a variety of frameworks. PMID:17238532

Role of Orvosi Hetilap in the development of Hungarian gastroenterology

Science.gov (United States)

Buzás, György Miklós

2010-01-01

AIM: To analyze the contribution of Orvosi Hetilap (Hungarian Medical Journal) to the field of gastroenterology. METHODS: All issues of the journal between 1857 and 2008 and identified original articles and reviews dealing with gastroenterology were reviewed. The rate of publications, the thematic distribution and foreign sources of knowledge were assessed. The dates that major achievements in gastroenterology were introduced in Hungary were compared to those dates in Western medicine. RESULTS: A total of 4799 original/research articles on gastroenterology were published, which represents 11.1% of the total publications. Thematic rankings showed that liver and biliary diseases represented 20.36% of the total, followed by gastric diseases (9.35%) and surgery (8.77%). A total of 268 foreign journals were reviewed: 50.9% were German, 30.4% English, 12.1% French and only 6.6% were in other languages. The major achievements of gastroenterology were introduced with varying delays compared to Western countries. CONCLUSION: Orvosi Hetilap has made a large contribution to the development of Hungarian gastroenterology. The high proportion of gastroenterology studies underlines the importance of digestive diseases in public health. PMID:20458774

Epilogue. Environmental aspects of the design and construction of the Gabcikovo hydroelectric power project and environmental impact review based on the three-year monitoring and on the joint Slovak-Hungarian monitoring

International Nuclear Information System (INIS)

Lejon, E.

1996-01-01

In this chapter of the book author deals with the Gabcikovo-Nagymaros Project (GNP). The Gabcikovo part of the hydroelectric power project was based on a combination of flood control, navigational improvements and the production of electric energy. The Gabcikovo Project has not only saved the inundation area with the flood plain ecotopes, but also includes a wide variety of tools for surface and ground water management, and thus also for the management, or optimalization, of the development of agricultural conditions, inundation biotopes, forestry, river branches biotopes, flood management and the flooding of parts of the inundation area, sedimentation and erosion processes, ground and surface water quality, and other environmental effects management. The GNP, as conceived in the 1977 International Czechoslovak-Hungarian Treaty, is located roughly between 1,860 rkm (river kilometer), at Bratislava, and 1,696 rkm, at Nagymaros. The Hungarians unilaterally decided to abandon the construction of Nagyamaros, and to suspend the work to be carried out on the GNP. After the decision, in order to minimize the spread of economic and ecologic damages to ensure flood protection at least on the Hungarian Szikekoez, to exploit the available power potential, and to create conditions necessary for navigation on the Danube, the Government of the Czech and Slovak Federal Republic decided in December 1991, to put nearly ready Gabcikovo part of the system into operation, constructing the necessary technical structures on their own territory and inside of the construction area of the original Project. These technical structures are known as 'Variant C'. 'Variant C' is situated inside the area of the original project, replaces the function of the Dunakiliti weir in Hungary and uses all of the completed structures of the Gabcikovo part of the Project. The geology, Danube, ground water, pre-dam long-term development, changes after putting the Gabcikovo structures into operation, as well

Assessing the effect of increased managed care on hospitals.

Science.gov (United States)

Mowll, C A

1998-01-01

This study uses a new relative risk methodology developed by the author to assess and compare certain performance indicators to determine a hospital's relative degree of financial vulnerability, based on its location, to the effects of increased managed care market penetration. The study also compares nine financial measures to determine whether hospital in states with a high degree of managed-care market penetration experience lower levels of profitability, liquidity, debt service, and overall viability than hospitals in low managed care states. A Managed Care Relative Financial Risk Assessment methodology composed of nine measures of hospital financial and utilization performance is used to develop a high managed care state Composite Index and to determine the Relative Financial Risk and the Overall Risk Ratio for hospitals in a particular state. Additionally, financial performance of hospitals in the five highest managed care states is compared to hospitals in the five lowest states. While data from Colorado and Massachusetts indicates that hospital profitability diminishes as the level of managed care market penetration increases, the overall study results indicate that hospitals in high managed care states demonstrate a better cash position and higher profitability than hospitals in low managed care states. Hospitals in high managed care states are, however, more heavily indebted in relation to equity and have a weaker debt service coverage capacity. Moreover, the overall financial health and viability of hospitals in high managed care states is superior to that of hospitals in low managed care states.

Non-blind walls: sensing (and seeing through decoration in hungarian schools

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Jeremy HOWARD

2013-11-01

Full Text Available Questions of the role and interpretation of art integrated into the fabric of educational institutions are explored here. Using six case studies taken from Hungarian schools built between 1900 and 1931 issues are raised concerning the ‘curricular’ and aesthetic nature of the works. Particular attention is drawn to how the art may be perceived, especially when, as in the two principal cases, it is created for schools for the visually impaired. To this end the selection of media ranges from stained glass to mosaic via painting, carving and ironwork, and the locations range from assembly halls to facades via staircases and doors. The political, religious and secular signs expressed are analysed against the backdrop of educational reform and social rupture. The generic subject of ‘the decorated school’ has been much debated since the introduction of mass education, yet there exists precious little academic study. The choice of the Hungarian examples acknowledges the wealth of material and diversity of ways in which artwork in schools can be read or, better, ‘sensed’. Ultimately, caution is advised.

New species in the Hungarian avifauna in 2014

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Hadarics Tibor

2015-12-01

Full Text Available Two new species appeared in the Hungarian avifauna in 2014: the Spanish Sparrow and the Blyth’s Reed Warbler. One pair of Spanish Sparrow was breeding in Bácsborsód between June 13th and July 31st in the side of a stork nest. The Blyth’s Reed Warbler was trapped and ringed near Tömörd on August 15th. With the observations of these species the number of bird species that have ever been proven to occur in Hungary has risen to 411.

Managed care and ethical conflicts: anything new?

OpenAIRE

Meyers, C

1999-01-01

Does managed care represent the death knell for the ethical provision of medical care? Much of the current literature suggests as much. In this essay I argue that the types of ethical conflicts brought on by managed care are, in fact, similar to those long faced by physicians and by other professionals. Managed care presents new, but not fundamentally different, factors to be considered in medical decision making. I also suggest ways of better understanding and resolving these conflicts, in p...

Nationwide Network of TalentPoints: The Hungarian Approach to Talent Support

Science.gov (United States)

Csermely, Peter; Rajnai, Gabor; Sulyok, Katalin

2013-01-01

In 2006 a novel approach to talent support was promoted by several talent support programmes in Hungary. The new idea was a network approach. The nationwide network of so-called TalentPoints and its framework, the Hungarian Genius Program, gained substantial European Union funding in 2009, and today it is growing rapidly. A novel concept of talent…

Care management actions in the Family Health Strategy

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Marcelo Costa Fernandes

2015-11-01

Full Text Available Objective: to identify, from nurses’ speeches, the actions that enable care management in the Family Health Strategy.Methods: descriptive study with a qualitative approach conducted with 32 nurses of primary care. It was used a semistructuredinterview as the data collection technique. The methodological process of the collective subject discourse wasused to organize the data Results: from the nurses’ speeches one identified the categories: complementary relationshipbetween care and management; meeting with community health agents, a care management strategy in nurses’ work;health education activities such as a care management action and a health information system as an essential tool forcare Conclusion: it was possible to observe that nurses understood the importance of coordination and complementaritybetween the activities of the working process of care and management.

Unknown Hungarian first fruits of the Slovak poet Pavol Országh Hviezdoslav

Czech Academy of Sciences Publication Activity Database

Zelenková, Anna; Gbúr, J.

2017-01-01

Roč. 44, č. 2 (2017), s. 469-485 ISSN 0324-4652 Institutional support: RVO:68378017 Keywords : Autor's bi-literary stance * Hviezdoslav, Pavol Országh * Slovak-Hungarian literary context Subject RIV: AJ - Letters, Mass-media, Audiovision OBOR OECD: Literary theory

Optimization of territory control of the mail carrier by using Hungarian methods

Science.gov (United States)

Supian, S.; Wahyuni, S.; Nahar, J.; Subiyanto

2018-03-01

In this paper, the territory control of the mail carrier from the central post office Bandung in delivering the package to the destination location was optimized by using Hungarian method. Sensitivity analysis against data changes that may occur was also conducted. The sampled data in this study are the territory control of 10 mail carriers who will be assigned to deliver mail package to 10 post office delivery centers in Bandung. The result of this research is the combination of territory control optimal from 10 mail carriers as follows: mail carrier 1 to Cikutra, mail carrier 2 to Ujung Berung, mail carrier 3 to Dayeuh Kolot, mail carrier 4 to Padalarang, mail carrier 5 to Situ Saeur, mail carrier 6 to Cipedes, mail carrier 7 to Cimahi, mail carrier 8 to Soreang, mail carrier 9 to Asia-Afrika, mail carrier 10 to Cikeruh. Based on this result, manager of the central post office Bandung can make optimal decisions to assign tasks to their mail carriers.

Evaluating managed care's special telecommunications needs.

Science.gov (United States)

Harrison, P; Schenk, D

1993-11-01

Right now, managed care is a vast cosmic soup. But whether its ultimate form is the result of a bureaucratic big bang or a series of small industry explosions, one thing seems clear: telecommunications is the framework upon which managed care will be built. Managed care's primary players--purchasers, providers and payors--have already discovered the unifying power of telecommunications within their respective worlds. However, as the three worlds collide, an entirely new set of special telecommunications needs arises. And most of these needs can be distilled into three basic requirements: bigger networks, faster networks and smarter networks.

Physician-patient communication in managed care.

OpenAIRE

Gordon, G H; Baker, L; Levinson, W

1995-01-01

The quality of physician-patient communication affects important health care outcomes. Managed care presents a number of challenges to physician-patient communication, including shorter visits, decreased continuity, and lower levels of trust. Good communication skills can help physicians create and maintain healthy relationships with patients in the face of these challenges. We describe 5 communication dilemmas that are common in managed care and review possible solutions suggested by recent ...

Optimizing diabetes management: managed care strategies.

Science.gov (United States)

Tzeel, E Albert

2013-06-01

Both the prevalence of type 2 diabetes mellitus (DM) and its associated costs have been rising over time and are projected to continue to escalate. Therefore, type 2 DM (T2DM) management costs represent a potentially untenable strain on the healthcare system unless substantial, systemic changes are made. Managed care organizations (MCOs) are uniquely positioned to attempt to make the changes necessary to reduce the burdens associated with T2DM by developing policies that align with evidence-based DM management guidelines and other resources. For example, MCOs can encourage members to implement healthy lifestyle choices, which have been shown to reduce DM-associated mortality and delay comorbidities. In addition, MCOs are exploring the strengths and weaknesses of several different benefit plan designs. Value-based insurance designs, sometimes referred to as value-based benefit designs, use both direct and indirect data to invest in incentives that change behaviors through health information technologies, communications, and services to improve health, productivity, quality, and financial trends. Provider incentive programs, sometimes referred to as "pay for performance," represent a payment/delivery paradigm that places emphasis on rewarding value instead of volume to align financial incentives and quality of care. Accountable care organizations emphasize an alignment between reimbursement and implementation of best practices through the use of disease management and/ or clinical pathways and health information technologies. Consumer-directed health plans, or high-deductible health plans, combine lower premiums with high annual deductibles to encourage members to seek better value for health expenditures. Studies conducted to date on these different designs have produced mixed results.

Disabling health care? Medicaid managed care and people with disabilities in America

DEFF Research Database (Denmark)

Hiranandani, Vanmala Sunder

2011-01-01

Medicaid, America's largest government-funded health insurance program, plays a pivotal role in providing health services to eight million adults with disabilities. Since the mid-1990s, many Medicaid programs have aggressively introduced managed care, which reconfigures service delivery using...... business principles. Most states have insufficient experience in developing managed care plans for Medicaid beneficiaries with disabilities. Middle-aged adults with physical disabilities present their own constellation of health care issues that is not readily appreciated in health and social services....... The purpose of the study was to understand their experiences in accessing physical health care services and to ascertain the effects of managed care on their health and well-being. This study found beneficiaries encounter numerous barriers in accessing preventative, treatment, and acute care services. Overall...

Characteristics of effective health care managers.

Science.gov (United States)

Johnson, Sherryl W

2005-01-01

This article provides an overview of traditional and contemporary management theories. Concerns, characteristics, and skills of effective managers are also presented. Further, a self-assessment (survey) of 7 highly effective health care managers in a South Georgia community was conducted to determine their ratings on 6 management indices. The assessment or Scale of Transformational Leadership uses a Likert-type scale to allow for the evaluation of managers. The scale contains 6 management elements for assessment: attention, meaning, trust, self, vision, and feeling. Individual ratings and group summary skills rating are presented. Findings revealed the order of managerial importance of the elements as follows (from highest to lowest): Management of Trust, Management of Attention, Management of Self, Management of Feeling, Management of Meaning, and Management of Risk. As a second tier, the final ratings are corroborated by health care management interns.

Managed care innovation and new product development.

Science.gov (United States)

Clark, C S; Schuster, T B

1994-01-01

This article explores recent innovative activity by managed care payor plans nationwide with particular emphasis on emerging, new relationships between the plans and their purchasers, enrollees, provider panels, and competitors. Because they already practice what advocates of health care reform are now preaching, many managed care plans are leading the charge to transform our health care delivery and financing systems.

The evolution of physician-directed managed care.

Science.gov (United States)

Unland, J J

1995-01-01

The health care industry is evolving. In the near term, POs will become the state of the art in physician-directed managed care. Eventually, POs will merge into fully integrated group practices. From there, regional POs and group practices will develop their own insurance products. But because these organizations will be dominated by physicians who wish to practice medicine, rather than sell insurance, money will be made by appropriately managing risk and providing high-quality care. In time, physicians will take control and "manage" managed care, as they are the only ones--not administrators, executives, or other business people--who are in a position to fundamentally revise the way medicine is practiced.

The 1956 Hungarian refugee emergency, an early and instructive case of resettlement

NARCIS (Netherlands)

Zieck, M.

2013-01-01

The Soviet repression of the Hungarian uprising in 1956 caused an exodus of 200,000 refugees. Most of the refugees fled to Austria. Austria immediately called on states to help both financially and by physically sharing the refugees by means of resettlement. As a result, most of the refugees were

[Hungarian Philadelphia negative chronic myeloproliferative neoplasia registry. Evaluation of the Polycythemia vera patients].

Science.gov (United States)

Dombi, Péter; Illés, Árpád; Demeter, Judit; Homor, Lajos; Simon, Zsófia; Kellner, Ádám; Karádi, Éva; Valasinyószki, Erika; Udvardy, Miklós; Egyed, Miklós

2017-06-01

Intruduction and aim: The Hungarian National Registry for Philadelphia chromosome negative myeloproliferative neoplasms has been developed. The aim of the recent study is to assess the clinical characteristics of Hungarian patients with polycythemia vera. Data of 351 JAK2 V617F and exon 12 mutation positive polycythemia vera patients were collected online from 15 haematology centres reporting epidemiologic, clinical characteristics, diagnostic tools, therapeutic interventions, thromboembolic complications, disease transformations. Vascular events prior to and after diagnosis were evaluated upon the Landolfi risk assessment scale. 116 thromboembolic events were reported in 106 PV patients prior to diagnosis and 152 occasions in 102 patients during follow-up. The frequency of major arterial events were significantly reduced (ppolycythemia vera. The Landolfi risk stratification was proven to be useful. Based on evaluated data, accuracy of diagnostic criteria and compliance to risk-adapted therapeutic guidelines are needed. Orv Hetil. 2017; 158(23): 901-909.

Delineating the genetic heterogeneity of OCA in Hungarian patients

OpenAIRE

F?bos, Be?ta; Farkas, Katalin; T?th, Lola; Sul?k, Adrienn; Tripolszki, Korn?lia; Tihanyi, Mariann; N?meth, R?ka; Vas, Krisztina; Csoma, Zsanett; Kem?ny, Lajos; Sz?ll, M?rta; Nagy, Nikoletta

2017-01-01

Background Oculocutaneous albinism (OCA) is a clinically and genetically heterogenic group of pigmentation abnormalities characterized by variable hair, skin, and ocular hypopigmentation. Six known genes and a locus on human chromosome 4q24 have been implicated in the etiology of isolated OCA forms (OCA 1?7). Methods The most frequent OCA types among Caucasians are OCA1, OCA2, and OCA4. We aimed to investigate genes responsible for the development of these OCA forms in Hungarian OCA patients ...

Age and Cultural Differences in Self-Perceptions of Mastery Motivation and Competence in American, Chinese, and Hungarian School Age Children

Directory of Open Access Journals (Sweden)

Krisztian Jozsa

2014-01-01

Full Text Available We examined age differences in self-perceptions of five dimensions of mastery motivation and also of competence in American, Chinese, and Hungarian children and teens. Participants included 200 Americans, 1,465 Chinese, and 8,175 Hungarians from 7 to 19 years of age. The Dimensions of Mastery Questionnaire provides comparable data across these different cultures as indicated by very similar factor structures and reasonably good internal consistency reliabilities for the scales. Across all three cultures, there was the expected decline from primary to secondary school in total persistence and the four instrumental mastery motivation scales, except for social persistence with adults in the American sample. Mastery pleasure did not decline in the American and Chinese samples but declined in the Hungarian sample. Self-perceived competence did not decline significantly in the American sample or in the Hungarian sample from age 11 to 17; however, competence self-ratings declined in the Chinese sample. The three cultures were compared at 11 and 16. Although there were some significant differences, small effect sizes indicated that the level of motivation was similar for each culture at each age. The other literature provides clues about why the declines occur in all three cultures and why there are some differences among cultures.

Health care managers' views on and approaches to implementing models for improving care processes.

Science.gov (United States)

Andreasson, Jörgen; Eriksson, Andrea; Dellve, Lotta

2016-03-01

To develop a deeper understanding of health-care managers' views on and approaches to the implementation of models for improving care processes. In health care, there are difficulties in implementing models for improving care processes that have been decided on by upper management. Leadership approaches to this implementation can affect the outcome. In-depth interviews with first- and second-line managers in Swedish hospitals were conducted and analysed using grounded theory. 'Coaching for participation' emerged as a central theme for managers in handling top-down initiated process development. The vertical approach in this coaching addresses how managers attempt to sustain unit integrity through adapting and translating orders from top management. The horizontal approach in the coaching refers to managers' strategies for motivating and engaging their employees in implementation work. Implementation models for improving care processes require a coaching leadership built on close manager-employee interaction, mindfulness regarding the pace of change at the unit level, managers with the competence to share responsibility with their teams and engaged employees with the competence to share responsibility for improving the care processes, and organisational structures that support process-oriented work. Implications for nursing management are the importance of giving nurse managers knowledge of change management. © 2015 John Wiley & Sons Ltd.

Fibromyalgia: management strategies for primary care providers.

Science.gov (United States)

Arnold, L M; Gebke, K B; Choy, E H S

2016-02-01

Fibromyalgia (FM), a chronic disorder defined by widespread pain, often accompanied by fatigue and sleep disturbance, affects up to one in 20 patients in primary care. Although most patients with FM are managed in primary care, diagnosis and treatment continue to present a challenge, and patients are often referred to specialists. Furthermore, the lack of a clear patient pathway often results in patients being passed from specialist to specialist, exhaustive investigations, prescription of multiple drugs to treat different symptoms, delays in diagnosis, increased disability and increased healthcare resource utilisation. We will discuss the current and evolving understanding of FM, and recommend improvements in the management and treatment of FM, highlighting the role of the primary care physician, and the place of the medical home in FM management. We reviewed the epidemiology, pathophysiology and management of FM by searching PubMed and references from relevant articles, and selected articles on the basis of quality, relevance to the illness and importance in illustrating current management pathways and the potential for future improvements. The implementation of a framework for chronic pain management in primary care would limit unnecessary, time-consuming, and costly tests, reduce diagnostic delay and improve patient outcomes. The patient-centred medical home (PCMH), a management framework that has been successfully implemented in other chronic diseases, might improve the care of patients with FM in primary care, by bringing together a team of professionals with a range of skills and training. Although there remain several barriers to overcome, implementation of a PCMH would allow patients with FM, like those with other chronic conditions, to be successfully managed in the primary care setting. © 2016 John Wiley & Sons Ltd.

The evolving role and care management approaches of safety-net medicaid managed care plans

OpenAIRE

Gusmano, Michael K.; Sparer, Michael S.; Brown, Lawrence D.; Rowe, Catherine; Gray, Bradford

2002-01-01

This article provides new empirical data about the viability and the care management activities of Medicaid managed-care plans sponsored by provider organizations that serve Medicaid and other low-income populations. Using survey and case study methods we studied these “safety-net” health plans in 1998 and 2000. Although the number of safety-net plans declined over this period, the surviving plans were larger and enjoying greater financial success than the plans we surveyed in 1998. We also f...

The match between institutional elderly care management research and management challenges - a systematic literature review.

Science.gov (United States)

Kokkonen, Kaija; Rissanen, Sari; Hujala, Anneli

2012-11-08

Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers' and policymakers' scientific literacy needs to be enhanced.

Establishing Normative Reference Values for Standing Broad Jump among Hungarian Youth

Science.gov (United States)

Saint-Maurice, Pedro F.; Laurson, Kelly R.; Kaj, Mónika; Csányi, Tamás

2015-01-01

Purpose: The purpose of this study was to examine age and sex trends in anaerobic power assessed by a standing broad jump and to determine norm-referenced values for youth in Hungary. Method: A sample of 2,427 Hungarian youth (1,360 boys and 1,067 girls) completed the standing broad jump twice, and the highest distance score was recorded. Quantile…

Two Austro-Hungarian Women Writers, Anna Tutsek and Terka Lux, Creating New Urban Identities in Early Twentieth-Century Budapest

OpenAIRE

Judit Kádár

2016-01-01

In this paper, I examine some literary texts of two turn-of-the century Hungarian women writers, Anna Tutsek and Terka Lux who left behind their childhood environment in remote regions of the Austro-Hungarian Monarchy in order to move to Budapest, the capital of the eastern part of the Empire. Assuming that individuals hold multiple identities that are flexible and inevitably affected by environmental and social changes, my main focus is on the transformation of their ethnic, regional, occupa...

Managing obesity in primary care.

Science.gov (United States)

Goldie, Christine; Brown, Jenny

Obesity is a complex problem and often difficult to tackle in primary care. A year-long pilot of a practice nurse-led scheme that used a holistic approach towards self-care in obesity management was set up to reduce the cardiovascular risk of patients who were obese and improve their quality of life. This person-centred approach may offer an important tool in the management of these patients in the GP surgery.

Indonesian heath care and the economic crisis: is managed care the needed reform?

Science.gov (United States)

Hotchkiss, D R; Jacobalis, S

1999-03-01

The ramifications of the current economic crisis are being felt throughout Asia, but problems are particularly acute in Indonesia; in the midst of high inflation and unemployment the government is considering expanding managed care reform. In this paper, we discuss the impact of the recent economic crisis on the health sector in Indonesia, and analyze the potential for implementing effective reform following the managed care model. The health sector is discussed, highlighting pre-existing problems in the health care supply environment. The determinants of the economic crisis are summarized, and the broad impacts of the crisis to date on the health sector are assessed. Next the prospects for success of current managed-care reform proposals are examined in some detail: viability of expanded managed care reform measures are assessed in light of the continuing crisis and its likely impacts on the consumers and suppliers of health care. Analysis of the potential impact of the continuing crisis focuses on key participants in health care reform: households, the government, and private health care providers. In conclusion the potential viability of managed care appears poor, given the current economic, political, and institutional conditions and likely future impacts, and suggest some alternative reform measures.

The match between institutional elderly care management research and management challenges - a systematic literature review

Science.gov (United States)

2012-01-01

Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced. PMID:23137416

The match between institutional elderly care management research and management challenges - a systematic literature review

Directory of Open Access Journals (Sweden)

Kokkonen Kaija

2012-11-01

Full Text Available Abstract Background Elderly care practice and its management together with policy and research play a crucial role in responding to increasing challenges in institutional care for elderly people. Successful dialogue between these is necessary. The purpose of this systematic literature review is to compare how institutional elderly care management research meets the care challenges currently emphasized in international long-term care policy documents. Methods This paper was based on a systematic literature review. After screening 1971 abstracts using inclusion/exclusion criteria, 58 refereed articles published between 2000 and 2010 remained for analysis. The articles were analyzed using theory-based content analysis by comparing the results to the framework based on analysis of international long-term care management policy documents. Results The current challenges of long-term care management identified from policy documents were Integrated Care Management, Productivity Management, Quality Management, Workforce Management and ICT Management. The research on institutional elderly care management responded somewhat to the challenges mentioned in policy documents. However, some of the challenges were studied broadly and some were paid only minor attention. Further, only few studies focused on the core items of challenges addressed in policy documents. Conclusions Institutional care management research needs to focus more on challenges in integrated care, productivity, ICT and division of labor. Managers, researchers and policy-makers should assume more active collaborative roles in processes of research, policymaking and policy implementation. In addition managers’ and policymakers’ scientific literacy needs to be enhanced.

Quality management in Irish health care.

Science.gov (United States)

Ennis, K; Harrington, D

1999-01-01

This paper reports on the findings from a quantitative research study of quality management in the Irish health-care sector. The study findings suggest that quality management is what hospitals require to become more cost-effective and efficient. The research also shows that the culture of health-care institutions must change to one where employees experience pride in their work and where all are involved and committed to continuous quality improvement. It is recommended that a shift is required from the traditional management structures to a more participative approach. Furthermore, all managers whether from a clinical or an administration background must understand one another's role in the organisation. Finally, for quality to succeed in the health-care sector, strong committed leadership is required to overcome tensions in quality implementation.

Strategic foresight process--Improvements for the Hungarian Ministry of Defense

OpenAIRE

Németh, Bence

2016-01-01

Approved for public release; distribution is unlimited In 2013Ð2014, the Hungarian Ministry of Defense (HUN MoD) engaged in its first structured strategic Foresight process, a process designed to examine events that might affect Hungary until 2030. While it achieved success, the process also had shortcomings. Namely, the Strategic Analysis Group accurately predicted two events, Russia's use of military force and the migration crisis worsening, yet they neither foresaw how fast Russian aggr...

The clinical testing of a Hungarian-made triiodothyronine radioimmunoassay kit

International Nuclear Information System (INIS)

Gyertyanfy, G.; Foeldes, J.

1981-01-01

The parameters of the calibration curve of the new Hungarian RK-11 kit for the determination of the total T3 content of the serum and the reliability of the results were studied. The data of the measurements made on a number of patients by RK-11, Biodata and Byk-Mallinckrodt kits were compared. The new kit seems to be applicable to the determination of the total T3 content in the serum. (author)

The Outsider Within: Béla Tarr and Hungarian National Cinema

OpenAIRE

Lilla Tőke

2016-01-01

Béla Tarr is probably the most paradoxical figure in contemporary Hungarian cinema. His artistic trajectory shows a movement from documentary style realism (Family Nest, 1979) towards more modernist cinematic practices (Satan’s Tango, 1994, Werckmeister Harmonies, 2000, and The Man from London, 2007). A major celebrity in the global film culture that prides itself in being transnational, international, and in crossing linguistic and ethnic boundaries, Tarr has consistently found himself on th...

Managed Care Approaches to Children's Services within Public Systems of Care.

Science.gov (United States)

Pumariega, Andres; Fallon, Theodore, Jr.

This report presents two discussions of conceptual and infrastructure issues that state mental health systems serving children with emotional disturbances must consider to make an effective transition towards a managed care organization of services under Medicaid. The first discussion, "Clinical Experiences in Managed Care Implementation for…

Managed care and its impact on American urology.

Science.gov (United States)

Holtgrewe, H L

1998-05-01

America's health care is undergoing a revolution. A previous private, fee-for-service, delivery system chiefly centered around hospital specialty care is rapidly being replaced by a commercialized system of managed care, controlled by businessmen whose prime motive is profit. Increasing emphasis of these managed care organizations is upon primary physicians who function as gatekeepers. While this new commercialized method of health care has been attended with reductions in the previous omnipresent health care inflation our country has experienced for the past several decades, its impact on quality of care and patient choice of physician remain a great concern. Especially vulnerable in this new system are our nation's academic centers, which, burdened with responsibility for education and research, are at a disadvantage in the competitive cost-based bidding for managed care contracts. Urology work force issues and the number of urologists in our nation remain another concern for urologists as they compete for access to patients in this new highly competitive environment. In a 1995 survey of a cohort of urologists in seven states, the respondents reported 35.8% of gross income came from managed care contracts, 86% reported the need for preservice approval for many diagnostic and therapeutic undertakings, 87% reported an inability to refer complex cases outside the Managed Care Organization (MCO) network, and 23% reported they were required to retain patients for treatment who they would have otherwise referred to a more qualified urologist. The majority of American urologists are reporting dropping gross revenues and increasing overhead in their dealings with managed care contracts. The advent of managed care is being attended with dropping gross revenues, increasing overhead costs and interference with the practice patterns of American urologists.

Understanding performance management in primary care.

Science.gov (United States)

Rogan, Lisa; Boaden, Ruth

2017-02-13

Purpose Principal-agent theory (PAT) has been used to understand relationships among different professional groups and explain performance management between organisations, but is rarely used for research within primary care. The purpose of this paper is to explore whether PAT can be used to attain a better understanding of performance management in primary care. Design/methodology/approach Purposive sampling was used to identify a range of general practices in the North-west of England. Interviews were carried out with directors, managers and clinicians in commissioning and regional performance management organisations and within general practices, and the data analysed using matrix analysis techniques to produce a case study of performance management. Findings There are various elements of the principal-agent framework that can be applied in primary care. Goal alignment is relevant, but can only be achieved through clear, strategic direction and consistent interpretation of objectives at all levels. There is confusion between performance measurement and performance management and a tendency to focus on things that are easy to measure whilst omitting aspects of care that are more difficult to capture. Appropriate use of incentives, good communication, clinical engagement, ownership and trust affect the degree to which information asymmetry is overcome and goal alignment achieved. Achieving the right balance between accountability and clinical autonomy is important to ensure governance and financial balance without stifling innovation. Originality/value The principal-agent theoretical framework can be used to attain a better understanding of performance management in primary care; although it is likely that only partial goal alignment will be achieved, dependent on the extent and level of alignment of a range of factors.

Hungarian repeat station survey, 2010

Directory of Open Access Journals (Sweden)

Péter Kovács

2013-03-01

Full Text Available The last Hungarian repeat station survey was completed between October 2010 and February 2011. Declination, inclination and the total field were observed using one-axial DMI fluxgate magnetometer mounted on Zeiss20A theodolite and GSM 19 Overhauser magnetometer. The magnetic elements of the sites were reduced to the epoch of 2010.5 on the basis of the continuous recordings of Tihany Geophysical Observatory. In stations located far from the reference observatory, the observations were carried out in the morning and afternoon in order to decrease the effect of the distant temporal correction. To further increase the accuracy, on-site dIdD variometer has also been installed near the Aggtelek station, in the Baradla cave, during the survey of the easternmost sites. The paper presents the technical details and the results of our last campaign. The improvement of the accuracy of the temporal reduction by the use of the local variometer is also reported.

The mapping competences of the nurse Case/Care Manager in the context of Intensive Care.

Science.gov (United States)

Alfieri, Emanuela; Ferrini, Anna Chiara; Gianfrancesco, Francesca; Lise, Gianluca; Messana, Giovanni; Tirelli, Lorenzo; Lorenzo, Ana; Sarli, Leopoldo

2017-03-15

Since the recent introduction of the Case/Care Manager's professional figure, it is quite difficult to identify properly his/her own particular features, which could be mainly be found revising mainly in American studies. Therefore, the present study intended to identify the Case/Care Manager's skills and professional profile in an Intensive Care Unit experience, taking into consideration the staff's activities, perception and expectations towards the Case/Care Manager. In particular, it has been compared the experience of an Intensive Care Units where the Case/Care Manager's profile is operational to a different Unit where a Case/Care Manager is not yet in force. a Levati's model was used to map the Case/Care Manager's skills, involving each unit whole working staff, executives and caregivers through semi-structured interviews. It has been taken into consideration the Anaesthesia Unit and Emergency Unit of Cesena's healthcare organisation (AUSL of Romagna) and a Cardiology Intensive Care Unit of Piacenza's healthcare organisation, where the Case/Care Manager's profile has not been experimented yet. Firstly, it a data collection in each healthcare organization has been organised. Subsequently, semi-structured interviews to doctors, unit nurses, caregivers, nurses' coordinators and medical staff have been used to compare each healthcare system. The interviewees' described their expectations in relation to the Case/Care Manager working in a critical area. Then, every data collected during interviews has been organised to map a Case/Care Manager's essential professional profile to work in a critical area together with medical staff. Piacenza's O.U. critical area experience reported a major demand for patients' and patient's families' assistance. On the other hand, the very same aspects seem to have been better achieved in Cesena's O.U., where a Case/Care Manager's recent introduction has actually helped to overcome the void in organising systems. a Case/Care Manager

Dramatic effect on Selenium concentration in blood serum due to the difference between the Hungarian and Indian dietary habits

International Nuclear Information System (INIS)

Szuecs, Z.; Lahiri, S.; Andrasi, D.; Kovacs, B.

2012-01-01

Complete text of publication follows. The importance of Selenium as trace element in animals, as well as in humans is well known. The deficiency of Selenium was observed in case of several heavy or fatal clinical events such as high infant mortality, premature, malformations and even prostate cancer. Hungary is in the top of their worldwide statistic with parallel of the low concentration of Selenium in soil as well as in food. The direct correlation can explain in Venezuela, where the prostate cancer is 'unknown disease'. The concentration of Selenium in India is higher than the worldwide level. Under the scientific bilateral cooperation 'Speciation dependent studies on physicochemical behavior of some elements in trace scale in natural and synthetic system' the Selenium was determined in human blood serum from the group of Hungarian and group of Indian patients. The samples were given in same time from each group. The main goal of the study was explain the effect of the traditional dietary habit for the level of Selenium. Therefore the samples were taken from the visiting scientist just arrived to the host institute as well as from the host scientists too. After 2 weeks stay the sampling was repeated, when the guest scientists eat the same food as the host scientists. The measurements were done in Thermo-2 ICP-MS from blood-serum separated by centrifuge. The results are summarized in Table 1. Dramatic effect was found for the level of Selenium in blood serum. As it was expected the Hungarian samples showed low concentration of Selenium in starting of the visit, as well as the high concentration was found in Indian sample, comparing to the Hungarian sample. After two weeks the Hungarian sample showed much higher concentration, however it was still less, than in Indian sample. Similar effect was found during the visit the Indian scientists in Hungary, however their Selenium concentration decreased not so spectacular due to the Selenium 'store' in body. The general

Miocene tectonics of the Maramures area (Northern Romania): implications for the Mid-Hungarian fault zone

Science.gov (United States)

Tischler, M.; Gröger, H. R.; Fügenschuh, B.; Schmid, S. M.

2007-06-01

The interplay between the emplacement of crustal blocks (e.g. “ALCAPA”, “Tisza”, “Dacia”) and subduction retreat is a key issue for understanding the Miocene tectonic history of the Carpathians. Coeval thrusting and basin formation is linked by transfer zones, such as the Mid-Hungarian fault zone, which seperates ALCAPA from Tisza-Dacia. The presented study provides new kinematic data from this transfer zone. Early Burdigalian (20.5 to ˜18.5 Ma) SE-directed thrusting of the easternmost tip of ALCAPA (Pienides), over Tisza-Dacia is linked to movements along the Mid-Hungarian fault zone and the Periadriatic line, accommodating the lateral extrusion of ALCAPA. Minor Late Burdigalian (˜18.5 to 16 Ma) NE-SW extension is interpreted as related to back-arc extension. Post Burdigalian (post-16 Ma) NE SW shortening and NW SE extension correlate with “soft collision” of Tisza-Dacia with the European foreland coupled with southward migration of active subduction. During this stage the Bogdan-Voda and Dragos-Voda faults were kinematically linked to the Mid-Hungarian fault zone. Sinistral transpression (16 to 12 Ma) at the Bogdan-Voda fault was followed by sinistral transtension (12 10 Ma) along the coupled Bogdan-Dragos-Voda fault system. During the transtensional stage left-lateral offset was reduced eastwards by SW trending normal faults, the fault system finally terminating in an extensional horse-tail splay.

The coexistence of Swabians and Hungarians in a village in near Budapest

Directory of Open Access Journals (Sweden)

Barbara Sólyom

2014-12-01

Full Text Available The study takes the contact hypothesis of social psychology as its starting point and examines a Swabian-Hungarian ethnic village as an example.The contact hypothesis suggests that contact or interaction between members of different groups under the right circumstances diminishes prejudice and hostility between those groups and mitigates stereotyping and discrimination. However, for this effect to occur, certain conditions must be met: the parties should be of equal status, have a common goal, cooperate, receive the support of authorities and maintain a personal relationship, since this is the only way long- term success can be achieved. Pursuit of mutual assimilation, physical proximity and time can also help people to accept each other and adopt coexistence. These conditions have been met in the case of the Swabian and Hungarian ethnic groups living in the village of Dunabogdány. Social and political processes, Catholicism and the fact that the German language has been added to the local school curriculum have also contributed to the successful outcome.

Intensive Care Nursing And Time Management

OpenAIRE

ÖZCANLI, Derya; İLGÜN, Seda

2008-01-01

Time is not like other resources, because it can not be bought, sold, stolen, borrowed, stored, saved, multiplied or changed. All it can be done is spent. Time management means the effective use of resources, including time, in such a way that indi- viduals are effective in achieving important personal goals. With the increasing emphasis on efficiency in health care, how a nurse manages her time is an important consideration. Since intensive care nurs- ing is focused on the care and tr...

The costs of caring: medical costs of Alzheimer's disease and the managed care environment.

Science.gov (United States)

Murman, D L

2001-01-01

This review summarizes the medical costs associated with Alzheimer's disease (AD) and related dementias, as well as the payers responsible for these medical costs in the US health care system. It is clear from this review that AD and related dementias are associated with substantial medical costs. The payers responsible for a majority of these costs are families of patients with AD and the US government through the Medicare and Medicaid programs. In an attempt to control expenditures, Medicare and Medicaid have turned to managed care principles and managed care organizations. The increase in "managed" dementia care gives rise to several potential problems for patients with AD, along with many opportunities for systematic improvement in the quality of dementia care. Evidence-based disease management programs provide the greatest opportunities for improving managed dementia care but will require the development of dementia-specific quality of care measures to evaluate and continually improve them.

Intensive Care Management of Patients with Cirrhosis.

Science.gov (United States)

Olson, Jody C

2018-06-01

Cirrhosis is a major worldwide health problem which results in a high level of morbidity and mortality. Patients with cirrhosis who require intensive care support have high mortality rates of near 50%. The goal of this review is to address the management of common complications of cirrhosis in the ICU. Recent epidemiological studies have shown an increase in hospitalizations due to advanced liver disease with an associated increase in intensive care utilization. Given an increasing burden on the healthcare system, it is imperative that we strive to improve our management cirrhotic patients in the intensive care unit. Large studies evaluating the management of patients in the intensive care setting are lacking. To date, most recommendations are based on extrapolation of data from studies in cirrhosis outside of the ICU or by applying general critical care principles which may or may not be appropriate for the critically ill cirrhotic patient. Future research is required to answer important management questions.

Ethics in practice: managed care and the changing health care environment: medicine as a profession managed care ethics working group statement.

Science.gov (United States)

Povar, Gail J; Blumen, Helen; Daniel, John; Daub, Suzanne; Evans, Lois; Holm, Richard P; Levkovich, Natalie; McCarter, Alice O; Sabin, James; Snyder, Lois; Sulmasy, Daniel; Vaughan, Peter; Wellikson, Laurence D; Campbell, Amy

2004-07-20

Cost pressures and changes in the health care environment pose ethical challenges and hard choices for patients, physicians, policymakers, and society. In 2000 and 2001, the American College of Physicians, with the Harvard Pilgrim Health Care Ethics Program, convened a working group of stakeholders--patients, physicians, and managed care representatives, along with medical ethicists--to develop a statement of ethics for managed care. The group explored the impact of a changing health care environment on patient-physician relationships and how to best apply the principles of professionalism in this environment. The statement that emerged offers guidance on preserving the patient-clinician relationship, patient rights and responsibilities, confidentiality and privacy, resource allocation and stewardship, the obligation of health plans to foster an ethical environment for the delivery of care, and the clinician's responsibility to individual patients, the community, and the public health, among other issues.

Teaching the Romanian Neighbors Hungarian: Language Ideologies and the Debrecen Summer School

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Kiss, Attila Gyula

2016-01-01

This article is a contribution to the hitherto scant literature on learning a historical minority language and on language ideologies in the context of a study abroad program in Hungary, Debrecen. I analyse the language ideologies of the decision makers in Hungary and in the Debrecen Summer School in relation to the teaching of Hungarian to the…

Impact of Austrian hydropower plants on the flood control safety of the Hungarian Danube reach

International Nuclear Information System (INIS)

Zsuffa, I.

1999-01-01

Statistical analysis of daily water level data from four gauging stations along the Hungarian Danube reach has been carried out with the purpose of analysing the impact of the Austrian hydropower plants on the floods of the river. Conditional probability distribution functions of annual flood load maxima and annual number of floods were generated for the periods 1957-1976 and 1977-1996. By comparing these distribution functions, it could be shown that the flood load maxima have decreased, while the number of small and medium floods have increased during the past forty years. These changes indicate a decreased rate of flood superposition resulting from the barrages constructed in this period. The significantly decreased flood load maxima indicate that the Austrian barrage system has positive impact on the flood control safety of the Hungarian Danube reach

Building Up an On-Line Plant Information System for the Emergency Response Center of the Hungarian Nuclear Safety Directorate

International Nuclear Information System (INIS)

Vegh, Janos; Major, Csaba; Horvath, Csaba; Hozer, Zoltan; Adorjan, Ferenc; Lux, Ivan; Horvath, Kristof

2002-01-01

The main design features, services, and human-machine interface characteristics are described of the CERTA VITA on-line plant information system developed and installed by KFKI AEKI at the Nuclear Safety Directorate (NSD) of the Hungarian Atomic Energy Authority (HAEA) in cooperation with experts from the NSD. The Center for Emergency Response, Training, and Analysis (CERTA) located at the headquarters of NSD, Budapest, Hungary, was established in 1997. The center supports the NSD installation, radiological monitoring, and advisory team in case of nuclear emergencies, with appropriate hardware and software for communication, diagnosis, prognosis, and prediction. The vital information transfer and analysis (VITA) system represents an important part of the CERTA, as it provides for the continuous remote inspection of the four VVER-440/V213 units of the Hungarian Paks nuclear power plant (NPP). The on-line information system maintains a continuous data link with the NPP through a managed leased line that connects CERTA to a gateway computer located at the Paks NPP. The present scope of the system is a result of a 4-yr development project: In addition to the basic safety parameter display functions, the VITA system now includes an on-line break parameter estimation module, an extensive training package based on simulated transients, and on-line data transfer capabilities to feed accident diagnosis/analysis codes

Referral determinants in Swiss primary care with a special focus on managed care.

Directory of Open Access Journals (Sweden)

Ryan Tandjung

Full Text Available Studies have shown large variation of referral probabilities in different countries, and many influencing factors have been described. This variation is most likely explained by different healthcare systems, particularly to which extent primary care physicians (PCPs act as gatekeepers. In Switzerland no mandatory gatekeeping system exists, however insurance companies offer voluntary managed care plans with reduced insurance premiums. We aimed at investigating the role of managed care plans as a potential referral determinant in a non-gatekeeping healthcare system. We conducted a cross-sectional study with 90 PCPs collecting data on consultations and referrals in 2012/2013. During each consultation up to six reasons for encounters (RFE were documented. For each RFE PCPs indicated whether a referral was initiated. Determinants for referrals were analyzed by hierarchical logistic regression, taking the potential cluster effect of the PCP into account. To further investigate the independent association of the managed care plan with the referral probability, a hierarchical multivariate logistic regression model was applied, taking into account all available data potentially affecting the referring decision. PCPs collected data on 24'774 patients with 42'890 RFE, of which 2427 led to a referral. 37.5% of patients were insured in managed health care plans. Univariate analysis showed significant higher referral rates of patients with managed care plans (10.7% vs. 8.5%. The difference in referral probability remained significant after controlling for other confounders in the hierarchical multivariate regression model (OR 1.355. Patients in managed care plans were more likely to be referred than patients without such a model. These data contradict the argument that patients in managed care plans have limited healthcare access, but underline the central role of PCPs as coordinator of care.

Glossary of Managed Care Definitions

Science.gov (United States)

... or treatment provided to a plan member. Coverage : decision making process that identifies what services or products are ... themselves and pay a monthly premium for it. Mental health care : medical ... abuse. Mixed model or network HMO : a managed care plan that ...

Parity for mental health and substance abuse care under managed care.

Science.gov (United States)

Frank, Richard G.; McGuire, Thomas G.

1998-12-01

BACKGROUND: Parity in insurance coverage for mental health and substance abuse has been a key goal of mental health and substance abuse care advocates in the United States during most of the past 20 years. The push for parity began during the era of indemnity insurance and fee for service payment when benefit design was the main rationing device in health care. The central economic argument for enacting legislation aimed at regulating the insurance benefit was to address market failure stemming from adverse selection. The case against parity was based on inefficiency related to moral hazard. Empirical analyses provided evidence that ambulatory mental health services were considerably more responsive to the terms of insurance than were ambulatory medical services. AIMS: Our goal in this research is to reexamine the economics of parity in the light of recent changes in the delivery of health care in the United States. Specifically managed care has fundamentally altered the way in which health services are rationed. Benefit design is now only one mechanism among many that are used to allocate health care resources and control costs. We examine the implication of these changes for policies aimed at achieving parity in insurance coverage. METHOD: We develop a theoretical approach to characterizing rationing under managed care. We then analyze the traditional efficiency concerns in insurance, adverse selection and moral hazard in the context of policy aimed at regulating health and mental health benefits under private insurance. RESULTS: We show that since managed care controls costs and utilization in new ways parity in benefit design no longer implies equal access to and quality of mental health and substance abuse care. Because costs are controlled by management under managed care and not primarily by out of pocket prices paid by consumers, demand response recedes as an efficiency argument against parity. At the same time parity in benefit design may accomplish less

[Dyadic coping and well-being -- the Hungarian version of the Dyadic Coping Inventory].

Science.gov (United States)

Martos, Tamás; Sallay, Viola; Nistor, Michaela; Józsa, Péter

2012-01-01

In studying coping processes, there is often a focus on individual coping while dyadic processes in couples are seldom addressed. Therefore we present here data with the Hungarian version of the Dyadic Coping Inventory (DCI) that was developed to assess dyadic forms of coping (e.g., stress communication, support, delegated and negative coping). 473 adult participants, living in committed relationships (176 male and 296 female, aged 34,0 +/- 11,9 years) were involved in a questionnaire study. Along with the Hungarian version of the Dyadic Coping Inventory we assessed satisfaction with life (SWLS) and marital satisfaction (Marital Stress Scale). Subscales of the Dyadic Coping Inventory were found reliable and the expected factor structure for both the dyadic coping of oneself and the partner were replicable. Moreover, specific forms of dyadic coping accounted for significant amount of explained variance in life satisfaction (31,8 and 27,7% for male and female respondents) and marital satisfaction (1,8 and 48,5%). Results imply possible gender differences, since marital satisfaction of women was negatively predicted both by negative coping of oneself and the partner (betas=-0,174 and -0,152), and positively by the support of the partner and the evaluation of the common dyadic coping (betas= 0,255 and 0,187), whereas there was only one significant link in male respondents, supportive coping of oneself (beta= 0,320). Results show that 1. the Hungarian version of the DCI is a reliable and valid measure, and 2. there may be specific gender differences in dyadic coping that has to be considered when planning further research, training programs and therapeutic interventions for couples.

Quality management in home care: models for today's practice.

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Verhey, M P

1996-01-01

In less than a decade, home care providers have been a part of two major transitions in health care delivery. First, because of the advent of managed care and a shift from inpatient to community-based services, home care service delivery systems have experienced tremendous growth. Second, the principles and practices of total quality management and continuous quality improvement have permeated the organization, administration, and practice of home health care. Based on the work of Deming, Juran, and Crosby, the basic tenets of the new quality management philosophy involve a focus on the following five key areas: (1) systems and processes rather than individual performance; (2) involvement, collaboration, and empowerment; (3) internal and external "customers"; (4) data and measurement; and (5) standards, guidelines, and outcomes of care. Home care providers are among those in the forefront who are developing and implementing programs that integrate these foci into the delivery of quality home care services. This article provides a summary of current home care programs that address these five key areas of quality management philosophy and provide models for innovative quality management practice in home care. For further information about each program, readers are referred to the original reports in the home care and quality management journal literature, as cited herein.

Care managers' views on death and caring for older cancer patients in Japan.

Science.gov (United States)

Matsui, Miho; Kanai, Emi; Kitagawa, Akiko; Hattori, Keiko

2013-12-01

Care managers (CMs) have an important role in coordinating care for cancer patients who are in the end-of-life stage; however, little is known about their views of death and their experiences while caring for older cancer patients. This study was conducted to examine CMs' views of death and caring for older cancer patients in a home care setting in Japan. Convenience sampling was undertaken, and 35 offices from 43 approached services agreed to participate. The final valid sample included responses from 136 CMs (90.7%). Most CMs, including nurses, care workers, home helpers, and social workers in home care settings, experienced difficulty in managing the care of cancer patients in the end-of-life stage. Respondents reported a wide array of experiences with end-of-life care, care management, and seminar attendance, and their ages and Frommelt Attitude Toward Care of the Dying (FATCOD) scores were associated factors. Moreover, multiple regression analysis indicated that better attitudes toward caring for the dying were positively associated with seminar attendance. These results suggest that CMs need education about palliative and end-of-life care in order to promote good home care for cancer patients.

Management Board - Meeting of 9 December 1999

CERN Multimedia

2000-01-01

Hungarian Contribution to LHC Funding The Director-General said that he was pleased to announce that, following a number of fruitful contacts with the Hungarian authorities, including a recent visit to the Laboratory by the Hungarian Minister of Economic Affairs, Dr Attila Chikán, the sum of 1.5 MCHF covering Hungary's contribution to the LHC experiments CMS and Alice had been received in addition to its normal contribution to the CERN budget. Revision of Administrative Circulars Nos. 2 and 9 The Leader of Personnel Division, J. van der Boon, presented revised versions of draft administrative circulars Nos. 2 and 9 covering, respectively, 'Guidelines and Procedures concerning Recruitment and Probation Period of Staff Members' and 'Staff Members' Contracts'. The two circulars had been amended to take account of changes in the assessment process for long-term employment agreed by the Management Board at its meeting in May 1999, the principal thrust of which involved bringing forward in time the ma...

MANAGEMENT BOARD MEETING OF 9 DECEMBER 1999

CERN Multimedia

2000-01-01

Hungarian Contribution to LHC FundingThe Director-General said that he was pleased to announce that, following a number of fruitful contacts with the Hungarian authorities, including a recent visit to the Laboratory by the Hungarian Minister of Economic Affairs, Dr Attila Chikán, the sum of 1.5 MCHF covering Hungary's contribution to the LHC experiments CMS and Alice had been received in addition to its normal contribution to the CERN budget.Revision of Administrative Circulars Nos. 2 and 9The Leader of Personnel Division, J. van der Boon, presented revised versions of draft administrative circulars Nos. 2 and 9 covering, respectively, 'Guidelines and Procedures concerning Recruitment and Probation Period of Staff Members' and 'Staff Members' Contracts'. The two circulars had been amended to take account of changes in the assessment process for long-term employment agreed by the Management Board at its meeting in May 1999, the principal thrust of which involved bringing forward in time the main fil...

[Bone metabolism in adults with phenylketonuria - Hungarian data].

Science.gov (United States)

Barta, András Gellért; Sumánszki, Csaba; Reismann, Péter

2017-11-01

Patients with phenylketonuria have lower bone mineral density compared to healthy people, however, the ethiology of these alterations is not clear. Hungarian data were missing in this topic. The main aim of our study was to survey the correlation between metabolic control and change of bone mineral density in early treated Hungarian adult patients with phenylketonuria. In this monocentric study bone mineral density of 59 adult PKU patients have been repeatedly measured in a 4-year interval using dual-energy X-ray absorptiometry. Two subgroups have been established based on average blood phenylalanine levels. The correlation between the change in bone mineral density and average phenylalanine, tyrosine concentrations have been determined while initial bone mineral density and change have also been examined in the subgroups. Mean phenylalanine concentration was 614 (182-1222) micromol/L, whereas mean tyrosine concentration was 49 (24-99) micromol/L and the calculated ratio was 16 (4,5-35). Three patients have had severely decreased bone mineral density in either localisation while 22 have had mild decrease. Low bone mineral density compared to cronological age has been found by 9 patient. The mean change was +0.0380 (-0.1550-0.7800) g/cm 2 in femur, and +0.0120 (-0.57300-0.3130) g/cm 2 in the lumbar spine. There was a correlation in the change in Z-score neither with mean phenylalanine nor with tyrosine concentration. Bone mineral density was not changed and hardly influenced by the metabolic control in early-treated young adult phenylketonuria patients in a few years interval. Orv Hetil. 2017; 158(47): 1868-1872.

Do competition and managed care improve quality?

Science.gov (United States)

Sari, Nazmi

2002-10-01

In recent years, the US health care industry has experienced a rapid growth of managed care, formation of networks, and an integration of hospitals. This paper provides new insights about the quality consequences of this dynamic in US hospital markets. I empirically investigate the impact of managed care and hospital competition on quality using in-hospital complications as quality measures. I use random and fixed effects, and instrumental variable fixed effect models using hospital panel data from up to 16 states in the 1992-1997 period. The paper has two important findings: First, higher managed care penetration increases the quality, when inappropriate utilization, wound infections and adverse/iatrogenic complications are used as quality indicators. For other complication categories, coefficient estimates are statistically insignificant. These findings do not support the straightforward view that increases in managed care penetration are associated with decreases in quality. Second, both higher hospital market share and market concentration are associated with lower quality of care. Hospital mergers have undesirable quality consequences. Appropriate antitrust policies towards mergers should consider not only price and cost but also quality impacts. Copyright 2002 John Wiley & Sons, Ltd.

Nurse care manager contribution to quality of care in a dual-eligible special needs plan.

Science.gov (United States)

Roth, Carol P; Ganz, David A; Nickles, Lorraine; Martin, David; Beckman, Robin; Wenger, Neil S

2012-07-01

We evaluated the quality of care provided to older patients with complex needs in a dual-eligible, community-based Medicare Special Needs Plan that used a nurse care manager model. Care provided by physicians was substantially supplemented by nurse care managers, as measured by Assessing Care of Vulnerable Elders quality indicators. We describe selected nurse care manager activities for six geriatric conditions (falls, dementia, depression, nutrition, urinary incontinence, and end-of-life care) during provision of patient care coordination and management for patients in the highest decile of clinical complexity. We identify areas of high nurse performance (i.e., falls screening, functional assessment, behavioral interventions for dementia problems, advance care planning) and areas of potential missed opportunities (i.e., follow up for new memory problems, targeted dementia counseling, nutrition, and behavioral approaches to urinary incontinence). Increasing the collaborative interaction between nurses providing care in this model and physicians has the potential to enhance nurses' contributions to primary care for vulnerable older adults.

Hungarian gyerekestül vs. gyerekkel (‘with [the] kid’

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István Fekete

2016-01-01

Full Text Available The paper analyzes the various uses of the Hungarian -stUl (‘together with’, ‘along with’ sociative (associative suffix (later in the paper referred to simply as “sociative”, as in the example gyerekestül. As opposed to its comitative-instrumental suffix -vAl (‘with’, the -stUl suffix cannot express instrumentality. The paper aims to demonstrate the difference in use between the comitative-instrumental -vAl and the -stUl suffix in contemporary Hungarian, and to illuminate the historical emergence of the suffix as well as its grammatical status. It is argued on the basis of Antal (1960 and Kiefer (2003 that -stUl cannot be analyzed as an inflectional case suffix (such as the -vAl suffix, or -ed, -ing, or the plural in English, but should rather be categorized as a derivational suffix (such as English dis-, re-, in-, -ance, -able, -ish, -like, etc.. The paper also tries to shed light on the hypothetical cognitive psychological distinction between the comitative and the sociative. It is suggested that the sociative is based on the amalgam image schema which is derived from the LINK schema of the comitative. The ironical reading of the sociative is an implicature in the sense of Grice (1989 and Sperber and Wilson (1987. Psycholinguistic experimentation is proposed to follow up on the mental representation of the sociative.

Telephone Care Management of Fall Risk:: A Feasibility Study.

Science.gov (United States)

Phelan, Elizabeth A; Pence, Maureen; Williams, Barbara; MacCornack, Frederick A

2017-03-01

Care management has been found to be more effective than usual care for some chronic conditions, but few studies have tested care management for prevention of elder falls. This study aimed to assess the feasibility and preliminary efficacy of telephone care management of older adults presenting for medical attention due to a fall. The setting was an independent practice association in western Washington serving 1,300 Medicare Advantage-insured patients. Patients aged ≥65 years treated for a fall in an emergency department or their primary care provider's office were contacted via telephone by a care manager within 48 hours of their fall-related visit and invited to participate in a telephone-administered interview to identify modifiable fall risk factors and receive recommendations and follow-up to address identified risk factors. Data from care manager records, patient medical records, and healthcare claims for the first 6 months (November 2009-April 2010) of program implementation were analyzed in 2011. The feasibility of screening and management of fall risk factors over the telephone and the effect on medically attended falls were assessed. Twenty-two patients eligible for fall care management were reached and administered the protocol. Administration took 15-20 minutes and integrated easily with the care manager's other responsibilities. Follow-through on recommendations varied, from 45% for those for whom exercise participation was recommended to 100% for other recommendations. No medically attended falls occurred over 6 months of follow-up. Telephone care management of fall risk appears feasible and may reduce falls requiring medical attention. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Hope and hopelessness as predictors of suicide ideation in Hungarian college students.

Science.gov (United States)

Chang, Edward C

2017-08-01

This study investigated whether hopelessness and dispositional hope predict suicide ideation in 395 Hungarian college students. Both hopelessness and hope uniquely predicted suicide ideation, a pattern that remained unchanged even after controlling for psychological symptoms. Moreover, a significant Hopelessness × Hope interaction predicted suicide ideation. Present findings highlight how hope buffers the association between hopelessness and suicide risk in college students.

ATTACHMENT AS A PREDICTOR OF RISK FOR EATING DISORDERS ON A REPRESENTATIVE HUNGARIAN ADULT SAMPLE.

Science.gov (United States)

Szalai, Tamás Dömötör; Czeglédi, Edit

2015-11-30

Many studies confirm the relationship between attachment disturbances and (the severity of) eating disorders, however among them only one Hungarian study can be found. The exact predisposing traits of attachment and the strength of relationship is still uncleared. Our aim was to explore these aspects. Study was based on a cross-sectional nationally representative survey, called "Hungarostudy 2013" (N = 2000, 46.9% males, mean age 46.9 years, SD = 18.24 years). Measures: Sociodemographic and self-reported anthropometric data (weight and height), short Hungarian version of Relationship Scale Questionnaire, SCOFF questionnaire and short Hungarian version of Beck Depression Inventory. The frequency of risk for eating disorders (anorexia or bulimia nervosa) was 3.9% (N = 76) among the respondents (N = 1860). Attachment anxiety was significantly higher in the risk for eating disorders group (t (1888) = -3.939, p eating disorders after adjusting for the potential background variables (OR = 1.09, p = 0.040). Detachment was not a significant predictor of risk for eating disorders (OR = 0.98, p = 0.515). Younger age (OR = 0.97, p cross-sectional predictors of risk for eating disorders. The explained variance of the model was 10.7%. The study supported, that higher attachment anxiety is associated with the increased risk of eating disorders, with a possible therapeutic relevance. Assessment of attachment's further aspects and creating multivariable models are required for more thorough understanding and optimising of intervention points.

Knowledge Management System in Health & Social Care: Review on 20 Practiced Knowledge Management

Directory of Open Access Journals (Sweden)

Muhammad Saiful Ridhwan

2014-02-01

Full Text Available The importance of managing medical information has become very critical in the healthcare delivery system. Medical information nowadays are optimized towards serving different areas such as; diagnosing of diseases, planning and administration, treatment and monitoring of patient outcomes, services and costs. This article provides a review into various Health and Social Care systems which encompasses the Knowledge Management value. For analysis, more than 30 systems that are related to Health and Social Care were gathered via Internet research, only 20 of these systems were finally selected based on recent system development and popularity of the system.Keywords: Health Care, Knowledge, Knowledge Management, Social Care, systemdoi:10.12695/ajtm.2013.6.2.4 How to cite this article:Ridhwan, M.S., and Oyefolahan, I.O. (2013. Knowledge Management System in Health & Social Care: Review on 20 Practiced Knowledge Management. The Asian Journal of Technology Management 6 (2: 92-101. Print ISSN: 1978-6956; Online ISSN: 2089-791X. doi:10.12695/ajtm.2013.6.2.4

Health care waste management practice in a hospital.

Science.gov (United States)

Paudel, R; Pradhan, B

2010-10-01

Health-care waste is a by-product of health care. Its poor management exposes health-care workers, waste handlers and the community to infections, toxic effects and injuries including damage of the environment. It also creates opportunities for the collection of disposable medical equipment, its re-sale and potential re-use without sterilization, which causes an important burden of disease worldwide. The purpose of this study was to find out health care waste management practice in hospital. A cross-sectional study was conducted in Narayani Sub-Regional Hospital, Birgunj from May to October 2006 using both qualitative and quantitative methods. Study population was four different departments of the hospital (Medical/Paediatric, Surgical/Ortho, Gynae/Obstetric and Emergency), Medical Superintendent, In-charges of four different departments and all sweepers. Data was collected using interview, group discussion, observation and measurement by weight and volume. Total health-care waste generated was 128.4 kg per day while 0.8 kg per patient per day. The composition of health care waste was found to be 96.8 kg (75.4%) general waste, 24.1 kg (8.8%) hazardous waste and 7.5 kg (5.8%) sharps per day by weight. Health staffs and sweepers were not practicing the waste segregation. Occupational health and safety was not given due attention. Majority of the sweepers were unaware of waste management and need of safety measures to protect their own health. Health care waste management practice in the hospital was unsatisfactory because of the lack of waste management plan and carelessness of patients, visitors and staffs. Therefore the hospital should develop the waste management plan and strictly follow the National Health Care Waste Management Guideline.

Managed Care for Children: Effect on Access to Care and Utilization of Health Services.

Science.gov (United States)

Szilagyi, Peter G.

1998-01-01

Reviews what is known about the effect of managed care on access to health services, as well as utilization of hospital care, emergency department visits, primary care services, and specialty pediatric services. The effect of managed care appears dependent on several factors and, thus, is likely to vary according to the population served. (SLD)

Participative management in health care services

Directory of Open Access Journals (Sweden)

M. Muller

1995-03-01

Full Text Available The need and demand for the highest-quality management of all health care delivery activities requires a participative management approach. The purpose with this article is to explore the process of participative management, to generate and describe a model for such management, focusing mainly on the process of participative management, and to formulate guidelines for operationalisation of the procedure. An exploratory, descriptive and theory-generating research design is pursued. After a brief literature review, inductive reasoning is mainly employed to identify and define central concepts, followed by the formulation of a few applicable statements and guidelines. Participative management is viewed as a process of that constitutes the elements of dynamic interactive decision-making and problem-solving, shared governance, empowerment, organisational transformation, and dynamic communication within the health care organisation. The scientific method of assessment, planning, implementation and evaluation is utilised throughout the process of participative management.

NETWORKS OF HEALTH CARE: A CHALLENGE TO SUS MANAGEMENT

Directory of Open Access Journals (Sweden)

Camila Dubow

2013-09-01

Full Text Available The article proposes a critical reflection, based on national law, scholarly, scientific, on the current development of Networks of Health Care, as a strategy for strengthening the Single Health System (SUS. Are weighted inefficiency of traditional ways of organizing care and management, the challenge of Network Health Care for comprehensive care and management mechanisms used in this process. The work provides subsidies for the care practices and health management are reflected, pointing strategies that result in disruptions of paradigms through a refocusing of attention in existing models. For networks of health care can be consolidated, is fundamental to political sensitivity of health managers with a commitment to build a new model of care, through the struggle to consolidate the SUS and the realization of the principles of universality, comprehensiveness and equity.

20 strategies for marketing your managed care plan.

Science.gov (United States)

Firshein, J

1996-01-01

In today's fiercely competitive managed care marketplace, healthcare executives must find a way to set their plans apart from the competition and build a sufficient customer base. At the same time, they must confront a growing anti-managed care backlash among a wary and confused public. Healthcare executive magazine talked with managed care experts to gather their views on key strategies to help executives meet both of these challenges. Here's what they suggest.

Physician fees and managed care plans.

Science.gov (United States)

Zwanziger, Jack

2002-01-01

One of the objectives of managed care organizations (MCOs) has been to reduce the rate of growth of health care expenditures, including that of physician fees. Yet, due to a lack of data, no one has been able to determine whether MCOs have been successful in encouraging the growth of price competition in the market for physician services in order to slow the growth in physician fees. This study uses a unique, national-level data set to determine what factors influenced the physician fees that MCOs negotiated during the 1990-92 period. The most influential characteristics were physician supply and managed care penetration, which suggest that the introduction of competition into the health care market was an effective force in reducing physician fees.

Language Play and Linguistic Hybridity as Current Trends in Hungarian Word-Formation

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Réka Benczes

2016-01-01

Full Text Available Hungarian literature on word-formation typically focuses on rule-governed descriptions of regular and typologically relevant patterns. However, there are plenty of other word-formation trends that usually go unnoticed in mainstream morphological research. The present paper will focus on two such trends: 1 rhyming and alliterating compounds such as pannon puma ‘Pannonian puma’ (a euphemism for Hungary’s economic performance, on the analogy of Asian tiger; and 2 creative prefixations such as meggugliz (‘to google’ and felhájpol (‘to hype’. Although these are seemingly two quite different patterns, in fact they share two significant traits. On the one hand, they are demonstrations of the fact that language users make full use of the creative possibilities in language and routinely play with sounds and meanings. On the other hand, they are also indications of the influential role of English in present-day Hungarian word-formation. It seems that language users are not only aware of the possibilities that this interference can result in but are also able to exploit these consciously. This crossing of language boundaries is becoming increasingly inevitable with the global spread of English.

Macaristan Türkolojisi Üzerine Bir Biyo-Biyografi Denemesi An Attempt At A Bioagrapy of Hungarian Turkology

Directory of Open Access Journals (Sweden)

Mehmet GÜMÜŞKILIÇ

2012-12-01

Full Text Available Hungary is the place where Turcology studies started in modern terms. For many years Hungarian scientists have been engaged in Turkish studies- as a part of their research of their own roots -. Theyhad great contribution to Turkish language, history, literature,geography, ethnography and music. It may also be supposed thatTurkish Hungarian relations were better than now. However, todayTurkish Hungarian relations have been enjoying a revival again.Considering the closeness of Hungarians and Turks, it is obvious thatthe two nations share some responsibilities in improving their relations.In this article, after organizing the names of all the HungarianTurcologs who have conducted studies on Turks after the foundation ofmodern Turcology in alphabetical order, their articles on Turcologyfromoldest to newest will be presented as well as their career lives.Also the lists of some of the studies on some of the Turcologs will begiven. The Hungarian scientists and their studies mentioned in thisarticle do not encompass all of them. If we include other articles, books,presentations, credits, reviews and the studies of other scientists thatwe haven’t been able to mention here, the number will swell and gobeyond the limits of this article. In the future, we hope that furtherdetailed studies will be conducted on Hungarian Turcology. Through anattempt at biyo biography, we have tried to touch briefly on theimportance Hungarians give to Turks.Undoubtedly in the future, Turkish Hungarian relations andfriendship will further improve with the help of further detailed studies.This article will serve its purpose if we have a tiny contribution. Modern anlamda Türkoloji çalışmalarının başladığı yer Macaristan’dır. Macar bilim adamları yıllar boyu -bir bakıma kendi köklerini de arama çabaları sebebiyle- Türklük bilimiyle uğraştılar. Türk diline, tarihine, kültürüne, edebiyatına, coğrafyasına, etnoğrafyasına, musikîsine b

Diabetic and Obese Patient Clinical Outcomes Improve During a Care Management Implementation in Primary Care.

Science.gov (United States)

Holtrop, Jodi Summers; Luo, Zhehui; Piatt, Gretchen; Green, Lee A; Chen, Qiaoling; Piette, John

2017-10-01

To address the increasing burden of chronic disease, many primary care practices are turning to care management and the hiring of care managers to help patients coordinate their care and self-manage their conditions. Care management is often, but not always, proving effective at improving patient outcomes, but more evidence is needed. In this pair-matched cluster randomized trial, 5 practices implemented care management and were compared with 5 comparison practices within the same practice organization. Targeted patients included diabetic patients with a hemoglobin A1c >9% and nondiabetic obese patients. Clinical values tracked were A1c, blood pressure, low-density lipoprotein, microalbumin, and weight. Clinically important improvements were demonstrated in the intervention versus comparison practices, with diabetic patients improving A1c control and obese patients experiencing weight loss. There was a 12% relative increase in the proportion of patients meeting the clinical target of A1c management practices lost 5% or more of their body weight as compared with 10% of comparison patients (adjusted relative improvement, 15%; CI, 2%-28%). These findings add to the growing evidence-base for the effectiveness of care management as an effective clinical practice with regard to improving diabetes- and obesity-related outcomes.

Becoming nursing manager in the nested and complex border of caring and management dimensions

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Gabriela Marcellino de Melo Lanzoni

2015-06-01

Full Text Available The study aimed to understand the experience of managing medical-surgical inpatient units in a general hospital, highlighting the meaning of being a nursing manager, with the intention to qualify and instrument nurses for caring management practice in this scenario. This is a Grounded Theory research, conducted from August 2010 to August 2012, through interviews with 19 participants from the nursing team, distributed in 3 sampling groups. From the analysis emerged the phenomenon “Becoming a nursing manager in the nested and complex border of caring and management dimension”. To exercise caring management, nurses use management instruments as essential tools, they become capable theoretically and enhances, based on his experience, professional skills and personal characteristics.  We conclude that competency mobilization beyond the clinical aspect is needed; allowing the use of management instruments to make caring viable and to improve relational and interactive processes.

Empowerment, patient centred care and self-management.

Science.gov (United States)

Pulvirenti, Mariastella; McMillan, John; Lawn, Sharon

2014-06-01

Patient or person centred care is widely accepted as the philosophy and practice that underpins quality care. An examination of the Australian National Chronic Disease Strategy and literature in the field highlights assumptions about the self-manager as patient and a focus on clinical settings. This paper considers patient or person centred care in the light of empowerment as it is understood in the health promotion charters first established in Alma Ata in 1977. We argue that patient or person centred care can be reconfigured within a social justice and rights framework and that doing so supports the creation of conditions for well-being in the broader context, one that impacts strongly on individuals. These arguments have broader implications for the practice of patient centred care as it occurs between patient and health professional and for creating shared responsibility for management of the self. It also has implications for those who manage their health outside of the health sector. © 2011 John Wiley & Sons Ltd.

[The role of management in health care].

Science.gov (United States)

Güntert, Bernhard J

2007-01-01

The situation in the health care sector is affected by a shortage of public funds on the one hand and, on the other hand, by rapid developments in medicine and nursing with an enormous expansion of both diagnostic and therapeutic possibilities. This and the aging population are generating a steadily increasing demand for health care services. The result is an increased cost consciousness in society calling for more professional management in health care organizations. However, the traditional administration of health care organizations, which is closely aligned with health professionals and production processes, was not able to cope with these dynamics or did so only unsatisfactorily. An improved management would surely lead to an optimization of health care delivery processes and a more effective use of resources. The question, however, is whether the effectiveness of the total system can be improved and whether patients' and society's needs can actually be met by classical management approaches.

Verification of different forecasts of Hungarian Meteorological Service

Science.gov (United States)

Feher, B.

2009-09-01

In this paper I show the results of the forecasts made by the Hungarian Meteorological Service. I focus on the general short- and medium-range forecasts, which contains cloudiness, precipitation, wind speed and temperature for six regions of Hungary. I would like to show the results of some special forecasts as well, such as precipitation predictions which are made for the catchment area of Danube and Tisza rivers, and daily mean temperature predictions used by Hungarian energy companies. The product received by the user is made by the general forecaster, but these predictions are based on the ALADIN and ECMWF outputs. Because of these, the product of the forecaster and the models were also verified. Method like this is able to show us, which weather elements are more difficult to forecast or which regions have higher errors. During the verification procedure the basic errors (mean error, mean absolute error) are calculated. Precipitation amount is classified into five categories, and scores like POD, TS, PC,…etc. were defined by contingency table determined by these categories. The procedure runs fully automatically, all the things forecasters have to do is to print the daily result each morning. Beside the daily result, verification is also made for longer periods like week, month or year. Analyzing the results of longer periods we can say that the best predictions are made for the first few days, and precipitation forecasts are less good for mountainous areas, even, the scores of the forecasters sometimes are higher than the errors of the models. Since forecaster receive results next day, it can helps him/her to reduce mistakes and learn the weakness of the models. This paper contains the verification scores, their trends, the method by which these scores are calculated, and some case studies on worse forecasts.

Nucleotide sequence of Hungarian grapevine chrome mosaic nepovirus RNA1.

OpenAIRE

Le Gall, O; Candresse, T; Brault, V; Dunez, J

1989-01-01

The nucleotide sequence of the RNA1 of hungarian grapevine chrome mosaic virus, a nepovirus very closely related to tomato black ring virus, has been determined from cDNA clones. It is 7212 nucleotides in length excluding the 3' terminal poly(A) tail and contains a large open reading frame extending from nucleotides 216 to 6971. The presumably encoded polyprotein is 2252 amino acids in length with a molecular weight of 250 kDa. The primary structure of the polyprotein was compared with that o...

Functioning of primary health care in opinion of managers of primary health care units.

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Bojar, I; Wdowiak, L; Kwiatosz-Muc, M

2006-01-01

The aim of the research is to get to know opinions of primary health care managers concerning working of primary health care and concerning quality of medical services offered by family doctors out-patient clinics. The research among managers of primary health care units took place in all out-patient clinics in Lublin province. Research instrument was survey questionnaire of authors own construction. Results were statistically analyzed. From 460 surveys sent, 108 questionnaires were accepted to analysis. Majority of managers of out-patient clinics of primary health care is satisfied with the way and the quality of work of employed staff. In opinion of 71.3% of managers access to family doctor services is very good. Availability of primary health care services is better estimated by managers of not public units. The occupied local provide comfortable work for the staff in opinion of 78.5% of surveyed managers of out-patient clinics. Managers estimate the level of their services as very good (37.96%) and good (37.96%) comparing to other such a subjects present in the market. Internal program of improving quality is run in 22% of out-patient clinics, which were investigated. Managers of primary health care units assess the quality of their services as good and very good. They estimate positively the comfort and politeness in serving patients as well as technical status of equipment and the lodging. They assess availability of their services as very good. Large group of managers of family doctors practices recognizes neighborhood practices as a competitors.

Academic medicine meets managed care: a high-impact collision.

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Carey, R M; Engelhard, C L

1996-08-01

The managed care revolution is sweeping the country as a result of intense marketing on the part of managed care organizations and the widespread belief that price-sensitive managed care systems will control health costs. Although few believe that managed care alone can adequately stem the growth of nation health care spending, competition based on price has emerged as a powerful force in the health care sector. Academic health center (AHCs) stand to suffer with this new managed care regime because their special missions of teaching, research, and highly specialized clinical care make them more expensive than nonacademic hospitals and place them at a noncompetitive disadvantage. The traditional focus of the acute care hospital with individual departmentally designed programs will be narrow. Major changes will be required on the part of AHCs if they are to survive and preserve patient volume, maintain the integrity of medical education, advance scientific research, and provide highly specialized care. AHCs will have to make unprecedented adjustments in virtually every phase of their operations, particularly in the areas of clinical decision making and speedy patient-related information flow. A premium will be placed on multidisciplinary, inclusive medical services that can assume total health care risks for large populations. New ways of educating students in ambulatory settings with an emphasis on outcomes and population-based health will be needed along with the traditional responsibility of pursuing new approaches to the diagnosis, treatment, and prevention of disease. The extent to which managed care will ultimately alter the traditional role of AHCs in the American health care system is unclear, but successful adaptation in the short term will require them to respond broadly, flexibly, and in a timely fashion to the anticipated health care scene.

Organizing and managing care in a changing health system.

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Kohn, L T

2000-04-01

To examine ways in which the management and organization of medical care is changing in response to the shifting incentives created by managed care. Site visits conducted in 12 randomly selected communities in 1996/ 1997. Approximately 35-60 interviews were conducted per site with key informants in healthcare and community organizations; about half were with providers. A standardized interview protocol was implemented across all sites, enabling cross-site comparisons. Multiple respondents were interviewed on each issue. A great deal of experimentation and apparent duplication exist in efforts to develop programs to influence physician practice patterns. Responsibility for managing care is being contested by health plans, medical groups and hospitals, as each seeks to accrue the savings that can result from the more efficient delivery of care. To manage the financial and clinical risk, providers are aggressively consolidating and reorganizing. Most significant was the rapid formation of intermediary organizations, such as independent practice arrangements (IPAs), physician-hospital organizations (PHOs), or management services organizations (MSOs), for contracting with managed care organizations. Managed care appears to have only a modest effect on how healthcare organizations deliver medical care, despite the profound effect that managed care has on how providers are organized. Rather than improving the efficiency of healthcare organizations, provider efforts to build large systems and become indispensable to health plans are exacerbating problems of excess capacity. It is not clear if new organizational arrangements will help providers manage the changing incentives they face, or if their intent is to blunt the effects of the incentives by forming larger organizations to improve their bargaining power and resist change.

Nonprice competition and quality of care in managed care: the New York SCHIP market.

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Liu, Hangsheng; Phelps, Charles E

2008-06-01

To examine the effect of nonprice competition among managed care plans on the quality of care in the New York SCHIP market. U.S. Census 2000; 2002 New York State Managed Care Plan Performance Report; and 2001 New York State Managed Care Annual Enrollment Report. Each market is defined as a county, and competition is measured as the number of plans in a market. Quality of care is measured in percentages using three Consumer Assessment of Health Plans Survey and three Health Plan Employer Data and Information Set scores. Two-stage least squares is applied to address the endogeneity between competition and the quality of care, using population as an instrument. We find a negative association between competition and quality of care. An additional managed care plan is significantly associated with a decrease of 0.40-2.31 percentage points in four out of six quality measures. After adjusting for production cost, a positive correlation is observed between price and quality measures across different pricing regions. It seems likely that pricing policy is a constraint on quality production, although it may not be interpreted as a causal relationship and further study is needed.

Critical care management of acute ischemic stroke.

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Coplin, William M

2012-06-01

Acute ischemic stroke (AIS) can have profound and devastating effects on the CNS and several other organs. Approximately 15% to 20% of patients with AIS are admitted to an intensive care unit and cared for by a multidisciplinary team. This article discusses the critical care management of patients with AIS. Patients with AIS require attention to airway, pulmonary status, blood pressure, glucose, temperature, cardiac function, and, sometimes, life-threatening cerebral edema. The lack of disease-specific data has led to numerous management approaches and limited guidance on choosing among them. Existing guidelines emphasize risk factors, prevention, natural history, and prevention of bleeding but provide little discussion of the complex critical care issues involved in caring for patients with AIS.

Corporate social responsibility and the future health care manager.

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Collins, Sandra K

2010-01-01

The decisions and actions of health care managers are oftentimes heavily scrutinized by the public. Given the current economic climate, managers may feel intense pressure to produce higher results with fewer resources. This could inadvertently test their moral fortitude and their social consciousness. A study was conducted to determine what corporate social responsibility orientation and viewpoint future health care managers may hold. The results of the study indicate that future health care managers may hold patient care in high regard as opposed to profit maximization. However, the results of the study also show that future managers within the industry may continue to need rules, laws, regulations, and legal sanctions to guide their actions and behavior.

The Kodály and Rajkó Methods: Voices, Instruments, Ethnicity, and the Globalization of Hungarian Music Education in the Twentieth Century

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Lynn M. Hooker

2016-01-01

Full Text Available Music is one of the fields in which Hungary has distinguished itself around the world, and music education is an arena in which Hungarian methods have had a profound impact. The basic principles of Hungarian music-pedagogical methods, developed by Zoltán Kodály (1882–1967 and his disciples and thus known as the Kodály method, are systematic instruction in sight-singing using “movable-do” solfège and rhythmic syllables, with the ideal of developing music literacy in all children through high-quality music, mainly classical and folk repertoire for choirs. Another type of well-known Hungarian music, so-called “Gypsy music,” is specifically denied legitimacy both in Kodály’s writings and those of some of his students, for two reasons: much of it is primarily instrumental instead of vocal, and it is considered “bad.” Yet Romani (Gypsy musicians from Hungary have also become famous internationally, some from quite a young age. The Rajkó Ensemble, established in 1952 as the Gypsy Orchestra of the Young Communists’ League, brought Hungarian and Hungarian-Gypsy music to over a hundred countries over the years. Interviews with Rajkó members, some conducted by the author and some previously published, reveal those musicians struggling to claim the legitimacy not only of their music but of their music pedagogy, implicitly comparing the Rajkó method to the Kodály method. After a brief discussion of the Kodály method and its history, this essay gives some examples of how that method has dealt with talented Romani youth in Hungary; compares the Kodály method to methods of teaching instrumental music in Roma communities and in the Rajkó Ensemble; and considers how American ideals of multicultural education challenge some of Kodály’s tenets.

[What worries Hungarian men? Characteristics of masculine gender role stress].

Science.gov (United States)

Susánszky, Anna; Susánszky, Eva; Kopp, Mária

2009-07-01

The aim of this study was to establish the characteristics of stress associated with male gender role and its relationship to health and to risk behaviours among Hungarian men. The present analysis is based on data of the Hungarostudy 2006 survey. Forty-one percent of the participants were men. Eighty nine percent of the male respondents completed the Eisler-Skidmore Masculine Gender Role Stress Scale; data of 1764 persons were analyzed. Anxiety about sexual performance, breadwinner role, and appearance (i.e. tradition factor) causes a much greater burden of stress than anxiety about changing gender relationships (i.e. modernization factor). With the increase of age, stress caused by traditional role expectations significantly decreases; tensions caused by women's dominance and by situations which demand emotional response and empathy are the highest among middle aged men. Traditional gender role stress is more prevalent among pensioners than among economically active men; stress caused by the modernization of masculine gender role particularly afflicts unemployed men. Married men are to the least extent troubled by female dominance and difficulties in expressing emotions. Of the two dimensions analyzed here (tradition and modernization) only the values on the tradition factor were related to health status, psychological wellbeing, and frequency of smoking. Modernization of gender roles represents only a small--if any--stressor in the life of Hungarian men; on the other hand, unsuccessful adaptation to traditional role expectations highly increases the burden of stress and is closely related to smoking.

Simulation modeling for the health care manager.

Science.gov (United States)

Kennedy, Michael H

2009-01-01

This article addresses the use of simulation software to solve administrative problems faced by health care managers. Spreadsheet add-ins, process simulation software, and discrete event simulation software are available at a range of costs and complexity. All use the Monte Carlo method to realistically integrate probability distributions into models of the health care environment. Problems typically addressed by health care simulation modeling are facility planning, resource allocation, staffing, patient flow and wait time, routing and transportation, supply chain management, and process improvement.

Magyar tónevek angol fordítása [English translations of Hungarian lake names

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Gercsák, Gábor

2015-12-01

Full Text Available Recently prestigious local publishing houses have been publishing a growing number of geographical descriptions of Hungary in English. While these publications are of outstanding design, the authors do not use the names of geographical objects in Hungary in a standardized manner. As a result, the foreign reader may find distinct variants of the same name within the same book. This can encumber the interpretation of information, and the identification of certain geographical features on maps. The author examines the peculiarities of naming lakes in Hungarian and in English while exploring the spelling rules behind the name forms in both languages. The author then compares several examples taken from Hungary with the names of lakes in English-speaking countries. Finally, the author proposes that the English standardized equivalents of the Hungarian names for lakes should be used more consistently.

Intercultural Contact and Multilingualism in an Intimate Relationship in the Austro-Hungarian Littoral.

Science.gov (United States)

Martinis, Anja Iveković

2016-09-01

The paper presents a case study of multilingualism in private correspondence in turn-of-the-century Austro-Hungarian Istria. Language attitudes and use of German, Italian and Slovenian are analyzed, with results indicating the compatibility of national feelings with an appreciation of multilingualism, as well as the important role that intimate intercultural relationships play in this regard in a culturally mixed region.

ProvenCare-Psoriasis: A disease management model to optimize care.

Science.gov (United States)

Gionfriddo, Michael R; Pulk, Rebecca A; Sahni, Dev R; Vijayanagar, Sonal G; Chronowski, Joseph J; Jones, Laney K; Evans, Michael A; Feldman, Steven R; Pride, Howard

2018-03-15

There are a variety of evidence-based treatments available for psoriasis. The transition of this evidence into practice is challenging. In this article, we describe the design of our disease management approach for Psoriasis (ProvenCare®) and present preliminary evidence of the effect of its implementation. In designing our approach, we identified three barriers to optimal care: 1) lack of a standardized and discrete disease activity measure within the electronic health record, 2) lack of a system-wide, standardized approach to care, and 3) non-uniform financial access to appropriate non-pharmacologic treatments. We implemented several solutions, which collectively form our approach. We standardized the documentation of clinical data such as body surface area (BSA), created a disease management algorithm for psoriasis, and aligned incentives to facilitate the implementation of the algorithm. This approach provides more coordinated, cost effective care for psoriasis, while being acceptable to key stakeholders. Future work will examine the effect of the implementation of our approach on important clinical and patient outcomes.

Managed care. What is its impact on nursing education and practice?

Science.gov (United States)

Malloy, C

1997-08-01

Market forces present the nursing profession with an urgency to prepare gerontological nurses to assume significant roles in the managed care industry. An understanding of the current managed care environment underscores the need for training. Nurses require a "managed care" skill-set encompassing a firm grasp of the organization, financing, delivery, and policy implications of managed care as well as advanced practice clinical skills and a sound business orientation. The importance of the consumer as a significant player in managed care is highlighted.

REGIONAL DIFFERENCES IN THE STARTING WAGE OF MASTER'S VS. BACHELOR'S DEGREE GRADUATES: EMPIRICAL EVIDENCE FROM THE HUNGARIAN GRADUATE CAREER TRACKING SURVEY 2012

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Andras Istvan Kun

2014-12-01

Full Text Available The study examines the wage gap between bachelor‟s and master‟s degree graduates in the Hungarian labour market by NUTS2 regions. The databases used in the study have been gained from the Hungarian Graduate Career Tracking Survey conducted in 2012 as well as from public regional data sources of the Hungarian Central Statistical Office. Relying on these databases independent t-tests, variance and regression analyses are performed to 1 identify the starting wage premium of those graduated at master‟s level compared to others owning only a bachelor‟s degree in the regions of Hungary, and to 2 define the role of regional factors (economic development, labour market indicators, demographic variables in the wage differences. Major conclusions of the study are that 1 obtaining a master‟s degree forecasts a significantly higher starting wage in most of the observed geographical areas, but 2 the size of this positive contribution significantly differs region by region (partly depending on economic and labour market factors.

Caring behaviour perceptions from nurses of their first-line nurse managers.

Science.gov (United States)

Peng, Xiao; Liu, Yilan; Zeng, Qingsong

2015-12-01

Nursing is acknowledged as being the art and science of caring. According to the theory of nursing as caring, all persons are caring but not every behaviour of a person is caring. Caring behaviours in the relationship between first-line nurse managers and Registered Nurses have been studied to a lesser extent than those that exist between patients and nurses. Caring behaviour of first-line nurse managers from the perspective of Registered Nurses is as of yet unknown. Identifying caring behaviours may be useful as a reference for first-line nurse managers caring for nurses in a way that nurses prefer. To explore first-line nurse managers' caring behaviours from the perspective of Registered Nurses in mainland China. Qualitative study, using descriptive phenomenological approach. Fifteen Registered Nurses recruited by purposive sampling method took part in in-depth interviews. Data were analysed according to Colaizzi's technique. Three themes of first-line nurse managers' caring behaviours emerged: promoting professional growth, exhibiting democratic leadership and supporting work-life balance. A better understanding of the first-line nurse managers' caring behaviours is recognised. The three kinds of behaviours have significant meaning to nurse managers. Future research is needed to describe what first-line nurse managers can do to promote nurses' professional growth, increase the influence of democratic leadership, as well as support their work-life balance. © 2015 Nordic College of Caring Science.

Managing diversity in the health care workplace.

Science.gov (United States)

Davidhizar, R; Dowd, S; Newman Giger, J

1999-03-01

Cultural diversity is increasing in the United States as increasing numbers of minorities enter the United States from abroad, and cultural diversity is especially prevalent in the health care workplace. In fact, the health care professions are particularly interested in the presence of minorities among caregivers because this often enhances the cultural competence of care delivery. Nevertheless, subtle discrimination can still be found, and managers must be alert that such behavior is not tolerated. Use of the Giger-Davidhizar Cultural Assessment Model can provide managers with information needed to respond to diversity among staff appropriately.

Research Note: Political Geography and the Production of Hungarian “Pocket Atlases,” 1913-1919

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Zoltán Hajdú

2015-01-01

Full Text Available The Zsebatlasz [‘Pocket Atlas’] series published in Hungary between 1909 and 1919 was a business venture of the Hungarian Geographical Institute [Magyar Földrajzi Intézet]. Intended primarily for the teaching of geography at the secondary school level in Hungary, the main aim was to broaden the worldview and expand the knowledge of secondary school pupils. Before and during World War I, the books were militarised, and promoted Hungarian national points of views. Short articles in each of the volumes provided analyses and reports of the war, focusing in particular on the geographical problems arising from ever-shifting territorial transformations. To aid in the transfer of this political-geographical knowledge, coloured maps were published in a huge number in the volumes. This paper outlines the evolution of this “Pocket Atlas” series, and in so doing provides the basis for critical reflection on the relationship between political power, nationalist propaganda, and the production of geographical knowledge.

Care Management Processes Used Less Often For Depression Than For Other Chronic Conditions In US Primary Care Practices.

Science.gov (United States)

Bishop, Tara F; Ramsay, Patricia P; Casalino, Lawrence P; Bao, Yuhua; Pincus, Harold A; Shortell, Stephen M

2016-03-01

Primary care physicians play an important role in the diagnosis and management of depression. Yet little is known about their use of care management processes for depression. Using national survey data for the period 2006-13, we assessed the use of five care management processes for depression and other chronic illnesses among primary care practices in the United States. We found significantly less use for depression than for asthma, congestive heart failure, or diabetes in 2012-13. On average, practices used fewer than one care management process for depression, and this level of use has not changed since 2006-07, regardless of practice size. In contrast, use of diabetes care management processes has increased significantly among larger practices. These findings may indicate that US primary care practices are not well equipped to manage depression as a chronic illness, despite the high proportion of depression care they provide. Policies that incentivize depression care management, including additional quality metrics, should be considered. Project HOPE—The People-to-People Health Foundation, Inc.

The evaluation of the Chernobyl reactor accident by the help of the Hungarian Surveillance of Germinal Mutations

International Nuclear Information System (INIS)

Czeizel, A.E.; Elek, Cs.; Susanszky, E.

1992-01-01

The germinal mutagenic consequences or radioactive fall-out deposition from the Chernobyl accident in Hungary was evaluated in the ongoing program on the population-based Hungarian Surveillance of Germinal Mutations. The surveillance is based on three groups of indicator conditions: 15 sentinel anomalies (indicators of germinal dominant gene mutations), Down syndrome (an indicator of germinal numerical and structural chromosomal mutations) and unidentified multiple congenital abnormalities (indicators of germinal dominant gene and chromosomal mutations). Cases with indicator conditions were selected from the material of the Hungarian Congenital Abnormality Registry. After the diagnostic accuracies were checked, familial and sporadic cases were separated and only the latter group was evaluated for evidence of new mutations. The analysis did not reveal any measurable germinal mutagenic effects of the Chernobyl reactor accident in Hungary. (author)

Managed care and inpatient mortality in adults: effect of primary payer.

Science.gov (United States)

Hines, Anika L; Raetzman, Susan O; Barrett, Marguerite L; Moy, Ernest; Andrews, Roxanne M

2017-02-08

Because managed care is increasingly prevalent in health care finance and delivery, it is important to ascertain its effects on health care quality relative to that of fee-for-service plans. Some stakeholders are concerned that basing gatekeeping, provider selection, and utilization management on cost may lower quality of care. To date, research on this topic has been inconclusive, largely because of variation in research methods and covariates. Patient age has been the only consistently evaluated outcome predictor. This study provides a comprehensive assessment of the association between managed care and inpatient mortality for Medicare and privately insured patients. A cross-sectional design was used to examine the association between managed care and inpatient mortality for four common inpatient conditions. Data from the 2009 Healthcare Cost and Utilization Project State Inpatient Databases for 11 states were linked to data from the American Hospital Association Annual Survey Database. Hospital discharges were categorized as managed care or fee for service. A phased approach to multivariate logistic modeling examined the likelihood of inpatient mortality when adjusting for individual patient and hospital characteristics and for county fixed effects. Results showed different effects of managed care for Medicare and privately insured patients. Privately insured patients in managed care had an advantage over their fee-for-service counterparts in inpatient mortality for acute myocardial infarction, stroke, pneumonia, and congestive heart failure; no such advantage was found for the Medicare managed care population. To the extent that the study showed a protective effect of privately insured managed care, it was driven by individuals aged 65 years and older, who had consistently better outcomes than their non-managed care counterparts. Privately insured patients in managed care plans, especially older adults, had better outcomes than those in fee-for-service plans

Grammatical Gender Trouble and Hungarian Gender[lessness]. Part I: Comparative Linguistic Gender

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Louise O. Vasvári

2011-01-01

Full Text Available The aim of this study is to define linguistic gender[lessness], with particular reference in the latter part of the article to Hungarian, and to show why it is a feminist issue. I will discuss the [socio]linguistics of linguistic gender in three types of languages, those, like German and the Romance languages, among others, which possess grammatical gender, languages such as English, with only pronominal gender (sometimes misnamed ‘natural gender’, and languages such as Hungarian and other Finno-Ugric languages, as well as many other languages in the world, such as Turkish and Chinese, which have no linguistic or pronomial gender, but, like all languages, can make lexical gender distinctions. While in a narrow linguistic sense linguistic gender can be said to be afunctional, this does not take into account the ideological ramifications in gendered languages of the “leakage” between gender and sex[ism], while at the same time so-called genderless languages can express societal sexist assumptions linguistically through, for example, lexical gender, semantic derogation of women, and naming conventions. Thus, both languages with overt grammatical gender and those with gender-related asymmetries of a more covert nature show language to represent traditional cultural expectations, illustrating that linguistic gender is a feminist issue.

Qualifying lighting remodelling in a Hungarian city based on light pollution effects

International Nuclear Information System (INIS)

Kolláth, Z.; Dömény, A.; Kolláth, K.; Nagy, B.

2016-01-01

The public lighting system has been remodelled in several Hungarian cities. In some cases the majority of the old luminaries were fitted with high pressure sodium lamps and they were replaced with white LED lighting with a typical correlated colour temperature of about 4500 K. Therefore, these remodelling works provide a testbed for methods in measurements and modelling. We measured the luminance of the light domes of selected cities by DSLR photometry before and after the remodelling. Thanks to the full cut off design of the new lighting fixtures we obtained a slight decrease even in the blue part of the sky dome spectra of a tested city. However, we have to note that this positive change is the result of the bad geometry (large ULR) of the previous lighting system. Based on Monte Carlo radiative transfer calculations we provide a comparison of different indicators that can be used to qualify the remodelling, and to predict the possible changes in light pollution. - Highlights: • Changes of the skydome of a Hungarian city were measured after lighting remodelling. • The observations were compared with Monte Carlo radiation transfer calculations. • Photopic measurements demonstrate improvement in light pollution after remodelling. • However, blue rich lighting increases the risk of negative ecological effects.

Association Between Health Plan Exit From Medicaid Managed Care and Quality of Care, 2006-2014.

Science.gov (United States)

Ndumele, Chima D; Schpero, William L; Schlesinger, Mark J; Trivedi, Amal N

2017-06-27

State Medicaid programs have increasingly contracted with insurers to provide medical care services for enrollees (Medicaid managed care plans). Insurers that provide these plans can exit Medicaid programs each year, with unclear effects on quality of care and health care experiences. To determine the frequency and interstate variation of health plan exit from Medicaid managed care and evaluate the relationship between health plan exit and market-level quality. Retrospective cohort of all comprehensive Medicaid managed care plans (N = 390) during the interval 2006-2014. Plan exit, defined as the withdrawal of a managed care plan from a state's Medicaid program. Eight measures from the Healthcare Effectiveness Data and Information Set were used to construct 3 composite indicators of quality (preventive care, chronic disease care management, and maternity care). Four measures from the Consumer Assessment of Healthcare Providers and Systems were combined into a composite indicator of patient experience, reflecting the proportion of beneficiaries rating experiences as 8 or above on a 0-to-10-point scale. Outcome data were available for 248 plans (68% of plans operating prior to 2014, representing 78% of beneficiaries). Of the 366 comprehensive Medicaid managed care plans operating prior to 2014, 106 exited Medicaid. These exiting plans enrolled 4 848 310 Medicaid beneficiaries, with a mean of 606 039 beneficiaries affected by plan exits annually. Six states had a mean of greater than 10% of Medicaid managed care recipients enrolled in plans that exited, whereas 10 states experienced no plan exits. Plans that exited from a state's Medicaid market performed significantly worse prior to exiting than those that remained in terms of preventive care (57.5% vs 60.4%; difference, 2.9% [95% CI, 0.3% to 5.5%]), maternity care (69.7% vs 73.6%; difference, 3.8% [95% CI, 1.7% to 6.0%]), and patient experience (73.5% vs 74.8%; difference, 1.3% [95% CI, 0.6% to 1

Propaganda Versus Genocide: The United States War Refugee Board and the Hungarian Holocaust

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Dorottya Halász

2012-01-01

Full Text Available In 1944 the Second World War had been raging for more than four long years, with the death toll among soldiers and civilians alike climbing. European Jews constituted a special group of the victims, a fact that leaders of the Allied powers failed to acknowledge. In January 1944 a major revision of previous government policy was brought about in the United States with the establishment of the War Refugee Board in Washington, promising an American commitment to the rescue of European war refugees, including Jews. In March of the same year the situation for Jewish inhabitants in Hungary turned dire as German forces occupied the country. For lack of any other instantly applicable way to influence Hungarian developments, leaders of the new American War Refugee Board decided to launch a propaganda campaign to fight the Nazis and their accomplices. This paper will examine the motivations of American policy makers in focusing on political propaganda measures during the first phase of the Hungarian Holocaust (March–July 1944, and it will describe the logic and workings of the campaign as a means to save Hungary’s Jewry in the last full year of the Second World War.

Toward population management in an integrated care model.

Science.gov (United States)

Maddux, Franklin W; McMurray, Stephen; Nissenson, Allen R

2013-01-01

Under the Patient Protection and Affordable Care Act of 2010, accountable care organizations (ACOs) will be the primary mechanism for achieving the dual goals of high-quality patient care at managed per capita costs. To achieve these goals in the newly emerging health care environment, the nephrology community must plan for and direct integrated delivery and coordination of renal care, focusing on population management. Even though the ESRD patient population is a complex group with comorbid conditions that may confound integration of care, the nephrology community has unique experience providing integrated care through ACO-like programs. Specifically, the recent ESRD Management Demonstration Project sponsored by the Centers for Medicare & Medicaid Services and the current ESRD Prospective Payment System with it Quality Incentive Program have demonstrated that integrated delivery of renal care can be accomplished in a manner that provides improved clinical outcomes with some financial margin of savings. Moving forward, integrated renal care will probably be linked to provider performance and quality outcomes measures, and clinical integration initiatives will share several common elements, namely performance-based payment models, coordination of communication via health care information technology, and development of best practices for care coordination and resource utilization. Integration initiatives must be designed to be measured and evaluated, and, consistent with principles of continuous quality improvement, each initiative will provide for iterative improvements of the initiative. © 2013 S. Karger AG, Basel.

Impact of managed care on cancer trial enrollment.

Science.gov (United States)

Gross, C P; Krumholz, H M

2005-06-01

To determine the relationship between managed care market activity and cancer trial enrollment. Trial participant data were obtained from the National Cancer Institute. Participants in cooperative group trials of breast, colorectal, lung, or prostate cancer during the years 1996 through 2001 were assigned to counties based on their zip code of residence. Linear regression was used to determine the relationship between county enrollment rate and two measures of county managed care activity (penetration and index of competition [IOC]), adjusting for other county characteristics. In bivariate analysis, there was a strong inverse correlation between trial enrollment rate and IOC (r = -0.23; P penetration, proportion uninsured, and other county characteristics. Counties in the lowest quartile of managed care penetration tended to have lower enrollment rates than the remaining counties (r = -0.05; P = .048), while counties in the second, third, and fourth quartiles of penetration all had similar enrollment rates to one another. Cancer trial enrollment rates were suboptimal across all counties, and counties with higher levels of managed care competition had significantly lower enrollment rates. The relationship between managed care penetration and trial enrollment was less consistent. Future efforts to enhance trial participation should address the potential negative influence of market factors.

The challenge of managing laboratory information in a managed care environment.

Science.gov (United States)

Friedman, B A

1996-04-01

This article considers some of the major changes that are occurring in pathology and pathology informatics in response to the shift to managed care in the United States. To better understand the relationship between information management in clinical laboratories and managed care, a typology of integrated delivery systems is presented. Following this is a discussion of the evolutionary trajectory for the computer networks that serve these large consolidated healthcare delivery organizations. The most complex of these computer networks is a community health information network. Participation in the planning and deployment of community health information networks will be important for pathologists because information management within pathology will be inexorably integrated into the larger effort by integrated delivery systems to share clinical, financial, and administrative data on a regional basis. Finally, four laboratory information management challenges under managed care are discussed, accompanied by possible approaches to each of them. The challenges presented are (1) organizational integration of departmental information systems such as the laboratory information system; (2) weakening of the best-of-breed approach to laboratory information system selection; (3) the shift away from the centralized laboratory paradigm; and (4) the development of rule-based systems to monitor and control laboratory utilization.

What is case management in palliative care? An expert panel study

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van der Plas Annicka G M

2012-06-01

Full Text Available Abstract Background Case management is a heterogeneous concept of care that consists of assessment, planning, implementing, coordinating, monitoring, and evaluating the options and services required to meet the client's health and service needs. This paper describes the result of an expert panel procedure to gain insight into the aims and characteristics of case management in palliative care in the Netherlands. Methods A modified version of the RAND®/University of California at Los Angeles (UCLA appropriateness method was used to formulate and rate a list of aims and characteristics of case management in palliative care. A total of 76 health care professionals, researchers and policy makers were invited to join the expert panel, of which 61% participated in at least one round. Results Nine out of ten aims of case management were met with agreement. The most important areas of disagreement with regard to characteristics of case management were hands-on nursing care by the case manager, target group of case management, performance of other tasks besides case management and accessibility of the case manager. Conclusions Although aims are agreed upon, case management in palliative care shows a high level of variability in implementation choices. Case management should aim at maintaining continuity of care to ensure that patients and those close to them experience care as personalised, coherent and consistent.

Physiological strain in the Hungarian mining industry: The impact of physical and psychological factors.

Science.gov (United States)

Varga, József; Nagy, Imre; Szirtes, László; Pórszász, János

2016-01-01

The objectives of these investigations completed on workplaces in the Hungarian mining industry were to characterize the physiological strain of workers by means of work pulse and to examine the effects of work-related psychological factors. Continuous heart rate (HR) recording was completed on 71 miners over a total of 794 shifts between 1987 and 1992 in mining plants of the Hungarian mining industry using a 6-channel recorder - Bioport (ZAK, Germany). The work processes were simultaneously documented by video recording along with drawing up the traditional ergonomic workday schedule. All workers passed health evaluation for fitness for work. The effects of different psychological factors (simulated danger, "instrument stress," presence of managers, and effect of prior involvement in accidents as well as different mining technologies and work place illumination) on the work pulse were evaluated. The statistical analysis was completed using SPSS software (version 13.0, SPSS Inc., USA). The work-related physiological strain differed between work places with different mining technologies in groups of 12-18 workers. The work pulse was lowest in bauxite mining (ΔHR = 22±8.9 bpm) and highest in drift drilling in dead rock with electric drilling machine (ΔHR = 30±6.9 bpm). During sham alarm situation the work pulse was significantly higher than during normal activities with the same physical task (ΔHR = 36.7±4.8 bpm vs. 25.8±1.6 bpm, p < 0.001). When work was performed under different psychological stress, the work pulse was consistently higher, while improving the work place illumination decreased the physiological strain appreciably (ΔHR (median, 25-75 percentiles) = 23, 20-26 bmp vs. 28, 25-31.3 bpm, p < 0.001). Recording the heart rate during whole-shift work along with the work conditions gives reliable results and helps isolating factors that contribute to increased strain. The results can be used to implement preventive and health promotion measures. This

Physiological strain in the Hungarian mining industry: The impact of physical and psychological factors

Directory of Open Access Journals (Sweden)

József Varga

2016-08-01

Full Text Available Objectives: The objectives of these investigations completed on workplaces in the Hungarian mining industry were to characterize the physiological strain of workers by means of work pulse and to examine the effects of work-related psychological factors. Material and Methods: Continuous heart rate (HR recording was completed on 71 miners over a total of 794 shifts between 1987 and 1992 in mining plants of the Hungarian mining industry using a 6-channel recorder – Bioport (ZAK, Germany. The work processes were simultaneously documented by video recording along with drawing up the traditional ergonomic workday schedule. All workers passed health evaluation for fitness for work. The effects of different psychological factors (simulated danger, “instrument stress,” presence of managers, and effect of prior involvement in accidents as well as different mining technologies and work place illumination on the work pulse were evaluated. The statistical analysis was completed using SPSS software (version 13.0, SPSS Inc., USA. Results: The work-related physiological strain differed between work places with different mining technologies in groups of 12–18 workers. The work pulse was lowest in bauxite mining (ΔHR = 22±8.9 bpm and highest in drift drilling in dead rock with electric drilling machine (ΔHR = 30±6.9 bpm. During sham alarm situation the work pulse was significantly higher than during normal activities with the same physical task (ΔHR = 36.7±4.8 bpm vs. 25.8±1.6 bpm, p < 0.001. When work was performed under different psychological stress, the work pulse was consistently higher, while improving the work place illumination decreased the physiological strain appreciably (ΔHR (median, 25–75 percentiles = 23, 20–26 bmp vs. 28, 25–31.3 bpm, p < 0.001. Conclusions: Recording the heart rate during whole-shift work along with the work conditions gives reliable results and helps isolating factors that contribute to increased strain. The

Gender patterns of socioeconomic differences in premature mortality: follow-up of the Hungarian Epidemiological Panel.

Science.gov (United States)

Kopp, Mária S; Skrabski, Arpád; László, Krisztina D; Janszky, Imre

2011-03-01

Gender differences in premature mortality rates and in the size of socioeconomic inequalities in mortality vary across countries. We aimed to quantify the gender differences in the association between socioeconomic status (SES) and premature all-cause mortality and to analyse whether psychosocial factors might associate between SES and mortality among men and women separately in the middle-aged Hungarian population. Men (n = 1130) and women (n = 1529), aged 40-69 years, participants in the Hungarian Epidemiological Panel (2002) were followed up for 3.5 years for total mortality. Cox proportional hazard models were used to evaluate the association between several socioeconomic measures and total death. During the follow-up, 99 men (8.8%) and 53 women (3.5%) died. The age-adjusted hazard ratios and the Rothman's synergy indexes showed that each measure of socioeconomic position was more deleterious in men compared with women. When investigating potential explanatory factors for the SES-mortality association, we found that adjustment for severe depression resulted in the most pronounced reduction in the regression coefficients for the association between most socioeconomic factors and male premature death. There was no indication that depression would mediate between SES and mortality in women. Work stress factors, poor lifestyle and low social support also contributed to the explanation of the link between socioeconomic disadvantage and premature death in men. Middle-aged Hungarian men seem to be considerably more vulnerable to the chronic stress of material disadvantage than women. This effect modification by gender might partly be explained by a stronger connection between low SES and depressive symptoms in men.

Impact of the "Quality Food from Hungary" brand on the competitiveness of Hungarian food industry

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Katalin Végh

2011-06-01

Full Text Available It is a generally known fact that Hungarian products are at a disadvantage in Western markets, since a certain part of foreign customers have not yet heard of Hungarian products. Many of them believe that products made in Eastern Europe are cheap and of poor quality. How could they possibly know Hungarian products, if national food producers and traders can only invest a minimal amount to promote their products? Food producers in EU countries spend far much more to market their products than their fellows in Hungary. The Community strategy for agricultural marketing has been aimed at counterbalancing this tendency. In 1998, the Ministry of Agriculture and Rural development launched the “Quality Food from Hungary” trademark with the aim of distinguishing top quality food products from other products. The role of the quality trademark is to inform and protect the customers. The trademark makes the customers aware of the fact that the concerned food product differs from other products, and it also protects the customer, since both the producer and the certifying authority assume the responsibility for the controlled top quality of the product. In order to obtain the “Quality Food from Hungary” trademark, the raw materials, ingredients, the manufacturing process and the final product shall exceed the criteria stipulated within the effective food regulations. The basic requirement for awarding the right to use the trademark is the quality of the product, but the quality of its packaging is also taken into consideration and shall not only reflect the quality from an aesthetic point of view, but it shall also facilitate storage, transportation and utilisation.

Managing managed care: habitus, hysteresis and the end(s) of psychotherapy.

Science.gov (United States)

Kirschner, S R; Lachicotte, W S

2001-12-01

In this paper we examine how clinicians at a community mental health center are responding to the beginnings of changes in the health care delivery system, changes that are designated under the rubric of "managed care." We describe how clinicians' attitudes about good mental health care are embodied in what sociologist Pierre Bourdieu calls their habitus, i.e., their professional habits and sense of good practice. Viewed in this light, their moral outrage and sense of threat, as well as their strategic attempts to resist or subvert the dictates of managed care agencies, become a function of what Bourdieu terms the hysteresis effect. The paper is based on ethnographic fieldwork conducted by a team of researchers at the mental health and substance abuse service of a hospital-affiliated, storefront clinic which serves residents of several neighborhoods in a large northeastern city. Data consist primarily of observations of meetings and interviews with staff members. We describe four aspects of the clinicians' professional habitus: a focus on cases as narratives of character and relationship, an imperative of authenticity, a distinctive orientation towards time, and an ethic of ambiguity. We then chronicle practices that have emerged in response to the limits on care imposed by managed care protocols, which are experienced by clinicians as violating the integrity of their work. These are discussed in relation to the concept of hysteresis.

Hungarian national report on activities related to operator support systems for nuclear power plants

International Nuclear Information System (INIS)

Adorjan, F.; Lux, I.; Vegh, J.; Vegh, E.

1996-01-01

Computerized operator support systems and related activities in Hungary are summarized. Systems developed in the past, presently developed and used as well as being in a planning phase are briefly described. Activity of the Hungarian participants in the framework of the co-ordinated project on operator support systems for nuclear power plant is summarized. (author). 55 refs

[Access to prenatal care and quality of care in the Family Health Strategy: infrastructure, care, and management].

Science.gov (United States)

Guimarães, Wilderi Sidney Gonçalves; Parente, Rosana Cristina Pereira; Guimarães, Thayanne Louzada Ferreira; Garnelo, Luiza

2018-05-10

This study focuses on access to prenatal care and quality of care in the Family Health Strategy in Brazil as a whole and in the North region, through evaluation of infrastructure characteristics in the health units, management, and supply of care provided by the teams, from the perspective of regional and state inequalities. A cross-sectional evaluative and normative study was performed, drawing on the external evaluation component of the second round of the Program for Improvement of Access and Quality of Primary Care, in 2013-2014. The results revealed the inadequacy of the primary healthcare network's infrastructure for prenatal care, low adequacy of clinical actions for quality of care, and the teams' low management capacity to guarantee access and quality of care. In the distribution according to geopolitical regions, the findings pertaining to the units' infrastructure indicate a direct relationship between the infrastructure's adequacy and social contexts with higher municipal human development indices and income. For the clinical actions in patient care, the teams in all the regions scored low on adequacy, with slightly better results in the North and South regions of the country. There were important differences between the states of the North, and the states with higher mean income and human development scored higher on adequacy. The results indicate important organizational difficulties in both access and quality of care provided by the health teams, in addition to visible insufficiency in management activities aimed to improve access and quality of prenatal care.

Primary care quality management in Slovenia.

NARCIS (Netherlands)

Boerma, W.G.W.; Kringos, D.S.; Verschuuren, M.; Pellny, M.; Bulc, M.

2008-01-01

Of all GPs in Slovenia 86% are not interested in activities to systematically improve care. A clear national quality policy, further education for care managers and financial incentives for GPs could change the picture, as NIVEL research – done on the initiative of the World Health Organisation

Care for a Patient With Cancer As a Project: Management of Complex Task Interdependence in Cancer Care Delivery.

Science.gov (United States)

Trosman, Julia R; Carlos, Ruth C; Simon, Melissa A; Madden, Debra L; Gradishar, William J; Benson, Al B; Rapkin, Bruce D; Weiss, Elisa S; Gareen, Ilana F; Wagner, Lynne I; Khan, Seema A; Bunce, Mikele M; Small, Art; Weldon, Christine B

2016-11-01

Cancer care is highly complex and suffers from fragmentation and lack of coordination across provider specialties and clinical domains. As a result, patients often find that they must coordinate care on their own. Coordinated delivery teams may address these challenges and improve quality of cancer care. Task interdependence is a core principle of rigorous teamwork and is essential to addressing the complexity of cancer care, which is highly interdependent across specialties and modalities. We examined challenges faced by a patient with early-stage breast cancer that resulted from difficulties in understanding and managing task interdependence across clinical domains involved in this patient's care. We used team science supported by the project management discipline to discuss how various task interdependence aspects can be recognized, deliberately designed, and systematically managed to prevent care breakdowns. This case highlights how effective task interdependence management facilitated by project management methods could markedly improve the course of a patient's care. This work informs efforts of cancer centers and practices to redesign cancer care delivery through innovative, practical, and patient-centered approaches to management of task interdependence in cancer care. Future patient-reported outcomes research will help to determine optimal ways to engage patients, including those who are medically underserved, in managing task interdependence in their own care.

Banking union through Hungarian eyes–assessment of a possible close cooperation

OpenAIRE

Anikó Szombati

2017-01-01

Legislation laying down the first two pillars of the institutional system of the Banking Union was finalised in April 2014. In accordance with the regulations, non-euro area Member States, including Hungary, may notify the ECB at any time if they wish to participate in the common system even before the euro is adopted. The paper aims at summarising the possible pros and cons vis-à-vis the Banking Union from a Hungarian perspective. It highlights the reasons for not opting in at the inception ...

Undead Blond Hair in the Victorian Imagination: The Hungarian Roots of Bram Stoker’s "The Secret of the Growing Gold"

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Abigail Heiniger

2011-01-01

Full Text Available The Hungarian folktale “Woman with Hair of Gold” is a part of what Nina Auerbach calls feminine mythos in Woman and the Demon. It is a story about the murder and revenge of a “very strange but beautiful woman with golden hair as fine as spun gold.” This paper explores how Bram Stoker’s short story “The Secret of the Growing Gold” reworks this folktale, stripping away its uniquely feminine voice, to create a story expressing British Victorian racial anxieties. The message of Teutonic superiority, which Stoker links with Hungarian folklore, is this author’s most dangerous and nefarious fiction.

Options analysis of managed care contracting and regulation: theory and evidence.

Science.gov (United States)

McLean, R A; Magiera, F T

2000-08-01

Managed care contracts can be represented as bundles of options. In particular, the managed care provider is short a call option. To hedge the risk involved in such contracts, managed care contractors can construct several types of virtual put options, among them the ownership of facilities. Agency theory and options theory suggest that for-profit managed care plans, in the presence of debt, will engage in less hedging activity than will other managed care plans. Here, the authors test that hypothesis, using data for Florida HMOs in 1995, and they reject the null hypothesis. That managed care organizations act as if they are short a call option raises interesting regulatory issues, including the possibility of using a hedge-based regulatory scheme in place of a net-worth-based scheme.

The Oral Health Care Manager in a Patient-Centered Health Facility.

Science.gov (United States)

Theile, Cheryl Westphal; Strauss, Shiela M; Northridge, Mary Evelyn; Birenz, Shirley

2016-06-01

The dental hygienist team member has an opportunity to coordinate care within an interprofessional practice as an oral health care manager. Although dental hygienists are currently practicing within interprofessional teams in settings such as pediatric offices, hospitals, nursing homes, schools, and federally qualified health centers, they often still assume traditional responsibilities rather than practicing to the full extent of their training and licenses. This article explains the opportunity for the dental hygiene professional to embrace patient-centered care as an oral health care manager who can facilitate integration of oral and primary care in a variety of health care settings. Based on an innovative model of collaboration between a college of dentistry and a college of nursing, an idea emerged among several faculty members for a new management method for realizing continuity and coordination of comprehensive patient care. Involved faculty members began working on the development of an approach to interprofessional practice with the dental hygienist serving as an oral health care manager who would address both oral health care and a patient's related primary care issues through appropriate referrals and follow-up. This approach is explained in this article, along with the results of several pilot studies that begin to evaluate the feasibility of a dental hygienist as an oral health care manager. A health care provider with management skills and leadership qualities is required to coordinate the interprofessional provision of comprehensive health care. The dental hygienist has the opportunity to lead closer integration of oral and primary care as an oral health care manager, by coordinating the team of providers needed to implement comprehensive, patient-centered care. Copyright © 2016 Elsevier Inc. All rights reserved.

Medical Assistant-based care management for high risk patients in small primary care practices

DEFF Research Database (Denmark)

Freund, Tobias; Peters-Klimm, Frank; Boyd, Cynthia M.

2016-01-01

Background: Patients with multiple chronic conditions are at high risk of potentially avoidable hospital admissions, which may be reduced by care coordination and self-management support. Medical assistants are an increasingly available resource for patient care in primary care practices. Objective......: To determine whether protocol-based care management delivered by medical assistants improves patient care in patients at high risk of future hospitalization in primary care. Design: Two-year cluster randomized clinical trial. Setting: 115 primary care practices in Germany. Patients: 2,076 patients with type 2......, and monitoring delivered by medical assistants with usual care. Measurements: All-cause hospitalizations at 12 months (primary outcome) and quality of life scores (Short Form 12 Health Questionnaire [SF-12] and the Euroqol instrument [EQ-5D]). Results: Included patients had, on average, four co-occurring chronic...

Székelymagyar nemzeti- és kulturálisidentitás-stratégiák a trianoni határokon túl (Székely-Hungarian National and Cultural Identity Strategies beyond the Trianon Borders

Directory of Open Access Journals (Sweden)

Erzsébet Dani

2016-10-01

Full Text Available In twenty-first century Europe the issue of majority/minority conflicts, national identity, and different forms of intercultural communication have become more and more foregrounded. Hungarian identity is a complex problematic in itself because Hungary suffered a serious historical trauma as a result of the 1921 Trianon treaties, in which Székely-Hungarians present an interesting case. This ethnic group had always had an identity of its own in Transylvania. However, the post-Trianon situation differs in that while formerly the Székelys defined themselves and claimed self-determination within (Hungarian culture, they now found themselves in a multicultural world, in which no permissive multiculturality was allowed in the sense we conceive multiculturalism today. They were trapped in an antagonistic intercultural situation, where the borders were redrawn around them so that without leaving their homeland they nevertheless became beyond-the-borders citizens, which has led them to the need to apply various identitymanagement strategies. Post-Trianon Székely literature documents this very struggle of intercultural communication and identity-management strategies. Paradoxically, Transylvanian literature owes its existence as an autonomous entity to Trianon. It is by examining literary texts by Áron Tamási, Rózsa Ignácz, and György Bözödi that I am going to set up a typology of identity-management as reflected in the literature under discussion, a typology which this literature would not yield through traditional critical methods, and one which could be helpful in dealing not only with Székely literature in particular, but with contemporary European intercultural communicative crises in general.

Medicare managed care. How physicians can make it better.

Science.gov (United States)

Roggin, G M

1997-12-01

The federal government is attempting to control anticipated, increased Medicare health care costs by providing the senior population with incentives to encourage their movement into managed care programs. For-profit corporate HMOs that currently dominate the managed care arena are coming under increased competitive pressure at a time when their perception of profiteering is undergoing increased public scrutiny. If physicians are to take advantage of this window of opportunity and successfully enter the Medicare managed care marketplace, they must identify the major deficiencies existing in the current model, and fashion a new product that divests itself of the profit orientation of current corporate HMOs. A nonprofit version of a highly integrated, multispecialty provider service organization (PSO) provides an appropriate model to effectively compete with the corporate HMO. The ideal physician-controlled managed care model must: develop a responsive policy board structure; create practice guidelines that decrease variation in physician practice; achieve an appropriate balance between primary and specialty medical care; and adopt a quality-assurance program that effectively addresses both process and outcome data.

Effect of care management program structure on implementation: a normalization process theory analysis.

Science.gov (United States)

Holtrop, Jodi Summers; Potworowski, Georges; Fitzpatrick, Laurie; Kowalk, Amy; Green, Lee A

2016-08-15

Care management in primary care can be effective in helping patients with chronic disease improve their health status, however, primary care practices are often challenged with implementation. Further, there are different ways to structure care management that may make implementation more or less successful. Normalization process theory (NPT) provides a means of understanding how a new complex intervention can become routine (normalized) in practice. In this study, we used NPT to understand how care management structure affected how well care management became routine in practice. Data collection involved semi-structured interviews and observations conducted at 25 practices in five physician organizations in Michigan, USA. Practices were selected to reflect variation in physician organizations, type of care management program, and degree of normalization. Data were transcribed, qualitatively coded and analyzed, initially using an editing approach and then a template approach with NPT as a guiding framework. Seventy interviews and 25 observations were completed. Two key structures for care management organization emerged: practice-based care management where the care managers were embedded in the practice as part of the practice team; and centralized care management where the care managers worked independently of the practice work flow and was located outside the practice. There were differences in normalization of care management across practices. Practice-based care management was generally better normalized as compared to centralized care management. Differences in normalization were well explained by the NPT, and in particular the collective action construct. When care managers had multiple and flexible opportunities for communication (interactional workability), had the requisite knowledge, skills, and personal characteristics (skill set workability), and the organizational support and resources (contextual integration), a trusting professional relationship

Medicaid Managed Care Enrollment Report

Data.gov (United States)

U.S. Department of Health & Human Services — This report is composed annually and profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. This report also provides...

Selected English-Language Bibliography of Interest for Hungarian Cultural Studies: 2013-2014

OpenAIRE

Louise O. Vasvári

2015-01-01

As the above title indicates, because of the publication schedule of Hungarian Cultural Studies this bibliography straddles 2013-2014, covering the period since the publication in Fall of 2013 of last year’s bibliography in this journal. Each year’s bibliography is supplemented by earlier items that were only retrieved recently. Although this bibliography series can only concentrate on English-language items, occasional items of particular interest in other languages may be included.      ...

Marketing quality and value to the managed care market.

Science.gov (United States)

Kazmirski, G

1998-11-01

Quantifying quality and marketing care delivery have been long-term challenges in the health care market. Insurers, employers, other purchasers of care, and providers face a constant challenge in positioning their organizations in a proactive, competitive niche. Tools that measure patient's self-reported perception of health care needs and expectations have increased the ability to quantify quality of care delivery. When integrated with case management and disease management strategies, outcomes reporting and variance analysis tracking can be packaged to position a provider in a competitive niche.

Responding to financial pressures. The effect of managed care on hospitals' provision of charity care.

Science.gov (United States)

Mas, Núria

2013-06-01

Healthcare financing and insurance is changing everywhere. We want to understand the impact that financial pressures can have for the uninsured in advanced economies. To do so we focus on analyzing the effect of the introduction in the US of managed care and the big rise in financial pressures that it implied. Traditionally, in the US safety net hospitals have financed their provision of unfunded care through a complex system of cross-subsidies. Our hypothesis is that financial pressures undermine the ability of a hospital to cross-subsidize and challenges their survival. We focus on the impact of price pressures and cost-controlling mechanisms imposed by managed care. We find that financial pressures imposed by managed care disproportionately affect the closure of safety net hospitals. Moreover, amongst those hospitals that remain open, in areas where managed care penetration increases the most, they react by closing the health services most commonly used by the uninsured.

Factors associated with integrating self-management support into primary care.

Science.gov (United States)

Crespo, Richard; Shrewsberry, Molly

2007-06-01

The purpose of this article is to expand the understanding of self-management support by describing factors that contribute to implementing a comprehensive self-management program in primary care. Four rural health centers in medically underserved areas participated in a study to document the implementation of a self-management program. This program consisted of a social marketing plan and decision-making tools to guide patients in making self-management behavior changes. The stages of change constructs of the transtheoretical model were used to design the social marketing plan. Key informant interviews were conducted at 6-month and 9-month intervals to document the implementation process. A standardized set of questions was used in the interviews. The data from the interviews were analyzed using content analysis techniques. One of the principle findings is that self-management support requires putting a system in place, not just adding a new component to primary care. The health centers that fully implemented the self-management program made an organizational commitment to keep self-management on the agenda in management meetings, clinical staff set the example by adopting self-management behaviors, and patient self-management support was implemented in multiple patient care venues. Primary care centers with limited financial resources are able to integrate self-management support into their system of chronic illness care.

Some characteristics of the Hungarian power systems long term expansion strategy

International Nuclear Information System (INIS)

Fazekas, A.

1995-01-01

The formulation of the power system expansion strategy meeting the targets of the Hungarian energy policy is justified by the ageing of the existing power plants, the technology change unavoidable because of the more and more rigorous environment protection regulations, the requirement of updating and by the compliance with the expectation of safe electric power supply. These requirements (fuel supply and diversification, economic considerations, operational and environmental considerations) call for the construction of new power plant units even if the demand for electric power would not show any further increase in future. 1 tab

Use of Care Paths to Improve Patient Management

Science.gov (United States)

Campbell, Suzann K.

2013-01-01

The purpose of this special issue of Physical & Occupational Therapy in Pediatrics is to present an evidence-based system to guide the physical therapy management of patients in the Neonatal Intensive Care Unit (NICU). Two systematic guides to patient management will be presented. The first is a care path intended primarily for use by physical…

Assessment, authorization and access to medicaid managed mental health care.

Science.gov (United States)

Masland, Mary C; Snowden, Lonnie R; Wallace, Neal T

2007-11-01

Examined were effects on access of managed care assessment and authorization processes in California's 57 county mental health plans. Primary data on managed care implementation were collected from surveys of county plan administrators; secondary data were from Medicaid claims and enrollment files. Using multivariate fixed effects regression, we found that following implementation of managed care, greater access occurred in county plans where assessments and treatment were performed by the same clinician, and where service authorizations were made more rapidly. Lower access occurred in county plans where treating clinicians authorized services themselves. Results confirm the significant effects of managed care processes on outcomes and highlight the importance of system capacity.

A guide to wound managment in palliative care.

Science.gov (United States)

Naylor, Wayne A

2005-11-01

Wound management in palliative patients is often a very challenging area of care. There are many unique issues that can combine to produce complicated wound management scenarios, including the types of wounds and wound symptoms most commonly affecting palliative care patients, as well as the presence of concurrent disease and associated treatment. Problems exist with the availability of suitable dressings and balancing life expectancy with the goals of wound care. A significant, and possibly under-recognized, issue is the emotional and social distress experienced by these patients, which can be directly attributed to their wound. These problems must all be recognized and addressed in order to manage wounds effectively in this patient population. This article aims to explore these issues and offer advice on the management of wound-related symptoms, with the ultimate goal of improving patients' quality of life.

Participative management in health care services.

Science.gov (United States)

Muller, M

1995-03-01

The need and demand for the highest-quality management of all health care delivery activities requires a participative management approach. The purpose with this article is to explore the process of participative management, to generate and describe a model for such management, focusing mainly on the process of participative management, and to formulate guidelines for operationalization of the procedure. An exploratory, descriptive and theory-generating research design is pursued. After a brief literature review, inductive reasoning is mainly employed to identify and define central concepts, followed by the formulation of a few applicable statements and guidelines. Participative management is viewed as a process of that constitutes the elements of dynamic interactive decision-making and problem-solving, shared governance, empowerment, organisational transformation, and dynamic communication within the health care organisation. The scientific method of assessment, planning, implementation and evaluation is utilised throughout the process of participative management. A continuum of interactive decision-making and problem-solving is described, the different role-players involved, as well as the levels of interactive decision-making and problem-solving. The most appropriate decision-making strategy should be employed in pro-active and reactive decision-making. Applicable principles and assumptions in each element of participative management is described. It is recommended that this proposed model for participative management be refined by means of a literature control, interactive dialogue with experts and a model case description or participative management, to ensure the trustworthiness of this research.

Agreement and Diagnostic Performance of FITNESSGRAM®, International Obesity Task Force, and Hungarian National BMI Standards

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Laurson, Kelly R.; Welk, Gregory J.; Marton, Orsolya; Kaj, Mónika; Csányi, Tamás

2015-01-01

Purpose: This study examined agreement between all 3 standards (as well as relative diagnostic associations with metabolic syndrome) using a representative sample of youth from the Hungarian National Youth Fitness Study. Method: Body mass index (BMI) was assessed in a field sample of 2,352 adolescents (ages 10-18.5 years) and metabolic syndrome…

Beware of the Dog! Private Linguistic Landscapes in Two "Hungarian" Villages in South-West Slovakia

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Laihonen, Petteri

2016-01-01

This study demonstrates how a single type of sign can be connected to language policy on a larger scale. Focusing on the relationship between language policy and language ideologies, I investigate the private Linguistic Landscape (LL) of Hungarians living in two villages in Slovakia. Through an examination of "beware of the dog" signs,…

Implementing practice management strategies to improve patient care: the EPIC project.

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Attwell, David; Rogers-Warnock, Leslie; Nemis-White, Joanna

2012-01-01

Healthcare gaps, the difference between usual care and best care, are evident in Canada, particularly with respect to our aging, ailing population. Primary care practitioners are challenged to identify, prevent and close care gaps in their practice environment given the competing demands of informed, litigious patients with complex medical needs, ever-evolving scientific evidence with new treatment recommendations across many disciplines and an enhanced emphasis on quality and accountability in healthcare. Patient-centred health and disease management partnerships using measurement, feedback and communication of practice patterns and outcomes have been shown to narrow care gaps. Practice management strategies such as the use of patient registries and recall systems have also been used to help practitioners better understand, follow and proactively manage populations of patients in their practice. The Enhancing Practice to Improve Care project was initiated to determine the impact of a patient-centred health and disease management partnership using practice management strategies to improve patient care and outcomes for patients with chronic kidney disease (CKD). Forty-four general practices from four regions of British Columbia participated and, indeed, demonstrated that care and outcomes for patients with CKD could be improved via the implementation of practice management strategies in a patient-centred partnership measurement model of health and disease management.

VHA Support Service Center Primary Care Management Module (PCMM)

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Department of Veterans Affairs — The Primary Care Management Module (PCMM) was developed to assist VA facilities in implementing Primary Care. PCMM supports both Primary Care and non-Primary Care...

Creating a “Vocabulary of Rupture” Following WWII Sexual Violence in Hungarian Women Writers’ Narratives

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Agatha Schwartz

2017-09-01

Full Text Available In this paper, Schwartz analyses three narratives by Hungarian women writers— Alaine Polcz’s Asszony a fronton (A Wartime Memoir, Judit Kováts’s Megtagadva [‘Denied’] and Fanni Gyarmati Miklósné Radnóti’s Napló [‘Diary’]—with regard to their representation of the rapes of Hungarian women by Red Army soldiers during WWII. Schwartz examines to what degree the rapes are positioned as a “rupture” in the first person narrators’ lives, and how the three narratives offer elements of a “vocabulary of rupture” (Butalia 2000 so as to work through traumatic memory and thus come to terms with both the short-term and long-term effects of trauma and social stigmatization. Even though the narratives eschew a black-and-white portrayal of the rapists, an orientalist stereotying is nonetheless present. Schwartz concludes with Avery Gordon that these and other rape narratives can be read as part of the process of settling the ghosts of a still unresolved past violence yet beyond simple ideological binaries along the victim-perpetrator line.

Researching the Spatial Aspects of the Romani-Hungarian coexistence by the Means of Mental Mapping

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Tünde Bogárdi

2016-12-01

Full Text Available In our study we shall analyse the spatial aspects of the Romani-Hungarian coexistence based on the field research results of the village seminar workshop organized by the Szent István University (Gödöllő. We present two different situations: one segregate analysis using Baks as an example, where we find a settlement considered as majority, and a Romani segregate; and provincial ghettoization using Átány as an example, where due to a previous site termination the Romani people dispersed over the whole village area. We conducted surveys in both settlements in order to find out the local residents’ opinion on the development of the value of the inhabited area. Our goal on the one hand is to present the method of ethnicity analysis by mental mapping in rural areas, and on the other in addition to offering methodological practices is to point out a few important takeaways of the spatiality of the Romani-Hungarian coexistence based on our actual experiences.

Nurses' knowledge and barriers regarding pain management in intensive care units.

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Wang, Hsiang-Ling; Tsai, Yun-Fang

2010-11-01

To explore nurses' knowledge and barriers regarding pain management in intensive care units. Pain is a common and treatable condition among intensive care patients. Quality care of these patients depends on the pain knowledge and pain management skills of critical care nurses. However, no single study has explored these nurses' knowledge of and perceived barriers to pain management in Taiwan. A cross-sectional study. Intensive care unit nurses (n = 370) were recruited from 16 hospitals chosen by stratified sampling across Taipei County in Taiwan. Data were collected on nurses' knowledge of pain management using the Nurses' Knowledge and Attitudes Survey-Taiwanese version, on perceived barriers to pain management using a researcher-developed scale and on background information. The overall average correct response rate for the knowledge scale was 53.4%, indicating poor knowledge of pain management. The top barrier to managing pain identified by these nurses was 'giving proper pain prescription needs doctor's approval; can't depend on me'. Knowledge of pain management was significantly and negatively related to perceived barriers to pain management. In addition, scores for knowledge and perceived barriers differed significantly by specific intensive care unit. Knowledge also differed significantly by nurses' education level, clinical competence level (nursing ladder) and hospital accreditation category. Our results indicate an urgent need to strengthen pain education by including case analysis for intensive care nurses in Taiwan. Pain education should target knowledge deficits and barriers to changing pain management approaches for Taiwanese nurses in intensive care units. © 2010 Blackwell Publishing Ltd.

Hungarian Population Discourses in the Twentieth Century: The Problem of Declining Birth Rates

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Ildikó Szántó

2016-01-01

Full Text Available Falling birth rates had already been recorded as early as the late-eighteenth century in south-western Hungary in the Ormánság. Population loss from low birth rate remained one of the main topics writers and sociologists focused on in the twentieth century. The issue of Hungarian population decline was highlighted among the social ills in the interwar period, which was one of several subjects that divided intellectuals into ‘populists’ and ‘urbanites’. Following the impact of the low birth rate figures in the 1960s, the populists’ views of the 1930s resurfaced in public discourse in the 1960s and 1970s and up to the present day. The concern about the increasing trend of single-child families in rural settlements as well as in urban areas appeared in the various works of Hungarian writers and journalists throughout the previous century. The present paper intends to focus on the intellectual background to the public debates on the population issue, outlining the accounts of the interwar ‘village explorers’ briefly, and the way they are related to the pre-Second World War populist movement. Finally the reappearance of the debates between populists and non-populists of the 1970s is discussed, a debate that is still continuing.

Emotion management in children′s palliative care nursing

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Eryl Zac Maunder

2008-01-01

Full Text Available This article explores the emotional labor involved for nurses providing palliative care for children/young people living with life-limiting illnesses/conditions, and their families. It highlights the challenges nurses face in managing their emotion when caring for children/young people and their families, and explores strategies to enable nurses to cope with this aspect of their role without compromising their personal wellbeing. It suggests that emotional labor within nursing goes largely unrecorded, and remains undervalued by managers and health care services.

Embedding care management in the medical home: a case study.

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Daaleman, Timothy P; Hay, Sherry; Prentice, Amy; Gwynne, Mark D

2014-04-01

Care managers are playing increasingly significant roles in the redesign of primary care and in the evolution of patient-centered medical homes (PCMHs), yet their adoption within day-to-day practice remains uneven and approaches for implementation have been minimally reported. We introduce a strategy for incorporating care management into the operations of a PCMH and assess the preliminary effectiveness of this approach. A case study of the University of North Carolina at Chapel Hill Family Medicine Center used an organizational model of innovation implementation to guide the parameters of implementation and evaluation. Two sources were used to determine the effectiveness of the implementation strategy: data elements from the care management informatics system in the health record and electronic survey data from the Family Medicine Center providers and care staff. A majority of physicians (75%) and support staff (82%) reported interactions with the care manager, primarily via face-to-face, telephone, or electronic means, primarily for facilitating referrals for behavioral health services and assistance with financial and social and community-based resources. Trend line suggests an absolute decrease of 8 emergency department visits per month for recipients of care management services and an absolute decrease of 7.5 inpatient admissions per month during the initial 2-year implementation period. An organizational model of innovation implementation is a potentially effective approach to guide the process of incorporating care management services into the structure and workflows of PCMHs.

Cynical References to Political Correctness in Hungarian Media in the 2000s

OpenAIRE

Erzsébet Barát

2011-01-01

In this paper I analyze the strategy in Hungarian public discourse for discrediting feminism in the media in the early 2000s. The strategy consists in the systematic conflation of feminism with the demand for “politically correct” language. My analysis will show that the motivation for the conflation occurs, on the one hand, in the name of tolerance or, on the other, to the determent of feminism. These apparently very different discourses, however, overlap and are effects of the same strategy...

Price elasticity and pharmaceutical selection: the influence of managed care.

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Domino, Marisa Elena; Salkever, David S

2003-07-01

State Medicaid programs are turning increasingly to managed care to control expenditures, although the types of managed care programs in use have changed dramatically. Little is known about the influence of the shifting Medicaid managed care arena on treatment decisions. This paper investigates factors affecting the selection of treatments for depression by providers participating in either of two Medicaid managed care programs. Of particular interest is the influence of medication price on the choice of treatment, since one vehicle through which managed care organizations can reduce total expenditures is by increasing the price sensitivity of participating providers. We take a new approach by phrasing the problem as a discrete choice, using a nested multinomial logit model for the analyses. Contrary to earlier literature, we find some evidence that physicians in both programs do take price into consideration when selecting among treatment options. HMO providers in particular demonstrate increased price sensitivity in the two most commonly prescribed categories of antidepressants. Copyright 2002 John Wiley & Sons, Ltd.

Health information technology: transforming chronic disease management and care transitions.

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Rao, Shaline; Brammer, Craig; McKethan, Aaron; Buntin, Melinda B

2012-06-01

Adoption of health information technology (HIT) is a key effort in improving care delivery, reducing costs of health care, and improving the quality of health care. Evidence from electronic health record (EHR) use suggests that HIT will play a significant role in transforming primary care practices and chronic disease management. This article shows that EHRs and HIT can be used effectively to manage chronic diseases, that HIT can facilitate communication and reduce efforts related to transitions in care, and that HIT can improve patient safety by increasing the information available to providers and patients, improving disease management and safety. Copyright © 2012 Elsevier Inc. All rights reserved.

Making it local: Beacon Communities use health information technology to optimize care management.

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Allen, Amy; Des Jardins, Terrisca R; Heider, Arvela; Kanger, Chatrian R; Lobach, David F; McWilliams, Lee; Polello, Jennifer M; Rein, Alison L; Schachter, Abigail A; Singh, Ranjit; Sorondo, Barbara; Tulikangas, Megan C; Turske, Scott A

2014-06-01

Care management aims to provide cost-effective, coordinated, non-duplicative care to improve care quality, population health, and reduce costs. The 17 communities receiving funding from the Office of the National Coordinator for Health Information Technology through the Beacon Community Cooperative Agreement Program are leaders in building and strengthening their health information technology (health IT) infrastructure to provide more effective and efficient care management. This article profiles 6 Beacon Communities' health IT-enabled care management programs, highlighting the influence of local context on program strategy and design, and describing challenges, lessons learned, and policy implications for care delivery and payment reform. The unique needs (eg, disease burden, demographics), community partnerships, and existing resources and infrastructure all exerted significant influence on the overall priorities and design of each community's care management program. Though each Beacon Community needed to engage in a similar set of care management tasks--including patient identification, stratification, and prioritization; intervention; patient engagement; and evaluation--the contextual factors helped shape the specific strategies and tools used to carry out these tasks and achieve their objectives. Although providers across the country are striving to deliver standardized, high-quality care, the diverse contexts in which this care is delivered significantly influence the priorities, strategies, and design of community-based care management interventions. Gaps and challenges in implementing effective community-based care management programs include: optimizing allocation of care management services; lack of available technology tailored to care management needs; lack of standards and interoperability; integrating care management into care settings; evaluating impact; and funding and sustainability.

COPD self-management supportive care: chaos and complexity theory.

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Cornforth, Amber

This paper uses the emergent theories of chaos and complexity to explore the self-management supportive care of chronic obstructive pulmonary disease (COPD) patients within the evolving primary care setting. It discusses the concept of self-management support, the complexity of the primary care context and consultations, smoking cessation, and the impact of acute exacerbations and action planning. The author hopes that this paper will enable the acquisition of new insight and better understanding in this clinical area, as well as support meaningful learning and facilitate more thoughtful, effective and high quality patient-centred care within the context of primary care.

Customer service: the key to remaining competitive in managed care.

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Howard, J E

2000-01-01

The health care industry is undergoing a rapid transformation to meet the ever-increasing needs and demands of its patient population. Employers and managed care organizations are demanding better service and higher quality care, while providers are trying to tackle reimbursement cutbacks, streamlining of services, and serving a diverse population. Providers have begun to realize that to overcome these obstacles and meet the needs of their health plans and consumers, they must focus on the demands of their customers. Health care organizations have found they can meet the demands of both the consumer and the managed care industry through initiating and maintaining a customer service program. This essay explains the importance of customer service and its link to success in the managed care environment.

Specialty pharmaceuticals care management in an integrated health care delivery system with electronic health records.

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Monroe, C Douglas; Chin, Karen Y

2013-05-01

The specialty pharmaceuticals market is expanding more rapidly than the traditional pharmaceuticals market. Specialty pharmacy operations have evolved to deliver selected medications and associated clinical services. The growing role of specialty drugs requires new approaches to managing the use of these drugs. The focus, expectations, and emphasis in specialty drug management in an integrated health care delivery system such as Kaiser Permanente (KP) can vary as compared with more conventional health care systems. The KP Specialty Pharmacy (KP-SP) serves KP members across the United States. This descriptive account addresses the impetus for specialty drug management within KP, the use of tools such as an electronic health record (EHR) system and process management software, the KP-SP approach for specialty pharmacy services, and the emphasis on quality measurement of services provided. Kaiser Permanente's integrated system enables KP-SP pharmacists to coordinate the provision of specialty drugs while monitoring laboratory values, physician visits, and most other relevant elements of the patient's therapy. Process management software facilitates the counseling of patients, promotion of adherence, and interventions to resolve clinical, logistic, or pharmacy benefit issues. The integrated EHR affords KP-SP pharmacists advantages for care management that should become available to more health care systems with broadened adoption of EHRs. The KP-SP experience may help to establish models for clinical pharmacy services as health care systems and information systems become more integrated.

Health care units and human resources management trends.

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André, Adriana Maria; Ciampone, Maria Helena Trench; Santelle, Odete

2013-02-01

To identify factors producing new trends in basic health care unit management and changes in management models. This was a prospective study with ten health care unit managers and ten specialists in the field of Health in São Paulo, Southeastern Brazil, in 2010. The Delphi methodology was adopted. There were four stages of data collection, three quantitative and the fourth qualitative. The first three rounds dealt with changing trends in management models, manager profiles and required competencies, and the Mann-Whitney test was used in the analysis. The fourth round took the form of a panel of those involved, using thematic analysis. The main factors which are driving change in basic health care units were identified, as were changes in management models. There was consensus that this process is influenced by the difficulties in managing teams and by politics. The managers were found to be up-to-date with trends in the wider context, with the arrival of social health organizations, but they are not yet anticipating these within the institutions. Not only the content, but the professional development aspect of training courses in this area should be reviewed. Selection and recruitment, training and assessment of these professionals should be guided by these competencies aligned to the health service mission, vision, values and management models.

Four-handed Chirping of Birds or, The Adventure of two Hungarian Translators with Flann O’Brien’s Book-web

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Erika Mihálycsa

2013-03-01

Full Text Available The essay articulates the specific translation problems encountered in translating Flann O’Brien’s ludic novel At Swim-Two-Birds (1939 into Hungarian in a framework of translation studies, also drawing on research on Joyce in translation. It tackles issues such as the necessity to invent literary styles for the book’s embedded style parodies, especially where the ‘originals’ are unknown in the TL culture; and the choice of idiom/ minor language(s (Hiberno-English, as well as the Finn/Sweeny translatorese, for which a form of the TL that could function as a translated idiom had to be invented. As a possibility, harnessing Transylvanian Hungarian is explored – somewhat similarly to A. Oţoiu’s Romanian version of ASTB (2005, which also resorts to Transylvanian Romanian accents for rendering the same idiolects. Further points of interest are the issue of Gaelic red herrings and direct translations from the Gaelic; the possibilities of foreignizing language use, especially in the frame of Latinate pedantry; the strategies for rendering the (misquotes, literary references, Joycean allusions; and, last but far from least, the translators’ adventures with Flann O’Brien’s vicious puns. The essay also explores the four-handed translation process, resulting in a dialogic, and multilayered, Hungarian text that attempts to speak in as many styles and voices as the original.

Integrated Pest Management: A Curriculum for Early Care and Education Programs

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California Childcare Health Program, 2011

2011-01-01

This "Integrated Pest Management Toolkit for Early Care and Education Programs" presents practical information about using integrated pest management (IPM) to prevent and manage pest problems in early care and education programs. This curriculum will help people in early care and education programs learn how to keep pests out of early…

Knowledge management: organizing nursing care knowledge.

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Anderson, Jane A; Willson, Pamela

2009-01-01

Almost everything we do in nursing is based on our knowledge. In 1984, Benner (From Novice to Expert: Excellence and Power in Clinical Nursing Practice. Menlo Park, CA: Addison-Wesley; 1984) described nursing knowledge as the culmination of practical experience and evidence from research, which over time becomes the "know-how" of clinical experience. This "know-how" knowledge asset is dynamic and initially develops in the novice critical care nurse, expands within competent and proficient nurses, and is actualized in the expert intensive care nurse. Collectively, practical "know-how" and investigational (evidence-based) knowledge culminate into the "knowledge of caring" that defines the profession of nursing. The purpose of this article is to examine the concept of knowledge management as a framework for identifying, organizing, analyzing, and translating nursing knowledge into daily practice. Knowledge management is described in a model case and implemented in a nursing research project.

RN Diabetes Virtual Case Management: A New Model for Providing Chronic Care Management.

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Brown, Nancy N; Carrara, Barbara E; Watts, Sharon A; Lucatorto, Michelle A

2016-01-01

The U.S. chronic disease health care system has substantial gaps in delivery of services. New models of care change traditional delivery of care and explore new settings for care. This article describes a new model of diabetes chronic care delivery: nurse-delivered care that includes protocol-based insulin titration and patient education delivered solely in a virtual environment. In phase 1, the clinical outcome of time to achievement of glycated hemoglobin (A(1C)) goals (P managed insulin titration protocol with individualized A(1C) goals had a significant (P Safety was demonstrated by the absence of hypoglycemia related to RN protocol adjustment. There were no admissions or emergency room (ER) visits for hypoglycemia. This study demonstrates safety and efficacy of RN virtual chronic disease management for an older population of patients with long-standing diabetes.

[Relationship of the effectiveness of care management services and burdens of primary family caregivers].

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Lee, Chia-Ling; Liu, Li-Fan; Chen, Shuh-Sin; Lin, Hsiu-Chun

2014-02-01

In Taiwan, long-term care management centers hold primary responsibility for administering long-term care services, assisting with long-term care placements, and sharing the care burden with family caregivers in need. Research into the effectiveness of current care management services and the effectiveness of these services in reducing care burdens remains limited. This study investigates the relationship among care management center service effectiveness, care management personnel, and burdens in relation to the provision of care services from the prospective of caregivers. A purposive sampling method and structured questionnaire survey were used to conduct telephone interviews with 154 home caregivers who had been transferred from care management centers to homecare service centers. Participants expressed overall satisfaction with care management centers and with the services provided by these centers. Satisfaction toward the care managers' professional competence was associated with lower physical burden for caregivers. Participants' psychological and social burdens were associated with overall satisfaction with the care management centers and their satisfaction with the services provided by care managers. The implementation of care management services has improved satisfaction. However, center services remain inadequate to reduce the psychological and social burdens of caregivers. Greater focus on these two aspects will be critical to the successful implementation of the proposed intensive care management model and multiple services intervention in order to meet the complex care needs of home service recipients and their primary caregivers.

Preparing Students for Practice in a Managed Care Environment

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Claiborne, Nancy; Fortune, Anne

2005-01-01

Managed care has profound effects on health and mental health service delivery in the United States. This article describes the knowledge that students need for effective social work practice within a managed care environment and evaluates a course to deliver the content. (Contains 3 tables.)

A magyar lóversenyek világa az Osztrák–Magyar Monarchiában - Horse Races in the Austro–Hungarian Empire

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KÓSA, Maja

2014-09-01

Full Text Available As the well-known proverb reads: Hungarians are born to ride horses. Our centuries-old equestrian culture had many different stages, but the time of the Austro-Hungarian Empire was a decisive epoch when the Hungarian horse breeding could prosper. In this article I discuss this era through the efforts of Count István Széchenyi and Baron Mikós Wesselényi for horse breeding. With a detailed description of the horse races I intend to highlight the versatility of this era. People of different status could reach a consensus during the turf which became an important scene of politics, economy and community life. It was the world of wealthy stable owners where the most prominent beasts of the internationally renowned horse breeding competed, where the members of the petite bourgeoisie found amusement in their bets; it meant self-denial for jockeys and fashion for ladies. Horse races simultaneously dissolved and deepened social contradictions while they involved many political and economic opportunities.

[The hospital perspective: disease management and integrated health care].

Science.gov (United States)

Schrappe, Matthias

2003-06-01

Disease Management is a transsectoral, population-based form of health care, which addresses groups of patients with particular clinical entities and risk factors. It refers both to an evidence-based knowledge base and corresponding guidelines, evaluates outcome as a continuous quality improvement process and usually includes active participation of patients. In Germany, the implementation of disease management is associated with financial transactions for risk adjustment between health care assurances [para. 137 f, Book V of Social Code (SGB V)] and represents the second kind of transsectoral care, besides a program designed as integrated health care according to para. 140 a ff f of Book V of Social Code. While in the USA and other countries disease management programs are made available by several institutions involved in health care, in Germany these programs are offered by health care insurers. Assessment of disease management from the hospital perspective will have to consider three questions: How large is the risk to compensate inadequate quality in outpatient care? Are there synergies in internal organisational development? Can the risk of inadequate funding of the global "integrated" budget be tolerated? Transsectoral quality assurance by valid performance indicators and implementation of a quality improvement process are essential. Internal organisational changes can be supported, particularly in the case of DRG introduction. The economic risk and financial output depends on the kind of disease being focussed by the disease management program. In assessing the underlying scientific evidence of their cost effectiveness, societal costs will have to be precisely differentiated from hospital-associated costs.

Using patient acuity data to manage patient care outcomes and patient care costs.

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Van Slyck, A; Johnson, K R

2001-01-01

This article describes actual reported uses for patient acuity data that go beyond historical uses in determining staffing allocations. These expanded uses include managing patient care outcomes and health care costs. The article offers the patient care executive examples of how objective, valid, and reliable data are used to drive approaches to effectively influence decision making in an increasingly competitive health care environment.

Muscle dysmorphia in Hungarian non-competitive male bodybuilders.

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Babusa, B; Túry, F

2012-03-01

Muscle dysmorphia (MD) has been described as a male body image disorder, characterized by a pathological preoccupation with muscle size. The aim of the study was to examine the MD features, eating disorder characteristics and body attitudes in non-competitive male bodybuilders in a Hungarian sample. Sixty male bodybuilders and 60 undergraduate university students completed the self-report questionnaires of the Muscle Appearance Satisfaction Scale, the Body Attitude Test and the Eating Disorders Inventory. MD was associated with current bodybuilding activity, higher ideal body weight and eating disorder characteristics. Moreover, current selfreported steroid users displayed higher tendency for MD symptoms than self-reported steroid non-users. Results emphasize the relationship between MD symptoms, eating disorder characteristics and steroid use. MD and body image related concerns among men could be a wide-spread phenomena also in the Central-Eastern European region.

[Organization of health services and tuberculosis care management].

Science.gov (United States)

Barrêto, Anne Jaquelyne Roque; de Sá, Lenilde Duarte; Nogueira, Jordana de Almeida; Palha, Pedro Fredemir; Pinheiro, Patrícia Geórgia de Oliveira Diniz; de Farias, Nilma Maria Porto; Rodrigues, Débora Cezar de Souza; Villa, Tereza Cristina Scatena

2012-07-01

The scope of this study was to analyze the discourse of managers regarding the relationship between the organization of the health services and tuberculosis care management in a city in the metropolitan region of João Pessoa, State of Pernambuco. Using qualitative research in the analytical field of the French line of Discourse Analysis, 16 health workers who worked as members of the management teams took part in the study. The transcribed testimonials were organized using Atlas.ti version 6.0 software. After detailed reading of the empirical material, an attempt was made to identify the paraphrasic, polyssemic and metaphoric processes in the discourses, which enabled identification of the following discourse formation: Organization of the health services and the relation with TB care management: theory and practice. In the discourse of the managers the fragmentation of the actions of control of tuberculosis, the lack of articulation between the services and sectors, the compliance of the specific activities for TB, as well as the lack of strategic planning for management of care of the disease are clearly revealed. In this respect, for the organization of the health services to be effective, it is necessary that tuberculosis be considered a priority and acknowledged as a social problem in the management agenda.

Kandó-Melocco, Ferenc. 2015. An Anti-Nazi at Hitler's Table: Political Memoirs of a Hungarian Nobleman Who Dared to Oppose Both Hitler and the Communists. (trans. and ed. Esther Kando Odescalchi. North Charleston, SC: CreateSpace. 162 pp., Illus.; Odescalchi, Esther Kando. 2016. My Escape: Memoirs of a Hungarian Teenage Freedom Fighter. North Charleston, SC: CreateSpace. Illus. 148 pp.

Directory of Open Access Journals (Sweden)

Ruth G. Biro

2017-09-01

Full Text Available Kandó-Melocco, Ferenc. 2015. An Anti-Nazi at Hitler's Table: Political Memoirs of a Hungarian Nobleman Who Dared to Oppose Both Hitler and the Communists. (trans. and ed. Esther Kando Odescalchi. North Charleston, SC: CreateSpace. 162 pp., Illus.; Odescalchi, Esther Kando. 2016. My Escape: Memoirs of a Hungarian Teenage Freedom Fighter. North Charleston, SC: CreateSpace. Illus. 148 pp.

The European initiative for quality management in lung cancer care

DEFF Research Database (Denmark)

Blum, Torsten G; Rich, Anna; Baldwin, David

2014-01-01

. The Task Force undertook four projects: 1) a narrative literature search on quality management of lung cancer; 2) a survey of national and local infrastructure for lung cancer care in Europe; 3) a benchmarking project on the quality of (inter)national lung cancer guidelines in Europe; and 4) a feasibility...... study of prospective data collection in a pan-European setting. There is little peer-reviewed literature on quality management in lung cancer care. The survey revealed important differences in the infrastructure of lung cancer care in Europe. The European guidelines that were assessed displayed wide...... countries. The European Initiative for Quality Management in Lung Cancer Care has provided the first comprehensive snapshot of lung cancer care in Europe....

Managing Bias in Palliative Care: Professional Hazards in Goals of Care Discussions at the End of Life.

Science.gov (United States)

Callaghan, Katharine A; Fanning, Joseph B

2018-02-01

In the setting of end-of-life care, biases can interfere with patient articulation of goals and hinder provision of patient-centered care. No studies have addressed clinician bias or bias management specific to goals of care discussions at the end of life. To identify and determine the prevalence of palliative care clinician biases and bias management strategies in end-of-life goals of care discussions. A semistructured interview guide with relevant domains was developed to facilitate data collection. Participants were asked directly to identify biases and bias management strategies applicable to this setting. Two researchers developed a codebook to identify themes using a 25% transcript sample through an iterative process based on grounded theory. Inter-rater reliability was evaluated using Cohen κ. It was 0.83, indicating near perfect agreement between coders. The data approach saturation. A purposive sampling of 20 palliative care clinicians in Middle Tennessee participated in interviews. The 20 clinicians interviewed identified 16 biases and 11 bias management strategies. The most frequently mentioned bias was a bias against aggressive treatment (n = 9), described as a clinician's assumption that most interventions at the end of life are not beneficial. The most frequently mentioned bias management strategy was self-recognition of bias (n = 17), described as acknowledging that bias is present. This is the first study identifying palliative care clinicians' biases and bias management strategies in end-of-life goals of care discussions.

The impact of managed care and current governmental policies on an urban academic health care center.

Science.gov (United States)

Rodriguez, J L; Peterson, D J; Muehlstedt, S G; Zera, R T; West, M A; Bubrick, M P

2001-10-01

Managed care and governmental policies have restructured hospital reimbursement. We examined reimbursement trends in trauma care to assess the impact of this market driven change on an urban academic health center. Patients injured between January 1997 and December 1999 were analyzed for Injury Severity Score (ISS), length of hospital stay, hospital cost, payer, and reimbursement. Between 1997 and 1999, the volume of patients with an ISS less than 9 increased and length of stay decreased. In addition, overall cost, payment, and profit margin increased. Commercially insured patients accounted for this margin increase, because the margins of managed care and government insured patients experienced double-digit decreases. Patients with ISS of 9 or greater also experienced a volume increase and a reduction in length of stay; however, costs within this group increased greater than payments, thereby reducing profit margin. Whereas commercially insured patients maintained their margin, managed care and government insured patients did not (double- and triple-digit decreases). Managed care and current governmental policies have a negative impact on urban academic health center reimbursement. Commercial insurers subsidize not only the uninsured but also the government insured and managed care patients as well. National awareness of this issue and policy action are paramount to urban academic health centers and may also benefit commercial insurers.

Managed care, vertical integration strategies and hospital performance.

Science.gov (United States)

Wang, B B; Wan, T T; Clement, J; Begun, J

2001-09-01

The purpose of this study is to examine the association of managed care with hospital vertical integration strategies, as well as to observe the relationships of different types of vertical integration with hospital efficiency and financial performance. The sample consists of 363 California short-term acute care hospitals in 1994. Linear structure equation modeling is used to test six hypotheses derived from the strategic adaptation model. Several organizational and market factors are controlled statistically. Results suggest that managed care is a driving force for hospital vertical integration. In terms of performance, hospitals that are integrated with physician groups and provide outpatient services (backward integration) have better operating margins, returns on assets, and net cash flows (p < 0.01). These hospitals are not, however, likely to show greater productivity. Forward integration with a long-term-care facility, on the other hand, is positively and significantly related to hospital productivity (p < 0.001). Forward integration is negatively related to financial performance (p < 0.05), however, opposite to the direction hypothesized. Health executives should be responsive to the growth of managed care in their local market and should probably consider providing more backward integrated services rather than forward integrated services in order to improve the hospital's financial performance in today's competitive health care market.

Primary care referral management: a marketing strategy for hospitals.

Science.gov (United States)

Bender, A D; Geoghegan, S S; Lundquist, S H; Cantone, J M; Krasnick, C J

1990-06-01

With increasing competition among hospitals, primary care referral development and management programs offer an opportunity for hospitals to increase their admissions. Such programs require careful development, the commitment of the hospital staff to the strategy, an integration of hospital activities, and an understanding of medical practice management.

New hospital structure in the twenty-first century: the position of level III (tertiary) neurological and stroke care in a changing healthcare system.

Science.gov (United States)

Szentes, Tamás; Kovács, László; Óváry, Csaba

2016-01-01

The determination of the necessary capacity and number of neurology wards of level III progressivity that can be defined in the system of criteria detailed in this article and which possess optimal operating conditions in Hungarian terms. We used the National Health Insurance Company's database to calculate case numbers and capacity for different levels of neurological and stroke care. We also revised the allocation of advanced diagnostic and therapeutic technologies, and proposed changes, based on health insurance data. We also discussed these propositions with clinical experts to test their viability. We determined the adequate number of organisational units capable of providing special neurological healthcare services on the basis of the basic data of the Hungarian healthcare system, specifying this number as 6 instead of the current 11. In our study, we have identified significant bias in the nationwide level of neurological and stroke care organisation, which needs revised allocation of healthcare resources. Naturally, this can only be carried out through the restructuring of the emergency care system and the expansion of pre-hospital care.

A Comparative Study of Learning Strategies Used by Romanian and Hungarian Preuniversity Students in Science Learning

Science.gov (United States)

Lingvay, Mónika; Timofte, Roxana S.; Ciascai, Liliana; Predescu, Constantin

2015-01-01

Development of pupils' deep learning approach is an important goal of education nowadays, considering that a deep learning approach is mediating conceptual understanding and transfer. Different performance at PISA tests of Romanian and Hungarian pupils cause us to commence a study for the analysis of learning approaches employed by these pupils.…

The role of managed care organizations in obesity management.

Science.gov (United States)

Schaecher, Kenneth L

2016-06-01

In the United States, obesity is characterized as this century's greatest healthcare threat. The American Medical Association and several other large organizations now classify obesity as a disease. Several federal initiatives are in the planning stages, have been approved, or are being implemented to address the disease. Obesity poses challenges for all healthcare stakeholders. Diet and exercise often are insufficient to create the magnitude of change patients and their attending healthcare providers need. Managed care organizations (MCOs) have 3 tools that can help their members: health and wellness programs focusing on lifestyle changes, prescription weight-loss drugs, and bariatric surgical interventions. MCOs are addressing changes with national requirements and are responding to the availability of new weight-loss drugs to help their members achieve better health. A number of factors either deter or stimulate the progress of weight loss therapy. Understanding how MCOs are key to managing obesity at the local level is important for healthcare providers. It can help MCOs and individual healthcare providers develop and coordinate strategies to educate stakeholders and better manage overall care.

Documentation of pain care processes does not accurately reflect pain management delivered in primary care.

Science.gov (United States)

Krebs, Erin E; Bair, Matthew J; Carey, Timothy S; Weinberger, Morris

2010-03-01

Researchers and quality improvement advocates sometimes use review of chart-documented pain care processes to assess the quality of pain management. Studies have found that primary care providers frequently fail to document pain assessment and management. To assess documentation of pain care processes in an academic primary care clinic and evaluate the validity of this documentation as a measure of pain care delivered. Prospective observational study. 237 adult patients at a university-affiliated internal medicine clinic who reported any pain in the last week. Immediately after a visit, we asked patients to report the pain treatment they received. Patients completed the Brief Pain Inventory (BPI) to assess pain severity at baseline and 1 month later. We extracted documentation of pain care processes from the medical record and used kappa statistics to assess agreement between documentation and patient report of pain treatment. Using multivariable linear regression, we modeled whether documented or patient-reported pain care predicted change in pain at 1 month. Participants' mean age was 53.7 years, 66% were female, and 74% had chronic pain. Physicians documented pain assessment for 83% of visits. Patients reported receiving pain treatment more often (67%) than was documented by physicians (54%). Agreement between documentation and patient report was moderate for receiving a new pain medication (k = 0.50) and slight for receiving pain management advice (k = 0.13). In multivariable models, documentation of new pain treatment was not associated with change in pain (p = 0.134). In contrast, patient-reported receipt of new pain treatment predicted pain improvement (p = 0.005). Chart documentation underestimated pain care delivered, compared with patient report. Documented pain care processes had no relationship with pain outcomes at 1 month, but patient report of receiving care predicted clinically significant improvement. Chart review measures may not accurately

Leadership and management in the aged care sector: a narrative synthesis.

Science.gov (United States)

Jeon, Yun-Hee; Merlyn, Teri; Chenoweth, Lynn

2010-06-01

The aim of this study is to examine the issues and the progress being made in leadership and management with relevance for the residential aged care workforce. A systematic review was conducted using scientific journal databases, hand searching of specialist journals, Google, snowballing and suggestions from experts. After a seven-tiered culling process, we conducted a detailed review of 153 papers relevant to leadership and management development in aged care. Strong, effective leadership and management promotes staff job satisfaction and retention, high care quality and the well-being of care recipients, and reduces associated costs. Good leadership and effective management also play a key role in bringing about a successful change to a positive workplace culture through innovative programs and research projects. Organisational investment in improving leadership and management skills and capabilities can only improve outcomes for staff stability and productivity, care quality and budgets, and better prepare the aged care sector.

Radioactivity of fish in the Hungarian reach of the river Danube

International Nuclear Information System (INIS)

Kurtacs, E.

1982-01-01

In connection with the Hungarian nuclear power program a series of measurements was initiated to detect radionuclides in fishes of Danube river at two sampling points near the station region. The beta activity of samples was counted with anticoincidence shielded low background Tesla NZ-602 type apparatus. The radioactivity of samples was measured after simple physical or radiochemical preparation. The results show no significant difference according either to sampling sites of seasons. Activity concentrations of 90 Sr and 137 Cs of natural or global fallout origin are low and hardly differ from values obtained earlier by other researchers. (author)

Conflicts between managed care organizations and emergency departments in California.

OpenAIRE

Johnson, L A; Derlet, R W

1996-01-01

To control costs, managed care organizations have begun to restrict the use of hospital emergency departments by their enrollees. They are doing this by educating enrollees, providing better access to 24-hour urgent care, denying preauthorizations for care for some patients who do present to emergency departments, and retrospectively denying payment for certain patients who use emergency services. Changing traditional use of emergency departments has resulted in conflicts between managed care...

'Vacation for your teeth' - dental tourists in Hungary from the perspective of Hungarian dentists.

Science.gov (United States)

Kovacs, E; Szocska, G

2013-10-01

Hungary has become a popular destination for foreign patients in the last two decades, particularly in dental care. Since 2008, increasing prices in Western Europe coupled with Hungary's accessibility and availability of dental treatment, has meant the country has become a leader in 'dental tourism'. As the quality of care in Hungary is high and prices are more affordable than in Western Europe, and due to the freedom of movement of people, services and goods within the EU, patient flow into Hungary has increased progressively. The aim of this article is to provide comprehensive empirical evidence from the perspective of a recipient country in dental tourism. A questionnaire survey was conducted among Hungarian dentists (n = 273). Qualitative in-depth interviews were conducted with representatives of dental professional bodies (n = 10). Both research methods aimed to elicit dentists' views on the presence of dental tourism - particularly the push and pull factors (for example, source countries, competitors, information sources, patient motivation). The findings show that there are several reasons why Hungary could maintain a leading position in dental tourism. First, the cost/benefit ratio is outstanding. The affordable price and value for money were already recognised in the early 1990s and were appreciated even before Hungary joined the EU. Secondly, the high quality of Hungary's dental profession: a) dental professionals in Hungary are well-qualified dental practitioners who have received high level dental training; b) dental professional standards are up-to-date and often supervised; c) in Hungary dental technology, the quality of materials and equipment used in dental practices is of European level quality. The rate of complications in dental care is around 5%, similar to other European countries. Finally, previous treatment experiences are positive and patient satisfaction levels are high. More and more patients seek care in Hungary, and more and more

Nurse middle managers contributions to patient-centred care: A 'managerial work' analysis.

Science.gov (United States)

Lalleman, Pcb; Smid, Gac; Dikken, J; Lagerwey, M D; Schuurmans, M J

2017-10-01

Nurse middle managers are in an ideal position to facilitate patient-centred care. However, their contribution is underexposed in literature due to difficulties to articulate this in practice. This paper explores how nurse middle managers contribute to patient-centred care in hospitals. A combination of time-use analysis and ethnographic work was used to disclose their contribution to patient-centred care at a micro level. Sixteen nurse managers were shadowed for over 560 hours in four hospitals. Some nurse middle managers seldom contribute to patient-centred care. Others are involved in direct patient care, but this does not result in patient-centred practices. At one hospital, the nurse middle managers did contribute to patient-centred care. Here balancing between "organizing work" and "caring work" is seen as a precondition for their patient-centeredness. Other important themes are feedback mechanisms; place matters; with whom to talk and how to frame the issues at stake; and behavioral style. Both "hands-on" and "heads-on" caring work of nurse middle managers enhances their patient-centeredness. This study is the first of its kind to obtain insight in the often difficult to articulate "doings" of nurse middle managers with regard to patient-centred care through combining time-use analysis with ethnographic work. © 2017 John Wiley & Sons Ltd.

Organizing principles and management climate in high-performing municipal elderly care.

Science.gov (United States)

Kajonius, Petri; Kazemi, Ali; Tengblad, Stefan

2016-01-01

Purpose - Previous research has shown that user-oriented care predicts older persons' satisfaction with care. What is yet to be researched is how senior management facilitates the implementation of user-oriented care. The purpose of this study is to investigate the organizing principles and management climate characterizing successful elderly care. Design/methodology/approach - The department in one highly ranked municipality was selected and compared with a more average municipality. On-site in-depth semi-structured interviews with department managers and participatory observations at managers' meetings were conducted in both municipalities. Findings - Results revealed three key principles for successful elderly care: organizing care from the viewpoint of the older person; recruiting and training competent and autonomous employees; instilling a vision for the mission that guides operations at all levels in the organization. Furthermore, using climate theory to interpret the empirical material, in the highly successful municipality the management climate was characterized by affective support and cognitive autonomy, in contrast to a more instrumental work climate primarily focusing on organizational structure and doing the right things characterizing the more average municipality. Originality/value - The authors suggest that guiding organizing principles are intertwined with management climate and that there are multiple perspectives that must be considered by the management, that is, the views of the older persons, the co-workers and the mission. These results can guide future care quality developments, and increase the understanding of the importance of organizational climate at the senior management level.

Federalism and managed care: introductory comments to the American Association of Law Schools' Section on Law, Medicine and Health Care on the role of the states in managed care regulation.

Science.gov (United States)

Blum, J D

1999-01-01

This section of the Annals of Health Law represents a compilation of materials concerning the state regulation of managed care. The following materials were first presented at the annual meeting of the American Association of Law Schools ("AALS"), Section on Law, Medicine and Health Care in January 1999. Chairman John Blum introduces the subject and questions the dual role assumed by state and federal authorities in regulating managed care.

Wave theory analysis of the Hungarian vehi-cle fleet especially focusing on emission categories

Directory of Open Access Journals (Sweden)

Gabor SZENDRO

2015-09-01

Full Text Available Toyotarity means the improvement of quality, decrease of production costs and production time, increase of safety and morale. With the help of tools of toyotarity strategic factors can be determined, production or service problems can be revealed. In this paper tools of toyotarity are obtained to analyse the driving factors of Hungarian vehicle fleet and car renewal. Product analysis was conducted on the basis of wavetheory.

Management of dizziness in primary care.

Science.gov (United States)

Sloane, P D; Dallara, J; Roach, C; Bailey, K E; Mitchell, M; McNutt, R

1994-01-01

We sought to determine the types of dizziness problems that are commonly seen in primary care practices, and to bring to light clinical and demographic factors that predict management decisions. We undertook a prospective cohort study with a 6-month follow-up using data gathered in nine primary care practices in two North Carolina counties. Subjects were 144 dizziness patients examined by primary care physicians. Data collected included demographic characteristics, a standardized dizziness history, physician estimation of symptom severity and diagnostic certainty, and physician "worry" about arrhythmia, transient ischemic attack, and brain tumor. Physicians reported their management decisions and diagnosis (or differential diagnosis) by responding to a questionnaire after completing the patient encounter. A 6-month follow-up chart review and physician interview were completed on 140 patients (97.2 percent); information obtained included changes in diagnosis and patient mortality. The most common diagnoses were labyrinthitis, otitis media, benign positional vertigo, unspecified presyncope, sinusitis, and transient ischemic attack. The initial diagnosis changed during the 6-month follow-up period in 34 (24.3 percent) of patients. The overall course of these patients was benign, however, with only one death occurring during the 6-month follow-up period. Patients' dizziness tended to be managed using a combination of strategies, including office laboratory testing (33.6 percent), advanced testing (11.4 percent), referral to a specialist (9.3 percent), medication (61.3 percent), observation (71.8 percent), reassurance (41.6 percent), and behavioral recommendations (15.0 percent). Office laboratory testing was associated with younger patient age, a suspected metabolic or endocrine disorder, and physician worry about a cardiac arrhythmia; advanced laboratory testing was associated with suspected cardiovascular or neurologic disorders. Medication tended to be prescribed

[The basis of modern technologies in management of health care system].

Science.gov (United States)

Nemytin, Iu V

2014-12-01

For the development of national heaIth care it is required to implement modern and effective methods and forms of governance. It is necessary to clearly identify transition to process management followed by an introduction of quality management care. It is necessary to create a complete version of the three-level health care system based on the integration into the system "Clinic - Hospital - Rehabilitation", which will ensure resource conservation in general throughout the industry. The most important task is purposeful comprehensive management training for health care--statesmen who have the potential ability to manage. The leader must possess all forms of management and apply them on a scientific basis. Standards and other tools of health management should constantly improve. Standards should be a teaching tool and help to improve the quality and effectiveness of treatment processes, the transition to the single-channel financing--the most advanced form of payment for the medical assistance. This type of financing requires managers to new management approaches, knowledge of business economics. One of the breakthrough objectives is the creation of a new type of health care organizations, which as lead locomotives for a rest.

From the Bright Future of the Nation to the Dark Future of Mankind: Jókai and Karinthy in Hungarian Utopian Tradition

Directory of Open Access Journals (Sweden)

Zsolt Czigányik

2016-01-01

Full Text Available After defining utopianism Czigányik gives a brief introduction to Hungarian utopian literature. While he discusses Tariménes utazása [‘The Voyage of Tariménes’], written by György Bessenyei in 1804, the utopian scenes of Imre Madách’s Az ember tragédiája [‘The Tragedy of Man’, 1862] and Frigyes Karinthy’s short utopian piece, Utazás Faremidoba [‘Voyage to Faremido’, 1916], the bulk of the paper deals with Mór Jókai’s monumental novel, A jövő század regénye, [‘The Novel of the Century to Come’, 1872]. Jókai, who had taken an active part in the 1848 uprising, depicts in this novel a future world of an imaginary twentieth century, where Hungary has primacy within the Habsburg empire (with the emperor king being Árpád Habsburg and the invention of the airplane (by a Hungarian brings lasting peace, stability and prosperity to the world. Besides introducing the Hungarian utopian tradition, the paper will reflect upon the role of individuals in imagined societies and how an agency-centered narrative overwrites the essentially structuralist view of history, that usually permeates utopias.

A dementia care management intervention: which components improve quality?

Science.gov (United States)

Chodosh, Joshua; Pearson, Marjorie L; Connor, Karen I; Vassar, Stefanie D; Kaisey, Marwa; Lee, Martin L; Vickrey, Barbara G

2012-02-01

To analyze whether types of providers and frequency of encounters are associated with higher quality of care within a coordinated dementia care management (CM) program for patients and caregivers. Secondary analysis of intervention-arm data from a dementia CM cluster-randomized trial, where intervention participants interacted with healthcare organization care managers (HOCMs), community agency care managers (CACMs), and/ or healthcare organization primary care providers (HOPCPs) over 18 months. Encounters of 238 patient/caregivers (dyads) with HOCMs, CACMs, and HOPCPs were abstracted from care management electronic records. The quality domains of assessment, treatment, education/support, and safety were measured from medical record abstractions and caregiver surveys. Mean percentages of met quality indicators associated with exposures to each provider type and frequency were analyzed using multivariable regression, adjusting for participant characteristics and baseline quality. As anticipated, for all 4 domains, the mean percentage of met dementia quality indicators was 15.5 to 47.2 percentage points higher for dyads with HOCM--only exposure than for dyads with none (all P < .008); not anticipated were higher mean percentages with increasing combinations of provider-type exposure-up to 73.7 percentage points higher for safety (95% confidence interval 65.2%-82.1%) with exposure to all 3 provider types compared with no exposure. While greater frequency of HOCM-dyad encounters was associated with higher quality (P < .04), this was not so for other provider types. HOCMs' interactions with dyads was essential for dementia care quality improvement. Additional coordinated interactions with primary care and community agency staff yielded even higher quality.

Participatory management in today's health care setting

International Nuclear Information System (INIS)

Burnham, B.A.

1987-01-01

As the health care revolution progresses, so must the management styles of today's leaders. The authors must ask ourselves if we are managing tomorrow's work force or the work force of the past. Participatory management may better meet the needs of today's work force. This paper identifies the reasons participatory management is a more effective management style, the methods used to implement a participatory management program, its benefits (such as higher productivity and more efficient, effective implementation and acceptance of change), and the difficulties experienced

How the United States exports managed care to developing countries.

Science.gov (United States)

Waitzkin, H; Iriart, C

2001-01-01

As their expansion slows in the United States, managed care organizations will continue to enter new markets abroad. Investors view the opening of managed care in Latin America as a lucrative business opportunity. As public-sector services and social security funds are cut back, privatized, and reorganized under managed care, with the support of international lending agencies such as the World Bank, the effects of these reforms on access to preventive and curative services will hold great importance throughout the developing world. Many groups in Latin America are working on alternative projects that defend health as a public good, and similar movements have begun in Africa and Asia. Increasingly, this organizing is being recognized not only as part of a class struggle but also as part of a struggle against economic imperialism--which has now taken on the new appearance of rescuing less developed countries from rising health care costs and inefficient bureaucracies through the imposition of neoliberal managed-care solutions exported from the United States.

Manager traits and quality-of-care performance in hospitals.

Science.gov (United States)

Aij, Kjeld Harald; Aernoudts, René L M C; Joosten, Gepke

2015-07-06

This paper aims to assess the impact of the leadership traits of chief executive officers (CEOs) on hospital performance in the USA. The effectiveness and efficiency of the CEO is of critical importance to the performance of any organization, including hospitals. Management systems and manager behaviours (traits) are of crucial importance to any organization because of their connection with organizational performance. To identify key factors associated with the quality of care delivered by hospitals, the authors gathered perceptions of manager traits from chief executive officers (CEOs) and followers in three groups of US hospitals delivering different levels of quality of care performance. Three high- and three low-performing hospitals were selected from the top and bottom 20th percentiles, respectively, using a national hospital ranking system based on standard quality of care performance measures. Three lean hospitals delivering intermediate performance were also selected. A survey was used to gather perceptions of manager traits (providing a modern or lean management system inclination) from CEOs and their followers in the three groups, which were compared. Four traits were found to be significantly different (alpha management inclination. No differences were found between lean (intermediate-) and high-performing hospitals, or between high- and low-performing hospitals. These findings support a need for hospital managers to acquire appropriate traits to achieve lean transformation, support a benefit of measuring manager traits to assess progress towards lean transformation and lend weight to improved quality of care that can be delivered by hospitals adopting a lean system of management.

The voice of the Martians Hungarian scientists who shaped the 20th century in the West

CERN Document Server

Marx, George

2001-01-01

Budapest, in the period of the two decades around World War I, proved to be an exceptionally fertile breeding ground for scientific talent. It is left for historians of science to discover and explain the conditions that catalyzed the emergence of so many brilliant individuals" - Stanislav Ulam has written, himself a member of the Manhattan Project to make the atomic bomb. Fritz Houtermans, who first recognized the nuclear origin of stellar power, has offered an "explanation": "The galaxy of scientific minds, that worked on the liberation of nuclear power, were really visitors from Mars. They found it difficult to speak English without an alien accent, which would give them away, and therefore they chose to pretend to be Hungarian, whose inability to speak any language but Hungarian without a foreign accent is well known. It would be hard to check the above statement, because Hungary is so far away" In the 1990s the world commemorated the fiftieth anniversary of the first man-made nuclear chain reaction in Ch...

Organizational factors affecting the adoption of diabetes care management processes in physician organizations.

Science.gov (United States)

Li, Rui; Simon, Jodi; Bodenheimer, Thomas; Gillies, Robin R; Casalino, Lawrence; Schmittdiel, Julie; Shortell, Stephen M

2004-10-01

To describe the extent of adoption of diabetes care management processes in physician organizations in the U.S. and to investigate the organizational factors that affect the adoption of diabetes care management processes. Data are derived from the National Survey of Physician Organizations and the Management of Chronic Illness, conducted in 2000-2001. A total of 1,104 of the 1,590 physician organizations identified responded to the survey. The extent of adoption of four diabetes care management processes is measured by an index consisting of the organization's use of diabetic patient registries, clinical practice guidelines, case management, and physician feedback. The ordinary least-squares model is used to determine the association of organizational characteristics with the adoption of diabetes care management processes in physician organizations. A logistic regression model is used to determine the association of organizational characteristics with the adoption of individual diabetes care management processes. Of the 987 physician organizations studied that treat patients with diabetes, 48% either do not use any or use only one of the four diabetes care management processes. A total of 20% use two care management processes, and 32% use three or four processes. External incentives to improve quality, computerized clinical information systems, and ownership by hospitals or health maintenance organizations are strongly associated with the diabetes care management index and the adoption of individual diabetes care management processes. Policies to encourage external incentives to improve quality and to facilitate the adoption of computerized clinical information technology may promote greater use of diabetes care management processes. Copyright 2004 American Diabetes Association

Current advance care planning practice in the Australian community: an online survey of home care package case managers and service managers.

Science.gov (United States)

Sellars, Marcus; Detering, Karen M; Silvester, William

2015-04-23

Advance care planning (ACP) is the process of planning for future healthcare that is facilitated by a trained healthcare professional, whereby a person's values, beliefs and treatment preferences are made known to guide clinical decision-making at a future time when they cannot communicate their decisions. Despite the potential benefits of ACP for community aged care clients the availability of ACP is unknown, but likely to be low. In Australia many of these clients receive services through Home Care Package (HCP) programs. This study aimed to explore current attitudes, knowledge and practice of advance care planning among HCP service managers and case managers. An invitation to take part in a cross-sectional online survey was distributed by email to all HCP services across Australia in November 2012. Descriptive analyses were used to examine overall patterns of responses to each survey item in the full sample. 120 (response rate 25%) service managers and 178 (response rate 18%) case managers completed the survey. Only 34% of services had written ACP policies and procedures in place and 48% of case managers had previously completed any ACP training. In addition, although most case managers (70%) had initiated an ACP discussion in the past 12 months and viewed ACP as part of their role, the majority of the conversations (80%) did not result in documentation of the client's wishes and most (85%) of the case managers who responded did not believe ACP was done well within their service. This survey shows low organisational ACP systems and support for case managers and a lack of a normative approach to ACP across Australian HCP services. As HCPs become more prevalent it is essential that a model of ACP is developed and evaluated in this setting, so that clients have the opportunity to discuss and document their future healthcare wishes if they choose to.

Managed care and clinical decision-making in child and adolescent behavioral health: provider perceptions.

Science.gov (United States)

Yanos, Philip T; Garcia, Christine I; Hansell, Stephen; Rosato, Mark G; Minsky, Shula

2003-03-01

This study investigated how managed care affects clinical decision-making in a behavioral health care system. Providers serving children and adolescents under both managed and unmanaged care (n = 28) were interviewed about their awareness of differences between the benefit arrangements, how benefits affect clinical decision-making, outcomes and quality of care; and satisfaction with care. Quantitative and qualitative findings indicated that providers saw both advantages and disadvantages to managed care. Although most providers recognized the advantages of managed care in increasing efficiency, many were concerned that administrative pressures associated with managed care compromise service quality.

Managing social awkwardness when caring for morbidly obese patients in intensive care: A focused ethnography.

Science.gov (United States)

Hales, Caz; de Vries, Kay; Coombs, Maureen

2016-06-01

Critically ill morbidly obese patients pose considerable healthcare delivery and resource utilisation challenges in the intensive care setting. These are resultant from specific physiological responses to critical illness in this population and the nature of the interventional therapies used in the intensive care environment. An additional challenge arises for this population when considering the social stigma that is attached to being obese. Intensive care staff therefore not only attend to the physical and care needs of the critically ill morbidly obese patient but also navigate, both personally and professionally, the social terrain of stigma when providing care. To explore the culture and influences on doctors and nurses within the intensive care setting when caring for critically ill morbidly obese patients. A focused ethnographic approach was adopted to elicit the 'situated' experiences of caring for critically ill morbidly obese patients from the perspectives of intensive care staff. Participant observation of care practices and interviews with intensive care staff were undertaken over a four month period. Analysis was conducted using constant comparison technique to compare incidents applicable to each theme. An 18 bedded tertiary intensive care unit in New Zealand. Sixty-seven intensive care nurses and 13 intensive care doctors involved with the care and management of seven critically ill patients with a body mass index ≥40kg/m(2). Interactions between intensive care staff and morbidly obese patients were challenging due to the social stigma surrounding obesity. Social awkwardness and managing socially awkward moments were evident when caring for morbidly obese patients. Intensive care staff used strategies of face-work and mutual pretence to alleviate feelings of discomfort when engaged in aspects of care and caring. This was a strategy used to prevent embarrassment and distress for both the patients and staff. This study has brought new understandings

The role of primary care in adult weight management: qualitative interviews with key stakeholders in weight management services

OpenAIRE

Blane, David N.; Macdonald, Sara; Morrison, David; O’Donnell, Catherine A.

2017-01-01

Background Primary care has a key role to play in the prevention and management of obesity, but there remain barriers to engagement in weight management by primary care practitioners. The aim of this study was to explore the views of key stakeholders in adult weight management services on the role of primary care in adult weight management. Methods Qualitative study involving semi-structured interviews with nine senior dietitians involved in NHS weight management from seven Scottish health bo...

The modern CIO: forging a new role in the managed care era.

Science.gov (United States)

Griffin, J

1997-05-01

The advent of managed care has helped forge new roles for healthcare professionals. Competitive pressures, the profile of the member community, and provider network design drive healthcare delivery via the managed care model. Careful analysis and design of the managed care model charts the success or failure of the health care delivery system--usually an integrated delivery system (IDS). Therefore, those healthcare organizations that have chosen to get on the managed care bandwagon must re-invent themselves, both culturally and technologically. The chief information officer (CIO) leads this technological revolution. To work effectively, the technological infrastructure of the IDS must be closely in line with enterprise goals and objectives. In the managed care environment the old information system (IS) approach of supporting the operational needs of individual departments simply will not work. The CIO's new role will be to master the concept of managed care to ensure that enterprise-wide needs for operational, clinical, and financial information are met, and that IS and enterprise goals are aligned. CIOs who have an intuitive grasp of the managed care environment--although their numbers are growing as managed care mushrooms--make up a minority group. They are a special breed with clearly definable qualities such as business savvy and an affinity for big-picture thinking. To an IDS, a CIO with these qualities is a rare gem indeed. This article introduces Don Winschel, the associate administrator and CIO of Johnson City Medical Center (Johnson City, TN) as an example of one such modern CIO.

The interdependencies of bilingual behaviour. Psycholinguistic and sociolinguistic profile of Hungarian-Romanian bilinguals

Directory of Open Access Journals (Sweden)

Erika-Mária Tódor

2015-07-01

Full Text Available This paper presents the specific features of a school population in Romania for whom Romanian is a non-native language, their mother tongue being Hungarian. The first part of the study offers a description of the main characteristics of the verbal behaviour of this bilingual population. The first subheading will discuss, on the one hand, the linguistic profile of the subjects (linguistic interference, linguistic pseudo-creativity etc. and, on the other hand, it will present the main aspects of the socio-affective dimension of verbal behaviour (such as communicational anguish, displacement of communicational intention, linguistic code switching etc.. Practically, these features can be followed in the case of other bi(multilingual speakers as well. The second part of the paper presents certain lexical and semantic interference and vocabulary activating habits in the case of bilingual persons, relating them to the linguistic context and the linguistic landscape.The formulated data and observations represent a synthesis of empirical research carried out between 2000–2013 through different methods, such as: observation, case studies (within the context of the data referring to the profile of language behaviour, structured interviews and questionnaires (employed in the study of the linguistic landscape. The main aim of this study is to offer a socio- and psycholinguistic profile of Hungarian-Romanian bilingualism set in a holistic context.

[The first physician MP of the Hungarian Parliament, Vince Zomborcsevics].

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Dörnyei, Sándor

2007-01-01

Dr. Vince Zomborcsevics (1810-1890) was the first practising physician elected--in 1847 for the town Szabadka--as MP of the Hungarian Parliament. He spoke up twice at parliamentary sessions: first for enlarging the weight of towns in the Parliament (and thereby that of the bourgeoisie), while second time for radical changes to be made in serfs' circumstances. Both prior and following his parliamentary activity he worked as a medical officer, later he pursued private practice. In the 1840-ies he joined the contemporary national professional and cultural movements, from the 50-ies however he worked only for his local community. Later he retired from public life entirely. He left his remarkable book-collection to the local secondary school.

Attachment Theory and Neuroscience for Care Managers.

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Blakely, Thomas J; Dziadosz, Gregory M

2016-09-01

This article describes a model for care managers that is based on attachment theory supplemented by knowledge from neuroscience. Together, attachment theory and basic knowledge from neuroscience provide for both an organizing conceptual framework and a scientific, measureable approach to assessment and planning interventions in a care plan.

The impact of care management information technology model on quality of care after percutaneous coronary intervention: "Bridging the Divides".

Science.gov (United States)

Weintraub, William S; Fanari, Zaher; Elliott, Daniel; Ostertag-Stretch, Jennifer; Muther, Ann; Lynahan, Margaret; Kerzner, Roger; Salam, Tabassum; Scherrer, Herbert; Anderson, Sharon; Russo, Carla A; Kolm, Paul; Steinberg, Terri H

2017-07-03

Reducing readmissions and improving metrics of care are a national priority. Supplementing traditional care with care management may improve outcomes. The Bridges program was an initial evaluation of a care management platform (CareLinkHub), supported by information technology (IT) developed to improve the quality and transition of care from hospital to home after percutaneous coronary intervention (PCI) and reduce readmissions. CareLink is comprised of care managers, patient navigators, pharmacists and physicians. Information to guide care management is guided by a middleware layer to gather information, PLR (ColdLight Solutions, LLC) and presented to CareLink staff on a care management platform, Aerial™ (Medecision). An additional analytic engine [Neuron™ (ColdLight Solutions, LLC)] helps, evaluates and guide care. The "Bridges" program enrolled a total of 2054 PCI patients with 2835 admission from April, 1st 2013 through March 1st, 2015. The data of the program was compared with those of 3691 PCI patients with 4414 admissions in the 3years prior to the program. No impact was seen with respect to inpatient and observation readmission, or emergency department visits. Similarly no change was noticed in LDL control. There was minimal improvement in BP control and only in the CTM-3 and SAQ-7 physical limitation scores in the patients' reported outcomes. Patient follow-up with physicians within 1week of discharge improved during the Bridges years. The CareLink hub platform was successfully implemented. Little or no impact on outcome metrics was seen in the short follow-up time. The Bridges program suggests that population health management must be a long-term goal, improving preventive care in the community. Copyright © 2017 Elsevier Inc. All rights reserved.

Managed Care, Distance Traveled, and Hospital Market Definition

OpenAIRE

Frech, Ted E

1998-01-01

Most scholars and antitrust cases have defined hospital service markets as primarily local. But, two recent decisions have greatly expanded geographic markets, incorporating hospitals as far as 100 miles apart. Managed care plans, now important in most markets, were believed to shift patients to distant hospitals to capture lower prices. We examine distance traveled and its connection to managed care penetration. In contrast to earlier literature, we examine both direct and indirect effects. ...

Teachers’ implicit beliefs about the students of the Roma and the Hungarian cultural group

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Dimitrijević Bojana M.

2017-01-01

Full Text Available Research has shown that the beliefs about cultural, ethnic or racial diversities among students are vital for the effective work of teachers. Hence, in this paper, we aim at determining: (1 in what ways the teachers perceive and interpret the school situation that includes the students from a minority cultural group (Roma and Hungarian, i.e. what kinds of beliefs they express in the given situation; (2 whether there are any differences in the way in which teachers, within the same stadium of development of intercultural sensitivity, perceive the given situation. The sample included class teachers whose score on the Intercultural Development Inventory pointed to intercultural sensitivity in accordance with the stadium of minimisation (seventeen teachers and polarisation (six teachers. The Critical Incident Technique (CI was applied in the study, in two parallel forms: with a Hungarian and a Roma student. Thematic analysis yielded seven topics, four of which occurred only in the CI with a Roma student: Disrespecting school as an institution, Abuse of minority status, Separation from the class and Typical children’s motives. The comparison of teachers’ statements depending on the CI version and the developmental phase indicate that the specificity of a cultural group in question affects the expressed beliefs about this group, regardless of teachers’ intercultural sensitivity.

[Quality management is associated with high quality services in health care].

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Nielsen, Tenna Hassert; Riis, Allan; Mainz, Jan; Jensen, Anne-Louise Degn

2013-12-09

In these years, quality management has been the focus in order to meet high quality services for the patients in Danish health care. This article provides information on quality management and quality improvement and it evaluates its effectiveness in achieving better organizational structures, processes and results in Danish health-care organizations. Our findings generally support that quality management is associated with high quality services in health care.

Risk Management for Point-of-Care Testing

OpenAIRE

James, H. Nichols

2014-01-01

Point-of-care testing (POCT) is growing in popularity, and with this growth comes an increased chance of errors. Risk management is a way to reduce errors. Originally developed for the manufacturing industry, risk management principles have application for improving the quality of test results in the clinical laboratory. The Clinical and Laboratory Standards Institute (CLSI), EP23-A Laboratory Quality Control based on Risk Management guideline, introduces risk management to the clinical labor...

A Survey of Managed Care Education at Optometry Schools.

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Soroka, Mort; Reis, Lesley

2003-01-01

Studied the courses and topics offered at schools of optometry and the total hours devoted to managed care. Responses from the 17 schools of optometry reveal significant variations in curricular coverage of managed care, although a core set of materials was found to exist that could be the basis for more standard curriculum. (SLD)

Improving quality in Medicaid: the use of care management processes for chronic illness and preventive care.

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Rittenhouse, Diane R; Robinson, James C

2006-01-01

Care management processes (CMPs), tools to improve the efficiency and quality of primary care delivery, are particularly important for low-income patients facing substantial barriers to care. To measure the adoption of CMPs by medical groups, Independent Practice Associations, community clinics, and hospital-based clinics in California's Medicaid program and the factors associated with CMP adoption. Telephone survey of every provider organization with at least 6 primary care physicians and at least 1 Medi-Cal HMO contract, Spring 2003. One hundred twenty-three organizations participated, accounting for 64% of provider organizations serving Medicaid managed care in California. We surveyed 30 measures of CMP use for asthma and diabetes, and for child and adolescent preventive services. The mean number of CMPs used by each organization was 4.5 for asthma and 4.9 for diabetes (of a possible 8). The mean number of CMPs for preventive services was 4.0 for children and 3.5 for adolescents (of a possible 7). Organizations with more extensive involvement in Medi-Cal managed care used more CMPs for chronic illness and preventive service. Community clinics and hospital-based clinics used more CMPs for asthma and diabetes than did Independent Practice Associations (IPAs), and profitable organizations used more CMPs for child and adolescent preventive services than did entities facing severe financial constraints. The use of CMPs by Medicaid HMOs and the presence of external (financial and nonfinancial) incentives for clinical performance were strongly associated with use of care management by provider organizations. Physician and provider organizations heavily involved in California's Medicaid program are extensively engaged in preventive and chronic care management programs.

Two Austro-Hungarian Women Writers, Anna Tutsek and Terka Lux, Creating New Urban Identities in Early Twentieth-Century Budapest

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Judit Kádár

2016-01-01

Full Text Available In this paper, I examine some literary texts of two turn-of-the century Hungarian women writers, Anna Tutsek and Terka Lux who left behind their childhood environment in remote regions of the Austro-Hungarian Monarchy in order to move to Budapest, the capital of the eastern part of the Empire. Assuming that individuals hold multiple identities that are flexible and inevitably affected by environmental and social changes, my main focus is on the transformation of their ethnic, regional, occupational and gender identity influenced by the disengagement from their birthplace. Within a context of Hungarian−Eastern-European women's social history, I investigate how migration had led them to reshape their original identities and create new ones and how these emigrant writers reacted to the loss of cultural and social norms in which they had previously lived.

[Validation of the Hungarian version of Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) in patients with mild cognitive impairment].

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Papp, Edina; Pákáski, Magdolna; Drótos, Gergely; Kálmán, János

2012-01-01

Early recognition of mild cognitive impairment (MCI) has increasing clinical relevance in the treatment process of dementia, since it is considered as prodromal period. A great variety of instruments have been developed for measuring cognitive performance of the demented patients. The cognitive subscale of the Alzheimer's Disease Assessment Scale (ADAS-Cog) is one of the most frequently applied instrument to determine the severity of dementia and the efficiency of pharmacotherapy. The aim of this study is to examine the sensitivity parameters of the Hungarian ADAS-Cog in differentiating healthy elderly from MCI patients, furthermore to compare the sociodemographic data of the two groups. Fourty-five patients with MCI and 47 healthy subjects (HS) participated in the study. Their age variated between 52 and 88 years, the mean age was 68.8 (standard deviation=8.6). The mean of the years of education was 11.8 (standard deviation=3.5). Mental state was determined by ADAS-Cog and Mini-Mental State Examination (MMSE) and Beck Depression Inventory (BDI) was used to exclude depression. Data analysis was performed with SPSS 17. There were no significant differences between the two groups considering the sociodemographic data. The total score of ADAS-Cog is the most sensitive index (AUC: 0.875, sensitivity: 95.6%) for determining MCI, although the ratio of false positive cases was very high (specificity: 70.2%). The cut-off scores of the ADAS-Cog in the Hungarian sample were higher than the findings in previous researches. Positive correlation between age and ADAS-Cog total score was only significant in the HS group. On the other hand, negative correlation was found between education and ADAS-Cog total score in the MCI group. These results indicate that the currently used Hungarian ADAS-Cog is able to distinguish between MCI patients and HS groups. However, the adaptation of the Hungarian version will be necessary during the further standardization process including the

Investigation of health care waste management in Binzhou District, China

International Nuclear Information System (INIS)

Ruoyan, Gai; Xu Lingzhong; Li Huijuan; Zhou Chengchao; He Jiangjiang; Yoshihisa, Shirayama; Tang Wei; Chushi, Kuroiwa

2010-01-01

In China, national regulations and standards for health care waste management were implemented in 2003. To investigate the current status of health care waste management at different levels of health care facilities (HCF) after the implementation of these regulations, one tertiary hospital, one secondary hospital, and four primary health care centers from Binzhou District were visited and 145 medical staff members and 24 cleaning personnel were interviewed. Generated medical waste totaled 1.22, 0.77, and 1.17 kg/bed/day in tertiary, secondary, and primary HCF, respectively. The amount of medical waste generated in primary health care centers was much higher than that in secondary hospitals, which may be attributed to general waste being mixed with medical waste. This study found that the level of the HCF, responsibility for medical waste management in departments and wards, educational background and training experience can be factors that determine medical staff members' knowledge of health care waste management policy. Regular training programs and sufficient provision of protective measures are urgently needed to improve occupational safety for cleaning personnel. Financing and administrative monitoring by local authorities is needed to improve handling practices and the implementation of off-site centralized disposal in primary health care centers.

Managed consumerism in health care.

Science.gov (United States)

Robinson, James C

2005-01-01

The future of market-oriented health policy and practice lies in "managed consumerism," a blend of the patient-centric focus of consumer-driven health care and the provider-centric focus of managed competition. The optimal locus of incentives will vary among health services according to the nature of the illness, the clinical technology, and the extent of discretion in utilization. A competitive market will manifest a variety of comprehensive and limited benefit designs, broad and narrow contractual networks, and single-and multispecialty provider organizations.

The curricular importance of mathematics : a comparison of English and Hungarian teachers' espoused beliefs

OpenAIRE

Andrews, Paul

2007-01-01

This paper reports an interview study of 45 English and 10 Hungarian teachers of mathematics. The semi‐structured interviews focused on the teachers’ professional life‐histories and invited them to discuss their beliefs about the necessary subject content for the teaching and learning of mathematics. Substantial differences emerged between the two cohorts, which accord with well‐defined national perspectives on education in general and mathematics education in particular. They reflect, at nat...

Insight into dementia care management using social-behavioral theory and mixed methods.

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Connor, Karen; McNeese-Smith, Donna; van Servellen, Gwen; Chang, Betty; Lee, Martin; Cheng, Eric; Hajar, Abdulrahman; Vickrey, Barbara G

2009-01-01

For health organizations (private and public) to advance their care-management programs, to use resources effectively and efficiently, and to improve patient outcomes, it is germane to isolate and quantify care-management activities and to identify overarching domains. The aims of this study were to identify and report on an application of mixed methods of qualitative statistical techniques, based on a theoretical framework, and to construct variables for factor analysis and exploratory factor analytic steps for identifying domains of dementia care management. Care-management activity data were extracted from the care plans of 181 pairs of individuals (with dementia and their informal caregivers) who had participated in the intervention arm of a randomized controlled trial of a dementia care-management program. Activities were organized into types, using card-sorting methods, influenced by published theoretical constructs on self-efficacy and general strain theory. These activity types were mapped in the initial data set to construct variables for exploratory factor analysis. Principal components extraction with varimax and promax rotations was used to estimate the number of factors. Cronbach's alpha was calculated for the items in each factor to assess internal consistency reliability. The two-phase card-sorting technique yielded 45 activity types out of 450 unique activities. Exploratory factor analysis produced four care-management domains (factors): behavior management, clinical strategies and caregiver support, community agency, and safety. Internal consistency reliability (Cronbach's alpha) of items for each factor ranged from.63 for the factor "safety" to.89 for the factor "behavior management" (Factor 1). Applying a systematic method to a large set of care-management activities can identify a parsimonious number of higher order categories of variables and factors to guide the understanding of dementia care-management processes. Further application of this

An Application of Business Process Management to Health Care Facilities.

Science.gov (United States)

Hassan, Mohsen M D

The purpose of this article is to help health care facility managers and personnel identify significant elements of their facilities to address, and steps and actions to follow, when applying business process management to them. The ABPMP (Association of Business Process Management Professionals) life-cycle model of business process management is adopted, and steps from Lean, business process reengineering, and Six Sigma, and actions from operations management are presented to implement it. Managers of health care facilities can find in business process management a more comprehensive approach to improving their facilities than Lean, Six Sigma, business process reengineering, and ad hoc approaches that does not conflict with them because many of their elements can be included under its umbrella. Furthermore, the suggested application of business process management can guide and relieve them from selecting among these approaches, as well as provide them with specific steps and actions that they can follow. This article fills a gap in the literature by presenting a much needed comprehensive application of business process management to health care facilities that has specific steps and actions for implementation.