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Experiences and Conclusions of the Hungarian Emergency Sepsis Register

Open Journal of Epidemiology 2017年第1期7卷 44-58页

作者： Péter Kanizsai Tamás Berényi Miklós Pálv?lgyi János Gál zoltán peto Department of Emergency Medicine Clinical Centre Semmelweis University Budapest Hungary Department of Social Sciences Faculty of Health Sciences Semmelweis University Budapest Hungary Department of Anaesthesia and Intensive Care Division of Emergency Medicine and Oxyology Faculty of Medicine Semmelweis University Budapest Hungary Department of Emergency Medicine Szent-Gyorgyi Science University Faculty of Medicine Szeged Hungary

Objective: Early recognition is a key step in decreasing morbidity and mortality in sepsis. Like in other European countries an ever growing number of septic patients enter hospitals via emergency departments. Our goal was to assess the number and severity of patients with sepsis, severe sepsis and septic shock attending the Hungarian emergency departments. Methods: Two-hundred and ninety-nine patients were entered into the Hungarian Emergency Sepsis Register, focusing on age, disease severity, monitoring and oxygenation. Application and time of administration of antibiotics, use of biomarkers, i.e. lactate and procalcitonin, disposition of patients were assessed using a web-based electronic questionnaire. Results: Data arriving from twenty emergency departments revealed that with severity of the disease oxygen administration and level of monitoring increased, along with antibiotic administration and use of biomarkers. Time spent in the ED did not differ between septic, severely septic and septic shock patients;however higher level of care was provided for the sickest patients. Conclusion: Our register data indicate that sepsis presents a substantial challenge to Hungarian emergency departments. The set standards for timely, adequate treatment are not yet met. The results are however also influenced by characteristics of the Hungarian health care system, most notably the lack of hospice systems. Further studies are needed to separate the subset of patients who would require and of life care.

关键词： Sepsis Register Monitoring Antibiotic Disposition Lactate Procalcitonin

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Economic Impact of GM Hysteria on EU Feed Market

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American Journal of Plant Sciences 2013年第8期4卷 1547-1553页

作者： József Popp Károly peto Róbert Magda zoltán Lakner Department of Economic Policy University of DebrecenDebrecenHungary Department of Rural Development University of DebrecenDebrecenHungary Department of Economics Károly Róbert CollegeGyongyosHungary Department of Food Eco-nomics Budapest Corvinus UniversityBudapestHungary

A growing world population coupled with changing diet is projected to increase demand for food production by 70% by 2050. Helping farmers lose less of their crops will be a key factor in promoting food security. In addition to pesticides GM crops will continue to be a vital tool in the diverse range of technologies that can maintain and improve living standards for the people of the world. The EU is dependent for 65% on imports of protein-rich feedstuffs for which there are no substitutes in the short term. The EU livestock sector uses imported soybean, soybean meal and maize by-products as animal feed. Without an adequate supply of these feed ingredients, the EU’s livestock production will loose competitiveness. However, demands from the EU differ to those from third countries with respect to the GM varieties grown, and what are authorised for import into the EU. The risk that supplies of soya products and maize by-products could be affected by the low-level presence of non-EU approved GM material has not been fully resolved as the EU has allowed just a 0.1% tolerance for this plus 0.05% tolerance for measuring uncertainty. This could cause supply problems for the animal feed industry, and ultimately supply of food to consumers. The importance of the EU market and EU requirements for the major soybean and maize exporter countries is declining over time and it is becoming increasingly difficult and costly to maintain a non-GM supply chain in the EU. Food companies and supermarkets will struggle to stay GM-free. EU member states dependent on imports will be forced to deal with more GM presence in their chain. Market forces are forcing governments to authorize products more efficiently, develop tolerance policies or tolerate unapproved varieties in their imports.

关键词： GM Crops GM Policy GM Debate in the EU Feed Market Replacing Soybean with Pulses

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