Orvosi hetilap最新文献

{"title":"[Relationship between dysphagia and neglect syndrome during rehabilitation].","authors":"Mariann Németh, Babett Tóth, Gyula Demeter, Zoltán Dénes","doi":"10.1556/650.2025.33338","DOIUrl":"https://doi.org/10.1556/650.2025.33338","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1053-1059"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The memory of Miklós Guzner (1905-1972), professor of dentistry in Târgu Mureș].","authors":"Mária Henrietta Dudás, Csaba Dudás, Krisztina Mártha","doi":"10.1556/650.2025.HO2837","DOIUrl":"https://doi.org/10.1556/650.2025.HO2837","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1075-1078"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[The role of the FeverFriend program in the management of fever in childhood].","authors":"Henrik Szőke, Ferenc Fekete, Zsófia Mészner, Zoltán Nyul, Anikó Balogh","doi":"10.1556/650.2025.33325","DOIUrl":"https://doi.org/10.1556/650.2025.33325","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1070-1074"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Hungarian adaptation of a questionnaire assessing the quality of life in patients with polycystic ovary syndrome].","authors":"Vivien Nagy, Orsolya Papp-Zipernovszky","doi":"10.1556/650.2025.33312","DOIUrl":"https://doi.org/10.1556/650.2025.33312","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1060-1069"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Letter to the editor].","authors":"Jonathan Cw Edwards, Gábor Simonyi","doi":"10.1556/650.2025.27M","DOIUrl":"https://doi.org/10.1556/650.2025.27M","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1079"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Management of emergencies in direct oral anticoagulant-treated patients: practice pearls].","authors":"István Zátroch, János Fazakas","doi":"10.1556/650.2025.33299","DOIUrl":"https://doi.org/10.1556/650.2025.33299","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 27","pages":"1043-1052"},"PeriodicalIF":0.8,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Jan Janský and the fourth blood type or the Czech example of serendipity].","authors":"László Kiss","doi":"10.1556/650.2025.HO2834","DOIUrl":"https://doi.org/10.1556/650.2025.HO2834","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 26","pages":"1038-1040"},"PeriodicalIF":0.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Methods of regional analgesia during hepatopancreatobiliary surgeries].","authors":"Bánk Keczer, Balázs Varga, János Széll, Attila Szijártó, Katalin Darvas, Marcell Szabó","doi":"10.1556/650.2025.33314","DOIUrl":"10.1556/650.2025.33314","url":null,"abstract":"<p><p>Hepatopancreatobiliary surgeries are complex procedures associated with significant perioperative pain. Adequate pain relief improves patient comfort, contributes to faster recovery, and reduces the risk of complications. While thoracic epidural analgesia remains the first-line option for open pancreatic surgeries, its use in liver resections is debated. There is growing experience and increasing emphasis on alternative neuraxial and regional techniques. We aimed to perform a systematic review of randomized, controlled trials focused on neuraxial and regional anesthesia methods in hepatopancreatobiliary surgery. A structured PubMed® search was performed. We reviewed 47 randomized, controlled studies. Epidural analgesia continues to provide excellent pain relief, but there is a higher need for volume replacement and vasoactive agents. Intrathecal morphine administration is a viable alternative, particularly for laparoscopic procedures, though it is associated with a higher incidence of itching and nausea. Regional anesthesia techniques, such as erector spinae and transversus abdominis plane blocks, effectively reduce postoperative opioid requirements and related side effects, but their analgesic effects are inferior to epidural analgesia. Results from paravertebral and quadratus lumborum blocks are inconsistent, with their effectiveness not yet clearly established. Continuous wound infusion catheters are increasingly used to reduce opioid consumption. The optimal choice of technique is a multidisciplinary decision, considering patient risks, comorbidities, and surgical methods, with an increasing focus on novel approaches. Orv Hetil. 2025; 166(26): 1003–1016.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 26","pages":"1003-1016"},"PeriodicalIF":0.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Correction of suboptimal outcomes after cataract surgery using secondarily implanted AddOn intraocular lenses].","authors":"Amanda Argay, Péter Vámosi, Zoltán Zsolt Nagy","doi":"10.1556/650.2025.33346","DOIUrl":"10.1556/650.2025.33346","url":null,"abstract":"<p><p>Introduction: Today, the expectation for cataract surgery is to achieve the best possible refractive outcome, but ultimately in many cases the visual outcome is suboptimal, which may require further surgical correction. Often the most optimal option for surgical correction is the implantation of a secondary supplementary lens in the ciliary sulcus. Aim: The aim of our study was to assess the long-term visual outcome after secondary implantation of the 1stQ AddOn® (Medicontur Medical Engeneering Ltd.) artificial lens in the sulcus, focusing on its stability and biocompatibility. Method: We analyzed the data of patients with suboptimal visual outcomes after cataract surgery who underwent implantation of a monofocal 1stQ AddOn lens as a corrective procedure. Pre- and postoperative evaluations included uncorrected and corrected distance vision, objective and subjective (manifest) refraction, corneal endothelial cell density, and complex slit-lamp ophthalmologic examination including applanation intraocular pressure measurement. The positions of the primary and secondary lenses were assessed via ultrasound biomicroscopy 1–4 years after implantation. Statistical comparisons were performed using an unpaired two-sample t-test or Wilcoxon test. The limit of significance was 5%. Results: 14 eyes from 12 patients (mean follow-up: 34,34 ± 16,13 months) were studied. The uncorrected logMAR visual acuity significantly improved at both 1 month (p = 0,0002) and 1–4 years (p = 0,0001) postoperatively, while the corrected acuity remained stable. Endothelial cell counts did not differ significantly from preoperative values. No increases in intraocular pressure, chronic inflammation, pigment dispersion, or other complications were observed. The secondary lenses remained stable, with a mean inter-lens distance of 0,38 ± 0,16 mm. Discussion: In patients with suboptimal visual outcome after cataract surgery, 1stQ AddOn lens implantation is well planned and provides a stable long-term outcome without complications. Conclusion: Secondary lens implantation is a suitable alternative for postoperative correction in cases of suboptimal visual outcome. Orv Hetil. 2025; 166(26): 1031–1037.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 26","pages":"1031-1037"},"PeriodicalIF":0.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"[Injection laryngoplasty for the treatment of unilateral vocal fold paralysis].","authors":"Ágnes Szalenko-Tőkés, Zoltán Tóbiás, Andrea Ambrus, András Burián, László Rovó, Ádám Bach","doi":"10.1556/650.2025.33329","DOIUrl":"10.1556/650.2025.33329","url":null,"abstract":"<p><p>The effects of unilateral vocal fold paralysis on voice production and swallowing can lead to a significant deterioration in the quality of life. Isolated injury to the recurrent laryngeal nerve results in limited movement of the affected vocal fold and its fixation in a paramedian position. The leading symptom of paralysis is decreased vocal performance, less commonly aspiration and difficulty breathing on exertion. The selection of the optimal therapeutic method depends on the etiology of vocal fold paralysis, the position of the vocal folds, the prognosis of the disease, the time elapsed since the paralysis, the patient’s comorbidities and motivation. Several types of phonosurgical methods are available to solve the problem, the common goal of which is the medialization of the abnormally positioned, immobile vocal fold in order to optimize phonatory closure. Among the interventions, injection laryngoplasty stands out with its simplicity and versatility, which can correct the position of the paralyzed vocal fold, as well as its volume and, at the same time, its mass. Based on a review of the international literature and our own experiences, we present the methodology for applying the procedure, with particular attention to the different surgical techniques and the types of injectable materials. With the optimal choice of these factors, injection laryngoplasty is a safe, inexpensive, relatively easy to learn, and favorable solution for the treatment of mild to moderate glottic insufficiency due to various causes. Orv Hetil. 2025; 166(26): 1017–1024.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 26","pages":"1017-1024"},"PeriodicalIF":0.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144529156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}