Orvosi hetilap最新文献

{"title":"[Assessment of dietary habits in adolescents with inflammatory bowel disease].","authors":"Hajnalka Krisztina Pintér, Viola Anna Nagy, Éva Csajbókné Csobod, Nóra Judit Béres, Bence Prehoda, Áron Cseh, Antal Dezsőfi-Gottl, Ádám Pintér, Erzsébet Pálfi","doi":"10.1556/650.2026.33638","DOIUrl":"https://doi.org/10.1556/650.2026.33638","url":null,"abstract":"<p><strong>Introduction: </strong>The incidence of inflammatory bowel diseases (IBDs) is increasing worldwide, with dietary factors playing a role in both their development and clinical course. The protective effect of the Mediterranean diet has been confirmed by several clinical studies; however, limited data are available on patients' actual dietary habits - particularly during remission.</p><p><strong>Objective: </strong>The aim of our study was to assess adherence to the Mediterranean diet and the presence of Western-type dietary patterns among adolescent IBD patients in remission.</p><p><strong>Method: </strong>In this cross-sectional study, 24 IBD patients receiving biologic therapy (mean age: 15.71 ± 2.31 years) were included. Adherence to the Mediterranean diet was assessed using the KIDMED questionnaire, while the consumption of Western dietary components was evaluated using a specific 23-item food frequency questionnaire.</p><p><strong>Results: </strong>Based on KIDMED scores, all participants showed low (n = 16) or moderate (n = 8) adherence, with no cases of high adherence (mean: 2.75 ± 1.78). According to the food frequency questionnaire, all patients regularly consumed foods characteristic of a Western dietary pattern, most commonly chocolate, high-fat processed meats, bakery products, and sugar-sweetened breakfast cereals. Participants consumed an average of 7.75 out of 23 listed food groups at least 1-3 times weekly. No significant associations were found between dietary habits and diagnosis (Crohn's disease or ulcerative colitis) or sex; however, approximately one-third of the participants demonstrated an unfavorable dietary pattern. Furthermore, no significant correlation was identified between the results of the two questionnaires.</p><p><strong>Discussion: </strong>Our findings regarding Western dietary patterns are consistent with results from studies conducted in the healthy Hungarian population, which indicate low intake of vegetables, fruits, and dietary fiber. Adherence to the Mediterranean diet in our cohort appears less favorable compared to international data. The study highlights that adherence to dietary recommendations may decline during remission.</p><p><strong>Conclusion: </strong>An unfavorable dietary pattern was observed among IBD patients, supporting the need for regular and targeted dietary interventions. Emphasizing a sustainable, balanced diet - particularly during remission - is essential for effective disease management. Orv Hetil. 2026; 167(35): 1394-1401.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 35","pages":"1394-1401"},"PeriodicalIF":1.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860626","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":"[Milestones in breast cancer treatment].","authors":"András Drozgyik, Margit Haramzáné Józsa, F Tamás Molnár","doi":"10.1556/650.2026.HO2888","DOIUrl":"https://doi.org/10.1556/650.2026.HO2888","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 35","pages":"1402-1411"},"PeriodicalIF":1.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860630","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":"[Structured data collection during neonatal anesthesia: Neo Somno Log - a self-developed digital event tracker].","authors":"Sarolta Haiyen Trinh, Vera Balog, Luca Bogner, Vanda Pál, Gergely Gőbl, Gyula Tövisházi, Ágnes Jermendy, Balázs Hauser","doi":"10.1556/650.2026.33593","DOIUrl":"https://doi.org/10.1556/650.2026.33593","url":null,"abstract":"<p><strong>Introduction: </strong>Documentation of anesthetic care in Hungary remains heterogeneous, with the scope of recorded data largely determined by local institutional protocols. Anaesthesia records are predominantly paper-based, which, with variability in data content, hinders uniform, structured, and systematic data processing. Anesthesia in newborns is associated with increased risk due to physiological immaturity and ongoing postnatal adaptation, therefore the standardized and systematic capture of perioperative data is essential to improve quality of care and enhance patient safety.</p><p><strong>Objective: </strong>This single-center study aimed to develop an electronic neonatal surgical event log (Neo Somno Log) and to evaluate its feasibility and applicability in a real-world surgical setting.</p><p><strong>Method: </strong>The data structure and functional specifications of the event log were defined through iterative expert consultations. Initially, an Excel-based prototype was developed, followed by the implementation of a platform-independent application. The system was tested between 2022 and 2025 at the Semmelweis University, Pediatric Center, during the anesthetic management of newborns.</p><p><strong>Results: </strong>The application enables the structured capture of a total of 864 datapoints, including 152 baseline variables, 117 adverse, 416 anesthesia-related, 62 medication-related, 74 surgical, and 43 blood gas events. Data are annotated with timestamps across five domains. 167 newborns (body weight <6 kg) undergoing general anesthesia were enrolled in the pilot. The median body weight at surgery was 2900 g. The cohort included 94 abdominal, 21 neurosurgical, 22 thoracic, 14 ophthalmologic, and 12 other surgical procedures.</p><p><strong>Discussion: </strong>The Neo Somno Log facilitates real-time, structured digital data collection, enabling detailed analysis of intraoperative processes, systematic quality assessment and feedback into clinical practice.</p><p><strong>Conclusion: </strong>Given the physiological vulnerability of newborns undergoing anesthesia, structured and standardized documentation of intraoperative events is essential. The Neo Somno Log provides a practical, scalable solution for data capture that can contribute to improved patient safety and quality in resource limited settings. Orv Hetil. 2026; 167(35): 1375-1383.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 35","pages":"1375-1383"},"PeriodicalIF":1.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860602","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":"[Modern treatment of androgenetic alopecia].","authors":"Petra Rózsa, Lajos Kemény, Rolland Gyulai","doi":"10.1556/650.2026.33637","DOIUrl":"https://doi.org/10.1556/650.2026.33637","url":null,"abstract":"<p><strong>Introduction: </strong>Androgenetic alopecia is the most common hair loss, characterized by a chronic and progressive course and a significant psychosocial burden.</p><p><strong>Objective: </strong>The aim of this study was to provide a comparative analysis of current international guidelines and expert consensus statements on the treatment of androgenetic alopecia and to summarize their applicability in clinical practice.</p><p><strong>Method: </strong>A literature search was performed in the PubMed database to identify English-language guidelines and expert recommendations published between 2015 and 2025. The included documents were analyzed narratively and compared based on therapeutic approaches.</p><p><strong>Results: </strong>Conventional treatments, including topical minoxidil and 5-alpha-reductase inhibitors, remain the cornerstone of therapy. More recent recommendations increasingly support the use of low-dose oral minoxidil and dutasteride; however, their position varies across guidelines. The role of procedural therapies also differs, mainly due to limited evidence. Differences between recommendations are primarily driven by variability in levels of evidence and the evolving new therapies. In clinical practice, an individualized, multimodal treatment strategy combined with regular follow-up is essential.</p><p><strong>Conclusion: </strong>The management of androgenetic alopecia is a rapidly evolving field requiring personalized therapeutic decisions. In clinical practice, a personalized combined treatment strategy and regular follow-up are of paramount importance. Orv Hetil. 2026; 167(35): 1385-1393.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 35","pages":"1385-1393"},"PeriodicalIF":1.0,"publicationDate":"2026-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860601","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":"[István Környey, founder of the first Hungarian independent neurosurgery university department (Kolozsvár, 1941) was born 125 years ago].","authors":"József Makovitzky","doi":"10.1556/650.2026.HO2890","DOIUrl":"https://doi.org/10.1556/650.2026.HO2890","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1370-1372"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808928","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":"[Introducing triage-initiated imaging examinations at a Hungarian emergency department].","authors":"Gábor Xantus, Kornél Ádám, Csaba Varga, Mária Kurucz, Judit Nyéki, Ágnes Barta, Tamás Tompa, Ervin Finta, Zsuzsanna Lelovics, Péter Kovács","doi":"10.1556/650.2026.33634","DOIUrl":"https://doi.org/10.1556/650.2026.33634","url":null,"abstract":"<p><strong>Introduction: </strong>Triage is fundamental to emergency department operations and patient safety. Extended triage models, in which professionals can also initiate laboratory and imaging tests, are increasingly adopted. However, the expanded scope of practice may increase psychological and physical stress on triage nurses.</p><p><strong>Objective: </strong>The aim of our work is to develop the methodological framework for the introduction of triage-initiated imaging examinations at a Hungarian emergency department, to establish the basis for patient safety monitoring, and to map the facilitating and impeding factors of implementation, including the workload of triage professionals.</p><p><strong>Method: </strong>We supplemented our institution's system with strictly defined imaging test ordering. A validated questionnaire was used to identify facilitators and barriers to routine adoption. Performance will be analyzed using predetermined indicators (triage time, patients per shift, imaging tests ordered), with monthly data review guiding organizational adjustments. The Plan-Do-Check-Act method will be applied to monitor physical and psychological stress factors and identify critical periods.</p><p><strong>Results: </strong>The indication list for triage-initiated imaging, the radiation safety and basic imaging training curriculum with a final test, and the cyclical quality improvement project plan with audit milestones were developed.</p><p><strong>Conclusion: </strong>Literature data support the positive impact of triage-initiated imaging on patient pathways and patient satisfaction. Through regular monitoring of triage nurse workload, we are developing a quality improvement project at the intersection of patient safety and provider well-being. We believe that a pragmatic approach provides practical support for sustainable and safe emergency operations. Orv Hetil. 2026; 167(34): 1359-1364.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1359-1364"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808958","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":"[A burning challenge in emergency care: burnout, secondary traumatic stress, and psychological immune competence].","authors":"Kornél Ádám, Luca Barta, Adrienn Tóth, Bánk Gábor Fenyves, Csaba Varga, Tímea Kórizs, Annamária Töreki","doi":"10.1556/650.2026.33631","DOIUrl":"https://doi.org/10.1556/650.2026.33631","url":null,"abstract":"<p><strong>Introduction: </strong>Emergency healthcare professionals are continuously exposed to high stress, managing a wide spectrum of critical and non-critical cases. Frequent traumatic events and high emotional workload increase the risk of burnout and secondary traumatic stress. Psychological immune competence, as a stable intrapersonal resource, may support coping and resilience.</p><p><strong>Objective: </strong>This study examined associations between psychological immune competence and burnout dimensions, i.e., emotional exhaustion (EE), depersonalization (DP), personal accomplishment (PA), and secondary traumatic stress in emergency staff. Secondary objectives included differences by sex, age, and occupational group.</p><p><strong>Methods: </strong>72 healthcare professionals at the Semmelweis University Department of Emergency Medicine (48% of total clinical staff) completed the Maslach Burnout Inventory (MBI), Psychological Immune Competence Questionnaire (PIK), and Secondary Traumatic Stress Scale (STSS) online. Reliability was assessed, and correlations and group differences were evaluated using non-parametric tests.</p><p><strong>Results: </strong>PIK scores correlated negatively with MBI-EE (ρ = -0.63) and MBI-DP (ρ = -0.56) and positively with MBI-PA (ρ = 0.64; p<0.001). STSS scores correlated positively with emotional exhaustion (ρ = 0.56) and negatively with PIK (ρ = -0.37). Women reported higher emotional exhaustion and STSS scores. Age and occupational role were not protective. Less than half of the total clinical staff participated, which may limit generalizability.</p><p><strong>Discussion: </strong>Stronger psychological immune competence mitigates burnout and secondary traumatic stress. Lack of individual psychological resources increases emotional exhaustion risk, while age and occupational role alone offer no protection. Sex differences suggest the need for targeted, resource-focused interventions.</p><p><strong>Conclusion: </strong>Psychological immune competence is a key factor in burnout and secondary traumatic stress among emergency staff. Enhancing individual resources, combined with organizational interventions, may improve staff well-being and resilience. Orv Hetil. 2026; 167(34): 1335-1342.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1335-1342"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808980","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":"[Tumour-like extramedullary hematopoiesis in a patient with multiple renal transplantations].","authors":"Alex Jenei, Miklós Vértes, Éva Toronyi, Boglárka Pósfai, Levente Kuthi, Attila Fintha","doi":"10.1556/650.2026.33566","DOIUrl":"10.1556/650.2026.33566","url":null,"abstract":"<p><p>Extramedullary hematopoiesis is reactive or clonal trilineage hematopoiesis presenting outside the bone marrow, and it is typically caused by an underlying neoplastic process. In this report, we present the case of a 58-year-old patient who underwent multiple kidney transplantations. Follow-up imaging revealed a tumour-like mass in the soft tissue near the graft kidney. Biopsy revealed extramedullary hematopoiesis without dysplastic features or blast increase. The patient did not show blood count abnormalities suggestive of bone marrow disease. From a prognostic and therapeutic point of view, the most important is to distinguish extramedullary hematopoiesis from myeloid sarcoma. In myeloid sarcoma, the proportion of myeloid blasts exceeds 20%, and the condition is essentially equivalent to acute myeloid leukemia, requiring appropriate treatment. Extramedullary hematopoiesis, as in the presented case, may be asymptomatic. In this instance, follow-up is recommended. In symptomatic cases however, drug treatment or radiation therapy may also be applied. Orv Hetil. 2026; 167(34): 1365-1369.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1365-1369"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808985","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":"[Triptan treatment in migraine: a dose-based model for persistence and acute medication use patterns using nationwide health insurance data].","authors":"Ágnes Lubik, Antal Tibold, Celia Blasszauer, Dániel Reibl, Ida Komka, Áron Bartha, Gergely Fehér","doi":"10.1556/650.2026.33613","DOIUrl":"https://doi.org/10.1556/650.2026.33613","url":null,"abstract":"<p><strong>Introduction: </strong>Nationwide data on real-world medication use patterns in the treatment of migraine attacks are limited. Health insurance databases provide an opportunity for dose-based and comparable analyses of medication utilization.</p><p><strong>Objective: </strong>Using a nationwide health insurance database, we examined patterns of pharmacological treatment of migraine attacks, persistence of triptan therapy, and temporal changes in dose-based categories of acute medication use.</p><p><strong>Method: </strong>A retrospective longitudinal study was conducted using the nationwide prescription database of the National Health Insurance Fund Administration of Hungary. A total of 7840 patients without prior triptan use were included. Medication utilization was assessed in three-month intervals. Acute medication use categories were defined based on the amount of dispensed migraine-specific agents and non-steroidal anti-inflammatory drugs. Treatment discontinuation was defined as a prescription refill gap exceeding 90 days.</p><p><strong>Results: </strong>During the first three months following triptan initiation, 36.7% of patients were classified into the medication overuse pattern category, while 49.4% showed low analgesic use. During follow-up, approximately 70% of patients had no further prescription fills for acute medications. The initially high rate of medication overuse patterns decreased over time; however, it remained persistently present in 16-18% of patients. Among patients who initially used a higher proportion of triptans relative to non-specific analgesics, subsequent medication overuse patterns occurred less frequently. Persistence of triptan therapy declined rapidly: 14.4% of patients still filled triptan prescriptions at 90 days, while 5.3% continued to do so after one year.</p><p><strong>Conclusion: </strong>Dose-based categorization may be suitable for population-level assessment of acute migraine-related medication use patterns. The model may contribute to the structured characterization of medication burden and to monitoring medication utilization in migraine care. Orv Hetil. 2026; 167(34): 1343-1352.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1343-1352"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808956","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":"[Patient satisfaction and complications following penile prosthesis implantation].","authors":"Mihály Murányi, Gyula Drabik, Tibor Flaskó, Zoltán Kiss","doi":"10.1556/650.2026.33635","DOIUrl":"https://doi.org/10.1556/650.2026.33635","url":null,"abstract":"<p><strong>Introduction: </strong>Penile prosthesis implantation is one of the most effective treatment options for erectile dysfunction, providing high patient satisfaction. To date, there has been a paucity of publications on this topic in Hungarian literature.</p><p><strong>Objective: </strong>The aim of our study was to assess complications and patient satisfaction following penile prosthesis implantation performed at a tertiary referral center.</p><p><strong>Method: </strong>We conducted a retrospective study of patients who underwent penile prosthesis implantation between 2022 and 2025. Demographic data, the etiology of erectile dysfunction, perioperative parameters, postoperative complications, and patient satisfaction assessed by questionnaire were analyzed.</p><p><strong>Results: </strong>During the study period, 12 penile prostheses were inserted. The median age of the patients was 57 (54-66) years. Erectile dysfunction was vasculogenic, neurogenic, and hormonal in six, five, and one cases, respectively. Malleable, two-piece inflatable, and three-piece inflatable prosthesis were implanted in five, two, and five patients, respectively. The procedures were performed via a penoscrotal approach, with a median surgical time of 135 (100-150) minutes and a median nursing time of 2 (1-2) days. The overall complication rate was 33% (4/12). In the early postoperative period, two mild (Clavien-Dindo grade I) and one severe (Clavien-Dindo grade IIIb) complications were observed. During a median follow-up period of 36 (10-47) months, one late complication was observed, penile prosthesis revision was performed due to glans hypermobility. No prosthesis infection, mechanical failure, erosion, or glans necrosis occurred. Based on the questionnaire survey, all respondents were able to participate in sexual intercourse, and 89% were satisfied with the surgery.</p><p><strong>Discussion: </strong>Penile prosthesis implantation is a safe procedure associated with high patient satisfaction. Our findings are consistent with international data on complications and patient satisfaction.</p><p><strong>Conclusion: </strong>Continuous monitoring of surgical outcomes is essential to ensure quality assurance, prevent complications, and optimize patient satisfaction. Orv Hetil. 2026; 167(34): 1353-1358.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"167 34","pages":"1353-1358"},"PeriodicalIF":1.0,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808973","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}