Orvosi hetilap最新文献

{"title":"[Characteristics of the group A streptococcal (GAS) epidemic in the pediatric primary care in Hungary in 2023].","authors":"Éva Karászi, Csaba Kassa, Kinga Tóth, Beáta Onozó, Hajna Erlaky, Botond Lakatos","doi":"10.1556/650.2025.33297","DOIUrl":"https://doi.org/10.1556/650.2025.33297","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 19","pages":"719-727"},"PeriodicalIF":0.8,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020621","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":"[Imre Hevesi (1867-1921), a surgeon from Cluj-Napoca].","authors":"Anna Tüskés","doi":"10.1556/650.2025.HO2833","DOIUrl":"https://doi.org/10.1556/650.2025.HO2833","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 19","pages":"750-755"},"PeriodicalIF":0.8,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143973641","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 possibilities of using virtual reality technology for managing auditory hallucinations in schizophrenia spectrum disorders].","authors":"Lilla Gerlinger, Luca Egervári, Lajos Simon, Tünde Kilencz, Laura Csizmadia, Gábor Csukly, Edit Haluska-Vass","doi":"10.1556/650.2025.33293","DOIUrl":"10.1556/650.2025.33293","url":null,"abstract":"<p><p>Introduction: Virtual reality-based therapies offer a promising approach for treating residual auditory verbal hallucinations, helping patients better understand and manage their hallucinations in a controlled and safe environment. Objective: This systematic literature review aims to summarize research findings from the past decade on this patient population. Method: A systematic literature review was conducted following the PRISMA guideline for the period between 2014 and December 31, 2024, using the PubMed and Web of Science databases. The search strategy included the following keywords: “virtual reality” OR “avatar therapy” AND “auditory verbal hallucination” OR “auditory hallucination” OR “acoustic hallucination” AND “schizophrenia” OR “psychosis”. Two independent reviewers screened the databases, involving additional authors in case of disagreements. Results: The review identified 188 original publications and an additional 83 records, of which 14 studies met the strict inclusion criteria. Among them, 13 studies examined AVATAR therapy, while one focused on virtual reality-based mindfulness techniques. AVATAR therapy showed positive effects in controlling hallucinations, reducing their frequency and intensity, and alleviating distress and negative beliefs. The virtual reality-based mindfulness technique also demonstrated symptom improvement in multiple areas but it was less effective than AVATAR therapy in reducing distress. Qualitative studies documented improvements in self-perception and self-acceptance. Conclusion: The findings support the potential of virtual reality-based therapies as effective adjunctive tools for treating patients with schizophrenia spectrum disorders. However, further research is needed to understand the long-term effects of these interventions. Orv Hetil. 2025; 166(19): 728–736.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 19","pages":"728-736"},"PeriodicalIF":0.8,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999076","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 the Female Sexual Distress Scale - Desire/Arousal/Orgasm questionnaire among patients undergoing hysteroscopy].","authors":"Babett Fodor, Péter Török, Eszter Tisljár-Szabó","doi":"10.1556/650.2025.33261","DOIUrl":"10.1556/650.2025.33261","url":null,"abstract":"<p><p>Introduction: Female sexual distress is a negative emotional state usually accompanying sexual dysfunctions. However, it also can occur independently of dysfunctions, thus, it is important to distinguish between the two. Objective: Currently, no measuring instrument exists in Hungarian to identify female sexual distress. Our goal was to adapt the Female Sexual Distress Scale – Desire/Arousal/Orgasm questionnaire which has been widely used in international research. Method: The translation was performed according to the general rules of the validation process. The Hungarian questionnaire was completed by 152 women undergoing outpatient hysteroscopy, followed by other questionnaires measuring anxiety or distress. Results: The internal consistency of the Hungarian Female Sexual Distress Scale – Desire/Arousal/Orgasm questionnaire proved to be very high, with a Cronbach’s alpha of 0.95. A positive correlation was shown with the other two questionnaires: higher sexual distress was associated with stronger state anxiety and higher levels of perceived stress. Discussion: Through our research, a questionnaire measuring female sexual distress was created and made available in Hungarian. Conclusion: The questionnaire may be suitable for assessing the prevalence of sexual distress in general population and for determining indication for psychotherapy, but further studies are needed. Orv Hetil. 2025; 166(19): 737–743.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 19","pages":"737-743"},"PeriodicalIF":0.8,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037386","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":"[How could the spine MR investigations without correct indications be reduced?]","authors":"Alexandra Viczei, István Lapis, Erika Técsi, György Szeifert","doi":"10.1556/650.2025.33287","DOIUrl":"10.1556/650.2025.33287","url":null,"abstract":"<p><p>Introduction: Spinal pain and radiculopathies are often caused by degenerative changes, which are common indications for spinal MR imaging. The detection of disc degeneration, disc protrusion/herniation, spinal canal stenosis and small joint arthrosis, as well as pathological processes affecting the vertebrae and spinal space may require MR examination. Objective: Certain conditions clearly justify the imaging of the spine by MR, for which it is recommended to refer patients based on specific criteria systems. Method: In our hospital, 2105 such examinations were performed in 2023, which were evaluated individually by reviewing the referral criteria and the results. Results: In our hospital, referrals for spinal MR examinations were given by specialists in various fields. In 87% of cases, no neurological cause was proven, and the imaging studies did not show any clinically relevant abnormalities requiring surgical intervention. As a result, our waiting list stretched for several months due to the many “unnecessary” examinations, and in many cases the “14-day rule” for cancer patients was also violated. Discussion, conclusion: Physicians should be encouraged to follow the rules laid down by the profession, by applying these, waiting lists and the costs of care can be reduced, and it would be easier to ensure timely care for truly urgent patients. Orv Hetil. 2025; 166(18): 710–716.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 18","pages":"710-716"},"PeriodicalIF":0.8,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144008505","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":"[Endoleak characterization after endovascular aortic aneurysm repair using dynamic CT angiography].","authors":"Zsófia Jokkel, Ádám Levente Jermendy, Ákos Bérczi, Márton Berczeli, Csaba Csobay-Novák","doi":"10.1556/650.2025.33210","DOIUrl":"10.1556/650.2025.33210","url":null,"abstract":"<p><p>Introduction: Accurately characterizing the types of endoleaks following endovascular aneurysm repair (EVAR) can often be challenging with standard triphasic CT angiography. Dynamic CT angiography is a relatively new CT imaging technique that may enable more precise characterization of endoleaks following EVAR. Method: Between January 2022 and January 2023, dynamic CT angiography acquisitions were performed on 15 patients following EVAR due to uncertain etiology of endoleaks or growing aneurysms using a Philips Brilliance iCT 256 scanner. Depending on the region of interest and the presumed type of endoleak, 12–18 image series were recorded during the examinations, with a 16 cm cranio-caudal coverage and intervals of 4.4 seconds, or 8 cm coverage with intervals of 0.8–2 seconds. The dynamic CT angiography image series were analyzed using the Philips IntelliSpace Portal Functional CT software based on the temporal changes in Hounsfield units in selected regions of interest. Results: Average age was 74.7 ± 9.3 years, with 10 males and 5 females among the patients. Following precise identification of arteries causing retrograde perfusion, two cases previously classified as Type V endoleaks were reclassified as Type II. In five cases with known Type II endoleaks, dynamic CT angiography identified that the inferior mesenteric artery and/or lumbar arteries were the main perfusion sources. In seven cases where endoleak types could not be clearly determined in previous examinations, exact types of endoleaks were successfully identified. In one case, a Type II endoleak from the inferior mesenteric artery was suspected during EVAR follow-up CT angiography, however, subsequent dynamic CT angiography showed no endoleak and an occluded inferior mesenteric artery. Conclusion: The dynamic CT angiography can serve as a promising adjunct to standard triphasic CT angiography examination following EVAR for characterizing difficult-to-diagnose endoleaks and aiding in the planning of future targeted therapeutic interventions. Orv Hetil. 2025; 166(18): 704–709.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 18","pages":"704-709"},"PeriodicalIF":0.8,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041488","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":"[Genetic factors underlying the susceptibility to SARS-CoV-2 infection and severe COVID-19].","authors":"Zsolt Matula, Miklós Bacskai, Hajnalka Andrikovics, András Bors, Dóra Csabán, Zoltán Őrfi, Attila Gyenesei, Ferenc Uher, István Vályi-Nagy","doi":"10.1556/650.2025.33280","DOIUrl":"https://doi.org/10.1556/650.2025.33280","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 18","pages":"679-696"},"PeriodicalIF":0.8,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565090","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":"[Smoking and the digestive system].","authors":"István Altorjay","doi":"10.1556/650.2025.33244","DOIUrl":"10.1556/650.2025.33244","url":null,"abstract":"<p><p>Smoking is considered to be the most important form among those that harm our health. Nicotine in itself as an additive can build a very strong addiction, but the main health damage is caused by the thousands of chemical components present in the tobacco cigarettes and the smoke, some of them being proven and known carcinogens. It is well known that the risk of lung cancer is at least 16 times higher among smokers, but several other disorders also in the digestive tract have strong connection to smoking. This review tries to collect the most important information regarding upper gastrointestinal disorders like peptic ulcer formation, chronic inflammatory disorders, including inflammatory bowel diseases and diverticulitis, circulatory disturbances and malignant disorders of the gastrointestinal tract. Orv Hetil. 2025; 166(18): 697–703.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 18","pages":"697-703"},"PeriodicalIF":0.8,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020617","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":"Sebészet, 12. kiadás, Gaál Csaba (szerk.), Medicina Könyvkiadó, Budapest, 2024.","authors":"F Tamás Molnár","doi":"10.1556/650.2025.17M","DOIUrl":"10.1556/650.2025.17M","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 17","pages":"673-676"},"PeriodicalIF":0.8,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020614","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 special form of situational syncope: pertussis-induced collapse].","authors":"Zoltán Varga, Gábor Simonyi, Béla Benczúr, Emma Berkes, Zsuzsanna Püspöki, Ervin Finta","doi":"10.1556/650.2025.33273","DOIUrl":"10.1556/650.2025.33273","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 17","pages":"652-657"},"PeriodicalIF":0.8,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565087","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}