Orvosi hetilap最新文献

{"title":"[Examining the effects of smartphones on posture among university students].","authors":"Bettina Horváthné Tóth, Viktória Beleznai, Éva Friedli, András Salamon, Gabriella Császár","doi":"10.1556/650.2025.33266","DOIUrl":"10.1556/650.2025.33266","url":null,"abstract":"<p><p>Introduction: The number of people using modern technological devices has increased dramatically in recent times. In particular, the use of smartphones plays a significant role in people’s daily lives, and excessive use of them has a negative impact on our spine. Objective: The aim of this research was to examine the effect of smartphone use on posture among university students. Method: A total of 117 university students participated in our cross-sectional study, mean age 20.69 ± 1.35 years. Measured variables: sociodemographic data, time spent using smartphones (self-reported, screen time), smartphone addiction (Hungarian adaptation of the short version of the Smartphone Addiction Scale), cervical spine function (Neck Disability Index), posture in sitting and standing positions (Posture Screen) with and without phone use, neck stability (cervical flexion test), neck retraction muscle strength (cervical retraction test), lumbar motor control (Leg Lowering Test). Statistics: descriptive statistics, Kolmogorov–Smirnov test, Mann–Whitney test, Spearman’s correlation calculation (SPSS 24 v., p<0.05). Results: University students showed significantly worse head posture while using their phones, both in the standing (p<0.001) and sitting positions (p<0.001). Higher smartphone addiction scores correlated with higher Neck Disability Index scores (p<0.001), worse posture (p<0.05), worse neck stability (p = 0.046), and weaker neck retraction strength (p<0.001). We found a significant association between the time spent using smartphones and forward head posture (p<0.05), and worse cervical spine function (p = 0.001). In the case of lumbar motor control, we did not find a significant association with any of the smartphone-related variables. Discussion: Our results are consistent with those of the international literature. Conclusion: Regarding our present sample, the smartphone addiction score correlated with the Neck Disability Index score, posture, and neck stability. Time spent using a smartphone was significantly associated with posture, and university students had significantly worse posture while using a smartphone than without. Orv Hetil. 2025; 166(13): 494–502.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 13","pages":"494-502"},"PeriodicalIF":0.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754073","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 book on cholera riot by János Balásházy, one of the first academics].","authors":"László Kiss","doi":"10.1556/650.2025.HO2829","DOIUrl":"https://doi.org/10.1556/650.2025.HO2829","url":null,"abstract":"","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 13","pages":"516-519"},"PeriodicalIF":0.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754069","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":"[Argyria cutis following colloidal silver treatment in two patients with in situ melanoma].","authors":"Marcell Dömötör, Judit Csősz, Lajos Kocsis, Iván Oroján","doi":"10.1556/650.2025.33257","DOIUrl":"10.1556/650.2025.33257","url":null,"abstract":"<p><p>Prior to the discovery and popularization of antibiotics, silver colloidal derivatives were widely used, mainly for the treatment of infections, due to their possible antibacterial and antiviral activity. The silver colloid solution contains microscopic silver particles suspended in a colloidal base. Although there are no clinical trials or reliable literature to prove its efficacy, the increasing interest in alternative and natural remedies has been accompanied by a parallel increase in the indication of silver colloid use for the treatment of various pathologies and for preventive purposes. In the following case reports, the authors detail the case of two male patients who developed in situ neoplastic skin lesions and consumed a daily silver colloid solution on the advice of a naturopath for malignancy prevention. The skin lesions showed no change but argyria has occurred in the skin and nailbed. The aim of this case report is to draw attention to the potential toxicity of silver colloid. The assessment of effectiveness of this therapy is not possible because the in situ neoplastic lesions (lentigo maligna melanoma and superficial spreading melanoma) without any treatment may stay in a preinvasive stage for decades. Orv Hetil. 2025; 166(13): 511–515.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 13","pages":"511-515"},"PeriodicalIF":0.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754070","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":"[Generation differences among surgeons in job satisfaction and burnout].","authors":"Attila Farkas, Katinka Andrási, Szilvia Ádám, Orsolya Lőrincz","doi":"10.1556/650.2025.33263","DOIUrl":"10.1556/650.2025.33263","url":null,"abstract":"<p><p>Introduction and objective: The examination of job satisfaction and burnout is crucial in high-stress professions such as surgery. The aim of our study is to understand the generational and demographic differences in job satisfaction and burnout among general and thoracic surgeons in Hungary. Method: Between October 1, 2024, and December 1, 2024, we conducted an online, anonymous questionnaire survey among 97 Hungarian general and thoracic surgeons to assess their levels of job satisfaction and burnout. Job satisfaction was measured using the Hungarian version of the Minnesota Satisfaction Questionnaire, which evaluates intrinsic, extrinsic, and overall satisfaction dimensions. Burnout was assessed with the shortened version of the Oldenburg Burnout Inventory, which covers exhaustion and disengagement dimensions. Results: Regarding job satisfaction, Baby Boomer generation members gave statistically significantly higher scores on intrinsic factors (p = 0.041). No statistically significant differences were observed among Generation X and Y members (intrinsic: p = 0.055, extrinsic: p = 0.19, overall: p = 0.25, and intrinsic: p = 0.073, extrinsic: p = 0.36, overall: p = 0.39, respectively). The lowest scores were reported by Generation Z members, with a statistically significant difference in intrinsic factors (p = 0.023). A statistically significant relationship was found between age and intrinsic (p<0.001) and overall (p = 0.028) job satisfaction, as well as between years spent at the workplace and intrinsic satisfaction (p = 0.019), and years in the specialty and intrinsic satisfaction (p = 0.011). Residents also showed statistically significantly lower scores on intrinsic (p = 0.006) and overall (p = 0.043) job satisfaction questions. No statistically significant differences were observed in exhaustion and disengagement between the Baby Boomer (p = 0.72 and p = 0.277), Generation X (p = 0.49 and p = 0.086), and Generation Y (p = 0.28 and p = 0.14) groups. However, Generation Z members gave statistically significantly lower scores for exhaustion (p = 0.003), although the difference in disengagement was not significant (p = 0.21). A significant correlation was found between age and exhaustion (p = 0.002) and between resident status and exhaustion (p = 0.002). Conclusion: Younger surgeons and members of Generation Z experience higher levels of job dissatisfaction and certain dimensions of burnout, highlighting the need for differentiated leadership strategies. The findings emphasize the importance of considering generational needs and integrating younger generations into future surgical workplaces. Orv Hetil. 2025; 166(13): 483–493.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 13","pages":"483-493"},"PeriodicalIF":0.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754075","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":"[Artificial intelligence-based fusion prostate biopsy].","authors":"Sándor Póth, Róbert Túróczi-Kirizs, Ágnes Kovács, Zoltán Bajory","doi":"10.1556/650.2025.33214","DOIUrl":"10.1556/650.2025.33214","url":null,"abstract":"<p><p>Introduction: Prostate cancer imaging is constantly evolving. The previously used “blind sampling” technique of prostate biopsy was superseded by developing the ultrasound- guided methods and later assisted by more precise imaging. The current state-of-the-art version relies on multiparametric MRI analysis and fusion planned biopsy. Objective: Our aim was to present, for the first time in Hungary, our experiences gained through artificial intelligence-assisted image analysis and three-dimensional virtual modeling in transperineal prostate biopsy procedures. Method: Between November 2020 and April 2024, at our institute, we performed 227 prostate biopsies following Watson Elementary® artificial intelligence-assisted image analysis and PI-RADS (v. 2.1) classification, as well as three-dimensional digital modeling. The procedures were conducted under anesthesia using the BiopSee® perineal biopsy station. Our results were analyzed retrospectively. Results: During the specified period, 227 biopsies were performed on patients suspected of prostate cancer. The mean age was 66.7 ± 7.8 years, and the average PSA level was 14.3 ng/mL. The average time in the operating room was 26.2 minutes. No infectious complications occurred. Spontaneous hematuria or hematospermia was recorded in 86 cases. A transurethral catheter was inserted in 7 cases; however, 5 (71%) of them were removed within 24 hours. The tumor detection rate was 18% for PI-RADS 3, 72% for PI-RADS 4, and 95.5% for PI-RADS 5. The distribution of clinically significant prostate cancer was 7%, 44%, and 84%, respectively, for these PI-RADS categories. For confirmed prostate cancer cases, 48 radical prostatectomies were performed, and 20 patients are under active surveillance. Discussion: The two emerging problems in relation to prostate biopsies – the detection rate of clinically significant cancers and the risk of infection – encourage medicine to continue to develop. Conclusion: Artificial intelligence-assisted analysis and digital model-based transperineal fusion biopsy offer high patient safety and transparent diagnostic assistance. Transperineal sampling, performed according to our institute’s protocol, has minimized the risk of infection to virtually zero. The standardization of imaging and the technical unification of sampling protocols can support diagnostic and therapy-based decision-making. Orv Hetil. 2025; 166(13): 503–510.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 13","pages":"503-510"},"PeriodicalIF":0.8,"publicationDate":"2025-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754071","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 much do medical students forget?]","authors":"Gergely József Csaba, Zsuzsanna Füzesi, Árpád Csathó","doi":"10.1556/650.2025.33246","DOIUrl":"10.1556/650.2025.33246","url":null,"abstract":"<p><p>Medical training is traditionally divided into theoretical and clinical studies, but more and more medical schools are now offering an integrated curriculum that brings the two closer together. The solid theoretical knowledge acquisition is of paramount importance as it provides the basis for clinical subjects and, after graduation, for everyday clinical thinking and decision-making. Research has shown that students’ knowledge of theoretical subjects after university examinations can be significantly reduced, leading to difficulties in completing clinical studies and even in medical practice. Previous studies suggest that students forget approximately a third to a quarter of what they have learned in a year. However, the extent of forgetting in individual studies varies widely from discipline to discipline. Teaching methods and learning strategies that support active learning – such as retrieval practice and spaced repetition – have been shown to be effective in promoting long-term knowledge retention. Emphasizing the clinical relevance of theoretical material, taking steps towards an integrated curriculum can also contribute to deeper understanding and long-term knowledge retention. The aim of this paper is to present a comprehensive overview of the scientific findings on the long-term knowledge retention of medical students and to provide insights into the field of effective learning and teaching strategies that have been shown to be effective among medical students. The implementation of these strategies could help to improve medical education. Orv Hetil. 2025; 166(12): 450–458.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"450-458"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693072","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 wonderful world of steroid hormones in neonatology - the first 50 years].","authors":"István Pataki, András Balajthy, Csongor Kiss","doi":"10.1556/650.2025.33251","DOIUrl":"10.1556/650.2025.33251","url":null,"abstract":"<p><p>Professor László Karmazsin established the contemporary neonatal intensive care at the Department of Pediatrics of the University of Debrecen. His research group’s achievements in the field of neonatal immunobiology contributed to advances in perinatology. Investigating the antioxidant system in neonates, he and his group played a major role in uncovering the pathomechanisms of conditions associated with prematurity. At the same time, corticosteroids, applied as antenatal prophylaxis, and another, endogenous steroid hormone, active vitamin D, have also been shown to significantly impact fetal development and perinatal morbidity. Professor Karmazsin’s group pointed out to the relevance of corticosteroid receptors in mediating the effects of the hormone both in type II alveolar cells of neonates, as well as in leukemic cells. In this publication, we performed a literature review to analyze the interactions of these two steroid hormones on outcome results of the management of premature infants. Additionally, we report the results of a cohort study performed in the Neonatal Intensive Care Unit of the Department of Pediatrics of the University of Debrecen. In the presented small-sample study (n: 37), which focused on very low birth weight preterm infants, we examined the potential correlations between insufficient 25(OH)D levels and neonatal morbidities. In the group of preterm infants with insufficient (<50 nmol/L) 25(OH)D levels (N: 6/37) compared to those with sufficient (50–75 nmol/L) or optimal (>75 nmol/L) 25(OH)D levels (n: 31/37), higher incidences were observed in early (1/6 vs. 0/31; p: 0.021) and late (1/6 vs. 1/31; p: 0.183) neonatal infections, bronchopulmonary dysplasia (3/6 vs. 8/31; p: 0.235), necrotizing enterocolitis (1/6 vs. 1/31; p: 0.183), and the severe form of retinopathy of prematurity (1/6 vs. 0/31; p: 0.060). The difference was statistically significant in the case of early infections. Our results should be evaluated considering the limiting role of the small sample size. Orv Hetil. 2025; 166(12): 443–449.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"443-449"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693086","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":"[Post-traumatic stress disorder in postpartum period: clinical relevance, measurement opportunities].","authors":"Renáta Kovács-Berta, Edina Dombi, Norbert Pásztor","doi":"10.1556/650.2025.33226","DOIUrl":"10.1556/650.2025.33226","url":null,"abstract":"<p><p>Among mental health disorders in the perinatal period, postpartum depression and anxiety are particularly common and iteratively attract research interest. Less focus, however, is placed on postpartum post-traumatic stress disorder (PTSD) and that develops following traumatic experiences during childbirth. Previously, post-traumatic stress disorder was primarily associated with wartime experiences, but it is now understood that various situations perceived as traumatic – such as childbirth – can also trigger this disorder. Our study aims to provide an overview of the risk factors contributing to postpartum post-traumatic stress disorder, its prevalence, and the lasting impacts that can challenge the mother-child relationship. Managing post-traumatic stress disorder presents a significant challenge for mental health professionals, necessitating the development of effective therapeutic interventions that offer individuals a chance for recovery. Efforts aimed at preventing childbirth-related post-traumatic stress disorder, as well as moderating its severe consequences, still require changes at conceptual, procedural, and practical levels. The availability of complex, problem-focused psychological support remains limited, with restricted access for affected individuals, as well as a shortage of qualified professionals. Orv Hetil. 2024; 166(12): 459–468.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"459-468"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693081","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":"[Bilateral nevoid hyperkeratosis of the areola mammae].","authors":"Marcell Dömötör, Judit Csősz, Lajos Kocsis, Iván Oroján","doi":"10.1556/650.2025.33255","DOIUrl":"10.1556/650.2025.33255","url":null,"abstract":"<p><p>Neviform hyperkeratosis of the areola mammae is a relatively rare benign lesion observed mainly in women, most often associated with hormonal changes. In this case report, we present an 84-year-old male patient with bilateral hyperkeratotic plaques localized to the areola mammae. Given the rarity of this diagnosis, a histopathological examination was performed, which confirmed the presence of a benign pathology. This case report details the clinical features, diagnostic and therapeutic options, and differential diagnosis of naeviform hyperkeratosis of the areola mammae based on the available literature. Orv Hetil. 2025; 166(12): 478–480.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"478-480"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693067","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":"[Lessons regarding work-related competence transgression among acute psychiatric professionals in Hungary in the context of the COVID-19 pandemic].","authors":"László Molnár, Bernadett Svraka, Ágnes Zana","doi":"10.1556/650.2025.33236","DOIUrl":"10.1556/650.2025.33236","url":null,"abstract":"<p><p>Introduction: In psychiatric care, competence is the basis of patient safety. Consequently, competence transgression can have serious legal and ethical consequences. Objective: Our aim in this study was to investigate the relationship between competence transgression and role clarity, role conflict, stress, and burnout and determine whether each professional group (i.e., residents, nurses, psychiatrists, and psychologists) showed a correlation with these factors. Method: An online cross-sectional survey was conducted among acute psychiatric professionals (n = 105) in Hungary between November 2021 and April 2022. The main data collection instrument was the Copenhagen Psychosocial Questionnaire II. Our questionnaire was complemented by a question on competence transgression. Results: Competence transgression was moderately correlated with role clarity (r = –0.387, p<0.01), role conflict (r = 0.430, p<0.01), stress (r = 0.308, p<0.01), and burnout (r = 0.336, p<0.01). There was a negative significant correlation of medium strength between residents and role clarity (r = –0.258, p<0.01). Conclusion: Competence transgression should be considered when reorganising psychiatric care after a pandemic. Residents working in acute psychiatric care do not perceive their job role as being clear. The recommendations of professional organisations should therefore be emphasized in professional education and among policy makers. Orv Hetil. 2025; 166(12): 469–477.</p>","PeriodicalId":19911,"journal":{"name":"Orvosi hetilap","volume":"166 12","pages":"469-477"},"PeriodicalIF":0.8,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693077","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}