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1.

001-es BibID:BIBFORM109702
035-os BibID:(Scopus)85151612301 (WoS)000956763900001
Első szerző:Árokszállási Tamás (neurológus)
Cím:Elevated Blood Alcohol Concentration Is Associated with Improved Clinical Outcomes of Intravenous Thrombolysis Treatment in Acute Ischemic Stroke Patients : A Retrospective Study / Árokszállási Tamás, Balogh Eszter, Orbán-Kálmándi Rita, Pásztor Máté, Árokszállási Anita, Nagy Edit Boglárka, Belán Ivett, May Zsolt, Csépány Tünde, Csiba László, Bagoly Zsuzsa, Oláh László
Dátum:2023
ISSN:2077-0383
Megjegyzések:Background: Intravenous thrombolysis (IVT) improves acute ischemic stroke (AIS) outcomes, but with limited success. In addition, ethanol potentiates the effect of r-tPA in ischemia models. Methods: The effect of acute alcohol consumption on IVT outcomes was investigated in a retrospective cohort study. AIS patients with detectable blood alcohol concentration (BAC) during IVT were included (alcohol group; n = 60). For each case, 3 control subjects who underwent IVT but denied alcohol consumption were matched in terms of age, sex, affected brain area, and stroke severity. Outcomes were determined using the NIHSS at 7 days and the modified Rankin scale (mRS) at 90 days. Results: Patients were younger and had a less severe stroke than in a standard stroke study. Favorable long-term outcomes (mRS 0?2) occurred significantly more frequently in the alcohol group compared to controls (90% vs. 63%, p < 0.001). However, the rates of hemorrhagic transformation were similar. Multiple logistic regression models identified elevated BAC as a significant protective factor against unfavorable short-term (OR: 0.091, 95% CI: 0.036?0.227, p < 0.001) and long-term outcomes (OR: 0.182, 95% CI: 0.062?0.535, p = 0.002). In patients with BAC > 0.2%, significantly lower NIHSS was observed at 3 and 7 days after IVT vs. in those with 0.01?0.2% ethanol levels. Conclusion: Elevated BAC is associated with improved outcomes in IVT-treated AIS without affecting safety.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
stroke
observational study
thrombolysis
ethanol
outcomes
Megjelenés:Journal of Clinical Medicine. - 12 : 6 (2023), p. 1-13. -
További szerzők:Balogh Eszter (1991-) (neurológus) Orbán-Kálmándi Rita Angéla (1993-) (klinikai laboratóriumi kutató) Pásztor Máté Árokszállási Anita (1982-) (orvos) Nagy Edit Boglárka Belán Ivett May Zsolt Csépány Tünde (1956-) (neurológus, pszichiáter) Csiba László (1952-) (neurológus, pszichiáter) Bagoly Zsuzsa (1978-) (orvos) Oláh László (1967-) (neurológus)
Pályázati támogatás:Nemzeti Agykutatási Program (NAP) 2017-1.2.1-NKP-2017-00002
Egyéb
ELKH-DE Cerebrovascularis Kutatócsoport
MTA
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Intézményi repozitóriumban (DEA) tárolt változat
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2.

001-es BibID:bibEBI00026273
035-os BibID:(WoS)000581708900001 (Scopus)85108175368
Első szerző:Bagoly Zsuzsa (orvos)
Cím:Uninterrupted Dabigatran Administration Provides Greater Inhibition against Intracardiac Activation of Hemostasis as Compared to Vitamin K Antagonists during Cryoballoon Catheter Ablation of Atrial Fibrillation / Zsuzsa Bagoly, Orsolya Hajas, Réka Urbancsek, Alexandra Kiss, Edit Fiak, Ferenc Sarkady, Noémi Klára Tóth, Rita Orbán-Kálmándi, Kitti Bernadett Kovács, László Nagy, Attila Nagy, János Kappelmayer, László Csiba, Zoltán Csanádi
Dátum:2020
ISSN:2077-0383
Megjegyzések:Background. Cerebral thromboembolism is a rare but feared complication of transcatheter ablation in patients with atrial fibrillation (AF). Here, we aimed to test which pre-procedural anticoagulation strategy results in less intracardiac activation of hemostasis during ablation. Patients and methods. In this observational study, 54 paroxysmal / persistent AF patients undergoing cryoballoon ablation were grouped according to their periprocedural anticoagulation strategy: no anticoagulation (oral anticoagulation (OAC) free; n = 24), uninterrupted vitamin K antagonists (VKA) ( n = 11), uninterrupted dabigatran ( n = 17). Blood was drawn from the left atrium before and immediately after the ablation procedure. Cryoablations were performed according to standard protocols, during which heparin was administered. Heparin-insensitive markers of hemostasis and endothelial damage were tested from intracardiac samples: D-dimer, quantitative fibrin monomer (FM), plasmin-antiplasmin complex (PAP), von Willebrand factor (VWF) antigen, chromogenic factor VIII (FVIII) activity. Results. D-dimer increased significantly in all groups post-ablation, with lowest levels in the dabigatran group (median [interquartile range]: 0.27 [0.36] vs. 1.09 [1.30] and 0.74 [0.26] mg / L in OAC free and uninterrupted VKA groups, respectively, p < 0.001 ). PAP levels were parallel to this observation. Post-ablation FM levels were elevated in OAC free ( 26.34 [30.04] mg / L ) and VKA groups (10.12 [16.01] mg / L), but remained below cut-o in all patients on dabigatran ( 3.98 [2.0] mg / L; p < 0.001). VWF antigen and FVIII activity increased similarly post-ablation in all groups, suggesting comparable procedure-related endothelial damage. Conclusion. Dabigatran provides greater inhibition against intracardiac activation of hemostasis as compared to VKAs during cryoballoon catheter ablation.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
atrial fibrillation
cryoballoon ablation;
dabigatran
vitamin K antagonists
Megjelenés:Journal of Clinical Medicine. - 9 : 9 (2020), p. 1-13. -
További szerzők:Hajas Orsolya (1987-) Urbancsek Réka (1991-) (általános orvos) Kiss Alexandra (1987-) (általános orvos) Fiák Edit Sarkady Ferenc (1982-) (laboratóriumi analitikus) Tóth Noémi Klára Orbán-Kálmándi Rita Angéla (1993-) (klinikai laboratóriumi kutató) Kovács Kitti Bernadett (1985-) (neurológus) Nagy László Tibor (1969-) (belgyógyász, kardiológus) Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Kappelmayer János (1960-) (laboratóriumi szakorvos) Csiba László (1952-) (neurológus, pszichiáter) Csanádi Zoltán (1960-) (kardiológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00043
GINOP
MTA-DE
MTA
K109712
OTKA
K120042
OTKA
FK128582
OTKA
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Intézményi repozitóriumban (DEA) tárolt változat
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3.

001-es BibID:BIBFORM083072
Első szerző:Csikai Enikő
Cím:Influence of angiotensin-converting enzyme inhibition on reversibility of alterations in arterial wall and cognitive performance associated with early hypertension : a follow-up study / Csikai Enikő, Andrejkovics Mónika, Balajthy-Hidegh Bernadett, Hofgárt Gergely, Kardos László, Diószegi Ágnes, Rostás Róbert, Czuriga-Kovács Katalin Réka, Csongrádi Éva, Csiba László
Dátum:2019
ISSN:0025-7974
Megjegyzések:The importance of optimal blood pressure control for preventing or reducing the impairment of vascular and cognitive functions is well known. However, the reversibility of early alterations in vascular and cognitive functions through antihypertensive agents is under-investigated. In this study, we evaluated the influence of 3 months of angiotensin-converting enzyme (ACE) inhibition treatment on the morphological and functional arterial wall and cognitive performance changes in 30 newly diagnosed primary hypertensive patients. Common carotid intima-media thickness (IMT) and brachial artery flow-mediated dilatation (FMD) were detected by ultrasonography. Arterial stiffness indicated by augmentation index (AIx) and pulse wave velocity (PWV) was assessed by arteriography. Cognitive functions were assessed by neuropsychological examination. The executive function overall score was significantly higher at 3-month follow-up than at baseline (median, 0.233 (IQR, 0.447) vs ?0.038 (0.936); P?=?.001). Three-month ACE inhibition did not produce significant improvement in IMT, FMD, AIx and PWV values. Significant negative associations were revealed between IMT and complex attention (r?=??0.598, P?=?.0008), executive function (r?=??0.617, P?=?.0005), and immediate memory (r?=??0.420, P?=?.026) overall scores at follow-up. AIx had significant negative correlations with complex attention (r?=??0.568, P?=?.001), executive function (r?=??0.374, P?=?.046), and immediate memory (r?=??0.507, P?=?.005). PWV correlated significantly and negatively with complex attention (r?=??0.490, P?=?.007). Timely and effective antihypertensive therapy with ACE inhibitors has significant beneficial effects on cognitive performance in as few as 3 months. Early ACE inhibition may have an important role in the reversal of initial impairments of cognitive function associated with hypertension-induced vascular alterations.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
arterial stiffness
carotid intima-media thickness
cognition
flow-mediated vasodilatation
hypertension
Megjelenés:Medicine. - 98 : 34 (2019), p. 1-9. -
További szerzők:Andrejkovics Mónika (1967-) (klinikai szakpszichológus, neuropszichológus, pszichoterapeuta) Balajthy-Hidegh Bernadett Hofgárt Gergely (1984-) (neurológus) Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Diószegi Ágnes (1987-) (belgyógyász) Rostás Róbert (1991-) (Orvos) Czuriga-Kovács Katalin Réka (1981-) (neurológus) Csongrádi Éva (1969-) (szakorvos) Csiba László (1952-) (neurológus, pszichiáter)
Pályázati támogatás:GINOP-2.3.2-15-2016-00048
GINOP
Gedeon Richter research grant 4700168520-KK/186/2016
Egyéb
NKFI K120042
Egyéb
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Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM128725
035-os BibID:(WoS)001334248100001 (Scopus)85206578870
Első szerző:Hudák Lilla (neurológus)
Cím:Clinicopathological Observations in Acute Stroke Patients Treated with Intravenous Thrombolysis / Lilla Hudák, Kitti Bernadett Kovács, Zsuzsa Bagoly, István Szegedi, Viktor Bencs, Linda Lóczi, Rita Orbán-Kálmándi, Henrietta Péter-Pakó, Zsófia Fülesdi, Blanka Busi, Attila Nagy, Beáta Perjési-Kiss, László Oláh, László Csiba
Dátum:2024
ISSN:2077-0383
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Clinical Medicine. - 13 : 19 (2024), p. 1-11. -
További szerzők:Kovács Kitti Bernadett (1985-) (neurológus) Bagoly Zsuzsa (1978-) (orvos) Szegedi István (1969-) (hematológus, onkológus, nefrológus) Bencs Viktor (1995-) (orvos) Lóczi Linda (1993-) Orbán-Kálmándi Rita Angéla (1993-) (klinikai laboratóriumi kutató) Péter-Pakó Henrietta Fülesdi Zsófia (1990-) (radiológus) Busi Blanka Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Perjési-Kiss Beáta Oláh László (1967-) (neurológus) Csiba László (1952-) (neurológus, pszichiáter)
Pályázati támogatás:MTA-DE Lendület
MTA
Élettudományok - Orvosi tudományok
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Intézményi repozitóriumban (DEA) tárolt változat
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5.

001-es BibID:BIBFORM042437
Első szerző:Léránt Brigitta
Cím:The role of extracranial ultrasound in the prevention of stroke based on the new guidelines / Brigitta Léránt, László Csiba
Dátum:2012
ISSN:2211-968X
Megjegyzések:Extracranial ultrasonography is recommended to use as a baseline non-invasive method in the initial evaluation of either asymptomatic or symptomatic patients to define the possible stenosis on carotid artery. The latest 2011 guidelines specify the sequence of examinations with certain classification of recommendations and level of evidence. Carotid duplex ultrasonography plays an important role both in primary and secondary prevention of stroke and the results found determine the use of further investigations and management of patients with extracranial carotid and vertebral artery disease. In case of diagnostic uncertainty other brain imaging methods, like computed tomography angiography, magnetic resonance angiography and catheter-based angiography can be chosen to assess vascular lesions. Carotid duplex ultrasound serves not only diagnostic purposes but can also be useful in the follow up processes. It is widely used for control examinations after revascularization procedures of the carotid or vertebrobasilar arteries. By the establishment of indications of revascularization procedures degree of carotid stenosis is a major factor which therefore requires accuracy of the assessment. Carotid duplex ultrasound has some difficulties in this question. This diagnostic uncertainty is tried to be solved by improving the criteria system of stenosis grading in internal carotid artery. The aim of this article is to give an overview about the importance and role of extracranial duplex ultrasonography in stroke prevention based on the latest guidelines.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Perspectives in Medicine 1 : 1-12 (2012), p. 94-99. -
További szerzők:Csiba László (1952-) (neurológus, pszichiáter)
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Intézményi repozitóriumban (DEA) tárolt változat
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6.

001-es BibID:BIBFORM042412
Első szerző:Léránt Brigitta
Cím:Morphological, hemodynamic and stiffness changes in arteries of young smokers / Brigitta Léránt, Christina Straesser, Réka Katalin Kovács, László Oláh, László Kardos, László Csiba
Dátum:2012
ISSN:2211-968X
Megjegyzések:Aim The aim of our investigations was to detect the acute and chronic effects of cigarette smoking on arterial wall thickness and stiffness in young, healthy volunteers. We also performed a one-year follow-up to define the possible changes. Subjects We recruited 25 non-smoking and 25 smoking university students aged 19-33. Exclusion criteria were any known diseases, abnormally high cholesterol levels and body mass index (BMI) above 30 kg/m2. Methods We defined the intima-media thickness on both common carotid arteries by using B-mode ultrasonography and we measured the hemodynamic and stiffness parameters with the help of arteriograph. In case of smokers we also investigated the acute effects after smoking one cigarette. In the follow-up study we measured 15 non-smokers and 13 smokers again. Results In the smoking group morphological, stiffness and hemodynamic parameters showed significantly higher values compared to non-smokers. Concerning the acute effects we detected a significant increase in stiffness and hemodynamic parameters after smoking one cigarette. Gender differences were also found in the smoking group. Unadjusted to age, gender and smoking status there was a significant correlation between intima-media thickness and pulse wave velocity. We could not find any progression in smokers after one year, while there was an improvement in intima-media thickness and augmentation index in non-smokers. Conclusion Early atherosclerotic processes due to smoking can be detected even at a young age, in healthy university students. One year regular smoking does not result in detectable changes.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
egyetemen (Magyarországon) készült közlemény
Megjelenés:Perspectives in Medicine. - 1 : 1-12 (2012), p. 152-155. -
További szerzők:Straesser, Christina Czuriga-Kovács Katalin Réka (1981-) (neurológus) Oláh László (1967-) (neurológus) Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Csiba László (1952-) (neurológus, pszichiáter)
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Intézményi repozitóriumban (DEA) tárolt változat
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7.

001-es BibID:BIBFORM017679
Első szerző:Magyar Mária Tünde (neurológus)
Cím:Serum cholesterols have a more important role than triglycerides in determining intima-media thickness of the common carotid artery in subjects younger than 55 years of age / Magyar M. T., Paragh G., Katona E., Valikovics A., Seres I., Csiba L., Bereczki D.
Dátum:2004
Megjegyzések:The role of serum cholesterol and triglycerides in carotid artery atherosclerosis is controversial. We measured carotid artery intima-media thickness (IMT), a marker of atherosclerosis in subjects younger than 55 years of age with a 6-fold range of serum cholesterol levels (3.93-25.03 mmol/L) and a 200-fold range of triglyceride levels (0.36-75.97 mmol/L). METHODS: Eighty-six patients with increased serum lipid values and 30 subjects with normal lipid values were included. Serum lipids were measured after an overnight fast. High-resolution sonographic investigations of the carotid arteries of all patients were videotaped. Intima-media thickness was measured offline at 1-mm increments in the distal 10-mm segments of both common carotid arteries by a reader blinded to patient characteristics. First, IMT was compared among groups defined by their cholesterol and triglyceride levels with the use of traditional cutoff values. Next, all subjects were pooled, and general regression analysis was performed to identify significant predictors of IMT with age, body mass index, lipid values, sex, diabetes, hypertension, and smoking status as independent variables. RESULTS: Intima-media thickness was larger in patient groups with high cholesterol levels (ie, the hypercholesterolemic and combined hyperlipidemic groups) than in the control, borderline, and isolated hypertriglyceridemic groups (P < .01). In the general multiple regression model, IMT correlated positively with total cholesterol level (beta = 0.343; P = .002) and age (beta = 0.3; P = .006) but not with triglyceride level. CONCLUSIONS: Both the group comparisons and the general regression analysis of the pooled data suggest that hypercholesterolemia has an important role in early onset IMT changes in the common carotid artery, whereas hypertriglyceridemia does not have an appreciable role.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Journal Ultrasound Medicine. - 23 : 9 (2004), p. 1161-1169. -
További szerzők:Paragh György (1953-) (belgyógyász) Katona Evelin (1974-) (belgyógyász) Valikovics Attila Seres Ildikó (1954-) (biokémikus) Csiba László (1952-) (neurológus, pszichiáter) Bereczki Dániel (1960-) (neurológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
Borító:

8.

001-es BibID:BIBFORM001488
Első szerző:Magyar Mária Tünde (neurológus)
Cím:Calcium distribution in the vessel wall and intima-media thickness of the human carotid arteries / Magyar Mária Tünde, Szikszai Zita, Kertész Zsófia, Molnár Sándor, Uzonyi Imre, Szíki Gusztáv Áron, Csiba László
Dátum:2007
Megjegyzések:Abstract-Increased common carotid artery (CCA) intima-media thickness (IMT) measured by B-mode ultrasound is an early marker of the atherosclerotic process. Arterial calcification is not clearly understood. Using the particle-induced X-ray emission (PIXE) method, we have looked for the location in the artery wall where calcium accumulated in the early phase of atherosclerosis. Twelve segments of CCAs of deceased stroke patients were investigated. In-vivo, carotid duplex ultrasound was performed with bilateral CCA IMT measurement at plaque-free sections. During autopsy, segments of carotid arteries were collected and filled under pressure with a stained histologic embedding material. The frozen arteries were cut into 60-m-thick slices. Calcium distribution maps from the segments of arteries were determined by PIXE method. IMT measured by ultrasound and calcium distribution maps measured by PIXE were compared. In our cross-sectional study, using the PIXE analysis and ultrasound images, we could demonstrate early calcium accumulation in the media layer. Our results have also shown a significant relationship between calcium content of distributional maps measured by PIXE analysis and corresponding IMT on B-mode ultrasound images of human CCAs.
Tárgyszavak:Orvostudományok Természettudományok Klinikai orvostudományok Fizikai tudományok idegen nyelvű folyóiratközlemény külföldi lapban
Intima-media thickness
Calcium accumulation
Particle induced X-ray emission
Megjelenés:Ultrasound in Medicine and Biology. - 33 : 8 (2007), p. 1171-1178. -
További szerzők:Szikszai Zita (1969-) (fizikus) Kertész Zsófia (1971-) (fizikus) Molnár Sándor (1973-) (neurológus) Uzonyi Imre Szíki Gusztáv Áron (1973-) (fizikus) Csiba László (1952-) (neurológus, pszichiáter)
Internet cím:DOI
elektronikus változat
Borító:

9.

001-es BibID:BIBFORM126146
035-os BibID:(Scopus)85213411095
Első szerző:Majer Réka (egészségpszichológus)
Cím:An Investigation of the Relationship Between Vascular Markers and Cognitive Functions in Early Hypertension / Majer Réka, Nagy Attila, Csikai Enikő, Andrejkovics Mónika, Diószegi Ágnes, Tóth Attila, Csiba László
Dátum:2024
ISSN:2075-4426
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Personalized Medicine. - 14 : 12 (2024), p. 1-13. -
További szerzők:Nagy Attila Csaba (1981-) (megelőző orvostan és népegészségtan szakorvos, epidemiológus) Csikai Enikő Andrejkovics Mónika (1967-) (klinikai szakpszichológus, neuropszichológus, pszichoterapeuta) Diószegi Ágnes (1987-) (belgyógyász) Tóth Attila (kardiológus) Csiba László (1952-) (neurológus, pszichiáter)
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

10.

001-es BibID:bibEBI00026266
Első szerző:Majer Réka (egészségpszichológus)
Cím:Neuropsychiatric symptoms, quality of life and caregivers' burden in dementia / Majer Réka, Adeyi Olar, Bagoly Zsuzsa, Simon Viktória, Csiba László, Kardos László, Hortobágyi Tibor, Frecska Ede
Dátum:2020
ISSN:2391-5463 1911-2092
Megjegyzések:The objective of this research is to identify the relationship between the neuropsychiatric symptoms (NPSs) of patients with major neurocognitive disorder (mNCD), their quality of life, illness intrusiveness and the caregiver's burden. We assessed 131 patients with mNCD. Examination methods included WHO well-being index short version, illness intrusiveness rating scale, Alzheimer's Disease Assessment Scale-Cog, Mini Mental State Examination and neuropsychiatric inventory. The results were analysed using standard statistical tests. In our sample, the prevalence of NPSs is 100%. A significant correlation (p < 0.0001) was observed with quality of life and illness intrusiveness. Additionally, a strong relationship was observed between NPSs and the caregiver's burden (r = 0.9). The result is significantly twice as much stronger in comparison to the relationship between NPS and cognitive symptoms (r = 0.4). This is the first study in Hungary to assess the impact of NPS on the burden of relatives and quality of life. NPS had twice stronger impact on caregivers' burden than cognitive decline. However, further studies are needed to assess the sub-syndromes in mNCD in relation to NPS.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Open Medicine. - 15 : 1 (2020), p. 905-914. -
További szerzők:Adeyi, Olar Bagoly Zsuzsa (1978-) (orvos) Simon Viktória Csiba László (1952-) (neurológus, pszichiáter) Kardos László (1970-) (megelőző orvostan és népegészségtan szakorvos) Hortobágyi Tibor (1965-) (patológus) Frecska Ede (1953-) (pszichiáter)
Pályázati támogatás:GINOP-2.3.2-15-2016-00048
GINOP
SZTE ÁOK-KKA No. 5S 567 (A202)
Egyéb
OTKA-NKFIH-SNN 132999
OTKA
K120042 Nemzeti Kutatási, Fejlesztési és Innovációs Alap
Egyéb
Nemzeti Agykutatási Program 2.0 (2017-1.2.1-NKP-2017-00002
Egyéb
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Intézményi repozitóriumban (DEA) tárolt változat
Borító:

11.

001-es BibID:BIBFORM078918
035-os BibID:(PMID)30997394
Első szerző:Majer Réka (egészségpszichológus)
Cím:Behavioural and Psychological Symptoms in Neurocognitive Disorders : specific Patterns in Dementia Subtypes / Réka Majer, Viktória Simon, László Csiba, László Kardos, Ede Frecska, Tibor Hortobágyi
Dátum:2019
ISSN:2391-5463
Megjegyzések:BACKGROUND: Behavioural and psychological symptoms in dementia (BPSD) form an important sub-syndrome of dementia. We assessed the frequency and severity of BPSD in a random sample of Hungarian treatment-naïve dementia patients. Furthermore, we examined the relationship between cognitive symptoms and BPSD and the pattern of BPSD in specific types of dementias. METHODS: Patients (n=131) were classified into 3 groups: Alzheimer's (AD), vascular (VD), and mixed (MD) dementia. The Mini-Mental State Examination (MMSE), Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-Cog) and Neuropsychiatric Inventory (NPI) neuropsychological tests were employed. RESULTS: Mean age and MMSE score did not differ significantly among groups. BPSD was frequent (100% prevalence, NPI mean total Frequency score: 14.58, SD=7.55); abnormal motor behaviour showed the highest frequency. Hallucinations and delusions were related to the aetiology of dementia and were independent of the level of cognitive deterioration, whereas irritability, sleep-wake cycle dysfunctions, and eating-appetite change were associated with cognitive deterioration and were independent from aetiology. Both aberrant motor behaviour and disinhibition were significantly associated with aetiology and cognitive deterioration. CONCLUSIONS: BPSD symptoms are significant constituents of dementia syndromes, affecting quality of life and substantially contributing to the caregiver's burden. Specific symptom patterns can be identified in different types of dementia.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Alzheimer's disease
Behaviour and psychological symptoms in dementia (BPSD)
Dementia
Neurocognitive disorder
Vascular dementia
Megjelenés:Open Medicine. - 14 : 1 (2019), p. 307-316. -
További szerzők:Simon Viktória Csiba László (1952-) (neurológus, pszichiáter) Kardos László (1898-1987) (irodalomtörténész, műfordító) Frecska Ede (1953-) (pszichiáter) Hortobágyi Tibor (1965-) (patológus)
Internet cím:Szerző által megadott URL
DOI
Intézményi repozitóriumban (DEA) tárolt változat
Borító:

12.

001-es BibID:BIBFORM103254
035-os BibID:(WoS)000845794700001 (Scopus)85137397006
Első szerző:Sadeghi, Farzaneh
Cím:High Neutrophil-Lymphocyte Ratio and Low Lymphocyte-Monocyte Ratio Combination after Thrombolysis Is a Potential Predictor of Poor Functional Outcome of Acute Ischemic Stroke / Sadeghi Farzaneh, Sarkady Ferenc, Zsóri Katalin S., Szegedi István, Orbán-Kálmándi Rita, Székely Edina G., Vasas Nikolett, Berényi Ervin, Csiba László, Bagoly Zsuzsa, Shemirani Amir H.
Dátum:2022
ISSN:2075-4426
Megjegyzések:(1) Background: Ischemic stroke is one of the leading causes of death and disability. An inflammatory response is observed in multiple stages of cerebral ischemia, particularly in the acute phase. Recent publications revealed that the neutrophil-lymphocyte ratio (NLR) and lymphocyte-monocyte ratio (LMR) may be used to predict long-term prognosis in acute ischemic stroke (AIS) after thrombolysis. To test whether there is a relationship between the combination of these parameters and long-term prognosis, we analyzed the NLR-LMR combination in AIS patients treated with intravenous recombinant tissue plasminogen activator (rtPA); (2) Methods: The study included 285 adults with a diagnosis of AIS and rtPA treatment within a 4.5 h time window. Blood samples were obtained at admission and 24 h after thrombolysis to calculate pre- and post-thrombolysis NLR and LMR. Clinical data, including NIHSS was registered on admission and day 1. The long-term outcome was defined 90 days post-event by the modified Rankin Scale (mRS). Therapy-associated intracranial hemorrhage (ICH) was classified according to ECASS II. Receiver operating characteristic curve (ROC) analysis was performed to determine optimal cutoffs of NLR and LMR as predictors of therapy outcomes; (3) Results: Patients were stratified by cutoffs of 5.73 for NLR and 2.08 for LMR. The multivariate logistic regression model, including all possible confounders, displayed no significant association between NLR or LMR with 3-months functional prognosis. The combination of high NLR-low LMR vs. low NRL-high LMR as obtained 24 h after thrombolysis was found to be an independent predictor of poor 3-months functional outcome (mRS >= 2; OR 3.407, 95% CI 1.449 to 8.011, p = 0.005). The proportion of patients between low NLR-high LMR and high NLR-low LMR groups from admission to day 1 showed no significant change in the good outcome group. On the other hand, in the poor outcome group (mRS >= 2), low NLR-high LMR and high NLR-low LMR groups displayed a significant shift in patient proportions from 67% and 21% at admission (p = 0.001) to 36% and 49% at 24 h after thrombolysis (p < 0.001), respectively; (4) Conclusions: Our study demonstrated for the first time that a high NLR-low LMR combination as observed at 24 h after thrombolysis can serve as an independent predictor of 3-months poor outcome in AIS patients. This simple and readily available data may help clinicians to improve the prognostic estimation of patients and may provide guidance in selecting patients for personalized and intensified care post-thrombolysis.
Tárgyszavak:Orvostudományok Elméleti orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
folyóiratcikk
Megjelenés:Journal of Personalized Medicine. - 12 : 8 (2022), p. 1-12. -
További szerzők:Sarkady Ferenc (1982-) (laboratóriumi analitikus) Zsóri Katalin Szilvia Szegedi István (1969-) (hematológus, onkológus, nefrológus) Orbán-Kálmándi Rita Angéla (1993-) (klinikai laboratóriumi kutató) Székely Edina Gabriella Molnárné Vasas Nikolett (1987-) (élettanász) Berényi Ervin (1964-) (radiológus) Csiba László (1952-) (neurológus, pszichiáter) Bagoly Zsuzsa (1978-) (orvos) Shemirani, Amir-Houshang (1971-) (kutató orvos, laboratórium szakorvos)
Pályázati támogatás:GINOP-2.3.2-15-2016-00048
GINOP
Eötvös Loránd Kutatási Hálózat (ELKHDE Cerebrovascular and Neurodegenerative Research Group)
Egyéb
K120042
OTKA
FK128582
OTKA
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DOI
Intézményi repozitóriumban (DEA) tárolt változat
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