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001-es BibID:	BIBFORM029936
Első szerző:	Gesztelyi Rudolf (kísérletes farmakológus)
Cím:	Screening for depressive symptoms among post-stroke outpatients in eastern Hungary / Gesztelyi, R., Fekete, I., Kellermann, M., Csiba, L., Bereczki, D.
Dátum:	1999
ISSN:	0891-9887
Megjegyzések:	Patients were consecutively enrolled in a cross-sectional study to determine the severity of depressive symptoms and the rate of treated depression in a patient population returning to a stroke outpatient service during a 10-week period for a regular check-up examination after their stroke. Of the 143 stroke patients, 119 fulfilled the inclusion criteria. The 13-item Beck Depression Inventory was used to screen for depressive symptoms. The score was at least 5 in 53%, 10 or above in 26%, and 15 or above in 11% of patients. Severity of depressive symptoms did not depend on gender, age, time elapsed from stroke, or the site of the cerebral lesion. Most patients with considerable depressive symptoms did not receive antidepressant medication at the time of the screening.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Journal Of Geriatric Psychiatry And Neurology 12 : 4 (1999), p. 194-199. -
További szerzők:	Fekete István (1951-) (neurológus, pszichiáter) Kellermann Mónika (1971-) (pszichiáter) Csiba László (1952-) (neurológus, pszichiáter) Bereczki Dániel (1960-) (neurológus)
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001-es BibID:	BIBFORM029929
Első szerző:	Kellermann Mónika (pszichiáter)
Cím:	Screening for depressive symptoms in the acute phase of stroke / Kellermann, M., Fekete, I., Gesztelyi, R., Csiba, L., Kollar, J., Sikula, J., Bereczki, D.
Dátum:	1999
ISSN:	0163-8343
Megjegyzések:	Depressive symptoms can often be observed after stroke. We prospectively evaluated patients at a stroke unit in order to determine the occurrence and severity of depressive symptoms in the acute phase of stroke in 82 patients 7 +/- 2 days after admission to the stroke unit. Severity of stroke was evaluated by the Scandinavian and Orgogozo scales and the Barthel index. Severity of depressive symptoms was measured by the 13-item Beck scale. Mean age of the patients was 65.8 years. No gender difference was observed in the severity of stroke or depressive symptoms. DSM-IV criteria of adjustment disorder with depressed mood were fulfilled by 27% of the patients. In this group, stroke was significantly more severe by the Barthel, Orgogozo, and Scandinavian scales (p < 0.001). Whereas Beck score was at least 10 in 19.5%, severe depressive symptoms (Beck score > or = 15) occurred in less than 5% of patients with acute stroke. Those who could not walk by themselves or who were aphasic had significantly higher mean Beck scores (6.3 +/- 5.1 vs 2.4 +/- 3.1, p < 0.001, and 7.0 +/- 5.8 vs 3.4 +/- 3.9, p = 0.002). Significant correlation was found between the severity of stroke and that of the depressive symptoms (r = -0.56, -0.58, and -0.54 for the Scandinavian, Orgogozo, and Barthel scales, p < 0.001).
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	General Hospital Psychiatry. - 21 : 2 (1999), p. 116-121. -
További szerzők:	Fekete István (1951-) (neurológus, pszichiáter) Gesztelyi Rudolf (1969-) (kísérletes farmakológus) Csiba László (1952-) (neurológus, pszichiáter) Kollár József (1950-) (radiológus) Sikula Judit (1954-) (radiológus) Bereczki Dániel (1960-) (neurológus)
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001-es BibID:	BIBFORM039193
Első szerző:	Schulte-Altedorneburg, Gernot
Cím:	Visualization of the basilar artery by transcranial color-coded duplex sonography : comparison with postmortem results / Schulte Altedorneburg, G., Droste, D. W., Popa, V., Wohlgemuth, W. A., Kellermann, M., Nabavi, D. G., Csiba, L., Ringelstein, B.
Dátum:	2000
ISSN:	0039-2499
Megjegyzések:	Transcranial color-coded sonography (TCCS) via the suboccipital approach allows direct and continuous visualization of the basilar artery (BA). In this study, we intended to evaluate the ability of native TCCS in visualizing the length of the BA by means of a comparison with postmortem measurements. METHODS: The BA was prospectively studied by TCCS shortly before death (median 3 days) in 46 moribund neurological patients (mean+/-SD age 71.1+/-13.1 years). The length of the BA was determined by measuring the distance between the vertebrobasilar junction and the deepest available flow signal in the top of the BA. During autopsy, photos of the vertebrobasilar system were taken to evaluate the true anatomic length and variations of the course of BA in situ, eg, straight, curved, or S-shaped. RESULTS: Comparison of the in vivo ultrasound measurements of BA length and postmortem data was possible in 44 of 46 cases. In the 2 remaining patients, the BA was occluded. The mean insonation depth of the vertebrobasilar junction was found at 66.9+/-7.1 mm. The mean BA length was 21.5+/-6. 8 mm by color-coded duplex and 32.9+/-6 mm anatomically (P<0.0001). The mean difference between color mode and anatomic findings was 11. 3+/-6.4 mm in the case of a straight BA (35 cases) and 16.3+/-4.8 mm in an anatomically tortuous course of the BA (9 cases). CONCLUSIONS: Color duplex imaging enables correct visualization of the proximal two thirds of the BA, but only exceptionally of its distal one third. A tortuous course of the BA leads to an underestimation of its anatomic length.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Stroke. - 31 : 5 (2000), p. 1123-1127. -
További szerzők:	Droste, Dirk W. Popa, Vasile Wohlgemuth, W. A. Kellermann Mónika (1971-) (pszichiáter) Nabavi, D. G. Csiba László (1952-) (neurológus, pszichiáter) Ringelstein, E. Bernd
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001-es BibID:	BIBFORM023377
Első szerző:	Schulte-Altedorneburg, Gernot
Cím:	Accuracy of in vivo carotid B-mode ultrasound compared with pathological analysis : intima-media thickening, lumen diameter, and cross-sectional area / Gernot Schulte-Altedorneburg, Dirk W. Droste, Szabolcs Felszeghy, Mónika Kellermann, Vasile Popa, Katalin Hegedüs, Csaba Hegedüs, Martina Schmid, László Módis, E. Bernd Ringelstein, László Csiba
Dátum:	2001
ISSN:	0039-2499
Megjegyzések:	BACKGROUND AND PURPOSE: This study aimed to determine the correlation of in vivo ultrasound measurements of intima-media thickening (IMT), lumen diameter, andcross-sectional area of the common carotid artery (CCA) with correspondingmeasurements obtained by gross pathology and histology. METHODS: Sixty-sixmoribund neurological patients (mean age 71 years) underwent B-mode ultrasound ofthe CCA a few days before death. During autopsy, carotid specimens were removedin toto. Carotid arteries were ligated and cannulated for injection of ahydrophilic embedding material under standardized conditions. The carotidbifurcation was frozen and cut manually in 3-mm cross slices. Digital imageanalysis was carried out to determine the diameter and the cross-sectional areaof the frozen slices of the CCA. IMT was assessed by light microscope. Ultrasonicand planimetric data were compared. RESULTS: Mean measurements of lumen diameterand cross-sectional area were 7.13+/-1.27 mm and 0.496+/-0.167 cm(2),respectively, by ultrasound, and 7.81+/-1.45 mm and 0.516+/-0.194 cm(2),respectively, by planimetric analysis of the unfixed redistended carotid arteries(R(2)=0.389 and 0.497). The mean IMT was 1.005+/-0.267 mm by ultrasound and0.67+/-0.141 mm histologically, resulting in a mean difference of -31%.CONCLUSIONS: Transcutaneous B-mode ultrasound provides a reliable approach for invivo measurements of the cross-sectional area and, less exactly, of the lumendiameter of the CCA. Compared with histological results, in vivo ultrasoundmeasurements of the IMT are systematically larger.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban fém-kerámia határfelület transzmissziós elektronmikroszkóp (TEM) lerepedési szilárdság Adult Aged Anatomy, Cross-Sectional Arteriosclerosis/pathology/ultrasonography Carotid Artery Diseases/pathology/ultrasonography Carotid Artery, Common/pathology/ultrasonography Female Humans Male Middle Aged Tunica Intima/pathology/ultrasonography Tunica Media/pathology/ultrasonography Ultrasonography/methods egyetemen (Magyarországon) készült közlemény
Megjelenés:	Stroke 32 : 7 (2001), p. 1520-1524. -
További szerzők:	Droste, Dirk W. Felszeghy Szabolcs Béla (1972-) (fogorvos, anatómus, kötőszövetbiológus) Kellermann Mónika (1971-) (pszichiáter) Popa, Vasile Hegedűs Katalin (1946-2017) (ideggyógyász, neuropathológus) Hegedűs Csaba (1953-) (fogszakorvos) Schmid, Martina Módis László (1939-) (anatómus, kötőszövetbiológus) Ringelstein, E. Bernd Csiba László (1952-) (neurológus, pszichiáter)
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