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001-es BibID:BIBFORM038050
Első szerző:Kovács Eszter (háziorvostan szakorvos)
Cím:Life-long Weight Change can Predict Metabolic Diseases / Kovács E., Jancsó Z., Móczár C., Szigethy E., Frese T., Rurik I.
Dátum:2012
ISSN:0947-7349
Megjegyzések:Background: Patients with diabetes and hypertension represent a large proportion of primary care patients. Evaluation of their parameters usually requires medical setting, body weight and height can be measured by the patients themselves and this is often the case. The aim of this retrospective study is to analyse and to compare the life-long data on weight and BMI of patients with diabetes and hypertension and those without these pathologic conditions. Patients: Eventually selected 759 patients (337 men, 422 women) between 60 and 70 years of age in diff erent primary care settings were involved. Methods: Retrospective and recent selfrecorded data on weight and height in every decade since the age of 20 years in both genders were collected. These were compared to the control group of persons free from diabetes and hypertension. Results: The current body weight and BMI were signifi cantly higher in all groups than at 20 years and less than their maximal values. Patients with diabetes started at higher weights and their greatest gain was observed between 20 30 years in men and between 30 40 years in women, and in the last decade prior to diagnosis in both genders. Weight gain in the control group was steady at a lower rate. Conclusions: Higher increases in body weight in the early youth decades were related to elevated hazard ratios for diabetes in men and for hypertension in women. More research with standardized methodology is needed to explore this relationship better: meanwhile more contribution is expected from primary care physicians in the weight management of their younger patients.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
BMI
diabetes
elderly
Hungarian
hypertension
metabolic syndrome
obesity
primary care
weight gain
Megjelenés:Experimental and Clinical Endocrinology & Diabetes. - 120 : 10 (2012), p. 573-578. -
További szerzők:Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Móczár Csaba (1966-) (háziorvos) Szigethy Endre (1980-) (szociológus, epidemiológus) Frese, Thomas Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
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2.

001-es BibID:BIBFORM049099
Első szerző:Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:Primary care obesity management in Hungary : evaluation of the knowledge, practice and attitudes of family physicians / Imre Rurik, Péter Torzsa, István Ilyés, Endre Szigethy, Eszter Halmy, Gabriella Iski, László Róbert Kolozsvári, Lajos Mester, Csaba Móczár, József Rinfel, Lajos Nagy, László Kalabay
Dátum:2013
ISSN:1471-2296
Megjegyzések:BACKGROUND:Obesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have a distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation is still an under-researched area.METHOD:The knowledge, attitudes and practice were reviewed in this questionnaire study involving a representative sample of 10% of all Hungarian family physicians. In different settings, 521 practitioners (448 GPs and 73 residents/vocational trainees) were questioned using a validated questionnaire.RESULTS:The knowledge about multimorbidity, a main consequence of obesity, was balanced.Only 51% of the GPs were aware of the diagnostic threshold for obesity; awareness being higher in cities (60%) and the highest among residents (90%). They also considered obesity an illness rather than an aesthetic issue.There were wider differences regarding attitudes and practice, influenced by the the doctors' age, gender, known BMI, previous qualification, less by working location.GPs with qualification in family medicine alone considered obesity management as higher professional satisfaction, compared to physicians who had previously other board qualification (77%vs68%). They measured their patients' waist circumference and waist/hip ratio (72%vs62%) more frequently, provided the obese with dietary advice more often, while this service was less frequent among capital-based doctors who accepted the self-reported body weight dates by patients more frequently / commonly. Similar reduced activity and weight-measurement in outdoor clothing were more typical among older doctors.Diagnosis based on BMI alone was the highest in cities (85%). Consultations were significantly shorter in practices with a higher number of enrolled patients and were longer by female providers who consulted longer with patients about the suspected causes of developing obesity (65%vs44%) and offered dietary records for patients significantly more frequently (65%vs52%). Most of the younger doctors agreed that obesity management was a primary care issue.Doctors in the normal BMI range were unanimous that they should be a model for their patients (94%vs81%).CONCLUSION:More education of primary care physicians, available practical guidelines and higher community involvement are needed to improve the obesity management in Hungary.
Tárgyszavak:Orvostudományok Egészségtudományok idegen nyelvű folyóiratközlemény külföldi lapban
Attitudes
Family physician
General practitioner
Hungarian
Management
Obesity
Overweight
Megjelenés:BMC Family Practice. - 14 : 1 (2013), p. 156. -
További szerzők:Torzsa Péter Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos) Szigethy Endre (1980-) (szociológus, epidemiológus) Halmy Lászlóné (orvos, Budapest) Iski Gabriella (1985-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Mester Lajos Móczár Csaba (1966-) (háziorvos) Rinfel József Nagy Lajos Kalabay László
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3.

001-es BibID:BIBFORM033263
035-os BibID:PMID:22217602
Első szerző:Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:Relations between anthropometric parameters and sexual activity of Hungarian men / I. Rurik, E. Szigethy, F. Fekete, Z. Langmár
Dátum:2012
ISSN:0955-9930
Megjegyzések:n the last decades, there were visible achievements in the evaluation of sexuality-related problems and issues regarding sexual life. However, there are limited reliable and comparable data on the average values of sexual activity and its relation to anthropometric parameters in different populations and age cohorts. This study tries to examine the association between anthropometric parameters and male sexual activity. A clinical population of 1146 male patients between 25 and 45 years of age attending an outpatient clinic of andrology in Budapest (Hungary) was examined and questioned in a medical setting. Age, body height, weight, body mass index (BMI) and self-reported sexual activity were the main outcome measures. The patients were allotted into age groups (25-29, 30-39 and 40-45 years), the youngest group showing the highest coital activity. Although obesity and overweight were present in 61% of the study population, no connections between BMI and sexual activity were apparent. Comparing less active persons with those reporting at least two intercourses per week, significant difference was found between body height groups. Men below 170 cm reported higher activity than men over 180 cm. Despite the fact that the prevalence of obesity among younger generations is increasing, it has had no visible influence on the sexual activity of this age cohort as yet. Our data suggest that sexual activity was not clearly related to other anthropometric parameters, and depends mainly on the characteristics of the population examined. There is a great need for large-scale studies worldwide on larger representative samples, using similar methods, to acquire reliable data from other nations and different age groups.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
anthropometry
BMI
body height
Hungarian primary care
sexual activity
egyetemen (Magyarországon) készült közlemény
Megjelenés:International Journal of Impotence Research. - 24 : 3 (2012). p. 106-109 -
További szerzők:Szigethy Endre (1980-) (szociológus, epidemiológus) Fekete Ferenc Langmár Zoltán
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Intézményi repozitóriumban (DEA) tárolt változat
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4.

001-es BibID:BIBFORM017729
Első szerző:Rurik Imre (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Cím:Knowledge, motivation, and attitudes of Hungarian family physicians toward pandemic influenza vaccination in the 2009/10 influenza season : questionnaire study / Rurik Imre, Langmár Zoltán, Márton Hajnalka, Kovács Eszter, Szigethy Endre, Ilyés István
Dátum:2011
ISSN:0353-9504
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Croatian Medical Journal. - 52 : 2 (2011), p. 134-140. -
További szerzők:Langmár Zoltán Márton Hajnalka (1947-) (csecsemő- és gyermekgyógyász, gyermekpulmonológus) Kovács Eszter Szigethy Endre (1980-) (szociológus, epidemiológus) Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos)
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5.

001-es BibID:BIBFORM047528
035-os BibID:PMID:23824265
Első szerző:Szigethy Endre (szociológus, epidemiológus)
Cím:Primary care of patients with high cardiovascular risk : blood pressure, lipid and diabetic target levels and their achievement in Hungary / Endre Szigethy, Zoltán Jancsó, Csaba Móczár, István Ilyés, Eszter Kovács, László Róbert Kolozsvári, Imre Rurik
Dátum:2013
ISSN:0043-5325
Megjegyzések:Cardiovascular diseases are responsible for the majority of premature deaths in Hungary as well. Most of them could be prevented with healthy lifestyle of patients and adequate drug prescription of primary care physicians. Earlier European surveys found wide differences between the practices and achievements of different countries in this field.The study was based on and designed according to the framework of previous European Action on Secondary and Primary Prevention by Intervention to Reduce Events (EUROASPIRE) studies and aimed presenting Hungarian results and comparing with the achievements of other countries and previous Hungarian surveys. Among rural and urban settings, 679 patients under continuous care (236 diabetics, 218 with dyslipidaemia, and 225 with hypertension) were consecutively selected by 20 experienced general practitioners. The mean age of patients was 60.3 years (men) and 64.0 years (women).Among diabetics, less than 7 % of glycated hemoglobin (HbA1c) values were found in 42.5 % patients, while only 11.4 % patients had fasting plasma sugar less than 6.0 mmol/L. Of the patients treated for dyslipidaemia, the target level of triglyceride was reached by 40.6 %, recommended total cholesterol by 14.2 % and the HDL-cholesterol by 71.8 %. The therapeutic control of total and HDL-cholesterol was better in men, although women had better triglyceride values.The achievement among patients with hypertension was 42.0 %. Significantly higher blood pressure was measured by patients who were treated with not recommended combinations of antihypertensive medication.A remarkable improvement could be observed in Hungary in the field of secondary prevention. It was greater among patients with hypertension and dyslipidaemia and smaller in diabetes care. Compared to the results of published European surveys, Hungary occupies a good position, but further improvement is still required.
Tárgyszavak:Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:Wiener Klinische Wochenschrift. - 125 : 13-14 (2013), p. 371-380. -
További szerzők:Jancsó Zoltán (1973-) (orvos, háziorvos szakorvos, foglalkozás-orvostan szakorvos) Móczár Csaba (1966-) (háziorvos) Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos) Kovács Eszter (1972-) (háziorvostan szakorvos) Kolozsvári László Róbert (1977-) (háziorvos) Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
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Intézményi repozitóriumban (DEA) tárolt változat
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6.

001-es BibID:BIBFORM078470
Első szerző:Torzsa Péter
Cím:Elhízás-menedzsment a magyar háziorvosi ellátásban / Torzsa Péter, Ilyés István, Szigethy Endre, Halmy Eszter, Iski Gabriella, Kolozsvári László, Mester Lajos, Móczár Csaba, Rinfel József, Nagy Lajos, Kalabay László, Rurik Imre
Dátum:2019
Tárgyszavak:Orvostudományok Klinikai orvostudományok magyar nyelvű folyóiratközlemény hazai lapban
Megjelenés:Metabolizmus. - 17 : 1 (2019), p. 61-67. -
További szerzők:Ilyés István (1943-) (gyermekgyógyász, gyermekendokrinológus, háziorvos) Szigethy Endre (1980-) (szociológus, epidemiológus) Halmy Lászlóné (orvos, Budapest) Iski Gabriella (1985-) (háziorvos) Kolozsvári László Róbert (1977-) (háziorvos) Mester Lajos Móczár Csaba (1966-) (háziorvos) Rinfel József Nagy Lajos Kalabay László Rurik Imre (1953-) (háziorvos, foglalkozás-egészségügyi szakorvos, urológus)
Internet cím:Intézményi repozitóriumban (DEA) tárolt változat
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