TY - JOUR AU - Pohl, Marietta AU - Hesszenberger, Dávid AU - Kapus, Krisztián AU - Meszaros, J. AU - Feher, A. AU - Varadi, I. AU - Pusch, Gabriella AU - Fejes, E. AU - Tibold, Antal AU - Fehér, Gergely TI - Ischemic stroke mimics: A comprehensive review JF - JOURNAL OF CLINICAL NEUROSCIENCE J2 - J CLIN NEUROSCI VL - 93 PY - 2021 SP - 174 EP - 182 PG - 9 SN - 0967-5868 DO - 10.1016/j.jocn.2021.09.025 UR - https://m2.mtmt.hu/api/publication/32290011 ID - 32290011 LA - English DB - MTMT ER - TY - JOUR AU - Mák, Kornél AU - Kapus, Krisztián AU - Tóth, Gábor AU - Hesszenberger, Dávid AU - Pohl, Marietta AU - Pusch, Gabriella AU - Fejes, Éva AU - Fehér, Gergely AU - Tibold, Antal TI - Neuropathic Low Back Pain and Burnout among Hungarian Workers JF - INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH J2 - INT J ENV RES PUB HE VL - 18 PY - 2021 IS - 5 PG - 10 SN - 1661-7827 DO - 10.3390/ijerph18052693 UR - https://m2.mtmt.hu/api/publication/31906164 ID - 31906164 N1 - Export Date: 29 March 2024 LA - English DB - MTMT ER - TY - JOUR AU - Kiss, Gabor AU - Fehér, Gergely AU - Hesszenberger, Dávid AU - Koltai, Katalin AU - Pusch, Gabriella AU - Tibold, Antal TI - MicroRnas in Ischemic Stroke: From Animal Studies to Preclinical Research JF - JOURNAL OF CARDIOLOGY AND THERAPY J2 - J CARDIOL THER VL - 8 PY - 2021 IS - 1 SP - 963 EP - 970 PG - 8 SN - 2309-6861 DO - 10.17554/j.issn.2309-6861.2021.08.188 UR - https://m2.mtmt.hu/api/publication/31840331 ID - 31840331 N1 - * Megosztott szerzőség LA - English DB - MTMT ER - TY - JOUR AU - Tóth, Gábor AU - Kapus, Krisztián AU - Hesszenberger, Dávid AU - Pohl, Marietta AU - Kosa, Gabor AU - Kiss, Julianna AU - Pusch, Gabriella AU - Fejes, Éva AU - Tibold, Antal AU - Fehér, Gergely TI - Internet Addiction and Burnout in A Single Hospital : Is There Any Association? JF - INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH J2 - INT J ENV RES PUB HE VL - 18 PY - 2021 IS - 2 PG - 10 SN - 1661-7827 DO - 10.3390/ijerph18020615 UR - https://m2.mtmt.hu/api/publication/31815621 ID - 31815621 N1 - Funding Agency and Grant Number: NKFI (OTKA) [135316] Funding text: This research was funded by the NKFI (OTKA)-135316 project. AB - The extensive availability of the internet has led to the recognition of problematic internet use, the so-called Internet Addiction (IA), mostly involving adolescents. Burnout can lead to substance abuse or addictive behaviour (such as internet addiction) as a coping method. There are insufficient data about internet addiction and its possible association with burnout in adults, especially among healthcare workers. The aim of our present study was to focus on prevalence and the risk factors of internet addiction and its possible association with burnout among healthcare workers in a single hospital applying a questionnaire-based survey. In total, 49 doctors (10.1%), 198 nurses (40.9%), 123 medical assistant (25.4%), 73 other healthcare workers (15.1%), and 42 (1.7%) healthcare associated workers (cleaning, laundry, etc.) have completed our survey. In a multivariate analysis, IA was associated with age between 18 and 25 (OR: 2.6, p = 0.024), surfing on the internet >5 h daily (OR 25.583, p < 0.001), being single (OR: 4.275, p = 0.006), being childless (OR: 3.81, p = 0.011), working less than five years (OR 2.135, p = 0.048) and job type (being healthcare associated worker, OR: 2.907, p = 0.009). Illicit drug intake (OR 52.494, p < 0.001), and diabetes (OR: 4.122, p = 0.043) were also significantly associated with internet addiction. No association of burnout and IA could be found. A small but significant proportion of our healthcare workers suffered from IA, which was associated with substance abuse and diabetes in multivariate analysis. Our study also draws attention to the risk factors of IA such as younger age, family status, working type and working hours internet use. The possible association of burnout and IA merits further investigation. LA - English DB - MTMT ER - TY - JOUR AU - Tóth, Gábor AU - Kapus, Krisztián AU - Hesszenberger, Dávid AU - Pohl, Marietta AU - Kosa, Gabor AU - Kiss, Julianna AU - Pusch, Gabriella AU - Fejes, Éva AU - Tibold, Antal AU - Fehér, Gergely TI - Prevalence And Risk Factors Of Internet Addiction Among Hungarian High School Teachers JF - LIFE-BASEL J2 - LIFE-BASEL VL - 11 PY - 2021 IS - 3 PG - 10 SN - 2075-1729 DO - 10.3390/life11030194 UR - https://m2.mtmt.hu/api/publication/31690924 ID - 31690924 N1 - * Megosztott szerzőség LA - English DB - MTMT ER - TY - JOUR AU - Molnár, Tihamér AU - Csuka, Dorottya AU - Pusch, Gabriella AU - Nagy, Lajos AU - Garred, Peter AU - Illés, Zsolt László TI - Associations between serum L-arginine and ficolins in the early phase of acute ischemic stroke – a pilot study JF - JOURNAL OF STROKE AND CEREBROVASCULAR DISEASES J2 - J STROKE CEREBROVASC DIS VL - 29 PY - 2020 IS - 8 PG - 7 SN - 1052-3057 DO - 10.1016/j.jstrokecerebrovasdis.2020.104951 UR - https://m2.mtmt.hu/api/publication/31314094 ID - 31314094 LA - English DB - MTMT ER - TY - JOUR AU - Bank, Gyula Zsolt AU - Kapus, Krisztián AU - Meszaros, Janos AU - Mák, Kornél AU - Pohl, Marietta AU - Pusch, Gabriella AU - Fejes, Éva AU - Tibold, Antal AU - Fehér, Gergely TI - Framingham Risk Stratification of Middle-Aged Migraineurs JF - BEHAVIOURAL NEUROLOGY J2 - BEHAV NEUROL VL - 2020 PY - 2020 PG - 5 SN - 0953-4180 DO - 10.1155/2020/7351214 UR - https://m2.mtmt.hu/api/publication/31195387 ID - 31195387 AB - Introduction. Migraine is a common primary headache disorder involving about 10-15% of the whole population. Several epidemiological and prospective studies showed a link between migraine (especially migraine with aura) and cardio- and cerebrovascular events.We prospectively analyzed the data of vascular event-free middle-aged patients with migraine who were referred to our Headache Clinic between 01/2014 and 01/2018. Framingham 10-year risk were calculated; covariates included in the analysis were age, total cholesterol, HDL cholesterol, systolic blood pressure, antihypertensive medication use, current smoking, and diabetes status.Total of 1037 patients were screened and 221 were selected, 161 were women (mean age 55.5 ± 5.2 years) and 60 were men (mean age 56 ± 6 years). 25 patients (11.3%) were labelled as having low risk, 162 patients (73.3%) had moderate risk, and 34 patients (15.4%) had high or very high risk. Blood pressure and lipid targets were reached in 73% and in 49% in the moderate risk and in 53% and 12% in the high risk/very high risk groups, respectively. Migraine with aura (MA) was associated significantly higher cardiovascular risk profile compared with migraine without aura (MO). About one-third of our nondiabetic patients had fasting blood glucose above the normal levels. 24 patients (mean age 60 ± 4.9 years) were diabetic. Mean blood pressure was 149/85 Hgmm, mean choleterol was 5.11 mmol/l, and mean LDL was 2.93 mmol/l in this subgroup, respectively, which do not fall within the recommended targets.Our article draws attention to the higher cardiovascular risk profile of middle-aged migraineurs and highlights the deficiency of primary prevention. Pain physicians must be aware of the cardiovascular aspects of migraine and holistic approach is required instead of focusing only on pain and pain relief. LA - English DB - MTMT ER - TY - JOUR AU - Fejes, Éva AU - Fehér, Gergely AU - Gurdán, Zsuzsanna AU - Gombos, Katalin AU - Koltai, Katalin AU - Pusch, Gabriella AU - Tibold, Antal TI - Characteristics of Patients Referred To A Specialized Headache Clinic JF - SCIENTIFIC REPORTS J2 - SCI REP VL - 10 PY - 2020 IS - 1 PG - 6 SN - 2045-2322 DO - 10.1038/s41598-020-58234-w UR - https://m2.mtmt.hu/api/publication/31142441 ID - 31142441 N1 - Export Date: 29 March 2024 AB - Headache is a common problem with great effect both on the individual and on the society. Recent studies raised the possibility of increasing rate of specialty referrals, inappropiate treatment and advanced imaging for simple headache. The aim of our study was to analyze the characteritics of patients (including duration of symptoms, headache type, brain imaging, treatment) referred to our specialized headache clinic between 01/01/2014 and 01/01/2015 by their general practitioners and primary care neurologists due to chronic/treatment-resistant headache syndromes. 202 patients (mean age 53.6 ± 17.6 years) were evaluated in our clinic (102 females, mean age 50.14 ± 16.11 years and 100 males, mean age 57 ± 18.1 years). Migraine (84/202) and tension-type (76/202) were the most common syndromes. 202 plain brain CT, 60 contrast-enhanced CT and 128 MRI were carried out by their general practitioners or other healthcare professioners including neurologists before referral to our headache centre. Despite of extensive brain imaging appropiate treatment was started less than 1/3 of all patients and significant proportion received benzodiazepines or opioid therapy. Furthermore, more than 10% of referred patients presented with secondary headache including one meningitis. The management of headache is still a challenge for primary care physicians leading to medical overuse. Vast majority of our patients should not be referred to our specialized headache clinic as they had uncomplicated headache or other underlying conditions than pain. LA - English DB - MTMT ER - TY - JOUR AU - Fehér, Gergely AU - Gurdán, Zsuzsanna AU - Gombos, Katalin AU - Koltai, Katalin AU - Pusch, Gabriella AU - Tibold, Antal AU - Szapáry, László TI - Early seizures after ischemic stroke : focus on thrombolysis JF - CNS SPECTRUMS J2 - CNS SPECTRUMS VL - 25 PY - 2020 IS - 1 SP - 101 EP - 113 PG - 13 SN - 1092-8529 DO - 10.1017/S1092852919000804 UR - https://m2.mtmt.hu/api/publication/30613674 ID - 30613674 AB - Stroke is a significant underlying cause of epilepsy. Seizures due to ischemic stroke (IS) are generally categorized into early seizures (ESs) and late seizures (LSs). Seizures in thrombolysis situations may raise the possibility of other etiology than IS.We overtook a systematic review focusing on the pathogenesis, prevalence, risk factors, detection, management, and clinical outcome of ESs in IS and in stroke/thrombolysis situations. We also collected articles focusing on the association of recombinant tissue-type plasminogen activator (rt-PA) treatment and epileptic seizures.We have identified 37 studies with 36,775 participants. ES rate was 3.8% overall in patients with IS with geographical differences. Cortical involvement, severe stroke, hemorrhagic transformation, age (<65 years), large lesion, and atrial fibrillation were the most important risk factors. Sixty-one percent of ESs were partial and 39% were general. Status epilepticus (SE) occurred in 16.3%. 73.6% had an onset within 24 h and 40% may present at the onset of stroke syndrome. Based on EEG findings seizure-like activity could be detected only in approximately 18% of ES patients. MRI diffusion-weighted imaging and multimodal brain imaging may help in the differentiation of ischemia vs. seizure. There are no specific recommendations with regard to the treatment of ES.ESs are rare complications of acute stroke with substantial burden. A significant proportion can be presented at the onset of stroke requiring an extensive diagnostic workup. LA - English DB - MTMT ER - TY - JOUR AU - Fehér, Gergely AU - Pohl, Marietta AU - Kapus, Krisztián AU - Gombos, Katalin AU - Pusch, Gabriella AU - Mák, Kornél AU - Koltai, Katalin AU - Bank, Gyula Zsolt AU - Kósa, Gábor AU - Varjasi, Gábor AU - Tibold, Antal TI - Neuropathiás fájdalom: fókuszban az amitriptylin JF - LEGE ARTIS MEDICINAE J2 - LEGE ART MED VL - 29 PY - 2019 IS - 11 SP - 503 EP - 510 PG - 8 SN - 0866-4811 DO - 10.33616/lam.29.046 UR - https://m2.mtmt.hu/api/publication/31278454 ID - 31278454 N1 - Export Date: 27 March 2024; CODEN: LAMEF AB - A neuropathiás fájdalom kezelése nagy kihívás elé állítja mind a gyógyítót, mind a beteget. A kórkép kezelésében új szemléletmód szükséges az utóbbi évek neurobiológiai kutatási eredményei alapján. Min­denképpen többszakmás konszenzusokra, munkacsoportokra van szükség (multidisciplinary team) a kórképek sokszínűsége és a konkomittáns pszichopatológia okán. Az eddigi szemléletmód megváltoztatásra szorul, elkerülvén a felesleges diagnosztikus és műtéti beavatkozásokat, melyek a beteg ál­lapotát nem feltétlenül rontják, de pszichés megterhelését mindenképpen fokozzák. A legtöbb bizonyíték a kórkép(ek) gyógy­sze­res kezelésére vonatkozik, az elsőként vá­lasztandó szerek között a triciklusos antidepresszánsok, a szelektív szerotonin-noradrenalin visszavételt gátló szerek és bizonyos antikonvulzív szerek állnak (ga­ba­pentin, pregabalin). Összefoglaló cikkünk célja az egyik legolcsóbb és legszélesebb körben elérhető triciklusos antidepresszáns, az amitriptylin hatékonyságának áttekintése különböző kórképekben. LA - Hungarian DB - MTMT ER -