@article{MTMT:34857543, title = {Characterizing Surface Morphological and Chemical Properties of Commonly Used Orthopedic Implant Materials and Determining Their Clinical Significance}, url = {https://m2.mtmt.hu/api/publication/34857543}, author = {Jillek, Bertalan and Szabó, Péter and Heszlerné Kopniczky, Judit and Krafcsik, Olga and Szabó, István and Patczai, Balázs and Turzó, Kinga Mónika}, doi = {10.3390/polym16091193}, journal-iso = {POLYMERS-BASEL}, journal = {POLYMERS}, volume = {16}, unique-id = {34857543}, abstract = {The goal of the study was to compare the surface characteristics of typical implant materials used in orthopedic surgery and traumatology, as these determine their successful biointegration. The morphological and chemical structure of Vortex plate anodized titanium from commercially pure (CP) Grade 2 Titanium (Ti2) is generally used in the following; non-cemented total hip replacement (THR) stem and cup Ti alloy (Ti6Al4V) with titanium plasma spray (TPS) coating; cemented THR stem Stainless steel (SS); total knee replacement (TKR) femoral component CoCrMo alloy (CoCr); cemented acetabular component from highly cross-linked ultrahigh molecular weight polyethylene (HXL); and cementless acetabular liner from ultrahigh molecular weight polyethylene (UHMWPE) (Sanatmetal, Ltd., Eger, Hungary) discs, all of which were examined. Visualization and elemental analysis were carried out by scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS) and X-ray photoelectron spectroscopy (XPS). Surface roughness was determined by atomic force microscopy (AFM) and profilometry. TPS Ti presented the highest Ra value (25 ± 2 μm), followed by CoCr (535 ± 19 nm), Ti2 (227 ± 15 nm) and SS (170 ± 11 nm). The roughness measured in the HXL and UHMWPE surfaces was in the same range, 147 ± 13 nm and 144 ± 15 nm, respectively. EDS confirmed typical elements regarding the investigated prosthesis materials. XPS results supported the EDS results and revealed a high % of Ti4+ on Ti2 and TPS surfaces. The results indicate that the surfaces of prosthesis materials have significantly different features, and a detailed characterization is needed to successfully apply them in orthopedic surgery and traumatology.}, year = {2024}, eissn = {2073-4360}, orcid-numbers = {Jillek, Bertalan/0009-0002-7561-8609; Krafcsik, Olga/0000-0003-3432-8736; Turzó, Kinga Mónika/0000-0003-4133-3998} } @article{MTMT:34442602, title = {Accident or child abuse? Terminological requirements for clinical documentation of child injuries}, url = {https://m2.mtmt.hu/api/publication/34442602}, author = {Sirokmány, Viktória and Fogarasi, Katalin and Patonai, Zoltán}, doi = {10.48040/PL.2023.2.6}, journal-iso = {PORTA LINGUA}, journal = {PORTA LINGUA}, volume = {2023}, unique-id = {34442602}, issn = {1785-2420}, abstract = {Since children are usually accompanied by an adult when they arrive at a healthcare facility, information about how the injury occurred also originates from the adult. To rule out the possibility of child abuse, the physician attending to child injuries should pay particular attention to whether the trauma marks on the child’s body correspond to the circumstances of the injury as described by the adult, e.g., whether the injury could have occurred spontaneously in the event of an accident, taking the child’s level of physical and mental maturity into consideration. As physical injuries to both the soft tissue and the skeleton heal more quickly in children than in adults, and the injury itself is the main evidence in any criminal proceedings, great care must be taken in documenting injuries. For this reason, forensic medicine has developed specialized literature on the requirements for documenting injuries in children. Such literature discusses in more detail the characteristics of each type of injury suffered by children. However, a challenging circumstance in clinical care is that the international diagnosis classification (ICD) currently used in Hungary does not treat child injuries separately, thus the pathologies, especially for bone fractures, cannot be coded in sufficient detail. In the present case study, we discuss the terminology used to describe child injuries in detail in comparison with the terminology used for adult injuries based on the literature. We then analyze the documentation of blunt force injuries in 45 clinical records of child injuries, with a special focus on the terms used to describe the external trauma marks and the pathology.}, year = {2023}, eissn = {2064-3381}, pages = {65-78}, orcid-numbers = {Fogarasi, Katalin/0000-0003-0439-9373} } @misc{MTMT:34249841, title = {A haemostasist befolyásoló szerek hatása a pertrochnater törést szenvedett betegek műtétre kerülési idejére és a perioperatív időszakára}, url = {https://m2.mtmt.hu/api/publication/34249841}, author = {Mocher, Judit and Gátos, Attila and Makszin, Lilla and Wiegand, Norbert and Patonai, Zoltán}, unique-id = {34249841}, year = {2023}, orcid-numbers = {Makszin, Lilla/0000-0002-9764-4763} } @CONFERENCE{MTMT:34231275, title = {Description of Bone, Soft tissue and Dental Injuries in Dental Patients records in Hungary}, url = {https://m2.mtmt.hu/api/publication/34231275}, author = {Pálinkás, Magdolna and Patonai, Zoltán and Gyenes, Gábor and Fogarasi, Katalin}, booktitle = {Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference}, unique-id = {34231275}, year = {2023}, pages = {55-55}, orcid-numbers = {Pálinkás, Magdolna/0000-0002-9801-9919} } @CONFERENCE{MTMT:34221412, title = {Comparative Terminological Analysis of Injury Descriptions in Hungarian Clinical Records and Forensic Medical Autopsy Reports}, url = {https://m2.mtmt.hu/api/publication/34221412}, author = {Gyenes, Gábor and Császár, Judit and Fogarasi, Katalin and Simon, Gábor and Patonai, Zoltán}, booktitle = {Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference}, unique-id = {34221412}, abstract = {https://semmelweis.hu/szaknyelv/files/2023/06/SMLC_2023-Book-of-abstracts.pdf}, year = {2023}, pages = {30-30}, orcid-numbers = {Fogarasi, Katalin/0000-0003-0439-9373} } @CONFERENCE{MTMT:34221369, title = {Terminological Inconsistencies in the Documentation of Blunt-force Injuries in Hungary}, url = {https://m2.mtmt.hu/api/publication/34221369}, author = {Császár, Judit and Gátos, Attila and Patonai, Zoltán and Gyenes, Gábor and Fogarasi, Katalin}, booktitle = {Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference}, unique-id = {34221369}, year = {2023}, pages = {19-19}, orcid-numbers = {Fogarasi, Katalin/0000-0003-0439-9373} } @article{MTMT:34212257, title = {Assessing Medical Student English Language Proficiency in Clinical Handover at Semmelweis University}, url = {https://m2.mtmt.hu/api/publication/34212257}, author = {Palinkas, Magdolna Horvathne and Sirokmany, Viktoria and Csaszar, Judit and Fogarasi, Katalin and Gátos, Attila}, doi = {10.1016/j.pec.2022.10.336}, journal-iso = {PATIENT EDUC COUNS}, journal = {PATIENT EDUCATION AND COUNSELING: THE LEADING INTERNATIONAL JOURNAL FOR COMMUNICATION IN HEALTHCARE}, volume = {109}, unique-id = {34212257}, issn = {0738-3991}, keywords = {Public, Environmental & Occupational Health}, year = {2023}, eissn = {1873-5134}, pages = {148-148} } @article{MTMT:34188033, title = {THE EFFECT OF BACK SCHOOL INTERVENTION ON CHINESE PATIENTS WITH CHRONIC LOW BACK PAIN}, url = {https://m2.mtmt.hu/api/publication/34188033}, author = {Wang, Zhe and Makai, Alexandra and Czakó, Dorina Evelin and Tumpek, Nikolett and Bogdán, Kinga and Járomi, Melinda}, doi = {10.5114/hpc.2023.131868}, journal-iso = {HEALTH PROBL CIVILIZATION}, journal = {HEALTH PROBLEMS OF CIVILIZATION}, volume = {17}, unique-id = {34188033}, issn = {2353-6942}, year = {2023}, eissn = {2354-0265}, pages = {368-387}, orcid-numbers = {Wang, Zhe/0000-0001-6746-991X; Makai, Alexandra/0000-0002-1907-120X; Bogdán, Kinga/0009-0006-8209-7230} } @article{MTMT:33258019, title = {Perifériás ideg epineuralis metilénkékfestése kadáverkézen}, url = {https://m2.mtmt.hu/api/publication/33258019}, author = {Szabó, Tamás and Kormos, Viktória and Gaszner, Balázs and Rékási, Zoltán}, doi = {10.1556/650.2022.32617}, journal-iso = {ORV HETIL}, journal = {ORVOSI HETILAP}, volume = {163}, unique-id = {33258019}, issn = {0030-6002}, abstract = {Limited fasciectomy is the gold-standard treatment in Dupuytren's surgery. The anatomical position of digital nerves can be altered by Dupuytren's tissue resulting in a difficult dissection and localization, with a relatively high risk of iatrogenic nerve injury. This risk could be decreased by using intraoperative neural marking to facilitate locating the potentially displaced nerves. We recently demonstrated in an animal model that in vivo nerve staining with methylene blue is a suitable method to mark nerves without damaging them.We aimed to test the efficacy of our methylene blue nerve staining technique developed in a rat sciatic nerve model on human cadaveric digital nerves.First, we performed epineural staining using 40 µl 1 : 80 diluted methylene blue solution on four human cadaver digital nerves fixed with formalin. In the second experiment, we stained six cadaver digital nerves without previous fixation. To increase the length of the stained segments, we used 200 µl solution on two nerves.The epineural nerve labeling was not successful on formalin-fixed tissues. However, nerves without fixation were successfully stained with methylene blue. Forty µl methylene blue solution marked a 13 mm long segment, while 200 µl stained a 18 mm long segment.The epineural methylene blue nerve staining is limited on formalin-fixed digital nerves due tissue shrinkage. Non-fixed nerves with preserved histological structure can be stained in an 18 mm long segment. Further studies are necessary to determine the technique's value in hand surgery by testing digital nerves surrounded by Dupuytren's and scar tissues. Orv Hetil. 2022; 163(46): 1834-1839.}, keywords = {Dupuytren's Contracture; digital nerve; Dupuytren-kontraktúra; digitális ideg; kadáverideg festése; nerve staining on cadaver hand}, year = {2022}, eissn = {1788-6120}, pages = {1834-1839}, orcid-numbers = {Gaszner, Balázs/0000-0003-2830-2732} } @article{MTMT:32468137, title = {Epineural Methylene Blue Injection May Aid Localization of Digital Nerves in Dupuytren's Surgery.}, url = {https://m2.mtmt.hu/api/publication/32468137}, author = {Szabó, Tamás and Kormos, Viktória and Rékási, Zoltán and Gaszner, Balázs}, doi = {10.1159/000519666}, journal-iso = {EUR SURG RES}, journal = {EUROPEAN SURGICAL RESEARCH}, volume = {63}, unique-id = {32468137}, issn = {0014-312X}, abstract = {In Dupuytren's surgery, limited fasciectomy is still the gold-standard treatment. A relatively high risk of iatrogenic nerve injury has been observed especially when the spiral cords of the Dupuytren's tissue pull digital nerves away from their normal anatomical location. Intraoperative neural marking could facilitate locating the potentially displaced nerves. Hence, surgery could be undertaken more quickly with a lower risk of iatrogenic nerve injury.We hypothesize that digital nerves may be stained with methylene blue (MB) in vivo providing a visual aid to distinguish them from Dupuytren's tissue. We aim to (a) test an in vivo nerve staining technique using MB in a rat sciatic nerve model and to (b) assess the safety of epineural MB injection.Three experiments were performed: first, the effects of (a) sham surgery, (b) epineural needle insertion, and (c) 40 μL epineural saline injection were tested in the rat sciatic nerve. Second, we determined the (a) histoanatomical localization of the epineurally injected 40 µL 1 m/m% MB stock solution and (b) we tested which saline dilution (i.e., 1:40, 1:80, and 1:160) of the stock solution does provide optimal blue color upon 40 µL epineural injection. Third, the functional and morphological effect of 40 µL 1:80 diluted MB injection was compared with that of saline, injected into the contralateral sciatic nerve. The functional effects were tested by assessing the pain threshold by using a dynamic plantar esthesiometer (DPA) and by examination of the animal's gate and paw posture. Sciatic nerves were subjected to histological examination and morphometry to test structural damage.Neither epineural needle insertion nor saline injection caused any functional or morphological changes. Histological examination revealed that the MB stained the epineural compartment. Epineural injection of 40 μL 1:80 diluted MB into the sciatic nerve stained an 18.18-mm segment of the nerve distal to the puncture point. DPA revealed unchanged pain threshold values on the plantar surface of the limbs. Normal gait and foot posture suggested normal motor functions in all groups. No histological changes were seen in the stained nerves, and the nerve fiber density remained unchanged.We demonstrated that in vivo nerve staining with MB is a suitable method to mark nerves without causing detectable negative effect to the stained nerve. Human trials are required to prove the efficacy of the technique in Dupuytren's disease.}, keywords = {INJURY; sciatic nerve; rat; Dynamic plantar esthesiometer; In vivo nerve staining}, year = {2022}, eissn = {1421-9921}, pages = {105-113}, orcid-numbers = {Gaszner, Balázs/0000-0003-2830-2732} }