TY - JOUR AU - Sirokmány, Viktória AU - Fogarasi, Katalin AU - Patonai, Zoltán TI - Accident or child abuse? Terminological requirements for clinical documentation of child injuries JF - PORTA LINGUA J2 - PORTA LINGUA VL - 2023 PY - 2023 IS - 2 SP - 65 EP - 78 PG - 14 SN - 1785-2420 DO - 10.48040/PL.2023.2.6 UR - https://m2.mtmt.hu/api/publication/34442602 ID - 34442602 AB - 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. LA - English DB - MTMT ER - TY - GEN AU - Mocher, Judit AU - Gátos, Attila AU - Makszin, Lilla AU - Wiegand, Norbert AU - Patonai, Zoltán TI - A haemostasist befolyásoló szerek hatása a pertrochnater törést szenvedett betegek műtétre kerülési idejére és a perioperatív időszakára PY - 2023 UR - https://m2.mtmt.hu/api/publication/34249841 ID - 34249841 LA - Hungarian DB - MTMT ER - TY - CONF AU - Pálinkás, Magdolna AU - Patonai, Zoltán AU - Gyenes, Gábor AU - Fogarasi, Katalin TI - Description of Bone, Soft tissue and Dental Injuries in Dental Patients records in Hungary T2 - Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference PY - 2023 SP - 55 EP - 55 PG - 1 UR - https://m2.mtmt.hu/api/publication/34231275 ID - 34231275 LA - English DB - MTMT ER - TY - CONF AU - Gyenes, Gábor AU - Császár, Judit AU - Fogarasi, Katalin AU - Simon, Gábor AU - Patonai, Zoltán TI - Comparative Terminological Analysis of Injury Descriptions in Hungarian Clinical Records and Forensic Medical Autopsy Reports T2 - Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference PY - 2023 SP - 30 EP - 30 PG - 1 UR - https://m2.mtmt.hu/api/publication/34221412 ID - 34221412 AB - https://semmelweis.hu/szaknyelv/files/2023/06/SMLC_2023-Book-of-abstracts.pdf LA - English DB - MTMT ER - TY - CONF AU - Császár, Judit AU - Gátos, Attila AU - Patonai, Zoltán AU - Gyenes, Gábor AU - Fogarasi, Katalin TI - Terminological Inconsistencies in the Documentation of Blunt-force Injuries in Hungary T2 - Semmelweis Medical Linguistics Conference 2023 : Impact of Sociocultural Factors on Health Communication Hybrid Conference PY - 2023 SP - 19 EP - 19 PG - 1 UR - https://m2.mtmt.hu/api/publication/34221369 ID - 34221369 LA - English DB - MTMT ER - TY - JOUR AU - Palinkas, Magdolna Horvathne AU - Sirokmany, Viktoria AU - Csaszar, Judit AU - Fogarasi, Katalin AU - Gátos, Attila TI - Assessing Medical Student English Language Proficiency in Clinical Handover at Semmelweis University JF - PATIENT EDUCATION AND COUNSELING: THE LEADING INTERNATIONAL JOURNAL FOR COMMUNICATION IN HEALTHCARE J2 - PATIENT EDUC COUNS VL - 109 PY - 2023 SP - 148 EP - 148 PG - 1 SN - 0738-3991 DO - 10.1016/j.pec.2022.10.336 UR - https://m2.mtmt.hu/api/publication/34212257 ID - 34212257 LA - English DB - MTMT ER - TY - JOUR AU - Wang, Zhe AU - Makai, Alexandra AU - Czakó, Dorina Evelin AU - Tumpek, Nikolett AU - Bogdán, Kinga AU - Járomi, Melinda TI - THE EFFECT OF BACK SCHOOL INTERVENTION ON CHINESE PATIENTS WITH CHRONIC LOW BACK PAIN JF - HEALTH PROBLEMS OF CIVILIZATION J2 - HEALTH PROBL CIVILIZATION VL - 17 PY - 2023 IS - 4 SP - 368 EP - 387 PG - 20 SN - 2353-6942 DO - 10.5114/hpc.2023.131868 UR - https://m2.mtmt.hu/api/publication/34188033 ID - 34188033 LA - English DB - MTMT ER - TY - JOUR AU - Szabó, Tamás AU - Kormos, Viktória AU - Gaszner, Balázs AU - Rékási, Zoltán TI - Perifériás ideg epineuralis metilénkékfestése kadáverkézen JF - ORVOSI HETILAP J2 - ORV HETIL VL - 163 PY - 2022 IS - 46 SP - 1834 EP - 1839 PG - 6 SN - 0030-6002 DO - 10.1556/650.2022.32617 UR - https://m2.mtmt.hu/api/publication/33258019 ID - 33258019 N1 - * Megosztott szerzőség AB - 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. LA - Hungarian DB - MTMT ER - TY - JOUR AU - Szabó, Tamás AU - Kormos, Viktória AU - Rékási, Zoltán AU - Gaszner, Balázs TI - Epineural Methylene Blue Injection May Aid Localization of Digital Nerves in Dupuytren's Surgery. JF - EUROPEAN SURGICAL RESEARCH J2 - EUR SURG RES VL - 63 PY - 2022 IS - 3 SP - 105 EP - 113 PG - 9 SN - 0014-312X DO - 10.1159/000519666 UR - https://m2.mtmt.hu/api/publication/32468137 ID - 32468137 N1 - Cited By :2 Export Date: 19 September 2023 CODEN: EUSRB Correspondence Address: Gaszner, B.; Department of Anatomy, Hungary; email: balazs.b.gaszner@aok.pte.hu AB - 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. LA - English DB - MTMT ER - TY - JOUR AU - Szabo, Ivett AU - Patczai, Balázs AU - Lőrinczy, Dénes TI - Effects of long-term deep freezing on human femoral cartilage: differential scanning calorimetric (DSC) analysis and histopathological evaluations JF - JOURNAL OF THERMAL ANALYSIS AND CALORIMETRY J2 - J THERM ANAL CALORIM VL - 147 PY - 2022 SP - 7793 EP - 7797 PG - 5 SN - 1388-6150 DO - 10.1007/s10973-021-11070-0 UR - https://m2.mtmt.hu/api/publication/32293458 ID - 32293458 AB - Results from our previous study proved that differential scanning calorimetry (DSC) is a reliable method for qualitative evaluation of morphological changes in human cartilage samples caused by cryopreservation and storage time correlates with graft quality [1, 2]. Our current aim was to specify/characterise the effects of deep-freezing on hyaline cartilage in conjunction with length of storage time. Detailed analysis included DSC and histological measurements which showed distinctive differences. Based on our histological examinations, we could not confirm significant association between cartilage destruction and long-time storage, but the DSC results exhibited a definite change in thermal parameters after the 6th week cryopreservation. A modified and more detailed analysis would be useful to determine the effects of deep-freezing. LA - English DB - MTMT ER -