Pharmacy

Lege Artis Medicinae

OCTOBER 07, 2024

[The possible role of being  a near-peer school health  educator in medical education    ]

ÁRVA Dorottya, CSEH Annamária, JENEY Anna, DUNAI Diána, MAJOR Dávid, ZÖRGÔ Szilvia

[Lack of skills, commitment, and physicians’ poor health beha­vior may hinder lifestyle counseling in medical practice, but these barriers can be mitigated by training. We aimed to explore how school-based peer health education during training may improve medical education. We examined among educators of the Ba­las­sagyarmat Health Education Program (BEP) what kind of experiences they gained useful for lifestyle counseling, how committed they became to health edu­cation, and whether their health behavior changed. 

Semi-structured interviews were conducted with medical student near-peer educators of BEP (n = 9) who had mastered all topics of the program. Our data were subjected to qualitative content analysis. Our deductive codes were defined by the research questions, and responses to these were inductively coded and aggregated along the questions. 

Among the skills useful for lifestyle counseling, the participants experienced improvement in patient education, motivation, and partnership-building. They became more committed and after the program voluntarily and successfully carried out health education in their communities and among patients. They reported more conscious nutrition, alcohol consumption, and increased physical activity as changes in their own behavior. 

The school-based health education program helped medical student near-peer educators improve medical communication skills and commitment to health education, and spurred positive health behavior change; thus, we recommend considering its integration into medical education. 

 ]

HUN 2024;34(9)

Lege Artis Medicinae

OCTOBER 07, 2024

[Prevalence and dietary treatment of the most common diseases and gastrointestinal symptoms in pregnancy   ]

HULMAN Anita, VARGA Katalin, KECZELI Viola, PAKAI Annamária

[A pregnant woman’s diet defines her own health as well as the healthy development and growth of the child in the womb. During pregnancy, a significant proportion of women experience some kind of unpleasant gastrointestinal symptom or illness, and most of them try to relieve those with dietary changes. 

The quantitative, cross-sectional research was performed between Ja­nuary 2020 and May 2020. During the non-random convenience sampling, the tar­get group consisted of Hungarian pregnant women (n = 721). In the self-administered, anonymous, online available questionnaire, sociodemographic, pregnancy and nutrition- related questions were used. The signifi­cance level was determined at p<0.05.

Nine out of ten pregnant women experienced at least one unpleasant symptom during their pregnancy. The highest proportion of pregnant women reported dieting due to illness, and the largest proportion tried to treat the symptoms by nutrition. We discovered a significant difference in terms of educational level and problem-specific dieting in case of illness, as well as income status and following a special diet due to food intolerance. Pregnant women mostly request advice from a doctor and then from a dietician to design a suitable diet, however, there was no statistically detectable difference in terms of higher education, higher income status and obtaining information from a dietician.

The education of pregnant women plays an important role in the effective dietary treatment of diseases and symptoms, which are experienced most often during pregnancy and can be relieved with proper nutrition.

 ]

HUN 2024;34(9)

Clinical Neuroscience

SEPTEMBER 30, 2024

Role of the video head impulse test in the evaluation of vestibulo-ocular reflex in individuals with Parkinson’s disease

RIZA SONKAYA, ERCAN KARABABA, HATICE Kübra BOZKURT, BÜLENT SATAR

Parkinson’s disease (PD) is the most common movement disorder and the second most common neurodegenerative disease of the central nervous system. Dizziness is frequently reported by PD patients, yet there is a paucity of research focusing on the vestibulo-ocular reflex (VOR) in this population using highfrequency vestibular testing. This study aims to investigate the VOR in individuals with PD using the video head thrust test with and without suppression.

ENG 2024;77(9-10)

Clinical Neuroscience

SEPTEMBER 30, 2024

The effect of body position, leg dominance, and automatic releasing mechanism on quadriceps muscle tone assessed by Pendulum Test in able-bodied persons

MAYER Petra , BODOR András , SZABÓ Dorottya , LACZKÓ József , ZENTAI Norbert

Quadriceps femoris muscle spasticity is commonly measured by the Wartenberg pendulum test. It is generally assumed that lower values of the number of swings of the leg and lower relaxation indexes are associated with higher muscle tone and more spasticity. Still, there is incoherence regarding the test’s applications with various body positions and starting mechanisms. This study aims to investigate the influence of body position, leg dominance, and automatic leg-releasing mechanism on muscle tone measured by pendulum test in healthy population whose muscle tone is often compared to the spastic muscle tone of patients with neurologic disorders.

ENG 2024;77(9-10)

Clinical Neuroscience

SEPTEMBER 30, 2024

[Quality of life in acute ischaemic stroke patients treated with recanalisation]

KOVÁCS Bettina, SZAPÁRY László, KAJOS Luca Fanni, JOZIFEK Eszter Johanna, ERDŐSI Petra, SZÁNTÓRI Patrícia, BONCZ Imre

[Stroke is a serious health problem that has a significant impact on health-related quality of life. Despite the increasing popularity of measuring quality of life among patients, it is not routinely measured in clinical practice, and therefore little is known about how well clinical measures reflect quality of life after stroke. The aim of this study was to investigate the quality of life of patients with acute ischaemic stroke.

For the prospective study, patients diagnosed with acute ischemic stroke at the Neurology Clinic of the Clinical Center of the University of Pécs were selected through convenience sampling between June 2022 and May 2023. Based on the treatments, patients were divided into three groups: mechanical thrombectomy (MT), intravenous thrombolysis (IVT), and standard care (SC). Modified Rankin Scale (Pre-mRS, Follow-up mRS), NIH Stroke Scale (NIHSS), and European Quality of Life 5 Dimensions Scale (EQ-5D-5L) were used in the research. Descriptive statistics, paired T-tests, Wilcoxon tests, McNemar tests and Pearson correlation analysis were applied for the analysis (SPSS 25.0; p <0.05).

A total of 198 participants (115 males, 83 females) took part in the study (MT: 50, IVT: 69, SC: 79). The Pre-mRS and follow-up mRS values indicate that the majority of patients in all three groups fell into the mild category (Pre-mRS: 176 participants; 88%, follow-up mRS: 158 participants; 80%). There was a significant improvement in NIHSS scores in all three groups (IVT: 4.36 vs. 1.57, p<0.001; MT: 8.98 vs. 4.50, p<0.001; SC: 4.38 vs. 2.84, p<0.001). The EQ-5D-5L value also significantly increased for all groups (IVT: 0.82 vs. 0.88, p<0.001; MT: 0.63 vs. 0.73, p<0.001, SC: 0.76 vs. 0.80, p=0.014). Patients admitted with lower NIHSS values reported better quality of life at the end of our study (r: -0.43451).

At 30 days, significant improvement was observed in MT, IVT and SC groups when measured with EQ-5D-5L, but the extent of improvement was highest in the MT group.]

HUN 2024;77(9-10)

Clinical Neuroscience

SEPTEMBER 30, 2024

Effect of inflammatory response before mechanical thrombectomy on prognosis in stroke patients

EMRAH AYTAÇ, FERHAT BALGETİR, ŞULE Kavak Genç, MURAT Gönen, HASAN DOGAN, CETIN Kursad AKPINAR

Mechanical thrombectomy is the most important treatment modality in acute stroke; despite successful thrombectomy, good functional outcome is not achieved in a significant proportion of patients. This study examined the effect of neutrophil lymphocyte ratio (NLR) values at admission on functional outcomes in successfully recanalized patients.

ENG 2024;77(9-10)