Authors:Katalin Kristóf, L. Janik, Kinga Komka, Ágnes Harmath, Júlia Hajdú, A. Nobilis, F. Rozgonyi, K. Nagy, J. Rigó, and Dóra Szabó
The occurrence of Candida spp. was investigated during a three-year period in two neonatal intensive care units, Budapest, Hungary. The species distribution among the 41 analysed cases was the following: C. albicans (30/41, 73%), C. parapsilosis (10/41, 24%) and C. glabrata (1/41, 3%). All of the isolates were susceptible to the tested drugs. There was a significant difference in the birth weight, the gestational age <30 weeks and the occurrence of caesarean section between the C. albicans and the C. parapsilosis groups of the cases. Respiratory tract colonization was the same (76–77%) in the extremely low birth weight (ELBW) and the very low birth weight (VLBW) groups. Comparing the ELBW, VLBW, and >1500 g birth weight groups, significant difference was found in the parenteral nutrition, the gestation weeks <36 or <30, the polymicrobial infection and the transfusion. The ratio of C. albicans, C. parapsilosis and C. glabrata was 9:7:1 in ELBW group; 6:3:0 in VLBW group and 15:1:0 in >1500 g group. The mortality rate for C. parapsilosis was higher than for C. albicans.
Authors:J. B.Nagy, J. N. Coleman, A. Fonseca, A. Destrée, Z. Mekhalif, N. Moreau, L. Vast, and J. Delhalle
Organic polymers -
carbon nanotubes nanocomposites are synthesized either by mechanical mixing of
the two components or by covalently linking the nanotubes to the matrix. The
various procedures will be overviewed and the determining factors will be
identified for the best mechanical properties of the composites. On the other
hand, it will be shown that for highest electrical conductivity much smaller
amounts of carbon nanotubes are needed if the nanotubes can be aligned. The
thermal conductivity of the nanocomposites will also be overviewed. Finally,
together with nanoclay particles, nanotubes are inducing remarkable flame
retardant properties in the nanocomposites materials.
Authors:Árpád Illés, Csaba Bojtor, Seyed Mohammad Nasir Mousavi, L. Csaba Marton, Péter Ragán, and János Nagy
Agricultural production is threatened by different invasive species, as their damage results in a serious loss of income. The aim of the research was the assessment of the swarming dynamics and damage of the western corn rootworm (WCR) adults and larvae. The experiment was carried out in monoculture fertilization long-term experiments and three maize hybrids compared for their reaction against WCR adult and larval damage under non-infested plots at different nitrogen levels. Differences among the hybrids have a lower effect on the damage of corn rootworm adults and larvae than the amount of applied nitrogen. The phosphorus-potassium are optimal levels, while nitrogen ranges from 0 to 300 kg and no nutrient supply took place in the control plots for 30 years. The number of adults located and feeding on the styles of the female flower recorded and the damage caused on the roots by larvae ranked on a modified Iowa scale. Nitrogen fertilization resulted in a change in the silking time. The lowest root damage observed in the case of the high nutrient treatment with an Iowa value of 3.18. The coincidence of the nourishment of adults and the egg-laying time with silking is a potential threat in terms of fertility. Based on the results, it found that the extent of root damage can be reduced through the optimal selection of the time and dose of nutrient supply, primarily that of nitrogen. In general, both larvae and adults can cause severe yield loss, but the method of control against them is different. The coincidence of the nourishment of adults and the egg-laying time with silking is a potential threat in terms of fertility.
Authors:H. Pikó, V. Vancsó, B. Nagy, J. Balog, M. Nagymihály, A. Herczegfalvi, L. Tímár, Z. Bán, and V. Karcagi
Muscular dystrophies are a genetically heterogeneous group of degenerative muscle disorders. This article focuses on two severe forms of muscular dystrophies and provides genetic data for a large cohort of Hungarian patients diagnosed within the last few years by the authors.The Duchenne/Becker muscular dystrophy (DMD/BMD) is caused by mutations in the dystrophin gene, which is located on chromosome Xp21. The genetic analysis of dystrophin is usually performed by multiplex polymerase chain reaction (PCR), which detects approximately 95% of all deletions but does not distinguish between one and two copies of the exons investigated. The present work, therefore, concentrates on the improvement of the diagnostic panel for the analysis of DMD/BMD in Hungary. Radioactively labelled cDNA probes, encompassing the whole dystrophin gene detect all the deletions and the analysis is quantitative. In addition, the new multiple ligationdependent probe amplification (MLPA) technique was recently introduced that enabled more reliable and faster quantitative detection of the entire dystrophin gene. The genomic basis of facioscapulohumeral muscular dystrophy (FSHD) is associated with contraction of the D4Z4 repeat region in the subtelomere of chromosome 4q. In case of FSHD, molecular genetic criteria still have to be improved because of the complexity of the disorder.
Authors:L. Biró, B. Rabin, A. Regöly-Mérei, K. Nagy, B. Pintér, E. Beretvás, E. Morava, and M. Antal
The lack of data regarding dietary and lifestyle habits of Hungarian university students prompted us to undertake a cross-sectional pilot study of students of Semmelweis University, Budapest. A total of 264 students (78 males with mean age of 21.4±2.6 y and 186 females with a mean age of 21.2±2.6 y) were involved in the study. The questionnaires contained inquiries of energy and nutrient intake, use of vitamin and mineral supplements, food frequency, meal frequency and physical activity. Statistical analysis was carried out using SPSS for Windows 9.0. The energy, protein and fat intake was somewhat higher than the Hungarian Recommended Dietary Allowances (HRDA) (BIRÓ & LINDNER, 1999). Sodium intake was alarmingly high. Vitamin D consumption was inadequate. The intake of the members of vitamin B group with exception of B12 and niacin was insufficient. The daily consumption of milk, dairy products, fruits and vegetables was deficient. The meal pattern was unbalanced. Only 66% of males and 52% of females were involved in a regular physical activity. Our results suggest that nutrition should be introduced into the medical curriculum as a separate and full-fledged course of study.
Authors:M. Antal, A. Regöly-Mérei, L. Biró, K. Nagy, J. Fülöp, E. Beretvás, E. Gyömörei, O. Kis, and A. Vámos
This study investigates the nutritional status, life-style practices, serum vitamin D and bone density of adolescents. A total of 326 adolescents, aged between 11 and 14 years, were involved in the present examination: after winter 110 boys and 97 girls (March 2002 and February 2003), and after summer 66 boys and 53 girls (October 2002 and 2003) were investigated. Energy and nutrient intake and life-style practices were assessed. Body mass and height were measured, body mass index was calculated. Serum concentration of 25-hydroxyvitamin D [25(OH)D] was determined. Bone mineral density of calcaneus was measured. Protein intake was higher than the Hungarian RDA. All of the students had vitamin D intake far below the RDA, 33.3% of boys and 43.2% of girls had Ca intake below 70% of RDA, and sodium intake was more than twice higher than the RDA. After winter, 2% of boys and 8% of girls were considered vitamin D deficient and 11% and 19% vitamin D insufficient, respectively. After summer, 24% of boys and 21% of girls had 25(OH)D level over the reference range. The mineral content of bone was insufficient in 12.9% of boys and 10.4% of girls, respectively. The majority of the students had physical activity only in school, incorporated in the timetable.
Authors:Erika Orosz, Dorottya Kriskó, Lei Shi, Gábor L. Sándor, Huba J. Kiss, Berthold Seitz, Zoltán Zsolt Nagy, and Nóra Szentmáry
Genus Acanthamoeba is an opportunistic protozoan that is widely distributed in the environment. Within this genus, numerous species are recognized as human pathogens, potentially causing Acanthamoeba keratitis (AK). AK is a corneal disease, associated predominantly with contact lens (CL) wear; its epidemiology is related to the specific Acanthamoeba genotypes. This study reports seven CL wearer, Acanthamoeba PCR-positive patients with AK, diagnosed between January 2015 and 2018. Patients had the diagnosis of AK 1.36 months after first symptoms. Genotyping allowed the identification of six isolates of the T4 and one of the T8 genotypes. At first presentation, pseudendritiformic epithelopathy/dirty epithelium (four eyes, 57.1%), multifocal stromal infiltrates (five eyes, 71.4%), ring infiltrate (three eyes, 42.8%), and perineuritis (one eye, 14.3%) were observed. AK was healed without later recurrence in two eyes (28.5%) using triple-topical therapy, in three eyes (42.8%) following additional penetrating keratoplasty. In one patient (14.3%), AK recurred following successful application of triple-therapy and was treated successfully with repeated triple-topical therapy and in one patient (14.3%), no follow-up data were available after diagnosis. We could not observe correlation of genotype and clinical course or the necessity of corneal transplantation in our case series.
Authors:A. Gyenes, G.L. Sándor, B. Csákány, Zs Récsán, G. Rudas, Z.Z. Nagy, and E. Maka
A case of a 13-year-old girl after being injured on the left eyeball by a stick from a cage, is presented. Along vitreous haemorrhage, retinal oedema and ischaemia, the disc was replaced by a cavity. Multimodal imaging was performed, which confirmed the optic nerve damage. The eye had no light perception anymore. Our case is a demonstration for complete avulsion of the optic nerve after blunt injury.
Authors:Zoltán Zsolt Nagy, Huba J. Kiss, Ágnes I. Takács, Kinga Kránitz, Cecília Czakó, Tamás Filkorn, Árpád Dunai, Gábor L. Sándor, and Illés Kovács
Bevezetés: A szürkehályog-műtétek eredményeinek javítására kifejlesztett femtolézer-asszisztált szürkehályog-műtétek tökéletesítésére nagy energiák összpontosulnak. Célkitűzés: A femtolézer-asszisztált szürkehályog-műtétek során alkalmazott új, 2.16-os vezérlőszoftverrel és a módosított kezelési maszkkal (SoftFit®) nyert tapasztalatok értékelése. Módszer: A 2.16-os szoftvert és az új kezelési maszkot 100 páciens 100 szemén alkalmazták femtolézer-asszisztált szürkehályog-műtétek során. Eredmények: A megújult rendszerrel a femtolézeres előkezelés 45–60 másodpercre csökkent. Az új kezelési maszk kisebb mérete könnyebb illesztést tett lehetővé akár gyermekszemen is. A maszkot rögzítő szívóerő 40–50 Hgmm-ről 16–20 Hgmm-re csökkent. A subconjunctivalis suffusio aránya 40%-ról 15–20%-ra csökkent, súlyossága mérséklődött. Szaruhártyaredők nem jelentkeztek, a szabadon lebegő capsulotomiák aránya 30%-ról 97%-ra nőtt. A lézerkezeléshez szükséges energia csaknem 50%-kal csökkent. A tervezettnek megfelelő cornealis sebek könnyen megnyithatóak és pontosan záródóak voltak. Következtetések: A SoftFit® kezelési maszk és az új szoftver a femtolézer-asszisztált szürkehályog-műtétek alkalmazási lehetőségeit bővítette, lehetővé téve a gyermekkori szürkehályog-műtétekben történő alkalmazást. A fejlesztések a módszer biztonságosságát és kiszámíthatóságát tovább növelték. Orv. Hetil., 2015, 156(6), 221–225.
Authors:G. Tóth, N. Szentmáry, G.L. Sándor, B. Csákány, Z. Antus, M.T. Pluzsik, O. Lukáts, and Z.Z. Nagy
Our aims were to evaluate the primary and clinical evisceration indications and to analyse orbital implant related complications.
We included in our retrospective review all eviscerations between 2006 and 2016 at the Department of Ophthalmology of Semmelweis University, Budapest, Hungary. Primary evisceration indications were classified into six groups: trauma, surgical diseases, infections or inflammations, systemic diseases, tumours and unclassifiable diseases. Clinical immediate evisceration indications were also classified into six groups: painful blind eye due to glaucoma, atrophia/phthisis bulbi, endophthalmitis, cosmetic reasons, acute trauma and expulsive bleeding.
Evisceration was performed in 46 eyes of 46 patients (54.3% males, age 43.0 ± 18.6 years). The most common primary evisceration indications were trauma (37%), surgical diseases (34.8%), infection or inflammation (10.9%), systemic diseases (6.5%), tumours (8.7%) and unclassifiable diseases (2.2%). Painful blind eye due to glaucoma (34.8%) was the most common clinical indication for evisceration, followed by atrophia/phthisis bulbi (26.1%), endophthalmitis (17.4%), cosmetic reasons (13.0%), acute trauma (6.5%) and expulsive bleeding (2.2%). After evisceration, 91.3% of the patients received orbital implant and during 26.8±28.9 months follow-up implant related complications were found in 14.3% of the cases, including implant extrusion (4.8%), partial wound dehiscence (4.8%), implant exposure (2.4%) and orbital inflammation (2.4%).
Painful blind eye and atrophia/phthisis bulbi due to ocular trauma and surgical diseases represent the most common indications for ocular evisceration. If malignant intraocular tumours can be excluded, evisceration surgery combined with a silicon-based orbital implant is a safe and effective procedure.