A5002026751- Blood Pressure and Hypertension Studies
- Cardiac Health and Mental Health
- Nutritional Studies and Diet
- Health Systems, Economic Evaluations, Quality of Life
- Cardiovascular Health and Disease Prevention
- Chronic Disease Management Strategies
- Influenza Virus Research Studies
- Heart Rate Variability and Autonomic Control
- Dementia and Cognitive Impairment Research
- Health and Wellbeing Research
- Diabetes Management and Education
- Global Health Care Issues
- Primary Care and Health Outcomes
- Diet and metabolism studies
- COVID-19 and healthcare impacts
- Intergenerational Family Dynamics and Caregiving
- Suicide and Self-Harm Studies
- Obstructive Sleep Apnea Research
- Bacterial Infections and Vaccines
- Mental Health Treatment and Access
- Vaccine Coverage and Hesitancy
- Neuroscience of respiration and sleep
- Health, psychology, and well-being
- Obesity, Physical Activity, Diet
- Nutrition and Health in Aging
Semmelweis University
2016-2025
Buda Health Center
2024
University Teaching Hospital
2024
Day Family Medicine
2014
In oldest-old patients (>80), few trials showed efficacy of treating hypertension and they included mostly the healthiest elderly. The resulting lack knowledge has led to inconsistent guidelines, mainly based on systolic blood pressure (SBP), cardiovascular disease (CVD) but not frailty despite high prevalence in oldest-old. This may lead variation how General Practitioners (GPs) treat hypertension. Our aim was investigate treatment GPs oldest-olds across countries identify role that...
The effect of metformin on methylglyoxal (MG) metabolism was studied in a prospective non-randomized 24 weeks trial patients with type 2 diabetes. Metformin treatment, addition to life style intervention, significantly reduced morning glucose and HbA<sub>1c</sub> whilst body weight BMI were only marginally during the week trial. Treatment both plasma MG carboxymethyl-lysine (CML), marker oxidative stress. reduction paralleled by significant increase activity Glyoxalase 1 (Glo1), major route...
Burnout is increasingly prevalent among general practitioners (GPs) in Hungary, which may lead to functional impairment and, subsequently, poor quality of patient care. However, little known about potential predictors burnout GPs. The aim this study was explore psychosocial correlates GPs and residents Hungary.We collected socio-demographic work-related data with self-administered questionnaires a cross-sectional (N = 196) 154). We assessed the Maslach Inventory Human Services Survey...
Most COVID-19 patients were treated in primary health care (PHC) Europe.To demonstrate the scope of PHC workflow during pandemic emphasising similarities and differences patient's clinical pathways Europe.Descriptive, cross-sectional study with data acquired through a semi-structured questionnaire 30 European countries, created ad hoc agreed upon among all researchers who participated study. GPs from each country answered approved questionnaire. Main variable: acute pathway. All variables...
Abstract Background During the COVID-19 pandemic, majority of patients received ambulatory treatment, highlighting importance primary health care (PHC). However, there is limited knowledge regarding PHC workload in Europe during this period. The utilization indicators could facilitate efficient monitoring and coordination pandemic response. objective study to describe for disease surveillance COVID-19’s impact Europe. Methods Descriptive, cross-sectional employing data obtained through a...
Abstract Affective temperaments are inherited parts of personality determining mood and activity, affecting the management somatic conditions. We aimed to investigate association between affective temperaments, depressive symptoms, self-care (physical smoking, alcohol consumption), their effect on glycemic control, among patients with type 2 diabetes (T2DM) in general practice, a cross-sectional study enrolling 338 consecutive from six primary care practices Hungary. A self-administered...
Person-centred care (PCC) is a fundamental principle in general practice, emphasising practices tailored to individual patient preferences, needs, and values. Despite the importance of PCC, practitioners (GPs) face obstacles effectively implementing it, with associated factors remaining unclear. The PACE GP/FP study aims explore GPs' attitudes towards PCC facilitating or hindering its implementation daily practice across European countries. This paper outlines protocol. cross-sectional...
Affective temperaments (anxious, depressive, cyclothymic, irritable and hyperthymic) measure subclinical manifestations of major mood disorders. Furthermore, cumulating evidence suggests their involvement in somatic disorders as well. We aimed to assess associations between affective temperament scores blood pressure arterial stiffness parameters hypertensive patients. In this cross-sectional study, 173 patients with well-controlled or grade 1 chronic hypertension, no history depression,...
Abstract Background General practitioners (GPs) should regularly review patients’ medications and, if necessary, deprescribe, as inappropriate polypharmacy may harm health. However, deprescribing can be challenging for physicians. This study investigates GPs’ decisions in 31 countries. Methods In this case vignette study, GPs were invited to participate an online survey containing three clinical cases of oldest-old multimorbid patients with potentially polypharmacy. Patients differed terms...
Background: Affective temperaments can be considered the subclinical manifestations of affective disorders, which have a bidirectional relationship with cardiovascular diseases.Objectives: Aim this study was to assess role in primary hypertension, is leading risk factor morbidity and mortality.Methods: In total, 251 consecutive patients, including 179 patients being treated for hypertension anti-hypertensives, chronic disorders without diagnosed depression were enrolled care setting....
Strategies for the involvement of primary care in management patients with presumed or diagnosed dementia are heterogeneous across Europe. We wanted to explore attitudes physicians (PCPs) when managing dementia: (i) most popular cognitive tests, (ii) who had right initiate continue cholinesterase inhibitor memantine treatment, and (iii) relationship between permissiveness these rules/guidelines PCP's approach investigations assessment.Key informant survey.Primary practices 25 European...
The prevalence of obesity is growing continuously worldwide, even in Hungary. Since 1988, when the first professional wide-range evaluation was performed, only limited data are available.Authors present results ever largest Hungarian obesity-prevalence surveys, performed by family and occupational physicians.Data from 0.55% population above 18 year were registered all geographical regions Hungary (43,287 persons; 17,901 males 25,386 females), close to proper national representativeness. Age,...
Obesity, a threatening pandemic, has an important public health implication. Before proper medication is available, primary care providers will have distinguished role in prevention and management. Their performance may be influenced by many factors but their personal motivation still under-researched area. The knowledge, attitudes practice were reviewed this questionnaire study involving representative sample of 10% all Hungarian family physicians. In different settings, 521 practitioners...
Brain-derived neurotrophic factor (BDNF) has neuroprotective, proangiogenic and myogenic effects and, therefore, possibly acts as a psychosomatic mediator. Here, we measured serum BDNF (seBDNF) level in hypertensive patients (HT) healthy controls (CONT) its relation to affective temperaments, depression anxiety scales, arterial stiffness parameters.In this cross-sectional study, anxiety, were studied with questionnaires (TEMPS-A, HAM-A, BDI, respectively). SeBDNF routine laboratory...
BackgroundThe calculation of vascular age can help patients understand the importance adherence to healthy lifestyle and medications. However, multiple methods are available calculate no comparison data is yet. Our aim was evaluate based on Framingham Risk Score (FRS), Systematic COronary Evaluation (SCORE) carotid-femoral pulse wave velocity (PWV).MethodsConsecutive subjects between 40–65 years, who took part in a screening program three general practitioner practices were involved. PWV...
Purpose Hypertension is a major public health problem, thus, its timely and appropriate diagnosis management are crucial for reducing cardiovascular morbidity mortality. The aim of the new Hungarian Registry to evaluate blood pressure measurement practices general practitioners (GPs), internists cardiologists in outpatient clinics, as well assess seasonal variability pressure.
To obtain unbiased views of primary-care physicians about home blood pressure monitoring (HBPM).A mail survey was conducted in a random sample (n = 700) all Hungarian 5112). Items the questionnaire related to extent and indications for use HBPM, significance attributed its results, methods use, concerns had with HBPM.Of 700 questionnaires, 405 (58%) could be analysed. HBPM popular among respondents: 60% them more then 50 patients on 90% were recommending either 'often' or 'almost time', 75%...
A családorvosok szerepe a betegellátásban központi jelentőségű. nagyszámú orvos-beteg találkozás, fizikai és érzelmi megterhelés munkahelyi stresszhez kiégéshez vezethet. Tudomásunk szerint eddig nem folyt olyan vizsgálat Magyarországon, amely kiégéssel kapcsolatos mutatóit térképezte volna fel. Célkitűzés: kiégés prevalenciájának feltárása magyarországi családorvosi rezidensek körében. Módszerek: Feltáró/leíró jellegű keresztmetszeti önkitöltős kérdőíves felméréssel 453 háziorvos 43...
In this prospective, open‐label, randomized, controlled clinical trial the effects of low‐dose carvedilol, nebivolol, and metoprolol on central arterial pressure augmentation index ( AI x) its heart rate–corrected value x@75) were assessed. The authors randomized 75 hypertensive patients (18–70 years) to carvedilol 12.5/25 mg, 50/100 or nebivolol 2.5/5 mg daily followed them up for 3 months. Central x measured with applanation tonometry at baseline end follow‐up. Analyses restricted 60...