A5007829339- Palliative Care and End-of-Life Issues
- Gastrointestinal Bleeding Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Patient Dignity and Privacy
- Gastrointestinal disorders and treatments
- Ethics in medical practice
- Demographic Trends and Gender Preferences
- Gastrointestinal Tumor Research and Treatment
- Pancreatitis Pathology and Treatment
- Liver Disease and Transplantation
- Child and Adolescent Health
- Assisted Reproductive Technology and Twin Pregnancy
- Airway Management and Intubation Techniques
- Tracheal and airway disorders
- Reproductive Health and Contraception
- Medical Malpractice and Liability Issues
- Trauma Management and Diagnosis
- Pancreatic and Hepatic Oncology Research
- Appendicitis Diagnosis and Management
- Electrolyte and hormonal disorders
- Renal function and acid-base balance
- Frailty in Older Adults
- Abdominal vascular conditions and treatments
- Acute Kidney Injury Research
- Trauma and Emergency Care Studies
Semmelweis University
2012-2025
University of Szeged
2023
Instituto de Parasitología y Biomedicina "López - Neyra"
2010
Toldy Ferenc Kórház
1989-1991
Hungarian Academy of Sciences
1969
HUN-REN Institute of Experimental Medicine
1969
Whether the quality of ethical climate in intensive care unit (ICU) improves identification patients receiving excessive and affects patient outcomes is unknown. In this prospective observational study, perceptions (PECs) by clinicians working 68 ICUs Europe USA were collected daily during a 28-day period. The was assessed via validated questionnaire. We compared combined endpoint (death, not at home or poor life 1 year) with PECs time from until written treatment-limitation decisions (TLDs)...
Apart from organizational issues, quality of inter-professional collaboration during ethical decision-making may affect the intention to leave one's job. To determine whether climate is associated with after adjustment for country, ICU and clinicians characteristics. Perceptions among working in 68 adult ICUs 12 European countries US were measured using a self-assessment questionnaire, together job characteristics intent as sub-analysis Dispropricus study. The validated questionnaire...
The in-hospital survival of patients suffering from acute pancreatitis (AP) is 95% to 98%. However, there growing evidence that discharged after AP may be at risk serious morbidity and mortality. Here, we aimed investigate the risk, causes, predictors most severe consequence post-AP period: mortality.A total 2613 well-characterized 25 centers were included followed by Hungarian Pancreatic Study Group between 2012 2021. A general a hospital-based population was used as control group.After an...
Summary Purpose: Psychogenic nonepileptic seizure (PNES) is an important differential diagnostic problem in patients with or without epilepsy. There are many studies that have analyzed PNES adults; currently, however, there no systematic assessment of purely childhood semiology. Our study based on a large pediatric video‐electroencephalography (EEG) monitoring (VEM) cohort, provides detailed analysis and assesses the usability current classification system described adults. Methods: Medical...
Background Literature depicts differences in ethical decision-making (EDM) between countries and intensive care units (ICU). Objectives To better conceptualise EDM climate the ICU to validate a tool assess climates. Methods Using modified Delphi method, we built theoretical framework self-assessment instrument consisting of 35 statements. This Ethical Decision-Making Climate Questionnaire (EDMCQ) was developed capture three domains healthcare: interdisciplinary collaboration communication;...
Abstract Pancreatic necrosis is a consistent prognostic factor in acute pancreatitis (AP). However, the clinical scores currently use are either too complicated or require data that unavailable on admission lack sufficient predictive value. We therefore aimed to develop tool aid prediction. The XGBoost machine learning algorithm processed from 2387 patients with AP. confidence of model was estimated by bootstrapping method and interpreted via 10th 90th percentiles prediction scores. Shapley...
Background: Estimating survival and long-term quality of life after intensive care has been a crucial bioethical endeavour in recent decades to improve end-of-life decision-making. Scientific studies have also shown that patient frailty influences survival, but only few data are available. Methods: We conducted prospective observational study at the Department Anaesthesiology Intensive Care Semmelweis University, Hungary, investigate association between physical status on admission, chance...
By an injection of bile through the duct Santorini haemorrhagic pancreatitis was induced in dogs. Three and 24 hours after injection, pancreatic vascular system filled up superior pancreaticoduodenal artery, some cases also corresponding vein, with 5 % polyvinyl chloride or 3 Indian ink-gelatin. Constriction arteries arterioles observed, blood capillaries failed to fill, existing arteriovenous shunts widened new ones arose, venous stasis developed. These lesions are supposed be result...
AIM:To demonstrate that the double balloon enteroscopy (DBE) can be safely performed in general anesthesia with intubation. METHODS:We a retrospective examination between August 2005 and November 2008 among patients receiving intubation narcosis due to DBE examination.The were grouped based on sex, age physical status.Anesthesia records included duration of anesthesia, quantity medication used anesthesia-related complications.We determined frequency complications different groups their...
The awareness of local practice end-of-life decisions in accordance with the law and ethical principles is essential for intensive care physicians all countries. first step required social dialogue to investigate practice. We performed Hungarian survey aim better understanding units. Questionnaires were sent out electronically 743 members Society Anaesthesiology Intensive Care. Respecting anonymity, we have statistically evaluated 103 replies (response rate 13.8%) compared results data from...
Abstract Introduction Critically ill patients admitted to the ICU have been shown be at risk of developing acute liver dysfunction usually as part multiorgan failure sequelae. Clearing blood from toxic liver-related metabolites and cytokines could prevent further organ damage. Despite increasing use hemoadsorption for this purpose, evidence its efficacy is lacking. Objectives To appraise (HA) treatment critical illness-associated dysfunction. Methods A systematic search was conducted on...
In the authors' Department, 144 cases of placenta praevia were treated in course 15 years. This number amounted to 0.54% all births. The sex ratio fetuses inassociated with this complication was 166.6, which exceeds that neonates during same period time. A preponderance male babies noted when material further analysed according maternal age, parity and neonatal birth weight.
Tracheal stenosis is the most common severe late complication of percutaneous tracheostomy causing significant decrease in quality life. Applying modified Griggs technique reduced number tracheal stenoses observed our clinical study. The aim this study was to investigate mechanism relationship.Forty-six cadavers were randomized into two groups according mode intervention during 2006-2008. Traditional versus applied consequently. Wider incision, surgical preparation, and bidirectional forceps...
A korábbi paternalista orvos–beteg viszony a XX. században jelentősen megváltozott, és átadta helyét egy mellérendelt, jogi elemekkel átszőtt kapcsolatnak. Ennek folyamatnak szükségszerű velejárója volt beteg orvosi döntésekbe történő bevonása, melynek előfeltétele tájékozott beleegyezés. tájékoztatás beleegyezés hiánya ezért „műhibák” mellett fokozatosan az felelősség másik fontos elemévé vált. Bár hazánk széleskörűen biztosítja betegek beleegyezéséhez szükséges jogszabályi feltételeket,...
A kettős ballonos enteroszkópia elvégzéséhez megfelelő mélységű anesztézia szükséges a vizsgálat hossza és kellemetlensége miatt. szakirodalom alapján vizsgálatoknál leggyakrabban éber szedációt alkalmaznak világszerte. Célkitűzés: szerzők vizsgálták, hogy beavatkozás biztonságosan elvégezhető-e intubációs narkózisban, illetve bizonyítani kívánták, az általános érzéstelenítés választható szedálási módszer kettősballon-enteroszkópiákhoz páciens fizikális állapotától függetlenül. Módszer:...