Abstract：
:Összefoglaló. Bevezetés: Jelenleg a méh méretének pontos megítélése meglehetősen szubjektív, az azt leíró ultrahangleletek igen nagy eltérést mutatnak. Számos klinikai szituációban azonban nagyon fontos az eltérések méretének, elhelyezkedésének, meghatározott anatómiai pontokhoz való viszonyának pontos leírása. Célkitűzés: Célunk egy egységes mérési módszer kifejlesztése, mellyel sorvezetőt adunk a vizsgálók kezébe, így csökkentve az egyéni variabilitásból adódó eltéréseket. A standardizált adatok lehetőséget adnak a szisztematikus gyűjtésre, azok egységes feldolgozására, rendszerbe foglalására, tudományos értékelésére, segítséget nyújtva a mindennapi klinikai gyakorlatban és kutatásokban. Módszer: A méh általunk végzett ultrahangvizsgálatait, valamint a nemzetközi tanulmányokat alapul véve kívánunk javaslatot tenni egy egységes mérési módszer kialakítására, mellyel egyértelmű, pontos, reprodukálható adatokat kaphatunk a méhről. Eredmények: Létrehoztunk egy standardizált paraméterekkel rendelkező mérési eljárást Uteromap néven, melyet alkalmazva objektív méretadatokat kaphatunk a méh ultrahangvizsgálata során. Külön figyelmet fordítottunk arra, hogy az általunk létrehozni kívánt standardizált mérési eljárás alkalmas legyen minden általános, valamint speciális esetben is. A kipróbálás során a legelső 253 páciens adatait elemeztük retrospektív módon. Eredményeink szerint az idősebb életkor megnövekedett méhmagassággal és nagyobb hátsó falvastagsággal korrelált. Következtetés: Arra a következtetésre jutottunk, hogy standardizált mérési módszerünk alkalmazásával a méhről és elváltozásairól sokkal pontosabb, objektívebb és egységesebb adatokat nyerhetünk anélkül, hogy a vizsgálathoz szükséges idő szignifikánsan hosszabb lenne. Munkánk folytatásaként minél több vizsgáló bevonásával szeretnénk a standardizált módszert a mindennapi gyakorlatra kiterjeszteni, a felmerülő igények, javaslatok alapján fejleszteni és létrehozni egy nemzetközileg elfogadott, standardizált mérési eljárást, mellyel az ultrahangvizsgálatok minőségét növelhetnénk, azzal a végső céllal, hogy javítsuk a betegek biztonságát és az ellátás eredményességét. Orv Hetil. 2020; 161(48): 2029-2036. SUMMARY: INTRODUCTION:Currently, the accurate assessment of the size of the uterus is rather subjective as the related ultrasound findings show an immense difference. However, in several clinical situations it is crucial to accurately describe the size and location of abnormalities and their relationship to specific anatomical positions. OBJECTIVE:We aim to develop a unified measurement method that can serve as a guide for the examiners, thus reducing variances due to individual variability. Standardized data provide an opportunity for systematic collection, unified processing, systematization, and scientific evaluation, assisting in everyday clinical practice and research. METHOD:Based on our ultrasound examinations and the international studies, we propose a unified measurement method that can provide precise, accurate and reproducible data on the uterus. RESULTS:We have established a measurement procedure with standardized parameters called Uteromap, which obtained objective size data during the ultrasound examination of the uterus. Special attention was given to creating a standardized measurement procedure suitable for general and special cases, too. According to our results, older age was correlated with increased uterine height and greater posterior wall thickness. During the trial, the data of the first 253 patients were analyzed retrospectively. CONCLUSION:We concluded that our standardized measurement method could obtain more accurate, objective, and consistent data about the uterus and its lesions without significantly increasing the time of the examination. Continuing our work, we would like to extend the standardized method to everyday practice, develop and create an internationally accepted standardized measurement procedure based on the emerging needs and recommendations, with the ultimate aim of improving patient safety and effectiveness of care. Orv Hetil. 2020; 161(48): 2029-2036.
journal_name
Orv Hetiljournal_title
Orvosi hetilapauthors
Kovács KS,Kovács AR,Harangi B,Lampé R,Török Pdoi
10.1556/650.2020.31929subject
Has Abstractpub_date
2020-11-29 00:00:00pages
2029-2036issue
48eissn
0030-6002issn
1788-6120journal_volume
161pub_type
杂志文章相关文献
ORVOSI HETILAP文献大全abstract：:During conception (fusion of maternal and paternal germ cells) a new entity is formed, which has individual structure and functions. From its gene-pool (genome) epigenetic regulation selects those genes which are durably or acutely working, supplying a theoretically lifelong program. However, this program could be cha...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/650.2020.31764
更新日期：2020-06-01 00:00:00
abstract：:Optical Coherence Tomography (OCT) is a novel, non invasive imaging method, which enables in vivo assessment of living tissues, providing near histological resolution images. The first description of its clinical introduction was in ophthalmology, which substantially changed our view of specific retinal diseases. OCT ...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2005-05-22 00:00:00
abstract：:Cough induced syncope belongs to the heterogenous group of situational syncopes. The mechanism of tussive syncope is demonstrated by presenting an illustrative case. A 79 year old male with underlying COPD was evaluated because of repeated cough related syncopal episodes. The nature of fainting was elucidated by haemo...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2004-08-01 00:00:00
abstract：:Kabuki syndrome is characterised by a peculiar face resembling the make-up of actors in Kabuki, the traditional Japanese theatre, postnatal growth deficiency, mild to moderate mental retardation, unusual dermatoglyphic patterns, and various skeletal and visceral anomalies. The author would like to draw attention to th...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：1995-08-20 00:00:00
abstract：:The healing properties of sunlight has been known for millennia, however the gradual deterioration of the ozone layer and the increased use of sun tanning beds in recent decades are causing an increase in skin damaging ultraviolet exposure. In this article the most common photodermatoses and the principles of their tr...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：10.1556/650.2016.30335
更新日期：2016-01-17 00:00:00
abstract：:The authors review the case of a 30 years old female patient presenting with a 48 hours-standing anuria, who permanently used products of grist of a virtuous plant, Guarana and occasionally used a parenteral non-steroid painkiller. The clinical history and laboratory results showed acute renal and hepatic failure. The...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/OH.2007.27954
更新日期：2007-03-04 00:00:00
abstract：:A case of a young man with eosinophilic gastroenteritis with mucosal involvement in the antrum and duodenum is presented. The diagnosis was based on endoscopic biopsy with histological examination, peripheral blood eosinophilia and gastrointestinal symptoms, like abdominal cramping, nausea, vomiting and diarrhoea. Par...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：1994-03-27 00:00:00
abstract：:Myocardial infarction is the leading cause of congestive heart failure in the industrialized world. Current treatments fail to address the underlying scarring and cell loss, which are the causes of ischaemic heart failure. Recent interest has focused on stem cells, which are undifferentiated and pluripotent cells that...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2005-11-20 00:00:00
abstract：:Comparative evaluation of different methods for diagnosis of chlamydial infections was carried out. During the culture of the bacteria cycloheximide treated McCoy cell line was used, and elementary and reticulate bodies were detected by monoclonal antibodies with immunofluorescent (IF) method. Chlamydia specific IgM a...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：1994-02-27 00:00:00
abstract：INTRODUCTION:It is known that the quality of life (QoL) of patients surgically treated for head and neck cancer (HNC) is significantly enhanced by rehabilitation. It is also known that some of these patients will not quit smoking. AIM:To assess if smoking hampers rehabilitation-related QoL enhancement after surgery. ...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/650.2017.30639
更新日期：2017-02-01 00:00:00
abstract：:The authors present the case of a 29-year-old female with stab wound to the abdomen. After the initial fluid resuscitation and preliminary radiographic examinations immediate laparotomy was indicated due to hypovolaemic circulatory collapse. Splenectomy and gastric suture were necessary. Following the urgent intervent...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/OH.2007.28044
更新日期：2007-08-12 00:00:00
abstract：:The effect of Vitamin E treatment was studied in experimental hyperlipidaemia. The male Wistar rats got control diet and parallel fat rich diet contained 2% cholesterol, 0.5% cholic acid and 20% sunflower oil added into LATI food during 9 days. The treated hyperlipidemic animals got vitamin E for 9 days in daily 8.56 ...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：1993-08-08 00:00:00
abstract：:Erect posture could be a source of diverse chronic symptoms usually referred as orthostasis intolerance. Increasing number of patients suffering from orthostatic syndromes is recognized. Characterization and distinction of these orthostatic syndromes are based on the clinical presentation; including the typical histor...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2005-03-13 00:00:00
abstract：:The authors describe the clinical course of successfully treated patients with extensive, subtotal pulmonary embolism. After the diagnosis was confirmed by isotopic scan or pulmonary angiography, mechanical thrombus destruction was applied followed by low dose loco-regional thrombolysis in 11 patients by streptokinase...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：1995-11-19 00:00:00
abstract：:Diabetes mellitus and depression are public health concerns of the present and, as predicted, also the future. The observation that depression is seen more frequently in diabetic patients compared to the non-diabetic population has been proven by several recent studies. The co-occurrence carries further risks for the ...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：10.1556/OH.2011.29070
更新日期：2011-03-27 00:00:00
abstract：:The composition of the cellular infiltrate in 42 needle and wedge biopsies of transplanted kidneys was investigated immunohistochemically. The various inflammatory cell populations were examined in different rejection types and cyclosporin-A nephrotoxicity (CsAN) as well as in different locations in the graft (perivas...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：1990-01-28 00:00:00
abstract：UNLABELLED:The quality of endoscopic examinations substantially determines their value. In developed countries, Continuous Quality Management is used to improve it permanently. In Hungary there is no example for measuring quality in the field of gastrointestinal endoscopy. AIM:The measurement and improvement of qualit...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/OH.2012.29408
更新日期：2012-07-22 00:00:00
abstract：:This article is the result of some preliminary journey of two Hungarian psychiatrist (one also epileptologist, other also anthropologist) to Nepal. The main aim of the research was to elaborate a community based epilepsy health care pilot project. It is shown a brief look at the modern and traditional health care syst...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：2000-06-11 00:00:00
abstract：:Introduction: It is known that lactate concentration is increased in diabetic ketoacidosis (DKA), however, the pathophysiology and kinetics of lactate changes are still unclear. Normally, L-lactate is the major form in the human body. According to previous data, also D- and L-lactate might be increased in hyperglycaem...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/650.2019.31533
更新日期：2019-11-01 00:00:00
abstract：UNLABELLED:Penile cancer is a rare anomaly. Primary tumor and lymphnodes metastasis managements are essential. Nowadays, there is a growing wish for less invasive but curative treatment. AIMS AND METHODS:Newest opportunities of the management of penile cancer are reviewed according to the recent literature by the auth...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：10.1556/OH.2010.28787
更新日期：2010-04-11 00:00:00
abstract：:The authors present the case of a fifteen-year-old anorectic girl. Her lowest body weight was after admission 16.5 kg, with a height of 139 cm-s (body mass index: 8.54 kg/m2). After five-year long unsuccessful individual therapy family therapy was administered, which caused remission, ascertained by a five-year follow...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：2006-03-19 00:00:00
abstract：:The authors give account of their study concerning the effect of paracetamol on the acid haemolysis, and glutathione content of human erythrocytes. In vitro, paracetamol decreased intracellular glutathione content in a dose dependent manner. This may lead to an increased sensitivity of erythrocytes to the haemolytic e...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：
更新日期：1993-10-10 00:00:00
abstract：:This article reviews the recent changes in the understanding of acute pancreatitis pathophysiology emphasizing results deriving from the more detailed comprehension of the local and systemic aspects of the inflammatory process. The authors briefly discuss those theories that have been influencing the basic philosophie...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2000-02-06 00:00:00
abstract：INTRODUCTION:The internationalization of societies and the processes of globalization raise new challenges towards health provision systems, including professional, ethical, social, cultural and communicational references of nursing and nursing education. AIMS:In this study the authors wanted to answer the following q...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/OH.2012.29479
更新日期：2012-10-28 00:00:00
abstract：:Three-dimensional speckle-tracking echocardiography is a new cardiac imaging methodology, which allows three-dimensional non-invasive evaluation of the myocardial mechanics. The aim of this review is to present this new tool emphasizing its diagnostic potentials and demonstrating its limitations, as well. ...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：10.1556/OH.2012.29466
更新日期：2012-10-07 00:00:00
abstract：:Childhood autism, the most characteristic subgroup of the broader PDD (pervasive developmental disorders) category, is the consequence of genetic or typically prenatal, organic factors causing cerebral damage. The resulting mental handicap lasts for a lifetime. It is characterized by a behavioural syndrome, that becom...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：1991-12-23 00:00:00
abstract：:Overweight and obesity are worldwide problems, its health and psychosocial burden on the individual and on society are tremendous. Diagnosing obesity is rather easy, and is based on simple anthropometric measurements, such as body weight, height and waist circumference. The different classes of obesity are determined ...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2006-04-02 00:00:00
abstract：:Functional dyspepsia is a clinical syndrome defined by chronic or recurrent pain or discomfort in the upper abdomen of unknown origin. Dyspepsia is a very common condition, with a high prevalence in the general population. The multifactorial pathogenesis of dyspeptic symptoms is poorly defined. However, several factor...
journal_title：Orvosi hetilap
pub_type： 杂志文章,评审
doi：
更新日期：2004-04-04 00:00:00
abstract：:Elevated antibody titers to food antigens and increased intestinal permeability in IgA nephropathy (IgA NP) suggest that these factors may be interdependent and play a role in the pathogenesis of the disease. In 1989 IgA and IgG antibodies against eight common food antigens were examined in the sera of 35 IgA NP patie...
journal_title：Orvosi hetilap
pub_type： 临床试验,杂志文章,评审
doi：
更新日期：1996-01-14 00:00:00
abstract：INTRODUCTION:In single-payer health care financing systems data extracted from hospital report forms submitted for reimbursement purposes may be used for epidemiological investigations. AIM:Based on data submitted by 14 neurological wards in Central Hungary the authors examined the reliability of these reports. METHO...
journal_title：Orvosi hetilap
pub_type： 杂志文章
doi：10.1556/650.2015.30258
更新日期：2015-09-20 00:00:00
