[Randomized, controlled clinical trials with observational follow-up investigations for evaluating efficacy of antihyperglycaemic treatment. II. Features of and lessons from the follow-up investigations].

Abstract:

:Although the outcomes of the follow-up investigation period of the randomized clinical studies for evaluating the efficacy of a treatment or an antidiabetic drug may be confounded or potentially biased by several factors, the results are widely accepted by the diabetes community. In line with the theory of metabolic memory or metabolic legacy, early and intensive antihyperglycaemic treatment should be provided for all diabetic patients as this strategy can result in beneficial effects even in the long run. The recent cardiovascular safety trials with new, innovative antidiabetic drugs differ in several aspects from the former efficacy studies. Ten cardiovascular safety trials were completed so far enabling to define their unique and common features. It can be anticipated that the era of randomized, controlled efficacy studies with observational follow-up investigations came to an end in diabetes research. Nowadays, cardiovascular safety trials are in the focus of clinical research in diabetology and results of several ongoing studies are expected with interest in the near future. Orv Hetil. 2018; 159(16): 615-619.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Jermendy G

doi

10.1556/650.2018.31042

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

615-619

issue

16

eissn

0030-6002

issn

1788-6120

journal_volume

159

pub_type

杂志文章,评审
  • [New perspective in immunotherapy: local imiquimod treatment].

    abstract::Imiquimod belongs to the family of synthetic small nucleotid-like molecules of imidazoquinolinamines. It is an immune response modifier with potent antiviral and antitumor effects, which are mediated by Toll-like receptors (TLR7 and TLR8). Imiquimod targets predominantly TLR7 expressing plasmacytoid dendritic cells an...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2010.28866

    authors: Kemény L,Nagy N

    更新日期:2010-05-09 00:00:00

  • [The clinical relevance of experimental acute pancreatitis models].

    abstract::The clinical diagnostics and therapeutic standards applied in the routine management of human acute pancreatitis are based on the results of animal experiments and human studies performed in the past several decades. During this time period, a number of experimental acute pancreatitis models have been developed, which...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2008.28464

    authors: Takács T,Szabolcs A,Biczó G,Hegyi P,Rakonczay Z

    更新日期:2008-10-19 00:00:00

  • [Acute ST segment elevation during noncardiogenic shock].

    abstract::Transient elevation of the ST segment was observed in a patient during noncardiogenic shock. The coronarography was negative. The patient received dopamine infusion. The 48 yr-old man had Crohn disease with septicaemia and ARDS. The exact pathomechanism is not known, but the negative coronarography ruled out the epica...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Tomcsányi J,Somlói M,Szabó M,Zsoldos A,Marosi A,Bózsik B

    更新日期:2005-05-08 00:00:00

  • [Otosclerosis. 2nd part. Diagnosis].

    abstract::Otosclerosis is a bone remodeling disorder affecting exclusively the human temporal bone which causes small bony lesions in the otic capsule. The symptoms depend on the location and the extent of the otosclerotic foci. Hence, clinically the most relevant sign is the conductive hearing loss due to the stapedial otoscle...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2019.31583

    authors: Liktor B,Hirschberg A,Ifj Liktor B,Karosi T

    更新日期:2019-12-01 00:00:00

  • [Prevalence of the alpha-1 antitrypsin phenotype in Hungary].

    abstract:INTRODUCTION:Alpha-1-antitrypsin deficiency is one of the most common inherited metabolic disorders. The presence of PiZ and PiS alleles alpha-1-antitrypsin deficeing are associated with. The geographical distribution of PiZ and PiS is heterogenous in Europe. AIM:The aim of the study was to investigate the frequency o...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Szónyi L,Dobos M,Vásárhelyi B,Héninger E,Váczi Z

    更新日期:2003-04-13 00:00:00

  • [Anteposition in malignant hematologic diseases of siblings in Szabolcs-Szatmár-Bereg county, Hungary. Analysis of data of a 34-year period].

    abstract:INTRODUCTION:In their previous works, the authors reported findings from familial hematologic malignancies in Szabolcs-Szatmár-Bereg county, Hungary. So far there are no other studies on this topic available in Hungary. AIM:Detailed analysis of epidemiologic features of hematologic malignancies of siblings. METHOD:Du...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2017.30830

    authors: Jakó J,Szerafin L

    更新日期:2017-08-01 00:00:00

  • [The importance of "free" nucleic acids in the non-invasive diagnostics].

    abstract::There is a great interest to determine the physiological role of "free" nucleic acids, and to use them in the clinical diagnostics. These could be DNA, mRNA, microRNA and long non-coding RNA molecules, they are in the body fluids, like serum, tear, saliva, etc. Their exact role in the normal and pathological physiolog...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2016.30621

    authors: Nagy B,Csanádi Z,Póka R

    更新日期:2016-11-01 00:00:00

  • [Acute myocardial infarction mortality in a hospital department during the last decades].

    abstract::Authors surveyed the data of 2677 patients with acute myocardial infarction treated in cardiological department between 1970 and 1993. Activity of Coronary Care Unit (has been working from 1974) reduced the earlier hospital mortality in general internal medicine possibilities with 50%. Main cause of this reduction was...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Katona A,Deli L,Hutter K

    更新日期:1995-06-18 00:00:00

  • [Congenital absence of the ductus venosus associated with severe congenital heart malformation--case report and review of the literature].

    abstract::Congenital absence of the ductus venosus is a rare anomaly. The authors have found 57 cases in the literature. Their case was associated with a complex congenital heart disease, what occurs only in 10% of absent ductus venosus cases. In cases, where the umbilical vein connects directly to the right atrium, the volume ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Hajdú J,Csapó Z,Rigó J Jr,Marton T,Pete B,Papp Z

    更新日期:2006-10-01 00:00:00

  • [The role of vaccination in the prevention of communicable diseases].

    abstract::The increasing role of vaccination in prevention of infectious diseases, the newly introduced vaccines and immunization systems are dealt with. Some recent and future alterations in the field of the basic vaccination system are discussed. Special emphasis is laid on the new vaccines and immunization methods which can ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Budai J

    更新日期:1998-11-15 00:00:00

  • [Importance of dietary hydroxycinnamic acids in the therapy of liver fibrosis].

    abstract:UNLABELLED:Medicinal treatment of liver fibrosis is still unsolved. According to literature data, plant extracts containing hydroxycinnamic acids inhibit experimentally induced liver fibrosis. AIM:The aim of this study was to provide data on the hydroxycinnamic acid content of medicinal plants, which can be applied in...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2012.29401

    authors: Alberti A

    更新日期:2012-06-17 00:00:00

  • [Two-stage splenic rupture leading to the diagnosis of hepatic peliosis].

    abstract::Rare anomaly: peliosis was found in a young woman, splenectomised for rupture of the spleen. Speculations on the aetiopathogenesis of this peculiar disorder are discussed. Awareness of the pathological curiosity is also of practical relevance, because of the risk of life-threatening haemorrhagic consequences from rupt...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Gábor Z,Back F,Csiffáry D

    更新日期:1990-06-24 00:00:00

  • [Detection of aneuploidy from gastrointestinal biopsy samples].

    abstract::Aim of the present work was the development of a mechanic cell separation protocol for gastrointestinal biopsy analysis. Evaluation of the technique was performed on selected group of patients who underwent routine endoscopy. Routine gastrointestinal biopsies were obtained after informed consent. 23 gastric (6 healthy...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Molnár B,Kármán J,Németh A,Prónai L,Zágoni T,Tulassay Z

    更新日期:2000-04-09 00:00:00

  • [Initial experience with ultrasonic examination of the rectum].

    abstract::The authors report their initial results obtained by the use of transrectal sonography in examination of known or suspected rectal and perirectal masses. 42 patients were examined with commercially available endosonographic probes. 22 patients had known rectal cancer. 13 patients underwent surgical exploration. Malign...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Jakab Z,Görög D,Papp J,Lestár B

    更新日期:1991-12-30 00:00:00

  • [Correlation between ABO and Rh blood groups, serum cholesterol and ischemic heart disease in patients undergoing coronarography].

    abstract:UNLABELLED:The associations of the ABO- and Rh-blood groups, the serum cholesterol and the extent of the coronary artery disease were examined in 653 patients who underwent coronary angiography between 1980 and 1985 in the Hungarian Institute of Cardiology. CONCLUSIONS:1. among the patients with positive coronarograph...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Tarján Z,Tonelli M,Duba J,Zorándi A

    更新日期:1995-04-09 00:00:00

  • [Body image and body image distortion].

    abstract::The aim of this literature review is to integrate the results of various studies regarding body image and body image distortion into a unified framework. The concept of body image is complex and can be interpreted from multiple points of view. The first part of the study touches upon different age characteristics, att...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2017.30752

    authors: Ábrahám I,Jambrik M,John B,Németh AR,Franczia N,Csenki L

    更新日期:2017-05-01 00:00:00

  • [Proctitis caused by Chlamydia trachomatis].

    abstract::The authors report a case of a 32-year-old patient who has been treated for idiopathic proctitis for 10 years. The inflammation did not react to Salazopyrin and corticosteroid therapy. Significant stenosis has developed. The probability of Chlamydia infection has emerged because of the atypical morphological appearanc...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kalmár J,Várkony M,Székely I,Erckövi E

    更新日期:1995-03-19 00:00:00

  • [How do Hungarian family physicians think about Helicobacter pylori? Results of national survey].

    abstract:UNLABELLED:INTRODUCTION, AIMS: In spring of 2000 a national survey was conducted on the diagnostic and therapeutic attitudes of Hungarian family practitioners concerning Helicobacter pylori. RESULTS:Based on responses, endoscopy, urea breath test and serology are easily available to 98, 42 and 48% of family practition...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Magyar A,Papp J

    更新日期:2002-06-30 00:00:00

  • [Limitations and possibilities of detecting lung cancer by fluoroscopic screening of the population].

    abstract::In 10th district of Budapest a longitudinal, epidemiological examination was started in 1975 with the aim of analysis of the objective factors influencing the population screening and determination of possibilities of screening effectiveness. It was found that effectiveness of lung cancer detection with screening depe...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Abrahám E,Karácsonyi L,Dinya E

    更新日期:1989-07-30 00:00:00

  • [Leukocyte migration inhibition test in celiac disease].

    abstract::The leukocyte migration inhibition test is a method used to assess the cell-mediated immune function. The authors examined 251 samples for a period of 3 years; 169 samples from celiac patients and 82 were control. The sensitivity of this test was 34/35 (97%) in proved gluten sensitive patients, but this was found afte...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Horváth K,Horn G,Walcz E,Zavodni I,Bodánszky H

    更新日期:1990-11-11 00:00:00

  • [Surgically treatable epilepsy--a review].

    abstract::20-25% of epileptic patients do not become seizure free on adequate drug therapy. In 25-50% of patients with intractable epilepsy, the brain area responsible for seizures is well localizable and does not involve eloquent regions. In these patients, the surgical excision of the epileptic focus may lead to relief from s...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Janszky J,Rásonyi G,Fogarasi A,Bognár L,Eróss L,Barsi P,Halász P

    更新日期:2001-07-29 00:00:00

  • [Capgras symptom associated parricides. 2 case reports].

    abstract::Capgras symptom is characterized by the delusional belief that a person significant to the patient has been replaced by a 'double' or 'impostor'. Capgras symptom was discussed to be associated with violent behavior. We report here the cases of two male patients with schizophrenia paranoid type, where parricide was con...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2019.31476

    authors: Fodor L,Fehér I,Szabados G,Varga ÉJ,Herold R,Tényi T

    更新日期:2019-10-01 00:00:00

  • [Evaluation of captopril-enalapril replacement therapy in hypertensive patients under ambulatory blood pressure monitoring].

    abstract::Authors performed a comparative study of replacement of captopril (2-3x daily) therapy with once daily enalapril. Blood pressure was measured by 24-hour ambulatory monitoring. The study enrolled 62 patients with mild to moderate hypertension. Captopril was previously administered 2-4 times per day, in mean dose of 74....

    journal_title:Orvosi hetilap

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ruszty L,Hidas I,Iványi J,Dudás M,Molnár S

    更新日期:1996-12-22 00:00:00

  • [Passive euthanasia and living will].

    abstract::This article deals with the intentional distinction between murder of first degree and passive euthanasia. In Hungary, active euthanasia is considered to be a murder of first degree, whilst the Netherlands, Belgium, Luxemburg and Switzerland have legalized the active form of mercy killing in Europe. The palliative ter...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2014.29950

    authors: Julesz M

    更新日期:2014-07-06 00:00:00

  • [Evaluation of syncope in medicolegal expertise].

    abstract::The authors summarise the clinical characteristics of the syncope and neurological signs respectively caused by basilar vertebral artery insufficiency as well as carotid sinus hypersensitivity. Several authors have seen an increased number of patients with neurological symptoms caused by ischaemia in the region of the...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Irányi J,Somogyi E,Verzár R

    更新日期:1994-11-13 00:00:00

  • [Experience with saphenous-peritoneal shunts in the treatment of intractable ascites].

    abstract:INTRODUCTION:The price and complication rates of pump models applied in the treatment of intractable ascites are significantly high. The development of a more simple, cheaper technique--using the biologically given venous valves--the saphenoperitoneal shunts became essential. TECHNIQUE AND RESULTS:In authors' departme...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Vizsy L,Beznicza H,Bátorfi J

    更新日期:2004-02-29 00:00:00

  • [Lymphangiomyoma of the thoracic duct].

    abstract::From the right superior mediastinum of a 31-year old woman the authors extirpated a lymphangiomyoma originating from the thoracic duct. The clinical feature and pathology of this rare lesions are discussed. This case is the first successfully removed thoracic duct lymphangiomyoma in Hungary. ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Pommersheim F,Szerján E,Besznyák I,Csiszér E

    更新日期:1993-09-12 00:00:00

  • [Comparison of the effect of multidrug resistance modifiers on prostate cancer, mouse lymphoma and colon cancer cells].

    abstract:INTRODUCTION:The reason for unsuccessful tumor chemotherapy is related to multidrug resistance. An important factor is the overexpression of efflux pumps, such as P-glycoprotein. AIM:Amino- and amide-substituted steroid compounds and phenothiazine derivatives were investigated in tumor models in vitro. METHOD:The inh...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2016.30536

    authors: Csonka Á

    更新日期:2016-09-01 00:00:00

  • [Modern diagnostics in breast cancer: nuclear medicine techniques].

    abstract::The authors discuss the role of nuclear medicine techniques in the modern diagnostics of breast cancer, including the methods currently used in Hungary and the future possibilities. ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2012.29256

    authors: Borbély K,Sinkovics I,Madaras B,Horváth Z,Láng I,Kásler M

    更新日期:2012-01-08 00:00:00

  • [Changes in the evaluation and treatment of benign prostatic hypertrophy].

    abstract::The benign prostatic hyperplasia (BPH) is regarded as a widespread disease "potentially prevalent among the masses" owing to the increase of men's age. Morbidity rises from the age of 50, it runs up to 80-85% and causes symptoms in 40-60% that must be treated. Research and technical development have resulted important...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Wabrosch G,Vanik M

    更新日期:1993-10-31 00:00:00