M Hock

A rectus diastasis prevalenciája, lehetséges rizikófaktorai és szövődményei

INTRODUCTION: There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. AIM: Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. METHOD: 200 womens interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire - Urinary Incontinence Short Form questionnaires. RESULTS: Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. CONCLUSIONS: In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454-460.INTRODUCTION There is scant knowledge on diastasis recti which occurs mostly in 3rd trimester of pregnancy. AIM Our aim was to assign the prevalence of diastasis recti and the possible risk factors and to investigate its association with some chronical diseases, like low back pain and urinary incontinence. METHOD 200 womens interrectus distance was measured who filled out a self-made diastasis recti questionnaire, the SF-36, Oswestry Disability Index and the International Consultation on Incontinence Modular Questionnaire - Urinary Incontinence Short Form questionnaires. RESULTS Prevalence of the condition was 46.5%. In case of risk factors, relationship between number of deliveries and interrectus distance was significant. We found a significant difference in quality of life, in presence of low back pain and urinary incontinence between the normal and the abnormal group. CONCLUSIONS In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454-460.

Külföldi munkavállalás és pályaelhagyási indítékok a magyar gyógytornászok körében

Absztrakt Bevezetes: A magyar egeszsegugyi szferaban munkat vallalo szakdolgozok koreben novekvő tendenciat mutat a kulfoldi munkavallalas. Celkitűzes: A szerzők celja a magyar gyogytornaszok migracios es palyaelhagyasi magatartasanak, illetve a hattereben levő főbb kivalto tenyezők bemutatasa. Modszer: 2014. aprilistol augusztusig orszagos felmerest vegeztek a Magyarorszagon munkat vallalo gyogytornaszok koreben. Osszesen 215 fő vett reszt a felmeresben. Eredmenyek: Az eredmenyek szerint az eletkor (p<0,05), illetve a munkahelyen tapasztalhato anyagi megbecsules merteke (p<0,01) szamottevő hatast gyakorol a migracios gondolatok megjelenesere. Azon gyogytornaszok, akik nem erzik anyagilag megbecsultnek magukat, tobb mint 55-szoros esellyel vallalhatnak munkat az orszaghataron kivul (OR = 55,28, CI [95%] = 18,85–162,12). Ennek hattereben levő leggyakoribb okok az anyagi es erkolcsi megbecsulessel kapcsolatos elegedetlenseg (p<0,01) mindket esetben). Kovetkeztetesek: Annak erdekeben, hogy megelőzzuk a szakk...

PIH1 CHANGES IN PELVIC FLOOR MUSCLE STRENGTH, ITS DURATION AND ITS RELAXATION ABILITY DURING PREGNANCY

PCV122 MODELINGTHE EFFECT OF DIFFERENTIAL COMPLIANCE WITH ANTIHYPERTENSIVE DRUGS ON CLINICAL ENDPOINTS Lowy A, Nixon R, Ong SH, Munk V,Turk F, Keefe D,Vincze G Novartis Pharma AG, Basel, Switzerland, Novartis Pharmaceuticals Corporation, East Hanover, NJ, USA OBJECTIVES: Compliance with antihypertensives is influenced by various factors, and influences blood pressure (BP) control and cardiovascular outcomes. Differences in compliance, eg. the improvement associated with fixed-dose combinations (FDCs), are acknowledged, but have not been incorporated into costeffectiveness modeling because the chain of causality between compliance and outcomes is complex. We developed a method to quantify this chain of effects which can use simple compliance parameters such as medication possession ratios, or more sophisticated inputs; it can also be tailored to specific decision problems. METHODS: First the effect of variation in compliance on simulated dosing histories is modeled. Second, the rate of fall/ rise in BP on initiating/withdrawing treatment, and the fullcompliance BP reduction, are used to estimate corresponding BP trajectories. Finally clinical endpoints are modeled from these BP trajectories, based on existing evidence. In an illustrative example, the effect of choosing an FDC over the corresponding component-based regime was modeled. The FDC effect was modeled as an 11% reduction in missed doses [reference], distributed evenly across interruptions of different lengths. Systolic blood pressure (SBP) trajectories were estimated assuming bioequivalence between FDC and component-based regimes, and the mean SBP calculated. The Framingham risk equation was used to predict the number of strokes which would be expected on the component-based regime, and the expected number which FDC use would avoid through superior compliance. RESULTS: This approach allows quantification of compliance-mediated health effects with great flexibility. CONCLUSIONS: More detailed data on the effects of FDC use on compliance can be incorporated, and different treatment efficacies and/or different durations of action can be substituted, as can different BP summary statistics, different clinical endpoints, and different sources for the relationships between them. Reference: Taylor A and Shoheiber O. Adherence to antihypertensive therapy with fixed-dose amplodipine besylate/benazepril versus comparable component-based therapy. Congestive Heart Failure 2003;9: 324–32.