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[PMID]:29471758
[Au] Autor:Adamecz-Völgyi A; Lévay PZ; Bördos K; Scharle Á
[Ad] Endereço:1 Budapest Institute for Policy Analysis, Hungary.
[Ti] Título:Impact of a personalised active labour market programme for persons with disabilities.
[So] Source:Scand J Public Health;46(19_suppl):32-48, 2018 Feb.
[Is] ISSN:1651-1905
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:AIMS: The paper estimates the impact of a supported employment programme implemented in Hungary. METHODS: This is a non-experimental evaluation using a matching identification strategy supported by rich data on individual characteristics, personal employment and unemployment history and the local labour market situation. We use a time-window approach to ensure that programme participants and matched controls entered unemployment at the same point in time, and thus faced very similar labour market conditions. RESULTS: We find that the programme had a positive effect of 16 percentage points on the probability of finding a job among men and 25 percentage points among women. The alternative outcome indicator of not re-entering the unemployment registry shows somewhat smaller effects in the case of women. CONCLUSIONS: In comparison to similarly costly programmes that do not facilitate employment in the primary labour market, rehabilitation services represent a viable alternative.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Emprego/estatística & dados numéricos
Reabilitação Vocacional/métodos
[Mh] Termos MeSH secundário: Adulto
Pessoas com Deficiência/estatística & dados numéricos
Feminino
Seres Humanos
Hungria
Masculino
Meia-Idade
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:CONTROLLED CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180224
[St] Status:MEDLINE
[do] DOI:10.1177/1403494817738421


  2 / 16633 MEDLINE  
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[PMID]:29191434
[Au] Autor:Scheiring G; Stefler D; Irdam D; Fazekas M; Azarova A; Kolesnikova I; Köllo J; Popov V; Szelenyi I; Marmot M; Murphy M; McKee M; Bobak M; King L
[Ad] Endereço:Department of Sociology, University of Cambridge, Cambridge, UK. Electronic address: gs385@cam.ac.uk.
[Ti] Título:The gendered effects of foreign investment and prolonged state ownership on mortality in Hungary: an indirect demographic, retrospective cohort study.
[So] Source:Lancet Glob Health;6(1):e95-e102, 2018 Jan.
[Is] ISSN:2214-109X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Research on the health outcomes of globalisation and economic transition has yielded conflicting results, partly due to methodological and data limitations. Specifically, the outcomes of changes in foreign investment and state ownership need to be examined using multilevel data, linking macro-effects and micro-effects. We exploited the natural experiment offered by the Hungarian economic transition by means of a multilevel study designed to address these gaps in the scientific literature. METHODS: For this indirect demographic, retrospective cohort study, we collected multilevel data related to Hungary between 1995 and 2004 from the PrivMort database and other sources at the town, company, and individual level to assess the relation between the dominant company ownership of a town and mortality. We grouped towns into three ownership categories: dominant state, domestic private, and foreign ownership. We did population surveys in these towns to collect data on vital status and other characteristics of survey respondents' relatives. We assessed the relation between dominant ownership and mortality at the individual level. We used discrete-time survival modelling, adjusting for town-level and individual-level confounders, with clustered SEs. FINDINGS: Of 83 eligible towns identified, we randomly selected 52 for inclusion in the analysis and analysed ownership data from 262 companies within these towns. Additionally, between June 16, 2014, and Dec 22, 2014, we collected data on 78 622 individuals from the 52 towns, of whom 27 694 were considered eligible. After multivariable adjustment, we found that women living in towns with prolonged state ownership had significantly lower odds of dying than women living in towns dominated by domestic private ownership (odds ratio [OR] 0·74, 95% CI 0·61-0·90) or by foreign investment (OR 0·80, 0·69-0·92). INTERPRETATION: Prolonged state ownership was associated with protection of life chances during the post-socialist transformation for women. The indirect economic benefits of foreign investment do not translate automatically into better health without appropriate industrial and social policies. FUNDING: The European Research Council.
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Internacionalidade
Investimentos em Saúde
Mortalidade/tendências
Propriedade/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Feminino
Seres Humanos
Hungria/epidemiologia
Masculino
Meia-Idade
Análise Multinível
Estudos Retrospectivos
Distribuição por Sexo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171202
[St] Status:MEDLINE


  3 / 16633 MEDLINE  
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[PMID]:29367087
[Au] Autor:Hegedus M; Tóth-Bodrogi E; Jónás J; Somlai J; Kovács T
[Ad] Endereço:Institute of Radiochemistry and Radioecology, University of Pannonia, 10 Egyetem Str., H-8200, Veszprém, Hungary.
[Ti] Título:Mobility of Th and Po in red mud.
[So] Source:J Environ Radioact;184-185:71-76, 2018 Apr.
[Is] ISSN:1879-1700
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The valorization of industrial by-products such as red mud became a tempting opportunity, but the understanding of the risks involved is required for the safe utilization of these products. One of the risks involved are the elevated levels of radionuclides (in the 100-1300 Bq/kg range for both the U and  Th decay chains, but usually lower than 1000 Bq/kg, which is the recommended limit for excemption or clearance according to the EU BSS released in 2013) in red mud that can affect human health. There is no satisfactory answer for the utilization of red mud; the main current solution is still almost exclusively disposal into a landfill. For the safe utilization and deposition of red mud, it is important to be able to assess the leaching behaviour of radionuclides. Because there is no commonly accepted measurement protocol for testing the leaching of radionuclides in the EU a combined measurement protocol was made and tested based on heavy metal leaching methods. The leaching features of red mud were studied by methods compliant with the MSZ-21470-50 Hungarian standard, the CEN/TS 14429 standard and the Tessier sequential extraction method for Th and Po. The leached solutions were taken to radiochemical separation followed by spontaneous deposition for Po and electrodeposition for Th. The 332 ±â€¯33 Bq/kg Th content was minimally mobile, 1% became available for distilled water 1% and 6% for Lakanen-Erviö solution; the Tessier extraction showed minimal mobility in the first four steps, while more than 85% remained in the residue. The Po measurements had a severe disturbing effect in many cases, probably due to large amounts of iron present in the red mud, from the 310 ±â€¯12 Bq/kg by aqua regia digestion, distilled water mobilized 23%, while Lakanen-Erviö solution mobilized ∼13%. The proposed protocol is suitable for the analysis of Th and Po leaching behaviour.
[Mh] Termos MeSH primário: Resíduos Industriais/análise
Polônio/análise
Monitoramento de Radiação
Resíduos Radioativos/análise
Tório/análise
[Mh] Termos MeSH secundário: Hungria
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Industrial Waste); 0 (Radioactive Waste); 60YU5MIG9W (Thorium); DQY03U61EJ (Polonium)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180126
[St] Status:MEDLINE


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[PMID]:29285945
[Au] Autor:Szendroi M; Szoke G
[Ti] Título:[Dr. Tibor Vízkelety (1929-2017)].
[Ti] Título:Dr. Vízkelety Tibor (1929−2017)..
[So] Source:Orv Hetil;158(52):2086, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Mh] Termos MeSH primário: Procedimentos Ortopédicos/história
Ortopedia/história
[Mh] Termos MeSH secundário: História do Século XX
História do Século XXI
Seres Humanos
Hungria
Médicos/história
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Vizkelety T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.HO2587


  5 / 16633 MEDLINE  
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[PMID]:29285944
[Au] Autor:Horváth B
[Ti] Título:[Sándor Miksa Kocsis MD who established the first Oncology Department out of Budapest (Hungary), was born one hundred years ago].
[Ti] Título:Száz éve született dr. Kocsis Sándor Miksa, az elso "vidéki" onkológiai osztály alapító foorvosa..
[So] Source:Orv Hetil;158(52):2087-2088, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Mh] Termos MeSH primário: Hospitais Universitários/história
Oncologia/história
Oncologistas/história
[Mh] Termos MeSH secundário: História do Século XIX
História do Século XX
Seres Humanos
Hungria
[Pt] Tipo de publicação:BIOGRAPHY; HISTORICAL ARTICLE; JOURNAL ARTICLE
[Ps] Nome de pessoa como assunto:Kocsis SM
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.HO2585


  6 / 16633 MEDLINE  
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[PMID]:29285942
[Au] Autor:Halmos T; Suba I
[Ad] Endereço:Metabolikus Ambulancia, Mazsihisz Szeretetkórház Budapest.
[Ti] Título:[Non-alcoholic fatty liver disease, as a component of the metabolic syndrome, and its causal correlations with other extrahepatic diseases].
[Ti] Título:A nem alkoholos zsírmáj mint a metabolikus szindróma komponense és kauzális kapcsolatai egyéb kórképekkel..
[So] Source:Orv Hetil;158(52):2051-2061, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:Non-alcoholic fatty liver disease is the most common non-infectious chronic liver-disease in our age, and is a spectrum of all the diseases associated with increased fat accumulation in the hepatocytes. Its development is promoted by sedentary life-style, over-feeding, and certain genetic predisposition. Prevalence in the adult population, even in Hungary is ~30%. In a part of cases, this disease may pass into non-alcoholic steatohepatitis, later into fibrosis, rarely into primary hepatocellular cancer. Fatty liver is closely and bidirectionally related to the metabolic syndrome and type 2 diabetes, and nowadays there is a general consensus that fatty liver is the hepatic manifestation of the metabolic sycndrome. The importance of the fatty liver has been highly emphasized recently. In addition to the progression into steatohepatitis, its causal relationship with numerous extrahepatic disorders has been discovered. In our overview, we deal with the epidemiology, pathomechanism of the disease, discuss the possibilities of diagnosis, its relationship with the intestinal microbiota, its recently recognized correlations with bile acids and their receptors, and its supposed correlations with the circadian CLOCK system. Hereinafter, we overview those extrahepatic disorders, which have been shown to be causal link with the non-alcoholic fatty liver disease. Among these, we emphasize the metabolic syndrome/type 2 diabetes, cardiovascular disorders, chronic kidney disease, sleep apnea/hypoventilation syndrome, inflammatory bowel disease, Alzheimer's disease, osteoporosis, and psoriasis, as well. Based on the above, it can be stated, that high risk individuals with non-alcoholic fatty liver disease need systemic care, and require the detection of other components of this systemic pathological condition. While currently specific therapy for the disease is not yet known, life-style changes, adequate use of available medicines can prevent disease progression. Promising research is under way, including drugs, manipulation of the intestinal flora or the possibility of therapeutic use of bile acid receptors, and also bariatric surgery. Orv Hetil. 2017; 158(52): 2051-2061.
[Mh] Termos MeSH primário: Nível de Saúde
Hepatopatia Gordurosa não Alcoólica/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Doenças Cardiovasculares/epidemiologia
Comorbidade
Diabetes Mellitus Tipo 2/epidemiologia
Feminino
Seres Humanos
Hungria
Masculino
Síndrome Metabólica/epidemiologia
Meia-Idade
Obesidade/epidemiologia
Insuficiência Renal Crônica/epidemiologia
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30936


  7 / 16633 MEDLINE  
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[PMID]:29285941
[Au] Autor:Koiss R; Boncz I; Hernádi Z; Szentirmay Z
[Ad] Endereço:Szülészet-Nogyógyászati Osztály, Egyesített Szent István és Szent László Kórház Budapest, Nagyvárad tér 1., 1096.
[Ti] Título:[Proposal for the modernization of cervical screening procedure in Hungary].
[Ti] Título:Javaslat a hazai méhnyakszurési eljárásrend korszerusítésére..
[So] Source:Orv Hetil;158(52):2062-2067, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:Two main considerations played roles in creation of new cervical screening system. One was the proven fact that high-risk human papilloma virus infection plays a role in the development of cervical cancer and pre-cancerous lesions. The other was the implementation of the HPV infection's biological behavior in the new screening strategy. The new screening procedure faithfully reflects the cervical carcinogenesis. An organised, population-based and age differentiated screening method could increase attendance of screening and could decrease the possibility of interval cancer rate due to increased sensitivity. Orv Hetil. 2017; 158(52): 2062-2067.
[Mh] Termos MeSH primário: Neoplasia Intraepitelial Cervical/diagnóstico
Detecção Precoce de Câncer/métodos
Programas de Rastreamento/organização & administração
Infecções por Papillomavirus/diagnóstico
[Mh] Termos MeSH secundário: Fatores Etários
Neoplasia Intraepitelial Cervical/prevenção & controle
Feminino
Seres Humanos
Hungria
Infecções por Papillomavirus/prevenção & controle
Neoplasias do Colo do Útero/diagnóstico
Esfregaço Vaginal
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30896


  8 / 16633 MEDLINE  
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[PMID]:29285940
[Au] Autor:Beretzky Z; Péntek M
[Ad] Endereço:Gazdálkodástani Doktori Iskola, Budapesti Corvinus Egyetem Budapest.
[Ti] Título:[Characteristics and determinants of informal care in chronic diseases in Hungary: a comparative analysis].
[Ti] Título:Informális ellátás és meghatározó tényezoi krónikus betegségekben: magyarországi kutatások összehasonlító elemzése..
[So] Source:Orv Hetil;158(52):2068-2078, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Informal care plays an important role in ageing societies. AIM: To analyse informal care use and its determinants among patients with chronic diseases in Hungary. METHOD: Patient level data from previous studies in 14 diagnoses were analysed including patients' EQ-5D-3L health status. Descriptive statistics were performed and a linear regression model was built to analyse determinants of informal care time. RESULTS: 2047 patients (female: 58%) with mean age of 58.9 (SD = 16.3) years and EQ-5D-3L index score of 0.64 (SD = 0.33) were involved. 27% received informal care, the average time of care was 7.54 (SD = 26.36) hours/week. Both the rate of informal care use and its time differed significantly between the diagnoses (p<0.05), the highest were in dementia, Parkinsons' disease and in chronic inflammatory immunological diseases. Significant determinants were age, EQ-5D-3L scores, gender and certain diagnosis dummys (R = 0.111). CONCLUSIONS: Informal care use is significant in chronic debilitating conditions. Future studies are encouraged to reveal unmet needs, preferences and further explanatory factors. Orv Hetil. 2017; 158(52): 2068-2078.
[Mh] Termos MeSH primário: Doença Crônica/terapia
Nível de Saúde
Assistência ao Paciente/estatística & dados numéricos
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Doença Crônica/enfermagem
Feminino
Seres Humanos
Hungria
Masculino
Meia-Idade
Qualidade de Vida
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30894


  9 / 16633 MEDLINE  
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[PMID]:29250969
[Au] Autor:Szász JA; Constantin V; Fazakas PA; Blényesi E; Grieb LG; Balla A; Sárig M; Szegedi K; Bartha EN; Szatmári S
[Ad] Endereço:Neurológiai Tanszék (Department of Neurology), Marosvásárhelyi Orvosi és Gyógyszerészeti Egyetem (University of Medicine and Pharmacy of Tirgu Mures) 540081 Marosvásárhely (Tirgu Mures), Gral Ion Dumitrache u. 20/2, Románia.
[Ti] Título:[The role of selective monoamine oxidase B inhibitors in the therapeutic strategy of Parkinson's disease in the neurology clinics of Tirgu Mures County Emergency Clinical Hospital].
[Ti] Título:A szelektív monoaminoxidáz-B-gátlók helye a Parkinson-kór kezelési stratégiájában a marosvásárhelyi ideggyógyászati klinikák gyakorlatában..
[So] Source:Orv Hetil;158(51):2023-2028, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION: Selective monoamine oxidase B inhibitors have an accurate place in therapeutical strategy of Parkinsons's disease. In the early stages of the disease, especially in younger patients with milder symptoms, the introduction of levodopa substitution could be efficacious in delaying; in advanced stages they are mainly used to treat motor complications, as an adjunct to levodopa. AIM: The evaluation of therapeutical strategies used in the neurology clinics of Tirgu Mures County Emergency Clinical Hospital in order to define the role of monoamine oxidase B inhibitors. METHOD: This retrospective study includes all records of patients with Parkinson's disease hospitalized between 1 January 2003 and 31 December 2016. From the 2194 reports we used data focusing on the therapeutic recommendations. Regarding disease duration, we divided the patients in two groups: less than or equal to 5 years and more than 5 years. RESULTS: From the 1183 patients in first group, 243 received monoamine oxidase inhibitors: 12 as monotherapy, 52 together with dopamine agonists, in 61 cases combined with levodopa. In 118 cases monoamine oxidase inhibitors were combined with levodopa and dopamine agonists. From 582 cases whith Parkinson's disease for more than 5 years, 195 received monoamine oxidase B inhibitors (selegiline: 10 cases, rasagiline: 185 cases). In 429 cases we did not find accurate data regarding disease duration (selegiline: 5 cases, rasagiline: 93 cases). CONCLUSION: The use of monoamine oxidase B inhibitors was similar to those found in literature. The treating physicians should utilise more confidently the available therapeutical combinations. Orv Hetil. 2017; 158(51): 2023-2028.
[Mh] Termos MeSH primário: Antiparkinsonianos/uso terapêutico
Agonistas de Dopamina/uso terapêutico
Inibidores da Monoaminoxidase/uso terapêutico
Doença de Parkinson/tratamento farmacológico
[Mh] Termos MeSH secundário: Idoso
Instituições de Assistência Ambulatorial
Relação Dose-Resposta a Droga
Seres Humanos
Hungria
Levodopa/uso terapêutico
Masculino
Meia-Idade
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antiparkinson Agents); 0 (Dopamine Agonists); 0 (Monoamine Oxidase Inhibitors); 46627O600J (Levodopa)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30914


  10 / 16633 MEDLINE  
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[PMID]:29250967
[Au] Autor:Tamás TL; Garai T; Király I; Mike A; Nagy C; Paukovics Á; Schmidt P; Szatmári F; Tompos T; Vadvári Á; Szirmai Á
[Ad] Endereço:Fül-Orr-Gégészeti és Fej-, Nyaksebészeti Osztály, Petz Aladár Megyei Oktató Kórház Gyor.
[Ti] Título:[Emergency diagnosis of the acute vestibular syndrome].
[Ti] Título:Az akut vestibularis szindróma sürgosségi diagnosztikájával szerzett tapasztalatok..
[So] Source:Orv Hetil;158(51):2029-2040, 2017 Dec.
[Is] ISSN:0030-6002
[Cp] País de publicação:Hungary
[La] Idioma:hun
[Ab] Resumo:INTRODUCTION AND AIM: To diagnose acute vestibular syndrome (AVS) in a prospective study by a new bedside test (providing 1A evidence) based on oculomotor analysis and assessment of hearing loss. To assess the frequency of central and peripheral causes of acute vestibular syndrome in the emergency room. To establish the diagnostic accuracy of acute cranial computed tomography as compared to oculomotor analysis done by video oculography goggles and audiometry. METHOD: Between 1st March 2016 and 1st March 2017 we documented 125 patients (62 women, 63 men, average age 53 years) in the emergency room of the Petz Aladár County Teaching Hospital using the above bedside and instrumental testing. Diagnosis was verified by cranial magnetic resonance imaging. RESULTS: According to the results of the instrumental examination in AVS in 67% we found a peripheral cause and in 33% a central pathology. In 62% isolated posterior circulation stroke manifested itself by isolated vertigo without additional focal signs and the acute cranial computed tomography showed negative results in 96%. The instrumental examination increased diagnostic accuracy by making the diagnosis of isolated inferior semicircular canal vestibular neuritis possible. CONCLUSIONS: The new bedside oculomotor test is suitable for the diagnosis of posterior circulation stroke manifesting with isolated vertigo in early cases, when the routine neuroradiologic methods have a lower sensitivity or are not available. Orv Hetil. 2017; 158(51): 2029-2040.
[Mh] Termos MeSH primário: Serviço Hospitalar de Emergência
Medições dos Movimentos Oculares
Potenciais Evocados Miogênicos Vestibulares
Neuronite Vestibular/diagnóstico
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Hungria
Masculino
Meia-Idade
Sistemas Automatizados de Assistência Junto ao Leito
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE
[do] DOI:10.1556/650.2017.30886



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