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IntroductionCatheter ablation is the preferred treatment for typical atrial flutter (AFl), but it can be challenging due to anatomical abnormalities. The use of 3D electroanatomical mapping systems (EAMS) has reduced fluoroscopy exposure during AFl ablation. Intracardiac echocardiography (ICE) has also shown benefits in reducing radiation exposure during AFl ablation. However, there is a lack of evidence on the feasibility of ICE-guided, zero-fluoroscopy AFl ablation without the use of EAMS.MethodsIn this prospective study, we enrolled 80 patients with CTI-dependent AFl. The first 40 patients underwent standard fluoroscopy + ICE-guided ablation (Standard ICE group), while the other 40 patients underwent zero-fluoroscopy ablation using only ICE (Zero ICE group). Procedure outcomes, including acute success, procedure time, fluoroscopy time, radiation dose, and complications, were compared between the groups.ResultsThe acute success rate was 100% in both groups. Out of the 40 cases, the zero-fluoroscopy strategy was successfully implemented in 39 cases (97.5%) in the Zero ICE group. There were no significant differences in procedure time [55.5 (46.5; 66.8) min vs. 51.5 (44.0; 65.5), p = 0.50] and puncture to first ablation time [18 (13.5; 23) min vs. 19 (15; 23.5) min, p = 0.50] between the groups. The Zero ICE group had significantly lower fluoroscopy time [57 (36.3; 90) sec vs. 0 (0; 0) sec, p

This article in the journal "Thoracic & Cardiovascular Surgeon" discusses distal stent graft-induced new entry (dSINE) as a complication after the frozen elephant trunk (FET) procedure, impacting aortic remodeling and requiring high reintervention rates. The study analyzed 512 FET patients from 2005 to 2024, identifying dSINE incidences, risk factors, and presentations. Results showed a 7.6% occurrence of dSINE, with higher rates in chronic aortic dissection cases, necessitating close imaging follow-up for timely intervention. [Extracted from the article]

IntroductionCatheter ablation for atrial fibrillation (AF) is the most frequently performed cardiac ablation procedure worldwide. The majority of ablations can now be performed safely with minimal radiation exposure or even without the use of fluoroscopy, thanks to advances in 3-dimensional electroanatomical mapping systems and/or intracardiac echocardiography. The aim of this study was to conduct a meta-analysis to compare the effectiveness of zero fluoroscopy (ZF) versus non-zero fluoroscopy (NZF) strategies for AF ablation procedures.MethodsElectronic databases were searched and systematically reviewed for studies comparing procedural parameters and outcomes of ZF vs. NZF approaches in patients undergoing catheter ablation for AF. We used a random-effects model to derive the mean difference (MD) and risk ratios (RR) with a 95% confidence interval (CI).ResultsOur meta-analysis included seven studies comprising 1,593 patients. The ZF approach was found to be feasible in 95.1% of patients. Compared to the NZF approach, the ZF approach significantly reduced procedure time [mean difference (MD): −9.11 min (95% CI: −12.93 to −5.30 min; p

The aim of the study was to develop and validate the Multidimensional Covid-19 Vaccine Hesitancy Scale (CoVaH), a self-report measure to assess the beliefs and attitudes beneath vaccination hesitancy and reasons for vaccine refusal in the context of Covid-19. A sample of 1503 Hungarian respondents filled out the scale. Exploratory and confirmatory factor analysis was conducted to identify latent constructs underlying participants′ responses. Findings show a robust three-factor solution for the 15-item CoVaH with high factor loadings on each factor: skepticism, risk perception and fear of Covid-19 vaccine. The CoVaH displayed very good fit indices (KMO = .94, RMSEA = 0.049, CFI = .983) and internal consistencies (α values > .89) and was found to have proper convergent, concurrent and discriminant validity in identifying Covid-19 vaccine hesitancy in the general population. The new scale adds to the literature through the identification of the fear of COVID-19 vaccines, as a newly highlighted explanatory variable of COVID-19 vaccine hesitancy, besides the other formerly identified components. The scale, available in English and Hungarian, allows the assessment of vaccine uptake hesitancy and has the potential to help targeted interventions, considering individual factors that interfere with vaccination acceptance.

IntroductionSteerable sheaths (SSs) are frequently used to improve catheter contact during pulmonary vein isolation (PVI) procedures. A new type of visualizable (by electroanatomical mapping system) SS has become available in clinical treatment.PurposeWe aimed to compare procedural data of visualizable vs. non-visualizable steerable sheath assisted PVI procedures in patients with atrial fibrillation (AF).MethodsIn this single-centre randomized study, we enrolled a total of 100 consecutive patients who underwent PVI due to AF.ResultsA total of 100 patients were randomized into 2 groups (visualizable SS group: 50; non-visualizable SS group: 50). Acute ablation success was 100% and the rate of the first pass isolation were similar (92% vs. 89%; p = 0.88). Using visualizable SS, left atrial (LA) procedure time (53.1 [41.3; 73.1] min vs. 59.5 [47.6; 74.1] min.; p = 0.04), LA fluoroscopy time (0 [0; 0] s vs. 17.5 [5.5; 69.25] s; p < 0.01) and LA fluoroscopy dose (0 [0; 0.27] mGy vs. 0.74 [0.16; 2.34] mGy; p < 0.01) was significantly less, however, there was no difference in the total procedural time (90 ± 35.2 min vs. 99.5 ± 31.8 min; p = 0.13), total fluoroscopy time (184 ± 89 s vs. 193 ± 44 s; p = 0.79), and total fluoroscopy dose (9.12 ± 1.98 mGy vs. 9.97 ± 2.27 mGy; p = 0.76). Compared to standard, non-visualizable SS group, the number of radiofrequency ablations was fewer (69 [58; 80] vs. 79 [73; 86); p < 0.01) as well as total ablation time was reduced (1049 sec. [853; 1175] vs. 1265 sec. [1085; 1441]; p < 0.01) in the visualizable SS cohort. No major complications occurred in either group.ConclusionCompared to the standard, non-visualizable SS, visualizable SS significantly reduces the left atrial procedure time, RF delivery and fluoroscopy exposure without compromising its safety or effectiveness in patients undergoing PVI procedures for AF.

Obwohl die suprakondyläre Humerausfraktur die häufigste Ellenbogenverletzung bei Kindern zwischen 4-10 Jahren ist, kommen transkondyläre Y- Frakturen im Wachstumsalter selten vor. Die meisten Kinder, die in der Literatur mit transkondylären Y- oder T-Frakturen präsentiert werden, sind älter als 10 Jahre. Wir stellen im Folgendem unsere Versorgung bzw. die postoperativen Ergebnisse von zwei kleinen Kindern mit Y-Fraktur des distalen Humerus vor. Although supracondylar humerus fracture is the most common injury of elbow joint in children aged 4-10 years, the Y-type fracture of distal humerus is rare. The most children reported with T-condylar or Y-type fracture of the elbow are older than 10 years. We present our management of two cases of Y-condylar fracture of the distal humerus in young children and the results of our supply. [ABSTRACT FROM AUTHOR]

BackgroundPositive and negative focus in information processing associated with age has a diverse role in COVID-19 vaccine uptake. The aim of the study was the exploration of the generational diversity among psychological predictors of COVID-19 vaccine uptake.MethodsA cross-sectional research was conducted. The sample included 978 Hungarian women. Based on former literature findings, the COVID-19 vaccine uptake predictors were chosen from the health beliefs model, COVID-19 vaccine hesitancy, and psychological flexibility. Multivariate logistic regression analysis was conducted to investigate the predictors of COVID-19 vaccine uptake in women of Gen X, Gen Y, and Gen Z.ResultsIn Gen X women, the influence of significant predictors are more prone to the positivity in COVID-19 vaccine uptake behavior, perceived benefits being the most relevant, increasing the likelihood of vaccine uptake more than four times. In Gen Y women, perceived barriers, lack of confidence/skepticism and avoidance significantly reduce the probability of vaccine uptake, showing an accentuated negative focus in information processing related to COVID-19 vaccination. The vaccine uptake in Gen Z is predicted only by the perceived benefits, and the likelihood of COVID-19 vaccine uptake is heightened in chance more than 19 times.ConclusionWomen belonging to Gen X or Gen Y, the perceived benefits hold the key to vaccine uptake, while in women of Gen Z, low risks, lack of threats, and accessibility could motivate the decision of vaccine uptake. The findings are useful in generation-adapted vaccination campaigns and can also serve as inspiration for evolutionary psychology studies on health behavior and the broad area of study in cognitive biases in health information processing.

Introduction: Besides abutment preparation, the impression is essential in order to achieve an esthetical and functional prosthetic restoration. Proper gingival displacement and abutment finish line exposure is crucial for the proper impression technique.

Pathological tooth wear occurs in young patients. The rehabilitation of these teeth must be performed accurately, considering the occlusal relationships and the correct distribution of the masticatory forces. The therapeutic approach must be as minimally invasive as possible.

IntroductionCatheter ablations for cardiac arrhythmias are conventionally performed under fluoroscopic guidance. To guide these procedures, zero/minimal fluoroscopy (Z/MF) approaches have become available, using three-dimensional electroanatomical mapping systems. Our aim was to conduct a meta-analysis comparing these two different methods for the treatment of paroxysmal supraventricular tachycardia (SVT).MethodsElectronic databases were searched and systematically reviewed for studies comparing procedural parameters and outcomes of conventional, fluoroscopy-guided vs. Z/MF approaches in patients undergoing electrophysiology (EP) procedures for SVTs. The random-effects model was used to derive mean difference (MD) and risk ratios (RRs) with 95% confidence interval (CI).ResultsTwenty-four studies involving 9,074 patients met our inclusion criteria. There was no difference between the groups in terms of acute success rate (RR = 1.00, 95% CI, 0.99–1.01; p = 0.97) and long-term success rate (RR: 1.01, 95% CI, 1.00–1.03; p = 0.13). Compared to the conventional method, zero-and-minimal fluoroscopy (Z/MF) ablation significantly reduced fluoroscopic time [MD: −1.58 min (95% CI, −2.21 to −0.96 min; p < 0.01)] and ablation time [MD: −25.23 s (95% CI: −42.04 to −8.43 s; p < 0.01)]. No difference could be detected between the two groups in terms of the procedure time [MD: 3.06 min (95% CI: −0.97 to 7.08; p = 0.14)] and the number of ablation applications [MD: 0.13 (95% CI: −0.86 to 1.11; p = 0.80)]. The complication rate was 1.59% in the entire study population and did not differ among the groups (RR: 0.68, 95% CI: 0.45–1.05; p = 0.08).ConclusionsThe Z/MF approach for the catheter ablation of SVTs is a feasible method that reduces radiation exposure and ablation time without compromising the acute and long-term success or complication rates.

The emergence of the Ukraine-Russia war in 2022 led to fear, worry and anxiety among individuals, mostly in the immediate neighboring countries of Ukraine. The purpose of the present study was to develop the fear of war scale (FOWARS), aiming to fill the gap in the literature that currently is scarce in valid assessment tools for measuring the fear of war. The sample of the study consisted of N = 1131 participants (n = 670 for group A, for EFA and n = 461 for group B, for CFA). Hungarian speaking participants, mainly from Romania and Hungary. Exploratory factor analysis (EFA) evinced a two-factor model of the newly developed scale, and the final version fulfilled the criteria of the confirmatory factor analysis (CFA). The 13-items FOWARS has robust psychometric properties and proves to be appropriate for a fear of war assessment in the general population. The phenomenon is measured by two factors, namely experiential and physiological dimensions of fear. The scale is available in the present paper in two languages: English and Hungarian.

In the emergency situation of an ongoing global pandemic, disease prevention behaviour is essential. The majority of studies assess preventive behaviour through relevant unidimensional questions, but this approach is not necessarily the best way to conceptualize prevention, as health maintenance guidelines cover several different areas of possible individual precautionary and preventive practices. The aim of the study is the development and validation of a multidimensional COVID-19 prevention behaviour scale for the Hungarian speaking population (Covid-19-PBS). The items address major aspects related to preventive behaviour towards COVID-19 inspired by preliminary pandemic studies and the WHO prevention recommendations. 612 eligible female individuals were included in the study; the sample was recruited from the Hungarian general population, and participants were between the ages of 18 and 65 years old. According to preliminary studies women are more likely to engage proactively in prevention behaviour; they perceive the risk of a disease more profoundly, and even disease information seeking was more prevalent among women. An exploratory factor analysis was performed for this new scale, followed by a confirmatory factor analysis. According to our results, the model fit indices are adequate (CFI= .928, RMSEA= .064). Cronbach's alpha was used to examine the reliability of the factors; the internal validity of the scale is good ([alpha] = .78). The final instrument contains 11 items with responses scored on a 4-point Likert scale and 3 domains: general hygiene, social distancing, and COVID-19 information-seeking behaviour. Our results have revealed that the new scale has good psychometric properties and may be a useful instrument for assessing COVID-19 preventive behaviour across women. This tool can be useful for professionals in order to develop more effective and targeted prevention programs especially in the female population, as the instrument was validated only in women up to this stage. This scale can serve the purpose of improving individual and collective adjustment to prevention regulations during the epidemic. Keywords: Pandemic, General hygiene, Social distancing, COVID-19 information-seeking behaviour, Validation, April 2021 Introduction Disease avoidance conduct is fundamental during the crisis of a worldwide pandemic, like the one Sars-Cov-2 created in 2020 (WHO, 2020). The fast spread of the infection [...]

Disease prevention behaviour is essential during the ongoing COVID-19 pandemic. How people respond to information and regulations to control this infectious disease can be influenced by their age and generational identity. An individual with an optimal level of psychological flexibility can adapt to challenging situations more efficiently. Hence, the purpose of the present study was to investigate the moderating effect of generation on the relationship between psychological flexibility and COVID-19 preventive behaviour among different generational cohorts of women (baby boomers, X, Y, and Z). This relationship was rarely addressed in the literature, which is what inspired this study. Data were collected through an online survey. The responses of 834 Hungarian speaking women between the ages of 18 and 75 years old were successfully gathered. Four generational cohorts were represented in the sample population: baby boomers (age > 56), X (age 41-55), Y (age 24-40), and Z (age 18-25). The moderation effect was calculated using the PROCESS macro in SPSS. A statistically significant moderation effect of generation was found on the relationship between psychological flexibility and COVID-19 prevention behaviour and the interaction added a small but significant contribution to the final model predicting preventive behaviour. In Generation Z, psychological flexibility predicted an increase in preventive behaviour, but no significant prediction was found among other generational cohorts. Females in their twenties seemed to be more engaged in COVID-19 prevention behaviour, if their psychological flexibility was higher, but failed to comply with health recommendations and safety protocols at low levels of flexibility. This study may provide a new perspective on how generational cohorts can influence the effect of psychological factors on COVID-19 preventive behaviour. Prevention of avoidance behaviours and facilitation of acceptance is definitory for psychologically flexible behaviours, while disease avoidance is crucial in prevention behaviour of COVID-19. Further research is needed to clarify our findings. Keywords: Pandemic, Mental health, Adaptation to change, Generational identity, Moderation analysis, April 2021 Introduction Since the World Health Organization officially declared the COVID-19 a pandemic (WHO, 11th of March, 2020), multiple health guidelines were imposed by governments. Still ongoing, some countries [...]