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Bevezetés: A bal oldali közös tüdővénás törzs a tüdővénák leggyakoribb anatómiai variációja, mely befolyásolhatja a tüdővéna-izoláció sikerességét. Célkitűzés: Célunk a beavatkozási adatok és a kimenetel összehasonlítása volt bal oldali közös tüdővénás törzs, illetve normál bal pitvari anatómia esetén, rádiófrekvenciás, illetve krioballonnal végzett katéterablatiót követően. Módszer: A Gottsegen György Országos Kardiovaszkuláris Intézetben 2019. 10. 01. és 2022. 03. 10. között paroxizmális és perzisztens pitvarfibrilláció miatt tüdővéna-izoláción átesett, a beavatkozás előtt cardialis CT-vizsgálattal rendelkező betegek adatait értékeltük retrospektív módon. Bal oldali közös törzsként definiáltunk minden olyan esetet, amelynél a bal oldali felső és alsó tüdővéna legalább 5 mm-rel a bal pitvari beszájadzás előtt összenyílt. Eredmények: A vizsgált populációból (n = 210) 42, bal oldali közös törzzsel (vizsgált csoport) és 60, normál bal pitvari anatómiával rendelkező (kontrollcsoport) beteg adatait elemeztük. A közös törzzsel rendelkező és a kontrollcsoport között a demográfiai adatok és a társbetegségek tekintetében nem találtunk szignifikáns különbséget. A beavatkozási adatokban (beavatkozási időtartam, sugáridő, bal pitvari tartózkodási idő, sugárdózis) rádiófrekvenciás és krioballonnal végzett ablatio esetén nem volt különbség a két csoport között. Rádiófrekvenciás ablatiót követően a sikerarány az 1 éves utánkövetésnél a közös törzzsel rendelkezők esetében 72,0%, a kontrollcsoportban 76,2% volt (p = 0,659). Krioballonos ablatio esetén a sikerarány 64,7%, illetve 69,2% volt közös törzs, illetve normálanatómia esetén (p = 0,641). Következtetés: A beavatkozási paraméterek és a klinikai kimenetel tekintetében nem volt szignifikáns különbség a bal oldali közös tüdővénás törzzsel és a normál bal pitvari anatómiával rendelkező betegek között. Mind a rádiófrekvenciás, mind a krioballonnal végzett ablatio jól alkalmazható ebben a populációban. Orv Hetil. 2023; 164(4): 140–147.

Gaia19fct is one of the Gaia-alerted eruptive young stars that has undergone several brightening events. We conducted monitoring observations using multi-filter optical and near-infrared photometry, as well as near-infrared spectroscopy, to understand the physical properties of Gaia19fct and investigate whether it fits into the historically defined two classes. We present the analyses of light curves, color variations, spectral lines, and CO modeling. The light curves show at least five brightening events since 2015, and the multi-filter color evolutions are mostly gray. The gray evolution indicates that bursts are triggered by mechanisms other than extinction. Our near-infrared spectra exhibit both absorption and emission lines and show time-variability throughout our observations. We found lower rotational velocity and lower temperature from the near-infrared atomic absorption lines than from the optical lines, suggesting that Gaia19fct has a Keplerian rotating disk. The CO overtone features show a superposition of absorption and emission components, which is unlike other young stellar objects. We modeled the CO lines, and the result suggests that the emission and absorption components are formed in different regions. We found that although Gaia19fct exhibits characteristics of both types of eruptive young stars, FU Orionis-type objects (FUors) and EX Lupi-type objects (EXors), it shows more similarity with EXors in general., 29 pages, 14 figures, 7 tables, Accepted for publication in ApJ

Our aim in this article is to show the stance on solidarity present in a hybrid regime. Taking Hungary as an example, we give individual-level explanations for attitudes towards solidarity and inclusion/exclusion in times when populist parties are in power. By creating typical solidarity groups, we explain who belongs to different solidarity clusters and why, what political orientations can be linked to solidarity groups and whether people's attitudes reflect the values/solidarity conceptions propagated by the Orbán government. With this, we point to the social and political polarization of Hungarian society. We found that the appreciated, satisfied and politically trustful far-right exclusive groups – independent of their social status – make up not only the majority of society but also the crucial system-justifying basis of the Orbán regime. However, in an ethnically rather homogeneous society foreigners could be seen as cultural and economic threats to the decisive majority, including a significant part of the inclusive groups.

Left displacement of the abomasum (LDA) is a common condition in Holstein population mainly occur around the time of parturition. The entrapped abomasum located between the rumen and the abdominal wall caused by the abomasal hypomotility. The heritability of LDA estimated higher than for other bovine diseases but a number of management and nutritional conditions are also affecting the disease appearance. Genome studies revealed many significant genomic regions associated with LDA, although an RNA sequencing analysis of abomasum is missing from the literature. Within the framework of this research, we tried to patch up this area missing from the literature and to reveal the genetic causes and a complex interaction between the endocrine and neuromuscular pathways behind the symptoms of the disease with the help of transcriptomic analysis.

Young stars show variability on different time-scales from hours to decades, with a range of amplitudes. We studied two young stars, which triggered the Gaia Science Alerts system due to brightenings on a time-scale of a year. Gaia20bwa brightened by about half a magnitude, whereas Gaia20fgx brightened by about two and half magnitudes. We analyzed the Gaia light curves, additional photometry, and spectra taken with the Telescopio Nazionale Galileo and the Gran Telescopio Canarias. Several emission lines were detected toward Gaia20bwa, including hydrogen lines from H$\alpha$ to H$\delta$, Pa$\beta$, Br$\gamma$, and lines of Ca II, O I, and Na I. The H$\alpha$ and Br$\gamma$ lines were detected toward Gaia20fgx in emission in its bright state, with additional CO lines in absorption, and the Pa$\beta$ line with an inverse P Cygni profile during its fading. Based on the Br$\gamma$ lines the accretion rate was $(2.4-3.1)\times10^{-8}$ $M_\odot$ yr$^{-1}$ for Gaia20bwa and $(4.5-6.6)\times10^{-8}$ $M_\odot$ yr$^{-1}$ for Gaia20fgx during their bright state. The accretion rate of Gaia20fgx dropped by almost a factor of 10 on a time-scale of half a year. The accretion parameters of both stars were found to be similar to those of classical T Tauri stars, lower than those of young eruptive stars. However, the amplitude and time-scale of these brightenings place these stars to a region of the parameter space, which is rarely populated by young stars. This suggests a new class of young stars, which produce outbursts on a time-scale similar to young eruptive stars, but with smaller amplitudes., Comment: Accepted to MNRAS

Összefoglaló. A lateralis cysticus nyaki terimék két leggyakoribb oka a branchiogen cysta és a cysticus nyaki áttét. Az átfedő lokalizáció (a leggyakrabban a IIA nyaki régióban), a betegek életkora és az esetenként hirtelen kezdet alapján a két leggyakoribb ok differenciáldiagnózisa nagy kihívást jelenthet. Egy hirtelen fellépő fájdalmas, bal oldali nyaki duzzanattal, dysphagiával és lázzal jelentkező 72 éves férfi esetét ismertetjük. A nyak komputertomográfiás vizsgálata egy 6 cm legnagyobb átmérőjű, vastag falú, többrekeszes cysticus terimét igazolt. Infektív branchiogen cysta lehetőségére gondolva az elváltozást eltávolítottuk. A szövettan azonban p16-pozitív laphámrákot igazolt. A primer tumort végül az ipsilateralis tonsilla palatina állományában sikerült azonosítani. A beteg definitív radioterápiában részesült, és 18 hónappal a diagnózis után tumormentes. A nyaki cystákon, az infektív nyaki cystákon és a cysticus metastasisokon kívül a humán papillómavírussal összefüggő szájgarati laphámrákok infektív cysticus vagy necroticus metastasisait is figyelembe kell venni a lateralis cysticus nyaki terimék differenciáldiagnózisában. Orv Hetil. 2020; 162(15): 595–600. Summary. Branchial cleft cysts and cystic neck metastases are the two most common causes of cystic lateral neck masses. Based on the overlapping location (neck level IIA), patient age at onset and the occasionally sudden onset, their differential diagnosis is challenging. We present a 72-year-old male presenting with a suddenly emerging painful, left-sided neck swelling, dysphagia and fever. Computed tomography showed a 6 cm thick-walled multicystic mass. With the suspected diagnosis of an infected branchial cleft cyst, the lesion was removed. Histology confirmed p16 positive squamous cell carcinoma. Primary tumor was identified in the ipsilateral palatine tonsil. Definive radiotherapy was performed and the patient is free of disease at the 18-month follow-up. Beyond pure and infected branchial cleft cysts and pure cystic metastases, infected cystic or necrotic metastasis of human papillomavirus associated oropharyngeal squamous cell carcinoma should be included in the differential diagnosis of cystic lateral neck lesions. Orv Hetil. 2021; 162(15): 595–600.

Az energiatartalomban megfelelő, a tápanyagokat kiegyensúlyozott arányban tartalmazó kórházi étrend a betegségek terápiájának fontos eleme. Cikkünkben a kórházi étrend szerepét és jelenlegi hazai helyzetét vizsgáljuk a terápia hatékonyságának és a betegellátás színvonalának növelése érdekében. Módszer: nemzetközi kutatások eredményeinek és javaslatainak a hazai helyzethez való viszonyítása, figyelembe véve a jogszabályban lefektetett előírásokat és a gyakorlat tapasztalatait. Megállapítások: bizonyos helyzetek (pl. magas malnutríció rizikó, módosított textúrájú diéták) gyakrabban járnak együtt elégtelen energia- és tápanyagbevitellel, így fokozott figyelmet kell fordítani a dieto- és táplálásterápia megtervezésére. Amennyiben a fekvőbeteg-ellátási intézmények diétája nem tudja biztosítani a beteg rehabilitációjához szükséges létfontosságú tápanyagokat, úgy az étrendet gyógyászati célra szánt tápszerrel, tápszerekkel kell kiegészíteni. A betegélelmezés szubjektív és objektív megítélése javítható a szakmában jártas törvény- és döntéshozók egészség- és táplálkozáspolitika iránti elkötelezettségével (jogszabályi háttér részletesebb kidolgozása és a kórházi étkezésre fordítható minimum napi norma emelése), és a dietetikusok individuális betegellátásba való hathatósabb bevonásával.

Several Mycoplasma species can form biofilm, facilitating their survival in the environment, and shielding them from therapeutic agents. The aim of this study was to examine the biofilm-forming ability and its potential effects on environmental survival and antibiotic resistance in Mycoplasma anserisalpingitidis, the clinically and economically most important waterfowl Mycoplasma species. The biofilm-forming ability of 32 M. anserisalpingitidis strains was examined by crystal violet assay. Biofilms and planktonic cultures of the selected strains were exposed to a temperature of 50 °C (20 and 30 min), to desiccation at room temperature (16 and 24 h), or to various concentrations of eight different antibiotics. Crystal violet staining revealed great diversity in the biofilm-forming ability of the 32 tested M. anserisalpingitidis strains, with positive staining in more than half of them. Biofilms were found to be more resistant to heat and desiccation than planktonic cultures, while no correlation was shown between biofilm formation and antibiotic susceptibility. Our results indicate that M. anserisalpingitidis biofilms may contribute to the persistence of the organisms in the environment, which should be taken into account for proper management. Antibiotic susceptibility was not affected by biofilm formation; however, it is important to note that correlations were examined only in vitro.

The waves of migration that hit Europe during 2015 are often labelled as the ‘refugee crisis’, however the term ‘crisis’ is doubly understood as that of refugees and that of European politics. Taki...

Absztrakt: A colorectalis carcinoma (CRC) az egyik leggyakrabban előforduló daganatos megbetegedés világszerte. A sporadikus vastagbélrák incidenciája ötvenéves kor alatt alacsonyabb, majd az életkor előrehaladtával nő, továbbá jellegzetes klinikai, lokalizáció szerinti és molekuláris eltérést mutathat a nők és a férfiak között. Epidemiológiai és molekuláris biológiai kutatások eredményei szerint az ösztradiol (E2) által szabályozott jelútrendszer meghatározó szerepet játszik a CRC kialakulásában és prognosztikájában, döntően a vastagbélhámban domináns ösztrogénreceptor-bétán (ERβ) keresztül. Az ösztradiol emésztőrendszeri hatásai igen sokrétűek, az ép és tumoros vastagbélhámsejtekre gyakorolt hatását in vitro és in vivo vizsgálatok egyaránt igazolták. Az ösztrogénreceptor-alfával (ERα) ellentétben az ERβ aktivációja a sejtosztódást gátolja és az apoptózist fokozza, a béta-receptor kifejeződése ugyanakkor mind az élettani öregedés, mind a vastagbél kórállapotaiban megváltozhat. Az ösztradiol ERβ által közvetített daganatellenes hatása a sejtproliferáció gátlása, az apoptózis serkentése, az áttétképzés gátlása és gyulladáscsökkentő hatása révén valósulhat meg. Sejtkultúra- és állatkísérletes kutatások eredményei alapján az ösztrogénreceptor-bétára szelektíven ható receptormodulátorok (szelektív ösztrogénreceptor-modulátor [SERM]) és a fitoösztrogének új, hozzáadott kezelési lehetőséget jelenthetnek az idült gyulladással és a kóros sejtproliferációval jellemezhető colorectalis megbetegedésekben. Orv Hetil. 2020; 161(14): 532–543.

We present follow-up photometric and spectroscopic observations, and subsequent analysis of Gaia20eae. This source triggered photometric alerts during 2020 after showing a $\sim$3 mag increase in its brightness. Its Gaia Alert light curve showed the shape of a typical eruptive young star. We carried out observations to confirm Gaia20eae as an eruptive young star and classify it. Its pre-outburst spectral energy distribution shows that Gaia20eae is a moderately embedded Class II object with $L_\mathrm{bol} = 7.22$ L$_\odot$. The color-color and color-magnitude diagrams indicate that the evolution in the light curve is mostly gray. Multiple epochs of the H$\alpha$ line profile suggest an evolution of the accretion rate and winds. The near-infrared spectra display several emission lines, a feature typical of EXor-type eruptive young stars. We estimated the mass accretion rate during the dimming phase to be $\dot{M} = 3-8 \times 10^{-7}$ M$_\odot$ yr$^{-1}$, higher than typical T Tauri stars of similar mass and comparable to other EXors. We conclude Gaia20eae is a new EXor-type candidate., Comment: Accepted for publication in ApJ. 20 pages, 11 figures

Objective: This study aimed to examine the characteristics of the lung cancer (LC) patient pathway in Hungary during a 6-years period.Methods: This nationwide, retrospective study included patients newly diagnosed with LC (ICD-10 C34) between January 1, 2011, and December 31, 2016, using data from the National Health Insurance Fund (NHIF) of Hungary. The following patient pathway intervals were examined: system, diagnostic and treatment interval by age, gender, tumor type, study year and first-line LC therapy.Results: During the 6-years study period, 17,386 patients had at least one type of imaging (X-ray or CT/MRI) prior to diagnosis, and 12,063 had records of both X-ray and CT/MRI. The median system interval was 64.5 days, and it was 5 days longer among women, than in men (68.0 vs. 63.0 days). The median system interval was significantly longer in patients with adenocarcinoma compared to those with squamous cell carcinoma or small cell lung cancer (70.4 vs. 64.0 vs. 48.0 days, respectively). Patients who received surgery as first-line treatment had significantly longer median system intervals compared to those receiving chemotherapy (81.4 vs. 62.0 days). The median system interval significantly increased from 62.0 to 66.0 days during the 6-years study period.Conclusion: The LC patient pathway significantly increased in Hungary over the 6-years study period. There were no significant differences in the length of the whole LC patient pathway according to age, however, female sex, surgery as first-line treatment, and adenocarcinoma were associated with longer system intervals.

Objective:Hungary has one of the highest incidences and mortality rates of lung cancer (LC), therefore the objective of this study was to analyse and compare LC incidence and mortality rates between the main Hungarian regions.Methods:This nationwide, retrospective study used data from the National Health Insurance Fund and included patients aged ≥20 years who were diagnosed with lung cancer (ICD-10 C34) between Jan 1, 2011 and Dec 31, 2016. Age-standardized incidence and mortality rates were calculated and compared for the main regions.Results:The highest incidence rate in males was recorded in Northern Hungary (146.8/100,000 person-years [PY]), while the lowest rate was found in Western Transdanubia (94.7/100,000 PY in 2011). All rates showed a declining trend between 2011 and 2016, with the largest decrease in the Northern Great Plain (−20.0%;p= 0.008). LC incidence and mortality rates in women both showed a rising tendency in all regions of Hungary, reaching the highest in Central Hungary (59.86/100,000 PY in 2016). Lung cancer incidence and mortality rates in males correlated with the level of education and smoking prevalence (p= 0.006 andp= 0.01, respectively) in the regions. A correlation with GDP per capita and Health Development Index (HDI) index could also be observed in the Hungarian regions, although these associations were not statistically significant. No correlations could be detected between these parameters among females.Conclusion:This analysis revealed considerable differences in the epidemiology of LC between the 7 main Hungarian regions. LC incidence and mortality rates significantly correlated with smoking and certain socioeconomic factors in men, but not in women. Further research is needed to explain the regional differences.

It is increasingly recognized that fundamental differences exist between high-risk and low-risk human papillomavirus (HPV) genotypes regarding interactions with the host. This study aims to join the recently emerging efforts to uncover these differences at the complete genome level and to study how they may influence the disease caused. Sixteen samples of thirteen patients with various HPV6-mediated benign mucosal disorders (nine recurrent respiratory papillomatoses with 2-8 recurrences, one condyloma acuminatum and three premalignant lesions of the genital mucosa) were sampled to determine the complete virus genomes. We collected the 197 HPV6 complete genomes deposited in the GenBank for cluster analysis to determine (sub)lineages. Genome polymorphisms were determined against the reference sequences of the (sub)lineages. Genome polymorphisms of the long control region (LCR) were tested for putative transcription factor binding sites; their functional analysis was performed by transient transfection of cloned whole LCRs into HEp-2 cells using a luciferase reporter system. Genomes from the same patients were always identical. Three, nine and one patients carried HPV6 lineage A, sublineage B1 and B2 variants, respectively. The three lineage A sequences were highly similar to each other, but distinct from the reference genome. A unique non-synonymous single nucleotide polymorphism (SNP) was found in the E5a open reading frame (ORF). Sublineage B1 genomes were more diverse, exhibited unique non-synonymous SNPs in the LCR and the E2/E4, L1, L2 ORFs. LCR activity of lineage A and sublineage B1 differed significantly; activity of one sublineage B1 LCR exhibiting two unique SNPs was significantly higher than that of other B1 LCR variants, close to the mean of LCR activities of lineage A variants. Different HPV6 lineages showed marked differences in variability patterns of the different genome regions. This may be involved in the differences in their distribution in different diseases or patient populations.

Background: No assessment was conducted describing the age and gender specific epidemiology of lung cancer (LC) prior to 2018 in Hungary, thus the objective of this study was to appraise the detailed epidemiology of lung cancer (ICD-10 C34) in Hungary based on a retrospective analysis of the National Health Insurance Fund database.Methods: This longitudinal study included patients aged ≥20 years with LC diagnosis (ICD-10 C34) between 1th January 2011 and 31th December 2016. Patients with different cancer-related codes 6 months before or 12 months after LC diagnosis or having any anti-cancer treatment different from lung cancer protocols were excluded. Results: Lung cancer incidence and mortality increases with age, peaking in the 70–79 age group (375.0/100,000 person-years) among males, while at 60–69 age group for females (148.1/100,000 person-years). The male-to-female incidence rate ratio reached 2.46 to 3.01 (p60) annually during the study period.Conclusion: This nationwide epidemiology study demonstrated that LC incidence and mortality in Hungary is decreasing in younger male and female population, however we found significant increase of incidence in older female population, similar to international trends. Incidence rates peaked in younger age-groups compared to Western countries, most likely due to higher smoking prevalence in these cohorts, while lower age LC incidence could be attributed to higher competing cardiovascular risk resulting in earlier mortality in smoking population.

Objective: Lung cancer is one of the most common cancers worldwide and its survival is still poor. The objective of our study was to estimate long-term survival of Hungarian lung cancer patients at first time based on a nationwide review of the National Health Insurance Fund database.Methods: Our retrospective, longitudinal study included patients aged ≥20 years who were diagnosed with lung cancer (ICD-10 C34) between January 1, 2011 and December 31, 2016. Survival rates were evaluated by year of diagnosis, patient gender and age, and morphology of lung cancer.Results: 41,854 newly diagnosed lung cancer patients were recorded. Mean age at diagnosis varied between 64.7 and 65.9 years during study period. One- and 5-year overall survival rates for the total population were 42.2 and 17.9%, respectively. Survival was statistically associated with gender, age and type of lung cancer. Female patients (n = 16,362) had 23% better survival (HR: 0.77, 95% confidence interval (CI): 0.75–0.79; p < 0.001) than males (n = 25,492). The highest survival rates were found in the 20–49 age cohort (5Y = 31.3%) and if the cancer type was adenocarcinoma (5Y = 20.5%). We measured 5.3% improvement (9.2% adjusted) in lung cancer survival comparing the period 2015–2016 to 2011–2012 (HR: 0.95 95% CI: 0.92–0.97; p = 0.003), the highest at females Conclusion: Our study provided long-term Lung cancer survival data in Hungary for the first time. We found a 5.3% improvement in 5-year survival in 4 years. Women and young patients had better survival. Survival rates were comparable to–and at the higher end of–rates registered in other East-Central European countries (7.7%–15.7%).

V555 Ori is a T Tauri star, whose 1.5 mag brightening was published as a Gaia science alert in 2017. We carried out optical and near-infrared photometric, and optical spectroscopic observations to understand the light variations. The light curves show that V555 Ori was faint before 2017, entered a high state for about a year, and returned to the faint state by mid-2018. In addition to the long-term flux evolution, quasi-periodic brightness oscillations were also evident, with a period of about 5 days. At optical wavelengths both the long-term and short-term variations exhibited colourless changes, while in the near-infrared they were consistent with changing extinction. We explain the brightness variations as the consequence of changing extinction. The object has a low accretion rate whose variation in itself would not be enough to reproduce the optical flux changes. This behaviour makes V555 Ori similar to the pre-main sequence star AA Tau, where the light changes are interpreted as periodic eclipses of the star by a rotating inner disc warp. The brightness maximum of V555 Ori was a moderately obscured ($A_V$=2.3 mag) state, while the extinction in the low state was $A_V$=6.4 mag. We found that while the Gaia alert hinted at an accretion burst, V555 Ori is a standard dipper, similar to the prototype AA Tau. However, unlike in AA Tau, the periodic behaviour was also detectable in the faint phase, implying that the inner disc warp remained stable in both the high and low states of the system., Accepted to MNRAS

Reduction of global DNA methylation is a characteristic epigenetic alteration of various cancer types, including colorectal cancer. Abnormality of several factors, such as DNA methyltransferases (DNMT), demethylases, or deviation in methyl-donor (folate and S-adenosylmethionine) availability can contribute to the development of genome-wide hypomethylation. Detection of epigenetic changes as global DNA hypomethylation in cell-free DNA fraction obtained from blood samples can expand the opportunities for the early recognition of colorectal cancer. One of our main goals was the investigation of global DNA methylation patterns in tissue biopsies (n=183) and cell-free DNA fraction of blood samples (n=48) along the colorectal normal-adenoma-carcinoma sequence and in inflammatory bowel disease. Moreover, we aimed to explore possible underlying mechanisms of genome-wide hypomethylation formation in 12 colorectal tumor tissue sections, containing transition zones. Using LINE-1 pyrosequencing, significantly reduced global DNA methylation level was detected in line with cancer progression in tissue specimens (normal: 77.5±1.7%, adenoma: 72.7±4.8%, carcinoma: 69.7±7.6%, p≤0.0001) and in liquid biopsies as well (normal: 82.0±2.0%, adenoma: 80.0±1.7%, carcinoma: 79.8±1.3%, p≤0.01). However, no significant methylation changes were found in inflammatory bowel disease cases. Analyzing microarray data in silico, altered mRNA expression of certain methylation-, and one-carbon metabolism-related genes were detected in tumorous specimens vs. healthy biopsies, from which DNMT1 was upregulated, and folate receptor 2 (FOLR2) was downregulated. DNMT and FOLR2 expression were validated by immunohistochemistry. Furthermore, significantly reduced folic acid and S-adenosylmethionine content were observed in parallel with diminishing 5-methylcytosine levels in adenoma and carcinoma sections compared to normal adjacent to tumor tissue areas by immunolabeling (p≤0.05). Our results suggest that intraindividual monitoring of genome-wide hypomethylation may assist in the recognition of adenoma formation, cancer progression, or remission as well. Moreover, lower global DNA methylation level could be connected to decreased methyl-donor availability with the contribution of reduced FOLR2 expression. Citation Format: Krisztina Andrea Szigeti, Alexandra Kalmár, Gábor Valcz, Barbara Kinga Barták, Zsófia Nagy, Sára Zsigrai, Ildikó Felletár, Árpád V Patai, Tamás Micsik, Márton Papp, Eszter Márkus, Zsolt Tulassay, Péter Igaz, István Takács, Béla Molnár. Global DNA hypomethylation can be linked to decreased methyl-donor content in colorectal cancer progression [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2022; 2022 Apr 8-13. Philadelphia (PA): AACR; Cancer Res 2022;82(12_Suppl):Abstract nr 3745.

Összefoglaló. A lateralis cysticus nyaki terimék két leggyakoribb oka a branchiogen cysta és a cysticus nyaki áttét. Az átfedő lokalizáció (a leggyakrabban a IIA nyaki régióban), a betegek életkora és az esetenként hirtelen kezdet alapján a két leggyakoribb ok differenciáldiagnózisa nagy kihívást jelenthet. Egy hirtelen fellépő fájdalmas, bal oldali nyaki duzzanattal, dysphagiával és lázzal jelentkező 72 éves férfi esetét ismertetjük. A nyak komputertomográfiás vizsgálata egy 6 cm legnagyobb átmérőjű, vastag falú, többrekeszes cysticus terimét igazolt. Infektív branchiogen cysta lehetőségére gondolva az elváltozást eltávolítottuk. A szövettan azonban p16-pozitív laphámrákot igazolt. A primer tumort végül az ipsilateralis tonsilla palatina állományában sikerült azonosítani. A beteg definitív radioterápiában részesült, és 18 hónappal a diagnózis után tumormentes. A nyaki cystákon, az infektív nyaki cystákon és a cysticus metastasisokon kívül a humán papillómavírussal összefüggő szájgarati laphámrákok infektív cysticus vagy necroticus metastasisait is figyelembe kell venni a lateralis cysticus nyaki terimék differenciáldiagnózisában. Orv Hetil. 2020; 162(15): 595-600. Summary. Branchial cleft cysts and cystic neck metastases are the two most common causes of cystic lateral neck masses. Based on the overlapping location (neck level IIA), patient age at onset and the occasionally sudden onset, their differential diagnosis is challenging. We present a 72-year-old male presenting with a suddenly emerging painful, left-sided neck swelling, dysphagia and fever. Computed tomography showed a 6 cm thick-walled multicystic mass. With the suspected diagnosis of an infected branchial cleft cyst, the lesion was removed. Histology confirmed p16 positive squamous cell carcinoma. Primary tumor was identified in the ipsilateral palatine tonsil. Definive radiotherapy was performed and the patient is free of disease at the 18-month follow-up. Beyond pure and infected branchial cleft cysts and pure cystic metastases, infected cystic or necrotic metastasis of human papillomavirus associated oropharyngeal squamous cell carcinoma should be included in the differential diagnosis of cystic lateral neck lesions. Orv Hetil. 2021; 162(15): 595-600.

In the international publications, in the last decades, incidence and mortality of lung cancer was the highest in Hungary in the ranking of European countries and even worldwide, despite the fact that no lung cancer incidence data were reported from Hungary until 2019. In the studies published by our working group at the end of 2019 and in the first half of 2020, we were the first to publish Hungarian lung cancer incidence and mortality data based on research on the NEAK database. The results of this study showed a significant, 25-30% lower incidence of lung cancer in Hungary than the previously reported data. Based on these findings, it was determined that the previously reported Hungarian lung cancer incidence and mortality data can be compiled due to different methodological applications of inadequately calculated results, and Hungarian lung cancer incidence and mortality are equally high, but not higher than the average in Central European countries. In addition, a decrease in the incidence and mortality of male lung cancer was measured between 2011 and 2016, while increasing values were found for women.

During the mitotic cycle, the rod-shaped fission yeast cells grow only at their tips. The newly born cells grow first unipolarly at their old end, but later in the cycle, the 'new end take-off' event occurs, resulting in bipolar growth. Photographs were taken of several steady-state and induction synchronous cultures of different cell cycle mutants of fission yeast, generally larger than wild type. Length measurements of many individual cells were performed from birth to division. For all the measured growth patterns, three different functions (linear, bilinear and exponential) were fitted, and the most adequate one was chosen by using specific statistical criteria, considering the altering parameter numbers. Although the growth patterns were heterogeneous in all the cultures studied, we could find some tendencies. In cultures with sufficiently wide size distribution, cells large enough at birth tend to grow linearly, whereas the other cells generally tend to grow bilinearly. We have found that among bilinearly growing cells, the larger they are at birth, the rate change point during their bilinear pattern occurs earlier in the cycle. This shifting near to the beginning of the cycle might finally cause a linear pattern, if the cells are even larger. In all of the steady-state cultures studied, a size control mechanism operates to maintain homeostasis. By contrast, strongly oversized cells of induction synchronous cultures lack any sizer, and their cycle rather behaves like an adder. We could determine the critical cell size for both the G1 and G2 size controls, where these mechanisms become cryptic. TAKE AWAY: Most individual fission yeast cells in steady-state cultures grow bilinearly. In strongly oversized fission yeast cells, linear growth dominates over bilinear. Above birth length thresholds, both the G1 and G2 size controls become cryptic.

Objectives: To determine the effects of exergaming on quality of life (QoL), motor, and clinical symptoms in subacute stroke patients.Design: A pseudorandomized controlled trial, using a before-after test design.Setting: University hospital.Participants: Subacute, ischemic stroke outpatients (N=3857), 680 of whom were randomized and 641 completed the study.Interventions: We determined the effects of 5 times a week twice daily (EX2; 50 sessions; n=286) and once daily (EX1; 25 sessions; n=272) exergaming and low-intensity standard care (control [CON]; 25 sessions; n=83) on clinical, mobility, blood pressure (BP), and QoL outcomes.Main Outcome Measures: The primary outcome was Modified Rankin Scale. Secondary outcomes were activities of daily living, 5 aspects of health-related QoL, Beck Depression Inventory, 6-minute walk test (6MWT), Berg Balance Scale (BBS), and static balance (center of pressure).Results: During exercise, the peak heart rate was 134, 134, and 126 beats per minute in the EX2, EX1, and CON groups, respectively. mRS improved similarly in the EX2 (–1.8; effect size, d=–4.0) and EX1 (–1.4; d=–2.6) groups, but more than in the CON group (–0.7; d=–0.6). QoL, Barthel Index, BBS, 6MWT, and standing posturography improved more in the EX2 group and the same in the EX1 and CON groups. Systolic and diastolic resting BP decreased more in the EX2 and EX1 groups than in the CON group. The intervention effects did not differ between men (n=349) and women (n=292).Conclusions: Twice daily compared with once daily high-intensity exergaming or once daily lower intensity standard care produced superior effects on clinical and motor symptoms, BP, and QoL in male and female subacute ischemic stroke participants.

Interaction of the long control region (LCR) and the E2 protein of HPV11s was studied by in silico modelling and in vitro functional analysis. Genomes of HPV11s from fifteen (six known and nine novel) patients (two solitary papillomas, eleven respiratory papillomatoses of different severity, one condyloma acuminatum and one cervical atypia) were sequenced; E2 polymorphisms were analysed in silico by protein modelling. E2 and LCR variants were cloned into pcDNA3.1+ expression vector and into pALuc reporter vector, respectively, transfected to HEp2 cells alone or in different combinations and the luciferase activity was measured. In the E2, the ubiquitous polymorphism K308R caused stronger binding between the dimers but did not alter DNA binding; E2s with this polymorphism were significantly less efficient than the reference in promoting LCR activity. The unique polymorphism Q86K changed the negative surface charge of E2 (Q86) to positive (K86). The unique polymorphisms S245F and N247T in the hinge region disrupt a probable phosphorylation site in a RXXS motif targeted by protein kinase A and B, but do not affect directly the amino acids critical to nuclear transport. Both unique patterns partly restored the LCR activating potential disrupted by K308R. A unique E2/E4 ORF with a 58-bp deletion leading to a frameshift and an early stop codon resulted in a practically nonfunctional E2, and was associated with a papillomatosis with dysplasia. When testing existing LCR-E2 combinations, LCR with intrinsically lower enhancer capacity was only marginally activated by its E2 (R308 and the deletion mutant), and did not significantly exceed the activity of the reference LCR without E2. Combined with more potent LCRs associated with more severe disease, the activity was significantly higher, but still significantly lower than LCRs with reference E2. In summary, LCR-E2 interaction determined by their polymorphisms may explain, at least partly, differences in disease severity.

This article presents findings of a research carried out among pro-refugee individuals in social media in Hungary. During the so-called refugee crisis that emerged in the summer of 2015, anti-immigrant sentiments in the Hungarian public were fueled by a strong governmental campaign. This unusually strong propaganda campaign created a strong hegemonic discourse. Nevertheless, a pro-refugee counterpublic opposing the hegemonic discourse also emerged. The article discusses existing scholarly literature on the phenomenon and how it appears in and is shaped by the digital sphere. The empirical findings focus on two characteristics of the pro-refugee counterpublic. First, we look at the political affiliations of this counterpublic. Second, we ask if the different digital affordances used by the counterpublic and their combinations indicate the formation of a community. The methodological ambition of the article is to present a digital data-driven approach, based on data provided by Facebook, which allows the individual profiling of each user. The connections and schemata of these profiles provide the analytical background of the present research. We aim to illustrate that such a digital approach has a number of advantages over traditional sociological methods, especially in the research of subaltern counterpublics.

The paper examines obituaries appearing in the Hungarian daily Nepszabadsag during the second half of the twentieth century. It argues from a social constructivist stance that the reading of these texts gives us insights about the prevailing norms and values related to death. It posits that the issue of death brings to the surface general cultural values as well. Its aim is to see how these norms and values have changed as the political and social structure changed in Hungary. First, the paper looks at general statistical data regarding obituaries which show a decline in their numbers. Using a topic framework, the elements and the structure of the texts are identified. In a detailed analysis of these elements, the paper examines the questions of authorship, informing, traits, identity, the announcement of death, achievements and the funeral, respectively. The findings put existing theories on the ‘death taboo’ in an empirical context in a number of ways. Instead of signifying a death taboo, metaph...

The article examines the obituaries appearing in the Hungarian daily Népszabadság during the second half of the twentieth century. Positing the obituaries as activities of social memory, the article has a dual focus. First, it looks at how the authoritarian Kádár-regime’s metaproject of creating the archetypical socialist identity is reflected in the obituaries. Second, it examines the frictions created by the state’s efforts in establishing taboos with regard to certain junctures in the country’s history, and how these principles interact with practices of communicative memory. The analysis is contextualized by examples of post-socialist memories after the regime change in the article.

The aim of this paper is to map and contrast recent developments in attitudes towards different types of solidarity in Austria and Hungary. The context of the paper is that the economic and the so-called ‘refugee’ crisis and its social and political consequences have fundamentally affected European attitudes towards solidarity. Such times of crisis are often seen as providing ample opportunities for the populist radical right to prosper. Nevertheless, the above developments do not necessarily mean a weakening of solidarity as its forms may change and its meanings become contested. Based on a comparison of Austrian and Hungarian results of the ESS round 8 (2016) the article – with the help of k-means cluster and multinomial logistic regression analyses – examines what solidarity positions can be observed and contrasted and how they may be linked step-by-step to 1) objective socio-demographic variables, 2) subjective perceptions at the micro-level (like social trust, well-being, and feelings of insecurity), 3) subjective perceptions at the macro-level (like institutional and political trust, attachment to country and the EU), moreover 4) to different values and attitudes like xenophobia, homophobia, conformism or statism on the one hand, and, 5) to political orientations and voting intentions on the other.

The rubber hand illusion (RHI) and its variant the invisible hand illusion (IHI) are useful for investigating multisensory aspects of bodily self-consciousness. Here, we explored whether auditory conditioning during an RHI could enhance the trisensory visuo-tactile-proprioceptive interaction underlying the IHI. Our paradigm comprised of an IHI session that was followed by an RHI session and another IHI session. The IHI sessions had two parts presented in counterbalanced order. One part was conducted in silence, whereas the other part was conducted on the backdrop of metronome beats that occurred in synchrony with the brush movements used for the induction of the illusion. In a first experiment, the RHI session also involved metronome beats and was aimed at creating an associative memory between the brush stroking of a rubber hand and the sounds. An analysis of IHI sessions showed that the participants' perceived hand position drifted more towards the body-midline in the metronome relative to the silent condition without any sound-related session differences. Thus, the sounds, but not the auditory RHI conditioning, influenced the IHI. In a second experiment, the RHI session was conducted without metronome beats. This confirmed the conditioning-independent presence of sound-induced proprioceptive drift in the IHI. Together, these findings show that the influence of visuo-tactile integration on proprioceptive updating is modifiable by irrelevant auditory cues merely through the temporal correspondence between the visuo-tactile and auditory events.

Background: Colorectal cancer (CRC) has high incidence in Eastern-Europe, especially in Hungary. In addition to environmental factors, the genetic and epigenetic background of this phenomenon still remains unknown. Aims: We aimed to perform whole exome sequencing along the colorectal adenoma-carcinoma sequence on tissue samples in order to identify characteristic germline and somatic variants. Materials & methods: Genomic DNA was isolated from 111 colonic tissue samples including 20 adenomas (AD) with matched normal adjacent tissue (NAT) pairs, 18 CRC with matched NAT pairs, 3 normal (N) young donors, 1 CRC and 1 AD and from 2 colorectal cancer cell lines (HT29, SW480), furthermore, 20 buffy coat (from 10 healthy, 5 adenoma and CRC patients). Exome enrichment was done with the Nextera DNA Exome Kit and sequencing was performed with the NextSeq 500/550 High Output v2 kit using the NextSeq 500 Instrument. Raw data analysis and demultiplexing was completed on BaseSpace Sequence Hub. Germline and somatic variants were determined by Genome Analysis Toolkit (GATK) and MuTect2 algorithms by using the default filter settings and were confirmed by ddPCR. Results: The total number of detected variants increased along the adenoma-carcinoma sequence and NAT samples showed higher number of variants compared to healthy tissues. On the basis of the somatic variant analysis, certain genes with the most frequent CRC-associated pathogenic mutations could be detected in relatively higher [e.g. APC (89% of AD samples, 74% of CRC samples)], with relatively lower [e.g. KRAS (47% of ADs, 33% CRC), TP53 (26% of ADs, 14% of CRCs), or with average frequencies [PIK3CA (4.8% of AD samples, 11% of CRC samples), NRAS (5% of ADs, 4.7% of CRCs)]. One adenoma sample (4.7%) exerted BRAF mutation. On the basis of the COSMIC database, the expected variant profile of the CRC cell lines could be confirmed (HT-29: BRAF, TP53; SW480: KRAS, TP53). Among the germline variants, MTHFR C677T (rs1801133) were detected in 4 N (40% CT) 8 AD (37% CT, 5% TT) 9 CRC samples (37% CT, 11% TT), and MTHFR A1298C (rs1801131) were detected in 7 N (50% AC, 20% CC) 12 AD (47% AC, 16% CC) and 10 CRC samples (42% AC, 11% CC) representing a relatively higher frequency in the Hungarian population compared to the European and worldwide statistics. Conclusion: Identification of CRC-associated pathogen variant patterns in the Hungarian population revealed a higher tumor mutation burden already in pre-malignant colorectal adenoma samples, as well as in CRC. Alterations in the frequencies of CRC-associated somatic variants compared to the European averages might contribute to the high CRC incidence observed in the Hungarian population. The germline variants of MTHFR gene were observed with a relatively higher frequency in our cohort having an effect on the DNA methylation regulation system that might be a link between the genetic and epigenetic alterations of the CRC development. Citation Format: Alexandra Kalmar, Orsolya Galamb, Barnabas Wichmann, Barbara B Bartak, Zsofia B Nagy, Sara Zsigrai, Krisztina Szigeti, Orsolya Pipek, Anna Medgyes-Horváth, Istvan Csabai, Zsolt Tulassay, Peter Igaz, Bela Molnar. Differences in the frequency of CRC-associated pathogen variants in colorectal adenomas and cancers from the Hungarian population [abstract]. In: Proceedings of the Annual Meeting of the American Association for Cancer Research 2020; 2020 Apr 27-28 and Jun 22-24. Philadelphia (PA): AACR; Cancer Res 2020;80(16 Suppl):Abstract nr 3623.

e21572 Background: No assessment was conducted describing the age and gender specific epidemiology of lung cancer (LC) prior to 2018 in Hungary, thus the objective of this study was to appraise the detailed epidemiology of lung cancer (ICD-10 C34) in Hungary based on a retrospective analysis of the National Health Insurance Fund database. Methods: This longitudinal study included patients aged ≥20 years with LC diagnosis (ICD-10 C34) between 1st January 2011 and 31th December 2016. Patients with different cancer-related codes 6 months before or 12 months after LC diagnosis or having any anti-cancer treatment different from lung cancer protocols were excluded. Results: In 2011, 4,522 new male lung cancer cases were registered in the NHIF database, while we found 4,176 incident patients in 2016. The number of female patients increased from 2,636 to 2,828 during the same period. The mean age at diagnosis was 64.51 years for men (SD±9.85) and 64.93 years for women (SD±11.19) in 2011, increasing steadily to 65.80 years (SD±9.41) and 65.99 years (SD±10.45), respectively. Lung cancer incidence and mortality increases with age, peaking in the 70–79 age group (375.0/100,000 person-years) among males, while at 60–69 age group for females (148.1/100,000 person-years). The male-to-female incidence rate ratio reached 2.46 to 3.01 (p < 0.0001) among the 70–79 age group. We found 2-11% decrease in male incidence rate at most age groups, while a significant 1-3% increase was observed in older females ( > 60) annually during the study period. Conclusions: This nationwide epidemiology study demonstrated that LC incidence and mortality in Hungary is decreasing in younger male and female population, however we found significant increase of incidence in older female population, similar to international trends. Incidence rates peaked in younger age-groups compared to Western countries, most likely due to higher smoking prevalence in these cohorts, while lower age LC incidence could be attributed to higher competing cardiovascular risk resulting in earlier mortality in smoking population.