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Open access

Enikő Csifo, Tímea Katona, Juliánna Arseni, E. Nagy, I. Gergely and Ö. Nagy

Abstract

Objectives: Study of circulating and synovial levels of osteocalcin, osteoprotegerin and tumor necrosis factor-alpha (TNF-α) in patients with different stages of knee osteoarthritis and correlation analysis of these parameters with disease severity.

Methods: We enrolled 20 patients with different stages of knee osteoarthritis. The IKDC score (International Knee Documentation Comittee, 2000) was determined for each patient. Based on these data patients were divided into two groups: group I (advanced osteoarthritis) and group II (early osteoarthritis). Serum and synovial fluid levels of osteocalcin, osteoprotegerin, TNF-α were determined.

Results: For the entire group the level of osteocalcin in the serum showed higher values than in the synovial fluid. We found statistically significant differences in the serum levels of osteocalcin between the two groups (group I: 2.18 ± 0.54 ng/ml, group II: 6.07 ± 1.98 ng/ml, p = 0.019). Serum and synovial osteocalcin in the whole study lot could not be correlated with the disease score, however we observed a tendency towards significant negative correlation between the serum osteocalcin and IKDC score for group I and between synovial osteocalcin and IKDC score in group II. In the entire group, synovial osteoprotegerin concentration was six times higher than the serum osteoprotegerin level (p <0.0001) and TNF-α showed higher circulating levels than local concentrations.

Conclusions: In the advanced osteoarthritis group the serum and synovial osteocalcin show lower values than in the early osteoarthritis group, which means that as the disease progresses, bone anabolism decreases. In the case of osteoprotegerin, no significant difference between the two groups was detected.

Open access

I. Capík and O. Nagy

Abstract

The objective of this study was to compare in clinical patients the analgesic effect of the centrally acting analgesics tramadol and buprenorphine in continuous intravenous anaesthesia (TIVA) with propofol. Twenty dogs undergoing prophylactic dental treatment, aged 2−7 years, weighing 6−27 kg, were included in ASA I. and II. groups. Two groups of dogs received intravenous (IV) administration of tramadol hydrochloride (2 mg.kg−1) or buprenorphine hydrochloride (0.2 mg.kg−1) 30 minutes prior to sedation, provided by midazolam hydrochloride (0.3 mg.kg−1) and xylazine hydrochloride (0.5 mg.kg-1) IV. General anaesthesia was induced by propofol (2 mg.kg−1) and maintained by a 120 minutes propofol infusion (0.2 mg.kg−1min−1). Oscilometric arterial blood pressure (ABP) measured in mm Hg, heart rate (HR), respiratory rate (RR), SAT, body temperature (BT) and pain reaction elicited by haemostat forceps pressure at the digit were recorded in ten minute intervals. The tramadol group of dogs showed significantly better parameters of blood pressure (P < 0.001), lower tendency to bradycardia (P < 0.05), and better respiratory rate (P < 0.001) without negative influence to oxygen saturation. Statistically better analgesia was achieved in the tramadol group (P < 0.001). Tramadol, in comparison with buprenorphine provided significantly better results with respect to the degree of analgesia, as well as the tendency of complications arising during anaesthesia.

Open access

Cs. Tóthová, O. Nagy and G. Kováč

Abstract

The aim of this study was to evaluate the serum protein electrophoretic pattern and the concentrations of acute phase proteins (haptoglobin, serum amyloid A, and fibrinogen) in 28 calves with clinical signs of chronic respiratory diseases and 36 healthy calves as a control group. In sick calves we found significantly higher serum concentrations of total proteins (P<0.001), lower concentrations of albumin (P<0.001) and marked shift in the concentrations of the most of protein fractions with significantly higher values of α1-, β1-, β2-, and γ-globulins (P<0.001 and P<0.01). The affected calves had significantly higher values of haptoglobin, serum amyloid A, and fibrinogen as well (P<0.05, P<0.001 and P<0.001, respectively).

Open access

I. Gergely, O.M. Russu, Ancuţa Zazgyva, O. Nagy and T.S. Pop

Abstract

The purpose of this study was to assess the quality of life of patients who underwent anterior cruciate ligament single-bundle reconstruction (ACLR) which involves reconstructing the ligament using autologous graft (semitendinosus and gracilis tendon). This is a retrospective study undertaken between the 1st of January 2010 and December 31, 2011 at the Clinic of Orthopedics and Traumatology Tîrgu-Mureş, involving 30 patients (6 women, 24 men), 17 to 54 years old (mean age of 30.13 years). All the patients underwent ACLR, with the above mentioned technique. The instrument chosen to assess the quality of life was the Short-Form 36 (SF-36) Questionnaire, completed by telephone. This questionnaire has 8 scales which are noted according to the received answers: Physical Functioning (PF), RF (Role Physical), BP (Bodily Pain), GH (General Health), VT (Vitality), SF (Social Functioning), RE (Role Emotional) and MH (Mental Health). The best way to score these scales is by comparing them to the healthy population, which is why this study uses normbased scales where the mean value is 50 and the standard deviation is 10. The scales used in the questionnaire are showed the next results: mean norm-based PF 49.19, RF 46.11, BP 49.82, GH 52.19, VT 52.14, SF 50.43, RE 41.36 and MH 47.18. The general Physical Component showed a mean of 48.93 and the Mental Component a mean of 47.33, close to the standard mean of 50. All these results were included in the standard deviation, which showed that the patients’ quality of life was very close to the quality of life of the normal population. Patients who have a history of ACLR tend to have a quality of life similar to the normal, healthy population.

Open access

Zuh S.G, Nagy Ö., Zazgyva Ancuța, Russu O.M., Gergely I. and Pop T.S.

ABSTRACT

Total hip replacement is one of the most frequently performed orthopaedic interventions that can significantly improve the functional status and the quality of life of patients suffering from hip arthrosis. Recently patient satisfaction and patient-reported results of total hip arthroplasty are increasingly emphasised as important tools for the assessments of these interventions. For patients with arthrosis secondary to hip dysplasia, these evaluations can be more difficult, due to younger age and higher functional demands. In this study we compared the Visual Analogue Scale and the Harris Hip Score in order to determine the correlations between these instruments and analyse the possibility of replacing the Harris Score with the Visual Analogue Scale in evaluating the results of hip surgery in patients with dysplastic hips. Our study included 37 women and 4 men (53 hips), with a mean age of 50.96 years (35-58 years), followed for a mean of 4 years postoperatively. Both assessment instruments were used preoperatively and at the follow-up visits. We observed a positive correlation of the values of the Visual Analogue Scale and the Harris Hip Score both preoperatively and postoperatively, with correlation coefficients of +0.71(P <0.001) and +0.77 (P <0.001) respectively. Given these positive correlations, we assumed that the Visual Analogue Scale could replace the Harris Hip Score in the evaluation of patients after total hip replacement. Still it is recommended to combine the Visual Analogue Scale with objective measurements and radiological examination in order to identify significant postoperative changes.

Open access

O. Nagy, Cs. Tóthová, I. Paulíková, G. Kováčl and H. Seidel

Abstract

In this study we examined the serum activity of lactate dehydrogenase (LDH) and its isoenzyme patterns in 28 calves of a lowland black spotted breed and its crossbreeds at the age of 2-6 months suffering from clinically noticeable manifested respiratory diseases - bronchopneumonia (BRD Group). As a control group we used 35 clinically healthy calves of the same age, breed and nutrition (Healthy Group). The sick calves did not show clinical signs or pathological lesions on other organ systems. The results found in sick calves showed a significantly higher total activity of LDH than in clinically healthy animals (P<0.01). The mean activity of LDH was 2012 U/l in healthy calves and in calves with respiratory diseases 2529 U/l. The differences in all LDH isoenzyme patterns between both groups of animals were significant (P<0.001) and in calves with respiratory diseases are characterized by a marked increase of the LDH 1 fraction and a decrease in the proportion of the other four LDH isoenzymes. Our results differ from those observed and presented in respiratory diseases in human medicine or in sheep. The explanation for the obtained results in calves and the determination of their diagnostic significance needs further studies and investigations using more animals with various severity of clinical signs and pathological changes, including analysis and determination of lactate dehydrogenase isoenzyme patterns in healthy and affected cattle lung tissue.

Open access

I. Paulíková, H. Seidel, O. Nagy, Cs. Tóthová, J. Konvičná, M. Kadaši and G. Kováč

Abstract

This study investigated the changes in: thyroid hormones, amount of subcutaneous fat, and selected indices of blood biochemistry in dairy cows in relation to the reproduction/production cycle. The blood samples were collected both ante- and post-partum every two weeks. When evaluating the mean values of the investigated indices, the major changes were recorded in dairy cows 3 to 14 days after calving. During this period, we observed a significant decrease in the mean serum levels of T3 (P < 0.05), T4 (P < 0.01), and triglycerides (P < 0.01). An opposite trend was observed with a significant increase after calving in the: mean serum levels of β-hydroxybutyrate (P < 0.05), urea (P < 0.01), and mean AST activities (P < 0.05). A significant increase over the normal range was recorded in the average levels of non-esterified fatty acids (P < 0.01) and total bilirubin (P < 0.01). From the next sampling (28 days after calving) onwards we recorded a significant increase in the blood serum levels of cholesterol (P < 0.01), total lipids (P < 0.01), total protein (P < 0.01), as well as a significant decrease in the insulin levels (P < 0.05) and a reduced layer of subcutaneous fat (P < 0.01). The blood serum iodine concentration showed only slight significant changes (P < 0.05) during the observation. Blood serum levels of glucose did not show any significant changes during the whole observation period. Within the whole observation period we found a negative correlation between T3 levels and the layer of subcutaneous fat (r = −0.2606; P < 0.05). This correlation was much more marked in cows 3 to 14 days after calving (r = −0.5077; P < 0.05), which may indicate a possible relationships between the thyroid status, body condition, and post partum negative energy balance.