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  • Author: Szabó Mónika x
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Use of internet as source of medical information and its impact among young Transylvanian Hungarian people - a comparative study

Abstract

The internet is the most popular information source in our digital world. Studies confirm that numerous people are using the internet to look up health-related information. There is no information about this trend among the Transylvanian Hungarian population. Our purpose was to assess the role of the internet in answering health-related problems for young Hungarian Transylvanian people, and its impact.

The participants (N=351) completed an online questionnaire with 28 items, which was available on Facebook, on the first page indicating their consent to a voluntary and anonymous survey. Our target was the generation below the age of 45. Descriptive, then comparative analysis was performed, based on gender and region of origin.

95.3% of the participants used the internet for finding health-related information, diagnosis, treatment or diet, without significant difference between subgroups, 70% at least once a month. Only 3.3% were instructed by their physician about the websites that provide health information, while 90% would require it. At least 64% of the respondents makes self-diagnosis at least sometimes, women more often, and nearly 25% frequently or always check the doctor’s opinion and/or the recommended treatment online. 40% of cases consider that their self-diagnosis was often the same as the physician’s final diagnosis, but only 33,2% agreed totally with their doctor. 47,4% of them were scared and/or became worried because of the information from the internet, especially women.

Based on the above, it is clear that online health information overtakes the traditional doctor-centered health information and makes it necessary for us to change our perspective of digital healthcare.

Open access
Optimisation of Design of Air Inlets in Air Distribution Channels of a Double-Skin Transparent Façade

Abstract

This paper reports on an optimization of design of air inlets in naturally ventilated double-skin transparent facades; the design aims at the proper functioning of these facades from the point of view of their aerodynamic and hydrodynamic behaviour. A comparison was made of five different variants of ventilation louvers used in air openings with different shapes, positions and overall geometry. The aerodynamic response of the louvers was determined by 2D simulations using ANSYS software. The hydrodynamic properties were investigated by conducting driven-rain measurements in a large rain chamber at the Slovak University of Technology in Bratislava.

Open access
Low Level of Physical Activity in Two Roma Subgroups Compared to Non-Roma Population in Niraj Valley, Transylvania

Abstract

Objective: A low level of physical activity is a cardiovascular risk factor. Physical activity patterns may differ among different ethnic groups.

Aim of the study: Our aim was to evaluate the physical activity patterns of two different Roma populations compared to non-Roma.

Material and Methods: The study population included 231 Gabor Roma, 111 Băieși Roma, and 183 non-Roma. A 70-item questionnaire was administered, including also the short form of the International Physical Activity Questionnaire, evaluating daily physical activity in minutes and physical activity categories such as walking, gardening, household activity, and sports. Anthropometric parameters (weight, height, waist and hip circumference) were measured.

Results: The level of physical activity was the lowest among Gabor Roma and was lower in both Roma groups than in non-Roma (Gabor Roma 118.6 ± 91.1 min/day, Băieși Roma 207.55 ± 172.1 min/day, and non-Roma 234.12 ± 167.3 min/day). Both Roma groups had significantly lower percentages of gardening and sport activities compared to non-Roma. Women had a higher level of daily physical activity than men in the Gabor Roma population (144.22 ± 109.4 min/day vs. 79.71 ± 58.2 min/day, p = 0.001). In the two other groups the differences were not statistically significant.

Conclusions: Both Roma groups had significantly lower levels of daily physical activity, with differences between genders. Both Roma groups were lesser engaged in sports and gardening than non-Roma subjects.

Open access
Plurivascular Lesions in Patients with Peripheral Arterial Disease

Abstract

Introduction: Occlusive arterial disease, regardless of etiology, is a progressive chronic disease with multiple vessel involvement. The importance of obstructive arterial disease is that it leads to an increased mortality and morbidity of other cardiovascular disorders. Therefore, the presence of a lesion on a certain artery should lead to the identification of other lesions on the carotid and coronary arteries. The aim of the study was to assess the frequency and severity of lesions in peripheral arterial disease of different etiologies, and also to study its association with multivessel lesions at the level of the coronary tree and the carotid arteries.

Material and methods: We performed a retrospective study on 177 patients with previously diagnosed peripheral artery disease that were admitted to the 2nd Medical Clinic of the County Emergency Clinical Hospital of Tîrgu Mureș. The patients underwent evaluation of the peripheral artery disease (clinical, arterial Doppler), as well as of the coronary artery disease (clinical, ECG) and the carotid arteries (auscultation, Doppler Duplex ultrasound). The study population was divided into three groups: group 1 – diabetic arteriopathy (n = 79); group 2 – atherosclerotic obstructive arteriopathy (n = 77); group 3 – thromboangiitis obliterans (n = 21).

Results: The patients' age ranged between 61 and 70 years. Arterial occlusions were found in 87% of cases in group 1. Suboclussions were more frequent in diabetics (11.4%). The artery, in which we found lesions in the highest percentage was the left femoral artery (group 1 – 68.3%, group 2 – 66.23%, group 3 – 42.85%). The second most often affected artery was the right femoral artery, with a 64.45% rate of involvement. In patients with thromboangiitis obliterans, the right anterior tibial artery was the most frequently affected (15.81%). The most frequent coronary lesion was a stenosis of 30–69%, in 35.02% of cases. Three-vessel coronary disease had an incidence of 44.2% in the atherosclerotic group, 34.2% in diabetics, and 23.8% in the thromboangiitis group. From the total rate of previously diagnosed myocardial infarction (MI) – 29.37% (n = 52), 50% were atherosclerotic, 44.23% diabetic, and 5.76% with thromboangiitis. At the level of the carotid system, 68.9% of patients were found to have stenoses under 70%. From these, 48.4% were patients with diabetic arteriopathy, 44.3% with atherosclerotic disease. In 73.4% of cases, we found lesions at all three levels — in case of diabetic and nondiabetic arteriopathy and thromboangiitis, only 14.3% of patients had associated lesions.

Conclusions: Atherosclerosis (diabetic and nondiabetic) and thromboangiitis obliterans are diseases with plurivascular involvement. It is important to diagnose concomitant coronary and carotid lesions in patients with chronic occlusive arterial illness, because they are often associated.

Open access