Hungarian Population Research Articles

A felelősségteljes magatartás erősödése a turisták körében = Strengthening Responsible Behavior among Tourists

Examining today’s tourism, it should be noted that undesirable side effects have appeared and intensified, both from a social and environmental perspective. Maintaining the popularity of tourism and its further development requires change. This change must occur in both supply and consumer demand. In our study, we examine the extent to which the Hungarian population is open to exhibiting environmentally conscious and responsible consumer behavior during their travels. We analyze the results of key manifestations of responsible tourism and the attitude of the domestic population towards environmental awareness. Our study is particularly relevant as many host areas are already struggling with the negative effects of overtourism. Therefore, it is important to understand whether there is a willingness among tourism consumers to adopt more environmentally conscious and responsible consumer behavior.

First Molecular Characterization of Small Ruminant Lentiviruses in Hungarian Goat Population

In 2023, a molecular study was conducted on the Hungarian goat population to determine genotypes and subtypes of small ruminant lentiviruses (SRLV) infecting these herds. Ten goat herds seropositive for SRLV infection according to a serosurvey conducted earlier in Hungary were selected, and 135 adult goats (>1 year old) were blood sampled. The two-stage nested real-time PCR (nRT-PCR) was used to detect proviral DNA of SRLV and distinguish between two main viral genotypes (A and B). PCR products were submitted for Sanger dideoxy sequencing, and phylogenetic and molecular evolutionary analyses were conducted on the 200–250 bp-long proviral DNA sequences from the end of long terminal repeat (LTR) region and beginning of gag gene using the MEGA11 software. Reference strains included strains most identical to Hungarian sequences according to the Standard Nucleotide BLAST and prototypic strains for the relevant genotypes and subtypes. Proviral DNA of SRLV was detected in goats from all ten tested herds. A single SRLV genotype was detected in 6 herds—genotype A in three herds and B also in three herds. In four herds, mixed infection with genotypes A and B was confirmed. In total, 110/135 seropositive goats tested positive in the nRT-PCR (81.5%): 49/110 goats (44.5%) for genotype A, 54/110 goats (49.1%) for genotype B, and 7/110 goats (6.4%) for both genotypes. Hungarian sequences belonged to subtypes A1/A18, A2, and subtype B1. This is the first study which shows that Hungarian goats are infected by SRLV belonging to both genotypes A and B.

Association of CETP gene polymorphisms and haplotypes with acute heart rate response to exercise

Abstract Background Polymorphisms in the cholesteryl ester transfer protein (CETP) gene are known to be strongly associated with increased cardiovascular risk, primarily through their effects on the lipid profile, and consequently on atherosclerotic risk. The acute heart rate response (AHRR) to physical activity is closely related to individual cardiovascular fitness. This study aimed to investigate the effect of CETP gene polymorphisms on AHRR. Methods Our analysis examines the association of five single nucleotide polymorphisms (SNPs; rs1532624, rs5882, rs708272, rs7499892 and rs9989419) and their haplotypes (H) known to be associated with cardiovascular risk in the CETP gene with AHRR in 607 individuals from the Hungarian population. Individual AHRR in the present study was assessed using the YMCA 3-minute step test and was measured as the difference between resting and post-exercise heart rate, i.e. delta heart rate (ΔHR). To exclude the direct confounding effect of the CETP gene on the lipid profile, adjustments for TG and HDL-C levels were applied in the statistical analyses. Results Among the five SNPs examined, two showed a significant association with lower ΔHR (rs1532624-Cdom: B = -8.15, p < 0.001; rs708272-Gdom: B = -8.09, p < 0.001) and reduced the risk of adverse AHRR (rs1532624-A: OR = 2.26, p < 0.001; rs708272-A: OR = 2.17, p < 0.001). Among the ten haplotypes, two showed significant association with lower ΔHR (H3 - CAGCA: B = -6.79, p = 0.003; H9 - CGGCG: B = -14.79, p = 0.014) and lower risk of adverse AHRR (H3 - CAGCA: OR = 0.58, p = 0.038; H9 - CGGCG: OR = 0.05, p = 0.008) compared to the reference haplotype (H1 - AGACG). Conclusions Our study is the first to report a significant association between polymorphisms and their haplotypes in the CETP gene and AHRR. It also confirms that the effect of the CETP gene on cardiovascular risk is expressed through the acute heart rate response to physical activity, in addition to its effect on the lipid profile. Key messages • Certain polymorphisms and haplotypes in the CETP gene show a significant association with AHRR. • The CETP gene polymorphisms exert their effect on cardiovascular risk not only by altering the lipid profile, but also by modifying the heart rate response to physical activity.

Spatial disparities in cancer incidence and mortality, indicating gaps in prevention and/or care

Abstract Background There is a rich literature on the distribution of cancer incidence and mortality in socioeconomically different regions of the world, but none of the studies has compared the spatial distribution of mortality and morbidity to see if they are consistent with each other. Methods All malignant neoplasms and separately by cervical, colorectal, breast, pancreatic, lung and oral cancers were studied in the Hungarian population aged 25-64 years for the period 2007-2018 at the municipality level by sex. In each case, the spatial distribution of morbidity and mortality and their clusters were compared with each other and with the level of deprivation using disease mapping, spatial regression, risk analysis and spatial scan statistics. Results All-cause cancer morbidity and mortality showed a significant association with deprivation. However, the slope of the increase in mortality with increasing deprivation was much steeper than for morbidity in both sexes. The association between deprivation and morbidity was not consistent across all cancers. No significant association was found for male colorectal cancer (RR: 1.003; 95%CI 0.986-1.019), pancreatic cancer (1.014; 95%CI 0.983-1.045) and female colorectal cancer morbidity (RR: 0.977; 95%CI 0.991-1.029), whereas a negative association was found for breast cancer morbidity (RR: 0.977; 95%CI 0.963-0.991). In contrast, a positive association between deprivation and mortality was found for each type of cancer, although with different RRs. However, disease mapping analyses showed only partial overlap between high-risk morbidity and mortality areas, often independent of deprivation. Conclusions Our results highlight not only the diverse relationship between the epidemiological situation and deprivation, but also the disproportionate relationship between cancer morbidity and mortality, thus identifying geographical regions and sub-regions with populations that require special public health attention. Key messages • Comparative spatial analysis of cancer morbidity and mortality at the municipality level is strongly recommended to identify populations in need of targeted cancer prevention and/or care. • The usefulness of comparative spatial analysis of cancer morbidity and mortality is demonstrated in Hungary, one of the countries with the most unfavourable cancer burden in international comparison.

Inside CKD: a microsimulation modelling study projects the clinical and economic burden of chronic kidney disease in Hungary.

The Inside CKD programme implemented a microsimulation modelling approach to project the clinical and economic burden of chronic kidney disease (CKD) between 2024 and 2027 in Hungary. Using the peer-reviewed Inside CKD microsimulation, a virtual Hungarian population was generated that was derived from national records, local demographic data and published epidemiological data. These inputs defined the likelihood of a change in health state for each individual as they progressed through the model in annual increments. Individual CKD status, including disease progression, cardiorenal complications and associated costs, was tracked annually to generate the population-level projections of the clinical and economic burden of CKD. By 2027, people with CKD were projected to constitute 13.3% of the Hungarian national population. The prevalence of heart failure, myocardial infarction and stroke in people with CKD were projected to remain consistently high, reaching 323 447, 69 188 and 120 118 by 2027, respectively. Kidney replacement therapy cases were predicted to remain high at 20 515 in 2024 and 22 325 in 2027, with associated costs increasing from 71.4 billion HUF in 2024 to 79.6 billion HUF in 2027. Total annual healthcare costs associated with treating CKD were projected to constitute 5.4% of the overall national healthcare budget in 2027. Inside CKD demonstrates that the future burden of CKD in Hungary will be substantial unless current management strategies change. The high prevalence of undiagnosed CKD and associated cardiorenal complications highlight the urgent need for policy interventions focused on early diagnosis and timely intervention to mitigate the future burden of CKD.

Recapturing the Past: The Role of Historical Memory in Polish and Hungarian Populism

Collective memory is a driving force in populist and nationalist politics. The emotional appeals of a shared history, particularly relating to notions of victimhood and resistance, are deeply influential in national identity formation. In this essay, Hungary’s Fidesz party and Poland’s Law and Justice party (PiS) are explored in relation to their tendency to manipulate history to construct self-serving collective memories. Both Fidesz and PiS successfully employ selective interpretations of historical events to not only mobilize support but also to quell dissent, employing emotive appeals and moral justifications deeply rooted in the national psyche. In order to combat the illiberal and anti-democratic tendencies of populist manipulations of collective memory, this essay argues that strong civil societies and the promotion of alternative narratives of collective memory are necessary. Editorial Note: This final version of this piece was to be titled "The Past Reimagined: The Role of Historical Memory in Polish and Hungarian Populism". Due to an editorial error, a draft title was published in the print edition. In the spirit of continuity between the print and online edition, we have kept the title of the print edition's in the online version, but have included this note to explain the discrepancy. Our apologies to the author for the error.

Analysis of heterogeneity in consumer attitudes based on the Intuitive Eating Scale-2

Intuitive eating, as a special form of conscious eating based on internal instincts, has been the subject of several studies so far, and there is ongoing scientific interest in the topic. At the same time, few studies have been conducted on a Hungarian sample. The aim of this study is to verify the structural validity of the Intuitive Eating Scale 2, based on a Hungarian sample of 990 participants, representative in terms of gender, age, and settlement. Another goal is to explore whether clusters that characterize the Hungarian population can be developed with IES2. To examine the objectives, confirmatory factor analysis (CFA) and latent profile analysis (LPA) were conducted. According to our results, with respect to Hungary, each of four subscales can be applied with adequate reliability. Well-separated clusters emerged, including the following eating habits: 'Inner Cue Ignorers', 'Emotional Eaters', 'Intuitive Eaters' and 'Disinterested Eaters'.

Age-dependent variation of aedeagal morphology in Agabusuliginosus and the status of A.lotti (Coleoptera, Dytiscidae).

A doubt has arisen about the taxonomic status of Agabuslotti within the Agabusuliginosus species group due to morphological similarities and lack of molecular data. In this study, a comprehensive morphological and molecular analysis of specimens from Central Europe was conducted, focusing on the Hungarian population. Morphological comparisons of genital structures revealed age-dependent variations, suggesting a gradual transition from A.lotti to A.uliginosus. Molecular analysis of COI sequences further supported this hypothesis, showing minimal genetic differences among most specimens, with only one individual exhibiting distinctiveness. Therefore, A.lotti syn. nov. must be regarded as a junior synonym of A.uliginosus. Our findings also highlight the need for additional multi-marker studies covering a broader geographic range and including both molecular and morphological approaches to elucidate the taxonomic and phylogenetic relationships within this species group. The inclusion of Hungarian samples notably enriched the diversity of haplotypes, emphasizing the importance of expanding sampling efforts in future research.

The Gypsy condition in Kiskunhalas: work, consumption, and indebtedness after socialism

ABSTRACT The article outlines the recent history of the Gypsy minority in the town of Kiskunhalas, Bács-Kiskun county, with an emphasis on its changing economic situation. Gypsy households benefited from secure employment until the late 1980s. Some of them were able to profit from the embourgeoisement opportunities available to all citizens in the socialist mixed economy. Under postsocialist conditions, however, most Gypsies face uncertainty and hardship in everyday life. Theoretically, the article engages with the work of Michael Stewart, who has argued that the demise of socialism and the replacement of central planning and compulsory wage-labour by the freedoms of market society brought opportunities for Gypsies to prosper economically, as well as to reassert a cultural identity which had been stymied for decades. I argue that this libertarian perspective overlooks the very real disadvantages that most members of the minority experienced after 1990, and which they have continued to experience in different forms under Fidesz-led governments since 2010. Like the poorest segments of the ethnic Hungarian population, Gypsies are exposed to neoliberal capitalism in its distinctive postsocialist populist form. The article concludes with an exploration of everyday financialization: indebtedness entrenches class differences and has negative consequences for persons, households and communities.

A quick balance assessment tool for all clinical settings: validity and reliability of the Hungarian version of the activities-specific balance confidence scale

ABSTRACT Background The Activities-specific Balance Confidence Scale was developed for testing the balance confidence of elderly individuals, and it has been used extensively for evaluating various patients. No such scale has been adapted for the Hungarian population. Objective To translate and culturally adapt the Activities-specific Balance Confidence Scale and test the reliability and validity of the Hungarian version. Methods The study included 167 independently mobile subjects, of whom 39 filled in the questionnaire twice, 1 week apart. Beaton’s six-step principle was applied for cross-cultural adaptation. Reliability was assessed by internal consistency measured by Cronbach's alpha and through test–retest analysis. Types of validity evaluated were concurrent validity using the Berg Balance Scale and cross-cultural validity. Results Excellent internal consistency was shown by Cronbach’s alpha = 0.977. Test–retest analysis resulted in an Intra-Class Correlation Coefficient of 0.962 (0.865–0.961, 95% CI, p < .001) for the whole test; no floor or ceiling effects were found. The convergent validity of the scale was tested by Spearman’s rank correlation analysis using the Berg Balance scale for external validation and showed a strong positive correlation (Rho = 0.755, p < .001). Receiver Operating Characteristic curve analysis showed an Area Under the Curve of 0.821 (CI 95% 0.75, 0.892). Mean detectable change based on the 95% confidence interval was 10.49% on the scale ranging from 0 to 100%. Conclusions The Hungarian version of the Activities-Specific Balance Confidence Scale provides a valid and reliable picture of the patients’ self-assessed balance. It is recommended both for clinicians and for clinical studies.

Discrepancies between the Spatial Distribution of Cancer Incidence and Mortality as an Indicator of Unmet Needs in Cancer Prevention and/or Treatment in Hungary.

There is a rich body of literature on the distribution of cancer incidence and mortality in socioeconomically different world regions, but none of the studies has compared the spatial distribution of mortality and incidence to see if they are consistent with each other. All malignant neoplasms combined and cervical, colorectal, breast, pancreatic, lung, and oral cancers separately were studied in the Hungarian population aged 25-64 years for 2007-2018 at the municipality level by sex. In each case, the spatial distribution of incidence and mortality were compared with each other and with the level of deprivation using disease mapping, spatial regression, risk analysis, and spatial scan statistics. A positive association between deprivation and mortality was found for each type of cancer, but there was no significant association for male colorectal cancer (relative risk (RR) 1.00; 95% credible interval (CI) 0.99-1.02), pancreatic cancer (RR: 1.01; 95%CI 0.98-1.04), and female colorectal cancer incidence (RR: 1.01; 95%CI 0.99-1.03), whereas a negative association for breast cancer (RR: 0.98; 95%CI 0.96-0.99) was found. Disease mapping analyses showed only partial overlap between areas of high incidence and mortality, often independent of deprivation. Our results highlight not only the diverse relationship between cancer burden and deprivation, but also the inconsistent relationship between cancer incidence and mortality, pointing to areas with populations that require special public health attention.

Cardiovascular risk factors among Roma and non-Roma populations in underprivileged settlements.

The 'Taking the screening tests close to the people' program offers cardiovascular screening to the inhabitants of underprivileged settlements. This study aimed to evaluate the cardiovascular risk factors of underprivileged populations, including individuals who described themselves as belonging to the Roma population. During the program, we collected information about demographic features, lifestyle and current illnesses. A general health assessment (body weight, height, blood pressure and fasting blood glucose) and cardiovascular examination were performed. We analysed data on both Roma and non-Roma groups and used Pearson's chi-squared test and multiple logistic regression models to analyse the factors that contribute to the onset of comorbidities, with a special focus on ethnicity. Data from 6211 participants were processed. Based on self-reports, the non-Roma population consisted of 5352 respondents (1364 men (25.5%) and 3988 women (74.5%)), and the Roma population comprised 859 respondents (200 men (23.3%) and 659 women (76.7%)). A total of 91.2% (4849) of the non-Roma population and 92.5% (788) of the Roma population exercised less than 3h per week (p < 0.001). Of the non-Roma population, 71.7% (3512) had a body mass index above 25kg/m2, while the corresponding figure was 72.4% (609) in the Roma population (p = 0.709). The median body mass index was 28.0 (24.6-31.9) in the non-Roma population and 28.8 (24.5-33.0) in the Roma population (p < 0.001). The prevalence of active smokers was 28.7% (1531) in the non-Roma population and 60.3% (516) in the Roma population (p < 0.001). The prevalence of hypertension was 54.9% (2824) in the non-Roma population and 49.8% (412) in the Roma population (p < 0.001). The prevalence of diabetes was 11.5% (95) in the Roma population and 12.2% (619) in the non-Roma population (p < 0.001). We found a high prevalence of overweight and obesity, a lack of physical activity and an remarkably high smoking rate in the studied underprivileged population. Both type 2 diabetes and hypertension were more common among people living in underprivileged settlements than in the general Hungarian population. People living in underprivileged settlements need more attention in primary care.

Association of CETP Gene Polymorphisms and Haplotypes with Acute Heart Rate Response to Exercise.

Polymorphisms in the cholesteryl ester transfer protein (CETP) gene are known to be strongly associated with increased cardiovascular risk, primarily through their effects on the lipid profile and consequently on atherosclerotic risk. The acute heart rate response (AHRR) to physical activity is closely related to individual cardiovascular health. This study aimed to investigate the effect of CETP gene polymorphisms on AHRR. Our analysis examines the association of five single nucleotide polymorphisms (SNPs; rs1532624, rs5882, rs708272, rs7499892, and rs9989419) and their haplotypes (H) in the CETP gene with AHRR in 607 people from the Hungarian population. Individual AHRR in the present study was assessed using the YMCA 3-min step test and was estimated as the difference between resting and post-exercise heart rate, i.e., delta heart rate (ΔHR). To exclude the direct confounding effect of the CETP gene on the lipid profile, adjustments for TG and HDL-C levels, next to conventional risk factors, were applied in the statistical analyses. Among the examined five SNPs, two showed a significant association with lower ΔHR (rs1532624-Cdominant: B = -8.41, p < 0.001; rs708272-Gdominant: B = -8.33, p < 0.001) and reduced the risk of adverse AHRR (rs1532624-Cdominant: OR = 0.44, p = 0.004; rs708272-Gdominant: OR = 0.43, p = 0.003). Among the ten haplotypes, two showed significant association with lower ΔHR (H3-CAGCA: B = -6.81, p = 0.003; H9-CGGCG: B = -14.64, p = 0.015) and lower risk of adverse AHRR (H3-CAGCA: OR = 0.58, p = 0.040; H9-CGGCG: OR = 0.05, p = 0.009) compared to the reference haplotype (H1-AGACG). Our study is the first to report a significant association between CETP gene polymorphisms and AHRR. It also confirms that the association of the CETP gene with cardiovascular risk is mediated by changes in heart rate in response to physical activity, in addition to its effect on lipid profile.

Adherence to the Mediterranean diet and its protective effects against colorectal cancer: a meta-analysis of 26 studies with 2,217,404 participants.

Colorectal cancer (CRC) is a major global health concern and represents a significant public health challenge in Hungary, where it exhibits some of the highest morbidity and mortality rates in the European Union. The Mediterranean diet has been suggested to reduce the incidence of CRC, but comprehensive evidence from diverse study designs is needed to substantiate this effect. A systematic literature search was conducted in PubMed, ClinicalTrials.gov, CENTRAL, and the Web of Science to identify randomized controlled trials and human clinical trials from 2008 to 2024 to identify relevant studies. Statistical analysis was performed using the https://metaanalysisonline.com web application using a random effects model to estimate the pooled hazard rates (HRs). Forest plots, funnel plots, and Z-score plots were utilized to visualize results. We identified 15 clinical trials and 9 case-control studies, encompassing a total of 2,217,404 subjects. The pooled analysis indicated that adherence to the Mediterranean diet significantly reduced the prevalence of CRC (HR = 0.84, 95% CI = 0.78-0.91, p < 0.01). This protective effect was consistent across sexes, with HRs of 0.85 (95% CI = 0.75-0.97, p = 0.01) for males and 0.88 (95% CI = 0.79-0.99, p = 0.03) for females. Case-control studies specifically showed a substantial effect (HR = 0.51, 95% CI = 0.38-0.68, p < 0.01). Notable heterogeneity was observed across studies, yet the a priori information size was substantially below the cumulative sample size, ensuring sufficient data for reliable conclusions.The findings from this meta-analysis reinforce the protective role of the Mediterranean diet against CRC. The results of this meta-analysis will inform dietary interventions designed to mitigate CRC risk, which are conducted within the framework of the Semmelweis Study, an ongoing comprehensive cohort study at Semmelweis University, designed to explore the multifaceted causes of unhealthy aging in Hungary. These interventions aim to explore the practical application of Mediterranean dietary patterns in reducing CRC incidence among the Hungarian population.

Body weight and morphological profile of blood of deer (Cervus elaphus) in the conditions of Polissia Volyn

The homeostasis of the whole organism and the analysis of hematological parameters in red deer (Cervus elaphus) play an essential role in comparative physiology for health assessment and disease diagnosis. The obtained blood results can be the basis for assessing the condition of wild deer populations with an existing clinical picture or characterize the nutritional status, habitat, or other stress factors, as the hematopoietic system is susceptible to any changes in the animal body. In the course of the research, it was found that the body weight of adult deer varied depending on the population. Female deer of the Latvian and Lithuanian crossbreeds and the Eastern European population had the highest weight. As for the males, the animals of the Hungarian population had a higher weight than the English population. A high level of growth intensity in the early postnatal period was characteristic of both young females (body weight gain was in the range of 44.8–45.8 kg) and males (42.6–44.12 kg). The analysis of hematological parameters confirmed that the number of red blood cells and hemoglobin content increased in the blood of animals of the English population under technological stress (by 5.6 and 4.4 %). Regarding individual populations, it was noted that under the same conditions of immobilization of animals (medication), the number of red blood cells in the blood of Latvian crossbred deer was 8.5 % higher than the English population. The hemoglobin content was 5.3 % lower, and the saturation of red blood cells with hemoglobin was 12.9 % lower. It was found that the hematological parameters of 3–4 month-old fawns (females and males) of the English population were characterized by relative stability. Against the background of a tendency to a higher number of red blood cells in females (by 12.8 %), the hemoglobin content was 3.3 % lower than in males. The number of leukocytes in the blood of females was slightly higher than that of males, although no significant deviations were noted in some forms of white blood cells.

THE ROLE OF SELF-MARKETING IN CREATING OPPORTUNITIES FOR ROMA EMPLOYMENT

The role of different groups in society in the labour market is of vital importance for the functioning of a nation's economy. Equal access to employment is a fundamental condition for tackling social exclusion and is closely linked to reducing and combating poverty. Research on discrimination in the labour market goes back several decades and is primarily based on perceptions of discrimination. The Roma population is one of the most disadvantaged groups in Hungary, with the most severe labour market tensions and the largest number of underprivileged groups. Roma are considered a social group with below average labour market opportunities. The unfavourable social and economic situation of the Roma population in Hungary and their resulting marginalisation has become a platitude in public discourse and academic work. The importance of the issue is undoubtful, as it is estimated that the Roma population, which constitutes a significant proportion of the population, is the poorest, most excluded and, overall, the most vulnerable group in society. The gap between the Roma population and the majority society has been steadily increasing for decades, mainly due to the residential segregation and economic decline of the Roma. Negative discrimination in the labour market plays a crucial role in shaping the employment prospects of Roma people. On the one hand, this is due to the negative discrimination they face, and on the other hand, to the low level of knowledge acquired by these people compared to the average in society. In our study, we examine the factors determining selfmarketing and the labour market chances of Roma in the context of the background factors, economic and social effects of unemployment, which particularly affect this precariat group. We make an attempt to prove that self-marketing has a right to exist among the Roma working population. In researching this topic, it is essential to address the issue of the conscious career management competences of members of the emerging generation and the crucial role of inclusive workplaces.

Association of SDF-1-3' Gene A Variant with Diabetic Retinopathy in the Hungarian Population.

We investigated the association between the SDF-1-3' (c801G > A) variant and the development of diabetic macular edema (DME) or proliferative diabetic retinopathy (PDR) in a Hungarian cohort. SDF-1-3' (c801G > A) was genotyped in 103 patients with diabetic retinopathy and 31 age- and sex-matched non-diabetic controls. Central retinal and choroidal thickness was measured by swept-source optical coherence tomography. The distribution of heterozygous and homozygous SDF-1-3' (c801G > A) genotypes was similar in diabetic and control subjects. The SDF-3'(c801AA) genotype was associated with DME (n = 94 eyes, allele distribution p = 0.006, genotype distribution p = 0.01 OR: 2.48, 95% CL: 1.21-5.08) in both univariable and multivariable modelling, independent of duration and type of diabetes, HbA1C, hypertension and microalbuminuria (p = 0.03). DME occurred earlier in patients carrying the SDF-1 (c801A) allele (Kaplan-Meier analysis, log-rank test p = 0.02). A marginally significant association was found between the presence of the SDF-1 (c801A) allele and the development of PDR (n = 89 eyes, p = 0.06). The SDF-1-3' (c801A) allele also showed a correlation with central retinal (p = 0.006) and choroidal (p = 0.08) thickness. SDF-1-3' (c801G > A) is involved in the development of macular complications in DM independent of critical clinical factors, suggesting that SDF-1 may be a future therapeutic target for high-risk patients, especially those carrying the SDF-1 (c801A) allele.

NREM parasomnia-related behaviors and adverse childhood experiences

PurposeTo assess the prevalence, types, sociodemographic factors, and reported dangerous activities of sleep-related behaviors likely representing NREM parasomnia episodes, as well as their association with adverse childhood experiences in Hungary. MethodsCross-sectional survey of 1000 adults (aged ≥18 years) representing the Hungarian population, using a non-probability quota sampling with a random walk method and a structured face-to-face interview. A multi-criterion weighting procedure was applied to correct bias along the main sociodemographic variables to the data available. Binary logistic regression estimated the odds of NREM parasomnia-related behaviors associated with sociodemographic factors and adverse childhood experiences. ResultsThe prevalence of NREM parasomnia-related behaviors was 2.7 %, and self-reported sleep-eating was 0.1 % of the population (4.6 % of parasomnia-like activities). For middle-aged adults, the odds of sleep ambulation were significantly lower than for younger adults (OR 0.3; P = 0.03). A participant's family occurrence of reported parasomnia-like activity increased their odds of having it by more than 7 times (OR 7.1; P < 0.001). Nine participants out of those 27 people reporting NREM parasomnia-related behavior episodes, reported childhood adverse experiences, increasing the odds of parasomnia-related behavior by more than six times (OR 6.2; P < 0.001) compared to those not reporting it. ConclusionThis is the first population survey in Hungary on adult sleep-related behaviors likely representing NREM parasomnia episodes and the potential association with childhood traumatic events preceding them. The related dangerous behaviors call for safety measures and prevention. The significant association between adverse childhood events and NREM parasomnia-related behaviors needs further analysis.

Multicenter retrospective study of patients with PCDH19-related epilepsy: The first Hungarian cohort.

PCDH19-related epilepsy occurs predominantly in girls and is caused by pathogenic variant of the protocadherin-19 gene. The initial seizures usually develop in association with fever, begin on average at 15 months of age, and often occur in clusters. Autistic symptoms, intellectual disability, and sleep disturbance are often associated. In our retrospective, multicenter study, we reviewed clinical data of nine children with epilepsy genetically confirmed to be associated with PCDH19. In the Hungarian patient population aged 0-18 years, the prevalence of PCDH19-related epilepsy was found to be lower (1/100000 live births in females) than the reported international data (4-5/100000 live births in females). Four of our nine patients had positive family history of epilepsy (cousins, sister, and mother). We assessed brain anomalies in three patients (in one patient focal cortical dysplasia and left anterior cingulate dysgenesis, and in two children right or left hippocampal sclerosis) and in another three cases incidentally identified benign alterations on brain MRI were found. The first seizure presented as a cluster in seven out of nine children. In seven out of nine cases occurred status epilepticus. Six out of nine children had autistic symptoms and only one child had normal intellectual development. Seven of our patients were seizure free with combined antiseizure medication (ASM). The most effective ASMs were levetiracetam, valproate, and clobazam. The prevalence of PCDH19-related epilepsy is presumably underestimated because of the lack of widely performed molecular genetic evaluations. Molecular genetic testing including PCDH19 pathogenic variants is recommended for female patients with an onset of seizures before the age of 3 years.

Sexual dimorphism in the Hungarian golden jackal population: analysing body and skull size and shape

AbstractDefining species within the Canidae family is challenging due to morphological convergence, behavioral plasticity, traditional taxonomic limitations, and possible hybridisation. This challenge is timely with the recent population and range expansion of the golden jackal (Canis aureus). Exploring their morphological data and sexual dimorphism is essential for identifying factors driving their success in new habitats. The proven hybridization of golden jackals with dogs and wolves may affect species description, population dynamics, and genetic diversity, impacting conservation strategies. This study, for the first time, conducts a morphometric analysis of golden jackals in Somogy County, Hungary, to prove sexual size dimorphism (SSD) in body and skull and sexual shape dimorphism (SShD) in skull across juvenile and adult age groups. 719 golden jackals (362 females and 357 males) were collected between January 2021 and January 2023. Descriptive statistics revealed significant SSD in body and skull measurements among both age groups, with males generally larger than females, particularly in body mass (11.72% in juveniles and 13.37% in adults). Most skull dimensions differed significantly between sexes and age groups, except for foramen magnum height, foramen magnum width, and postorbital breadth among juveniles and foramen magnum height and postorbital breadth among adults. We used principal component analyses (PCA) on raw dimension data and the log shape ratio method to extract shape information. Linear discriminant analysis (LDA) explored skull SShD between sexes. Notably, our study achieved over 71% accuracy in sex classification, illustrating the clear presence of SShD of the skull in golden jackals across both age groups. Our study provides a comprehensive database of golden jackals in the overpopulated Hungarian habitat, which will be helpful for further research on ecology, behavior, and conservation management.