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Beyond the Pill: Unveiling the Characteristics of Prenatal Micronutrient Consumption Among Hungarian Pregnant Women According to Different Levels of Adherence
Get PDFBackground/Objectives: There is clear evidence that maternal micronutrient deficiencies result in adverse maternal and fetal health outcomes. Therefore, corrective supplementation should be considered when dietary intake is insufficient, particularly for vitamin D (VD), omega-3 fatty acids (O3), folic acid (FA), or prenatal multiple micronutrient products (PMM). Despite its significance, intake patterns in Hungary remain largely unexplored, and evaluating adherence to recommended intake levels would be of even greater importance. This is the first Hungarian study to provide a comprehensive overview of the frequency and adherence patterns of micronutrient supplementation among pregnant women, while also analyzing their association with predictors and outcomes. Methods: This cross-sectional study involved 300 pregnant women who delivered in a university hospital. Data were collected using a self-reported questionnaire and clinical maternal and neonatal records. Results: The prevalence of FA, VD, O3, and PMM intake among the participants was 89.0%, 76.4%, 58.7%, and 67.6%, respectively. However, adherence to recommendations was notably lower: 41.1% for VD, 37.5% for O3, 36% for PMM, and 31% for FA. Higher adherence was associated with older maternal age, higher educational level, county town residence, planned pregnancy, primiparity, previous spontaneous abortion, and early initiation of antenatal care. Our findings refute concerns about the obesogenic effect of supplementation for both mothers and newborns. FA intake correlated with a lower likelihood of cesarean section, while O3 use was associated with improved uterine contractility and reduced risk of gestational diabetes mellitus. Conclusions: Our study underscores the need for individualized counselling on micronutrient supplementation, with particular emphasis on appropriate timing, dosage, and potential benefits
Tromboelasztográf alkalmazása szisztémás thrombolysis előtt DOAC-kal kezelt betegek esetében : esetsorozat
Get PDFA direkt orális antikoagulánsokkal (DOACkal) kezelt betegek száma jelentősen nő. Akut ischaemiás stroke-ban a szisztémás thrombolysisnek jelenleg ellenjavallata a 48 órán belül alkalmazott DOAC-kezelés, ezért fontos információ a kezelés folyamatosságának, a compliance-nek a kérdése. Pontos anamnézis viszont sok esetben nem nyerhető. A tromboelasztográf (ClotPro®) viszkoelasztikus vizsgálatai segítségével azonban egyértelműen kimutatható az antikoaguláns hatás. Prospektív vizsgálatunk során 25, akut ischaemiás stroke-ot elszenvedett, potenciálisan DOAC-ot szedő beteg esetén, amikor autoanamnézis nem volt nyerhető, tromboelasztográf segítségével Russell Venom Viper- (RVV-) és Ecarin assay- (ECA-) tesztet végeztünk. Az alvadási idő alapján információhoz jutottunk az antikoaguláns kezelés hatásáról, ezáltal a compliance-ről is, ami segített a thrombolysis elbírálásában. Tizenegy esetben észleltük a DOAC-terápia hatástalanságát, melyek közül kilenc esetben később heteroanamnézis is alátámasztotta a kezelés megszakítását. A tesztek segítségével négy beteg részesült thrombolysisben. Vérzéses szövődményt egy esetben észleltünk, aminek hátterében az addig ismeretlen krónikus lymphoid leukaemia miatti fokozott vérzésveszély állt. Az általunk észlelt esetekben a DOACspecifikus viszkoelasztikus tesztek (RVV, ECA) gyors információt nyújtottak a 48 órán belüli DOAC-alkalmazásról, így kiszűrhetők azok a betegek, akik a kezelést megszakították, és esetükben thrombolysis alkalmazható.Összességében a viszkoelasztikus tesztek gyors segítséget nyújtanak a klinikusnak a compliance felderítésében és a thrombolysis lehetőségének elbírálásában
At What Cost? Offshoring Implications for Labor and Migration in Morocco and Tunisia, 2010–2024
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The role of social media in constructing meaning in life: a SEM analysis
Get PDFSocial networking sites (SNS) have become an integral part of daily life, yet little is known about how different purposes of SNS use influence meaning in life (MIL). This study seeks to bridge that gap by examining the relationship between SNS use purposes and MIL through the lens of the Uses and Gratification Theory. A total of 303 undergraduate students from a university in Vietnam participated in an online survey. The construct validity of MIL and SNS measurements was supported, demonstrating strong convergent and discriminant validity. Using structural equation modeling, we found that SNS use for academic and social purposes had the most significant impact on MIL, whereas informational and entertainment purposes showed no effect. Furthermore, students’ recent semester grade point average had a minor influence on MIL and did not mediate the relationship between academic SNS use and MIL. A robustness check confirmed consistent results across gender, age, and number of close friends. These results suggest that SNS provides various gratifications that contribute to students’ sense of MIL. Moreover, this study pioneers the examination of the connection between daily SNS activity and MIL within the scientific literature
Karrikin-related effects on plant development, stress tolerance, and beyond
No full textKarrikins (KARs) are butenolide compounds formed during the combustion of cellulose and found in smoke. KARs share signal pathway with strigolactones, and plant species are able to respond to the presence of KARs by improved germination, seedling growth, and stress tolerance. According to the available literature, KARs have the potential to intensify plant tolerance against sub- or supraoptimal temperature, drought, heavy metal exposure, salinity, and bacterial pathogens. Beyond plants, some effects of KARs have been revealed on plants' ecological partners like arbuscular mycorrhiza fungi. Smoke water containing KARs has promising applications in plant cultivation due to its stimulating effects on plant growth and development. This chapter aims to collect and discuss the recent literature about the direct effects of KARs and smoke water on plant development and stress resilience and also about their indirect effects via the modulation of the ecological partners of plants. Future research directions for better exploring KARs' (phyto) effects are also suggested. © 2025 Scrivener Publishing LLC. All rights reserved
