{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T13:12:45Z","timestamp":1785503565553,"version":"3.56.0"},"reference-count":34,"publisher":"Akademiai Kiado Zrt.","issue":"18","license":[{"start":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T00:00:00Z","timestamp":1777766400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015763","name":"Szegedi Tudom\u00e1nyegyetem","doi-asserted-by":"crossref","award":["5S 724 (A202)"],"award-info":[{"award-number":["5S 724 (A202)"]}],"id":[{"id":"10.13039\/501100015763","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2026,5,3]]},"abstract":"<jats:p>\n                    <jats:italic>Bevezet\u00e9s:<\/jats:italic>\n                    A terhess\u00e9g alatti elh\u00edz\u00e1s glob\u00e1lis el\u0151fordul\u00e1sa\n                    n\u00f6veked\u00e9sben van, \u00e9s ez jelent\u0151s kih\u00edv\u00e1st jelent a terhess\u00e9g, illetve a sz\u00fcl\u00e9s\n                    megfelel\u0151 kezel\u00e9s\u00e9ben.\n                    <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic>\n                    Vizsg\u00e1latunk c\u00e9lja annak\n                    elemz\u00e9se volt, hogy az anyai elh\u00edz\u00e1s mint rizik\u00f3faktor milyen hat\u00e1ssal van a\n                    hemodinamikai param\u00e9terek terhess\u00e9g sor\u00e1n bek\u00f6vetkez\u0151 v\u00e1ltoz\u00e1saira.\n                    <jats:italic>M\u00f3dszer:<\/jats:italic>\n                    Az 557 vizsg\u00e1lt p\u00e1ciensb\u0151l 326 norm\u00e1lis\n                    testt\u00f6megindexszel rendelkez\u0151 \u00e9s 121 elh\u00edzott p\u00e1cienst vett\u00fcnk figyelembe.\n                    M\u00e9r\u00e9seinket a terhess\u00e9gi hetek alapj\u00e1n 6-6 csoportba soroltuk (&lt;14., 14\u201318.,\n                    19\u201323., 24\u201328., 29\u201334., &gt;34. terhess\u00e9gi h\u00e9t). A k\u00f6vetkez\u0151 hemodinamikai\n                    param\u00e9tereket m\u00e9rt\u00fck: art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1s, systol\u00e9s v\u00e9rnyom\u00e1s, diastol\u00e9s\n                    v\u00e9rnyom\u00e1s, pulzusnyom\u00e1s, pulzussz\u00e1m. Ezen \u00e9rt\u00e9kek v\u00e1ltoz\u00e1s\u00e1t k\u00f6vett\u00fck nyomon a\n                    terhess\u00e9gi kor f\u00fcggv\u00e9ny\u00e9ben norm\u00e1lis testt\u00f6meg\u0171, illetve elh\u00edzott p\u00e1ciensek\n                    eset\u00e9ben. Az egyes csoportok k\u00f6z\u00f6tt \u00f6sszehasonl\u00edt\u00f3 elemz\u00e9s is k\u00e9sz\u00fclt.\n                    <jats:italic>Eredm\u00e9nyek:<\/jats:italic>\n                    A norm\u00e1lis testt\u00f6meg\u0171 v\u00e1rand\u00f3sokn\u00e1l az art\u00e9ri\u00e1s\n                    k\u00f6z\u00e9pnyom\u00e1s nem v\u00e1ltozott szignifik\u00e1nsan (p = 0,25), viszont volt egy nem\n                    szignifik\u00e1ns (p = 0,38) cs\u00f6kken\u00e9s a 15. terhess\u00e9gi h\u00e9ten \u00e9s egy pozit\u00edv nem\n                    szignifik\u00e1ns (p = 0,47) kiugr\u00e1s a 28. terhess\u00e9gi h\u00e9ten. A systol\u00e9s \u00e9rt\u00e9k\n                    folyamatosan szignifik\u00e1nsan cs\u00f6kkent (p = 0,008), a diastol\u00e9s \u00e9rt\u00e9kben viszont\n                    nem t\u00f6rt\u00e9nt szignifik\u00e1ns v\u00e1ltoz\u00e1s (p = 0,86). A pulzusnyom\u00e1s szignifik\u00e1nsan\n                    cs\u00f6kkent (p = 0,0001), m\u00edg a pulzussz\u00e1m (p = 0,01) szignifik\u00e1nsan emelkedett az\n                    els\u0151 \u00e9s m\u00e1sodik trimeszterben, de a 29\u201333. h\u00e9ten szignifik\u00e1ns m\u00e9rt\u00e9kben cs\u00f6kkent\n                    (p = 0,0001), \u00e9s megfigyelhet\u0151 volt egy szignifik\u00e1ns (p = 0,004) cs\u00f6kken\u00e9s a 15.\n                    h\u00e9ten \u00e9s egy szignifik\u00e1ns m\u00e9rt\u00e9k\u0171 pozit\u00edv kiugr\u00e1s a 24\u201328. terhess\u00e9gi h\u00e9ten (p =\n                    0,0001). A systol\u00e9s, a diastol\u00e9s \u00e9rt\u00e9k, illet\u0151leg a pulzusnyom\u00e1s is\n                    szignifik\u00e1nsan cs\u00f6kkent (p = 0,001). A pulzussz\u00e1m eset\u00e9ben szignifik\u00e1ns\n                    v\u00e1ltoz\u00e1st a terhess\u00e9g sor\u00e1n nem \u00e9szlelt\u00fcnk.\n                    <jats:italic>Megbesz\u00e9l\u00e9s:<\/jats:italic>\n                    A k\u00e9t\n                    csoport eredm\u00e9nyeit \u00f6sszehasonl\u00edtva, elh\u00edz\u00e1s eset\u00e9n szignifik\u00e1nsan magasabbak\n                    voltak a m\u00e9rt art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1s, systol\u00e9s \u00e9s diastol\u00e9s v\u00e9rnyom\u00e1s, illetve a\n                    pulzusnyom\u00e1s \u00e9rt\u00e9kei (p = 0,0001). Javasolt lenne legal\u00e1bb havi\n                    rendszeress\u00e9ggel, valid\u00e1lt k\u00f6r\u00fclm\u00e9nyek k\u00f6z\u00f6tt ellen\u0151rizni a v\u00e9rnyom\u00e1st, k\u00fcl\u00f6n\u00f6s\n                    tekintettel a 28\u201332. terhess\u00e9gi h\u00e9t k\u00f6z\u00f6tti art\u00e9ri\u00e1s k\u00f6z\u00e9pnyom\u00e1sra, a systol\u00e9s\n                    v\u00e9rnyom\u00e1sra, illet\u0151leg a pulzusnyom\u00e1sra.\n                    <jats:italic>K\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Eredm\u00e9nyeinkb\u0151l arra k\u00f6vetkeztethet\u00fcnk, hogy az elh\u00edz\u00e1s a terhess\u00e9g alatti magas\n                    v\u00e9rnyom\u00e1s kialakul\u00e1s\u00e1ban jelent\u0151s rizik\u00f3faktort k\u00e9pvisel a harmadik\n                    trimeszterben. Orv Hetil. 2026; 167(18): 702\u2013713.\n                  <\/jats:p>","DOI":"10.1556\/650.2026.33530","type":"journal-article","created":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T02:59:03Z","timestamp":1777777143000},"page":"702-713","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["Terhesek art\u00e9ri\u00e1s nyom\u00e1s\u00e9rt\u00e9kei az egyes trimeszterekben: az elh\u00edz\u00e1s hat\u00e1s\u00e1nak vizsg\u00e1lata"],"prefix":"10.1556","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1168-7261","authenticated-orcid":true,"given":"Andrea","family":"Sur\u00e1nyi","sequence":"first","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilla","family":"Moln\u00e1r","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e1bor","family":"N\u00e9meth","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tibor","family":"Ny\u00e1ri","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Orvosi Fizikai \u00e9s Orvosi Informatikai Int\u00e9zet Szeged Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Szabolcs","family":"V\u00e1rb\u00edr\u00f3","sequence":"additional","affiliation":[{"name":"Szegedi Tudom\u00e1nyegyetem, Szent-Gy\u00f6rgyi Albert Orvostudom\u00e1nyi Kar, Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Klinika Szeged, Semmelweis u. 1., 6720 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Sanghavi M, Rutherford JD. Cardiovascular physiology of pregnancy.\n                    Circulation 2014; 130: 1003-1008.\n                        https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.114.009029","DOI":"10.1161\/CIRCULATIONAHA.114.009029"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Thornburg KL, Jacobson SL, Giraud GD, et al. Hemodynamic changes in\n                    pregnancy. Semin Perinatol. 2000; 24: 11-14.\n                        https:\/\/doi.org\/10.1016\/S0146-0005(00)80047-6","DOI":"10.1016\/S0146-0005(00)80047-6"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Whelton PK, Carey RM, Mancia G, et al. Harmonization of the American\n                    College of Cardiology\/American Heart Association and European Society of\n                    Cardiology\/European Society of Hypertension Blood Pressure\/Hypertension\n                    guidelines: comparisons, reflections, and recommendations. Circulation 2022;\n                    146: 868-877.\n                    https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.121.054602","DOI":"10.1161\/CIRCULATIONAHA.121.054602"},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Magee LA, Brown MA, Hall DR, et al. The 2021 International Society\n                    for the Study of [Hypertension in Pregnancy classification, diagnosis &\n                    management recommendations for international practice. Pregnancy Hypertens.\n                    2022; 27: 148-169.\n                    https:\/\/doi.org\/10.1016\/j.preghy.2021.09.008","DOI":"10.1016\/j.preghy.2021.09.008"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"W\u00f3jtowicz A, Zembala-Szczerba M, Babczyk D, et al. Early- and\n                    late-onset preeclampsia: a comprehensive cohort study of laboratory and clinical\n                    findings according to the new ISHHP criteria. Int J Hypertens. 2019; 2019:\n                    4108271. https:\/\/doi.org\/10.1155\/2019\/4108271","DOI":"10.1155\/2019\/4108271"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"Alasztics B, Kukor Z, P\u00e1ncz\u00e9l Z, et al. The pathophysiology of\n                    preeclampsia in view of the two-stage model. [A praeeclampsia k\u00f3r\u00e9lettana a\n                    k\u00e9tl\u00e9pcs\u0151s modell t\u00fckr\u00e9ben.] Orv Hetil. 2012; 153: 1167-1176. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/OH.2012.29415","DOI":"10.1556\/OH.2012.29415"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Vinayagam D, Leslie K, Khalil A, et al. Preeclampsia - What is to\n                    blame? The placenta, maternal cardiovascular system or both? World J Obstet\n                    Gynecol. 2015; 4: 77-85.\n                    https:\/\/doi.org\/10.5317\/wjog.v4.i4.77","DOI":"10.5317\/wjog.v4.i4.77"},{"key":"R8","unstructured":"Wagner LK. Diagnosis and management of preeclampsia. Am Fam\n                    Physician 2004; 70: 2317-2324."},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Fox R, Kitt J, Leeson P, et al. Preeclampsia: risk factors,\n                    diagnosis, management, and the cardiovascular impact on the offspring. J Clin\n                    Med. 2019; 8: 1625.\n                    https:\/\/doi.org\/10.3390\/jcm8101625","DOI":"10.3390\/jcm8101625"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Langley-Evans SC, Pearce J, Ellis S. Overweight, obesity and\n                    excessive weight gain in pregnancy as risk factors for adverse pregnancy\n                    outcomes: a narrative review. J Hum Nutr Diet. 2022; 35: 250-264.\n                        https:\/\/doi.org\/10.1111\/jhn.12999","DOI":"10.1111\/jhn.12999"},{"key":"R11","doi-asserted-by":"crossref","unstructured":"Walsh SW. Obesity: a risk factor for preeclampsia. Trends Endocrinol\n                    Metab. 2007; 18: 365-370.\n                    https:\/\/doi.org\/10.1016\/j.tem.2007.09.003","DOI":"10.1016\/j.tem.2007.09.003"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Roberts JM, Bodnar LM, Patrick TE, et al. The role of obesity in\n                    preeclampsia. Pregnancy Hypertens. 2011; 1: 6-16.\n                        https:\/\/doi.org\/10.1016\/j.preghy.2010.10.013","DOI":"10.1016\/j.preghy.2010.10.013"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Shariq OA, Mckenzie TJ. Obesity-related hypertension: a review of\n                    pathophysiology, management, and the role of metabolic surgery. Gland Surg.\n                    2020; 9: 80-93.\n                    https:\/\/doi.org\/10.21037\/gs.2019.12.03","DOI":"10.21037\/gs.2019.12.03"},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Kotsis V, Stabouli S, Papakatsika S, et al. Mechanisms of\n                    obesity-induced hypertension. 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An exploratory critical\n                    review on TNF-\u03b1 as a potential inflammatory biomarker responsive to dietary\n                    intervention with bioactive foods and derived products. Foods 2022; 11: 2524.\n                        https:\/\/doi.org\/10.3390\/foods11162524","DOI":"10.3390\/foods11162524"},{"key":"R18","unstructured":"World Obesity Federation, London. Women living with obesity.\n                    Available from: https:\/\/data.worldobesity.org\/maps\/?area=trends\n                    [accessed: January 18, 2026]."},{"key":"R19","unstructured":"World Health Organization. European regional obesity report 2022.\n                    Available from:\n                        https:\/\/www.who.int\/europe\/publications\/i\/item\/9789289057738\n                    [accessed: January 18, 2026]."},{"key":"R20","doi-asserted-by":"crossref","unstructured":"Reichetzeder C. Overweight and obesity in pregnancy: their impact on\n                    epigenetics. Eur J Clin Nutr. 2021; 75: 1710-1722.\n                        https:\/\/doi.org\/10.1038\/s41430-021-00905-6","DOI":"10.1038\/s41430-021-00905-6"},{"key":"R21","doi-asserted-by":"crossref","unstructured":"Csoma D, Altorjay \u00c1T, N\u00e9meth G, et al. Mean arterial blood pressure\n                    values of complaint-free pregnant women in the first and second trimesters.\n                    [Panaszmentes v\u00e1rand\u00f3sok art\u00e9ri\u00e1s nyom\u00e1s\u00e9rt\u00e9ke a v\u00e1rand\u00f3ss\u00e1g els\u0151 \u00e9s m\u00e1sodik\n                    trimeszter\u00e9ben.] Orv Hetil. 2022; 163: 1721-1726. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2022.32604","DOI":"10.1556\/650.2022.32604"},{"key":"R22","unstructured":"Rodrigo A, Ferrer CM, Arrones S, et al. How much weight should I\n                    gain during pregnancy. Recommendations. Last update: 2026. Available from:\n                        https:\/\/www.invitra.com\/en\/how-many-kilos-should-you-gain-during-pregnancy-recommendations\/weight-gain-during-gestation-factors\/\n                    [accessed: January 18, 2026]."},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Horv\u00e1th IG, N\u00e9meth A, Lenkey Z, et al. Invasive validation of a new\n                    oscillometric device (Arteriograph) for measuring augmentation index, central\n                    blood pressure and aortic pulse wave velocity. J Hypertens. 2010; 28: 2068-2075.\n                        https:\/\/doi.org\/10.1097\/HJH.0b013e32833c8a1a","DOI":"10.1097\/HJH.0b013e32833c8a1a"},{"key":"R24","unstructured":"TensioMed\u00ae. ArteriographTM TL2, Arteriograph SoftwareTM. Instruction\n                    for use, 2024. Available from:\n                        https:\/\/tensiomed.com\/wp-content\/uploads\/2024\/11\/Arteriograph-User-Manual.pdf\n                    [accessed: January 18, 2026]."},{"key":"R25","doi-asserted-by":"crossref","unstructured":"Qureshi HJ, Ma JL, Anderson JL, et al. Toward automation of the\n                    supine pressor test for preeclampsia. J Eng Sci Med Diagn Ther. 2019; 2:\n                    10.1115\/1.4045203. https:\/\/doi.org\/10.1115\/1.4045203","DOI":"10.1115\/1.4045203"},{"key":"R26","unstructured":"World Health Organization. Data\/Global Health Observatory. Body mass\n                    index. Available from:\n                        https:\/\/www.who.int\/data\/gho\/data\/themes\/topics\/topic-details\/GHO\/body-mass-index\n                    [accessed: January 18, 2026]."},{"key":"R27","doi-asserted-by":"crossref","unstructured":"Medjedovic E, Suljevic A, Iglica A, et al. Uric acid values along\n                    with Doppler sonography findings as a tool for preeclampsia screening. Med Arch.\n                    2019; 73: 408-411.\n                    https:\/\/doi.org\/10.5455\/medarh.2019.73.408-411","DOI":"10.5455\/medarh.2019.73.408-411"},{"key":"R28","doi-asserted-by":"crossref","unstructured":"McEvoy JW, McCarthy CP, Bruno RM, et al. ESC Scientific Document\n                    Group. 2024 ESC guidelines for the management of elevated blood pressure and\n                    hypertension. Eur Heart J. 2024; 45: 3912-4018. Erratum: Eur Heart J. 2025; 46:\n                    1300. Erratum: Eur Heart J. 2025; 46: 4949.\n                        https:\/\/doi.org\/10.1093\/eurheartj\/ehaf659","DOI":"10.1093\/eurheartj\/ehaf659"},{"key":"R29","doi-asserted-by":"crossref","unstructured":"Slade LJ, Mistry HD, Bone JN, et al. American College of Cardiology\n                    and American Heart Association blood pressure categories. A systematic review of\n                    the relationship with adverse pregnancy outcomes in the first half of pregnancy.\n                    Am J Obstet Gynecol. 2023; 228: 418-429.e34.\n                        https:\/\/doi.org\/10.1016\/j.ajog.2022.10.004","DOI":"10.1016\/j.ajog.2022.10.004"},{"key":"R30","doi-asserted-by":"crossref","unstructured":"Khalil A, Garcia-Mandujano R, Maiz N, et al. Longitudinal changes in\n                    uterine artery Doppler and blood pressure and risk of pre-eclampsia. Ultrasound\n                    Obstet Gynecol. 2014; 43: 541-547. Erratum: Ultrasound Obstet Gynecol. 2014; 44:\n                    244. https:\/\/doi.org\/10.1002\/uog.13257","DOI":"10.1002\/uog.13257"},{"key":"R31","doi-asserted-by":"crossref","unstructured":"Magee LA, Rey E, Asztalos E, et al. Management of non-severe\n                    pregnancy hypertension. A summary of the CHIPS Trial (Control of Hypertension in\n                    Pregnancy Study) research publications. Pregnancy Hypertens. 2019; 18: 156-162.\n                        https:\/\/doi.org\/10.1016\/j.preghy.2019.08.166","DOI":"10.1016\/j.preghy.2019.08.166"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Regitz-Zagrosek V, Roos-Hesselink JW, Bauersachs J, et al. 2018 ESC\n                    guidelines for the management of cardiovascular diseases during pregnancy. Eur\n                    Heart J. 2018; 39: 3165-3241.\n                        https:\/\/doi.org\/10.1093\/eurheartj\/ehy340","DOI":"10.1093\/eurheartj\/ehy340"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Hidv\u00e9gi EV, Jakab A, Czir\u00e1ki A, et al. Normal values of peripheral\n                    (brachial) blood pressure measured in 14 062 Hungarian healthy children and\n                    adolescents with normal body mass index. [14 062 eg\u00e9szs\u00e9ges, norm\u00e1l testt\u00f6meg\u0171\n                    magyar gyermek \u00e9s serd\u00fcl\u0151 m\u00e9r\u00e9s\u00e9n alapul\u00f3 perif\u00e9ri\u00e1s (brachialis)\n                    v\u00e9rnyom\u00e1s-norm\u00e1l\u00e9rt\u00e9kek.] Orv Hetil. 2024; 165: 1086-1100. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2024.33069","DOI":"10.1556\/650.2024.33069"},{"key":"R34","doi-asserted-by":"crossref","unstructured":"Szeifert NM, V\u00e1g\u00f3 H, Gonda X. Physical activity as the basic pillar\n                    of lifestyle medicine. [A testmozg\u00e1s mint az \u00e9letm\u00f3dorvosl\u00e1s alappill\u00e9re.] Orv\n                    Hetil. 2024; 165: 1683-1693. [Hungarian]\n                        https:\/\/doi.org\/10.1556\/650.2024.33144","DOI":"10.1556\/650.2024.33144"}],"container-title":["Orvosi Hetilap"],"original-title":[],"link":[{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/18\/article-p702.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/18\/article-p702.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/www.akjournals.com\/downloadpdf\/journals\/650\/167\/18\/article-p702.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T12:47:33Z","timestamp":1785502053000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.akjournals.com\/view\/journals\/650\/167\/18\/article-p702.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,3]]},"references-count":34,"journal-issue":{"issue":"18"},"URL":"https:\/\/doi.org\/10.1556\/650.2026.33530","relation":{},"ISSN":["0030-6002","1788-6120"],"issn-type":[{"value":"0030-6002","type":"print"},{"value":"1788-6120","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,3]]}}}