Serveur d'exploration sur la COVID chez les séniors

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Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial.

Identifieur interne : 000367 ( Main/Exploration ); précédent : 000366; suivant : 000368

Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial.

Auteurs : Bálint Er Ss [Hongrie] ; Zsolt Molnár [Hongrie, Pologne] ; Zsolt Szakács [Hongrie] ; Noémi Zádori [Hongrie] ; Lajos Szak [Hongrie] ; Szilárd Váncsa [Hongrie] ; Márk Félix Juhász [Hongrie] ; Klementina Ocskay [Hongrie] ; N Ra Vörhendi [Hongrie] ; Katalin Márta [Hongrie] ; Andrea Szentesi [Hongrie] ; Andrea Párniczky [Hongrie] ; Péter J. Hegyi [Hongrie] ; Szabolcs Kiss [Hongrie] ; Mária Földi [Hongrie] ; Fanni Dembrovszky [Hongrie] ; Anna Kanjo [Hongrie] ; Piroska Pázmány [Hongrie] ; András Varr [Hongrie] ; Árpád Csath [Hongrie] ; Zsuzsanna Helyes [Hongrie] ; Zoltán Péterfi [Hongrie] ; Lászl Czopf [Hongrie] ; István Kiss [Hongrie] ; Antal Zemplényi [Hongrie] ; D Ra Czapári [Hongrie] ; Eszter Hegyi [Hongrie] ; Dalma Dobszai [Hongrie] ; Em Ke Mikl S [Hongrie] ; Attila Márta [Hongrie] ; Dominika T Th [Hongrie] ; Richard Farkas [Hongrie] ; Nelli Farkas [Hongrie] ; Béla Birkás [Hongrie] ; Erika Pintér [Hongrie] ; Gábor Peth [Hongrie] ; Borbála Zsigmond [Hongrie] ; Andrea Sárközi [Hongrie] ; Anik Nagy [Hongrie] ; Péter Hegyi [Hongrie]

Source :

RBID : pubmed:32993779

Descripteurs français

English descriptors

Abstract

BACKGROUND

Early reports indicate that COVID-19 may require intensive care unit (ICU) admission in 5-26% and overall mortality can rise to 11% of the recognised cases, particularly affecting the elderly. There is a lack of evidence-based targeted pharmacological therapy for its prevention and treatment. We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19.

METHODS

PROACTIVE-19 is a pragmatic, randomised controlled clinical trial with adaptive "sample size re-estimation" design. Hungarian population over the age of 60 years without confirmed COVID-19 will be approached to participate in a telephone health assessment and lifestyle counselling voluntarily. Volunteers will be randomised into two groups: (A) general health education and (B) personalised health education. Participants will go through questioning and recommendation in 5 fields: (1) mental health, (2) smoking habits, (3) physical activity, (4) dietary habits, and (5) alcohol consumption. Both groups A and B will receive the same line of questioning to assess habits concerning these topics. Assessment will be done weekly during the first month, every second week in the second month, then monthly. The composite primary endpoint will include the rate of ICU admission, hospital admission (longer than 48 h), and mortality in COVID-19-positive cases. The estimated sample size is 3788 subjects per study arm. The planned duration of the follow-up is a minimum of 1 year.

DISCUSSION

These interventions may boost the body's cardiovascular and pulmonary reserve capacities, leading to improved resistance against the damage caused by COVID-19. Consequently, lifestyle changes can reduce the incidence of life-threatening conditions and attenuate the detrimental effects of the pandemic seriously affecting the older population.

TRIAL REGISTRATION

The study has been approved by the Scientific and Research Ethics Committee of the Hungarian Medical Research Council (IV/2428- 2 /2020/EKU) and has been registered at clinicaltrials.gov ( NCT04321928 ) on 25 March 2020.


DOI: 10.1186/s13063-020-04733-0
PubMed: 32993779
PubMed Central: PMC7522906


Affiliations:


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<title xml:lang="en">Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial.</title>
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<name sortKey="Er Ss, Balint" sort="Er Ss, Balint" uniqKey="Er Ss B" first="Bálint" last="Er Ss">Bálint Er Ss</name>
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<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
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<author>
<name sortKey="Ocskay, Klementina" sort="Ocskay, Klementina" uniqKey="Ocskay K" first="Klementina" last="Ocskay">Klementina Ocskay</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<author>
<name sortKey="Vorhendi, N Ra" sort="Vorhendi, N Ra" uniqKey="Vorhendi N" first="N Ra" last="Vörhendi">N Ra Vörhendi</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<author>
<name sortKey="Marta, Katalin" sort="Marta, Katalin" uniqKey="Marta K" first="Katalin" last="Márta">Katalin Márta</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<author>
<name sortKey="Szentesi, Andrea" sort="Szentesi, Andrea" uniqKey="Szentesi A" first="Andrea" last="Szentesi">Andrea Szentesi</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>Translational Medicine Foundation, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Translational Medicine Foundation, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<author>
<name sortKey="Parniczky, Andrea" sort="Parniczky, Andrea" uniqKey="Parniczky A" first="Andrea" last="Párniczky">Andrea Párniczky</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="3">
<nlm:affiliation>Heim Pál National Pediatric Institute, Budapest, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Heim Pál National Pediatric Institute, Budapest</wicri:regionArea>
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<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
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<author>
<name sortKey="Hegyi, Peter J" sort="Hegyi, Peter J" uniqKey="Hegyi P" first="Péter J" last="Hegyi">Péter J. Hegyi</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<author>
<name sortKey="Kiss, Szabolcs" sort="Kiss, Szabolcs" uniqKey="Kiss S" first="Szabolcs" last="Kiss">Szabolcs Kiss</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Doctoral School of Clinical Medicine, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<author>
<name sortKey="Foldi, Maria" sort="Foldi, Maria" uniqKey="Foldi M" first="Mária" last="Földi">Mária Földi</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Centre for Translational Medicine, Department of Medicine, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Doctoral School of Clinical Medicine, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Doctoral School of Clinical Medicine, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<author>
<name sortKey="Dembrovszky, Fanni" sort="Dembrovszky, Fanni" uniqKey="Dembrovszky F" first="Fanni" last="Dembrovszky">Fanni Dembrovszky</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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</author>
<author>
<name sortKey="Kanjo, Anna" sort="Kanjo, Anna" uniqKey="Kanjo A" first="Anna" last="Kanjo">Anna Kanjo</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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<affiliation wicri:level="3">
<nlm:affiliation>Heim Pál National Pediatric Institute, Budapest, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Heim Pál National Pediatric Institute, Budapest</wicri:regionArea>
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<settlement type="city">Budapest</settlement>
<region nuts="2">Hongrie centrale</region>
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<author>
<name sortKey="Pazmany, Piroska" sort="Pazmany, Piroska" uniqKey="Pazmany P" first="Piroska" last="Pázmány">Piroska Pázmány</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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<affiliation wicri:level="3">
<nlm:affiliation>Heim Pál National Pediatric Institute, Budapest, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Heim Pál National Pediatric Institute, Budapest</wicri:regionArea>
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<settlement type="city">Budapest</settlement>
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<author>
<name sortKey="Varr, Andras" sort="Varr, Andras" uniqKey="Varr A" first="András" last="Varr">András Varr</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Pharmacology and Pharmacotherapy, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacology and Pharmacotherapy, University of Szeged, Szeged</wicri:regionArea>
<wicri:noRegion>Szeged</wicri:noRegion>
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<author>
<name sortKey="Csath, Arpad" sort="Csath, Arpad" uniqKey="Csath A" first="Árpád" last="Csath">Árpád Csath</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Behavioral Sciences, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Behavioral Sciences, Medical School, University of Pécs, Pécs</wicri:regionArea>
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</author>
<author>
<name sortKey="Helyes, Zsuzsanna" sort="Helyes, Zsuzsanna" uniqKey="Helyes Z" first="Zsuzsanna" last="Helyes">Zsuzsanna Helyes</name>
<affiliation wicri:level="1">
<nlm:affiliation>János Szentágothai Research Centre, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>János Szentágothai Research Centre, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Pharmacology and Pharmacotherapy, Medical School, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Peterfi, Zoltan" sort="Peterfi, Zoltan" uniqKey="Peterfi Z" first="Zoltán" last="Péterfi">Zoltán Péterfi</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Infectious Diseases, 1st Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Division of Infectious Diseases, 1st Department of Medicine, Medical School, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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</author>
<author>
<name sortKey="Czopf, Laszl" sort="Czopf, Laszl" uniqKey="Czopf L" first="Lászl" last="Czopf">Lászl Czopf</name>
<affiliation wicri:level="1">
<nlm:affiliation>Division of Cardiology, First Department of Medicine, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Division of Cardiology, First Department of Medicine, Medical School, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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</author>
<author>
<name sortKey="Kiss, Istvan" sort="Kiss, Istvan" uniqKey="Kiss I" first="István" last="Kiss">István Kiss</name>
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<nlm:affiliation>Department of Public Health, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Department of Public Health, Medical School, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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</author>
<author>
<name sortKey="Zemplenyi, Antal" sort="Zemplenyi, Antal" uniqKey="Zemplenyi A" first="Antal" last="Zemplényi">Antal Zemplényi</name>
<affiliation wicri:level="1">
<nlm:affiliation>Health Technology Assessment Center, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Health Technology Assessment Center, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Division of Pharmacoeconomics, Department of Pharmaceutics, Faculty of Pharmacy, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Division of Pharmacoeconomics, Department of Pharmaceutics, Faculty of Pharmacy, University of Pécs, Pécs</wicri:regionArea>
<wicri:noRegion>Pécs</wicri:noRegion>
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</author>
<author>
<name sortKey="Czapari, D Ra" sort="Czapari, D Ra" uniqKey="Czapari D" first="D Ra" last="Czapári">D Ra Czapári</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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</author>
<author>
<name sortKey="Hegyi, Eszter" sort="Hegyi, Eszter" uniqKey="Hegyi E" first="Eszter" last="Hegyi">Eszter Hegyi</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<affiliation wicri:level="1">
<nlm:affiliation>Faculty of Law, University of Szeged, Szeged, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
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<author>
<name sortKey="Dobszai, Dalma" sort="Dobszai, Dalma" uniqKey="Dobszai D" first="Dalma" last="Dobszai">Dalma Dobszai</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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</author>
<author>
<name sortKey="Mikl S, Em Ke" sort="Mikl S, Em Ke" uniqKey="Mikl S E" first="Em Ke" last="Mikl S">Em Ke Mikl S</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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</author>
<author>
<name sortKey="Marta, Attila" sort="Marta, Attila" uniqKey="Marta A" first="Attila" last="Márta">Attila Márta</name>
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<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<author>
<name sortKey="T Th, Dominika" sort="T Th, Dominika" uniqKey="T Th D" first="Dominika" last="T Th">Dominika T Th</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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</author>
<author>
<name sortKey="Farkas, Richard" sort="Farkas, Richard" uniqKey="Farkas R" first="Richard" last="Farkas">Richard Farkas</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
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<author>
<name sortKey="Farkas, Nelli" sort="Farkas, Nelli" uniqKey="Farkas N" first="Nelli" last="Farkas">Nelli Farkas</name>
<affiliation wicri:level="1">
<nlm:affiliation>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
<wicri:regionArea>Institute for Translational Medicine, Medical School, University of Pécs, Szigeti út 12, Pécs, H-7624</wicri:regionArea>
<wicri:noRegion>H-7624</wicri:noRegion>
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<affiliation wicri:level="1">
<nlm:affiliation>Institute Bioanalysis, Medical School, University of Pécs, Pécs, Hungary.</nlm:affiliation>
<country xml:lang="fr">Hongrie</country>
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<name sortKey="Zsigmond, Borbala" sort="Zsigmond, Borbala" uniqKey="Zsigmond B" first="Borbála" last="Zsigmond">Borbála Zsigmond</name>
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<name sortKey="Nagy, Anik" sort="Nagy, Anik" uniqKey="Nagy A" first="Anik" last="Nagy">Anik Nagy</name>
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<title level="j">Trials</title>
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<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Alcohol Drinking (adverse effects)</term>
<term>Betacoronavirus (pathogenicity)</term>
<term>Coronavirus Infections (diagnosis)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (virology)</term>
<term>Exercise (MeSH)</term>
<term>Feeding Behavior (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Education (MeSH)</term>
<term>Health Knowledge, Attitudes, Practice (MeSH)</term>
<term>Health Status (MeSH)</term>
<term>Host-Pathogen Interactions (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Hungary (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Health (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Pandemics (prevention & control)</term>
<term>Pneumonia, Viral (diagnosis)</term>
<term>Pneumonia, Viral (mortality)</term>
<term>Pneumonia, Viral (prevention & control)</term>
<term>Pneumonia, Viral (virology)</term>
<term>Pragmatic Clinical Trials as Topic (MeSH)</term>
<term>Protective Factors (MeSH)</term>
<term>Risk Assessment (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Risk Reduction Behavior (MeSH)</term>
<term>Smoking (adverse effects)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Appréciation des risques (MeSH)</term>
<term>Betacoronavirus (pathogénicité)</term>
<term>Comportement alimentaire (MeSH)</term>
<term>Comportement de réduction des risques (MeSH)</term>
<term>Connaissances, attitudes et pratiques en santé (MeSH)</term>
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<term>Essais cliniques pragmatiques comme sujet (MeSH)</term>
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<term>Facteurs de risque (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
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<term>Hongrie (MeSH)</term>
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<term>Infections à coronavirus (mortalité)</term>
<term>Infections à coronavirus (prévention et contrôle)</term>
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<term>Pneumopathie virale (prévention et contrôle)</term>
<term>Pneumopathie virale (virologie)</term>
<term>Santé mentale (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
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<term>Éducation pour la santé (MeSH)</term>
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<term>Betacoronavirus</term>
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<term>Coronavirus Infections</term>
<term>Pandemics</term>
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<term>Infections à coronavirus</term>
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<term>Comportement de réduction des risques</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Early reports indicate that COVID-19 may require intensive care unit (ICU) admission in 5-26% and overall mortality can rise to 11% of the recognised cases, particularly affecting the elderly. There is a lack of evidence-based targeted pharmacological therapy for its prevention and treatment. We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>PROACTIVE-19 is a pragmatic, randomised controlled clinical trial with adaptive "sample size re-estimation" design. Hungarian population over the age of 60 years without confirmed COVID-19 will be approached to participate in a telephone health assessment and lifestyle counselling voluntarily. Volunteers will be randomised into two groups: (A) general health education and (B) personalised health education. Participants will go through questioning and recommendation in 5 fields: (1) mental health, (2) smoking habits, (3) physical activity, (4) dietary habits, and (5) alcohol consumption. Both groups A and B will receive the same line of questioning to assess habits concerning these topics. Assessment will be done weekly during the first month, every second week in the second month, then monthly. The composite primary endpoint will include the rate of ICU admission, hospital admission (longer than 48 h), and mortality in COVID-19-positive cases. The estimated sample size is 3788 subjects per study arm. The planned duration of the follow-up is a minimum of 1 year.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>These interventions may boost the body's cardiovascular and pulmonary reserve capacities, leading to improved resistance against the damage caused by COVID-19. Consequently, lifestyle changes can reduce the incidence of life-threatening conditions and attenuate the detrimental effects of the pandemic seriously affecting the older population.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>TRIAL REGISTRATION</b>
</p>
<p>The study has been approved by the Scientific and Research Ethics Committee of the Hungarian Medical Research Council (IV/2428- 2 /2020/EKU) and has been registered at clinicaltrials.gov ( NCT04321928 ) on 25 March 2020.</p>
</div>
</front>
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<Year>2020</Year>
<Month>10</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>10</Month>
<Day>13</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1745-6215</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>21</Volume>
<Issue>1</Issue>
<PubDate>
<Year>2020</Year>
<Month>Sep</Month>
<Day>29</Day>
</PubDate>
</JournalIssue>
<Title>Trials</Title>
<ISOAbbreviation>Trials</ISOAbbreviation>
</Journal>
<ArticleTitle>Personalised health education against health damage of COVID-19 epidemic in the elderly Hungarian population (PROACTIVE-19): protocol of an adaptive randomised controlled clinical trial.</ArticleTitle>
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<MedlinePgn>809</MedlinePgn>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Early reports indicate that COVID-19 may require intensive care unit (ICU) admission in 5-26% and overall mortality can rise to 11% of the recognised cases, particularly affecting the elderly. There is a lack of evidence-based targeted pharmacological therapy for its prevention and treatment. We aim to compare the effects of a World Health Organization recommendation-based education and a personalised complex preventive lifestyle intervention package (based on the same WHO recommendation) on the outcomes of the COVID-19.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">PROACTIVE-19 is a pragmatic, randomised controlled clinical trial with adaptive "sample size re-estimation" design. Hungarian population over the age of 60 years without confirmed COVID-19 will be approached to participate in a telephone health assessment and lifestyle counselling voluntarily. Volunteers will be randomised into two groups: (A) general health education and (B) personalised health education. Participants will go through questioning and recommendation in 5 fields: (1) mental health, (2) smoking habits, (3) physical activity, (4) dietary habits, and (5) alcohol consumption. Both groups A and B will receive the same line of questioning to assess habits concerning these topics. Assessment will be done weekly during the first month, every second week in the second month, then monthly. The composite primary endpoint will include the rate of ICU admission, hospital admission (longer than 48 h), and mortality in COVID-19-positive cases. The estimated sample size is 3788 subjects per study arm. The planned duration of the follow-up is a minimum of 1 year.</AbstractText>
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<AbstractText Label="TRIAL REGISTRATION" NlmCategory="BACKGROUND">The study has been approved by the Scientific and Research Ethics Committee of the Hungarian Medical Research Council (IV/2428- 2 /2020/EKU) and has been registered at clinicaltrials.gov ( NCT04321928 ) on 25 March 2020.</AbstractText>
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<name sortKey="Czapari, D Ra" sort="Czapari, D Ra" uniqKey="Czapari D" first="D Ra" last="Czapári">D Ra Czapári</name>
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<name sortKey="Dembrovszky, Fanni" sort="Dembrovszky, Fanni" uniqKey="Dembrovszky F" first="Fanni" last="Dembrovszky">Fanni Dembrovszky</name>
<name sortKey="Dembrovszky, Fanni" sort="Dembrovszky, Fanni" uniqKey="Dembrovszky F" first="Fanni" last="Dembrovszky">Fanni Dembrovszky</name>
<name sortKey="Dobszai, Dalma" sort="Dobszai, Dalma" uniqKey="Dobszai D" first="Dalma" last="Dobszai">Dalma Dobszai</name>
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<name sortKey="Farkas, Nelli" sort="Farkas, Nelli" uniqKey="Farkas N" first="Nelli" last="Farkas">Nelli Farkas</name>
<name sortKey="Farkas, Richard" sort="Farkas, Richard" uniqKey="Farkas R" first="Richard" last="Farkas">Richard Farkas</name>
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<name sortKey="Foldi, Maria" sort="Foldi, Maria" uniqKey="Foldi M" first="Mária" last="Földi">Mária Földi</name>
<name sortKey="Foldi, Maria" sort="Foldi, Maria" uniqKey="Foldi M" first="Mária" last="Földi">Mária Földi</name>
<name sortKey="Foldi, Maria" sort="Foldi, Maria" uniqKey="Foldi M" first="Mária" last="Földi">Mária Földi</name>
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<name sortKey="Hegyi, Eszter" sort="Hegyi, Eszter" uniqKey="Hegyi E" first="Eszter" last="Hegyi">Eszter Hegyi</name>
<name sortKey="Hegyi, Peter" sort="Hegyi, Peter" uniqKey="Hegyi P" first="Péter" last="Hegyi">Péter Hegyi</name>
<name sortKey="Hegyi, Peter" sort="Hegyi, Peter" uniqKey="Hegyi P" first="Péter" last="Hegyi">Péter Hegyi</name>
<name sortKey="Hegyi, Peter" sort="Hegyi, Peter" uniqKey="Hegyi P" first="Péter" last="Hegyi">Péter Hegyi</name>
<name sortKey="Hegyi, Peter" sort="Hegyi, Peter" uniqKey="Hegyi P" first="Péter" last="Hegyi">Péter Hegyi</name>
<name sortKey="Hegyi, Peter J" sort="Hegyi, Peter J" uniqKey="Hegyi P" first="Péter J" last="Hegyi">Péter J. Hegyi</name>
<name sortKey="Hegyi, Peter J" sort="Hegyi, Peter J" uniqKey="Hegyi P" first="Péter J" last="Hegyi">Péter J. Hegyi</name>
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<name sortKey="Helyes, Zsuzsanna" sort="Helyes, Zsuzsanna" uniqKey="Helyes Z" first="Zsuzsanna" last="Helyes">Zsuzsanna Helyes</name>
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<name sortKey="Juhasz, Mark Felix" sort="Juhasz, Mark Felix" uniqKey="Juhasz M" first="Márk Félix" last="Juhász">Márk Félix Juhász</name>
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<name sortKey="Kanjo, Anna" sort="Kanjo, Anna" uniqKey="Kanjo A" first="Anna" last="Kanjo">Anna Kanjo</name>
<name sortKey="Kanjo, Anna" sort="Kanjo, Anna" uniqKey="Kanjo A" first="Anna" last="Kanjo">Anna Kanjo</name>
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<name sortKey="Kiss, Szabolcs" sort="Kiss, Szabolcs" uniqKey="Kiss S" first="Szabolcs" last="Kiss">Szabolcs Kiss</name>
<name sortKey="Kiss, Szabolcs" sort="Kiss, Szabolcs" uniqKey="Kiss S" first="Szabolcs" last="Kiss">Szabolcs Kiss</name>
<name sortKey="Kiss, Szabolcs" sort="Kiss, Szabolcs" uniqKey="Kiss S" first="Szabolcs" last="Kiss">Szabolcs Kiss</name>
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<name sortKey="Peth, Gabor" sort="Peth, Gabor" uniqKey="Peth G" first="Gábor" last="Peth">Gábor Peth</name>
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<name sortKey="Pinter, Erika" sort="Pinter, Erika" uniqKey="Pinter E" first="Erika" last="Pintér">Erika Pintér</name>
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<name sortKey="Szak, Lajos" sort="Szak, Lajos" uniqKey="Szak L" first="Lajos" last="Szak">Lajos Szak</name>
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<name sortKey="Szakacs, Zsolt" sort="Szakacs, Zsolt" uniqKey="Szakacs Z" first="Zsolt" last="Szakács">Zsolt Szakács</name>
<name sortKey="Szentesi, Andrea" sort="Szentesi, Andrea" uniqKey="Szentesi A" first="Andrea" last="Szentesi">Andrea Szentesi</name>
<name sortKey="Szentesi, Andrea" sort="Szentesi, Andrea" uniqKey="Szentesi A" first="Andrea" last="Szentesi">Andrea Szentesi</name>
<name sortKey="Szentesi, Andrea" sort="Szentesi, Andrea" uniqKey="Szentesi A" first="Andrea" last="Szentesi">Andrea Szentesi</name>
<name sortKey="T Th, Dominika" sort="T Th, Dominika" uniqKey="T Th D" first="Dominika" last="T Th">Dominika T Th</name>
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<name sortKey="Vancsa, Szilard" sort="Vancsa, Szilard" uniqKey="Vancsa S" first="Szilárd" last="Váncsa">Szilárd Váncsa</name>
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<name sortKey="Vorhendi, N Ra" sort="Vorhendi, N Ra" uniqKey="Vorhendi N" first="N Ra" last="Vörhendi">N Ra Vörhendi</name>
<name sortKey="Vorhendi, N Ra" sort="Vorhendi, N Ra" uniqKey="Vorhendi N" first="N Ra" last="Vörhendi">N Ra Vörhendi</name>
<name sortKey="Zadori, Noemi" sort="Zadori, Noemi" uniqKey="Zadori N" first="Noémi" last="Zádori">Noémi Zádori</name>
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<name sortKey="Zemplenyi, Antal" sort="Zemplenyi, Antal" uniqKey="Zemplenyi A" first="Antal" last="Zemplényi">Antal Zemplényi</name>
<name sortKey="Zsigmond, Borbala" sort="Zsigmond, Borbala" uniqKey="Zsigmond B" first="Borbála" last="Zsigmond">Borbála Zsigmond</name>
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<country name="Pologne">
<noRegion>
<name sortKey="Molnar, Zsolt" sort="Molnar, Zsolt" uniqKey="Molnar Z" first="Zsolt" last="Molnár">Zsolt Molnár</name>
</noRegion>
</country>
</tree>
</affiliations>
</record>

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