A605of treatment, where the training of the transverse abdominis muscle was stressed. Pearson product moment correlations, ANOVAs and paired sample t-tests were used to examine relationship. P < 0.05 was considered statistically significant. Results: The prevalence of DRA in our population was 46.5%. There was a measurable difference between the DRA and age (p= 0.099), BMI (p= 0.129), number of pregnancies (p= 0.126), and type of delivery (p= 0.058). The results between the number of deliveries and the IRD were significant (p< 0.001). We found a significant difference in quality of life (p= 0.017), in presence of low back pain (p= 0.039) and urinary incontinence (p= 0.028) between the normal and the DRA group. After the three month treatment we measured a significant (p= 0.028) smaller interrectus distance at the patients. ConClusions: Almost every second women are affected by diastasis recti. This condition predisposes on low back pain and urinary incontinence, therefore on a decreased quality of life. For that very reason it would be necessary to open the women's eyes to the benefits of physiotherapy.

In line with the literature we found, that diastasis recti can predispose on serious sequelae, hence on decreased quality of life. Orv. Hetil., 2017, 158(12), 454-460.

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Introduction and hypothesisThe Female Sexual Function Index (FSFI) has been used for clinical and research purposes in many countries. The aim of this study was to translate, adapt and perform a psychometric validation of a Hungarian version of the FSFI.MethodsThe FSFI was translated into Hungarian, and its precision was ascertained through reverse translation by an expert team. As a first step, 40 volunteers participated in an evaluation of the test-retest reliability of the Hungarian version over a 2-week period. After that, 418 (331 control and 87 with pelvic organ prolapse) women who had been in a stable sexual relationship in the previous 4 weeks participated in the study. The data were summarized using descriptive statistics. The structure validity was examined by confirmatory factor analysis, with which we tested the hypothesized original factor structure, using maximum likelihood model estimation. We calculated the Comparative Fit Index (CFI), root mean square error of approximation (RMSEA), standardized root mean residual and Akaike information criterion (AIC). To test the internal consistency, Cronbach’s alpha coefficients of the full scale were determined. Spearman’s rank correlation was used for testing divergent validity and Mann-Whitney U-test for examining discriminant validity.ResultsThe FSFI was easily understandable and acceptable as well as capable of adequately evaluating and measuring various aspects of female sexual functioning. A high degree of internal consistency was demonstrated by the Cronbach’s alpha value (0.963).ConclusionThe FSFI Hungarian version is a valid tool that measures the same functioning as the original English questionnaire.

Mass spectrometry imaging is a sensitive method for detecting molecules in tissues in their native form. Lipids mainly act as energy stores and membrane constituents, but they also play a role in lipid signaling. Previous studies have suggested an important role of lipids in implantation; therefore, our aim was to investigate the lipid changes during this period based on the available literature. The systematic literature search was performed on Ovid MEDLINE, Cochrane Library, Embase, and LILACS. We included studies about lipid changes in the early embryonal stage of healthy mammalian development published as mass spectrometry imaging. The search retrieved 917 articles without duplicates, and five articles were included in the narrative synthesis of the results. Two articles found a different spatial distribution of lipids in the early bovine embryo and receptive uterus. Three articles investigated lipids in mice in the peri-implantation period and found a different spatial distribution of several glycerophospholipids in both embryonic and maternal tissues. Although only five studies from three different research groups were included in this systematic review, it is clear that the spatial distribution of lipids is diverse in different tissues and their distribution varies from day to day. This may be a key factor in successful implantation, but further studies are needed to elucidate the exact mechanism.