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Lege Artis Medicinae - 1991;1(01)
Content
Lege Artis Medicinae
JANUARY 12, 1991
[Current issues in oral anticoagulation treatment]
[Cardiovascular disease is the leading cause of death in civilised countries everywhere. The situation is particularly serious in our country: it is well known that we are one of the countries with the shortest life expectancy in Europe, precisely because of the devastating impact of circulatory diseases. While in the USA, thanks to improvements in living conditions and effective preventive measures, mortality from cardiovascular disease is falling dramatically and is being postponed to later and later years, here at home we can unfortunately expect the situation to deteriorate further in the years ahead.]
Lege Artis Medicinae
JANUARY 12, 1991
[The importance of oral symptoms in the early diagnosis of HIV infection (AIDS)]
[Oral lesions of AIDS might occur in every phase of H/V-infection, their importance in the early diagnosis and treatment is significant. The most frequent oral symptoms are: oral Candidiasis, acute necrotizing ulcerative gingivitis (ANUG) and periodontitis, herpetic infections, resistent to the usual therapy. ,,Hairy leukoplakia " of the tongue is characteristic hyperpigmentation of the oral mucosa, Kaposi's sarcoma are frequent symptoms, latter especially in more developed phases (ARC or AIDS) of the disease. Saliva-containing a factor inhibiting HIV-1 infection of human lymphocytes - has minimal importance in the transmission of the disease. Therefore, professional transmission of HIV-infection -, e. g. dental treatment of infected patients keeping the necessary cautions , - present minimal risk. The appropriate treatment of arai lesions of HIV-infected patients may help in maintaining their general health. ]
Lege Artis Medicinae
JANUARY 12, 1991
[The molecular genetics of Duchenne and Becker muscular dystrophy]
[Duchenne muscular dystrophy, an X-linked inherited disease, is the most common among the severe muscular dystrophies, yet untreatable. lts secondary prevention, however, has become possible by the rapidly developing techniques of molecular biology. The authors describe the latest methods of DNA-diagnosis used, as well as the principles of setting up a diagnostic protocol.]
Lege Artis Medicinae
JANUARY 12, 1991
[The concept of the pathomechanism of ischaemic heart disease]
[The primary atherosclerotic plaque may remain unchanged in extent for a long time and, with the right size of stenosis, results in stable angina pectoris.]
Lege Artis Medicinae
JANUARY 12, 1991
[Family medicine, home care, family care]
[General Practice as an independent speciality of medicine has a very special territory, the family care. The family care is a general wish of the society. This special care is continuously made in every fifth-sixth family. ln the author's practice in the autumn of 1989 113families and 16 lonely persons, in 1990 120 families and 18 lonely persons were controlled regularly at home. The family care, the family medicine needs special knowledge and skill. Minimal addicional technical, personal and financial support is requested, burt due to the special care activity the level of medical work increases and it becomes more humanistic, needs of hospitalization decreases and the plus expenditure refunds. Far the better evaluation of family care a more systematic undergraduate and postgraduate teaching and a special research work would be needed.]
Lege Artis Medicinae
JANUARY 12, 1991
[The Hungarian ILCO Association]
[The domestic ILCO movement celebrates its 10th anniversary this year]
Lege Artis Medicinae
JANUARY 12, 1991
[Ultrasound: present and future, an interview with professor Barry Goldberg]
[Ultrasound is a widely used and accepted diagnostic modality in the United States . There are many considerable differences between the practice of ultrasound in the United States and our country. Well-skilled sonographers are performing the examinations using abundant amounts of documentation. The main role of the physicians (sonologists) is to interpret the image. Radiologists and other physicians who are doing ultrasound are highly motivated to increase steadily the quality and quantity of ultrasound examinations. Their salary is related directly or indirectly to the number of studies performed. The medico-legal aspects of ultrasound (and of other imaging techniques) are also important. The ultrasound division of the Thomas Jefferson University Hospital in Philadelphia is considered to be the world 's largest ultrasound department. It is directed by Professor Barry B. Gold berg. He is widely known as a leading authority in the „ultrasound world" the author of more than 59 monographs and chapters of different textbooks of ultrasound , and also a pioneer of echocardiography. His first publication on ultrasouncl appearecl twenty-four years ago. During my visit in Philadelphia I had a chance to ask him some of my questions concerning present and future of ultrasound. ]
Lege Artis Medicinae
JANUARY 12, 1991
[Reform head]
[Reform change or system change?; Comments on health care reform; Privatisation of pharmaceuticals on the agenda; ]
Lege Artis Medicinae
JANUARY 12, 1991
[The draft law on chambers of commerce - heading to Parliament]
[On 15 December, the Delegates' Assembly of the Hungarian Medical Chamber debated the latest version of the draft MOK law to be submitted to Parliament, which was published on 1 December. ]
Lege Artis Medicinae
JANUARY 12, 1991
[Consent to medical intervention]
[There is no state in the world where the rules on patient consent to medical interventions are not part of the lege artis norms of medical practice. It is therefore inevitable for the doctor to be fully aware of these legal provisions. This is particularly important in our country at the present time because, unfortunately, in recent decades, the personal rights of citizens have been poorly enforced in healthcare. In the doctor-patient relationship, one of the most fundamental rights is the patient's consent to curative and preventive care, in all its details, repeatedly and continuously. This means that the recipient of medical care must give his or her consent to each medical intervention, except in the case of immediate danger to life, or the doctor cannot carry out the intervention. Furthermore, the patient may withdraw his or her consent at any time without giving any reason. This right of citizens is guaranteed by the Constitution and the Civil Code, whereas the Health Act does not provide for such a general right. As a consequence, citizens, but also doctors, are not aware of the precise rules of this fundamental right of citizens.]
Lege Artis Medicinae
JANUARY 12, 1991
[The Hungarian medical press]
[The intellectual life of every nation is celebrated with the publication of a new scientific journal, which not only expresses the strength, knowledge and commitment of a discipline and a professional, but also reflects the impact of the political life of the time. In the history of Hungarian medical journals, a viable journal was born only in the midst of a vibrant political and social life, at a time when the spirit of general political life and the creative urge of the intellectuals were stimulating each other, and when different groups were seeking a forum for the expression of their particular ideas. The founding of newspapers was, of course, closely linked to the emergence of social and associative forms of medical social life.]
Lege Artis Medicinae
JANUARY 12, 1991
[Report of the 1990 Congress of the European Association for Clinical Neuropharmacology]
[EACN was founded in 1983, mainly thanks to the efforts of Professor F. Gerstenbrand, a neurologist from Innsbruck. The basic aim of the organisation is to provide a forum for the exchange of experience between specialists in the fields of neurology and pharmacology, involving almost all the countries of Europe, mainly through annual congresses. Thus, in 1984, the Hungarian Society of Neurologists and Mental Health Practitioners was held in Budapest, under the chairmanship of Professor Endre Csanda.]
Lege Artis Medicinae
JANUARY 12, 1991
[Patient advocacy and quality control in health care work - Concerns]
[Over the last 25 years or so, the American medical sociologist Eliot Freidson (and many others in his wake) has argued in a series of books and articles that there is a growing tension in modern society between the traditional need for professional autonomy and the isolation of doctors from any external social quality control of medical and health work. ]
Lege Artis Medicinae
JANUARY 12, 1991
[You can only dream, can't you?]
[So, around exam time, the medico - who is far less burdened than he shows, or if he is, has earned it by a whole term of routine truancy - always has time to reflect on the circumstances that make his life difficult; not on the secondary school level, where educational reform is needed;]
Lege Artis Medicinae
JANUARY 12, 1991
[Asclepius representations]
[One of the pieces of the Iker coin balance, which, together with its counterpart, was part of the equipment of the Lion Apothecary in Gönc, founded in 1835. (Today it is on display in the Semmelweis Museum of Medical History.) The main decoration of the brass balance, with two weight drawers fixed to a black polished wooden base, is a statuette of Asclepius painted in patinated bronze (its pair is a statuette of Hygieia), the work of an unknown early 19th century master, a remarkable example of the Hungarian classicist woodcarving craft.]
Lege Artis Medicinae
JANUARY 12, 1991
1.
Clinical Neuroscience
[Headache registry in Szeged: Experiences regarding to migraine patients]
21. MAY
2.
Clinical Neuroscience
[The new target population of stroke awareness campaign: Kindergarten students ]
21. MAY
3.
Clinical Neuroscience
Is there any difference in mortality rates of atrial fibrillation detected before or after ischemic stroke?
27. NOV
4.
Clinical Neuroscience
Factors influencing the level of stigma in Parkinson’s disease in western Turkey
27. SEP
5.
Clinical Neuroscience
[The effects of demographic and clinical factors on the severity of poststroke aphasia]
18. JUL
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