Lege Artis Medicinae - 1991;1(14)

Lege Artis Medicinae

AUGUST 28, 1991

[Laparoscopic surgery]

ANTAL András, BÁTFAI László, EZER Péter

[In the recent years abdominal surgery has developed quickly. Laparoscopic operating procedures have spread worldwide. These techniques have reached Hungary as well, though there are only few articles in this topic. Since last December - date of the first laparoscopic cholecystectomy – more than 200 operations have been done, among them the first appendectomy. These procedures are less troublesome for the patients with better cosmetic results, and the shorter period of hospitalisation and... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Report of the American Society of Gastrointestinal Endoscopic Surgeons Postgraduate Course and Scientific Meeting]

DUBECZ Sándor

[This year's congress of the Society of American Gastrointestinal Endoscopic Surgeons (SAGES) was held in Monterey, California. As a fellow of the Department of Gastroenterology at the University of Southern California, I was able to attend the congress with the support of Dr. Berci, Professor of Surgery at Cedars-Sinai Hospital.]

Lege Artis Medicinae

AUGUST 28, 1991

[Quo vadis chirurgia biliaris?]

SÁNDOR József, IHÁSZ Mihály

[Mankind has suffered from the agony of gallstones for thousands of years. Until the second half of the last century, there was practically no cure, the only relief being spontaneous internal and external fistulas in the midst of great pain.]

Lege Artis Medicinae

AUGUST 28, 1991

[Renal cell carcinoma in a horseshoe kidney treated with radical nephrectomy]

SZENTGYÖRGYI Ervin, KONDÁS József, KONDÉR Gyula

[A horseshoe kidney is diagnosed usually after the onset of its complication or the symptoms caused by an arising tumor from it. A tumour was diagnosed in the right half of the horseshoe kidney in a 68 year old female patient by excretory urography, ultrasound examination and renovasography. The tumour was removed by radical nephrectomy. The kidney was exposed through a horizontal abdominal approach. Special attention was given to the separate renal arteries supplying the right half of the... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Recommended principles and strategies for pre-surgical evaluation and surgical resolution of epilepsy]

HALÁSZ Péter

[I. General principles before surgical treatment of epilepsy; II. The surgical investigation process; III. Indications for surgery]

Lege Artis Medicinae

AUGUST 28, 1991

[The present and future of external fixation]

CIFFER Endre

[The author details the main indications of external fixstion, as well as the professional and socioeconomic causes of recent trends. He also describes the management of extremity injuries in wartime. There is an emphasis of attainment and maintenance of transportability of the injured. For the first fixation procedure external fixation, plaster or their combination should be applied. The author's new method combines the use disposable and the sophisticated dynamic axial fixation device that... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Color doppler sonographic study of subcutan arteriovenosus (Cimino) shunts]

PÓCSIK Anna, KISS Éva

[The color Doppler method is very useful for examining the arteriovenosus fistules, the patency of anastomoses, the diagnosis and follow-up of the stenoses and for the evaluation of the lesions developed around the anastomoses. Using an Acuson 128 color Doppler ultrasound equipment, the authors have examined the subcutan arterio venosus shunts of 50 patients treated with chronic haemodialysis. 46 patients had Cimino fistulas on the lower arm, 2 had on the forearm, while two patients had graft... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Hungarian surveillance of indicator conditions caused by germinal mutations]

ELEK Csaba, CZEIZEL Endre

[Authors report the results of a ten-year study of genetic epidemiology to detect the phenotypic manifestations of germinal mutations. Three types of indicator conditions (expected to reflect appearance of new environmental mutagens) have been monitored continouusly between 1980–1989. Cases were registered in the Hungarian Congenital Abnormality Registry. The indicator conditions were: (1) sentinel anomalies as indicators of germinal dominant gene mutations. Birth prevalence of such 15... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Dilemma of the use of ionic or nonionic contrast media]

POKORNY Lajos, VADON Gábor

[The conventional contrast media are cheaper, the newer contrast media - apparently more favourable for the patients – are more expensive. On the basis of large clinical and experimental material authors are analysing the effects and usability of the different contrast agents. The examinations were performed on 812 patients and on 140 dog kidneys. On the patients different angiographies were carried out. After the injection of the contrast medium we registered the the subjective sensations,... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[The prestige and freedom of university education]

ÁNGYÁN Lajos

[It is hardly disputed that the fundamental characteristic of university education is constant renewal. However, successive educational reforms over the past decades have not only reflected this natural process, but have also sent a clear signal to all interested and concerned that medical education is sick, to the point where it needs radical remedial action. However, there has been no significant improvement, despite permanent reform. It is true that the results of the changes introduced were... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[Guidelines for the surgical treatment of epilepsy]

ANTAL János

[Epilepsy is a common disease. The American of the American population will experience a seizure at least once in their lifetime. Most of them have only one or a few seizures and never have another. About 70% of people with recurrent seizures can be treated satisfactorily with antiepileptic drugs. Every year, 150 000 Americans develop epilepsy, 10-20% of whom cannot be controlled with medication. Many patients and family members have to live with a chronic disease that diminishes the quality... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[The key to real change: management with IT]

BALOGH Nándor

[I regretted the new electoral system. Forgive me for not running for office - I don't think we've got the point this time either. What I miss in the somewhat over-politicised (albeit democratic in appearance) system is a set of criteria and examination system that meets international standards. What are the main tasks of a director, what knowledge, qualifications and qualities does he or she need to have to perform them; how and by whom is the performance of his or her work measured? Of... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[The contradictions of the organisational restructuring of public health care]

TÖRŐ Károly, KOLLÁTH György

[Our current institutional system of public health medical care has evolved over several decades. Before 1950, medical care was quite broadly organised. Primary care was provided partly by private doctors and partly by doctors from various insurance companies. Specialist and in-patient care was provided by various medical institutions (hospitals, clinics, sanatoria), which were mainly public (state and municipal hospitals, university clinics, sanatoria), partly church-run and only exceptionally... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[The Hungarian medical writers and fine arts]

VERESS Sándor, HANKISS János

[The Circle is a registered member of the International Union of Medical Writers (UMEM). The UMEM - XXXVth Congress was held in August 1990 in Hungary, at the Silver Coast in Siofok. It was the third international congress of this kind in Hungary. Initially, the UMEM only included medical writers, but a few years ago, following the Hungarian example, it also included medical artists. ]

Lege Artis Medicinae

AUGUST 28, 1991

[Is there a pressure for change in medical science?]

STUMPF János

[As a natural function of the previous state system, the medical profession has also been subjected to "reliable limits" over the past 45 years. As in other scientific fields, the MOTESZ was set up and, in the absence of the law on companies typical of civil democracies, it placed the activities of the individual scientific professional societies under its 'protective wing' and supervised them.]

Lege Artis Medicinae

AUGUST 28, 1991

[What to do and when?]

ANDRÁS László

[Pathetic and amusing is the man who, after long months, after years of siege, after saying "yes", finds himself in the position of having to start the process of fulfilling his love, and does not know how to begin. The poor man is not in an easy situation, he has enough problems: should he hug first and kiss afterwards, should he kiss at all, should he have children or not, should he first relieve his own love fever or should he establish a long relationship without any passion?]

Lege Artis Medicinae

AUGUST 28, 1991

[The insurance principle may not be a panacea]

ANDRÁS László

[Putting a twist on the well-known saying, Gábor Balogh (KDNP) would have thrown up a storm, but he'll probably only reap the wind when he reaps it. He was the protagonist of the parliamentary committee meeting on 25 June. The main item on the meeting's agenda was the continuation of the general debate on the government's report on the reform of social security and the related draft parliamentary resolution. ]

Lege Artis Medicinae

AUGUST 28, 1991

[Call of the IOC to the medical community]

[The Presidium of the Hungarian Medical Chamber, in agreement with the Chairmen of the Standing Committees, feeling its responsibility for the Hungarian medical profession, declares that in the past two years it has not been able to fully fulfil its professional, ethical and advocacy duties due to the lack of a Chamber Act and the lack of appropriate legal powers. The prepared Chamber Act has not been submitted to Parliament.]

Lege Artis Medicinae

AUGUST 28, 1991

[On doctors' sickness and mortality Part 3]

MOLNÁR László, KATONA Gábor

[One of the hypotheses of our sociological research among physicians in Budapest was that the family background of physicians also has a psychosocial double function: on the one hand, it compensates for the strain of the profession in many ways, but on the other hand, it can also be a source of additional strain.]

Lege Artis Medicinae

AUGUST 28, 1991

[Reflections on the European integration of Hungarian medicine]

HALÁSZ Katalin

[EUROPE... It must have been a dreamed goal for over a thousand years. Our squatters achieved it. Since the last century, the achievements of more than one distinguished Hungarian physician have been considered groundbreaking. In addition to Semmelweis, the life's work of several Nobel Prize-winning Hungarian scientists has proved our European existence. In our narrow field of rheumatology, too, Móric Kaposi earned worldwide recognition in the last century with his description of SLE, and is... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[About Books]

BUDA Béla

[Description of the book "Psychiatry in somatic treatment"]

Lege Artis Medicinae

AUGUST 28, 1991

[The role of caring for the dead in the development of organised lifesaving]

KISS László

[The year 1835 is a turning point in the history of salvage in Hungary. This is when Ferenc Flór's book, The Doctrine of the Revivals of the Lousy, was published. We agree with Tamás Felkai: it would be inaccurate to interpret the title of the book, as we know it today, as "Resuscitation Knowledge". In fact, Flohr was very precise. He is indeed writing about the lunatics, and about reducing the risk of burying them alive. The fear of the 'horrible burial alive' is a red thread running through... tovább »

Lege Artis Medicinae

AUGUST 28, 1991

[The anatomy lesson]

NÉMETH István

[In addition to the works depicting members of the shooting clubs and the heads of various bodies and institutions, a third important type of Dutch group portraiture of the 17th century was represented by the so-called anatomical lessons. In the Theatrum Anatomicum in Leiden, Delft and Amsterdam, there were annually public dissections were held annually. The professor of anatomy, surrounded by his students and lay visitors, gave his lecture during the dissection of the body of a public... tovább »