Lege Artis Medicinae - 1992;2(07)

Lege Artis Medicinae

JULY 29, 1992

[The role of prostacyclin in the function of the gastric mucosa]

BÁLINT Gábor Sándor

[The intracellular effect of exogenously admi nistered prostacyclin in the gastric mucosa seems to be a polyphasic one, namely: 1. effect on the cyclic nucleotide (CAMP, CGMP) turnover, 2. effect on the calmodulin-content, 3. DNA and RNA changes 4. influence on protein synthesis 5. new cell formation. Besides the endogenous prostacyclin exerts a natural protection against damaging noxae, thus maintaining the physiological integrity of the mucosa. ]

Lege Artis Medicinae

JULY 29, 1992

[What is the cause of delay in the diagnosis of the primary sjögren's syndrome?]

ZEHER Margit, SZEGEDI Gyula

[Primary Sjögren's syndrome is the most frequent polysystemic autoimmune disease after rheumatoid arthritis. Keratoconjunctivitis sicca and xerostomia are characteristic of primary Sjögren's syndrome but the evolution of these signs may exist for years, and only one of them may be observed for a long time. Arthritis and enlargement of the parotid and submandibular glands are rarely observed as first symptom. The diagnosis of primary Sjögren's syndrome is based on the evaluation of the obligate... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Clinical principles in the diagnosis and therapy of disseminated intravascular coagulation]

SAS Géza

[Psychologically intravascular coagulation of the blood is hampered by the endothelium, the inhibitors of the coagulation system and the circulation as well. Various pathological events may the diffuse activation of the blood coagulation factors causing disseminated intravascular coagulation. The two main consequences of the DIC are ischaemia in the organs concerned and the consumption of the blood coagulation factors. The activation of the fibrinolytic system improves the former though... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Laboratory diagnosis of disseminated intravascular coagulation]

HORVÁTH Andrea Rita, MUSZBEK László

[Disseminated intravascular coagulation (DIC) is a highly dynamic process with a broad spectrum of clinical manifestations and laboratory findings. There is no specific laboratory test for the diagnosis of DIC. For the reliable diagnosis of DIC we recommend a test-panel which can be divided into three groups: 1, The screening tests include the measurement of prothrombin time, activated partial thromboplastin time, trombin time, platelet count and detection of fibrin monomers; 2, The diagnosis... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Tissue banking: possibility and challenge]

CSÖNGE Lajos

[The development of the tissue banking techniques has made possible the production of wide range of differently preserved collagen based tissue grafts (skin, bone, dura mater, fascia lata). Excellent clinical results have been obtained by the application of allogeneic and xenogeneic grafts. The article summarizes the activity fields of tissue banks in the USA and in Europe. The review presents the most important aspects of tissue banking, antigenicity, sterility, preservation and storage of... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Cardiac Arrhythmia Suppression Trial]

MATOS Lajos

[ Arrhythmia-related death and non-fatal cardiac arrest were 4.5% in the encainide and flecainide group (33 out of 730 patients), compared with only 1.2% in the placebo group (9 out of 725). The relative risk was found to be 3.6%. The overall mortality rate was also higher in the group treated with active agents (7.7%) than among those treated with placebo (3.0%). The relative risk in the latter group was 2.5%.]

Lege Artis Medicinae

JULY 29, 1992

[Clinical efficacy of daily once given netlimicin + ceftriaxon vs twice given netilmicin + ceftazidim in the treatment of severe nosocomial infections]

LUDWIG Endre, MAGYAR Tamás, LÁNYI Péter, SZÉKELY Éva

[The combination of a beta-lactam and an aminoglycoside antibiotic is widely accepted in the treatment of severe nosocomial infections. In our study we compared two antibiotic regimens: the clinical efficacy of ceftriaxon + netilmicin once-a-day vs ceftazidim + netilmicin twice a-day. Patients: suffering from severe nosocomial infections and characterized by APACHE II, sepsis and injury scores. Dosage: Group | (n=30) – ceftriaxon 2 g iv. + netilmicin (2–7 mg/kg/bw) in one single dose. Group II... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Metoprolol Atherosclerosis Prevention in Hypertension]

MATOS Lajos

[The two treatments achieved the same blood pressure. Both cardiovascular mortality and all-cause mortality were lower in the metoprolol-treated group. Smokers in the metoprolol group also had significantly lower mortality than those treated with diuretics (p<0.01).]

Lege Artis Medicinae

JULY 29, 1992

[Cases of the aspiration of iron containiny tables]

BAKTAI György, SÁRVÁRI Katalin, KOVÁCS Lajos, MÁRIALIGETI Tivadar, NAGY Zsuzsanna, SÉLLYEI Erzsébet

[Oral administration of ferrous salts is common in infancy and childhood in curing iron deficiency anaemia. The damage in the bronchi caused by the widely used iron containing tablet, Tardyferon bébé and its consequences are discussed through three cases and reviewing the literature. The children were jounger then half year at the time of aspiration. The observation time lasted from the aspiration 35, 44 and 74 month respectively. The right side was attached, mainly. The course of the illness... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Basic training in psychotherapy for district doctors (future family doctors)]

GÉCZY Anna, NEMESSÚRI Judit, SIMON Lajos, TÖLGYES Tamás

[As an extension of its psychotherapy courses, the Psychiatric and Psychotherapy Clinic of the SOTE Nap Street Mental Health Department - going back to the clinical training tradition created by Professor Pál Juhász - organised a basic psychotherapy course for rural district doctors. The aim of the training course is to prepare district doctors to perform complex family medicine tasks to a high standard. ]

Lege Artis Medicinae

JULY 29, 1992

[Measuring the quality of life of breast cancer patients]

CSÉPE Péter

[After a review of quality of life studies the author describe a questionary worked out by Schipper in 1984. The quality of life of 118 breast cancer patients was measured during adjuvant chemotherapy. We have got information about physical concerns, future orientation, social functioning and emotional well being of our patients. We could detect the changes in their quality of life, so we could improve it with therapeutic interventions. The survey can influence the attitude of health care... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Ethical reflections on the practice of artificial insemination with husband's sperm]

BODNÁR Béla, LAMPÉ László

[The authors survey the judgement of the arteficial insemination by husband (arteficial insemination with partner's sperm) by the great religions of the world. After expounding the main ethical guidelines they analyse the present situation in Hungary. Based on the legal rules and the medical practice they draw up the ethical arguments both in favour and against the use of AIH (AIP). Finally a list of practical guidelines is given according to which the AIH (AIP) is ethically acceptable and meet... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Autotransfusion]

[Recommendation of the College of Transfusiology May 1992]

Lege Artis Medicinae

JULY 29, 1992

[Interdisciplinary quality assurance of hospital infrastructure Part I]

EUGEN Hauke

[Quality assurance has become a common and frequent concept for doctors and nursing staff, with studies and practical examples in many countries. However, progress in practical measures varies widely (1); What is the infrastructure of a hospital?; The importance of organisation; The importance of doctors in quality assurance; Why quality assurance is needed in direct patient care; How to ensure quality in indirect patient care;]

Lege Artis Medicinae

JULY 29, 1992

[Dilemmas of the holistic systems approach]

SÁRVÁRI György

[Certainly one of the finest thinkers of the twentieth century, Martin Heidegger († 1976) accused Western thought since Plato of losing its sensitivity to ontological differences. It has become indifferent to being as the universal basis of existence. In 1950, in his Holzwege, Dead Ends, he sketches existence as a mysterious forest in which different systems of interpretation (logging roads-Holzwege) try to explore the fundamental questions of man and science from different angles. These... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Report]

[Interpellation of György Danis to Dr. László Surján, Minister of National Welfare, on "The working capacity of the health care system"]

Lege Artis Medicinae

JULY 29, 1992

[The point is elsewhere]

ANDRÁS László

[For months, health workers and the health press have been preoccupied with what is happening around the cards, the wage demands - and the fact that they are not being met - the change in the rules for sick pay, the introduction of doctor ID stamps and who knows what else important developments in the reform. All the while, little attention is being paid to the transformation of social security, which is the financial backbone of health care, the financier and the determinant of all this, apart... tovább »

Lege Artis Medicinae

JULY 29, 1992

[Report of the Health Insurance Supervisory Committee]

BOD Péter, KAMENCZKY István

[Recent activities; Main tasks facing the EFB; Joint decision]

Lege Artis Medicinae

JULY 29, 1992

[The age of jurisdictional disputes]

ANDRÁS László

["I notice that the parties have been deflated on the social security issue. The best election manifestos could be competed: on the future of social security, its fate, its self-government. I would urge the parties to debate these issues again and again, asking new questions." - said independent MEP Károly Eke. There have been many reports about tensions between the new players in health and social policy and the old ones - the OTF and the Ministry of Welfare. Accordingly, the unusually large... tovább »

Lege Artis Medicinae

JULY 29, 1992

["Third Way" hospice care in France]

HEGEDŰS Katalin

[At the beginning of the year, I spent a month in Paris studying hospice care. The hospice movement in the English Saxon countries has a history going back several decades. Christopher Hospice was founded by Cicely Saunders in 1967, but the work of Elisabeth Kübler-Ross and Mother Teresa of Calcutta is also well known in Hungary. In France, this movement only began to develop in the 1980s, so the relatively recent experience there can be very instructive for us too. ]

Lege Artis Medicinae

JULY 29, 1992

[Jan Radlica, physician to King Louis the Great]

STANISLAW Sroka

[The famous doctor Jan Radlica was Polish by birth. He was born in Radliczyce, a village near Kalisz, in Greater Poland. His parents were Michal and Krystyha. He showed great interest towards medicine from an early age, but it was not until 1361, when he was an adult, that he travelled to France to study at the University of Montpellier, famous for its medical faculty, where he obtained a baccalaureate in theology and medicine.]

Lege Artis Medicinae

JULY 29, 1992

[The Prophet Elisha and the Sunamite woman]

NÉMET István

[Very little is known about the life of Gerbrandt van den Eeckhout (1621-1674), the painter of the picture on the title page. Arnold Houbraken, in his collection of biographies from the early 18th century, reports that the artist was a pupil of Rembrandt sometime in the second half of the 1630s, but remained on friendly terms with his master afterwards. Eeckhout, like Rembrandt's other pupils, often captured lesser-known Old Testament scenes, including the Budapest picture painted in 1664. ]

Lege Artis Medicinae

JULY 29, 1992

An Englishman in Szeged

BÁNHEGYI Csaba

In the last 2 weeks of April, I hosted a couple from England. The male member of the couple is a fifth year medical student in Sheffield. During their visit we talked a lot about the situation of Hungarian doctors and medical students. It occurred to me that it would be worthwhile to present what's new on this front in the UK. Of course, only a short extract from these long conversations is given here. I hope that no one will have any difficulty in understanding the English version.

Lege Artis Medicinae

JULY 29, 1992

[About books]

NAGY Imre

[A review of the book written by Dr. Gaál Csaba : "Surgery"]