The eLitMed.hu medical portal uses computer cookies for convenient operation. Detailed information can be found in the Cookie-policy.
Lege Artis Medicinae - 1992;2(08)
Content
Lege Artis Medicinae
AUGUST 26, 1992
[The significance of interleuktin-6, it's molecular regulation in acute phase reaction]
[The multiple effectiveness of a hormone-like cytokine, interleukin-6 (IL-6) is highly important in a series of immunological, neuroendocrinological and inflammatory reactions of the mammalian organism. In this review a complex view of the gene and its regulation of IL-6 and the significance of the cytokine network in acute phase reaction is discussed. Manipulation of this complex network studied by the methodology of molecular biology and genetics provides entirely new approaches for the biotechnological and pharmacological regulation of inflammation.]
Lege Artis Medicinae
AUGUST 26, 1992
[Call for support for the Healthy Breasts Foundation]
[Hungary is one of the world's leading countries in the grim international statistics on cardiovascular disease mortality, with around 80 000 people dying every year from serious cardiovascular disorders. This figure represents nearly 55% of all deaths! The vast majority of heart disease is related to the failure of the heart's own coronary arteries, and a significant proportion of brain disease is related to damage to the brain vessels themselves.]
Lege Artis Medicinae
AUGUST 26, 1992
[The application of argon laser in cosmetological therapy]
[The author was one of the first in 1976 who began to use the various types of lasers for plastic-esthetical reasons and for therapy of skin lesions. He considers the indication spectrum of the argon laser to be the largest and its results are the best. The author summarizes and makes known the tissue-effects of the argon laser and compaes it with the tissue-destruction of other lasers and classical methods. The quality of the tissue destruction determines the indications and the applications, among them the therapy of the port wine syndrome. In the author's opini on, not the exposition time and the energy of the argon laser could be exactly determined. The experience of the physician plays the most important tole in the therapy. ]
Lege Artis Medicinae
AUGUST 26, 1992
[The mode of action of bath therapy]
[Bath therapy includes both hydro- and balneotherapy. During hydrotherapy the patient is treated by the physical parameters of the water. The effect of balneotherapy is based on the penetration of the mineral water. Its me chanism is not yet clear. There are several double-blind studies which prove the benefits of balneotherapy. Further studies are needed to judge the objective effects of balneotherapy. ]
Lege Artis Medicinae
AUGUST 26, 1992
[Correlation between clinical data and histologycal findings assessing the severity of ulcerative colitis]
[ A knowledge of the current activity of ulcerative colitis is essential in planning appropiate follow-up. Histological findings obtained from 209 colonoscopies were compared with the values of 22 clinical variables. One way analysis of variance was carried out. Of the 22 variables 11 proved to be significantly different between the groups of the clinically valuable classification (inactive, chronic, acute). Each of the three groups differed in the number of bloody stools. The acute inflammatory process was characterized by the high numbers of bowel movements, mucus and bloody mucus defecation, bowel movements at night, and haematocrit values suggesting anaemia. The serum iron levels in the inactive group differed significantly from the levels of both the acute and the chronic groups. The count of thrombocyte and the general well being were found to be valuable only in the differentiation between the acute and the inactive inflammatory processes. The computed haematocrit value proved to be useful in distinguishing the acute stage from the inactive and the chronic process. Out of the 22 variables only 11 had clinical importance in the evaluation of the activity of ulcerative colitis. ]
Lege Artis Medicinae
AUGUST 26, 1992
[First International Study of Infarct Survival]
[In the treatment period (0-7 days), vascular mortality was significantly lower in the atenolol group (3.89%) than in controls (4.57%), representing a 15% reduction in mortality, but within very wide 95% confidence interval (1- 27%). Vascular mortality at one year was also found to be significantly lower (atenolol: 10.7%, control: 12.0%,2 p<0.01). After day 365, there was slightly more vascular mortality in the active agent-treated group, but this was not significant (2p = 0.07). The administration of a beta-blocker significantly increased the use of inotropic agents (5% in the atenolol group, 3.4% in the control, 2p < 0.001), especially in the first two days (days 0-1), but it was during this period that the improvement in vascular mortality was most pronounced (atenolol: 121, control: 171 deaths)]
Lege Artis Medicinae
AUGUST 26, 1992
[An estimation of the frequency of blepharospasm and hemifacial spam in hungary]
[Authors estimate the frequency of two focal dystonias, blepharospasm and hemifacial spasm in different general practices in Hungary. There are no similar data published in the literature. This epidemiologic study was an important step in the development of a center to treat focal dystonias in Hungary, since therapeutic results with botulinum toxin injections are excellent in these disorders. ]
Lege Artis Medicinae
AUGUST 26, 1992
[Laparoscopically assisted percutaneous nephrolithotomy from a pelvic dystopic kidney]
[Authors removed pyelic stones from a pelvic dystopic kidney by percutaneous nephrolithotomy with laparoscopic controll. Dislocation of the bowels was assured with forceps inserted through a separate laparoscopic trocar, thus the transabdominal operation was avoidable. ]
Lege Artis Medicinae
AUGUST 26, 1992
[Second International Study of Infarct Survival]
[The active agents already significantly reduced vascular mortality at the first study time point (week 5) (streptokinase vs. placebo: 9.2 vs. 12%, aspirin vs. placebo: 9.4 vs. 11.8%, 2p < 0.00001 for both, streptokinase and aspirin together vs. placebo: 8.0 vs. 13.2%). The combined administration of streptokinase and aspirin was significantly more effective than separately (2p < 0.0001). Active treatment also appeared to be beneficial when started relatively late after the onset of pain. The incidence of transfusion was 0.5% in the streptokinase group and 0.2% in the placebo group) and there were more cerebral haemorrhages (streptokinase: 0.1% compared with none in the placebo group). Aspirin alone significantly reduced the incidence of re-infarction leading to death (aspirin: 1%, placebo: 2%), non-fatal stroke (0.3% vs 0.6%) and did not lead to more bleeding requiring transfusion.]
Lege Artis Medicinae
AUGUST 26, 1992
[The level and structure of AIDS-related knowledge in hungary (1991)]
[A survey was carried out with the purpose of collecting data on AIDS-related knowledge, attitudes and behavior. The results showed that the level of knowledge being at the foreground of conscious ness is rather low and increases as the questi ons tend to point toward each element of the knowledge. The highest level of knowledge can be found in the passive domain of knowledge. The structure of knowledge based on the correct answers shows an inconsistent picture in the examined domains of knowledge: there is a predominance of social-practical knowledge in the passive domain while in the active domain of knowledge the biomedical knowledge prevails. Comparing our data with those of previous researches in Hungary, a decrease was observed in the level of AIDS-related knowledge since 1987. There is a need to reconsider the whole longterm campaign against AIDS, on the one hand to create a longterm strategy instead of a shortterm one and on the other hand to force the individual into an active attitude instead of a paternalistic view. ]
Lege Artis Medicinae
AUGUST 26, 1992
[Report on gastroenterological endoscopic activity in Hungary in 1991]
[At the request and on behalf of the Endoscopic Section of the Hungarian Gastroenterological Society, we have collected the main data of the endoscopic activity in Hungary in 1991.]
Lege Artis Medicinae
AUGUST 26, 1992
[Psychoterapy as medical activity ]
[In the clinical practice we can use the medical model, the algorithm of examination, indication, choice of therapy, therapeutic process, outcome, control also in case of psychotherapies. As the location and the cause of the disorder, the place and the tool of the therapy are the same, namely the human psyche and the human interpersonal relationships the psychotherapies demand differing attitude from the somatic medicine at several points. The basic position should be summarized under the psychotherapeutic attitude. Main common parts of the psychotherapy methods are the therapeutic contract and the therapeutic relation. The different components influence the process through the person, the inner world of the patient and the therapist. Therapeutic interventions cannot be judged picked out of these interrelationships. ]
Lege Artis Medicinae
AUGUST 26, 1992
[Interdisciplinary quality assurance of hospital infrastructure Part II]
[The common task of ensuring the quality of patient care as a whole makes it clear that services not directly provided are not an end in themselves. They merely provide the conditions under which the medical-care and service process can take place at all, within the framework of the division of labour. The service requirements for indirect services therefore essentially come from doctors, nurses and those who are directly involved in the treatment of patients. ]
Lege Artis Medicinae
AUGUST 26, 1992
["The great scam"]
[Some things are becoming clearer, but other factors are still confused, despite, or perhaps because of, the arsenal of regulations. This situation is not helped much by the various meetings and briefings at which ministerial figures give answers to the questions posed in various ways that are understandable and interpretable - dodonai, one might say. In addition to the regulations, there are loopholes that can be exploited.]
Lege Artis Medicinae
AUGUST 26, 1992
[Macroplan and Microplan in paediatric practice; Thoughts on quality]
[Ensuring quality in our medical practice is a commitment. It is the condition for our efforts to be increasingly successful through the humane application of modern science and technology for the benefit of those we serve. The meaning of quality; Practical things to do; Macro-plan-micro-plan;]
Lege Artis Medicinae
AUGUST 26, 1992
[Not a miracle, but still a big help]
[The World Bank loan for health is shrouded in a mystical fog. Many are looking to 1993, the start of the programme, as a saviour. They hope for a revival of the Hungarian health sector and a change of attitude. Behind the hopes and the fogs, there is a quiet preparation going on, little known to the public. Preparations for the programme are being led by Ákos Móró, a public administrator at the Ministry of Public Welfare, former head of the Ambulance Service and one of the first to complete the Phare training course for health managers.]
Lege Artis Medicinae
AUGUST 26, 1992
[Is bankruptcy threatening social security?]
[Interpellation of László Mádi FIDESZ MEP to the Minister of Finance and the Minister of Welfare. Delivered on 9 June 1992 ]
Lege Artis Medicinae
AUGUST 26, 1992
[Hospital management questions in the LAM Club]
[István Mikola, Director General of the László Hospital in Budapest and President of the Hungarian Hospital Association, made the above statements at a meeting of the Parliament's Social Affairs Committee, in the presence of 22 of his colleagues from the capital's hospital directors. On the eve of the reform of specialised care, including inpatient care, and in the midst of the funding crisis, it was timely to hold a debate on hospital management issues at the LAM Club.]
Lege Artis Medicinae
AUGUST 26, 1992
Lege Artis Medicinae
AUGUST 26, 1992
[Hungarian Society for Quality Assurance in Health Care]
[The Hungarian association was established to facilitate cooperation between Hungarian professionals in the field of quality assurance, to become a member of the International Society For Quality Assurance In Health Care and to join international programmes, starting with the COMAC programme. The inaugural meeting and the first seminar were held on 11 and 12 June 1992 in Debrecen, in the Bartók Hall of the Golden Bull Hotel. The aim of the association is to serve as an independent professional forum in Hungary, in cooperation with the Hungarian member organisations and international organisations working in similar fields.]
Lege Artis Medicinae
AUGUST 26, 1992
[The fighting in Bosnia through the eyes of a Hungarian army doctor]
[Perhaps the most important event in Europe in the last third of the last century was the Balkan War, which lasted from 1875 to 1878 and was triggered by the crisis of the Turkish Empire, the struggle for independence of the southern Slavic peoples and the infighting of the great powers.]
Lege Artis Medicinae
AUGUST 26, 1992
[Medieval Baths]
[The high bathing culture of the Imperium Occidentale, in a life-and-death struggle with the Abarbarian peoples, has been eroded and its splendid baths have been destroyed. Baths in the monastery; City baths; Baths as entertainment; Healing bathing; Journeys to the bathing site;]
Lege Artis Medicinae
AUGUST 26, 1992
[Fine Art Column]
["Not forced"; in Ferenc Banga's drawings, this is what is striking. Indeed, the line chosen is also ambiguous. For example, the waggon winding into the crescent of the moon (Force of the Spirit) links the magician with cosmic forces (one can think of mythology: Samson's tresses or the fairytale devil).]
Lege Artis Medicinae
AUGUST 26, 1992
Lege Artis Medicinae
AUGUST 26, 1992
[New perspectives in postgraduate medical training]
[The Association of Professors of Gynecology and Obstetrics (APGO) and The Council on Resident Education in Obstetrics and Gynecology (CREOG) hold an annual joint scientific meeting to evaluate and discuss the training of obstetricians and gynecologists. This year, for the first time, the regular annual meeting of the Council of University Chairs of Obstetrics and Gynecology (CUCOG) was also held in conjunction with the meeting.]
Lege Artis Medicinae
AUGUST 26, 1992
[Why is the current health reform not encouraging?]
[I have a very kind young colleague who became a district doctor 4 years ago after nearly 10 years of hospital practice. She has since married and is currently at home with her two-year-old child. Due to changes in primary care, she has not lost her job but she lost her patients. Instead of her, other people who replaced her are collecting insurance cards from citizens in her former district. Her child is growing up, she is legally employed, only when she returns she will have no one to treat. ]
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
1.
2.
Clinical Oncology
[Pancreatic cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up]
29. AUG
3.
Clinical Oncology
[Pharmacovigilance landscape – Lessons from the past and opportunities for future]
29. AUG
4.
5.