Lege Artis Medicinae - 1993;3(05)

Lege Artis Medicinae

MAY 26, 1993

[The prerequisite of T cell recognition: antigen processing and presentation]

RAJNAVÖLGYI Éva

[Multiple regulatory mechnanisms are activated wit hin the immune system to maintain the homeostasis of the organism. A key element of these processes is the specific recognition of antigens mediated by T and B lymphocytes. This is the basis of clonal selection and antigen specific activation of the immune system (LAM 1991. 1(18):1308–1314.) which results in the most efficient elimination of the antigen. T cells play a predominant role in the discrimination of self and non-self structures.... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Thoughts on radical hysterectomy]

BŐSZE Péter

[Radical hysterectomy and pelvic lymphade nectomy have been used for the treatment of carcinoma of the uterine cervix in most Western countries for decades. These surgical procedures, however, have rarely been advocated in Hungary. Advantages and disadvantages of radical hysterectomy with pelvic and paraaortic lymph node dissection are discussed. Emphasis is placed on patient selection. It is the author's view that radical surgery does have a place in the management of cervical cancer. The... tovább »

Lege Artis Medicinae

MAY 26, 1993

[The Social Security Health Insurance Fund's Mental Hygiene Board of Trustees]

[The Board of Trustees of the Social Insurance Health Insurance Fund for Mental Hygiene invites applications for the implementation of mental health promotion and mental hygiene programmes from the fund allocated by Parliament from the 1993 social insurance budget, pursuant to Act LXXXIV of 1992. ]

Lege Artis Medicinae

MAY 26, 1993

[The role of computed tomography in tumor staging of bronchogenic carcinoma]

HEILER Zoltán, PÁLFFY Gyula, KOSTIC Szilárd, MONOSTORI Zsuzsanna, REPA Imre

[Operability of lung cancer is based on the size and local extension of the tumor as well as the presence of lymph node and distant metastases. Agreement and disagreement between CT and surgical tumor staging was investigated for 197 cancer patients after surgery. Sensitivity and specificity of CT prediction ranged 57–93% and 71–100% ac cording to tumor stadium. CT diagnosis has been relatively unreliable in describing tumor propagation along the pulmonary veins (less frequently arteries)... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Report on gastroenterological endoscopic activity in Hungary in 1992]

NAGY György, JUHÁSZ László

[At the request and on behalf of the Endoscopic Section of the Hungarian Gastroenterological Society, we have compiled the main data of the Hungarian endoscopic activity in 1992. We received responses to our questionnaire from 117 endoscopic laboratories and one private endoscopic practice. The responses received were summarised in a table.]

Lege Artis Medicinae

MAY 26, 1993

[Heparin-Aspirin Reperfusion Trial]

MATOS Lajos

[Treatment efficacy was first assessed 7-24 hours after the start of rt-PA infusion: at this time, the coronary artery leading to the infarct was patency in 82% of patients also receiving heparin therapy, compared to 52% of patients receiving aspirin supplementation (p<0.0001). Vessels that were patency-free at the first test remained open in 80% of those also treated with heparin after one week, the same was 95% in those treated with aspirin (non-significant). Bleeding was observed in 18... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Gastroenterology in general practice]

ÚJSZÁSZY László

[Report on the training course organised in Hatvan on 19-20 March 1993 by the Hungarian Gastroenterological Society, the Hungarian College of Gastroenterology and the Education Committee of the Hungarian Medical Chamber with the support of MEDICOM-Glaxo.]

Lege Artis Medicinae

MAY 26, 1993

[Angioplasty Compared to Medicine]

MATOS Lajos

[PTCA was actually performed in 100 patients, 80 of whom were successful (average stenosis of 76% reduced to 36%). Two patients required immediate surgical intervention. Within six months, PTCA had to be repeated in 16 patients. Myocardial infarction occurred in 5 cases in the PTCA group and in 3 cases in the drug-treated group. After six months, 64% (61/96) of those receiving PTCA therapy were angina-free, compared with 46% of the drug-treated group (47/ 102; p<0.01). Members of the... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Risk of BCG immunotherapy for superficial bladder tumours: sideeffects and complications]

SOMOGYI László, POLYÁK László, SZÁNTÓ Árpád

[The treatment of superficial bladder tumours cannot be confined to surgical removal of the malignancy, due to the high rate of recurrence. The prevention of tumour recurrence is also an essential part of the treatment. Side effects and complications of BCG immunotherapy mounted on 152 patients are summarized. Diagnostic procedures and prevention of failures are discussed. Although the side-effects cannot be ignored, the authors express that the therapeutic advantage to adjuvant bladder... tovább »

Lege Artis Medicinae

MAY 26, 1993

[One stage procedures in the cardiac surgery]

SZABOLCS Zoltán, BODOR Elek, DZSINICH Csaba, ENTZ László, GYÖNGY Tibor, MORAVICSK Endre

[ During the last 47 months 2357 extracorporeal cardiac operations have been performed at the Cardiovascular Surgical Clinic of the Semmelweis Medical University. In 37 of these cases (1.57%) the cardiac procedure has been combined with a non-cardiac one. Concomitant carotid artery endarterectomy was performed in 30 cases. Endarterectomy of the popliteal artery, reconstruction of the innominate artery, embolectomy of the popliteal artery, reconstruction of the pseudoaneurysm of the common... tovább »

Lege Artis Medicinae

MAY 26, 1993

[H2 test for diagnosis of bacterial overgrowth in chronic pancreatitis ]

BALGHA Valéria, BERGER Zoltán, PAP Ákos

[ Increasing H2, content of exhaled alveolar air is the indicator of small bowel dysbacteriosis. 43 patients with chronic pancreatitis were examined by H2 test using lactulose and lactose loading. Increased content has been found in 32.6% of cases. In patients with alcoholic chronic pancreatitis bacterial overgrowth was somewhat more frequent, than in nonalcoholic cases. There was more bacterial over growth in non-calcifying than calcifying, in non-diabetic than diabetic, and in non-insulin... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Trial for a difficult clinical decision]

RICHARD Smith

[Many clinical decisions have to be made without adequate scientific information. One possible solution is to seek agreement between experts. Another method, detailed below, may be to conduct a legal procedure to analyse the difficult issues. This was a trial - involving lawyers, expert witnesses and a jury - on whether bone marrow transplantation should be recommended for all children with symptomatic sickle cell anaemia. With transplantation, the cure rate is around 90%, in a disease that... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Comparison of performance-related revenue and actual expenditure costs]

HEVES István

[In the introduction I would like to talk about why we consider internal allocation to be an important issue, how contingency theory can be used to describe and understand the processes that are taking place, 2. accounting as a tool for decision making and process-driven management, 3. finally, the financing field test in our institution I will illustrate the practical problems by analysing the monthly factual data for January-February 1993 and the total costs for 1992. ]

Lege Artis Medicinae

MAY 26, 1993

[Experience of the inpatient and outpatient financing trial]

NYERS Ágnes

[At the end of last year, the Ministry of Public Welfare asked all health care institutions in Zala County to carry out a trial run under the new financing system for both inpatient and outpatient care for 2 months from 1 January. The present summary is about the experience of the Zala County Hospital, but similar information was also collected in the Municipal Hospitals of Nagykanizsa and Keszthely and the State Spa Hospital of Hévíz. The aim of the article is, among other things, to make our... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Screening pains]

MATOS Lajos

[First, a subjective note: in the past year I have had the opportunity to meet several British, American health economists and organizers who were invited to Hungary at the beginning of the regime change and since then to help improve the truly sad public health situation. Without talking to each other, each was surprised and even a little amused to be told that when asked what they thought the most important things to do were, the decision-makers in the Hungarian health administration, whether... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Founding Fathers]

ANDRÁS László

[Many of the founders of MOK tell their story in different ways. There are many versions of the story. I asked Dr. Andreas Veér about this.]

Lege Artis Medicinae

MAY 26, 1993

[Information of the Presidency of the Hungarian Medical Chamber on the Chamber Act]

[After 57 years, Parliament is once again debating the law on the Hungarian Medical Chamber. At that time it took 60 years to come before the Parliament, in this case 4 years. ]

Lege Artis Medicinae

MAY 26, 1993

[Document on the organisation of the Medical Chamber]

SITKÉRY Iván

[In the 19th century, as a result of capitalist development, medical work gradually shed its mythical, magical character and the elitist activity of the guild became more and more social. The fact that, in developed countries, the doctor actively accompanies every individual from birth to death has led to a higher degree of generalisation, which has made the doctor's activity a priority in the conflict of interests of social groups and in the assertion of particular group interests.]

Lege Artis Medicinae

MAY 26, 1993

[OLADOSZ general assembly]

KRASZNAI Éva

[The National Association of Medical Laboratory Workers held its March general assembly in a desperate atmosphere. On the agenda of the meeting was a draft government decree on the "New system of social health insurance financing". ]

Lege Artis Medicinae

MAY 26, 1993

[Witch doctors and witches in 18th century dentistry]

SZŰCS Anikó

[Dentistry has always been a branch of general medicine that has developed separately. Despite common origins, from prehistoric times in the history of mankind until recently, 'doctors' were reluctant to treat teeth (1). ]

Lege Artis Medicinae

MAY 26, 1993

[Magic against the "black death"?]

KOVÁCS Zoltán

[Among the epidemic diseases that have terrified and frightened mankind for centuries, the plague, also known as the "black death", is the most common. Even today, many of us shudder at the mere mention of its name, although fortunately we have little personal experience of the disease. What was the constant experience of successive generations in the Middle Ages is almost unimaginable to 20th century man: an epidemic that regularly appeared and claimed huge victims. In the old chronicles, we... tovább »

Lege Artis Medicinae

MAY 26, 1993

[About books]

FRENKL Róbert

[About the book Pathology]

Lege Artis Medicinae

MAY 26, 1993

[Ethical and legal issues in organ transplantation]

MATKÓ Ida

[I want to examine the medical ethical and legal issues of organ transplantation practice in Hungary from the clinician's 1 . perspective. The development of diagnostic and therapeutic methods, resuscitation procedures, and the everyday practice of organ transplantation repeatedly place the physician in a situation in which medical ethical, legal and social traditions come into conflict with the physician's professional experience, conscience and scientific aspirations. Organ transplantation is... tovább »

Lege Artis Medicinae

MAY 26, 1993

[Report from the first European Botox Symposium]

GERGELY László, BARZÓ Pál

[On 23-24 January 1993, the European Botox Symposium was organised in Barcelona by the Dystonia Society of several European countries to present the method and to discuss the experience accumulated over a decade. ]