Lege Artis Medicinae - 1993;3(08)

Lege Artis Medicinae

AUGUST 31, 1993

[The relationship between genetic polymorphism of apolipoprotein E and atherosclerosis and its relevance with clinical practice]

CSÁSZÁR Albert

[The lipoprotein metabolism, having crucial role in atherogenesis is regulated by apolipo proteins, lipoprotein receptors and lipidtrans ferase enzymes. The genetic polymorphism of these proteins has been reported to be associated with lipid disorders. Beneath the rare forms (familial hypercholesterolemia, familial defective apo B syndrome) the most important monogenetic dyslipoproteinemia seems to be related to the apolipoprotein E polymorphism. The mean serum cholesterol concentration is... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Transvaginal color doppler in early pregnancy]

SZABÓ István, CSABAY László, NÉMET János, PAPP Zoltán

[The authors performed serial examinations using a transvaginal transducer with color Doppler facilities in normal and pathologic early pregnancies in order to examine the circulatory changes in the female genital tract and developing embryo. This is a preliminary study demonstrating the application of TVCD and summarizing the main circulatory characteristics in early pregnancy as a part of a detailed program investigating circulation in the first trimester of pregnancy. Parallel with the... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Correspondence]

GÁBOR Zsuzsa

[In the May issue of your newspaper, we published the musings of doctor Lajos Matos, who complained about the "pains of screening". It is feared that a supplement could be filled with not so much refuting the arguments put forward to justify his concerns, but rather adding to them. It is worth reflecting, however, at least at the level of the list, because the train of thought, which has forgotten important aspects (and facts), has led to a very depressing conclusion. ]

Lege Artis Medicinae

AUGUST 31, 1993

[Relative antithrombotic effects of aspirin and of F(ab')2 fragments of an antibody blocking glycoprotein IIB/IIIA receptor]

KISS Róbert Gábor, JEAN-MARIE Stassen, TANIA Roskams, DÉSIRÉ Collen

[The antithrombotic effect of heparin (control group, 100 U/kg bolus and 50 U/kg/hr infusion), of heparin and aspirin (ASA group, 10 mg/kg bolus) and of heparin and F(ab')2 fragments of the murine monoclonal antibody against the platelet glycoprotein lib/Illa (GPIb/Illa) receptor (7E3-F/ab'/2 group, 0.8 mg/kg bolus) were studied in 3 groups of dogs with a 3 cm long everted (inside-out) segment of the carotid artery inserted into the femoral artery and a superimposed constriction which reduced... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Significance of intracranial lipomas in connection with a rare case ]

CSERNI Gábor

[Intracranial lipomas are rare lesions which are diagnosed in about 0,08% of autopsy cases. An intracranial lipoma in the left Sylvian area of a 93 year old woman was incidentally observed during autopsy. Histological findings supported the diagnosis based on the macroscopic characteristic features. Intracranial lipomas, which are predominantly localized in the median areas are presently considered as develop mental anomalies of the subarachnoid space and not as real tumors. The theory of their... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Boston Area Anticoagulation Trial for Atrial Fibrillation ]

MATOS Lajos

[With the exception of the first month, the prothrombin time was within the desired range for 83% of the study period. There were two "strokes" in the warfarin group (0.41%/year) and 13 in the control group (2.98%/year). The overall mortality rate was 2.25% in the warfarin group and 5.97% in the controls. Minor bleeding occurred in 38 patients on warfarin and 21 in the controls. Subsequent analysis of the control group according to whether and at what dose they were taking aspirin and the... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Diffuse primary lymphoma in the liver]

TUSNÁDI Anna, BÉNYEI Magdolna, KRASZNAI Géza

[ Primary lymphoma in the liver is extremely rare. The liver infiltration with lymphoma cells can be localized or diffuse. 3 cases of primary diffuse hepatic lymphoma have been recorded in the literature so far. The authors present a case of primary diffuse lymphoma in the liver with paraproteinaemia (IgG kappa), which histologically proved lymphoplasmocytoidal immunocytoma expressing monoclonal immunglobulin. Having reviewed the similar cases previously published, the authors summarize the... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Phenylketonuria due to phenylalanine hydroxylase deficiency - a revealing story]

[Effective neonatal screening for phenylketonuria and the availability of a lifelong diet have virtually eliminated the severe mental impairment that results from this disease. The risk of fetal harm to women with the disease remains high, and the possibility that the diet itself may be harmful cannot be excluded. Research into the preventive treatment of the disease has been greatly aided by advances in molecular genetics. For example, modified liver cells have been implanted into mice which... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Public health priorities in Hungary until the turn of the millennium]

KERTAI Pál

[Hungary's population is falling year on year: if the trend continues at the same rate as in recent years, by 2010 there will be 10.2-10.4 million people living in the country, 250-400 thousand fewer than today. The population decline is due to a simultaneous fall in the number of live births and a rise in the number of deaths. The former phenomenon is regrettably obvious, while the rise in mortality needs to be examined more closely. ]

Lege Artis Medicinae

AUGUST 31, 1993

[NGOs in economic and social transformation]

OROSZ Éva

[We are undergoing a profound economic, social and political transformation, which we only partially understand: we lack answers to serious problems and often even lack an analysis of the situation and a precise formulation of the problems. One such question that still needs to be answered is: what are the challenges of economic and social transformation for civil society organisations, and what role can they play in it? Do they have a function that goes beyond their specific objectives -... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Open letter to an oncologist in Szombathely]

GÁBOR Zsuzsa

[It was out of compassion and sympathy that I took up the pen: you have suffered a serious injury, in front of the public of our million-strong daily newspaper. You were interviewed on the occasion of Cancer Awareness Days, which I was not able to hear. I was shocked to read the printed version. What may have happened was that the scissors of an editor who did not know the risks of medicine irresponsibly clipped your statement about curing your cancer patients. In doing so, he has robbed it of... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[The amendments are also modified]

ANDRÁS László

[What public authority functions should the future chamber perform as a public body? If, as the opponents of the Chamber of Commerce Act wish, the Chamber will not have such functions, who will perform them? These questions, which are still not quite settled, were proposed to the guests of the LAM Club by Iván Sitkéry, who was introduced in the article "Founding Fathers" in the May issue of LAM. The title of the discussion was "How is the law on chambers?". Csaba Huszár, chairman of the MOK's... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Possible ways of running a hospital]

KRASZNAI Éva

[The Liberal Medical Club recently discussed possible ways forward for hospital management in Hungary. The choice of topic was motivated by the fact that the tripartite collegial management imposed from above leaves much to be desired in many places. Some kind of change in this area is long overdue. In his opening speech, Bertalan Andréka, Deputy State Secretary of the Ministry of Public Welfare, said that, unlike foreign practice, the Hungarian health care system is doctor-led. We are one of... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[The insurer will also check]

ANDRÁS László

[The health care system in Hungary is financed by the social security system - from the contributions collected. Until now, this has been carried out by the OTE, a public state agency, which was split into two institutions run by local government bodies following a decision by Parliament and successful elections. Health care is now financed by the National Health Insurance Fund (OEP). ]

Lege Artis Medicinae

AUGUST 31, 1993

[Euthanasia movements in Europe]

HEGEDŰS Katalin

[The development of modern medicine has meant that the majority of people who are dying today die in hospital. Medicine has extended the life span of people, and we are living much longer. The period of terminal illness is also being prolonged and this dying process is often artificially prolonged. Dying people are forced to endure many painful, useless interventions at the end of their lives, often because they are not informed about their condition and cannot decide their own fate. Various... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[Epidemiological ideas in the 16th century]

KEMENES Pál

[The epidemiological ideas of the 16th century were based on two different principles: knowledge gained through experience and views derived from a metaphysical picture. The former group includes knowledge about the spread of disease and the eradication of epidemics, while the latter group consists of explanations of the causes and development of epidemics. Iatrodemonology, iatroastrology, iatroteology and iatromagic, with their specific God-Evil-Ember image, the health-disease, life-death... tovább »

Lege Artis Medicinae

AUGUST 31, 1993

[The dance of death]

KOVÁCS Zoltán

[In a narrower sense, the term death dance refers to representations of people of different ranks and ranks dancing, each paired with a skeleton representing death. In the Middle Ages, a text often accompanied the scene: a dialogue between the dancers and death. From the Renaissance onwards, any representation in which death is present in some context is increasingly called a death dance.]

Lege Artis Medicinae

AUGUST 31, 1993

[About books]

HUTÁS Imre

[Review of the book Breast Surgery in General Surgical Practice written by Dr. Keszler Pál, Dr. Szabó Győző János]