Lege Artis Medicinae - 1994;4(01)

Lege Artis Medicinae

JANUARY 31, 1994

[Correspondence - The doctor's relationship with patients]

RÁCZ Egon

[It's been a decade since I read in a Hungarian medical journal about the doctor's behaviour, his attitude, his relationship with the patient, his colleagues, his co-workers. Based on my decades of medical practice (and my frequent illness - which has only prevented me from practising my profession in the last two years), I will try to summarise what the patient's expectations of the doctor are, and how well the doctor can meet them.]

Lege Artis Medicinae

JANUARY 31, 1994

[Influence of alcohol on the nervous system]

BARACZKA Krisztina

[Prevention and treatment of addictions such as alcoholism require a multidisciplinary approach. Sociological and social psychiatric studies have revealed many factors which may play a part in the development of alcoholism, however biological studies increasingly indicate an organic origin of alcoholism. The aim of the present comprehensive study was to summarise the clinical manifestations of alcohol toxicity based on biological alterations. The results of genetic and immunological studies are... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[The present and future of radiology]

HARKÁNYI Zoltán

[Conversation with Professors Charles Gooding and Gretchen Gooding]

Lege Artis Medicinae

JANUARY 31, 1994

[EEG mapping in focal cerebral disorders]

NIKL János, KUKOR Gyula

[EEG mapping is a new method which serves for processing the data of the quantitative analysis of the brain electrical activity. In its final form it is a neuroimaging technique. The present study was designed to examine the localization reliability and clinical utilization of the mapping. 103 patients with focal cerebral disorders were investigated: 70 patients with cerebrovascular diseases, 33 patients with tumour, epilepsy, migraine, meningoencephalitis, subdural haematoma, subarachnoid... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[MTC-pertechnetate scintigraphy used to identify bleeding from meckel's diverticulum]

KÁPOSZTA Rita, MARÓDI László, BAJNOK László

[99 mTc-pertechnetate scinti graphy has got an important diagnostic role in pediatrics, as it can detect ectopic ventricular mucosa, and Meckel's diverticulum. In this paper the case of a 12-year-old boy is reported who has presented recurrent rectal bleedings and abdominal pain due to an undiagnosed Meckel's diverticulum for three years. The patient was admitted with serious rectal bleeding and melena. On admission aortography and selective angiography did not give valuable information about... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[Reflections on breast cancer screening]

GÖBLYÖS Péter

[The author reviews opinions concerning advantages and disadvantages of breast cancer screening, summarizes the results of screening, and makes proposals for introducing breast cancer screening in Hungary. The urgency of this proposal is emphasized. A system of central support is necessary, but it would be worthwhile to bring this proposal to the attention of potential foreign sponsors as well. A „minimal program" should include efforts at increasing public awareness of self screening and... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[Emergency circulatory support]

MATTHEW J Barnard, STEPHEN P. K. Linter

[Many drugs enhance cardiac performance by improving tissue blood supply, but this is often achieved at the cost of increasing the oxygen demand of the myocardium. This can be critical when cardiac function is significantly impaired or ischaemia is the underlying cause of dysfunction. The use of combination drug therapy to restore cardiovascular balance requires a precise knowledge of the pharmacodynamics and interactions of the individual agents, so that the treatment plan can be tailored to... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[Healthcare in developed countries - what will be the main changes in the 1990s?]

NICK Bosanquet

[The aim of my thesis is to assess what changes are to be expected in the health sector in the 1990s. In my summary I have outlined some possible lessons for Eastern Europe. Will Eastern Europe learn from the mistakes of other countries and be able to go beyond Western European practice by adopting wiser health policies? Where would this kind of wisdom lead?]

Lege Artis Medicinae

JANUARY 31, 1994

[Performance funding: dream or reality? Part II]

AJKAY Zoltán

[Within the institutions, the transition to the new funding system creates a completely new situation. At the same time as the contracts were signed, the inpatient institutions also received the first data on the number and proportion of HBCS cases in each unit, ward or department in the month. This created a database for the analysis of inpatient morbidity in institutions, a continuous possibility to identify the underlying causes of cost overruns and to make comparisons within institutions. ]

Lege Artis Medicinae

JANUARY 31, 1994

[On the borderline between inertia and possibility]

FEKETE János

[In this issue, we present a paper written by Dr. Zsófia Simek, which draws some of its conclusions from epidemiological observations of the last quarter of a century, and aims to draw the attention of the scientific community and society to one of the main causes of the decline of our population, namely excessive alcohol consumption and the possibilities of controlling it. There is something grotesque about addressing my questions to my co-author, a friend and colleague who is very close to... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[On FIDESZ's health programme]

[Interview with Imre Frajna, Member of Parliament, member of the Social Affairs Committee. The LAM and its Annex have dealt at length and repeatedly with the health policy concept of the parliamentary parties, communicating these programmes or their drafts. Apart from the various small farmers' groups, only the FIDESZ programme has not been discussed in these columns, but not elsewhere. As a preliminary question, I asked Imre Frajna, the only medical representative of the Young Democrats, about... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[TB Law '94]

NAGY András László

[In November, the government submitted four different bills to Parliament on the social security budget. On the implementation of the 1992 budget of the Social Insurance Fund, on the 1993 supplementary budget of the Social Insurance Fund, on the Social Insurance Fund and on the 1994 supplementary budget of the Social Insurance Fund. The most important common feature of these bills is that, for the first time in the recent history of social security, they were submitted by the Minister of... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[Public body or anglers' association submitted to the committee]

ANDRÁS László

[It seemed that at the end of the long, tortuous journey of the MOK law would reach a crossroads in October. The House Committee had put its detailed debate on the plenary agenda for 18 October, thus instructing the specialised committees - the Social Affairs and Constitutional Affairs Committees - to complete their debate on the amendments and to formulate their committee position on each issue. They failed, and the plenary debate was postponed indefinitely. Why did it fail? What is the... tovább »

Lege Artis Medicinae

JANUARY 31, 1994

[Contrast media for magnetic resonance imaging in clinical practice]

FÁBIÁN Lajos

[The author's main goal is to introduce the generally available contrast media for magnetic resonance imaging. After a brief survey of this topic, the principal agents are classified into three main subgroups. The four Ti-type contrast agents are compared and discussed on the basis of the available data in the literature. Finally, the possible future direction of contrast media research in MRI is discussed. ]

Lege Artis Medicinae

JANUARY 31, 1994

[József Fodor and the environment protection]

KAPRONCZAY Károly

[At the turn of the last century, the struggle for national independence and the modernisation of the country's social and economic conditions was being fought for, and Hungarian intellectuals were at the service of this struggle. A significant part of this was the medical profession, which was closely concerned with social issues. It is no coincidence that there were many public figures among the medical profession in this period. ]

Lege Artis Medicinae

JANUARY 31, 1994

[How can the principle of consent be applied in the Hungarian healthcare system?]

SÁNDOR Judit

[In my opinion, public opinion and the majority of Hungarian doctors have now reached a consensus on the need to inform patients about their medical treatment, and not to perform surgery or any other medical intervention without the patient's consent. Many people, however, ask the question: is today's Hungarian legislation in line with the international application of the principle of informed consent, and under what conditions can this principle be implemented in Hungary? ]

Lege Artis Medicinae

JANUARY 31, 1994

[Eroticism in medieval art]

KOVÁCS Zoltán

[It is almost a cliché to talk about the spiritualism and conservatism of medieval culture, which was imbued with the spirit of Christian religiosity. In this sense, it may seem a little surprising to search for a theme in medieval art that seems to be completely alien to its nature. It is true that the eroticism of late antiquity, manifested in orgiastic cults, disappeared from Western culture with the rise of Christianity.]

Lege Artis Medicinae

JANUARY 31, 1994

[For the renewal of alcoholology]

SIMEK Zsófia, FEKETE János

[In the near future, the National Institute of Alcoholics will publish a collection of studies and articles with the same title as this outline and attention-grabbing essay, series 25 and 26 in its "life's work" series. The volumes, which attempt to describe the professional (and political) struggles of the last twenty years or so, give a taste of our insights and the broadening of our outlook, in more or less chronological order, and report on the professional, professional-political and power... tovább »