Lege Artis Medicinae - 1994;4(02)

Lege Artis Medicinae

FEBRUARY 28, 1994

[Management of inhibitory haemophilia A and aquired haemophilia]

PFLIEGLER György, RÁK Kálmán, KRÁLL Géza, SAS Géza, HAYNAL Imre

[The authors survey the occurrence and the laboratory and clinical differences of factor VIU antibodies in haemophiliacs (allo) and in non-haemophiliacs (auto) as well as their titer and measurement. The recent therapeutic modalities used in prevention, management of acute bleeds and suppression of antibody development or in duction of immune tolerance are detailed. ]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Back pain]

ANDREW Frank

[The studies to be presented show that the duration and severity of episodes of low back pain can be reduced, thus reducing the risk of recurrence and the costs of sick leave and absenteeism. Frank reviews differential diagnosis; acute, chronic and intractable pain; and the health services needed. Modern treatment principles emphasise self-care at home, usually with no more than 48 hours bed rest. The importance of regaining physical fitness and resuming other activities, including work, is... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Eating attitudes and eating disorders among secondary school dancers: a high risk group?]

TÚRY Ferenc, WILDMANN Márta, LÁSZLÓ Zsuzsa, JOÓ Mária Nóra

[The authors assessed the morbidity of eating disorders and the frequency of pathological eating attitudes in two secondary school populations in a two-stage study. The first sample consisted of two classes specialized in dancing (n=54), the second was a control group of two age-matched classes without specialization (n=61). In each group one girl met the criteria of bulimia nervosa, which was 2% of the whole population. No anorectic subject was identified while pathological eating attitudes... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Heart attack primary prevention in hypertension trial]

MATOS Lajos

[Comparison of diuretic versus beta-blocker antihypertensive treatment in men with mild-to-moderate hypertension in terms of nonfatal infarction, coronary mortality and all-cause mortality. ]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Correspondence]

SELMECZY Kamill

[Reflections on GP (family doctor) reform, training and more]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Technical considerations to the anti-endomysium antibody assay]

KORPONAY-SZABÓ Ilma, B. KOVÁCS Judit, LŐRINCZ Margit, KÖRMENDY Miklós, SASHEGYI Julianna

[Anti-endomysium antibody and its equivalent anti-jejunum antibody were investigated in 5000 and 3444 serum samples, respectively. 2928 persons, among them 441 are known gluten intolerant patients (170 coeliac disease proven by gluten challenge, 95 dermatitis herpetiformis, 176 suspected coeliac disease with at least one jejunal biopsy result showing severe villous atrophy); 251 by biopsy proven non coeliac children served as controls. The mentioned antibodies were detected by indirect immuno... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Dutch Ibopamine Multicenter Trial]

MATOS Lajos

[To investigate the efficacy and safety of the dopamine agonist ibopamine in patients with mild-to-moderate circulatory insufficiency compared with digoxin and placebo.]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Investigation of intragastric acidity and serum gastrin concentration in hyperacid patients]

HUNYADY Béla, NAGY Lajos, JÁVOR Tibor, MÓZSIK Gyula

[The authors investigated the alimentary and diurnal changes of intragastric acidity, and the effects of two antacid suspensions (Tisacid®: 10% Al-Mg-hydroxy-carbonate, Alkaloida, Hungary, 4x20 ml versus Almagel®: 4% Al-hydroxide and 1,38% Mg-hydro xide, Pharmachim, Bulgaria, 4x36 ml) in equivalent in vitro acid-neutralizing doses on gastric acidity and serum gastrin concentration in 12 hyperacid patients. 24-hour intragastric pH was investigated without (as control) or with administrations of... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[First experiences with video-TUR]

SZÁNTÓ Árpád, SOMOGYI László, FÁBOS Zoltán, POLYÁK László

[The Video-TUR of the lower urinary tract is a procedure with promising technical benefits. The surgeon disregards the rectoscope's lens and operates with the assistance of an up-to-date chip camera and video monitor. This method has been used in our department since January 1993. The experiences gathered on 14 patients are published. The Video-TUR provides both patients and urologists with numerous advantages over the conventional resection procedure. Based on our first experiences and... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Clinical immunology - Professional and organisational characteristics, basic of training and qualifications]

PETRÁNYI Győző

[Immunopathological phenomena affect a wide spectrum of diseases and play a role in pathological processes in various organs and organ systems. In some pathologies, immunological events can be fatal, in others they can lead to a progressive state of reduced viability lasting for many years. In general, 10 to 20% of the population is affected by an increasing percentage of immunopathological processes, of which allergic diseases are prominent.]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Issues in the transformation of health services]

KINCSES Gyula

[The two main problems of health care in the 20th century were the fight against epidemics and the provision of comprehensive care. Although AIDS and cancer had not yet been cured, by the end of the century the focus of the problem had shifted. Securing and financing health care resources is a general and serious challenge at the end of the century, and not just a problem of regime change in post-statalist states. Where systems based on centralised allocation are in place, there is... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Description of voluntary mutual funds]

PÁRNICZKY Tibor

[The aim of insurance funds is to provide a basis for anticipatory self-care in the event of life situations that are usually covered by social security and social care. They are organised on a voluntary and complementary basis to the compulsory public scheme. The institution of the fund, in its various organisational forms and with different degrees of recognition, is well known and widespread in the western world and has a tradition in Hungary. Due to the different or changing economic and... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[I got a letter]

KINCSES Gyula, FRENKL Róbert

[I love LAM, no secret. I love it because it is beautiful, I love it because it is worthy of the noblest of crafts, I love it because it is high quality, and I love it because it is well edited. Well edited because it has managed to find the right balance between professionalism and professional politics, and well edited because professional politics has remained professional politics and has resisted all the temptations of direct politics. It is a great thing that politics has been able to... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[The future was brighter in the past]

ANDRÁS László

[Master triple, on the final accounts of the social security funds for 1992.]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Health insurance as a good host]

[István Kameniczky's presentation at the Future of Health Care conference. Let me start with a question! Please raise your hand if you think you are the owner of a health care institution! Three or four of you think so. My second question is: who thinks that the employer of the employees in the health care institutions is the social security. Nobody has raised their hand.]

Lege Artis Medicinae

FEBRUARY 28, 1994

[Funding in the LAM club]

NAGY András László

[The LAM Club had a good location at the Hotel Agro on Mount Liberty, but even better at the Hotel Délibáb in the City League. Perhaps it's the spirit of the place - the building was once the SOTE Professors' House - that makes the club's events a real intellectual workshop. The debate on the first experiences of the reform of inpatient and outpatient specialist care is testimony to this. András Forgács, chairman of the MOK's Fee Reconciliation Committee, noted at the end of the debate that... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Impact of changes in marital status on the right to dispose of frozen human embryos]

BODNÁR Béla, BAZSÁNÉ Kassai Zsuzsa

[The frozen storage of human preembryos raises a number of ethical issues, which can be grouped into two main categories:1. the technical implementation of frozen storage, and 2. controversial or debatable situations related to changes in marital status. The first group includes ethical issues relating to the loss of preembryos during the procedure, the duration of storage, the cost of frozen storage, the transfer to other freezing programmes and the destruction of preembryos. The second group... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Illness and sense of duty The last period of József Egry's life]

ERDŐS István

[The art of our century produced many great Hungarian painters. For me, József Egry is perhaps the most important of them all. Perhaps the fact that I happen to have in my possession a number of Egry letters, unknown to others until now, in which the master writes about the last decades of his life (1938-50), also contributes to this fascination. As little is known about József Egry in relation to his importance, it is worth publishing some of his messages in these latent documents. ]

Lege Artis Medicinae

FEBRUARY 28, 1994

[History of the Health Science Council (1868-1990) Part I]

GÁL György

[At the great meeting of Hungarian physicians and naturalists held in Pest in 1863, the chief physician of Bihor county, Lajos Csatáry, proposed "the settlement of public health and medical affairs". The proposal was accepted and a committee was organised to elaborate it. The plan prepared by the committee was discussed at the association's general assemblies in Târgu Mures, Bratislava and Rimasombat, and in 1867 the proposals were submitted to the Minister of the Interior. The Minister saw the... tovább »

Lege Artis Medicinae

FEBRUARY 28, 1994

[Profession + politics = policy?]

NAGY András László

[Gyula Kincses is one of those Members of Parliament who actively use the "power" they have gained through their mandate for professional - in our case health policy - activities. In the parliamentary debate on health care and self-governments and their 1994 budget, which has already been described, few government MPs asked to speak, so we can only gauge their position by their "yes, no" button-pressing and not by their words. Therefore, Gyula Kincses was asked first about the 1994 budget of... tovább »