Lege Artis Medicinae - 1994;4(03)

Lege Artis Medicinae

MARCH 30, 1994

[Hormone replacement therapy from a gynaeco oncological point of view]

BŐSZE Péter

[In Hungary, hormone replacement therapy (HRT) has been used more extensively in the last few years. The benefits of HRT in cardio vascular diseases, osteoporosis and quality of life have been well established. Breast cancer and endometrial carcinoma have been considered as contraindications for HRT. A reappraisal of this practice is necessary since we have no evidence that HRT may adversely influence the outcome of these tumours, al though this is theoretically possible since the effect of... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Developing a complex approach to hospice and home-care]

MOLNÁR Lajos, BÖSZÖRMÉNYI Dalma

[The home-care and hospice movement has been sporadically encountered in the hospital and care network for a long time, and we have already seen all that this paper aims to do. Across the country, hospitals and specialist outpatient departments alike are seeking ways and means of providing this care. ]

Lege Artis Medicinae

MARCH 30, 1994

[Letters - Spontaneous pneumothorax]

KESZLER Pál, RÁCZ Egon

[Dear Editorial Team! In the 30 November 1993 issue, AC Miller and JE Harvey's "Guidelines for the management of spontaneous pneumothorax" was published as a position paper of the British Thoracic Society. It may seem an ungrateful undertaking to enter into a debate with the principles of such a venerable and long-established society.]

Lege Artis Medicinae

MARCH 30, 1994

[The increasing threat of antibiotic resistance: implications for antibiotic prescribing in community practice]

ROBERT Sutherland

[Infectious diseases caused by bacteria have been treated successfully by antibiotic the rapy for the past half century, and a diversity of antibacterial agents with widely differing mechanisms of action has been developed by the pharmaceutical industry. However the selective pressure of antibiotic usage has inevitably led to the isolation of resistant bacteria and the rate of emergence of antibiotic resistance appears to be increasing rapidly, reducing the effectiveness of existing agents.... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Highly located and intrahepatic malignant biliary stenoses treated by interventional radiological procedures]

KÓNYA András, VIGVÁRY Zoltán

[In the palliative treatment for patients with highly located and/or intrahepatic malignant biliary stenoses or obstructions interventional radiological procedures may play a significant part. In 12 patients with obstructive jaundice caused by highly located malignant stenosi(es) or obstruction(s) 23 endoprostheses were implanted. In 5 cases double endoprosthesis placement was performed to connect isolated lobes or segments of the liver. Patients' survival was 4–22 (average 8, 7) months. In... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Relationship between ventricular arrhythmias left ventricular dysfunction and late potential after myocardial infarction and during follow up]

LÁSZLÓ Zoltán, KEMPLER Pál, JÁNOSKUTI Lívia, KELTAI Katalin, FENYVESI Tamás

[The prognostic significance of post myocardial infarction dysrhythmias and left ventricular dysfunction is well established. We studied the role of late potentials to predict these two abnormalities. A prospective study of the relationship between signal averaged electrocardiogram, left ventricular function and 24 hour Holter ECG monitoring was performed in 39 patients 16,3 + 17,7 days and 16,3 +8,9 months after myocardial infarction. The late potentials were determined by the following... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Successful treatment of a complex supraventricular arrhythmia from the 26th gestational week]

HAJDÚ Júlia, SZABÓ István, MACHAY Tamás, PAPP Zoltán, SZATHMÁRI András, KONCZ Erzsébet

[Intrauterin fetal arrhyth mias may cause severe problems, sometimes intrauterine or neonatal death. An atrial flutter with orthodromic reciprocating tachycardia was detected (ATL, Ultramark 9 type echocar diograph, M-mode, 2 dimension and color Doppler imaging) in a fetus at the 26th week of gestation. Antiarrhythmic transplacental drug therapy was introduced first with digoxin (0,25 mg/die) and later a digoxin-verapamil (0,5 mg/die, 80 mg/die respectively) combination thereafter. Maternal... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Danish verapamil infarction trial I]

MATOS Lajos

[To assess whether starting treatment with IV verapamil at the time of suspected infarction and continuing it for 6 months reduces the rate of death or re-infarction in the following 6 months.]

Lege Artis Medicinae

MARCH 30, 1994

[Home-care for terminally ill cancer patients initial experience]

RUZSA Ágnes, KOLONICS Zsuzsa, PADÁNYI János

[The authors report on their initial experience with home-care of terminally ill cancer patients. Fifteen patients were followed between 1 October 1992 and 1 October 1993 using a special recording form. The data of eight patients were compared. The home-care team consisted of oncologists, nurses, social workers, priests and volunteers. A pain specialist was available for consultation. The authors emphasize the importance of symptom control and psychosocial assistance. They present the benefits... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[High dose short term thrombolytic therapy in pulmonary embolism]

KÁLI András, VÉRTES András, KOLONICS István, SEIDNER Judit, SZENTE András

[A new thrombolytic method for rapid and safe therapy of pulmonary embolism is presented. Three cases of successful thrombolytic treatment of pulmonary embolism are discussed. In each case high dose, short term streptokinase therapy was used (3 million U/2"), followed by rapid anatomical, haemodynamical and clinical improvement without bleeding side effects. The authors recommend this type of therapy for pulmonary embolism. ]

Lege Artis Medicinae

MARCH 30, 1994

[Declaration of San Raffaele]

GULÁCSI László

[The European Parliament (EP) Health Department of the European Parliament and the Quality Assurance Unit of the World Health Organization (WHO), was held in Milan, at the San Raffaele Hospital, from 27 to 30 September 1993. Experts in the field of quality assurance and those interested in the subject, mainly from Central and Eastern European countries, discussed the possibilities and prerequisites for the provision of high quality and cost-effective health care.]

Lege Artis Medicinae

MARCH 30, 1994

[Monitoring the reporting of performance measurement in outpatient care initial experience]

FELMÉRAI István, KOVÁCS József

[The authors examined the performance measurement and reporting system according to the WHO scoring system in outpatient care during the first month of implementation. The formal and substantive errors associated with the implementation were classified into four groups. In the context of this paper, the errors identified are highlighted to draw the attention of health care providers and their associated professional and funding bodies to the need to comply with the performance measurement and... tovább »

Lege Artis Medicinae

MARCH 30, 1994

[Dilemma]

FRENKL Róbert

[After the hard and the soft dictatorship, it is understandable that the indoctrination of the past is still alive in the gut; mixed with the mechanisms of a fledgling democracy, it creates its own conflicts, where both the decision and the truth are difficult to pronounce]

Lege Artis Medicinae

MARCH 30, 1994

[Swamp or tunnel]

NAGY András László

[While it is a fact that the 1994 appropriation includes a 27 percent increase over the 1993 projected expenditure, the health profession considers that health care has reached the point of no longer being able to sustain a real decline in viability without serious threats to medical activity." ]

Lege Artis Medicinae

MARCH 30, 1994

[Party fights - party faces]

NAGY András László

[Who would have thought, even a year ago, that months before the elections, a forum with the above title, attended by leading health politicians from the parliamentary parties and a spokesperson for the Republic Party, which is also a prestigious medical doctor, would end in disinterest. However, not only this event, but also the presentations on the situation and prospects of health insurance and health businesses, and the main event, the exhibition of medical instruments interest. ]

Lege Artis Medicinae

MARCH 30, 1994

[Funding and professional protocols]

KRASZNAI Éva

[This time, the LAM Club discussed funding and professional protocols. The debate was hosted by András Szepesi, representative of the Health Insurance Self-Government. The forum was moderated by István Bordás, Director of Gyógyinfok, András Forgács from the MOK, Géza Pataki from the Pulmonology Professional College and Béla Ralovits from the Ministry of Public Welfare. ]

Lege Artis Medicinae

MARCH 30, 1994

[Relief of the plague epidemic]

HÁMORI Katalin

[The horrors of the plague in Vienna in 1679 are captured in the terracotta relief on the cover A. The small sculptural sketch in the Budapest Museum of Fine Arts was created by one of the most important Austrian architects and sculptors, Johann Bernhard Fischer von Erlach (1656 Graz - 1723 Vienna) around 1688 for the Holy Trinity Column on the Vienna Graben, but his bozzetto is also used on the Pesti column in Prechtoldsdorf (Lower Austria).]

Lege Artis Medicinae

MARCH 30, 1994

[History of medicine]

NÉMETH Éva

[Book description History of Medicine from Antiquity to 2020 - Nancy Duin, dr Jenny Sutcliff]

Lege Artis Medicinae

MARCH 30, 1994

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

GÁL György

[The reorganisation of the Scientific Council for Health was reintroduced in 1976 due to its overcrowding and unwieldiness. Its operation was regulated by the Minister of Health, Dr. Emil Schultheisz, in his Instruction No. 31/1976 EüK. 23/EC/M. The Council operated on this basis until 1 June 1989. The Instruction contained, inter alia, the following provisions: ]

Lege Artis Medicinae

MARCH 30, 1994

[Natural law and positivist elements in the rules of medical practice Part I]

LŐRINCZ János

[Is it possible, and if so how, to influence medical practice through the law, especially in the light of recent developments in medical science? This is a question that concerns and concerns many. Arnold Toynbee and Daisaku Ikeda's dialogue on medical ethics two decades ago, in which Ikeda expressed many of his doubts, has not lost its relevance today.]