Lege Artis Medicinae - 1994;4(08)

Lege Artis Medicinae

AUGUST 31, 1994

[Catheter ablation of supraventricular tachycardias]

KEMPLER Pál, LITTMANN László, TÓTH K. Zoltán

[Medical therapy for supraventricular arrhythmias is often ineffective. Arrhythmia surgery is limited by its considerable morbidity and cost. A better understanding of the exact anatomic-electrophysiologic correlations that govern supraventricular arrhythmogenesis and the advances in catheter ablative techniques have led to a new, effectual and costeffective therapy. Catheter ablation techniques result in a high rate of success rates and a low rate of complications. Radiofrequency ablation has... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[The role of langerhans' cells in the development of cervical cancer]

PETE Imre, SÁPI Sándor, GONDA Gábor

[While the number of deaths from cervical cancer of women over the age of 45, has fallen in the recent years the mortality in women under the age of 35 has increased. The reason for this change is not clear. A large number of analytical studies tried to identify the risk factors for cervical cancer (age, marital status, time of first intercourse, number of sexual partners, coital frequencies, circumcision of partners, menstrual patterns, gravidity, type of contraception, smoking, viral... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Morbidity of ischemic heart disease in early breast cancer patients 15-20 years after adjuvant radiotherapy]

GYENES Gábor

[Our aim was to assess the frequency of cardiac side effects, primarily ischemic heart disease, in symptom-free patients with early breast cancer previously treated with radio therapy. Thirty-seven survivors of a previous randomized study of early breast cancer were examined. Twenty patients irradiated pre- or postoperatively for left-sided disease (study group patients) were compared with 17 controls who were either treated for right-sided disease, or were non-irradiated patients.... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[The role of baseline duplex sonographic examination in monitoring the transplanted kidney in the early postoperative period]

MORVAY Zita, MAROFKA Ferenc, CSAJBÓK Ernő, SZENOHRADSZKY Pál

[Routine baseline duplex sonography and sonographic monitoring have been performed afer kidney transplantation at our University since November, 1992. Data on 24 patients are analysed. Baseline sonograms were assessed as normal in 18 patients. Abnormalities involved collecting system dilatation, and swelling of the parenchyma. In every case in which the transplanted kidney had to be removed because of serious complications, we observed morphological changes in the follow-up examination. The... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Recovery from persistent vegetative state of four months or more]

KEITH Andrews

[A retrospective study was carried out on 43 patients admitted to a ward specifically designed for the rehabilitation of patients with persistent vegetative states after another. Of these, 11 regained consciousness four months or more after brain injury. It was reported that the patients' first reaction to being able to follow with their eyes was between the 4th month and the 3rd year of the condition, while the first reaction to being instructed was between the 4th and the 12th month. Only one... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Ischaemic heart disease caused by radiotherapy and its prevention]

MAYER Árpád

[A review of retrospective clinical studies demonstrates the cardiac damaging effects of chest wall radiotherapy (1, 2, 3). Therefore, the interesting study published in this issue of LAM, which draws attention to a specific late complication of mammary tumour radiotherapy, namely possible coronary damage, is welcome (4). ]

Lege Artis Medicinae

AUGUST 31, 1994

[Letters]

RÁCZ Egon, GERŐ Gábor, KAZÁR György

[Innovate or reassess]

Lege Artis Medicinae

AUGUST 31, 1994

[GISSI 1]

MATOS Lajos

[To determine whether i.V. streptokinase treatment in acute myocardial infarction reduces in-hospital and 1-year mortality, whether the expected effect is related to the time between the onset of pain and the start of treatment, and the risk of therapy.]

Lege Artis Medicinae

AUGUST 31, 1994

[News]

[We want to live a long time, but no one wants to grow old; 1995 Annual General Meeting of the Scientific Society for Public Health]

Lege Artis Medicinae

AUGUST 31, 1994

[Thrombolysis in myocardial infarction phase I]

MATOS Lajos

[Comparison of the efficacy of rt-PA and streptokinase treatment in acute myocardial infarction in terms of coronary artery opening and side effects in the ischemic territory. ]

Lege Artis Medicinae

AUGUST 31, 1994

[Long-term care problems for patients with persistent vegetative states]

KEITH Andrews

[Doctors responsible for the care of patients with persistent vegetative states face a wide variety of problems. For example, whether artificial feeding should be considered therapy or care, whether it is an acceptable part of treatment to stop artificial feeding, the clinical benefit of active treatment, the level of consciousness at which a patient can be said to have a good quality of life, and who determines the patient's right to die. These questions are determined more by social, legal,... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Patients with persistent vegetative states]

RAANAN Gillon

[The ultimate moral goal of medicine, which doctors and health professionals have insisted on since Hippocrates, is to provide the patient with a medically pure benefit in a way that does the least harm. Today, we can add to the Hippocratic goal the moral constraint that this principle must be pursued in a way that respects people's freedom of choice and is just and fair to others (whether it is the allocation of scarce resources, human rights, or respect for moral law).]

Lege Artis Medicinae

AUGUST 31, 1994

[Five years of graduate nursing education at the Imre Haynal University of Health Sciences, Faculty of Health Sciences]

HOLLÓS Sándor, MÉSZÁROS Judit

[The authors review the history of the then Postgraduate Medical School, now Imre Haynal University of Health Sciences, the first in Hungary to establish a Diploma in Nursing at the Faculty of Health Sciences. The social conditions, the framework and methods of training are described. They evaluate their activities and outline their ideas for educational development in the light of the changes in the health care system.]

Lege Artis Medicinae

AUGUST 31, 1994

[About books]

[Book review Frenkl Róbert "So I saw... sport health care system change"]

Lege Artis Medicinae

AUGUST 31, 1994

[New ways forward in hospital cost-performance planning]

HEVES István

[In recent years, there have been significant changes in the internal and external environment, which have affected hospitals on a wide scale and at several points simultaneously. Adapting to the environment and responding to its challenges has become a fundamental task. If reference is made to the theoretically accepted process that environmental change must lead to strategic change and then to the creation of an organisation adapted to the objectives set out in this change, then a... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Piano music to fight insomnia]

SZEBENYI Béla

[More than 250 years ago, in 1742, the fourth piece in J. S. Bach's Klavierübung series, the "Aria mit verschiedenen Veraenderungen vors Clavicimbal mit 2 Manualen" (1), was published. This monumental work, which contains 30 variations, is a direct and symbolically rich work. indirect medical implications, so it is perhaps worthwhile to briefly examine the circumstances of its creation, its artistic value and the way it is performed.]

Lege Artis Medicinae

AUGUST 31, 1994

[Patient rights in some foreign hospital laws]

KÖVESI Ervin

[The welfare government is preparing a law on hospitals. This will certainly include patient rights that are already partly covered by the existing Health Act and other legislation (medical confidentiality, data protection, referral of psychiatric patients, compulsory treatment, etc.). However, many of these need to be updated and others need to be codified. The new Hospital Act should also bring the existing lower level legislation into law. ]

Lege Artis Medicinae

AUGUST 31, 1994

[Oscar knows but won't say...]

NAGY András László

[With a lucky hand, the organisers have set the season-closing LAM Club meeting on a juicy date. The invitation announced that the future Minister of Welfare would be among the guests. Not only was he present, but, as we shall see, so were the most important personalities shaping health policy in the near future. On this day - the day of the signing of the coalition agreement between the MSZP and the SZDSZ - everyone knew exactly who would be assigned to what function, and they asked and... tovább »

Lege Artis Medicinae

AUGUST 31, 1994

[Chamber of Pharmacists Act after 120 years]

NAGY András László

[The Act on the Hungarian Chamber of Pharmacists entered into force on 6 June 1994. Although the Hungarian Pharmaceutical Society has been trying for 120 years, it has never had a self-government with public body powers. The 15 attempts to date, which have resulted in 15 draft laws, have failed, sometimes because of the outbreak of world wars, sometimes because of opposition from the medical profession.]

Lege Artis Medicinae

AUGUST 31, 1994

[Data on the uptake of smallpox vaccination in Hungary]

KAPRONCZAY Károly

[One of the great discoveries of modern medicine, the smallpox vaccination method of Eduard Jenner (1749- 1823), which was used to control smallpox, which originated in Asia and can be traced back almost to antiquity. Smallpox epidemics, although not comparable in devastation rates to other ancient and medieval epidemics, are found in our almost ancient medical history, and the methods of control - variolisation - are also known from Greco-Roman, Arabic and medieval accounts.]

Lege Artis Medicinae

AUGUST 31, 1994

[Baths of the Dürer period]

VÉGH János

[Cleaning, and occasionally bathing, is a constant need for people of all ages. In a more civilised, urban environment, this is becoming increasingly important, as people living in more crowded conditions are more aware of the need for it and less satisfied with rudimentary solutions than primitive peoples or villagers.]

Lege Artis Medicinae

AUGUST 31, 1994

[Restrictions on the right to self-determination in healthcare]

SÁNDOR Judit

[The principle of autonomy seems to have been definitively incorporated into the basic principles of bioethics and medical law, which were nurtured on moral philosophy. It is a fundamental requirement of informed consent, of participation in biomedical interventions, but - and this is where this paper begins - it is never absolute or unique among the principles that, in both theoretical and litigation disputes, would encompass the totality of the legal relationship between doctor and patient,... tovább »