Lege Artis Medicinae - 1994;4(12)

Lege Artis Medicinae

DECEMBER 28, 1994

[The first 15 years of the AIDS epidemic ]

FÖLDES István

[AIDS represents the most exciting infectious disease of the last 15 years. In addition to the fact that there are more than 4 million estimated AIDS patients and more than 16 million estimated HIV-infected individuals this can be explained by the peculiar features of the disease, including limited routes of infection, long latency period, a quasi 100% lethality, diversity of the clinical picture, difficulties in therapy and vaccination, the theoretically 100% possibility of prevention and the... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[The role of transesophageal echocardiography in the investigation of stroke]

LENGYEL Mária

[Ischaemic infarction accounts for 85% of stroke aetiology (1). Approximately 60-70% of these are of cerebrovascular, i.e. carotid arteriosclerosis, origin (2). The proportion of cardiogenic embolism was previously estimated at 15% (1), but autopsy data suggest that embolism is the cause of half of fatal strokes (3). There are two reasons for this large discrepancy: 1) the intracardiac source is difficult to identify in vivo; 2) cardiogenic embolism has a more severe outcome than stroke of... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[A multicentre, randomised, crossover, double-necked trial of contamination of conventional and bow-tie dressings in routine obstetric and gynaecological practice]

MARINKO M Biljan, CHARLES A Hart, DEBORAH Sunderland, PAUL R Manasse, CHARLES R Kingsland

[In the 19th century, the usual dress of doctors was a small bow tie tied in a flat knot "once round" in addition to a stiff standing collar (1). As fashions have changed, the wearing of bow ties has become less common and is now worn almost exclusively by a small minority of obstetricians, who often claim that they are more hygienic than the traditional tie in the delivery room, which is contaminated with blood and amniotic fluid. There is currently no evidence for this. We therefore examined... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[Clinical and laboratory parameters in ulcerative colitis]

NAGY Ferenc, PAPÓS Miklós, CSERNAY László

[The clinical and laboratory parameters which correlate with the intensity of the inflammatory process in ulcerative colitis patients were analyzed in this study. The severity of the inflammatory process was assessed with leukocytescinti graphy by colorectal segments using a scoring method in 36 patients (group A). The sum of the segmental scores were considered to represent the intensity of the inflammatory process and were compared with clinical and laboratory parameters. From among the 36... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[Prenatal diagnosis of endocardial fibroelastosis]

KÁDÁR Krisztina, KIRÁLY László

[The authors report two cases of prenatally diagnosed endocardial fibroelastosis with echocardiography for the first time in Hungary. This disease is rare and usually fatal. Diagnoses were confirmed by autopsy and in one case by postnatal echocardiography as well. Principles for the diagnosis of endocardial fibroelastosis are discussed. Echocardiography makes possible the prenatal diagnosis of endocardial fibroelastosis and is recommended from the 18th week of pregnancy in high risk... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[News]

KÖKÉNY Mihály

[At the initiative of the International Union Against Cancer (UICC), the World "Don't Grow Up" Day was celebrated on the third Thursday of November in several countries. The idea - to get as many people as possible to give up cigarettes for good on a specific day of the year, supported by the media and cessation services - started in the United States 20 years ago in 1974. ]

Lege Artis Medicinae

DECEMBER 28, 1994

[Tuberculosis surveillance epidemiological data from hungary in contrast of european trends]

VADÁSZ Imre

[In the last fifteen years the favourable trends of tuberculosis epidemy has turned back in most European countries. This phenomenon and the vast migration of population provided the necessity, while the development in microbiology, immunology and informatics made possible to transform the previously successfull surveillance systems adopting new, up-to-date methods and technology. This has been performed in many Western and Middle European countries. The following facts has been established (1)... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[Computer assisted diagnostics of malformation syndromes promotes interdisciplinary cooperation between clinical specialities]

BODA Domonkos

[Experiences obtained from the diagnostic work up of 44 malformation syndrome cases using four computer assisted diagnostic programmes is presented. This method, in addition to many other advantages, significantly improves the diagnostic possibilities in these very rare cases, and may further promote the interdisciplinary cooperation between various clinical specialities.]

Lege Artis Medicinae

DECEMBER 28, 1994

[Early sources of the hungarian history of eating disorder]

TÚRY Ferenc, WILDMANN Márta, KISS Kálmán, SIMON Lajos

[The authors review the early Hungarian descriptions and development of anorexia (nervosa). Among the medieval fasting saints, the ascetic eating disorder of Princess Margaret of Hungary is discussed and the anorectic characteristics of Empress Elizabeth from the 19th century are also presented. The entry of this disorder into the international medical common knowledge may be placed at the end of the 19th century, with the most authentic descriptions being published in 1873. On the basis of... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[Experiences in the first year of the new hospital funding - changes hoped for and those that have actually happened]

NAGY Júlia, KÁROLYI Zsuzsanna, LADÁNYI Pál

[As of 1 July 1993, the new hospital financing system in Hungary, the active inpatient care, introduced a performance-based accounting system according to DRGs instead of the previously used resource allocation based on predetermined input budgets using simple planning methods. The efficiency and the fundamental impact of the new hospital financing on the quality of the health care system and patient care cannot be dissociated from the characteristics of other areas of the health care system.... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[Outlines of the 1995 budget of the Health Insurance Fund]

GERENCSÉR László

[An odd title... you may think, dear reader, when you come across this article in the December issue. It should be about the budget, not its conditions. On this subject, perhaps optimistically, the law on public finances stipulates that budget bills must be submitted to Parliament by 30 September. ]

Lege Artis Medicinae

DECEMBER 28, 1994

[The timetable for studying the medical literature]

VADÁSZ Imre

[We are all aware that it is impossible to keep up with the medical literature. (The fault is not in the publications, but in the authors, who are multiplying exponentially.) At the same time, everyone has an acquaintance who (claims to be) up to date with the literature.]

Lege Artis Medicinae

DECEMBER 28, 1994

[Stocktaking and vision]

FRENKL Róbert

[Obviously something like this would be needed. In the Hungarian health sector too. And in society. And then both together. Because the realisation is spreading, albeit slowly, that the health of the people is not decided in the health sector, but in society. In lifestyle, culture and human relations. The health system is barely able to reduce the risks to health, and is tired of dealing with the damage. And they are growing.]

Lege Artis Medicinae

DECEMBER 28, 1994

[János Szentágothai]

HÁMORI József

[János Szentágothai, the Hungarian and international a world-renowned leader in neuroscience, died unexpectedly on 8 September. His death was not preceded by a long illness. Before his death, he was working on the manuscript of his book on the general principles of the nervous system. Although he was unable to complete this book in its entirety, his life, this ambitious career, can be considered complete, if not finished. ]

Lege Artis Medicinae

DECEMBER 28, 1994

[Lege Artis Litterarum]

[We have an unusual compilation for you, Dear Reader! As a thank you for taking the time to read our newspaper in the excitement of the run-up to Christmas or in one of the quiet moments following the festive season, we invite you to enjoy a quality break. Lege artis litterarum, the rules of the art of literature, are reflected in the following pages. Sometimes ironically about our irrefutable omniscience, our infallibility, sometimes poignantly about our weaknesses and failures. Weeds,... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[About the Birth of Jesus altar in Lőce]

VÉGH János

[It's Advent, and everyone is thinking ahead to Christmas. In churches, under Christmas trees, bethlehem scenes are set up, a group of statues that not only recall but literally embody the people who were present on that night in Bethlehem, almost two thousand years ago, when the baby Jesus was born.]

Lege Artis Medicinae

DECEMBER 28, 1994

[Communication aspects of the "informed consent" principle]

NÉMETH Erzsébet

[The concept of informed consent is becoming increasingly common in modern medical ethics. "Informed consent is the voluntary, free and informed authorization given by a patient to the physician to perform a planned procedure. The principle is a new model of communication in the doctor-patient relationship, in which the doctor involves the patient in the decision-making process and the patient, with the help of information from the doctor, decides for himself which of the possible diagnostic or... tovább »

Lege Artis Medicinae

DECEMBER 28, 1994

[One of the oldest forms of health education literature, the calendar]

KAPRONCZAY Katalin

[For centuries, the almost sole source of knowledge for the poorly educated common people has been the timetable and the calendar. In this popular publication they could find all the information they needed to answer the problems and questions they faced in their daily lives. ]

Lege Artis Medicinae

DECEMBER 28, 1994

[Is pay for performance a viable option in the health sector?]

STEPHEN Valley

[After reviewing our department's employment statistics a few weeks ago, I was not surprised to see that we have performed almost twice as many radiology examinations in the past year as the Royal College of Radiologists' recommended number of examinations. Since 1990, the number of outpatient examinations in our department has increased by 48%, the number of inpatient examinations by 13% and the number of accident and emergency examinations by 6%. Most other specialists could report similar... tovább »