Lege Artis Medicinae - 2000;10(03)

Lege Artis Medicinae

MARCH 01, 2000

[The role of coronary artery revascularization in the management of heart failure and systolic left ventricular disfunction]

LENGYEL Mária

[Ischemic heart disease accounts for about 70% of chronic systolic heart failure and severe systolic left ventricular dysfunction. Prognosis of ischemic heart failure is worse than that of non-ischemic heart failure and can only be moderately improved with optimal drug treatment. Further improvement may be expected from revascularization in the presence of reversible left ventricular dysfunction which is called myocardial viability. Viability associated with chronic left ventricular dysfunction... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[The microbiology pharmacokinetics and clinical use of carbapenems]

BÁN Éva, PRINZ Gyula

[ Imipenem and meropenem the two currently available carbapenems inhibit the synthesis of the cell wall similarly to other bactericidal B-lactam antimicrobials. These agents have excellent activity against the vast majority of aerobic and anaerobic Gram-positive and Gram-negative organisms. In addition to other B-lactam resistant microbes (e.g. Chlamydia, Mycoplasma) only Stenotrophomonas maltophilia and Enterococcus faecium bacteria are naturally resistant to carbapenems. Carbapenems are... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[Confined placental mosaicism and uniparental disomy]

BODA Anikó, PAPP Zoltán

[Chromosomal mosaicism is defined as the presence of two or more cell lines having different chromosomal complements in the same individual. In the conceptus the extent of the mosaicism depends on the timing of chromosomal mutation occurance, the cell lineage affected, and the viability of the mutation. The resultant mosaicism can be either generalized, confined placental or confined embryonic. The process of the loss or removal of one of the three chromosomes from the trisomic conception, at... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[Home management of chronic obstructive pulmonary disease]

MÜHLBACHER Szilvia, VADÁSZ Imre

[Cessation of smoking is the primary condition for the successful management of COPD. The aim of pharmacotherapy is to diminish symptoms (dyspnoe, cough and expectoration) to increase cardiorespiratory performance and to improve the quality of life. Pharmacotherapy is based upon administration of bronchodilators (anticholinergic and beta-agonist preparations as well as theo phyllin). In the case of acute exacerbation anti- biotic treatment is indicated. Effectiveness of inhalative... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[Why are there more asthmatic children?]

ENDRE László

[Data for prevalence of asthma in children are presented from different countries of the world in 1998 and 1999. The disease is observed very frequently everywhere. Prevalence of asthma in children in Budapest increased from 1,88+0,87% to 2,26+0,95% between 1995 and February of 1999, as diagnosed by medical doctors. The increased prevalence (20%) could not be explained with the worsening of the city's air pollution (NO2, CO2, CO, ozone and particulate matter), or with the considerable increase... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[Cancer Screening Recommendations in the United States]

JÓNÁS Eszter

[At the Cancer Institute (NCI) in the summer of 1999, I attended a course on Tumor Prevention and Control, which focused on primary and secondary tumor prevention options. The course had 15 foreign and the same number of American students. All continents except Australia were represented in the international group. While foreign students were (with one exception) doctors, in the case of American participants, in addition to the 20% proportion of doctors, the rest came from nurses, biologists,... tovább »

Lege Artis Medicinae

MARCH 01, 2000

[Right to refuse care and blood transfusion]

CSAPODY Tamás

[The importance of ritual abstinence from blood is believed by many and the benefits of medical interventions without blood transfusions are already known. Rejection of blood transfusions has also become an important issue because members of the increasingly populous religious group of Jehovah’s Witnesses share this view worldwide.]

Lege Artis Medicinae

MARCH 01, 2000

[ Health Law, Patient Rights, and the Experience of Jehovah's Witnesses]

HARASZTI Zoltán

[According to Article 54 of the Constitution: “Every person in the Republic of Hungary is born he has the right to life and human dignity, from which no one shall be arbitrarily deprived. " Everyone has the right to the full enjoyment of the human dignity in the event of any illness or medical intervention. From the fundamental right of human dignity, the prohibition of all medical and health interventions that disregard the personality of the patient can be deduced.]

Lege Artis Medicinae

MARCH 01, 2000

[Books; Suffering, sympathy, solidarity]

BLASSZAUER Béla

[ Jos V. M. Welie’s book (In the face of Suffering. USA, Creighton University Press, 1998.) is about the applied field of bioethics, the philosophical-anthropological foundation of clinical ethics. The Dutch author, who lives in the United States, makes great use of his medical, legal and philosophical qualifications. Mainly the latter, with which it analyzes and sheds light on the philosophical background and context of clinical ethics. When analyzing basic bioethical concepts, he refers to... tovább »

Lege Artis Medicinae

MARCH 01, 2000

Lege Artis Medicinae

MARCH 01, 2000

[Historica Medica; Data from the history of domestic urology]

KAPRONCZAY Károly

[Until the first third of the 19th century, the science and practice of surgery encompassed all interventions that formed “external” diseases on the body surface, resulted from injuries, and rarely underwent abdominal interventions. True, the unresolved issue of pain relief, the risk of wound infection, has set a limit in this regard. Ophthalmology, for example, was practiced within surgery, and separate ophthalmology departments and clinics were separated from surgical departments only from... tovább »

Lege Artis Medicinae

MARCH 01, 2000