Lege Artis Medicinae - 2016;26(01-02)

Lege Artis Medicinae

FEBRUARY 05, 2016

[Visibility and quality of life: international literature review of the state of LMBTQ healers]

SZÉL Zsuzsanna, CSEKŐ Csilla, GYŐRFFY Zsuzsa

[BACKGROUND - Mental vulnerability is a well-known problem among healthcare professionals. In additional LGBT physicians’ discriminatory experiences and the exposure of minority stress appear to be a greater risk for health problems. METHODS - We collate researches in English by using search terms “LGBT doctors” “LGBT providers” “LGBT physicians”; “attitudes of nurses”; “attitudes of medical students”; “attitudes of doctors”; “LGBT practitioners”, “homophobia among doctors” „“homophobia among physicians”; “LGBT in medical curricula”, “sexual and gender minority”, “minority stress”. We reviewed findings highlighting the disclosure of orientation, experiences, mental and physical health of LGBT healthcare professionals, and physicians’, nurses’, medical students’ and patients’ attitudes towards LGBT students and physicians. RESULTS - At present conditions of LGBT individuals have gained international attention also in academic conversation. Based on the literature lack of safe, supporting environment seems to be the highest problem for LGBT physicians and medical students. Both in Canada and the USA several steps were made to improve attitudes of medical professionals, and decrease discrimination towards LGBT individuals in healthcare system such as creating more supportive environment by ‘Promoting pride’ and integrating LGBT-related content into medical universities’ curriculum. CONCLUSIONS - Our findings suggest that in Canada and the United States the rate of discrimination have decreased meanwhile transparency of LGBT professionals elevated as a result of antidiscrimination policies and the educational development.]

Lege Artis Medicinae

FEBRUARY 05, 2016

[Results of comprehensive health screening of Hungary (MÁESZ) in 2015]

KISS István, BARNA István, DAIKI Tenno, DANKOVICS Gergely

[In 2010, a novel, complex health screening was launched in Hungary, titled as Comprehensive Health Screening of Hungary. As part of the National Heart & Vascular Program, it operates with the support of 67 professional-scientific societies and companies. In the last six years the special screening truck has visited 1123 places and traveled more than 10 000 km. The screening station has been offering 27 medical screening options. It has accomplished the complex screening of 135 879 residents and informed 314 184 residents about the right lifestyle, the protection of health and prevention of diseases on the ground. 241 753 people have received a Prevention Information Package. In this article, the authors summarize the results of 2015, summary is based on the blood tests, instrumental measurements and on the questionnaires, which were consisting 100 questions. It was again found that the Hungarian population is at high medical risk from multiple perspectives. The authors also outline possible solutions to risk reduction and disease prevention.]

Lege Artis Medicinae

FEBRUARY 05, 2016

[Effect of rosuvastatin therapy’s introduction on lipid levels and on proportion of target values reaching in patients with familial hypercholesterolemia and familiarity]

SZTANEK Ferenc

[Familial hypercholesterolemia (FH) is a genetically heterogeneous disorders characterized by very high total cholesterol and low-density lipoprotein (LDL) cholesterol levels, and it accelerates the development of atherosclerosis and early cardiovascular disease. FH is most commonly caused by mutations in low-density lipoprotein receptor (LDLR) or apolipoprotein B-100 (APOB) genes. In rest of the cases the mutation is in the proprotein convertase subtilisin/kexin type 9 (PCSK9) gene. Previous studies have shown that rosuvastatin significantly reduces major cardiovascular events in high risk patients. The goal of our study was to investigate the lipid-altering efficacy of simvastatin or atorvastatin therapy compared with high-intensity rosuvastatin therapy in patients with FH and familiarity. Recent work has demonstrated the efficacy of high-intensity rosuvastatin therapy in enabling high-risk and very high-risk patients in lowering significantly plasma levels of total and LDL-cholesterol, which can subtantially affect major cardiovascular events in familial hypercholesterolemia.]

Lege Artis Medicinae

FEBRUARY 05, 2016

[Bayesian statistical methods in medicine]

MOLNÁR D. László

[Frequentist statistical methods are wide-spread and their use is easy due to the many statistical softwares and books available for the researchers. Despite the growing interest in Bayesian statistical methods teaching statistics is still mainly based on the frequentist theory. Frequentist statistics is based on the definition of probability as a relative frequency, while the Bayesian probability is a quantity that represents a state of knowledge or belief. Bayesian statistics is, in essence, a learning process. In certain situations the bayesian methods are the only possibility for data analysis. Bayesian statistical methods can be applied well in health data analysis. Every re- searcher is, to a certain extent, a Bayesian. The article discusses the application of Bayesian statistical methods in medicine. ]

Lege Artis Medicinae

FEBRUARY 05, 2016

[Diagnostic algorythm and treatment of bilateral malignant histiocytoma in everyday medical practice?]

VANYA Melinda, SZILI Károly, KELLERMAN Péter, KISS János, KAISER László, LAJOS György

[OBJECTIVE - We report the rare case of a 47-year-old man with malignant fibrous histiocytoma, developing in the right tibia. CASE REPORT - We report a case of a 47 year-old man with chronic pain in his right leg. Magnetic resonance imaging and biopsy was performed. His pathological result was malignant fibrous histiocytoma. CONCLUSIONS - The management of malignant fibrous histiocytoma contains the combination of surgical procedure, chemotherapy and radiotherapy. The diagnosis and the total removal of the tumour is very difficult. ]

Lege Artis Medicinae

FEBRUARY 05, 2016

[Minimal self-consciousness and the ipseity-hyperreflexivity model of schizophrenia]

HORVÁTH Lajos

[The aim of this paper is to give a short introduction to the so called ipseity-hyperreflexivity model of schizophrenia in light of the philosophical thesis of minimal self-consciousness. According to the notion of minimal self-consciousness there is no experience without the self-reference to the experiential subject. Dan Zahavi and Uriah Kriegel argue that minimal self-consciousness, including the sense of ownership of our experiences, remains intact in pathological cases as well. Contemporary phenomenological psychiatry, however, gives such an account of experiences that casts doubt on the invulnerability of ownership and rewrites the topography of self-consciousness. The investigation of minimal self-consciousness could open up new vistas regarding the interdisciplinary cooperation of philosophy and clinical sciences. ]