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Lege Artis Medicinae - 2019;29(12)
Content
Lege Artis Medicinae
DECEMBER 10, 2019
Lege Artis Medicinae
DECEMBER 10, 2019
[Praeeclampsia - 2019]
[Preeclampsia remains one of the most serious gestational diseases. Accumulating data support the opinion that the pathogenesis of preeclampsia (gestational hypertension + organ dysfunction) is not homogenous. The early-onset (onset of clinical phase before the 34th gestational week) type is a placental disease in which hypertension and organ dysfunctions are due to vasoconstriction and microthrombosis. The late-onset form is a maternal disease in which water retention - in connection with obesity - beyond the given vascular capacity may be an important progenitor of the clinical signs. These considerations should also influence the strategy of the treatment. ]
Lege Artis Medicinae
DECEMBER 10, 2019
[The adverse effects of smoking on our respiratory system based on data of the Hungarian Public Health Screening 2010-2018 ]
[The regular smoking with or without clinical symptoms causes structural changes in the lung tissue and this is reflected in respiratory function tests. During the last 9 years of Hungary's comprehesive health promotion screening (MÁESZ) between 2010 and 2018, spirometric examinations (PEF, FEV1, MEF25-75, FVC) were performed on 70822 women and 60187 men. We used the percentage of predictive values in the analysis to describe the deviation from normal. The carbon monoxide (eCO) content measurement of the exhaled air (in ppm) was performed on 24899 women and 22340 men. The COPD Evaluation Questionnaire (CAT) was completed by 4166 women and 3170 men. All four parameters of spirometry showed lower values for smokers in both sexes, but in men they were lower than in women. Ageing lowered significantly the values. The rate of changes from normal predictive values and the difference between smokers and non-smokers was the highest for MEF25-75 and FVC. The expiratory CO content (eCO) was significantly higher in smokers than in non-smokers in all age groups. In smokers, the incidence in percent of abnormal CAT score was significantly higher. Respiratory screening tests reveal the harmful effects of smoking, even without clinical symptoms, and indicate the risk of developing COPD.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Introducing a new, personalized multistep cognitive behavioral therapy for obesity]
[Two thirds of Hungary’s adult population live with excess weight. Obesity itself is a chronic disease that is a risk factor for many other chronic diseases, and therefore adequate treatment is of public health importance. Although behavioral therapy is one of the evidence-based approaches to treating obesity, its long-term effectiveness is not well-established. That is why intensive work has been done over the past decades to further develop behavioral therapy. A recent example of this is a multi-step treatment program that can be implemented in a number of settings of the health care system regardless of the excess weight and the presence of comorbid conditions of obesity. This treatment program is based on classical behavioral treatments and new cognitive-behavioral treatments of obesity and, in addition to the acquisition of long-term lifestyle-changing skills, contributes to the treatment of obesity through the development of a mind-set for long-term weight control. The purpose of this study is to present the program.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Explorative statistical analysis of numerous blood tests’ metabolic panel with rank-correlation ]
[INTRODUCTION AND AIM - During routine blood panel testing, large amounts of biomedical data are collected in Hungary and in all over the world. The aim of our - ethically approved - exploratory medical data analysis was to examine whether the analysis of correlations among several variables in a real-life, non-random blood panel data leads to meaningful results. DATA AND METHODS - In a retrospective study 2,292,199 anonymous routine blood panel data points were analyzed. Rank correlation was used between variables with more than 10,000 data points and strong (|ϱ|>0.5, p<0.001) relationships were visualized and interpreted. RESULTS - Similar laboratory values, effects of diseases affecting the same organ, as well as well-known medical interrelationships were shown between the examined laboratory parameter-pairs. DISCUSSION - Our exploratory data analysis shows that despite the non-random nature of the big blood panel sample, well-known medical correlations were very well detectable. Based on the results further research - with the inclusion of additional variables - seems reasonable and meaningful with due caution.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Health risk awareness among healthcare professionals]
[INTRODUCTION - The aim of our study was to assess how aware healthcare professionals are of the risks and dangers they are faced with while performing their jobs. MATERIAL AND METHOD - Data collection was done quantitatively with a survey filled out by the subjects themselves from among medical/healthcare professionals who are currently working multiple shifts or medical professionals who are in leadership positions and are currently continuing their higher education beside their employment. Data analysis was done with the help of Microsoft Excel and SPSS using the Pearson chi-squared test and the Mann Whitney test (p<0.05) as well as descriptive statistical methods. RESULTS - The 134 healthcare professionals taking part in the study were not fully aware of the health risks they are faced with. CONCLUSION - The people who provided answers were not clear on workplace dangers and risks. On the whole, it can be determined that the cooperation of occupational health and workplace safety is necessary in order to avoid damage to the health of healtcare professionals.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Why did I survived? Treatment of acute stress reaction after a road accident]
[INTRODUCTION - Survivors and witnesses of traffic accidents often experience an acute stress reaction. Immediate or at least fast psychological support, relieving the subjective suffering is very important in the respect of preventing psychological crisis, post-traumatic stress disorder or depression and the associated increasing risk of suicide. CASE REPORT - We present the case of a 27-year-old male patient who was the victim of a traffic accident and was partly responsible for it. He lost his mother in the accident, his sister was injured, and there was a casualty in the other affected car. He applied for a psychiatric appointment one week after the accident. He complained of insomnia, loss of appetite, sadness, weakness, anxiety. The treatment consisted of low-dose anxiolytic therapy, recommended in case of need, and a psychological support via acute stress protocol (G-tep) of EMDR therapy. Both short-term feedback from his family doctor and psychiatry outpatient follow-up after three weeks showed significant symptomatic improvement. CONCLUSIONS - In the last one and a half year, he has not applied for psychiatrical treatment. According his general practitioner there were no new psychological problems during this time. Our work has been successful in terms of immediate relief of suffering and prevention of psychological crisis and PTSD.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Family medicine as a career. Medical students’ attitudes and vocational choice motivations]
[INTRODUCTION - The large number of vacant general practices is a burning issue in Hungary. The entering of new colleagues into the general practitioner speciality training does not pose a real solution to the human resources crisis in this field. Our aim is to assess medical students’ attitudes and knowledge about general practice. SAMPLE AND METHOD - Cross-sectional survey with self-completed questionnaires at the University of Szeged, with the participation of 94 fourth and fifth year medical students in 2016 and 78 first and fourth year medical students in 2017. RESULTS - In 2016 1% of students planned for sure, and 16% planned probably to work as a general practitioner in the future. In 2017 3.9% of first-year students planned definitely to be a general practitioner, and 15.4% planned that probably. Among fourth-year students 0% of students planned for sure, and 19.2% planned probably to work as a general practitioner in the future. Whatever the presence of family medicine in undergraduate training influenced the medical students’ opinion about the profession positively (0.4-1.3 on a scale based on the direction and strength of the effects of certain factors ranging from -5 to +5). Those who were interested in family medicine considered the situation of healthcare significantly worse (p=0.027), than those who were not interested. To make the profession more attractive the following factors may play the most important role: the more intense presentation (I: 37%) of general practice in undergraduate training, improving the prestige of family medicine (IV: 31%), high-quality work (IV: 39%). CONCLUSIONS - Few medical students plan to work as general practitioner in the future. The most effective way to raise interest in family medicine is to increase the students’ knowledge and awareness of this specialisation, and the more intensive presentation of family medicine in undergraduate training is a key issue.]
Lege Artis Medicinae
DECEMBER 10, 2019
[Risk assessment for child sexual abuse in the American legal practice]
[The paper gives introspection into the child sexual abuse risk assessment practice in the USA by reviewing the literature. According to the definition of the World Health Organization, sexual assault is considered to be any act involving a child in a sexual activity if he or she can not be considered as prepared for the child's age or development. The author also makes an attempt to present some issues and possible solutions regarding the current practice. ]
Lege Artis Medicinae
DECEMBER 10, 2019
[World Pancreatic Day - Constant vigilance!]
[Pancreatic cancer (PaC) is a rare disease. However, it has one of the highest mortality worldwide. In Hungary both the incidence and mortality are among the highest in Europe. Surgery is the only curative method to treat PaC. Unfortunately, PaC is often diagnosed in its inoperative stage due to the asymptomatic/aspecific progression. Unfortunately, there is no effective screening method for PaC. This article aims to raise awareness of PaC risks and symptomps upon the World Pancreatic Cancer Day (21.11) which indicate investigations to diagnose PaC in an early stage, in favor of a better outcome of the disease. ]
Lege Artis Medicinae
DECEMBER 10, 2019
Lege Artis Medicinae
DECEMBER 10, 2019
1.
Clinical Neuroscience
[Headache registry in Szeged: Experiences regarding to migraine patients]
21. MAY
2.
Clinical Neuroscience
[The new target population of stroke awareness campaign: Kindergarten students ]
21. MAY
3.
Clinical Neuroscience
Is there any difference in mortality rates of atrial fibrillation detected before or after ischemic stroke?
27. NOV
4.
Clinical Neuroscience
Factors influencing the level of stigma in Parkinson’s disease in western Turkey
27. SEP
5.
Clinical Neuroscience
[The effects of demographic and clinical factors on the severity of poststroke aphasia]
18. JUL
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