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Lege Artis Medicinae - 2021;31(03-04)
Content
Lege Artis Medicinae
APRIL 23, 2021
Lege Artis Medicinae
APRIL 23, 2021
[Benefits of SGLT-2 inhibitors: beyond glycemic control]
[In the recent years, according to international and Hungarian guidelines, in addition to lifestyle modification, metformin is the preferred initial glucose-lowering drug for most people with type 2 diabetes, if not contraindicated. Sodium glucose cotransporter-2 inhibitors have been shown to reduce progression of chronic kidney disease, or kidney failure, as well as the risk of hospitalizations for congestive heart failure and (mainly in secondary prevention) cardiovascular death in patients with type 2 diabetes. For major adverse cardiovascular events and for the renoprotection, there seems to be no class effect. On the other hand, a class effect of sodium glucose cotransporter-2 inhibitors is evident for hospitalization for heart failure. In this review the authors summarize novel data about sodium glucose cotransporter-2 inhibitors, and about their new perspectives in the near future.]
Lege Artis Medicinae
APRIL 23, 2021
[Tobacco use habits and cessation support tasks in Hungary. PART 1.]
[Today, non-communicable diseases and their underlying main risk factors, namely tobacco use, physical inactivity, excessive alcohol intake and unhealthy diet are responsible for almost 70% of the mortality worldwide. The Global Action Plan issued for the prevention and control of non-communicable diseases aims among others to reduce smoking rates by 30% as compared to the 2010 prevalence. The aim of the World Health Organization (WHO) in accordance with the United Nations Sustainable Development Goals (UN SDG 2030) proposes to achieve a 23% target rate in Hungary by 2025. Based on the current smoking prevalance (29%) and preliminary estimates this goal will not be accomplished. It is highly concerning that while the consumption of traditional tobacco products does not decrease at the expected rate in Hungary, novel nicotine and tobacco products are spreading worldwide and in Hungary as well. Thus in order to curb tobacco use, more robust actions are needed in Hungary. More emphasis should be laid on the provisions of the WHO Framework Convention on Tobacco Control (FCTC). This document recommends to increase the tax rate of tobacco products, declares to halt the spread of novel nicotine and tobacco products, and urges health care requirements to support smokers in quitting. The present summary describes the smoking cessation support related tasks of the health care industry, taking into account current national smoking habits. ]
Lege Artis Medicinae
APRIL 23, 2021
[30 years in diabetology reflected on the pages of Lege Artis Medicinae – 1990-2020]
[Commemorating the 30th anniversary of foundation the journal Lege Artis Medicinae, the author endeavours to review the main developments of diabetology in the same period and arranges their reflections on the journal’s pages. He points out that similar to many other disciplines, the history of development has extremely been rich in the past three decades, thus he focused only on a few issues. The author analyses the changes in the treatment of type 2 diabetes and highlights specific aspects like the importance of early metabolic control, individualized treatment choices, a risk-oriented approach instead of a glucocentric direction, and the role of patient education and a health-conscious lifestyle, which have resulted in the holistic approach of our therapeutic strategy. While using relevant quotes, the author shows that the readers of the journal were also able to keep pace with all events and they were always provided with relevant information by authentic specialists of diabetology. ]
Lege Artis Medicinae
APRIL 23, 2021
[The role of intergenerational stress in the background of anorexia nervosa]
[In childhood and adolescence, family therapy is a crucial therapeutic method in the treatment of anorexia nervosa. Among the family stress factors there are the tensions often too obvious between the parental and grandparental generations. Three case reports are presented, where the transgenerational tensions played an important role in the family of a young patient, suffering from anorexia nervosa. During the family therapy, the treatment of interrelated family stress factors and focusing on transgenerational relations proved to be crucial in the successful outcomes. While treating anorexia nervosa by family therapy there are not only important the recognition and treatment of tensions within the nuclear family, but also those of stressed relations emerging from grandparental generation through multigenerational transfer mechanisms. This treatment may be successful either with the grandparent’s inclusion, or exclusion. ]
Lege Artis Medicinae
APRIL 23, 2021
Lege Artis Medicinae
APRIL 23, 2021
[The significance of hypertension in preventing cardiovascular mortality]
[High blood pressure as a separate disease, contributes absolute substantially to the cardiovascular mortality, thus its prevention, early diagnosis, adjusted treatment and primarily its lifelong care make it a pre-eminent public health issue. This comprehensive study concerns the specific aspects of hypertension care. First, we present the different screening programs of the Hungarian Society of Hypertension, then overview the actual protocols of pharmaceutical treatment and finally we concern the related skills of doctor-patient collaboration. Since our mortality statistics are significantly lagging behind the Western-European nations, the widest possible spreading of knowledge is of paramount importance. ]
Lege Artis Medicinae
APRIL 23, 2021
Lege Artis Medicinae
APRIL 23, 2021
[Commemorating the Lipótmező. Part 1.]
[“What did Lipótmező mean to you?” My friends and acquaintances asked frequently this question in the past decades, concerning the National Institute for Psychiatry and Neurology or well known as the Lipótmező my past workplace and the role it played in my life thus far. It is difficult to give a short answer, but the three and a half decades I have spent there were certainly of decisive importance in my professional and private life as well. Since I was banned from tobacco smoking due to my disease ten years ago, I cannot keep my pipe in my mouth any more. Thus, I decided to recollect the dearest stories kept in my memory, which had the deepest impact on me during my 35 years in Lipótmező both as a doctor and as a man. ]
Lege Artis Medicinae
APRIL 23, 2021
Lege Artis Medicinae
APRIL 23, 2021
Lege Artis Medicinae
APRIL 23, 2021
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
1.
2.
Clinical Oncology
[Pancreatic cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up]
29. AUG
3.
Clinical Oncology
[Pharmacovigilance landscape – Lessons from the past and opportunities for future]
29. AUG
4.
5.