[A modern approach to the surgical treatment of osteoarthritis of the hip]
SZENDRŐI Miklós, SÓLYOM László
JANUARY 20, 2001
Lege Artis Medicinae - 2001;11(01)
SZENDRŐI Miklós, SÓLYOM László
JANUARY 20, 2001
Lege Artis Medicinae - 2001;11(01)
[The authors review the development of surgical treatment of osteoarthritis of the hip, including the joint preserving interventions for biomechanical reconstruction in prearthroses, and the joint deceasing, or joint replacing procedures in advanced osteoarthritis. Demonstrating the indications, contraindications and possible complications they point to the responsibility of the surgeon, and to the changes of the recent strategy comparing to the previous one. They give a „state of the art” description regarding the surgical treatment of osteoarthritis of the hip supported by references from the literature and their own experience.]
Lege Artis Medicinae
Lege Artis Medicinae
[Imaging is important in the evaluation of tumour detection, staging to determine the response to therapy, to follow the patient to find an early recurrent tumour. The ability to assess cancer spread has been revolutionized by advances of digital imaging modalities, such as digital ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). MRI is the method of choice for detecting and evaluating brain, spine, head and neck and musculoskeletal tumours, but it is complementary in the investigation of the thorax. US and CT remains the primary test for imaging the abdomen, while MRI plays a subsidiary role as a problem solving technique. In the evaluation of focal liver disease numerous prior reports have documented a superior performance of MRI compared to CT and US in the detection of primary and metastatic liver tumours. MRI is gaining more and more importance in imaging of the pelvis. Breast MRI is increasingly used as an adjunct to conventional imaging modalities. Several recent developments in MRI have altered the role of this imaging, and it is often the preferred choice among diagnostic tools for the detection and characterization of tumour cases.]
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
Journal of Nursing Theory and Practice
[Aim of our research was to assess the knowledge of nurses working in surgical departments about surgical wound treatment, phases of wound healing, its complications, and intelligent bandages. Our quantitative, cross-sectional, descriptive examination was carried out in a hospital in Transdanubia with non-random, expert sampling and a self-made questionnaire. Our target group was nurses working in the surgical departments of the hospital (N=85). During the data analysis, the descriptive statistical methods of MS Office Excel 2016 software were calculated: mean, standard deviation, frequency. A χ2-test was used to examine the relationship between variables (p <0.05). Knowledge of bandages was not affected by educational attainment (p>0.05). Those who perform wound care in their daily work have more knowledge about the wound treatment sequence of the wounds that are primarily healing, as well as about intelligent dressings (p<0.1). For the classes, there was a significance for the recognition of complicated wounds, knowledge of the benefit of the absorbable suture and the use of analgesic procedures (p<0.001). In the interests of patient safety, nurses’ knowledge of wound treatment needs to be continuously improved. It is necessary to provide an accessible source of information and further training.]
Clinical Oncology
[Long-term central venous access devices are essential in the management of oncology patients, as they minimize the discomfort caused by frequent venipuncture and cannulation. Indications of application of central venous accesses, possibilities of implantations, immediate and long term complications, they prevention and obviation has been reported based on guidelines and relevant publications. Long term implantable central venous accesses handled by well-trained and exercised team, working with principles of maintenance, these manipulations are effective and safe, therefore suitable in oncological practice.]
Lege Artis Medicinae
[The treatment of superficial bladder tumours cannot be confined to surgical removal of the malignancy, due to the high rate of recurrence. The prevention of tumour recurrence is also an essential part of the treatment. Side effects and complications of BCG immunotherapy mounted on 152 patients are summarized. Diagnostic procedures and prevention of failures are discussed. Although the side-effects cannot be ignored, the authors express that the therapeutic advantage to adjuvant bladder treatment rises over the hazard of the toxic side-effects. A yearly repeated treatment cycle leads to not more complications than a single six-week course itself. ]
Lege Artis Medicinae
[INTRODUCTION - The prevalence of type 2 diabetes mellitus in children and adolescents is increasing worldwide. PATIENTS AND METHODS - Authors have investigated the prevalence of type 2 diabetes mellitus and of impaired glucose tolerance among the patients of the 1st Department of Pediatrics at the Semmelweis University between January 1989 and September 1998. RESULTS - During this period, 161 children with impaired glucose tolerance and 34 patients with type 2 diabetes mellitus were diagnosed. There was a female predominance. 53% of the patients were already in puberty. The majority of the patients were obese. Serum triglyceride and cholesterine levels exceeded normal values as compared to age matched healthy children. Ambulatory blood pressure monitoring revealed relative nocturnal hypertension. 35% of the patients also had microalbuminuria. CONCLUSION - In type 2 diabetes mellitus the early signs of late complications can be detected in the young. It reveals the importance of establishing the diagnosis of this disease as soon as possible.]
Lege Artis Medicinae
[Gastroesophageal reflux is an extremely common problem encountered in everyday clinical practice. A number of factors and mechanisms may be responsible for the development of gastroesophageal reflux disease. During the last decade a vast number of papers have been published on this subject. The purpose of this article is to highlight our current understanding of this disorder. The author reviews the epidemiology, patho physiology, symptoms, diagnosis , complications, non-medical , medical and surgical therapy of gastroesophageal reflux disease. Long term treatment strategy, management of esophageal strictures and Barrett' s esophagus are also discussed. The present recommendations, medical and surgical therapeutical managements offered in this field in Hungary are also summarized.]
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