[A short chronicle of three decades ]
KAPRONCZAY Katalin
NOVEMBER 30, 2020
Lege Artis Medicinae - 2020;30(11)
DOI: https://doi.org/10.33616/lam.30.039
Review
KAPRONCZAY Katalin
NOVEMBER 30, 2020
Lege Artis Medicinae - 2020;30(11)
DOI: https://doi.org/10.33616/lam.30.039
Review
Szöveg nagyítása:
[Hungarian professional periodicals started quite late in European context. Their publishing, editing and editorial philosophy were equally influenced by specific historical and political situations. Certain breaking points of history resulted in termination of professional journals (War of Independence 1848-1849, First and Second World Wars), however there were periods, which instigated the progress of sciences and founding of new scientific journals. Both trends were apparent in years after the fall of former Hungarian regime in 1990. The structure of book and journal publishing has changed substantially, some publishers fell “victim” others started successfully as well. The latters include the then-established publishing house Literatura Medica and its own scientific journal, Lege Artis Medicinae (according to its subtitle: New Hungarian Medical Herald) issued first in 1990. Its appearance enhanced significantly the medical press market. Its scientific publications compete with articles of the well-established domestic medical journals however its philosophy set brand-new trends on the market. Concerning the medical community, it takes on its problems and provides a forum for them. These problems are emerging questions in health care, economy and prevention, in close interrelation with system of public health institutions, infrastructure and situation of those providing individual health services. In all of them, Lege Artis Medicinae follows consequently the ideas of traditional social medicine.]
Lege Artis Medicinae
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Lege Artis Medicinae
[Three decades ago, LAM was launched with the goal of providing scientific information about medicine and its frontiers. From the very beginning, LAM has also concerned a special subject area while connecting medicine with the world of art. In the palette of medical articles, it remained a special feature to this day. The analysis of the history of LAM to date was performed using internationally accepted publication guidelines and scientific databases as a pledge of objectivity. We examined the practice of LAM if it meets the main criteria, the professional expectations of our days, when publishing contents of the traditional printed edition and its electronic version. We explored the visibility of articles in the largest bibliographic and scientific metric databases, and reviewed the LAM's place among the Hungarian professional journals. Our results show that in recent years LAM has gained international reputation despite publishing in Hungarian spoken by a few people. This is due to articles with foreign co-authors as well as references to LAM in articles written exclusively by foreign researchers. The journal is of course full readable in the Hungarian bibliographic databases, and its popularity is among the leading ones. The great virtue of the journal is the wide spectrum of the authors' affiliation, with which they cover almost completely the Hungarian health care institutional system. The special feature of its columns is enhanced by the publication of writings on art, which may increase Hungarian and foreign interest like that of medical articles.]
Lege Artis Medicinae
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Lege Artis Medicinae
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Lege Artis Medicinae
[What has Go to do with making clinical decisions? One of the greatest intellectual challenges of bedside medicine is making decisions under uncertainty. Besides the psychological traps of traditionally intuitive and heuristic medical decision making, lack of information, scarce resources and characteristics of doctor-patient relationship contribute equally to this uncertainty. Formal, mathematical model based analysis of decisions used widely in developing clinical guidelines and in health technology assessment provides a good tool in theoretical terms to avoid pitfalls of intuitive decision making. Nevertheless it can be hardly used in individual situations and most physicians dislike it as well. This method, however, has its own limitations, especially while tailoring individual decisions, under inclusion of potential lack of input data used for calculations, or its large imprecision, and the low capability of the current mathematical models to represent the full complexity and variability of processes in complex systems. Nevertheless, clinical decision support systems can be helpful in the individual decision making of physicians if they are well integrated in the health information systems, and do not break down the physicians’ autonomy of making decisions. Classical decision support systems are knowledge based and rely on system of rules and problem specific algorithms. They are utilized widely from health administration to image processing. The current information revolution created the so-called artificial intelligence by machine learning methods, i.e. machines can learn indeed. This new generation of artificial intelligence is not based on particular system of rules but on neuronal networks teaching themselves by huge databases and general learning algorithms. This type of artificial intelligence outperforms humans already in certain fields like chess, Go, or aerial combat. Its development is full of challenges and threats, while it presents a technological breakthrough, which cannot be stopped and will transform our world. Its development and application has already started also in the healthcare. Health professionals must participate in this development to steer it into the right direction. Lee Sedol, 18-times Go world champion retired three years after his historical defeat from AlphaGo artificial intelligence, because “Even if I become the No. 1, there is an entity that cannot be defeated”. It is our great luck that we do not need to compete or defeat it, we must ensure instead that it would be safe and trustworthy, and in collaboration with humans this entity would make healthcare more effective and efficient. ]
Lege Artis Medicinae
[The authors survey the judgement of the arteficial insemination by husband (arteficial insemination with partner's sperm) by the great religions of the world. After expounding the main ethical guidelines they analyse the present situation in Hungary. Based on the legal rules and the medical practice they draw up the ethical arguments both in favour and against the use of AIH (AIP). Finally a list of practical guidelines is given according to which the AIH (AIP) is ethically acceptable and meet the accepted professional standards]
Lege Artis Medicinae
[The tasks of the Public Health Service and the Medical Officer Service go far beyond the classical public health epidemiological system, to include prevention of public health endangering conditions and life threatening diseases. The Public Health Service is competent to supervise the efficient operation of the healthcare institution. Optimal operation of the system requires the use of an information system relying on modern computer technology. Conceptually, the information system is people-centered. Is is based on a flexible modular structure with multiple functions, according to the functions of the service. It consists of a network of divided data bases in order to provide relation data services. ]
Lege Artis Medicinae
[In 1941 Bódog Csajkás, a young historian of medicine at the beginning of his career, wrote a letter to Gyula Magyary-Kossa, the most outstanding character of Hungarian medical historiography and sent him some of his works. In this letter he asked if there was a point in further devoting himself to the history of medicine. In a short and encouraging answer Magyary-Kossa urged the young man to continue with his efforts. ]
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