Lege Artis Medicinae

[Black Magic, or Resurrecting the Dead Mother ]

GEREVICH József

NOVEMBER 15, 2019

Lege Artis Medicinae - 2019;29(11)

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[Preview of selected papers of the 3rd Hypertension Days in Szekszárd]

BENCZÚR Béla

Lege Artis Medicinae

[White-coat and masked hypertension]

ALFÖLDI Sándor

[White-coat hypertension is a heterogenous clinical entity, that includes patients with lower and higher cardivascular risk. Its prognosis is relatively benign, when it is not associated with other cardiovascular risk factors. Therefore, cardiovascular risk evaluation has utmost importance in patients with white-coat hypertension for the determina­tion of appropriate treatment. Masked hy­per­tension, however, is not a benign pheno­type, as it has been proven. Its early recognition, regular follow-up and effective anti­hypertensive drug treatment are mandatory. ]

Lege Artis Medicinae

[Hypertensive emergency conditions in Family practice]

TORZSA Péter

[Family doctors play an important role in the treatment of high blood pressure emergencies. There are two forms of these: hypertensive, non-life-threatening states (urgency) and the hypertensive crisis (emergency) with life-threatening complications. The boundary between these two forms is not sharp, and a non-life-threatening urgency can turn into a hypertensive crisis. Hypertensive emergency is defined as an acute, marked increase of blood pressure with concomitant life-threatening target organ dysfunction. Treatment always requires hospitalization and parenteral administration of antihypertensive agents. In the case of hypertensive urgency, the acute increase of blood pressure is not complicated with organ damage. In these cases treatment can be performed in primary care with oral drugs. ]

Lege Artis Medicinae

[“There is no Other such Place in the World” – The Life of Objects in the Art Collection of the Hungarian Academy of Sciences]

CZIGLÉNYI Boglárka

Lege Artis Medicinae

[Specialists’ opinions about the introduction of colorectal cancer screening ]

MAGDA Lilla, TEREBESSY András

[ INTRODUCTION - The number of new cases of colorectal cancer is over 10 000 and there are around 5000 deaths per year in Hungary. A nationwide colon cancer screening program was launched in 2018. AIMS - Concerning the upcoming national screening, our aim was to explore attitudes, preferences and knowledge of specialists (family medicine, gastroenterology, surgery, oncology, pathology) who will be engaged in screening, diagnosis and treatment of colorectal cancer. METHOD - Before the start of the program we conducted semi-structured interviews with 20 representatives of specialties mentioned above. Interview-questions focused on knowledge (epidemiology, screening methods, program-related), preferences (screening method, protocol) and impact of the program on medical practice. Quan­ti­ta­tive and qualitative methods were used for analysis. RESULTS - Incidence of colon cancer was well known but its mortality in Hungary was underestimated. The public health significance of colorectal cancer scored 7 on a 10-point Likert scale and all participants agreed with introduction of the program. 12 people knew the chosen protocol (two-stage), only a single person mentioned one-stage (colonoscopy), and 7 had no information. 16 people prefer colonoscopy as the best screening method. 11 support two-stage protocol, 5 do not support but accept it, 4 would only accept the one-stage approach. 13 people think their duties will increase considerably. CONCLUSIONS - Our review partners consider colorectal screening in Hungary as an initiative to be supported. They expect increase of workload in their everyday medical practice and assume that the current endoscopic capacity will be overburdened. The majority prefers two-stage protocol because of cost-effectiveness while arguing that the colonoscopy has a bad reputation among the general population, nevertheless they consider colonoscopy as the best method of screening. ]

All articles in the issue

Related contents

Lege Artis Medicinae

[Psychiatric disorders associated with childbearing]

PÁLL Irén

[The aim of this brief literary review was to draw attention to psychiatric disorders accompanying childbearing and to point out their importance. Authors begin with a historical perspective, the definition of concepts and the presentation of epidemiological data. It is followed by the mapping of multiple entwining etiological factors, then focus on the risc factors. Finally the principles are outlined to be followed in screening, prevention and treatment. Although these conditions develop quite frequently and have serious consequences regarding the individual (“unity of mother and child”) as well as the family and the society, their recognition still present difficulties. Following the establishment of the diagnosis, it is also important to start adequate therapy in time. The solution of the future would be to focus on prevention. This would be realized through the teamwork of would-be parents, health care specialists and researchers.]

Lege Artis Medicinae

[THE INFLUENCE OF IMMUNOGENOMIC FACTORS ON HIV-INFECTION]

FÜST György

[Authors discuss data published in the last 2-3 years indicating that besides the characteristics of the virus itself, the natural course of HIV disease is also regulated by genetic factors from the very onset till the end. Susceptibility for HIV infection of the carriers of a non-expressing mutant allele (CCR5Δ32) of one of the main coreceptors of HIV is markedly lower than that of the non-carriers. HLA-concordancy, that is few differences in the HLA alleles between the infected and noninfected partners, increases the chance of the HIVtransmittal. On the other hand, carriage of some HLA genotype e.g. that of the HLA A2/6802 supertype may significantly decrease the risk of the sexually transmitted HIV infection or that of the HIV infection from the mother to child. The rate of progression of the HIV disease which may vary in broad range from the median value of 10 years is also dependent on genetic factors. Progression is lower than the average in the carriers of the CCR5Δ32, HLA-B*27 and HLAB* 57 alleles while it is significantly more rapid in carriers of the HLA-B*35.1 allele. Recent data on the regulation by genetic factors of some sideeffects and the efficacy of combined antiretroviral treatment indicate that in the near future individual treatment may be used on the basis of the genetic background of the patients.]

Lege Artis Medicinae

[Why did I survived? Treatment of acute stress reaction after a road accident]

SZABÓ József, SIPOS Mária

[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

[A Sullen Sunset, or the Spirits of the Dead Stand Guard – Pictorial Encounters ]

GEREVICH József

Lege Artis Medicinae

[Feeding and eating in infancy and early childhood part I. - data on breastfeeding in the large-sample “For Healthy Offspring” project]

NÉMETH Tünde, VÁRADY Erzsébet, DANIS Ildikó, SCHEURING Noémi, SZABÓ László

[INTRODUCTION - Breastfeeding is the ideal and natural source of nutrition for infants, is associated with a reduced risk of many diseases in infants and mothers. It has a positive impact on the mother-infant relationship and also has considerable economic and environmental benefits. Subjects and methods - In the “For Healthy Offspring” Project parents of 1164, 0-3-year-old children completed a ques-tionnaire about breastfeeding and their feeding routine. The sample is not representative of the general population, but the sociodemographic and housing variables indicate an adequate spectrum. RESULTS - Breastfeeding was perceived by 60% of mothers enjoyable, while 20% of them had a negative experience with it. More than 50% of mothers had some breastfeeding difficulties, but it did not have a significant correlation with the negative perception of breastfeeding. The most common problem was the perception of inadequate milk supply. Among the studied variables maternal smoking, lower maternal education and the lack of antenatal breastfeeding education had the strongest correlation with the duration of breastfeeding. CONCLUSIONS - Adequate antenatal education on breastfeeding, proactive support of women and promptly attending their breastfeeding difficulties increases the duration of exclusive and any breastfeed-ing, helps mothers to reach their breastfeed-ing goals and to perceive breastfeeding enjoyable.]