Lege Artis Medicinae

[Capsule endoscopy in small intestine: practical points of view]

RÁCZ István

JANUARY 20, 2013

Lege Artis Medicinae - 2013;23(01)

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Lege Artis Medicinae

[The Private Physician and State Advisor of Tzar Alexander I János Orlay, a Polymath Physician ]

MOLNÁR László

Lege Artis Medicinae

[Sudden, unexpected cardiac death: not everyone can help?]

MATOS Lajos

Lege Artis Medicinae

[Lifestyle and self-perceived health status differences of Hungarian and foreign medical students]

TEREBESSY András, HORVÁTH Ferenc, BALÁZS Péter

[INTRODUCTION - Physicians, while concerning also the whole personality, advice their patients in life-style problems too and these types of advices may contribute even decisively to the patients’ recovery. The physicians’ personal health behaviour and self-assessed health status are interrelated with counselling the patients. Undergraduate years play a significant role in the later established behavioural patterns therefore it is important to study the medical students’ health status and lifestyle. MATERIAL AND METHODS - Self-administered questionnaires were used to assess the lifestyle and self-perceived health status differences of domestic (Hungarian) and foreign (English course) medical and dental school students in the 4th year of the Semmelweis University (response rate: 96% and 55.6%). Dichotomous variables were analysed by Pearson chi-square probe and multivariable logistic regression models at significance level of p<0.05 and odds ratios were calculated with 95% confidence interval. RESULTS - The rate of healthy diet was 41.0% (n=55) among Hungarian students and 57.7% (n=67) among the foreign students. Foreign students exercise more often vigorously 41.5% (n=51) than the Hungarians 20.0% (n=29). Foreign students ranked their self-perceived health status higher in all but one categories, than Hungarians. CONCLUSIONS - The results of our study indicate that comparing health behaviour of students of different cultural-geographical background, dietary habits and the selfperceived health status are more favourable among those out of foreign countries.]

Lege Artis Medicinae

[Rituximab therapy in idiopathic inflammatory myopathies]

BODOKI Levente, VINCZE Melinda, GRIGER Zoltán, CSONKA Tamás, CSERI Karolina, HORTOBÁGYI Tibor, DANKÓ Katalin

[Idiopathic inflammatory myopathies are systemic autoimmune diseases characterized by symmetrical weakness of proximal limb muscles. In the everyday practice it is not easy to treat idiopathic inflammatory myopathies. First-line therapy is based on corticosteroids. If there is no improvement in the symptoms and complaints in two months, a new immunosuppressant therapy has to be initiated. The aim of this summary is to present the biological agent rituximab in the therapy of this condition.]

Lege Artis Medicinae

[Saving Psychiatry ]

BÁNFALVI Attila

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A rare entity of acquired idiopathic generalised anhidrosis which has been successfully treated with pulse steroid therapy: Does the histopathology predict the treatment response?

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Life threatening rare lymphomas presenting as longitudinally extensive transverse myelitis: a diagnostic challenge

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Clinical Neuroscience

Extraskeletal, intradural, non-metastatic Ewing’s sarcoma. Case report

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Investigation of risk factors, topographic location and stroke mechanisms of unilateral isolated and posterior cerebral ARTERY thalamic infarcts

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Aim - In this study, we aimed to examine the risk factors, topographic features and stroke mechanisms of acute ischemic unilateral infarcts of thalamus. Methods - Patient with isolated thalamic infarct and those with posterior cerebral artery (PCA) infarction who were admitted to our hospital between January 2014 and January 2017 with acute unilateral thalamic infarction (TI) were included in this study (isolated thalamic infarction/ isolated TI; thalamic and posterior cerebral artery infarction/PCA+TI). Demographic characteristics and vascular risk factors of the patients were determined. Thalamic infarct areas were recorded topographically as anterior, posteromedial, ventrolateral, posterolateral, more than one area, and variant areas. Stroke mechanism was determined according to the criteria of „Trial of Org 10172 in Acute Stroke Treatment” (TOAST). Patients with isolated TI and PCA TI were compared according to risk factors, stroke mechanism and infarct topography. Results - Forty-three patients with a mean age of 63.3 ± 14.5 years were included in the study. Twenty-eight patients (60.1%) were found to have isolated TI and the remaining 15 patients (34.9%) had PCA+TI. 32.1% of patients with isolated TI had sensory symptoms on presentation, and 60% of patients with PCA-TI had sensorimotor symptoms. The mean age, the mean score on National Institutes of Health Stroke Scale (NIHSS) and the mean frequency of atrial fibrillation were higher in PCA+TI patients than in isolated-TI patients (p: 0.04, p: 0.004, p: 0.02 respectively). 32.6% of the patients had ventrolateral, 30.2% had posteromedial involvement. Ventrolateral topography was seen in 46.7% of the PCA+TI patients, while posteromedial topography was seen in 39.3% of the isolated-TI patients. 53.6% of the isolated-TI had small vessel disease etiology, while 40% of the PCA+TI had cardioembolic etiology, and the other 40% had large artery atherosclerosis. Conclusion - Our study showed that the most ommon stroke mechanism in patients with thalamic infarction is the small vessel disease. Isolated TI and PCA+TI patients differ in terms of etiologic mechanism and infarct topography. Variant territorial involvement and multiple area involvements can be quite common in thalamic infarcts.