Lege Artis Medicinae

[Correspondence]

SELMECZY Kamill1

FEBRUARY 28, 1994

Lege Artis Medicinae - 1994;4(02)

[Reflections on GP (family doctor) reform, training and more]

AFFILIATIONS

  1. háziorvos, polgármester

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Further articles in this publication

Lege Artis Medicinae

[Management of inhibitory haemophilia A and aquired haemophilia]

PFLIEGLER György, RÁK Kálmán, KRÁLL Géza, SAS Géza, HAYNAL Imre

[The authors survey the occurrence and the laboratory and clinical differences of factor VIU antibodies in haemophiliacs (allo) and in non-haemophiliacs (auto) as well as their titer and measurement. The recent therapeutic modalities used in prevention, management of acute bleeds and suppression of antibody development or in duction of immune tolerance are detailed. ]

Lege Artis Medicinae

[Back pain]

ANDREW Frank

[The studies to be presented show that the duration and severity of episodes of low back pain can be reduced, thus reducing the risk of recurrence and the costs of sick leave and absenteeism. Frank reviews differential diagnosis; acute, chronic and intractable pain; and the health services needed. Modern treatment principles emphasise self-care at home, usually with no more than 48 hours bed rest. The importance of regaining physical fitness and resuming other activities, including work, is also stressed. Medication helps to achieve these goals. Two issues are emphasised: the strategy for the management of low back pain should be long-term and preventive; it is the responsibility of the patient, not the doctors, to maintain fitness, exercise regularly, do relaxation exercises and avoid damaging the spine. ]

Lege Artis Medicinae

[Eating attitudes and eating disorders among secondary school dancers: a high risk group?]

TÚRY Ferenc, WILDMANN Márta, LÁSZLÓ Zsuzsa, JOÓ Mária Nóra

[The authors assessed the morbidity of eating disorders and the frequency of pathological eating attitudes in two secondary school populations in a two-stage study. The first sample consisted of two classes specialized in dancing (n=54), the second was a control group of two age-matched classes without specialization (n=61). In each group one girl met the criteria of bulimia nervosa, which was 2% of the whole population. No anorectic subject was identified while pathological eating attitudes were significantly higher among dancers characterized by an increased slimness ideal. On the basis of the study the risk of eating disorders is higher in this special population. However, this difference can be shown only in the frequency of subclinical, attitudinal disorders, not in that of clinically severe syndromes.]

Lege Artis Medicinae

[Heart attack primary prevention in hypertension trial]

MATOS Lajos

[Comparison of diuretic versus beta-blocker antihypertensive treatment in men with mild-to-moderate hypertension in terms of nonfatal infarction, coronary mortality and all-cause mortality. ]

Lege Artis Medicinae

[Technical considerations to the anti-endomysium antibody assay]

KORPONAY-SZABÓ Ilma, B. KOVÁCS Judit, LŐRINCZ Margit, KÖRMENDY Miklós, SASHEGYI Julianna

[Anti-endomysium antibody and its equivalent anti-jejunum antibody were investigated in 5000 and 3444 serum samples, respectively. 2928 persons, among them 441 are known gluten intolerant patients (170 coeliac disease proven by gluten challenge, 95 dermatitis herpetiformis, 176 suspected coeliac disease with at least one jejunal biopsy result showing severe villous atrophy); 251 by biopsy proven non coeliac children served as controls. The mentioned antibodies were detected by indirect immuno fluorescence in IgA (in IgA-deficient persons also in IgG) subclass. Specificity of both anti-endomysium and anti-jejunum antibody results was 100% for gluten intolerance. Sensitivity in gluten consuming patients was: 100% in proven coeliac disease (66/66), 92,4% (61/66) in dermatitis herpetiformis and 85,9% (110/ 128) in suspected coeliac disease. 13,5% of all sera contained aspecific IgA-stainings of the following types: anti-smooth muscle, basement membrane, pemphigoid-like and anti-nuclear faktor like antibodies. Simultaneous positivity for anti-endomysium and aspecific antibodies occured too. Assessment accuracy have been improved with the use of 8–10 microns thick tissue sections. Detection of this specific autoantibodies merits first line use in the diagnosis of gluten sensitive enteropathy, but specialized laboratory centers are needed to overcome technical pitfalls. ]

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Related contents

Clinical Neuroscience

[Schizotypal traits and verbal creativity]

FEJES Nikolett Éva, RÓZSA Sándor, MUST Anita

[Introduction - The relationship of schizophrenia and its milder, subclinical forms, with creativity has been in the centre of theoretical interest for decades, however, the systematic research of the topic only prevailed more recently. Purpose - Here we aimed to examine the connection between different schizotypal and non-schizotypal personality traits and verbal creativity in a nonclinical sample. We also investigated the correspondence of two schizotypy inventories, the Oxford-Liverpool Inventory of Feelings and Experiences and a special character configuration of the Temperament and Character Inventory associated with schizotypy. Method - 57 healthy adults (14/43 m/f, mean age 21.51±1.43 years) - took part in the experiment. All participants received a detailed information sheet and gave informed consent prior to participation. Participants completed the Oxford-Liverpool Inventory and the Temperament and Character Inventory to measure both schizotypal and non-schizotypal personality traits. Torrance Test of Creative Thinking was used to measure verbal creativity. Associations between reported measures were examined with correlational and regression analyses. Results and conclusion - Out of the specific Temperament and Character configuration associated with schizotypy (low self-directedness, cooperativeness and high self- transcendence), we only found low self-directedness to be correlated significantly with Oxford-Liverpool schizotypy rates (Self-directedness-schizotypy: r=-.730, p<.01). There was no significant connection between schizotypal traits and verbal creativity. In our sample, the Self-directedness and Reward-dependence character and temperament subscales predicted significantly the verbal creativity level (Self-directedness: b=.330, p=.015; Reward - dependence: b=-.260; p=.049). Based on our results, besides schizotypal traits, other personality measures might be considered in relation to verbal creativity, providing further details to the empirical investigation of creativity. We found low self-directedness to be correlated with Oxford-Liverpool schizotypy rates, however, the sample size was not large enough to test the concurrent validity of the two inventories. Future studies might consider to extend the study sample, preferably to both clinical and non-clinical populations.]

Lege Artis Medicinae

[Correspondence]

KÖVES Péter

["Let's play cards"; you could say it's a collective gamble that costs a lot of money and the payoff is as uncertain as a dog's dinner. Everyone expects a lot from it: we, the primary care doctors (at present, district, general practitioners and family doctors in the process of metamorphosis), and the patients, who are increasingly waiting outside the doors of our surgeries. ]

Lege Artis Medicinae

[Correspondence]

[I hold in my hand LAM issue 5-6. My sincere congratulations to both the previous issues and this double issue. The "outside" and the "inside" are equally valuable. It is a journal with a very fine exhibition. No country much richer than ours can boast of anything like it. The content is also impeccable. The exhibition stands up to all criticism.]

Lege Artis Medicinae

[Correspondence]

BÁLINT Géza

[It was with a sincere and eager curiosity to find a solution that I read Dr. Gyula Kincses' article "Thoughts on the financing background of family medicine" (LAM 1991; 9-10: 618-625), and then re-read it again and again. Finally, a very concrete, excellent proposal after all the words, slogans and empty balloons! At last, a well thought-out system which takes into account and tries to take into account not only the various activities of the doctor (prevention, treatment, care), not only the health of the population entrusted to him, but also the training and knowledge of the doctor, the structure of his area of activity, his municipality! At last, a blueprint that can be developed, quantified, tested and used as the basis for a fruitful debate. ]

Ca&Bone

[CORRESPONDENCE]

[correspondence, 2002;5]