Lege Artis Medicinae

[Deepening relations in Germany]

SZUTRÉLY Péter

JUNE 29, 1994

Lege Artis Medicinae - 1994;4(06)

[The State or the Province has a duty of care \ in the sense of "buying" knowledge from doctors. The doctor, on the other hand, assumes the duty of care. All this takes place within a framework of democratic self-government, i.e. the State delegates its obligation to the appropriate public bodies, such as the Chamber of Physicians or, in the case of outpatient care, the Association of General Practitioners (POSZ). (It is the same for dentists and pharmacists...) The members of these bodies are doctors, officials who are drawn from the various strata of the medical profession according to the rules of the game of parliamentary democracy.]

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Lege Artis Medicinae

[Embryonic diagnostic possibilities prior to implantation]

SZTANYIK László, URBANCSEK János, BÁRÁNDY Zsolt, TÓTH-PÁL Ernő, PAPP Zoltán

[A longlasting goal of the medical science has been the prevention of birth defects. Prenatal diagnosis, which is one of the most important subspecialities in modern obstetrics, has developed significantly in the last 10–20 years and has become a powerful tool in fulfiling this aim. The rapid development of the fields of molecular biology, genetics and assisted reproduction has ereated the possibility of introducing the new era of preimplantation genetic diagnosis. Preimplantation genetic diagnosis involves the genetic analyses of the fertilized pre-embryo, without changing its developmental capability or its original characteristics. The most well proven method is the biopsy and rapid genetic analysis by polymerase chain reaction and in situ hybridization of one or two cells removed from the in vitro fertilized pre-embryo. This technique can be used to determine the sex of the pre-embryo or to investigate specific genetic diseases. Numerous other methods have been tried, and the more successful ones are briefly discussed. ]

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[Aspects of hormonal therapy in prostate cancer]

ROMICS Imre

[The author describes all of the hormonal therapeutic methods presently applied in Hungary and summarizes the recommended therapies for each stage of the disease. The therapeutic alternatives of three groups of patients are discussed. Evidence in the literature demonstrates the advantages of applying hormonal therapy, in cases of incidental prostate cancer found in tissues obtained by TURP, as opposed to the „wait and see" approach. Emphasis is placed upon the ad vantages of hormonal therapy prior to radical prostatectomy, chief among them being the decrease in volume of the prostate, which simplifies the operation. A promt and total androgenic block is the proper therapy for locally advanced prostate cancer or in metastatic prostate cancer.]

Lege Artis Medicinae

[Treatment of posttransplant polyglobulia with enalapril]

JÁRAY Jenő, HEMANGSHU Podder, HÍDVÉGI Márta, REMPORT Ádám, PERNER Ferenc

[Posttransplant polyglobulia is not a rare complication following kidney transplantation. Recently in some publications favourable experiences were reported with angiotensin converting enzyme inhibitors in the treatment of polyglobulia. Among 325 patients having kidneys transplanted by authors, polyglobulia was found in 52 patients (16%) after an average of 19,5 months (2,5– 44,2 months) following the operation. In 48 cases, 5 mg enalapril was given orally, independent of the body-weight, for the treatment of polyglobulia. Among them 12 patients – 2 for allergic skin-reactions and 10 for irregular medication – were rejected from the study. During the monthly follow-up of laboratory parameters (Hbg, serum creatinine, serum bilirubin, serum alcalic phosphatase) as well as in the blood pressure (systolic/diastolic) no substantial (significant) difference was found compared to the starting value in the treated 36 patients. The only essential change was the change in the haematocrit level: there was a significant decrease in the haematocrit level after two months from the starting time and this remained so during the investigation. From this study and follow up the authors recommend treating the poly globulia found after the kidney transplantations with enalapril in place of the bilateral nephrectomy used earlier. This treatment is more pleasant for the doctor and the patient.]

Lege Artis Medicinae

[IgE monoclonal gammopathy and amyloidosis]

JÁKÓ János, KASZÁS Ilona, GESZTESI Tamás

[ IgE myeloma is a very rare disease with only 38 cases reported in the world literature. The authors describe a case of IgE monoclonal gammopathy leading to primary amyloidosis and death in 5 months. This is the first reported IgE monoclonal gammopathy in Hungary. Diagnosis was based on the immunochemical analysis of the concentrated urine. Histologic analysis relevaled amyloidosis. Despite the fact that IgE myeloma is a rare entity, its clinical presentation is highly variable. This case of IgE myeloma presented itself clinically as amyloidosis. Free light chains could be detected from the patient's serum during the entire course of the clinically active disease. In contrast, heavy chains were not detectable, and therefore immunochemical analysis of the concentrated urine is recommended to help in establishing the diagnosis.]

Lege Artis Medicinae

[News]

[The 1st National AIDS Conference; Pharmaceutical production with international cooperation; The turbuhaler in Hungary; Markusovszky Memorial Medal for the President of the Chamber; IV. annual meeting of the Hungarian Psychiatric Society; Astra scholarship for gastroenterologists]

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[The aim of the study: The objective of the study was to assess and compare job and life satisfaction affected by workplace problems, stress, rewards, success and social support. We analyzed the coping strategies applied by the employees to solves the above problems. Material and method: The anonymous data collection was carried out in October, 2015 by applying AVEM and an own-edited socio-demographic questionnaire among theatre nurses from Hungarian and German clinics. Results: The employees evaluated stressful situations and problems differently in the two groups examined. Job satisfaction was equally important for both groups, but it affected life satisfaction of the Hungarian employees to greater extent. The stress management of the Hungarian employees was more effective in spite of the fact that German nurses used more coping strategies. Social support had a positive effect on overcoming the workplace problems in both groups. Conclusions: Job satisfaction of the nurses has a beneficial effect on their life satisfaction. The ability to divide work and private life and stress management are different among the nurses. Job satisfaction can be improved by workplace health promotion programs.]

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KOVÁCS Zsuzsanna, VÁRADYNÉ HORVÁTH Ágnes, KOZMANN Krisztina, FERENCZY Mónika, PAKAI Annamária

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