Lege Artis Medicinae

[Description of voluntary mutual funds]

PÁRNICZKY Tibor

FEBRUARY 28, 1994

Lege Artis Medicinae - 1994;4(02)

[The aim of insurance funds is to provide a basis for anticipatory self-care in the event of life situations that are usually covered by social security and social care. They are organised on a voluntary and complementary basis to the compulsory public scheme. The institution of the fund, in its various organisational forms and with different degrees of recognition, is well known and widespread in the western world and has a tradition in Hungary. Due to the different or changing economic and developmental trends, the reintroduction of the funds in Hungary provided an opportunity to combine international experiences that foresee the direction of the development of the funds institution.]

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Lege Artis Medicinae

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[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. ]

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[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. ]

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[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.]

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