Lege Artis Medicinae

[From Meeting to Creating ]

MARJAI Kamilla

FEBRUARY 12, 2017

Lege Artis Medicinae - 2017;27(01-02)

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Further articles in this publication

Lege Artis Medicinae

[Screening for depression and suicidal risk in family and general medical practice]

RIHMER Zoltán, SZILI Ilona, KALABAY László, TORZSA Péter

[According to both international and national studies the point prevalence of diagnosed major depression requiring treatment is 6-10 percent in general practice. As un­treated depression is the most important risk factor for suicide, early detection and effective management of depression (especially depression which predisposes sui-cide) are critical in prevention. According to international and national studies the re-cognition of major depression in primary care significantly contributes to the decline of suicide mortality. In our article we present two short questionnaires used for re-cognising depression and acute suicide risk and we describe their use in family/ general practice. We aim to raise awareness of the need of a systematic, nationwide sui-cide prevention programme which is supported on government level as well. ]

Lege Artis Medicinae

[The Independence War of a Widow – Zsuzsanna Kossuth was Born 200 Years Ago ]

CZIGLÉNYI Boglárka

Lege Artis Medicinae

[“I am no Poet, You are Gabi the Poet” – Gábor Karinthy ]

FALVAY Dóra

Lege Artis Medicinae

[Leaving the Persistent Present of Traumas – The Method and Therapeutic Experiences of Art Therapist Péter Mezey ]

CZIGLÉNYI Boglárka

Lege Artis Medicinae

[Behavioral therapy of diabetes mellitus]

SAL István, KOHLNÉ Papp Ildikó

[Diabetes is a model disease of behavior therapy. Its treatment is in the hands of patients for the most part, who must make decisions about their treatment every day, which affect their health status, prognosis and risk of developing complications of the disease. This common and complex treatment represents a significant burden for the majority of patients. In practice, a significant number of patients do not follow one or more cornerstones of self-management: physical activity, healthy diet, and use of medication. Based on research results diabetic patients' quality of life and psychological state is significantly worse than those of non-diabetics, which tend to deteriorate the medical collaboration and health status. In addition, certain psychiatric disorders (depression, anxiety, eating disorders), are also more common, which impair the quality of self-treatment as well. Early detection and treatment is of great importance, but in practice, only 10% of patients get psychological treatment, despite the fact that nearly 40% of them experience psychological symptoms. Based on the above, behavior remedial methods are highly recommended to be applied in the field of diabetes care in order upgrade quality of life, although they are not yet considered as commonly accepted in psychoeducation. Our aim is to summarise the practical and proven methods of behavioral remedies in addition to the literature review. In the case study demonstrate the authors the addition of transtheoretical model. The first order condition of self-management is the adoption of the disease and motivation, afterwards comes the teaching of theoretical and practical knowledge, and the ongoing diabetes education. ]

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[The COVID-19 pandemic and the successive restrictive measures are placing a huge psychological burden on the population worldwide. Isolation, narrowing of social relationships, constant fear, and the illness itself contributed to the development of various mental disorders. The mental strain on healthcare workers, in addition to their heavy physical workload is also a particular problem. In this situation, easily accessible, telephone counselling services, which does not require physical meeting, are one of the most important resources for mental health intervention worldwide. The present study demonstrates the mental challenges caused by the pandemic, the brief history of telephone crisis care, and studies about its effectiveness. In addition, this study focuses on the effects of COVID-19 pandemic on using of telephone counselling services. Several countries are presented with significantly increased use of these services. Finally, the Hungarian situa­tion is demonstrated with the nature of COVID-19 related calls of the Hungarian hotline service. ]

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[In this paper we investigate evidences supporting the network concept of epilepsies from different approaches. Firstly the functions of cortical networks in which most of the epileptic networks are embedded, are treated. Then the tentative characteristics of an epileptic network are enumerated and the conversion mechanisms from physiological to epileptic networks are analyzed. Later the role of neuronal oscillations in epileptic networks and aspects of epilepsies provoked by sensory and cognitive tasks is studied. Lastly new fMRI data in mapping BOLD networks underlying spike and seizure discharges are used as arguments in favour of the epileptic network hypothesis. In a second part the well-known epilepsies related, or probably related to physiological networks are shown. Finally consequences of the network approach for creating a new unified epilepsy classification are discussed.]

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[Prevention of invasive meningococcal infection, recognition and first treatment of the disease in primary care]

KOVÁCS Ákos, KULCSÁR Andrea, KALABAY László, TORZSA Péter

[Neisseria meningitidis, the meningococcus, is a Gram-negative diplococcal bacterium that is only found naturally in humans. The meningococcus is part of the normal microbiota of the human nasopharynx and is commonly carried in healthy individuals. In some cases systemic invasion occurs, which can lead to meningitis and/or septicemia. Invasive disease caused by Neisseria meningitidis is potentially devastating, with a high case fatality rate and high rates of significant sequelae among survivors after septicaemia or meningitis. Between 2006-2015 every year between 34 and 70 were the numbers of the registered invasive disease because of Neisseria meningitis, the morbidity rate was 0.2-0.7⁰⁄₀₀₀₀. Half of the diseases (50.7%) were caused by B serotype N. meningitidis, 23.2% were C serotype. In this article the authors summarise what you must do and must not do as primary care physician when suddenly meeting a young patients suspected of having meningococcus infection. ]