Lege Artis Medicinae

[Gambling Passion of Dostoevsky’s Heroes]

LŐRINCZ Jenő

FEBRUARY 20, 2010

Lege Artis Medicinae - 2010;20(02)

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Lege Artis Medicinae

[Death as a Challenge A Discussion with Criminalist Mihály Filó]

NAGY Zsuzsanna

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[Tarnabod – Living on the Edge of Society]

SZALAI László

Lege Artis Medicinae

[Our Monthly Contest – Physicians in Literature]

MEZÔVÁRI Gyula

Lege Artis Medicinae

[Halfway on a physician’s life course]

VÁRADI András

Lege Artis Medicinae

[Dangers of the use of performance enhancement drugs and food supplements]

PUCSOK József

[The history of humankind is full of stories related to performance enhancement drug abuse. For the purpose of improving explosive power and long-term physical performance central nervous system stimulating drugs and supplements, such as: amphetamine and cocaine have been used. Androgenic anabolic steroids are used for increasing skeletal muscle mass. The abuse of performance enhancer drugs is seriously deteriorating the human health, and have several negative side effects. Number of food-supplements - available in the market, often contain traces of steroids. So called designer steroids are extremely dangerous. In the near future it will be possible to enhance physical performance through genetic interventions.]

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Lege Artis Medicinae

[Playing with Passion]

PINTÉRNÉ Ambrusz Aliz, CSIKY-MÉSZÁROS Mária

Clinical Neuroscience

[Dysexecutive syndromes]

SZIRMAI Imre

[Executive function is a higher order cognitive capacity that involves memory, perception and performance of complex tasks. Disorders of the executive functions are sign of lesions in the praefrontal cortex, involving the praefrontal-striatal-thalamic networks and the parietal association areas. According to signs and localization, five basic praefrontal syndromes are recognised. 1. Damage in posterior dorsolateral praefrontal cortex and subcortical nuclei causes the dorsolateral syndrome with impaired decision making, working memory and planning. 2. The ventromedial-orbitofrontal syndrome: if lesion spares the basal forebrain, memory can be preserved, but poor social decision making developes. 3. The dorsomedial syndrome consists of attention disorder, akinesia, mutism and apathy. 4. The bilateral ventrolateral praefrontal regions serve perception of self and environment. 5. The ventral lateral (verbalizer) area of the dominant hemisphere coordinates language. Executive impairments can be found in cerebrovascular, Parkinson's and other diseases of basal ganglia, and in frontotemporal lobar degeneration. The dorsolateral syndrome can be examined by the use of Wisconsin card sorting test, self ordered pointing task and the delayed response task. Praefrontal-basal function can be assessed by Gambling-, Faux Pas-, and Emotion identification tasks. Conclusions: 1. A dysexecutive syndrome does not fulfil the criteria of dementia. 2. A "frontal syndrome" is an indefinite eponym. Focal lesions in prefrontal systems lead to localization- specific symptoms, which can be defined by psychometric tests. 3. In neurological diseases associated with multifocal damage of the brain neuropsychologic tests may help to determine strategical lesions, which are responsible for the actual syndromes.]

Lege Artis Medicinae

[It has begun....]

[The month of May was almost a month of inactivity for the parliamentary committee. They prepared the debate day on youth, which was almost drowned in indifference by scandals deemed more important, they dangled the gambling bill, the forthcoming house rules and waited to do what they had been dithering about: the decades-long overhaul of social security and health care.]

Lege Artis Medicinae

[What to do and when?]

ANDRÁS László

[Pathetic and amusing is the man who, after long months, after years of siege, after saying "yes", finds himself in the position of having to start the process of fulfilling his love, and does not know how to begin. The poor man is not in an easy situation, he has enough problems: should he hug first and kiss afterwards, should he kiss at all, should he have children or not, should he first relieve his own love fever or should he establish a long relationship without any passion?]

Lege Artis Medicinae

[Lucky source of money]

[In creating the Gambling Act, Parliament decided that the lottery and the lottery, casinos, bingos, bongos and other proliferating games of chance to the permanent losers of the central budget - health, social policy, culture, education and sport. This is no small sum, with some HUF 1.2 billion available this year alone for the Gambling Fund set up by Szerencsejáték Rt.]