Lege Artis Medicinae

[Healthcare in developed countries - what will be the main changes in the 1990s?]

NICK Bosanquet1

JANUARY 31, 1994

Lege Artis Medicinae - 1994;4(01)

[The aim of my thesis is to assess what changes are to be expected in the health sector in the 1990s. In my summary I have outlined some possible lessons for Eastern Europe. Will Eastern Europe learn from the mistakes of other countries and be able to go beyond Western European practice by adopting wiser health policies? Where would this kind of wisdom lead?]


  1. Professor of Health Policy St. Mary's Hospital Medical School, Imperial College, University of London



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[Prevention and treatment of addictions such as alcoholism require a multidisciplinary approach. Sociological and social psychiatric studies have revealed many factors which may play a part in the development of alcoholism, however biological studies increasingly indicate an organic origin of alcoholism. The aim of the present comprehensive study was to summarise the clinical manifestations of alcohol toxicity based on biological alterations. The results of genetic and immunological studies are summarized. Some aspects of the investigations in the field of biogenic amines are presented. The primary toxic, long lasting withdrawal effects are discussed, from the clinical point of view.]

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[Correspondence - The doctor's relationship with patients]


[It's been a decade since I read in a Hungarian medical journal about the doctor's behaviour, his attitude, his relationship with the patient, his colleagues, his co-workers. Based on my decades of medical practice (and my frequent illness - which has only prevented me from practising my profession in the last two years), I will try to summarise what the patient's expectations of the doctor are, and how well the doctor can meet them.]

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[EEG mapping in focal cerebral disorders]

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[EEG mapping is a new method which serves for processing the data of the quantitative analysis of the brain electrical activity. In its final form it is a neuroimaging technique. The present study was designed to examine the localization reliability and clinical utilization of the mapping. 103 patients with focal cerebral disorders were investigated: 70 patients with cerebrovascular diseases, 33 patients with tumour, epilepsy, migraine, meningoencephalitis, subdural haematoma, subarachnoid cyst. The EEG mapping, the routine EEG and the CT were performed and their findings were compared. In comparison with the traditional EEG, the mapping has the advantage that it can detect the alpha asymmetry. It shows the focal, functional damages more correctly than the EEG does. The mapping provides information about the ischemic lesions before the CT can visualize the tissue hypodensity. In comparison with the CT, the mapping has a good localization reliability although there are some sources of error in the method. It can detect minimal cerebral damages. It is applicable for follow-up studies on transient ischemic attacks. ]

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