Lege Artis Medicinae

[Invictus – The Road to Reconciliation ]

FERENCZI Andrea

DECEMBER 18, 2012

Lege Artis Medicinae - 2012;22(12)

COMMENTS

0 comments

Further articles in this publication

Lege Artis Medicinae

[Is a Good Death Possible? ]

HEGEDÛS Katalin

Lege Artis Medicinae

[Lajos Gulácsy, the Masked One ]

CZEIZEL Endre

Lege Artis Medicinae

[The Man who Compiled the First Russian Pharmacopoeia – Keresztély Peken (1730-1779) ]

V. MOLNÁR László

Lege Artis Medicinae

[The Art of Cézanne – An Exhibition in Budapest ]

NAGY Zsuzsa

Lege Artis Medicinae

[Some thoughts at the 50th anniversary of my medical graduation]

BOGA Bálint

All articles in the issue

Related contents

Journal of Nursing Theory and Practice

[History of the development of wound care]

SZABÓNÉ Révész Erzsébet

[The onset of wound care dates back thousands of years. To make the wet wound treatment used today so effective can be a bumpy road. Knowledge of local processes required for wound care, mapping of the effectiveness of materials needed for wound care, treatment of bleeding suppression and traumatic shock caused by injury, destruction of pathogens entering the wound, ensuring optimal hygiene during wound care, treatment of the underlying disease in chronic wounds, all contributed to our ability to provide effective care today. The series of wars over the millennia have greatly aided the development of wound healing, as many developments are still known today that were already used by the army before they spread into everyday practice. ]

Clinical Oncology

[Immuno(onco)therapy – road to the future]

DANK Magdolna, SZENTMÁRTONI Gyöngyvér, OROSZ Zsuzsanna, TÓTH Andrea, TŐKÉS Tímea

[Our immune system fi ghts effectively against infections, but the same activity exists against invading cancer cells, as well. However, malignant tumors are able to escape from these mechanisms; therefore tumor cells become unrecognizable for the immune system. Immuno-oncology is a novel and innovative discipline, focusing on a long-term purpose: to enhance the immune-response against malignancies. The main goal is to stimulate the immune system to properly recognize and destroy malignant tumor cells. This approach is comprehensive, includes the initiation of antitumor immune-response and enhancing its controlling mechanisms, moreover, provides active, anti-tumor effector cells. Recent results of anticancer research highlighted a new era of oncology, which is based on targeted, personalized medicine over cytotoxic therapies, and mainly focusing on the rapidly evolving discipline of immuno-oncology.]

Lege Artis Medicinae

[Long-term CPAP compliance among Sleep Apnea Patients at the Sleep Laboratory of the Hungarian Defense Forces Medical Center ]

DOMBOVÁRI Magdolna, BERNÁT István, TERRAY-HORVÁTH Attila, CSATLÓS Dalma, HARGITTAY Csenge, TORZSA Péter

[Obstructive sleep apnea syndrome (OSAS) is the most common sleep disorder, with a prevalence of 2-4% in the overall popula­tion. It is a risk factor for cardiovascular diseases and its daytime symptoms significantly impair the patients’ quality of life and increase the risk of work and road accidents. Its first-line treatment is the CPAP device (Continuous Positive Airway Pres­sure) the effectiveness of which is significantly determined by the compliance of the patient. Although the issue of compliance in such treatment is a very important factor, long-term studies including a large number of patients have not been published yet, and there are no known data about it in Hungary. OBJECTIVE - Examining the long-term compliance of CPAP among OSAS patients in a sleep laboratory in Hungary. METHOD - 3403 OSAS patients were selected for our study between January 1, 2007, and September 30, 2017. The diagnosis and titration of effective CPAP pressure were determined by polysomnography. Patients were controlled after 2 months of therapy and then every 6 and 12 months. During the care, their compliance value was determined by data downloaded from their device's memory card. RESULTS - The mean age (± SD) of patients was 59.0 (± 10.5) years, most of them were male, 2676 (78.6%), their average body mass index (BMI) was 32.6 (± 5.25) kg/m2, their average Epworth Sleepiness Scale score was 11.4 (± 5.0), their average Apnea-Hypopnoe index was 51.0 (± 19.5) events/hour. The average usage time of the CPAP device was 5.0 (± 1.9) hours. 72.3% of the patients used the device for over 4 hours and 27.7% used it for less than 4 hours. 34.7% of the patients used the device for more than 6 hours. The Epworth Sleepiness Score showed a significant and dose-dependent improvement over CPAP treatment, with a greater improvement among patients who used the machine for longer hours. The highest score improvement was achieved by users who used CPAP between 6-7 hours, averaging 7.3 (± 3.2) points (p <0.001). CONCLUSIONS - Our present study shows that high average compliance can be achie­ved among well-adjusted and well-maintained patients. ]

Lege Artis Medicinae

[Funding in the LAM club]

NAGY András László

[The LAM Club had a good location at the Hotel Agro on Mount Liberty, but even better at the Hotel Délibáb in the City League. Perhaps it's the spirit of the place - the building was once the SOTE Professors' House - that makes the club's events a real intellectual workshop. The debate on the first experiences of the reform of inpatient and outpatient specialist care is testimony to this. András Forgács, chairman of the MOK's Fee Reconciliation Committee, noted at the end of the debate that "when I came into the room and looked around, I saw that half of the people present had been discussing what we are going to discuss tonight in different forums for seven or eight years. I wondered if we had something new to say to each other. I am surprised to say that I heard a lot of new ideas".]

Clinical Neuroscience

[Evaluation of the operation of the Institutes for the Care of the Mentally Ill in 1965]

DUBOVITZ Dénes

[There is no doubt that the effective implementation of these tasks - especially in areas with relatively poorly provided medical hours - depends to a large extent on the further quantitative development of the network of Institutes for Neurological Care and the strengthening of the number of hours. In the context of the determined development of mental health care, steps have been and will continue to be taken to improve the framework of the Institutes for Neurological Diseases. Filling these frameworks with appropriate content is the task of the doctors of the Institutes of Mental Health and other collaborating institutions, and its fulfilment will be a major step forward on the road to the development of mental health care in the country. ]