Lege Artis Medicinae

[Leaving Paradise ]

GEREVICH József

DECEMBER 15, 2015

Lege Artis Medicinae - 2015;25(11-12)

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Lege Artis Medicinae

[Paths and mispaths - the current challanges of the treatment of schizophrenia: a cognitive perspective]

VÁRADI Enikő

[Schizophrenia is a severe chronic mental disorder accompanied by acute psychotic episodes. The prognosis for and the quality of life of the patients is not primarily determined by the psychotic episodes that often require hospitalization, but rather by the disorder-specific cognitive deficits that persist and progress during the illness and precede the manifestation of the disorder. The greatest challenge in treating the disease is the treatment of the cognitive impairments, since our pharmacological therapeutic repertoire is mainly effective in controlling and preventing manifestation of the psychotic symptoms. The study provides a brief report on the anomalies of the current pharmacology- and hospital-centered care that are however a considerable obstacle to a modern neurocognitive developmental rehabilitation of people with schizophrenia with the aim of promoting social integration. This paper also summarizes the importance of the pharmacological treatments from the neurocognitive perspective, and finally presents the possibilities and results of the psychosocial rehabilitation in the treatment of the neurocognitive deficits in the hope of encouraging changing and a therapeutic paradigm shift. ]

Lege Artis Medicinae

[The Wonderful Infant ]

LŐRINCZ Jenő

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[Experiences learned from fulvestrant treatment of a 86 years old female patient]

ÁDÁM J. László

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[Viking Christmases and Gift Myths ]

SAS Gábor

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[Community participation in sustainable development - in the wake of community medicine]

BRYS Zoltán, HARANGOZÓ Judit, SZARVAS Hajnalka

[Sustainable development aims to secure the living conditions of the next generations. Currently it fails to achieve its goal as the human destruction of ecosystem is accelerated. Institutions of the developed countries can not control the environmental crisis. The increased environmental degradation is caused by overconsumption, which is mainly driven by the widespread consumption-culture. Failure of institutional solutions drew the attention to the empowerment of communities. Aarhus Convention has legally empowered the local communities and various scientific fields examines community participation. Community Based Mental Health Services has gathered a significant knowledge about the psychosocial processes of community participation and about the participatory-culture. According to our assumption this knowledge can be used in the field of sustainable development. Besides the empowerment of the independent, local communities, concordance, affective experiencing diversity of the members, involvement of experiential experts are all important in the operation of self-organizing, responsible, local communities. We believe that the empowerment and support of eco-conscious communities is an important, new intervention in the field of sustainable development. ]

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Clinical Neuroscience

[What happens to vertiginous population after emission from the Emergency Department?]

MAIHOUB Stefani, MOLNÁR András, CSIKÓS András, KANIZSAI Péter, TAMÁS László, SZIRMAI Ágnes

[Background – Dizziness is one of the most frequent complaints when a patient is searching for medical care and resolution. This can be a problematic presentation in the emergency department, both from a diagnostic and a management standpoint. Purpose – The aim of our study is to clarify what happens to patients after leaving the emergency department. Methods – 879 patients were examined at the Semmel­weis University Emergency Department with vertigo and dizziness. We sent a questionnaire to these patients and we had 308 completed papers back (110 male, 198 female patients, mean age 61.8 ± 12.31 SD), which we further analyzed. Results – Based on the emergency department diagnosis we had the following results: central vestibular lesion (n = 71), dizziness or giddiness (n = 64) and BPPV (n = 51) were among the most frequent diagnosis. Clarification of the final post-examination diagnosis took several days (28.8%), and weeks (24.2%). It was also noticed that 24.02% of this population never received a proper diagnosis. Among the population only 80 patients (25.8%) got proper diagnosis of their complaints, which was supported by qualitative statistical analysis (Cohen Kappa test) result (κ = 0.560). Discussion – The correlation between our emergency department diagnosis and final diagnosis given to patients is low, a phenomenon that is also observable in other countries. Therefore, patient follow-up is an important issue, including the importance of neurotology and possibly neurological examination. Conclusion – Emergency diagnosis of vertigo is a great challenge, but despite of difficulties the targeted and quick case history and exact examination can evaluate the central or peripheral cause of the balance disorder. Therefore, to prevent declination of the quality of life the importance of further investigation is high.]

Lege Artis Medicinae

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

CZIGLÉNYI Boglárka

Lege Artis Medicinae

[Socialisation in the medical profession as reflected by students]

MOLNÁR Regina, MOLNÁR Péter

[INTRODUCTION - This article analyses the socialisation in the medical profession using complex approach, and taking Merton’s definition as a starting point. METHODS - Qualitative sociological, semistructured deep-interview method. RESULTS - The motivation of medical students in choosing their profession have not changed in the past years. The socialisational phases can clearly be observed during their training, these can serve as a basis for empirical observations. The role of classes related to behavioural studies is significant, while the opinion of the students about the teaching methods is diverse. Taking a family member as a model or work experience gained in medical fields is an advantage in the socialisational process. Temporal or partial leaving of the profession are new phenomena. CONCLUSION - Considering the characteristics of qualitative observational methods, the results of the present analysis may serve as a starting point for further empirical observations based on a representative model.]

Lege Artis Medicinae

[Leaving Paradise – Or the Hidden Curative Effects of Pomegranate]

BECHER Péter, PATAI Árpád, MÁJER Katalin

Journal of Nursing Theory and Practice

[Intention to leave the profession among health care workers in Csongrád County]

NÉMETH Anikó, IRINYI Tamás

[Aims of the study: The study assessed the intent to leave the profession among health care providers in Csongrád County and investigated on which fi eld and country they intend to work; its connection with burn-out and psychosomatic symptoms has also been analyzed. Methodology and sample: This is a cross-sectional study carried out through a self-designed self-report questionnaire sent to registered members of MESZK living in Csongrád County. Results: Bad psychosomatic status correlates with the intent to leave the health care system (p<0.000) and the fear of losing the job (p<0.003). Those who are not afraid of losing their jobs are not to leave the health care system (p<0.000). Workers with severe psychic condition are planning most likely planning to leave their profession. Conclusions: The fear of losing employment and the thought of leaving the profession is an everyday phenomenon among health care workers. This shows strong connection with bad psychosomatic status and burn out.]