Lege Artis Medicinae

[Musings of the Guest Editor-in-Chief]

PUREBL György

JANUARY 20, 2019

Lege Artis Medicinae - 2019;29(01-02)

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Lege Artis Medicinae

[Is Unacceptable Acceptable? – Michael Haneke: Love ]

SOPSITS Árpád

Lege Artis Medicinae

[Our stubborn misbeliefs on ageing ]

RAJNA Péter

[Stressing the continuous increase of elderly population, the author demonstrates the negative impact of technical development on everyday routines of old population. It can explain that members of younger generations often create false ideations on mental and cognitive abilities of older ones, and consequently some stubborn misbeliefs are existing here. He deals with the following four of them in details: (1) Young age means worth, while old age is equal to deficit, (2) Every old person becomes demented, (3) Elderly people loose their interest and social sensitivity, (4) Old people means ballast for younger ones. The author emphasizes, that even the elderly persons are able to fall into these traps of misbeliefs. In addition to complex refutations, he states that the “spacecraft-model” described by L. Hayflick offers efficient solutions to preserve an adequate quality of life both for old people and their society. ]

Lege Artis Medicinae

[Biological rhythms and ageing ]

PUREBL György

[Biological rhythms plays key role in maintaining health and preventing diseases. The changes of rhythms are normally associated to aging. Biological rhythms become more fragile along with the age and therefore they are connected to various age-related health problems. The interest about the strategies aiming to maintain or restore biological rhythms is increasing. There are evidences about the beneficial effect of rhythm restoration therapies in dementia and depression, but future studies are needed to clarify the general health promoting and also geroprotecting effect of these interventions. ]

Lege Artis Medicinae

[Eight questions and answers about anxiety in the elderly in family practice ]

CSATLÓS Dalma, VAJDA Dóra, MOHOS András, GONDA Xénia

[Anxiety is one of the most common psychological disorders in the elderly. Physical illnesses contribute to its development, but the opposite is also true: anxiety adversely affects the prognosis of many somatic illnesses, thus significantly enhancing morbidity and mortality. Therefore, the recognition and adequate treatment of anxiety disorders in the elderly are especially important in family practice, too. With the increase of life expectancy, the problems and illnesses of the elderly receive more and more attention in medical practice and anxiety cannot be ignored either, because the early detection of its symptoms improves the quality of life and reduces the chance of bad prognosis. ]

Lege Artis Medicinae

[Early detection of patients with dementia in Primary Care ]

OSTORHARICS-HORVÁTH György, TORZSA Péter

[Mental decline is becoming more and more frequent in the elderly these days. The symptoms of dementia may be best detected early in family practice. Physicians may detect the symptoms of mental decline of different levels. General practitioners play an important role in the early detection of patients with dementia. General practitioners keep contact and communicate with the caretaker of the patient regularly. If necessary General Practitioners visit the dementia patients in their own home environment, they can assess their patients’ circumstances and needs and if needed, they can prescribe home care. ]

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[How can the specialists be contacted? Ways of communication in the specialist-patient consultation]

MOLNÁR Regina, PAULIK Edit, SÁGI Zoltán, KÖVES Béla

[Consulting the specia­list means face-to-face meetings traditionally. Nowadays patients do not need to go to the outpatient clinic to see the doctor since many new communication options have already been available. The aim of our study was to explore how typically doctors and patients use other options (as phone call or e-mail) beside face-to-face appointments in the outpatient clinic. We conducted a focus group interview with specialists and health workers and an in-depth interview with the chief nurse of an outpatient clinic in Budapest. The specialist-patient consultation is mostly face-to-face in the specialist’s office in the presence of the nurse, whose role is complex and pivotal. Fur­ther­more, the landline phone is an essential device, as the patients can reach the specialist or nurse in their office hours. The application of e-mail or mobile phone is incidental. The website of the outpatient clinic provides practical information to patients. Traditional postal letters, leaflets, and publications are also typical for providing information. The doctors’ opinion was rather heterogeneous about the pa­tients’ Internet usage and about the on­line contact with patients. Beside increasing the capacities the deliberate and organized introduction and application of technical de­vices, may reduce the overburdening of health professionals.]

Lege Artis Medicinae

[A forgotten physician in the history of Hungarian Psychiatry. Dr. Ferenc Klein’s biography]

SZABÓ József

[The Psychiatry Department of St. Raphael’s Hospital in Zala County celebrated its 110th anniversary last year. This important anniversary raised the idea of studying deeper than usual the life of our professional ancestors. We tried to discover the personality, character, and oeuvre of our first appointed chief physician Ferenc Klein while using historical recollections and press articles published by our county, city and hospital. An image of a prominent physician, psychiatrist, patriot and individual was emerging before our very eyes by processing the available sources. As a pulmonologist, a field surgeon, or a psychiatrist he was able to meet the expectations of his age. He was highly appreciated by his patients and the people of Zalaegerszeg. Despite his significant oeuvre and martyrdom, he sank in oblivion and his name was not preserved either in the history of psychiatry or in the general memory. In the present study, we want to commemo­rate him by collecting and publishing his biography. ]

Clinical Neuroscience

[Comment of the invited editor]

FOLYOVICH András