Lege Artis Medicinae

[On Charon’s boat]

NAGY Zsuzsanna

MARCH 22, 2012

Lege Artis Medicinae - 2012;22(03)

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[Special aspects of treating diabetes mellitus in elderly patients]

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[Bacterial contamination and irritable bowel syndrome]

NOVÁK János

[Irritable bowel syndrome (IBS) is one of the most common gastrointestinal condition, which affects 10-15% of adults in developed countries. Recent observations have raised the possibility that disturbances in the gut microbiota and/or the accompanying low-grade inflammatory state might contribute to the etiology and symptomatology of irritable bowel syndrome. Some studies indicate that small intestinal bacterial overgrowth (SIBO), as confirmed by hydrogen breath tests (HBT), is more prevalent in patients with irritable bowel syndrome than in matched controls without IBS. Although the data are conflicting, this observation has led to the hypothesis that bacterial contamination was the primary cause of IBS. As a consequence of this hypothesis, a lot of therapeutic options have found their way into the armamentarium of those who treat patients with IBS. These agents include probiotics, prebiotics, antibiotics and anti-inflammatory agents. This paper describes the various mechanisms by which changes in the gut flora might contribute to IBS and also discusses the efficacy and safety of antibiotic therapies, especially rifaximin, for treating IBS/SIBO symptoms.]

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[Colonizing the Body – Sways of Civilization]

ZSINKÓ-SZABÓ Zoltán, LÁZÁR Imre, TÚRY Ferenc

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[Clinical aspects of ischaemic bowel disease]

DEMETER Pál

[Decreased blood flow through the intestines leads to mesenteric ischaemia, which is characterised by cellular damage due to the lack of oxygen and nutrients. Extensive collateralisation between splanchnic vessels serves as a protective mechanism against ischaemia. Intestinal ischaemia can be classified on the basis of its timing, location and the vessels involved. Acute mesenteric ischaemia can result from arterial embolisation, arterial or venous thrombosis, or vasoconstriction secondary to systemic circulation disorder associated with hypovolaemia. Chronic mesenteric ischaemia develops as a consequence of partial or complete occlusion of splanchnic vessels. Colonic ischaemia is mainly caused by a limited circulation disorder of the inferior mesenteric artery. Mortality rates for the various forms of acute mesenteric ischaemia are different. However, early diagnosis before bowel infarction might improve survival. This paper summarises the cilical aspects, diagnosis and therapeutic options of intestinal ischaemia.]

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[What is the doctor like, if female? - Female doctors’ ideal image based on empirical studies]

MOLNÁR Regina, GIRASEK Edmond, CSINÁDY Adriána, BUGÁN Antal

[The aim of our study was to examine thestereotypes about female doctors and howdo the female medical students perceivethe working female doctors whom are theirrole models. In the first study (247 from theAlbert Szent-Györgyi Medical and Pharma-ceutical Centre at the University of Szegedand 256 from the Medical and HealthScience Centre of the University ofDebrecen) the female medical students’professional socialization was compared tothe male counterparts’. In the second study(from University of Szeged, 214 femalemedical students, 132 female jurist stu-dents) female medical and jurist students'professional socialization was comparedincluding the comparison of stereotypes inconnection with working female doctorsand jurists. Female medical students’ professionalsocialization is different that of male coun-terparts in several aspects: being morealtruistic, more family centered, gettingcommited to the profession earlier, havingmore ambiguous carrier planes, and asmaller percentage of their parents’ has adegree or is a medical doctor, then for malemedical students. The female medical doc-tor has positive, idealistic, altruistic charac-ters according to both female studentgroups’ opinions. The female doctor’simage is more often associated with char-actersitics implying problems by femalemedical students then jurists. The unfold-ing image of these stereotypes is a femaledoctor who is willing to help, however,faceing lots of hardnesses during work.If the female medical students’ image of theproblematic life of these idealistic femaledoctors’ is known, it provides an opportu-nity to prepare them for the hardnessesthey’ll face avoiding role conflicts andhealth problems in the future.]

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