Lege Artis Medicinae

[Purple urine bag syndrome]

VANDRUS Boglárka, KALABAY László, HARGITTAY Csenge, MÁRKUS Bernadett, TAMÁS Ferenc, TORZSA Péter

MARCH 20, 2017

Lege Artis Medicinae - 2017;27(03)

[Purple discoloration of an urinary catheter bag is rare and might be alarming to both patients and physicians. Purple urine bag syndrome is associated with urinary tract infections occurring in catheterized patients, generally elderly females. The urine is usually alkaline. Usually Gram-negative bacteria are detected, and tryptophan metabolism is involved in the pathogenesis. We present a case of this rare and interesting phenomenon and discuss the underlying pathogenesis. ]

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[INTRODUCTION - Diabetic macroangiopathy is one of the most prevalent complications of chronic diabetes mellitus. In Hungary, diabetic foot diseases and atherosclerosis are the most common causes of lower limb amputations. In this paper, we aim to present the correlations between the ankle-brachial index in patients with diabetes mellitus, and risk factors such as HbA1c levels, smoking and gender, in order to prevent atherosclerosis and to facilitate its rapid diagnosis. PATIENTS AND METHODS - Ankle-brachial index (ABI) of diabetic patients was measured and statistically analysed. Our goal was to determine potential correlations between ABI and the three above mentioned risk factors. The study population consisted of patients with a known history of diabetes mellitus (n=65) who visited the general practitioner's office between July 2015 and September 2016. RESULTS - 47.69% of patients exhibited a pathological ankle-brachial index. The ankle-brachial index showed a statistically significant correlation with gender (p=0,054). There was no significant correlation between the ankle-brachial index and smoking (p=0.838) or between the ankle-brachial index and HbA1c levels (p=0.430). CONCLUSION - Our research suggests that primary care physicians should regularly assess the ankle-brachial index in diabetic patients as preclinical atherosclerosis is frequently present in this population. Regular screening can facilitate early diagnosis and reduce the risk of severe macrovascular complications.]

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[INTRODUCTION - Mental and somatic morbidity of healers is the most commonly researched issue in physician related studies. Few of them focus on the positive as-pects of the physicians’ profession though. METHODS - A focus group qualitative study of family physicians (n=14), who work in Budapest, was conducted. Three important topics were analyzed in this study - the positive aspects of the daily routine, the issue of the work-family balance and the decisive aspects of the patient - doctor relationship. RESULTS - The main positive elements of the family physicians’ professional lives are the independent working conditions, the diversity of patients, an intensive relationship with families and communities, and a special patient-doctor relationship. Beside professional fulfilment, the possibility of ba­lance between work,family and private time are the key components of their wellbeing. CONCLUSIONS - According to both our results and the findings of international literature, the happiness of family physicians depends on independence. This independence is present in their professional life, in the balance of work and family life and in time management as well.]

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