Lege Artis Medicinae

[Summary of comments]

JANUARY 01, 1991

Lege Artis Medicinae - 1991;1(01 KLSZ)

[The Ministry of Public Welfare has published a working paper entitled Action Programme for the Renewal of our Health System for discussion in the Medical Weekly and in the pages of Lege Artis Medicinae. The programme has received many comments, opinions and suggestions. In addition to our medical colleagues, economists, sociologists, churchmen, lawyers, entrepreneurs, health professionals, politicians and parliamentarians have also contributed. The majority of the 269 analytical reflections - just over 5,000 pages - were written by institutions, university clinics, hospital doctors' groups, district medical associations, scientific associations, bodies of interest representation bodies (Hungarian Medical Chamber, EDDSZ), the Health Science Council, health and social committees of local authorities, regional and expert working groups of social security institutions and many others. The reflections have been examined in detail by experts from the Ministry and members of the working committee that drew up the programme. They provided many good ideas and useful suggestions for the final version of the programme. We thank all those who took the trouble to contribute with constructive comments and good intentions to the design of the new health care system and the new way of working. The most representative comments are published as promised and a summary of the lessons learnt from the processing of the material is presented in a bundle.]



Further articles in this publication

Lege Artis Medicinae

[Dear Editorial Team!]


[We respectfully send you the position paper of the FAKOOSZ on the "Action Programme", which we have prepared at the request of Dr. István Mikola, State Secretary. We would ask you, if possible, to publish an extract of this document in your newspaper. Our association aims to formulate, coordinate, defend, represent and constantly assert the interests of district doctors working in villages in accordance with their specific living and working conditions. It operates independently of political parties, denominations, the medical trade union and the MOK. In addition to advocacy, we also provide charitable and economic services to our members, the profits from which are donated to the FAKOOSZ Foundation. Our membership is open to all doctors of Hungarian nationality working in the rural districts and municipalities attached to the town, as well as to doctors of non-Hungarian nationality who are resident in Hungary or have a residence permit. ]

Lege Artis Medicinae

[Resolution of the plenary meeting of the Scientific Council for Health of 21 October 1991]

[The Plenary Session of the Scientific Council for Health has formulated the following opinion on the "Action Programme for the Renewal of our Health Care System" and the "Basic Concept of the Financing System of the Hungarian Health Care System".]

Lege Artis Medicinae

[Meeting of the International Social Security Association in Budapest]

[From 28 October to 1 November, the 239-member International Social Security Association (ISSA) Standing Committee on Health and Sickness Insurance held its twenty-fifth meeting in Budapest.Experts from 33 countries (nearly 100 participants) discussed the most topical issues of health care in their countries over five days.]

Lege Artis Medicinae

[Old and new pitfalls: comments on health care reform]


[The following is an extract from a forthcoming book, the manuscript of which closed at the beginning of September, so it does not respond to the Ministry of Public Welfare programme that has been published since then - although it is still relevant. ]

All articles in the issue

Related contents

Clinical Neuroscience

Cholinesterase inhibitors and memantine for the treatment of Alzheimer and non-Alzheimer dementias


In aging societies, the morbidity and mortality of dementia is increasing at a significant rate, thereby imposing burden on healthcare, economy and the society as well. Patients’ and caregivers’ quality of life and life expectancy are greatly determined by the early diagnosis and the initiation of available symptomatic treatments. Cholinesterase inhibitors and memantine have been the cornerstones of Alzheimer’s therapy for approximately two decades and over the years, more and more experience has been gained on their use in non-Alzheimer’s dementias too. The aim of our work was to provide a comprehensive summary about the use of cholinesterase inhibitors and memantine for the treatment of Alzheimer’s and non-Alzheimers’s dementias.

Clinical Neuroscience

The applications of transcranial Doppler in ischemic stroke


Background: This overview provides a summary of the applications of transcranial Doppler (TCD) in ischemic stroke. Results: A fast-track neurovascular ultrasound protocol has been developed for detecting occlusion or stenosis. The technique is more reliable in the carotid area than in the posterior circulation. By monitoring the pulsatility index the in­crea­sed intracranial pressure can be diagnosed. TIBI score was developed for grading residual flow. TCD has been shown to accurately predict complete or any recanalization. Regarding recanalization, TCD has a sensitivity of 92%, a specificity of 88%, a positive predictive value of 96%, a negative predictive value of 78% and an overall accuracy of 91%, respectively. Sonothrombolysis seemed to be a promising application but randomized controlled trials have shown that it does not improve clinical outcome. TCD examination can detect microembolic signals (MES) which are associated with an increased risk of stroke. Micro­em­boli were detected in symptomatic and asymptomatic carotid artery stenosis and during carotid endarterectomy. The number of microemboli can be decreased by antithrombotic therapy. Contrast en­chan­ced examination and Valsalva maneuver with continuous TCD monitoring can accurately screen for right-to-left shunt.

Clinical Neuroscience

[The questions of the treatment of Parkinson’s disease]

NAGY Ferenc

[Despite the continuous development of diagnosis and treatment of patients with Parkinson’s disease and the arrival of new therapeutic options in recent years the treatment and care of people with Parkinson’s disease especially in the advanced stage remains a major challenge for neurologists specialized in movement disorders. The treatment of Parkinson’s disease is adversely affected by several factors: the disease progresses relentlessly, the symptoms and rate of progression, other concomitant non-motor symptoms, and the appearance of complications caused by treatment show great heterogeneity. Based on all these factors it is difficult to develop and apply a uniform routine therapeutic guideline. This summary seeks to shed light on aspects of the treatment of Parkinson’s disease particularly in advanced-stage cases drawing on data from a professional college recommendation and the literature.]

Lege Artis Medicinae

[The history of acute stroke care in Hungary ]


[Stroke is one of the most frequent causes of death and the most important cause of permanent disability worldwide and also in Hungary. The Hungarian medical literature has mentioned this disease and has been giving recommendations for its treatment since 1690. Initially folk medicines, herbal preparations and phlebotomy were used as standard therapy. Later, cooling the head joined these methods. Pharmacy preparations emerged at the middle of the 19th century. From the middle of the 20th century, products of the pharmaceutical industry like blood flow enhancers and neuroprotective drugs were in the frontline of the acute care. Anti­hy­per­ten­sive, antithrombotic and lipid-lowering medications became part of stro­ke prevention. Imaging techniques – mainly computer tomography of the brain and ultrasound examination of the cervical large arteries – have radically changed the diagnostics of cerebrovascular diseases from the middle of the 1980s. Since the 1990s, diagnostic and therapeutic decisions are based on reliable evidence from good quality clinical trials. Since the beginning of the 21st century, reperfusion treatments (intravenous thrombolysis and mechanical thrombectomy) re­present the most effective emergency care. The current direction is the extension of the therapeutic time-window of reperfusion treatments based on sophisticated neruoimaging. This review provides a brief summary of the development of stroke care in the last three and a half centuries as reflected in the Hungarian medical literature. ]

Clinical Neuroscience

[Transcranial direct current stimulation in neuroscientific researches – pitfalls and solutions]

PESTHY Orsolya, JANACSEK Karolina, NÉMETH Dezső

[Transcranial direct current stimulation (tDCS) is a promising brain stimulation tool which is non-invasive, easy to use and relatively cheap. Since it can change brain activity in a temporal manner, it can contribute to both clinical practice and neuroscientific research. However, the effectiveness of tDCS has been questioned considering the lack of full understanding of its mechanism of action and the seemingly contradictory results. In this review, we aim to provide a summary of potential problems and possible solutions. Our main focus is on the inter-individual differences in the effect of tDCS which can explain the noisy data, thus, controlling for them is important in order to show reliable results. This review is hoped to contribute to maximizing the potential of tDCS by helping future researchers to design replicable studies.]