Lege Artis Medicinae

[The Art of Forgiving Michael E. McCullough, Steven J. Sandage, Everett L. Worthington: To Forgive Is Human: How to Put Your Past in the Past]

FERENCZI Andrea

DECEMBER 16, 2006

Lege Artis Medicinae - 2006;16(12)

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Further articles in this publication

Lege Artis Medicinae

[The 48. Congress of the Hungarian Society of Gastroenterology - 17-21. June 2006. Szeged]

IZBÉKI Ferenc

Lege Artis Medicinae

[I’ll Visit the Minister!]

dr. KRAMER Imre

Lege Artis Medicinae

[Proton-pump inhibitors reduce the risk of uncomplicated peptic ulcer in elderly either or chronic users of aspirin/non-steroidal anti-inflammatory drugs]

NEMESÁNSZKY Elemér

Lege Artis Medicinae

[CLINICAL ASPECTS OF NOCTURNAL GASTRO-OESOPHAGEAL REFLUX]

DEMETER Pál

[Gastro-oesophageal reflux that occur at night has special clinical features and thus require extra attention. During sleep most anti-reflux mechanisms diminish, which results in prolonged contact between gastric acid and oesophageal mucosa compared to reflux during the day. Nighttime reflux symptoms adversely affect quality of life, vitality, physical and mental health. A further important consequence is the potential exacerbation of respiratory disorders such as asthma and sleep apnea. There is increasing interest in the association between nocturnal reflux and certain extra-oesophageal symptoms, including reflux laryngitis and chronic cough. An increased risk of erosive damage and adenocarcinoma of the oesophagus are also observed among patients who report nocturnal reflux symptoms. The primary goal of treatment is to improve quality of life and reduce the risk of complications by decreasing the time of acid contact with oesophageal mucosa. Nighttime reflux symptoms are much more difficult to control than daytime symptoms. Treatment guidelines generally recommend lifestyle changes as the initial approach in managing nocturnal symptoms, however, this is successful in only a small proportion of patients. Evidence-based reviews and meta-analyses favour the use of proton pump inhibitors in the treatment of gastro-oesophageal reflux disease and reflux-oesophagitis. Proton pump inhibitors are the most efficient acid-suppressing agents and thus diminish the harmful effect of acidic gastric reflux on the oesophageal mucosa. In addition, by decreasing the volume of gastric acid, they reduce the tendency to reflux.]

Lege Artis Medicinae

[Improvements in symptom-limited exercise performance over 8 h with once-daily tiotropium in patients with COPD]

SOMFAY Attila

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Journal of Nursing Theory and Practice

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[This paper presents the situation and perceptions of nurses regarding sexuality related to disabled patient care in hospital. The nurses have difficulty dealing with issues of sexuality, and the reasons for this were complex and interrelated. Patient care is influenced by nurses’ perceptions of sexuality. Nurses basically could discuss of sexuality with their patients however, the sexuality is a fundamental part of being human. A person’s sexuality or sexual health can be temporarily or permanently altered by illness or treatment. Nurses are well suited to deal with patients’ needs regarding sexuality, because nurses are in constant contact with patients and because of the intimate nature of care that nurses could provide the sexual care, information’s and education on this field. Professional boundaries are the spaces between the nurse’s “power” and the patient’s vulnerability. The power of the nurse comes from the nurse’s professional position and access to sensitive personal information. Nurses should make every effort to respect the power imbalance and ensure a patient- centered relationship.]

Clinical Neuroscience

[The evaluation of paroxysmal events in neonates and infants]

NAGY Eszter, FARKAS Nelli, HOLLÓDY Katalin

[Introduction - Differential diagnosis of neonatal and infantile seizures based only on inspection poses a challenge even for specialists. Aims - To investigate the evaluations of neonatal and infantile paroxysmal events based only on inspection. Research question - Is there any difference in the opinion of neonatologists, paediatric neurologists and neurologists about the assessment of common paroxysmal events in infancy? Patients and methods - Video recordings about paroxysmal movements of 15 neonates or infants (aged 2 days- 5 months) were displayed for 47 paediatric neurologists, 35 neonatologists and nurses working in Neonatal or Perinatal Intensive Care Units and 43 neurologists. They had to decide without knowing the past medical history or EEG results whether events presented were epileptic or nonepileptic in nature. Results - Answers of neonatologists and paediatric neurologists were correct in 67% of cases (824/1230), no significant difference was found between their results. The largest uncertainty was in the judgement of discrete hand movements and very rapid clonus with epileptic origin, they were judged correctly by only one third of participants. The result of neurologists was only slightly, but not significantly different from that of paediatric neurologists. Conclusion - In most cases, the correct diagnosis of neonatal and infantile paroxysmal events requires video-EEG recording. No significant difference was revealed between the evaluation of neonatologists and paediatric neurologists about the differential diagnosis of movements. The ongoing cooperation of paediatric neurologists and neurologists going back to several decades facilitates the shaping of a common perspective.]