Lege Artis Medicinae

[The Eighth Church ]

NAGY Zsuzsanna

FEBRUARY 14, 2014

Lege Artis Medicinae - 2014;24(01-02)

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Further articles in this publication

Lege Artis Medicinae

[Our body as an ecosystem, or the „brave new world” of metagenomics]

FALUS ANDRÁS, BARCS István, DUDA Ernő

[Micro-organisms (e.g. bacteria) are generally associated with diseases. We rarely consider that these organisms are living creatures, which pursue to survive and reproduce themselves. Obviously, they are dependent on and also have an active impact on their living environment. This interaction might be beneficial but also harmful - a situation they try to avoid. This complex network represents an extremely complicated multi-directional control, the disruption of which may result in serious diseases.]

Lege Artis Medicinae

[The Tragic Death of Gizi Bajor ]

GERLINGER Imre

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[Effect of lactulose in minimal hepatic encephalopathy in cirrhotic patients]

LIPTÁK Judit

Lege Artis Medicinae

[How to detect it? Dementia screening in primary care]

KÁLMÁN János, PAPP Edina, PÁKÁSKI Magdolna

[The early stage of dementia, the diagnostic and clinical importance of prodromal stages of dementia have been increasingly recognised in the past few years. Nowa - days, simple, rapid, easy to use cognitive screening tests are available, such as the recently developed Early Mental Test and the standardised Mini-Mental State Exami - nation, Clock Drawing Test, which could help general practicioners in the recommended regular dementia screening. The aim of this review is to help general practicioners understand the nature and importance of prodromal and manifest stages of dementia syndromes, and to summarise the characteristics, advantages and disadvantages of dementia screening tests that can be used in primary care. In addition, practical hints are also integrated regarding the diagnosis, screening and referral of persons with high risk for dementia.]

Lege Artis Medicinae

[The health prevention role of the forest]

SEREGI János, LELOVICS Zsuzsanna, BALOGH László, PAPP Lajos

[The government attaches great importance to the health conservation and protection role of the forest. National forestry manages the vast majority of the forest parks in the country, without their effort these popular places have been destroyed a long time ago. Forest parks attract crowds of people, jut in suburban forests of the capital city ten million people visit in each year. Beside the introduction of their purpose and function in health prevention, authors aimed to summary the consequences of doing sport in the nature, especially in the forest. The fact confirmed by medicine that 20-30 minutes long exercising multiplies cardiac function and cause at least a bit difficulty in breathing, improve the physical fitness in healthy people. The same is true for walking and hiking as well. It is well known that fresh air, sunshine, exercise in diverse environment have favorable effects on physical and mental conditions physically active lifestyle is an important factor in health.]

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[Diagnosis of hypertension and target levels in mirror of the newest recommendations]

STUDINGER Péter, BARNA István

[In the past year, many societies published new recommendations in the field of hypertension. The European Society of Hypertension and the European Society of Cardiology (ESH/ESC) published a comprehensive guideline in July 2013, providing an elaborate description of the diagnosis of hypertension. The clinical practice guideline of the American Society of Hypertension and the International Society of Hy per - tension (ASH/ISH) contains a brief set of recommendations, and explains the diagnostic approach to hypertension in a less detailed manner. The Eighth Joint National Committee (JNC8) focuses on certain aspects of hypertension using rigorous evidence- based methodology. This article displays some of the corresponding and disparate recommendations of the three guidelines.]

Clinical Neuroscience

A rare aetiology of stroke; myxomatous aneurysm caused by atrial myxoma

ACAR Erkan, OZDEMIR Zeynep, SELCUK Hakan Hatem, ÇOBAN Eda, SOYSAL Aysun

Atrial myxoma is a rare cause of stroke. In this report we present the case of a 52-year-old female patient who went to hospital suffering from a headache. Her neurological examination was normal except for a positive Babinski sign on the left. In the superolateral of the right, a Sylvian fissure consistent with a thrombosed aneurysm was detected using computerised tomography (CT). Diffusion MRI showed an acute infarction on the right MCA area. Transthorasic Echocardiography and ECG were normal. A -16×4 mm-sized fusiform perpendicular aneurysm on the M2 segment Sylvian curve of right MCA and a -6×4 mm-sized dissecting aneurysm on P3 segment of the left posterior cerebral artery (PCA) were observed in cerebral angiography. Transesophageal echocardiography (TEE) demonsrated a large mass with a suspected size of 2×2×1.5 cm on the left atrium. The mass was resected and on the eighth day after the operation, she had a temporary vision loss and hyperintensity on the T1 sequence was interpreted as laminary necrosis suspected on Cranial MRI. In follow up, she was stable with 300mg acetylsalicylic acid treatment. The main treatment is surgical resection in stroke caused by atrial myxoma.

Journal of Nursing Theory and Practice

[Study based on special care needs of elderly people in Nursing Home run by Church ]

BADÓ Erika, BALOGH Zoltán

[Aims: The changes from the introduction of the care needs of elderly people in Nursing Home run by Church, set year 2011 against year 2016. Methods: The sample was taken from the residents of Filadelfia Integrated Social Institution in 2011 (N=118), in 2016 (N=122) and from the nurses who worked there in 2011 and also in 2016 (N==18). The survey was conducted through a self-constructed online questionnaire. The Nursing Documentation was reviewed during the document analysis. Data were analyzed with SPSS using Chi square and Fisher’s tests. Results: It can be concluded that the numbers of care needed people increased, like living with dementia (p=0,001), using catheter (p=0,001), handicapped (p=0,001), using long term painkillers (p=0,005). Fluctuation and the decrease of the numbers of professional stuff are typical. Conclusions: For the care needs of elderly people, higher level care is needed with professional stuff qualifications. ]

Hypertension and nephrology

[Therapy of hypertension in mirror of the newest recommendations]

STUDINGER Péter, BARNA István

[Hypertension guidelines published by various societies in the previous year follow two distinct trends regarding recommendations about treatment. The European Society of Hypertension and the European Society of Cardiology (ESH/ESC) gives the clinician free hand to select the antihypertensive drug, mentioning the optimal treatment regime for various associated clinical conditions. Guidelines published by the American Society of Hypertension and the International Society of Hypertension (ASH/ISH) or by the Eighth Joint National Committee (JNC8) are far less permissive, recommend the first drug of choice from a narrower circle of antihypertensive agents and describe the initiation and escalation of therapy in algorithms. This article displays some of the corresponding and disparate recommendations of the three guidelines.]