Lege Artis Medicinae

[The Faculty Library]

BUDA Béla, VASAS Lívia

APRIL 01, 2009

Lege Artis Medicinae - 2009;19(03)

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[Focus on GPs’ activities as official experts]

KRAMER Imre

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[Management of adults with cystic fibrosis: 20 years’ experience]

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[For the Democratic Professional Politics – A Discussion with Judit Harangozó MD, a Founder of the Mental Health Forum]

NAGY Zsuzsanna, TÓTH Beáta

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[Metastatic tumour with papillary structure in the colon]

CSERNI Gábor, BORI Rita, FEKETE Katalin, OLÁH Csaba, SVÉBIS Mihály, KOVÁCS Katalin, SZŰCS Miklós

[INTRODUCTION - Colorectal carcinomas are frequent and their diagnosis and treatment is generally considered a routine task in oncology, but in some cases, using a routine approach may cause unforeseeable difficulties. CASE REPORT - A 72-year-old woman underwent segmental bowel resection of a tumour diagnosed as colon cancer 15 months earlier. The tumour also metastasized in the lungs. Autopsy findings raised a high level of suspicion that her colon tumour was a metastasis from a uterine cervical adenocarcinoma undiscovered before the post mortem examination. CONCLUSION - Occasionally metastases do not arise from the tumour that we are aware of, and metastases may mimic primary tumours. Although the papillary structure of a colon cancer should raise the possibility of a metastatic nature, also primary - at least partially - papillary carcinomas may arise in the large intestines.]

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[Starvation and obesity on the verge of the 21st century]

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Clinical Neuroscience

Restless leg syndrome frequency in health workers

ÖCAL Ruhsen, ATGÜDEN Gizem, AYCAN Cagri, BALABAN Zeynep, SENAR Seran, YAVUZ Sena

Introduction - Restless Leg Syndrome (RLS) is a disease, primarily composed of sensational symptoms, caused by the urge to move lower extremities especially at night, and characterized by undesired feelings of the legs. Decreasing of the dopaminergic effect at night is thought to be responsible from these symptoms. RLS patients suffer from low quality of sleep affecting their daily life activities even causing socio-economic loss. Although RLS is a common and treatable disease, it can not be diagnosed easily due to the variability of symptoms. Aim - The purpose of this study is to determine the frequency of RLS among health workers and to define the disease causing factors. Method - A questionnaire was applied to 174 randomly selected health workers at Baskent University Medical Faculty (KA17/285). The demographic information, history of illnesses or usage of drugs, socioeconomic status, working hours and daytime sleepiness were questioned. Included in the questionnaire were diagnostic criteria for RLS, frequency assessment scale, and survey of sleep quality. We used “the diagnostic criteria of international RLS working group” for the diagnosis, and “Pittsburgh sleep quality index survey” to determine the quality of sleep. Reliability and validity studies were performed on both tests. Results - A significant relationship between socio-economic status and RLS was found (p<0.05) as an increase of RLS frequency in parallel with decreased socio-economic status. RLS was found to be common among health workers. We suggest that health workers should be checked regularly, and they should be informed about the disease in order to raise an awareness and hence increase their quality of life.

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[Future perspectives and health conditions of recently graduated physicians]

PAPP Szidónia, TÚRY Ferenc

[INTRODUCTION - The purpose of our study was to survey the opinion of students graduating in 2008 at the Semmelweis University Faculty of Medicine about university education, future perspectives and physical as well as their mental health conditions. We have considered factors that might cause or might protect against burnout syndrome. METHODS - The electronic questionnaire has been sent to all graduating students and included the Beck Depression Inventory, the Hungarian version of Spielberger’s State-Trait Anxiety Inventory (STAI), which assesses anxiety, the Hungarian adaptation of the Maslach Burnout Inventory for Human Profession modified for students and the CAGE test, which evaluates alcohol consumption. The questionnaire included general questions concerning medical school education, health condition, support from the community, future perspective and livelihood. RESULTS - 31.4% of the graduating class (94 people) answered the questionnaire. These former students felt that the theoretical education at the university was of high quality; however, 61% considered the practical education insufficient. At the beginning of their careers, merely 5% of the young physicians felt well-prepared professionally. 30% of the responders reported a high degree of burnout; 59% would like to work abroad, and 26% were considering leaving the field of healthcare. A quarter of the students had psychosomatic symptoms. CONCLUSIONS - After graduating from medical school, young physicians have to face the difficulties of finding a job, an unstable livelihood and a high risk of burnout syndrome. The high percentage of young medical school graduates leaving the profession as well as the high migration rate might contribute to the growing problems of the healthcare system.]

Lege Artis Medicinae

[METABOLIC “X” SYNDROME: “XYNDROME” - POSITIONS AND OPPOSITIONS]

MATOS Lajos

[The idea of a constellation of abnormalities linked to insulin resistance as a key component was pioneered and summarized by Reaven in 1988 under the name of “X” syndrome. Based on the various elements of the syndrome, several synonyms have been proposed, including “deadly trio”, “deadly quartet”, “central fat syndrome”, “insulin resistance syndrome”. To avoid the confusion of this entity with “cardial X syndrome”, an established syndrome in cardiology, and instead of the rather long “metabolic X syndrome”, I have proposed the term “Xyndrome”. Irrespective of how it is called, this syndrome has come into the focus of clinical research; using the keyword “metabolic syndrome” to search in the index of the National Library of Medicine, 15.661 citations pop up, and in February 2006 only, 168 papers were published in this field. In spite of this, several international scientific organizations have recently claimed that metabolic syndrome has not been unambiguously defined, its diagnostic criteria are contradictory, and finally, the syndrome as an entity has no more value in predicting cardiovascular risk than the sum of its individual components has, therefore, the use of this notion in the clinical practice is not recommended. There are, however, opposing opinions emphasizing the importance of abdominal obesity - today considered to be most essential element -, data from recent research, and the didactic advantage that the use of this notion has improved complex treatment of its various components. It is crucial to understand that “syndrome” is not more - and not less, either - than a clustering of symptoms and findings, and should not be treated as a distinct disease. The emergence of the notion of metabolic syndrome, however, has been a step forward in the medical concept in that metabolic and cardiovascular diseases are now dealt with in a more complex way, which warrants the maintenance of this notion and the increase of our understanding by continuing research in this field.]

Hungarian Radiology

[A Neuroradiology Postgraduate and Specialist Training Workgroup is Formed at the Radiology Clinic of the University of Szeged Faculty of Medicine]

PALKÓ András

Journal of Nursing Theory and Practice

[“I can’t, and won’t, do anything else.” Survey of the career orientation and career perception of BSc nursing students]

PICZIL Márta, PIKÓ Bettina

[Aim of the study: To map out the motivation that drove BSc nursing students to choose a profession in the health sector and begin their college studies. The authors considered it important to include, in the scope of the study, an assessment of the perception and prestige of the chosen vocation, as well as the level of work satisfaction. Sample and methods: The self-completion questionnaire was filled out by BSc nursing students at the Faculty of Health Sciences and Social Studies of the University of Szeged (N=208). The sample consisted of correspondence (n=136) and full-time (n=72) students, who took part in the data gathering on a voluntary basis. Results: A helpful attitude and humanistic values are what most influenced the respondents in relation to their choice of career, and their enrolment in college studies was mainly motivated by their internal drive. These attitudes, however, do not fully offset the low prestige and the negative aspects of the profession. Conclusions: The results show that there is a need for comprehensive reform in the sector, in the interest of improving the prestige of the profession and preventing career abandonment.]