Lege Artis Medicinae

[The Faith of Faithlessness ]

BÁNFALVI Attila

DECEMBER 15, 2017

Lege Artis Medicinae - 2017;27(10-12)

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Lege Artis Medicinae

[Memorial Board for Professor Romics]

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[Differential diagnosis of anemia and abdominal pain - case report of a lead poisoned family]

NÉMETH Aliz, LISKA Zsófia, TÖRÖK Eszter, NÁDAI Mária, SCHANDL László, KIS János Tibor

[The authors describe a patient’s case, who was hospitalized with stomach pain. During the study of the patient, a microscopic examination of the blood vessel helped the diagnosis. Basophil eruptions of red blood cells raised the suspicion of lead poisoning, which was confirmed by a high lead level in the serum. The source of the lead poisoning was a lead covered jug, in which the family stored a homemade syrups that is popular among Hungarians. At several members of the family, who had been consumed the syrup, we measured high non-symptomatic lead levels. The patient and his family were successfully treated with a chelating therapy. The au-thors summarize the symptoms of lead poisoning through a case report. Call the attention that excessive lead exposure in Hungary is rarely recognized, and the symptoms are often misleading.]

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[Champagne Party with a Student, or the “Expressionism” of Stroke ]

GEREVICH József

Lege Artis Medicinae

[Feeding and eating in infancy and early childhood part I. - data on breastfeeding in the large-sample “For Healthy Offspring” project]

NÉMETH Tünde, VÁRADY Erzsébet, DANIS Ildikó, SCHEURING Noémi, SZABÓ László

[INTRODUCTION - Breastfeeding is the ideal and natural source of nutrition for infants, is associated with a reduced risk of many diseases in infants and mothers. It has a positive impact on the mother-infant relationship and also has considerable economic and environmental benefits. Subjects and methods - In the “For Healthy Offspring” Project parents of 1164, 0-3-year-old children completed a ques-tionnaire about breastfeeding and their feeding routine. The sample is not representative of the general population, but the sociodemographic and housing variables indicate an adequate spectrum. RESULTS - Breastfeeding was perceived by 60% of mothers enjoyable, while 20% of them had a negative experience with it. More than 50% of mothers had some breastfeeding difficulties, but it did not have a significant correlation with the negative perception of breastfeeding. The most common problem was the perception of inadequate milk supply. Among the studied variables maternal smoking, lower maternal education and the lack of antenatal breastfeeding education had the strongest correlation with the duration of breastfeeding. CONCLUSIONS - Adequate antenatal education on breastfeeding, proactive support of women and promptly attending their breastfeeding difficulties increases the duration of exclusive and any breastfeed-ing, helps mothers to reach their breastfeed-ing goals and to perceive breastfeeding enjoyable.]

Lege Artis Medicinae

[Factors influencing anisocytosis among inpatients with chronic kidney disease]

MOLNÁR D. László, KISS István, SZAKONY Szilvia, AMBRUS Csaba

[The coefficient of variation of RDW (RDW-CV) is a predictor of mortality in several patient cohorts. RDW and other factors were analyzed in an earlier report as potential predictors of inpatient mortality. In this paper, determinants of RDW were examined in a sample of hospitalized patients with chronic kidney disease not yet on dialysis using both frequentist and bayesian ANCOVA models. For the non-informative Bayesian model no prior knowledge about the model parameters was assumed. For the informative Bayesian model prior knowledge from previous experience was applied. Calculations were performed in R with the faraway, car and MCMCPack programme packages. Male gender identity, higher mch and mcv were strongly associated with higher RDW. Blood glucose concentration, white blood cell count, blood hemoglobin concentration, platelet count, age and glomerular fil-tration rate showed inverse relationship with RDW levels. ]

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