Lege Artis Medicinae

[The Guest of Justice]

FERENCZI Andrea

JANUARY 20, 2012

Lege Artis Medicinae - 2012;22(01)

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[Molecular genetics has become an indispensable diagnostic tool in a number of diseases. The most frequent thyroid tumours are associated with genetic alterations that might be used for diagnostic purpose in the future. Somatic mutations and rearrangements in BRAF, RAS family RET/PTC and PAX8/PPAR-gamma genes may occur in papillary and follicular thyroid carcinomas. Other mutations of the RET gene can be found in medullary carcinomas (in sporadic as well as hereditary types), whereas mutations of the genes TP53, RAS, and BRAF are associated with poorly differentiated and anaplastic carcinomas. At present, the most reliable diagnostic tool for the differential diagnosis of thyroid nodules is fine-needle aspiration cytology. However, the existing malignancy cannot be unequivocally proven in up to 10-40% of all samples. On the basis of previous results, genetic examination of fine needle aspiration samples from thyroid nodules can contribute to a more precise diagnosis and the timely removal of potentially malignant nodules.]

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Clinical Neuroscience

[Factors affecting the offsetting ability psychopathic reactions ]

MAGYAR István

[To summarise what has been said, I would like to present my views on psychopathy below. 1. The abnormal personality structure is not a disease and thus does not in itself affect the integrity of the capacity to reason. 2. The abnormal personality structure may facilitate the commission of a particular act, but its assessment as a mitigating circumstance is a matter for the judge. It is rarely necessary to draw the attention of the mental health professional to this fact, and in particular in the case of recidivists, prison as a "forced treatment" should be acknowledged and approved. 3. The involvement of the capacity to reason comes to the fore in manifest psychopathic states, i.e. in cases of psychic decompensation reaching pathological levels, or when a psychotic reaction occurs at the base of a pathological personality structure. In these cases, the most crucial question is to determine the relationship between the pathological state that has developed and the sinful act; in Nyírő's definition, the disease is criminal or the conscious self. 4 I have not discussed the structural aspects of military justice and pathological personality, but I will merely mention that the issue here is complicated by special military problems, including the question of military fitness and the occurrence of special military crimes. More common is the disqualification or incapacity to report if the offender was or has become unfit for military service. The assessment of special military offences is different and the shaping influence of the military environment changes the assessment. These issues have been mentioned for the sake of completeness, as they would exhaust the scope of a paper, but they are also a specific problem affecting a narrower range of people. The title of my topic promised a description of psychopathic reactions affecting the ability to report and this is apparently not what I gave. However, I believe that without a negative assessment of the abnormal personality structure, which is still a controversial issue in both psychiatry and forensic psychiatry and which does not generally affect the integrity of sanity, the issue cannot be discussed. Practical experience has shown that in the vast majority of cases, the psychoanalytical assessment of pathological conditions arising from pathological personality structures is less of a problem than the correct interpretation of the pathological personality structure itself, psychopathy, and its impact on the integrity of the mental capacity. ]

Lege Artis Medicinae

[Healing and Justice]

SÁNDOR Judit

[Reflections on the British and Hungarian judiciary]

Clinical Neuroscience

[Antecedents to the commencement and history of the West- Pannonic neurological forum]

GARZULY Ferenc, GRUBITS János, NIKL János

[Introduction - Numerous professional groups and sections for the medical specialities have been organized since 1953 in the West-Transdanubian region of Hungary, but such association of neurologists had not occured. Establishing the West-Pannonic Neurological Forum - The lack of regional collaboration among neurologists was related to several factors, among which the most important factor was the lack of a regional medical university, which could coordinate the professional activities. This severe gap necessitated in 1998 the organization of a professional group, that has become a driver for case-consulting conferences and different postgraduate trainings for the physicians specialized in neurology, neurosurgery and neurorehabilitation in counties of Győr-Moson-Sopron, Vas, Veszprém and Zala. The functioning of the Forum - Meetings are organized twice a year for physicians and paramedical staff (nurses, hospital attendants, physiotherapists) on Thursdays afternoons in different towns of the region, in two sections. The lectures are followed by a buffet, after which everyone can get home before too late. Ocasionally guest-lecturers are invited to present scientific topics from Hungarian universities or abroad. However, the main form of the presentations is defined as case discussion. Conclusions - The numbers of platform and other presentations in the physicians’s section have exceeded half a thousand, while in the paramedical section reached the threehundreds. At the 38. meeting of the Forum in January of this year, the number of participants was more than twohundreds, reflecting that both physicians and their coworkers are greatly interested in this form of interactions.]

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[Meditation of the guest editor-in-chief]

PUREBL György

Lege Artis Medicinae

[Musings of the Guest Editor-in-Chief]

PUREBL György