Lege Artis Medicinae

[The Personality of Genious Artists: Gustav Klimt]

CZEIZEL Endre

JUNE 15, 2012

Lege Artis Medicinae - 2012;22(05)

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Lege Artis Medicinae

[Quo vadis? Whose life is it anyway? EBM based health politics and health based politics]

KAPÓCS Gábor

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[Thyroid hormone replacement in old age - practical advices]

SZABOLCS István

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[Borderline and Stigmatisation An Interview with Éva Ratkóczi MD ]

NAGY Zsuzsanna

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[Fulvestrant therapy in advanced osseal metastases]

MÉSZÁROS Edina, GALLER László, LANDHERR László

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[The role of vitamin D in gastrointestinal diseases]

ZÖLD Éva, BODOLAY Edit, ZEHER Zargit, BARTA Zsolt

[The amount of the fat-soluble vitamin D can be reduced by a number of chronic diseases or even obesity. On the other hand, vitamin D itself can also influence the development or course of these disorders. Some gastrointestinal diseases are known to cause vitamin D deficiency, but some observations and studies have also proved that certain gastrointestinal diseases occur more frequently in case of vitamin D deficiency. Moreover, in case of some intestinal tumours even “vitamin D sensitivity” can occur. Our aim is to introduce the relationship between vitamin D and gastrointestinal diseases, and to highlight the importance of vitamin D replacement in gastrointestinal diseases accompanied by vitamin D deficiency or vitamin D sensitivity.]

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[The “room” for death in the family - dying as a role]

MÚJDRICZA Ferenc

[The Hungarian literature has quite ignored so far Noyes & Clancy’s Role Theory approach of dying. I present the outline and a critique of this conception, then lay the foundations of a reformed concept of the dying role. For the optimal and desired dying role is not one of peripherising and objectifying, rather one of placing the dying in the centre of the system of relations and roles radically restructuring under the influence of such role. The personality of the dying remains a true value in this central position. The reintegration of the dying can begin parallel to her disintegration by the progressive loss of her normal social roles (‘the loneliness of the dying’). Death can thus transform into a social phenomenon. I illustrate the argumentation on the central dying role with a case study using the method of a heterophenomenological, second-person character. By promoting the central and autonomous dying role, i.e. by the development of the necessary social role competences, or at least by publicising the thanatological knowledge, death can turn from an avoided, socially disintegrative taboo into a phenomenon that can strengthen the community even after the dying departed.]

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[Personality development in East and West, and some clinical implications ]

PUREBL György

[Exploring human personality focused mainly on trait and state markers of behaviour so far. Nevertheless, the concept of the universal, culture-independent model of personality carries more disturbing difficulties: hardly understandable inter-cultural conflicts, culture-related mental disorders and scientific experiences with unexpected outcomes. It can be hypothesized, that beside personality concept represented by the Euro-Atlantic civilisation and mainstream psychology there is an alternative concept of personality. Opposed to the independent, autonomous ego concept of individualistic cultures, collectivistic (primarily far-eastern) cultures are providing an interdependent model. According to this model, the core element of personality are determined rather by social embedding instead of the person’s own characteristics, which are secondary to the personal traits and characteristics. This study attempts to briefly outline the concept of interdependent personality, with some illustrative clinical examples. ]

Journal of Nursing Theory and Practice

[Current issues in geriatric care from a nursing perspective at certain patient wards of Sárvár Municipal Hospital ]

BARTA Katalin, RAJKI Veronika

[Aim of the study: The authors aim is to identify differences in the aspects of nursing at rehabilitation, chronic internal medicine and nursing departments, and to assess the characteristics and personality traits regarded as essential by the specialist nurses participating in the survey, as well as to identify the factors and causes named by patients as leading to an improvement in their satisfaction and comfort. Sample and method: The survey was performed in three departments of the Sárvár Municipal Hospital (chronic internal medicine, nursing and rehabilitation), and involved the specialist nurses working in the departments and the patients of the three departments. The questionnaire-based surveys were conducted both among the paramedical workers and the patients. The results and correlations were examined using descriptive statistical methods. Results: It can be concluded from the survey of the patients that a high proportion of them (42%) are admitted to the nursing department on the basis of social considerations. The opinions of patients at the individual departments differ significantly with regard to the skill of the nurses and the necessity of increasing the nurse headcount. The most important conclusions of the survey of the workers include the findings that the self-assessment of their own knowledge by workers at the surveyed departments is relatively low; a significant proportion of the nurses would like to see an increase in the number of paramedical workers; and verbal ward handovers are still overly preferred among nurses, rather than the use of nursing documentation. Conclusions: Nurses working the field of rehabilitation need to be prepared for the new tasks emerging as a result of the increasingly marked demographic changes. For this, a strengthening of the rehabilitation-oriented approach is essential. ]

Clinical Neuroscience

[Frontotemporal dementia - Part I History, prevalence, clinical forms]

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[The authors report a comprehensive publication consisting of three parts going into the details of history, prevalence, clinical forms, differential diagnosis, genetics, molecular pathomechanism, pathology, clinical diagnosis and treatment of frontotemporal dementia (FTD). The first part of the present review deals with history, prevalence and clinical forms of FTD. The prototypical FTD with circumscribed atrophy was first described by Arnold Pick; Alois Alzheimer found the intraneural inclusions in the patients’ brain. Later it was recognised that many patients had neither the atrophy nor the cellular changes, but genetic mutations have been identified. Frontotemporal dementia is a degenerative condition with unknown etiology in the frontal and anterior temporal lobes of the brain. It is a progressive neurobehavioral syndrome characterized by early decline in social interpersonal conduct, early impairment in the regulation of personal conduct, early emotional blunting, and early loss of insight. There are no reliable epidemiological studies on the prevalence of FTD, but it is well-accepted that FTD is a common cause for dementia before the age of 65 (it constitues approximately five percent of all irreversible dementias). The nomenclature of the FTD has been confusing and continues to be. Three major clinical syndromes can be identified: 1 frontal variant FTD (dementia of frontal type) in which changes in social behavior and personality predominate, 2. in semantic dementia (progressive fluent aphasia) there is a breakdown in the conceptual database which underlies language production and comprehension, 3. in progressive nonfluent aphasia the phonologic and syntactic components of language are affected. The authors report two cases, which can point to clinical symptoms and forms, and mention the problems of the differential diagnosis and therapy.]

Lege Artis Medicinae

[A doctor who will be remembered: Gustav Rau]

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