Lege Artis Medicinae

[Ultrasound: present and future, an interview with professor Barry Goldberg]

HARKÁNYI Zoltán

JANUARY 12, 1991

Lege Artis Medicinae - 1991;1(01)

[Ultrasound is a widely used and accepted diagnostic modality in the United States . There are many considerable differences between the practice of ultrasound in the United States and our country. Well-skilled sonographers are performing the examinations using abundant amounts of documentation. The main role of the physicians (sonologists) is to interpret the image. Radiologists and other physicians who are doing ultrasound are highly motivated to increase steadily the quality and quantity of ultrasound examinations. Their salary is related directly or indirectly to the number of studies performed. The medico-legal aspects of ultrasound (and of other imaging techniques) are also important. The ultrasound division of the Thomas Jefferson University Hospital in Philadelphia is considered to be the world 's largest ultrasound department. It is directed by Professor Barry B. Gold berg. He is widely known as a leading authority in the „ultrasound world" the author of more than 59 monographs and chapters of different textbooks of ultrasound , and also a pioneer of echocardiography. His first publication on ultrasouncl appearecl twenty-four years ago. During my visit in Philadelphia I had a chance to ask him some of my questions concerning present and future of ultrasound. ]

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Lege Artis Medicinae

[Current issues in oral anticoagulation treatment]

SAS Géza

[Cardiovascular disease is the leading cause of death in civilised countries everywhere. The situation is particularly serious in our country: it is well known that we are one of the countries with the shortest life expectancy in Europe, precisely because of the devastating impact of circulatory diseases. While in the USA, thanks to improvements in living conditions and effective preventive measures, mortality from cardiovascular disease is falling dramatically and is being postponed to later and later years, here at home we can unfortunately expect the situation to deteriorate further in the years ahead.]

Lege Artis Medicinae

[The importance of oral symptoms in the early diagnosis of HIV infection (AIDS)]

BÁNÓCZY Jolán

[Oral lesions of AIDS might occur in every phase of H/V-infection, their importance in the early diagnosis and treatment is significant. The most frequent oral symptoms are: oral Candidiasis, acute necrotizing ulcerative gingivitis (ANUG) and periodontitis, herpetic infections, resistent to the usual therapy. ,,Hairy leukoplakia " of the tongue is characteristic hyperpigmentation of the oral mucosa, Kaposi's sarcoma are frequent symptoms, latter especially in more developed phases (ARC or AIDS) of the disease. Saliva-containing a factor inhibiting HIV-1 infection of human lymphocytes - has minimal importance in the transmission of the disease. Therefore, professional transmission of HIV-infection -, e. g. dental treatment of infected patients keeping the necessary cautions , - present minimal risk. The appropriate treatment of arai lesions of HIV-infected patients may help in maintaining their general health. ]

Lege Artis Medicinae

[The molecular genetics of Duchenne and Becker muscular dystrophy]

FODOR Flóra, PAPP Zoltán

[Duchenne muscular dystrophy, an X-linked inherited disease, is the most common among the severe muscular dystrophies, yet untreatable. lts secondary prevention, however, has become possible by the rapidly developing techniques of molecular biology. The authors describe the latest methods of DNA-diagnosis used, as well as the principles of setting up a diagnostic protocol.]

Lege Artis Medicinae

[The concept of the pathomechanism of ischaemic heart disease]

[The primary atherosclerotic plaque may remain unchanged in extent for a long time and, with the right size of stenosis, results in stable angina pectoris.]

Lege Artis Medicinae

[Family medicine, home care, family care]

ARNOLD Csaba

[General Practice as an independent speciality of medicine has a very special territory, the family care. The family care is a general wish of the society. This special care is continuously made in every fifth-sixth family. ln the author's practice in the autumn of 1989 113families and 16 lonely persons, in 1990 120 families and 18 lonely persons were controlled regularly at home. The family care, the family medicine needs special knowledge and skill. Minimal addicional technical, personal and financial support is requested, burt due to the special care activity the level of medical work increases and it becomes more humanistic, needs of hospitalization decreases and the plus expenditure refunds. Far the better evaluation of family care a more systematic undergraduate and postgraduate teaching and a special research work would be needed.]

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