[Who are the happy family physicians in Hungary?]
GYŐRFFY Zsuzsa, TORZSA Péter
MARCH 20, 2017
Lege Artis Medicinae - 2017;27(03)
GYŐRFFY Zsuzsa, TORZSA Péter
MARCH 20, 2017
Lege Artis Medicinae - 2017;27(03)
[INTRODUCTION - Mental and somatic morbidity of healers is the most commonly researched issue in physician related studies. Few of them focus on the positive as-pects of the physicians’ profession though. METHODS - A focus group qualitative study of family physicians (n=14), who work in Budapest, was conducted. Three important topics were analyzed in this study - the positive aspects of the daily routine, the issue of the work-family balance and the decisive aspects of the patient - doctor relationship. RESULTS - The main positive elements of the family physicians’ professional lives are the independent working conditions, the diversity of patients, an intensive relationship with families and communities, and a special patient-doctor relationship. Beside professional fulfilment, the possibility of balance between work,family and private time are the key components of their wellbeing. CONCLUSIONS - According to both our results and the findings of international literature, the happiness of family physicians depends on independence. This independence is present in their professional life, in the balance of work and family life and in time management as well.]
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
Lege Artis Medicinae
[Wilson’s disease is an autosomal recessive disease with toxic copper accumulation caused by the mutation of the ATP7B gene in chromosome 13. The estimated prevalence of the disease is 2-3 / 100000. Early diagnosis is important because the treatment may stop the progression and could result regression or it can prevent the clinical manifestation of the disease. In our case study we describe how difficult could be to diagnose the disease, the role of the family physician in the preparation for liver transplantation and in the follow-up care. This case is an example demonstrating that Wilson's disease is often diagnosed only years after the appearance of the first symptom. We review the most important literature data on Wilson’s disease. ]
Lege Artis Medicinae
[Diagnosis and treatment of sleep disorders play an increasingly important role in everyday clinical practice of family physicians. Obstructive sleep apnea syndrome (OSAS) is a significant disorder of this disease group due to its relatively high incidence rate and increasing risk of adverse medical outcomes in the course of time. The prevalence of OSAS is 2-4% in the general population. It is characterized by obstructive apneas and hypopneas mostly with desaturations and/or arousals caused by the repetitive collapse of the upper airway during sleep. Besides impairing sleep efficacy and daytime neurocognitive functions, OSAS increases cardiovascular risk as well. The typical clinical presentation is an excessive daytime sleepiness and loud snoring interrupted by brief pauses of breathing. It can be a risk factor for treatment-resistant and/or non-dipper hypertension, nocturnal cardiac arrhythmias, stroke, cognitive decline and depression. The importance of OSAS is presented by the fact that - according to the latest related Hungarian law reforms - risk evaluation of the disorder is part of the medical assessment of suitability for a driving license. The family physician’s tasks are to recognize the clinical symptoms, identify high-risk patients with potential complications who need adequate treatment and eventually guide them to sleep-diagnostic centers. ]
Lege Artis Medicinae
[Depression and anxiety disorders are major problems both in psychiatric and in general practice because of their frequency and recurring character. Owing to their common complications (suicide, suicide attempts, secondary alcoholism / drug disease, increased cardiovascular and cerebrovascular morbidity and mortality, loss of work, social isolation, etc.) they are the cause of significant individual, family and social burdens. In our paper we review the clinically revealable suicide risk and protective factors that can be observed in depression and anxiety disorders as well as the main aspects of the recognition and care of suicidal patients. With available medicines and non-pharmacological therapies, the vast majority of depressive and anxiety patients can be successfully treated and in most cases we can prevent suicidal behavior associated with these diseases. Besides psychiatrists general practitioners as well play a significant role in preventing suicidal behavior and in the recognition of suicide risk. ]
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