Lege Artis Medicinae

[Why is the current health reform not encouraging?]

LANTOS István

AUGUST 26, 1992

Lege Artis Medicinae - 1992;2(08)

[I have a very kind young colleague who became a district doctor 4 years ago after nearly 10 years of hospital practice. She has since married and is currently at home with her two-year-old child. Due to changes in primary care, she has not lost her job but she lost her patients. Instead of her, other people who replaced her are collecting insurance cards from citizens in her former district. Her child is growing up, she is legally employed, only when she returns she will have no one to treat. ]

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[Call for support for the Healthy Breasts Foundation]

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[The author was one of the first in 1976 who began to use the various types of lasers for plastic-esthetical reasons and for therapy of skin lesions. He considers the indication spectrum of the argon laser to be the largest and its results are the best. The author summarizes and makes known the tissue-effects of the argon laser and compaes it with the tissue-destruction of other lasers and classical methods. The quality of the tissue destruction determines the indications and the applications, among them the therapy of the port wine syndrome. In the author's opini on, not the exposition time and the energy of the argon laser could be exactly determined. The experience of the physician plays the most important tole in the therapy. ]

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[The mode of action of bath therapy]

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[Correlation between clinical data and histologycal findings assessing the severity of ulcerative colitis]

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[ A knowledge of the current activity of ulcerative colitis is essential in planning appropiate follow-up. Histological findings obtained from 209 colonoscopies were compared with the values of 22 clinical variables. One way analysis of variance was carried out. Of the 22 variables 11 proved to be significantly different between the groups of the clinically valuable classification (inactive, chronic, acute). Each of the three groups differed in the number of bloody stools. The acute inflammatory process was characterized by the high numbers of bowel movements, mucus and bloody mucus defecation, bowel movements at night, and haematocrit values suggesting anaemia. The serum iron levels in the inactive group differed significantly from the levels of both the acute and the chronic groups. The count of thrombocyte and the general well being were found to be valuable only in the differentiation between the acute and the inactive inflammatory processes. The computed haematocrit value proved to be useful in distinguishing the acute stage from the inactive and the chronic process. Out of the 22 variables only 11 had clinical importance in the evaluation of the activity of ulcerative colitis. ]

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