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Lege Artis Medicinae

FEBRUARY 05, 2016

[Results of comprehensive health screening of Hungary (MÁESZ) in 2015]

KISS István, BARNA István, DAIKI Tenno, DANKOVICS Gergely

[In 2010, a novel, complex health screening was launched in Hungary, titled as Comprehensive Health Screening of Hungary. As part of the National Heart & Vascular Program, it operates with the support of 67 professional-scientific societies and companies. In the last six years the special screening truck has visited 1123 places and traveled more than 10 000 km. The screening station has been offering 27 medical screening options. It has accomplished the complex screening of 135 879 residents and informed 314 184 residents about the right lifestyle, the protection of health and prevention of diseases on the ground. 241 753 people have received a Prevention Information Package. In this article, the authors summarize the results of 2015, summary is based on the blood tests, instrumental measurements and on the questionnaires, which were consisting 100 questions. It was again found that the Hungarian population is at high medical risk from multiple perspectives. The authors also outline possible solutions to risk reduction and disease prevention.]

Lege Artis Medicinae

DECEMBER 15, 2015

[Community participation in sustainable development - in the wake of community medicine]

BRYS Zoltán, HARANGOZÓ Judit, SZARVAS Hajnalka

[Sustainable development aims to secure the living conditions of the next generations. Currently it fails to achieve its goal as the human destruction of ecosystem is accelerated. Institutions of the developed countries can not control the environmental crisis. The increased environmental degradation is caused by overconsumption, which is mainly driven by the widespread consumption-culture. Failure of institutional solutions drew the attention to the empowerment of communities. Aarhus Convention has legally empowered the local communities and various scientific fields examines community participation. Community Based Mental Health Services has gathered a significant knowledge about the psychosocial processes of community participation and about the participatory-culture. According to our assumption this knowledge can be used in the field of sustainable development. Besides the empowerment of the independent, local communities, concordance, affective experiencing diversity of the members, involvement of experiential experts are all important in the operation of self-organizing, responsible, local communities. We believe that the empowerment and support of eco-conscious communities is an important, new intervention in the field of sustainable development. ]

Lege Artis Medicinae

JUNE 01, 2015

[The changing face of carrier choice: Chances and opportunities in Hungary]

GYŐRFFY Zsuzsa, SUSÁNSZKY Éva, SUSÁNSZKY Anna, SZÁNTÓ Zsuzsa

[BACKGROUND - In the 21st century, medicine has changed. As a part of this transformation we observe the phenomenon of deprofessionalisation, change of the recruitment and alteration of the carrier motivation. METHODS - The quantitative study included 733 medical students of four Medical Universities in Hungary. Data for the qualitative study was collected from interviews of 45 medical students. RESULTS - Both research methods confirmed the changing of the medical profession. Besides, the number of medical school applicants are decreasing, and the number of women students are increasing. The impact of the doctor parents showed a decrease. Students reported late carrier choice and that they don’t become exclusively clinicians. The most important factor of carrier choice is altruism, but scientific interest and controllable lifestyle also appears as a motivation factor. CONCLUSIONS - Results suggest challenge of the „feminization of medical profession”. The medical curriculum and the conditions of work environment need to respond to these „metamorphoses”.]

Lege Artis Medicinae

MARCH 20, 2015

[Illness representation of patiens with migraine and tension headache]

AMANDA Illés, NAGY Beáta Erika

[It’s been proven by many scientific observation that patients describe their diseases both in progression and adaptation in a different manner even though having a similar origin. The reason behind is the various cognitive background. The investigation of this cognitive function may help us understand patients personal reactions better. In 2007 I investigated the effect of three factors (type, understanding and duration of the disease) on illness representation in patients suffering from headache. The patients included were the following three groups: having migraine with aura, migraine without aura and patients with tension headache. I was looking for correlations and differences in disease representations. For this investigation I have used illness representation questionnaires translated and adapted to Hungarian population. The data were obtained in the waiting hall of two headache centres in Debrecen. Although there were no significant correlations in most of the cases, certain tendencies were observed. Understanding of disease representation could be very useful tool in psychological support, psychotherapy for the patients and it could improve their quality of life.]

Clinical Neuroscience

MARCH 25, 2015

[Measuring of functional impairment of lumbal spine]

VALASEK Tamás, VARGA Péter Pál, KLEMENCSICS István, SZÖVÉRFI Zsolt, BOZSÓDI Árpád, ÉLTES Péter Endre, LAZÁRY Áron

[Background and purpose - The purpose of our study was to outline the Hungarian validation process of the Oswestry Disability Index, the Quebec Back Pain Disability Scale, the Roland-Morris Disability Questionnaire and the Core Outcome Measurement Index, as well as to draw up recommendations regarding their future applications. Methods - The Hungarian versions were brought to life after a cultural and linguistic adaptation. Next to the above-mentioned questionnaires, the questionnaire booklet used for validation also contained the WHOQoL-BREF general quality of life questionnaire and a pain measuring Visual Analog Scale. The data of low-back pain patients were registered twice in two weeks. We determined the internal homogeneity (Cronbach alpha), reproducibility, standard error of measurement and the minimal detectable change of the questionnaires. Patients were assigned into different two subgroups (surgical / non-surgical, with / without affection of nerve roots) and differences between the subgroups were examined with the help of the questionnaires. We determined the physical subscale of the WHOQoL-BREF and the correlation between the pain and the studied questionnaires. Results - The value of Cronbach alpha was between 0.85 and 0.95. All four questionnaires showed significant differences (p<0.001) between the subgroups. The correlation studies brought strong and significant results (p<0.001, r>0.5) in every case. The values of reproducibility were between 0.93-0.92. The results of standard measurement error: 4.8 (Oswestry), 5.2 (Quebec), 1.6 (Roland-Morris), 0.59 (Core Index). The minimal detectable change was 13; 14; 4, and 2 points, respectively. Conclusion - The Hungarian versions of all four questionnaires are valid. They can be applied with scientific certainty to measure low back pain patients. From the studied questionnaires, we especially recommend the wide-raging application of the Oswestry Disability Index and the Core Outcome Measurement Index based on their psychometric and application features. ]

Hypertension and nephrology

DECEMBER 20, 2014

[Guide for using methods of cardiovascular risk estimation]

KÉKES Ede

[Author analyzes the most frequently used, reliable cardiovascular risk estimation methods. Only those methods are useful that meet to the american and european prevention guidelines and were edited by processing of the great databases. The best known risk estimation methods are continuously is expanding by growing body of knowledge and by another iseful risk factors, because the only way in order to successfully prevent the cardiovascular diseases. Two types of method-groups are known: 1. Traditional narrowed form for the general practisers and for the large section of population, 2. Methods with a broader analysis and more risk factors for the specialists and scientists. In Europe PROCAM and Heart Score and their variations are most useful for the practical medical work, but it is possible to use the american ASCVD and Reynolds risk estimation methods as well using the help of the national correction factors. The methods with wider analysis and much more risk factors as the Mayo Clinic mode, Qrisk2 and IHMRS are suitable in assisting of the epidemiologic studies or scientific work.]

Journal of Nursing Theory and Practice

JUNE 20, 2014

[Advanced, evidence-based care - The care of the mechanically ventillated patient]

FULLÉR Noémi, OLÁH András

[The care of the mechanically ventillated patient is a complex nursing duty what requires comprehensive knowledges from the professionals. The appearance of the nosocomial conditions, costs of the care and days of the care can be decreased by the proper evidence based nursing practice. Many research papers and guidelines were developed at the international literature regarding the mechanically ventillated patients but the well-founded books or studies are missing in Hungary. With this paper the aim is to emphasize the importance of the evidence based nursing practice part of the critically ill patients what is necesary for the eligible care and should be a part of a well-trained health care professional’s knowledge. ]