HIPPOCRATES  March - Apr  2002 Vol. IV.  No.  2

 

HIPPOCRATES   March - Apr  2002  Vol. IV.  No. 2   Page:   91

Dr. Görbe Éva: Prevention of renal problems from the standpoint  of the neonatologist

Summary:

The frequency of urinary tract anomalies is between 2/1000 and 15/1000. Early detection permits early treatment, prevention of infections and reduction of later consequeces. Dilatation is the most common anomaly of the urinary tract, but it is transient in 30% of cases. The urinary tract anomalies can be detected with prenatal ultrasonography. The importance of the early intervention as well as the follow-up of transient dilatations and the postoperative examination are emphasized.

 

 

 

 

 

 

 

 

 

HIPPOCRATES   March - Apr  2002  Vol. IV.  No. 2 Page: 93.  

Dr. Schäfer József: Recognition and treatment of urogenital anomalies in infancy and childhood.

Summary

The early detection (often in the intrauterine life) - and the change of our medico - surgical attitude of the urological malformations resulted an important improvement in the treatment of these conditions. Various, non-characteristic clinical signs often make the exact diagnosis difficult. The main types of these anomalies (obstructive uropathy vesico-ureteric reflux and cystic malformations), the diagnostical procedures are discussed with brief interpretations of the surgical (endoscopic) methods. The follow-up of these patients play an important role in the prevention of the end stage renal failure.

 

 

 

 

 

 

 

 

HIPPOCRATES  March - Apr  2002  Vol. IV.  No. 2.  Page: 97

Dr. Fazakas László, Dr. Vidovszky Márta:  The role of the school physician in the prevention of renal deiseases

Summary

Authors give a view according to the prophylactic work of school pediatrist’s to prevent kidney diseases. In the first part they emphasises possibilities of early diagnosis of renal diseases. In the second part thez describe prevention of nephropathies. It is not only a classical diagnostic work but also an educational program for children, teachers and for parents. A good relationship between school pediatrist and pediatric-nephrological center is necessary.

 

 

 

 

 

 

       

 

HIPPOCRATES   March - Apr  2002  Vol. IV.  No. 2  Page:    120

Dr. Kerékgyártó Mária, Dr. Lovász Rita, Dr. Gergely Anikó, Dr. Erdős Mária, Dr. Krizsó Eszter:

 Auricular  myxoma as a background for multiple cerebral emboli.

Summary

The authors present a case report of a 49-year-old women who had cerebral embolisation, and a left atrial myxoma could be found in the background. The attention is drawn to the detailed cardiac work-up in the case of young stroke patients, even if the neurological symptoms are mild.

Key words: atrial myxoma, stroke in young age, cardiogenic embolisation

 

 

 

 

 

 

 

 

 

 

HIPPOCRATES   March - Apr  2002  Vol. IV.  No. 2 Page: 110.  

Dr. Túry Ferenc:

Eating disorders from the point of view of the general practitioner.

Summary

The two classical subtypes of eating disorders are anorexia nervosa and bulimia nervosa. These are characteristic psychosomatic diseases. In the etiopathogenesis biological, psychological (individual and familial), and sociocultural factors are involved. The eating disorders became well-known for their high morbidity rates and the high mortality of anorexia nervosa. The prevalence of eating disorders is 1-4% among young women. The symptoms are often hidden, especially in bulimia. In the treatment the pharmacotherapy has a minor role. The psychotherapies (individual, group or family therapy) can be used with good efficiency.. Special treatment programs, which involve different therapeutical modalities, can be very advantegeous. In milder cases self help and psychoeducation is also effective.

FRom the point of view of the general practitioner the recognition of these disorders, the emphasis on the psychotherapies, and the delegation of the severe cases to special services is essential.

 

 

 

 

 

 

 

 

 

 

HIPPOCRATES  March - Apr  2002  Vol. IV.  No. 2 Page: 124

Dr. Újhelyi Enikő:  

Artificial feeding

Abstract:

In the 30 last years marked advances in enteral feeding techniques, venous access, and enteral and parenteral nutrient formulations have made it possible to provide nutrition support to almost all patients. The use of nutritional therapy requires a careful integration of data from clinical trials, clinical expertise in the disease or illness being treated, clinical expertise in nutritional therapy. There is little question that efforts to modify the response to disease by nutritional means will be rewarded with improved patient survival. This article summarises the most important points of clinical nutrition on practical basis.