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Biomedical subjects

M Farkas

Publications and source records attributed to M Farkas.

At least 19 recordsLinked to original sources
PubMed1992

[Comparative evaluation of the effect of mono-, bi- and three-phase oral contraceptive tablets on the endometrium].

It was established that the applied new pill has no atrophic effect onto the endometrium. Therefore it has better characteristics than other oral contraceptives (excepting Anteovin). Ovidon e.g. causes endometrial atrophy (concerning glands and stroma as well), when it is used for several years. We can expect the triphasis pill not to results any endometrial atrophy or hyperprolactinaemia not even in long term use. High progesterone levels detected in serum during pill administration refer to this fact.

Contraceptives, Oral, Sequential↗
PubMed1991

[Incidence of osteoporosis in Heves County].

The socio-economic importance of osteoporosis is in the increase. The costs of the effects of reduced working capability and treatment of fractures are estimated costs only. The authors report on 146 osteoporotic patients between 1986-89, suffering from fractures. Among the patients there is a female dominance. The number of osteoporotic fractures is in the increase in the recent years. The authors pointed out the importance of early diagnosis and prevention, to solve the great social problems caused by morbidity, reduced working capability and lower life standard.

Female↗
PubMed1991

[Hyperparathyroidism simulating severe hypercalcemia syndrome].

The case history of a 65 year old female patient has been reported here by the authors. The patient was admitted to the Intensive Therapy Unit owing to her repeated heart pain. Later she was transferred to the Department of Medicine to establish the exact diagnosis. Prepyloric ulcer and hypertension were occurred in her history. The symptoms of her preceding as well as her recent illness were: pain in epigastric field, nausea, adynamia, weakness, polyuria, significant loss of weight, somnolence and the shortened Q--T time in electrocardiogram related to hypercalcemia syndrome. The calcium value in blood proved to be at critically high level from time to time. The possibility of the secondary hypercalcemic state was excluded by sonographic examination and the elevated level of parathormone in blood established the diagnosis of the hyperparathyroidism. The surgical resection of parathyroidic adenoma yielded a complete recovery of the patient. The authors call the attention to the significance of the clinical signs in the diagnosis of the disease.

Aged↗
PubMed1991

[The origin of hyperprolactinemia associated with infertility and its treatment with Bromocriptin-Richter tablets].

Authors used the tablet Bromocriptine in 22 cases for the treatment of infertility and in 15 cases for that of extra-puerperal galactorrhoea. The serum-prolactin level of the patients of the two groups remained in 16 cases below and in 13 cases beyond of the upper value of the normal menstrual cycle. It turned out, that the average prolactin-level of patients, treated against infertility, diminished significantly even after one month after the treatment. Between the values of serum FSH, before and after LH treatment there have not been found any significant difference. On the contrary, in the values of serum progesterone and 17-beta-oestradiol significant differences have been observed after treatments of one month as well as of two months duration. On the basis of the results, authors can state, that the prevailing progesterone-level is the adequate indicator of potential fertility. During the treatment of hyperprolactinaemic pathologies eight pregnancies occurred (21.6%). It turned out, that hyperprolactinaemia was the real cause of procured abortion. For the registration of latent hyperprolactinaemia the Cerucal (metoclopramide) load proved to be an adequate diagnostical method.

Adult↗
PubMed1990

[Significance of transvaginal ultrasonic examination in the first pregnancy trimester].

The authors report their results obtained by performing transvaginal sonography in 180 patients in the first trimester of pregnancy. It has been found that both normal and pathological cases could be diagnosed 1 week earlier than had been possible with transabdominal method. Minimum size of the intrauterin gestational sac was found to be 3 mm. Cardiac activity could be evaluated in embrios with a size of 7 mm or greater in all cases. According to them the diagnosis of blighted ovum and missed abortion seems to be confirmed when an "empty sac" is larger than 20 mm, or the absence of heart motion is detected in an embrio greater than 10 mm, without repeated scan. High sensitivity was found in ectopic pregnancies especially in unruptured cases. The possibility of qualitative analysis of "free fluid" in Douglas pouch and diagnosis of congenital anomalies in very early pregnancy are promising. Transvaginal sonography is recommended in all cases when transabdominal technique is equivocal.

Female↗
PubMed1990

[Prenatal ultrasonic diagnosis of a dicephalic fetus in the 18th week of pregnancy].

The authors report a case of conjoined twins (dicephalus) detected antenataly in the 18-th week of pregnancy by routine ultrasound screening. The pregnancy was terminated because this congenital malformatión is incompatible with extrauterin life. The embriopathological examination confirmed the prenatal diagnosis. The ultrasonographic criteria are discussed and the importance of early diagnosis is stressed.

Adult↗
PubMed1990

Utilizing the nursing process in the development of a medication group on an inpatient psychiatric unit.

The nursing process guided the development of a medication group for psychiatric clients on an inpatient psychiatric unit. The group was established to provide clients with the basic medication information that they are entitled to as consumers of health care. Procedures used to develop the group are discussed in this article. Evaluation procedures suggest that the medication group enhanced clients' knowledge, fostered their self-care, and provided the nursing staff with the opportunity to expand its health-teaching skills.

Humans↗
PubMed1990

[Clinical pharmacologic study of Tri-Regol tablets (new oral triphase contraceptives)].

Clinical pharmacological investigations have been carried out with the new oral triphase contraceptive, Tri-RegolR. It has been established that pregnancy had not occurred during 235 cycles of 59 patients. Treatment had to be discontinued in two cases because of side effects which might have been caused by the preparation. Subjective and objective side effects occurred in 24 (10.2%) cases. During treatment with Tri-RegolR tablets proteo and steroid hormones--except prolactin--significantly decreased that phenomenon is characteristic of anovular cycle. Among patients that had previously prolonged treatment with Anteovin tablets did not occur hyperprolactinemia. Infertility would not be expected from prolonged administration of the preparation. From relative decrease of serum progesterone levels during treatment with the three preparations conclusion was drawn that the preparations did not prevent physiological conversion of endometrium.

Contraceptives, Oral, Combined↗
PubMed1990

[The effect of Enzaprost-F (PGF2) cervical tablets on the corpus luteum in the human body].

Authors removed dextro-ovary of a patient having 7-9th week of gestation for ovarian cyst during abortion. Preoperative cervical dilation was performed by Enzaprost-F cervical tablet containing 20 mg PGF2 agent. Before and 2, 4 and 6 hours after treatment, serum-progesterone and 17-beta-estradiol level was determined. Drug cervical dilation enabled instrumental termination of pregnancy within 4 hours. Histological finding of yellow body showed initial signs of colloid-cystic degeneration, which was followed by minimal decrease of values of serum-steroid concentrations. Authors presume that change in histological picture of yellow body was caused by effect of cervical tablet containing PGF2 agent.

Abortion, Therapeutic↗
PubMed1988

Professional pre-service training for working with the long-term mentally ill.

The knowledge base with respect to helping persons with long-term mental illness is expanding dramatically. Specific skills can be identified as critical for those who work with the long-term mentally ill. In contrast to in-service training, preservice (university-based) programs have been slow in offering relevant skills-based curricula. A model is proposed for describing current and future pre-service curricula. Curricula can be categorized as to whether it provides exposure, experience, or expertise in working with the long-term mentally ill. More than ever before the pre-service training programs seem ripe for the introduction of skill-based curricula relevant to helping persons who are psychiatrically disabled.

Chronic Disease↗
PubMed1988

The chronically mentally ill case management--more than a response to a dysfunctional system.

The service systems which assist the long-term mentally ill to function in the community have been routinely described as fragmented and uncoordinated. The development and implementation of case management has been seen as one response to this dysfunctional system. This article examines case management from the perspective that case management is a needed function no matter how coordinated and integrated the system. From this perspective, case management is driven by the clients' goals and not the systems' goals. Case management is viewed as a process by which the person with severe psychiatric disability is supported in negotiating for the various services that they want and need. Four unique activities are identified as performed by the case manager: Connecting with Clients, Planning for Services, Linking Clients with Services, and Advocating for Service Improvements. Case management must be seen as a uniquely human response to the client's specific service needs and overall goals. For persons with long-term psychiatric disabilities, case management brings to life the human dimension of the human service system.

Chronic Disease↗
PubMed1988

What difference does case management make?

The outcomes of 82 patients in a rehabilitation-oriented case management program six months and two years after they were discharged from an inpatient setting to join the program were compared with those of 82 matched control patients who had been discharged from the same inpatient settings before the case management program was established. At the two-year follow-up, the patients in the case management program were significantly more likely than the control patients to have better occupational functioning, to live in a residence requiring more independence than they did at the six-month follow-up, and to be less socially isolated; in contrast, at the six-month follow-up only their occupational functioning was better than the control group's. The two groups did not differ in number of hospitalizations at either follow-up. The authors believe the study supplies much-needed documentation of the effectiveness of rehabilitation-oriented case management.

Chronic Disease↗
PubMed1985

Impact of a case manager program on psychiatric aftercare.

Shifting the locus of aftercare planning from hospital to community can enhance continuity of care. The authors compared chronically mentally ill patients assessed and managed by community-based practitioners trained in psychiatric rehabilitation with patients whose discharge planning was arranged by inpatient staff members. They found significant differences between the two groups in aftercare needs identified, aftercare referrals made, and use of aftercare services. The authors conclude that this approach to psychiatric aftercare is superior to more traditional models if practitioners are carefully trained.

Adult↗