[Quality assurance and quality improvement in medical practice - Part 2. Evidence-based medicine].

Abstract:

:For assuring and improving quality of healthcare, everyday medical practice should be based on appropriate scientific evidence and results of health technology assessment. Evidence-based medicine is the integration of clinical expertise, patient values, and the best evidence into the decision making process for patient care, when health technologies are used. On one hand health technologies which proved to be effective should be available for all patients, on the other hand, because of the limited financial resources of the health care system, they should be cost-effective, not to spend on interventions proved to be ineffective or even harmful. For effective implementation of evidence-based practice, development of more clinical guidelines, that contain explicit recommendations, and improvement of quality approach are necessary in Hungary.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Godény S

doi

10.1556/OH.2012.29292

subject

Has Abstract

pub_date

2012-01-29 00:00:00

pages

137-43

issue

4

eissn

0030-6002

issn

1788-6120

pii

0176830663644570

journal_volume

153

pub_type

杂志文章,评审
  • [Change in location of colorectal cancer in Hungarian patients between 1993-2004].

    abstract:UNLABELLED:The incidence of proximal tumours in Western countries has steadily increased while that of distal tumours has shown a corresponding decrease. Our aim was to investigate the prevalence, location and histology of colorectal cancers in the last twelve years in Hungarian patients. PATIENTS AND METHODS:Clinical...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Fuszek P,Horváth HC,Speer G,Papp J,Haller P,Halász J,Járay B,Székely E,Schaff Z,Papp A,Bursics A,Harsányi L,Lukovich P,Kupcsulik P,Hitre E,Lakatos PL

    更新日期:2006-04-23 00:00:00

  • [The effect of carotid stenting on rheological parameters, free radical production and platelet aggregation].

    abstract:INTRODUCTION:Carotid artery stenting has become a possible treatment of significant carotid stenosis. The risk of stent occlusion and restenosis might be increased by abnormal rheological conditions amplified platelet aggregation and free radical production during the operation. AIMS:The aim of this study was to asses...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2007.28240

    authors: Fehér G,Bagoly E,Kövér F,Koltai K,Hantó K,Pozsgai E,Komoly S,Dóczi T,Tóth K,Szapáry L

    更新日期:2007-12-16 00:00:00

  • [Reconstructive surgery of penile deformities and tissue deficiencies].

    abstract::Penile deformities and tissue deficiencies can disturb sexual intercourse or make it impossible. The aim of the study is to summarize the different diseases according to their clinical appearance and pathological processes and to review operative methods and personal experiences. Surgical treatment of hypo- and epispa...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2009.28609

    authors: Kelemen Z

    更新日期:2009-05-31 00:00:00

  • [Initial experiences with 123-Iodine-IBZM neuroreceptor scintigraphy in extrapyramidal disorders].

    abstract::The receptor scintigraphy of the dopaminergic system of the brain is of interest in the evaluation of movement disorders. The 123I-IBZM is a radiopharmaceutical with affinity predominantly to postsynaptic D2 receptors. The aim of this study was to evaluate the role of IBZM SPECT investigations in the differentiation o...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Pávics L,Dibó G,Ambrus E,Séra T,Vécsei L,Csernay L

    更新日期:2000-05-14 00:00:00

  • [Gastroenterologic endoscopic ultrasonic examinations using a convex transducer].

    abstract::Interest in endoscopic ultrasonography (EUS) has increased during the past fifteen years. Since few years new instrument have been produced, which was equipped with a small curved array transducer mounted in a front of the optic lens. The instrument, which is connected to a Hitachi ultrasonic scanner allows for duplex...

    journal_title:Orvosi hetilap

    pub_type: 临床试验,杂志文章

    doi:

    authors: Winternitz T,Kokas P,Eles Z,Kupcsulik P,Döngöló L,Flautner L

    更新日期:1997-01-12 00:00:00

  • [The pathology of hepatitis C].

    abstract::The hepatitis C virus is an RNA virus, which belongs to the genus Hepaciviruses of the family Flaviviridae. Chronic hepatitis, cirrhosis, and ultimately even liver cancer may develop in over 80% of infected cases. The histological features of hepatitis C and hepatitis caused by other hepatotropic viruses show many sim...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/650.2015.30178

    authors: Schaff Z,Gógl A,Dóra R,Halász T

    更新日期:2015-05-24 00:00:00

  • [Molecular genetic study of medullary thyroid cancer].

    abstract::Around 25% of medullary thyroid carcinoma (MTC) cases are familial and follow an autosomal dominant mode of inheritance. In these cases, MTC is part of an inherited cancer syndrome that has three distinct forms: MEN2A, MEN2B and familial MTC (FMTC). MEN2A is the most frequent syndrome, followed by FMTC and MEN2B. In 9...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Klein I,Homolya V,Váradi A,Esik O

    更新日期:1999-12-05 00:00:00

  • [mRNA expression analysis and classification of colonic biopsy samples using oligonucleotide and cDNA microarray techniques].

    abstract::Despite tremendous progress in the past few decades, certain important aspects regarding the diagnosis, therapy, and follow-up of colorectal cancer still remain unsolved. In our work we searched for biomarkers of the development of colorectal carcinoma, and performed gene expression analysis for colorectal disease cla...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2008.28397

    authors: Galamb O

    更新日期:2008-07-20 00:00:00

  • [Association of congenital chromosome abnormalities and malignant diseases].

    abstract::Chromosome studies were carried out on 112 children with acute leukemia and 10 children with solid tumor. Acquired chromosome abnormalities were identified shown in 52% of patients with hematologic disorders (ALL 40%, ANLL 64%) and in four of 10 patients with non-hematologic disorders. Six patients had a constitutiona...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Erzsébet B,Andrea N,Róbert S,Eva O

    更新日期:1996-02-04 00:00:00

  • [2-year results of leg amputation in Hungary based on a nationwide data base].

    abstract::Authors review nation-wide hospital data of amputees over two years in order to make comparison with similar data gathered about 20 years ago. Data were provided by the National Medical Records Centre and processed by own developed programmes. The quality level of data validity is slightly criticised. The cause of amp...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kullmann L,Belicza E,László G

    更新日期:1997-09-14 00:00:00

  • [Biological markers reflecting peripheral effects of thyroid hormones in autonomous thyroid adenoma].

    abstract::In some patients with functioning thyroid autonomous nodules preclinical hyperthyroidism is detected. It is important to know, whether in this intermediate clinical state beside the suppression of pituitary TSH secretion other target organs are also affected by serum free-thyroxine and free-triiodothyronine levels sti...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Földes J,Németh J,Bános C,Tarján G,Büki B

    更新日期:1991-09-08 00:00:00

  • [Intracerebral, non-arteriosclerotic vascular calcification: Fahr's disease].

    abstract::Of 15,000 post-mortem examinations performed in a general hospital between 1977-85 primary symmetric intracerebral calcification i. e. Fahr's disease was found in 4 cases. The pathological characteristics of the cases are described and the clinical, radiological and endocrinological aspects of the disease are discusse...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Iványi A,Takács M

    更新日期:1989-01-08 00:00:00

  • [Subtotal petrosectomy - indications, surgical technique, experiences in Pécs].

    abstract::Introduction: Subtotal petrosectomy (STP) has been known for decades and it is considered being on the borderline between ear and skull-base surgery. Due to its excessive radicalism and adverse effects on hearing, it has been a forgotten surgical technique until recently. Over the last decade, due to its many benefits...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2020.31691

    authors: Gerlinger I,Molnár K,Nepp N,Tóth I,Tóth T,Szanyi I,Bakó P,Pap I

    更新日期:2020-04-01 00:00:00

  • [Giant uterine leiomyoma causing acute symptoms].

    abstract::The case history of a 71-year-old woman with acute dyspnoea caused by a giant leiomyoma and severe acute anemia due to intratumoral hemorrhage is presented. Urgent operation was performed, and a 13.5 kg pendular tumor was removed. The cornerstones of the differential diagnoses and therapy of giant abdominal tumors is ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2013.29563

    authors: Máté S,Szatmári E,Sipos N,Széll J,Szánthó A,Rigó J Jr

    更新日期:2013-03-10 00:00:00

  • [PET scan and double-independent pathologic investigations effectively support the detection of occult primary tumors].

    abstract::Following the failure of conventional diagnostic procedures, whole-body FDG-PET investigations were carried out in 42 metastatic cancer patients to localize occult primary carcinomas. During the clinical follow-up, the presence of malignant tumor was ruled out in 3 cases, and 2 patients originally believed to have car...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Esik O,Szentirmay Z,Márián T,Kásler M,Agoston P,Lengyel E,Pulay T,Trón L

    更新日期:2002-05-26 00:00:00

  • [Trends and current questions of cardiovascular prevention in primary health care].

    abstract::Although an impressive progress has been achieved in the treatment of cardiovascular diseases, they are at the top of the mortality statistics in Hungary. Prevention of these diseases is an essential task of the primary health care. Cardiovascular prevention is carried out at primary, secondary and tertiary levels usi...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2012.29442

    authors: Ilyés I,Jancsó Z,Simay A

    更新日期:2012-09-30 00:00:00

  • [Glycosylated proteins, blood sugar levels and postnatal growth in very low birth weight (less than 1500 g) neonates].

    abstract::The concentration of HbA1c, glycosilated serum proteins and blood glucose were followed up during the first eight postnatal weeks in 10 preterm babies of mean (+/- SD) birthweight and gestational age of 1259 +/- 140 g and 30.2 +/- 2.0 weeks, respectively. Both blood glucose and the glucosilation of proteins remained u...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Fekete M,Decsi T,Adamovich K,Klujber L

    更新日期:1992-05-24 00:00:00

  • [Assessment of serum interleukin-6 with a rapid test. The diagnosis of neonatal sepsis can be established or ruled out].

    abstract:INTRODUCTION:The mortality rate from sepsis is high and the risk of sepsis increases in prematurity in proportion to the decrease in birth weight. MATERIAL AND METHOD:The authors report the assessment of serum interleukin-6 levels in 12 term, at-risk newborn infants after birth and 60 VLBW neonates after detection of ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2007.27991

    authors: Görbe E,Jeager J,Nagy B,Harmath A,Hauzman E,Hruby E,Kohalmi B,Perlaki M,Sassi L,Rab A

    更新日期:2007-08-26 00:00:00

  • [Mechanism of cough syncope].

    abstract::Cough induced syncope belongs to the heterogenous group of situational syncopes. The mechanism of tussive syncope is demonstrated by presenting an illustrative case. A 79 year old male with underlying COPD was evaluated because of repeated cough related syncopal episodes. The nature of fainting was elucidated by haemo...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Avramov K,Sztriha L,Makai A,Jambrik Z,Rudas L,Vécsei L

    更新日期:2004-08-01 00:00:00

  • [Hormonal and biochemical characterization of breast cyst fluid in gross cystic mastopathy].

    abstract::A total of 93 breast cyst fluids (BCF) obtained by needle aspiration of women suffering from gross cystic mastopathy was hormonally investigated. The mean age of the patients was 45 years (range 27-65). Estradiol (E2), progesterone (PROG), testosterone (TE), prolactin (PROL), estriol (E3), dehydroisoandrosterone and i...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Számel I,Budai B,Daubner K,Kralovánszky J,Csetényi J,Otto S,Besznyák I

    更新日期:1994-04-24 00:00:00

  • [Two cases of hyperthyroidism and ophthalmopathy following hypothyroidism].

    abstract::Two cases of Graves' disease emerging in previously hypothyroid patients are described. After two years of thyroid hormone substitution due to 'idiopathic' hypothyreosis (patient 1) and Hashimoto's thyroiditis (patient 2), the substitution had to be stopped. The persisting clinical and laboratory signs of immune hyper...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kálmán K,Nagy E,Leövey A

    更新日期:1990-07-08 00:00:00

  • [The effect of captopril on the acidification function of the kidney in hypertension].

    abstract::The effect of the converting enzyme inhibition treatment on the renal acidification function was studied in 5 mild hypertensive subjects. Before and after one week treatment with daily 75 mg of captopril bicarbonate loading was carried out by peroral administration of 68 mmol NaHCO3. The difference between the partial...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Radó J,Csabuda M,Kiss L

    更新日期:1995-05-28 00:00:00

  • [Smoldering myeloma].

    abstract::The authors present the history of a 74 year old woman. The patient was observed from 1972. Initially the bone marrow and serum protein dischanges were identical to multiple myeloma, therefore she was treated with melphalan-prednisolone regimen for one year. She was symptom free for 12 years with none of any treatment...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Dolgos J,Patakfalvi A

    更新日期:1993-09-26 00:00:00

  • [The outcome of triplet pregnancies at the First Department of Obstetrics and Gynecology, Semmelweis University, in the last 15 years].

    abstract:INTRODUCTION AND METHODS:The authors analysed the data of 307 live-birth newborns and premature infants who were born from 104 triplet pregnancies between 1 January 1990 and 31 December 2005 at the Semmelweis University First Department of Obstetrics and Gynecology. AIMS AND RESULTS:In 86% of the triplet pregnancies c...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Sassi L,Görbe E,Hruby E,Perlaki M,Jeager J,Papp Z

    更新日期:2006-11-12 00:00:00

  • [Hans Selye, the grandmaster of creativity and originality].

    abstract::Hans Selye, the father of the stress concept, was a giant of science of the twentieth century. Beyond his best-known work on stress, he also made several discoveries on various other fields of experimental medicine. He described and characterized various pluricausal diseases. In addition, he made pivotal contributions...

    journal_title:Orvosi hetilap

    pub_type: 传,历史文章,杂志文章

    doi:10.1556/650.2015.30245

    authors: Somogyi Á

    更新日期:2015-08-30 00:00:00

  • [Surgically treatable epilepsy--a review].

    abstract::20-25% of epileptic patients do not become seizure free on adequate drug therapy. In 25-50% of patients with intractable epilepsy, the brain area responsible for seizures is well localizable and does not involve eloquent regions. In these patients, the surgical excision of the epileptic focus may lead to relief from s...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Janszky J,Rásonyi G,Fogarasi A,Bognár L,Eróss L,Barsi P,Halász P

    更新日期:2001-07-29 00:00:00

  • [The evidence-based invasive therapy of stable angina pectoris].

    abstract::With the spread of invasive cardiology, and with the opening of new home centers today coronarography and the necessary coronary revascularization are accessible for everyone. The indication of invasive investigation of the acute coronary diseases (STEMI, NSTE-ACS) is crystallised by today. At the same time the indica...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2008.28224

    authors: Becker D,Merkely B

    更新日期:2008-02-17 00:00:00

  • [Subacute cutaneous lupus erythematosus based on a study of 15 cases].

    abstract::15 cases of subacute cutaneous lupus erythematosus are reported. The diagnosis was based on the presence of the typical clinical features, on the histologic and immunpathologic examination of lesional skin and on the characteristic laboratory findings. 8 patients had annular type, 4 patients had papulosquamosus type o...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Marschalkó M,Dobozy E,Daróczy J,Gyimesi E,Horváth A

    更新日期:1989-12-03 00:00:00

  • [A simple surgical method for removing a large floating thrombus from the ascending aorta].

    abstract::We report the successful surgical removal of a large floating thrombus from the ascending aorta causing systemic embolization. It was diagnosed by transesophageal echocardiography (TEE), CT scan, aortography and Cardiovascular Magnetic Resonance Imaging (CMR). The free-floating, highly embolic source 2 cm distal to th...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2007.27975

    authors: Szabolcs Z,Veres G,Hüttl T,Bíró G,Tóth A,Szeberin Z,Windisch M,Acsády G

    更新日期:2007-02-25 00:00:00

  • [Gold salts in the treatment of psoriatic arthritis].

    abstract::270 psoriatic arthritis patients were studied retrospectively. 65 patients of them were treated with aurothiomalate. The drug was effective in 62% of aurothiomalate treated patients, in 35% were registrated side effects. These data correspond to the experiences with gold salt treatment in rheumatoid arthritis. Exacerb...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Koó E,Seszták M

    更新日期:1990-01-28 00:00:00