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Large retail chains have become the dominant purchasing places for Hungarian consumers. At the same time when the first large scale retail unit was opened in Hungary the first critical voices were heard on the environmental effects of hypermarkets. In the new century economic critiques have overtaken the environmental ones. In countries with longer history of retail chains and market economies the most intensive discussion is about the social effects of big box retailing. Nonetheless these social debates have had almost no effect on the Hungarian regulation of large retail chains, yet some of the problems are addressed by self-regulation. This paper consists of two parts. First it gives an overview of the critical academic literature on the effects of large retail chains on the environment, on communities and on local economies. Second it analyses how these problems are reflected in industrial self-regulation, namely in the codes of ethics of retail companies.

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During the last few years around a dozen boycotts have been called in Hungary; there are several ecologically and socially aware food-communities directly linking consumers and producers; at the end of 2006 a Fair Trade shop opened in Budapest, and there are product campaigns which accentuate various patriotic themes. All of these initiatives signal the emergence of new attitudes and values, a new type of behavior, that of ethical consumption . Ethical consumption, new kinds of consumer needs are influencing market culture through the creation of various market-niches (see corporate social responsibility); furthermore, the wide-scale spread of ethical consumption can even lead to the transformation of market functions. The modern market is going from a mainly economic space to an area of moral action, a tool of regulation and social participation. As a social movement ethical consumerism can effect political culture and play an important role in public policy aiming towards sustainable development. According to West-European literature as well as to concrete experience ethical consumerism is more and more playing this role, the local appearance of the movement beckons the question: what sort of values and institutions characterize this new consumer culture, and which of these can we encounter in Hungary? The first part of this study deals with the phenomena of ethical consumption: it gives an overview of the literature, explicating the main research themes, and introducing its distinctive, most often examined forms of action. In the second part of the study, out of the interpretational possibilities, I look at ethical consumption as political consumption, as a form of social governance, examining its relevance as a way of public participation. I try to find an answer to the question whether the spread of ethical consumption should be imagined at the demise of classical political institutions, or as complementary to them, and which ethical issues are most likely to mobilize the public. The study is primarily based on data describing Hungarian political participatory culture, as well as an attitude survey of a representative sample. At the end of the study I will briefly refer to the possible causes of differences in ethical consumption attitudes and behaviors.

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Óriás mellkasi paraganglioma diagnosztikai nehézségei és terápiás lehetőségei

Diagnostic difficulties and therapeutic options of a giant chest paraganglioma

Orvosi Hetilap
Authors:
Erna Gulyás
,
László Bajnok
,
Orsolya Nemes
,
Beáta Bódis
,
Sándor Szukits
,
Erzsébet Schmidt
,
Dávid Semjén
,
Endre Kálmán
,
Sándor Szabados
,
Bálint Kittka
,
István Benkő
, and
Emese Mezősi

A paragangliomák a szimpatikus vagy paraszimpatikus ganglionokból kiinduló, többségükben jóindulatú daganatok, de rosszindulatú formájuk is ismert. A fej-nyak régióban, a glomus caroticumban, illetve a vegetatív idegrendszer dúcláncának megfelelően a hasüregben, illetve a mellüregben is előfordulhatnak. A 39 éves férfi beteg kivizsgálása extrém magas vérnyomásértékek, éjszakai izzadás és 10 kg-os fogyás miatt kezdődött. A mellkas-CT-vizsgálat a jobb oldali tüdőkapuban óriási térfoglalást írt le, a bronchoszkópos mintavétel sikertelen volt. Jobb oldali thoracotomiából mintavétel történt, reszekcióra a kifejezett adhéziók, illetve a szívérintettség miatt nem volt lehetőség. A szövettani vizsgálat eredménye paraganglioma lett, ezt a laborvizsgálatok is támogatták. Ennek megfelelőn szomatosztatinanalóg-terápiát kezdtünk, majd 131I-MIBG-kezelést alkalmaztunk, jó klinikai eredménnyel. A koronarográfia során észleltük, hogy a jobb coronaria két marginális ággal hozzájárul a mellkasi terime vérellátásához. Megfelelő előkészítést követően, szív- és mellkassebészeti beavatkozással a tumor eltávolíthatónak bizonyult, ennek eredményeként a posztoperatív szakban a beteg vérnyomáscsökkentőit elhagytuk. A kontrollok során tumormaradványra utaló jel nem volt. A vérnyomáskiugrások okának keresésekor merüljön fel bennünk a paraganglioma lehetősége is. Ezen esetekben az invazív beavatkozások, amennyiben nem előzi meg őket gyógyszeres előkészítés, akár fatális kimenetellel járhatnak. Az egyre szélesedő terápiás lehetőségek kihasználásával és az intézetek közötti kooperációval az óriás-paragangliomában szenvedő betegek is tumormentessé tehetők. Orv Hetil. 2022; 163(31): 1243–1249.

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