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Orvosi Hetilap
Authors: Iván Horváth, Bálint Kittka, Ábel Perjés, Heikki Ruskoaho, and István Szokodi

Absztrakt

A reaktívoxigén-származékok fokozott termelődése fontos szerepet játszik a szívelégtelenség patogenezisében. Azonban mint jelátviteli molekula, a szív fiziológiás folyamatainak összehangolásában is részt vesz. Jelen közleményben a szerzők összefoglalják, hogy a reaktívoxigén-származékok endogén produkciója milyen szerepet tölt be a szív pumpafunkciójának szabályozásában fiziológiás viszonyok között. Orv. Hetil., 2015, 156(47), 1912–1915.

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The theory of economic motion was András Bródy’s main interest. This paper presents a simplifi ed framework of Bródy’s economics. His multi-sector production and price theory is based on the Marxian theory of value reinterpreted by using measurement considerations. Economic motion in this framework is driven by technology represented by the internal proportions of production, not by external shocks. Prices and proportions jointly determine the economic structure and its motion (duality of prices and volumes). We derive the laws of motion of production and use of goods (consumption and accumulation) based on technological accounting balances. These laws determine a cyclical pattern. Using numerical examples we demonstrate how external changes in technology and valuations are propagated in changing the cyclical pattern of motion.

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Orvosi Hetilap
Authors: Tatjána Ábel, Katalin Sándor, Anna Tremmel, István Pénzes, Eldin_Mohamed Gamal, Gabriella Lengyel, and István Szabolcs

A szerzők egy 38 éves nő súlyos hypertriglyceridaemia (trigliceridszint 16 761 mg/dl [189,4 mmol/l]) okozta rekurrens pancreatitis esetét ismertetik. A magyar és a nemzetközi irodalomban tudomásuk szerint ilyen magas trigliceridérték még nem fordult elő. A beteg klasszikus kezelésben (folyadékpótlás, fájdalomcsillapítás, antibiotikum, szájon át történő étkezés megszüntetése) és plazmaferézis-terápiában részesült. A beteg sikeresen két alkalommal, 1 hónap különbséggel, plazmaferézis-kezelésen esett át, amelynek következtében klinikai és laboratóriumi paraméterei javultak. A súlyos hypertriglyceridaemia (trigliceridszint magasabb, mint 1000 mg/dl, ≈11,3 mmol/l) az akut pancreatitis független kockázati tényezője. A plazmaferézis, úgy tűnik, biztonságosan, hatékonyan és gyorsan csökkenti a trigliceridszintet és ezzel megszünteti a pancreatitist fenntartó okot a súlyos hypertriglyceridaemiás beteg esetében. Orv. Hetil., 2014, 155(30), 1203–1206.

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In this paper, a unique healthcare solution is described that supports the even more effective operation of the hospital information systems. The main question is whether the emerging opportunities of the Internet of things devices can also be exploited in the industrial hospital information system landscape. This demonstrated research describes the most feasible way to integrate the Internet of things capability into hospital information production systems. The initial goal was the design and implementation of a single, unified telemedicine hub offering community-based solution for integrated medical systems. This solution allows the intercepted information to be collected and interpreted at community level. The designed and implemented system acts as a transmitter between the physician and patient. The software solution operates with sensor-based information collected from the individual. Emerging Internet of things devices and solutions open new horizons for today’s health care systems. The presented and detailed system provides the ability to real-time health-monitoring and in-depth health analyzing through open application programming interfaces. The telemedicine hub system makes it easier to integrate the Internet of things capability into the operating health care systems.

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The international healthcare systems interoperability is an unresolved technological area at the moment. This paper demonstrates the results of the software engineering research for simplex syntactic and semantic technical interoperability of hospital information systems, eHealth smart device technology and clinical telemedicine instruments through the recently developed Telemedicine Interoperability Hub. Several similar experiments exist. This research is unique in building a prototype interconnecting not only healthcare information systems with each other, but aiming to establish a general healthcare interoperability scheme including also the eHealth smart devices and telemedicine instruments. The aim of this research is to establish cloud-based data interchange capability with the newly developed information technology system interconnected with the emerging eHealth Internet of Things solutions and the classical hospital information system architecture. Notwithstanding the international information technology medical data exchange standards, like Health Level Seven, the adoption of an industry-wide open telemedicine syntactic and semantic interoperability standard is necessary. The research studied varying simplex, duplex, full-duplex, data package- and file-based information technology modalities establishing stable system interconnection among clinical instruments, healthcare systems and eHealth smart devices. This research is the manifestation of the trilateral cooperation of the University of Debrecen Department of Information Technology, Semmelweis University Second Paediatric Clinic and T-Systems Healthcare Competence Center Central and Eastern Europe. The developed experimental software engineering solution was embedded in hybrid cloud architecture after testing private cloud Infrastructure-as-a-Service and Public Cloud Software-as-a-Service technical solutions.

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