Diabetes research institute foundation careers
Department of Dentistry and Oral Surgery Department of Oto-rhino-laryngology, Head and Neck Surgery Department of Traumatology Department of Orthopaedic Department of Ophthalmology The present announced programme is based upon the cooperation of 6 departments dealing with surgery.
The basic aim of this program is to find the best way in preserving the function of different organs despite the surgical intervention, minimizing the inevitable tissue damage during operations.
If the only way for cure is the total surgical removal of an organ, the task is to substitute the missing function. Part of this programme is the substitution diabetes research institute foundation careers it is performed with help of the armamentarium of surgery. In general, the morbidity and mortality rates are in our country much higher comparing data to western countries. Especially frequent diseases are the congenital anomalies, traumatic injuries, tumours, and the vascular diseases.
The therapy of these diseases can be managed mostly with the help of the surgery. Any novelty in the treatment is always built on the results of the basic sciences, like pathology, pathophysiology, and experimental surgery.
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The route from the discovery till the clinical application is a long and rough way. To shorten this distance is our enthusiastic task. The very person for this function is who can combine the clinical experiences with the results of the basic sciences.
In our highly specialized world only long training can form such personalities. For this reason the proper person who can fulfil our program has to be familiar with minimum one of the seven surgical branches.
An advantage is the degree of specialization.
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The programme incorporates some compulsory courses for every candidate. Beside this — sub programmes may also contain — compulsory courses on their special field. Within the thematic frame of the programme there is a free scope to promote any individual creation. Instead of the former methods with enormous mutilations the parenchyma saving methods are becoming more general. These changes were not only consequences of the development of other disciplines but those of surgical research.
Nowadays experimental surgery became an organizer of different basic researches with special interests. Ramified subjects of ours also represent these changes. Our themes originated from bedside and from their successful realization can be hoped the treatment of patients with increasing effect. Both congenital and acquired illnesses in our field of specialty can cause organ malfunctions presenting as communication disorders e. The purpose of our subprogram is to develop, adopt and introduce methods for the possible surgical treatment to maintain the quality of life and to correct somatic disorders of communication such as diabetes research institute foundation careers, speech, breathing, swallowing, olfaction, tasting and cosmetic deformities of the head and neck causing psychological disturbances that may be used to restore, improve or preserve these functions.
It has become increasingly typical of our medical and oto-rhino-laryngological practice to develop and routinely use surgical procedures which are less invasive but more comfortable for the patients and can reach more function and organ preserving methods.
Conservation and CO2 laser surgery in the treatment of laryngeal and hypopharyngeal cancers. Research topics — Conventional and CO2 laser surgery in the treatment of laryngeal and hypopharyngeal cancers Supervisor: Jenő Czigner MD, DSc — Clinical and experimental study of the laryngeal and hypopharyngeal cancer — immunological and cytogenetic aspects Supervisor: Miklós Csanády jr.
Our task is to assist, support the regeneration process, to ensure optimum conditions. While studying the complex and retroacting vital processes we can grab and study only part of a process.
In the seventies the regeneration of the peripheral nervous system was mainly investigated employing morphological and electrophysical methods while in the nineties molecular neurobiological techniques became predominant and lead us to a more thorough knowledge of the operation of the peripheral nerves, regeneration processes.
We are aware of the similarities and differences in the operation and structure of the central and peripheral nervous systems thanks to neurochemical, pharmacological as well as molecular biological methods.
The courses offer a detailed analysis of neuronal operation and its damages. The hystological characteristics of the regeneration of bone tissues — bone healing — are well-known.
Owing to several investigations we know very well the factors that lead to the healing process of the bone. We have for long known the role of biomechanical effects, however, even today we are not able to definitively predict what the effect of fixation, its method, stability, durability of a fracture of mechanical origin will be on the healing of the fractured part.
With biomechanical examinations and image data-processing of the changes caused by the fracture of the bones, furthermore with computer analysis of the stabilising effect of the fixture we can gain further information. Besides providing morphological and biomechanical knowledge the course also aims at giving an insight into the image data-processing of the skeletal system. The moving elements of the human supporting skeletal system are the muscles.
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Their morphology, operation, the biochemical bases of the operation is well-known. We have ample knowledge of the processes of hypotrophy and atrophy of the muscles; however our knowledge of denervation atrophy and reinnervation regeneration is rather meagre.
The objective of the course is to demonstrate the biological foundations of the operation of muscles, the exploration of the biochemical foundations of normal and pathological muscle operation. The mechanical impacts affecting the human body may lead diabetes research institute foundation careers the above described changes on the one hand. On the other hand, however, we have to count on general effects originating predominantly from circulation and respiration.
Modern intensive therapy treatment, respiration techniques, prevention of infections, avoiding or early treatment of complications are all inevitable if we are to improve the results of the treatment of the injured patients.
The prompt and fast transport in air aid-helicopter and on land of polytraumatised and heavily injured patients greatly enhance the chance of survival for those in trouble. Experiences of developed countries have shown that such injured people are luckier if instead of the geographically nearer institute surgical department they are taken to a well equipped centre perhaps further away, truskás kezelés 2 típusú cukorbetegségben they are received by a team with a good diagnostic background and who are trained to cater for all sorts of injuries.
Immediate or early treatment of the injured — according to literature and our experiences — can ensure the best result. Primary, definitive treatment can help the patient get over the effects of acute trauma to be rehabilitated as soon as possible. The prerequisites of primary treatment are a well equipped operating theatre, proper amount of good quality aids instruments, implants, sutures which can only be economically concentrated in centres.
Given these conditions the surgeon can choose the most up-to-date technique that suits the injury best.
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Shock and respiratory insufficiency lead to general consequences, in a polytraumatised state due to negative correlations they can result in a serious condition. To be able to understand the consequences caused by mechanical impacts it is inevitable to know the pathomechanism of shock.
The course describes the origin, the process and the consequences of shock. Research topics — Experimental and clinical investigation of peripheral nerves and brachial plexus Supervisors: J. Simonka MD, CSc — Experimental and clinical investigation of the treatment of polytraumatized, multiple injured and skull-brain injured patients Supervisors: J.
Gulya DSc — Treatment of skull and brain injuries M. Especially the number of uro-oncological cases is growing continuously. The urology subprogramme summarizes our research lines in the field of urological surgery.
Doctoral School of Clinical Medicine
The purpose of our subprogramme is to find diabetes research institute foundation careers minimal surgical intervention and the maximal cure rate, with diabetes research institute foundation careers interest of the quality of life of the patients. As the activity of urological surgery is focused on the urine producing, collecting, transporting organs and the male genital organ, urology has high impact on two important parts of life quality; diabetes research institute foundation careers urination and sexual life.
Treatment of kidney cancer is mostly based on surgery although reasonable response rate are registered with immune- target- chemotherapy. In selected cases instead of radical nephrectomy nephron-spairing surgery is indicated. The conditions and the methodology of the organ spairing operations and the adjuvant therapy are still under investigations.
Bladder cancer — the exact diagnosis and the therapy — is still a challenged for the urology.
Over and under treatment are frequently taken place in the every-day practice. Preservation of the diabetes research institute foundation careers is also an important option in the therapy of tumorous process.
The proper patient for endoscopic resection and intravesical instillation therapy is the superficial bladder cancer case, but the routine therapeutic scheme is under debate. On the long run BCG is superior than the other local drugs in preventing the patient against recidive and progression. In muscle invasive cancer diabetes research institute foundation careers radical cystectomy and bladder substitution is the method of choice.
Lymph node metastasis means the tumorous process has left the boundary of the organ, so additional systemic chemotherapy is recommended. A nem hagyományos cukorbetegség kezelésének módszerei 2 lymph node dissection and histology can reveal the lymph node invasion and it helps the exact indication for radical cystectomy.
The neobladder is created from different part of the gastrointestinal tract. The bowel was not designed for collecting and transporting urine and for this reason different consequences cause new secondary diseases. The consequences are the hyperchloraemic acidosis, vitamin deficiency syndromes, infections and drug metabolic distubances. To avoid these metabolic discases it is necessary to study the consequences of any urine diversion with bowel.
Morbidity rate of prostatic cancer is growing continuously in our region thanks to the wide application of the sensitive tumor markers. The stage migration will provoke more radical prostatectomy even by laparoscopy and new therapeutic schedules with the need of better life quality and preservation diabetes research institute foundation careers the sexual ability. The way to reach this aim is to work up the proper indication and the meticulous surgical technique.
Benign prostatic hyperplasia causing lower tract urinary symptoms is one of the most frequent urological disease. New drugs — 5-alfa-reductase inhibitor and alpha-l-blockers — open the possibility for thousands of patient to avoid the risky surgery. At the same time minimal invasive surgical intervention entered the urologists armamentarium: among others laser, heating and freezing.
The golden standard of therapy remained the transurethral resection, which has the best costs and benefits rate. The efficacy of the new proceedings has to be tested under the Hungarian circumstances. The prevention and elimination of the hospital acquired diseases is one of the most important task of the urology. The inadvertent surgical intervention in the small pelvis can cause iatrogen injury in the neighboring organs.
The consequences are fistulas of the ureter and the bladder, and strictures of the ureter and the urethra. Unfortunatelly no clear data are from randomized patients cohort supporting the decision between endoscopy and plastic open surgery in the reconstruction. From economical point of view the acquired urological infections result the biggest waste of money, not to speak about the inconvenience of the patients.
Although a slow but continuos progress can be observed in the material and the surface of the catheters, stents and drains we are for from the ideal solution and the complicated inflammations coused by polyresistant bacteria are always connected with these urological tubes.
The therapy of kezelésére pyelonephritis a cukorbetegek stones has revolutionary change in the last two decades. Open surgery for stones became ultimate intervention. Stones are mostly crushed with ESWL or with the help of endoscopy or laparoscopy.
These minimal invasive interventions gave way to early and quick elimination of the stones and in the same time this pushed into the background the theory of stone formation, and the pro- and metaphylaxis at urinary stones. The correct proportion has to be found between conservative therapy, ESWL and endoscopical removal of stone, although it is still under debate and has to be determined on the basis of clinical data.
Conditions for research The conditions for clinical research are available at diabetes analysis Department of Urology. Clinical data of all patients are on computer files. The complete diagnostic armamentarium — CT scan included — is established here. For the open and endoscopic urological operations separate theaters with the necessity facilities are available. An open library with the leading textbooks, periodicals and medline and uroweb connections are in service.
For animal research in the field of urology the Experimental Surgical Department is ready to cooperate.
The surgical methods can be evaluated clinically, and with various types of experimental and biomechanical techniques which can examine the functional results of these methods. The examinations try to answer for the following clinical orthopaedic problems. The quality of vision determines the choice of work available for the individual, the quality of life and the ability to work.
Accordingly, the eyes are the most important sense organs. This fact was represented in the medical education, too: Ophthalmology was taught few decades ago during four terms, nowadays during two terms. As the number of ophthalmologists increases, the general and personal hygienic condition and the health care improves, some eye diseases have disappeared and the number of others has considerably decreased.