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    József Rinfel

    Background The Hungarian primary care system faces a severe shortage of family physicians. Medical students’ perceptions of family medicine need to be known and medical students need to be given appropriate and comprehensible information... more
    Background The Hungarian primary care system faces a severe shortage of family physicians. Medical students’ perceptions of family medicine need to be known and medical students need to be given appropriate and comprehensible information about this speciality. The expected future salary is an important factor in career choice. Most of the family doctors are self-employed and the practices have a corrected capitation-type financing. Although the majority of health care services are covered by social health insurance and are provided for the insured patients free of charge, informal payment is an existing phenomenon with different motivations and consequences. This study aimed to investigate medical students’ knowledge about their future earning opportunities and their attitudes towards informal payment. Methods A cross sectional survey with a self-administered questionnaire was conducted. Each of the four Hungarian medical universities were represented by their medical students who a...
    A magyar alapellátást jelentős humánerőforrás-krízis fenyegeti. A tartósan betöltetlen háziorvosi praxisok száma folyamatosan növekszik. A háziorvosi szakképzésbe újonnan belépő orvosok száma nem elégséges a kedvezőtlen tendencia... more
    A magyar alapellátást jelentős humánerőforrás-krízis fenyegeti. A tartósan betöltetlen háziorvosi praxisok száma folyamatosan növekszik. A háziorvosi szakképzésbe újonnan belépő orvosok száma nem elégséges a kedvezőtlen tendencia megállítására. Kulcskérdés a háziorvosi pálya népszerűségének növelése, az orvostanhallgatók minél nagyobb arányban az alapellátás irányába történő orientálása. 2019. december és 2020. április között 465 fő negyed- és ötödéves orvostanhallgató bevonásával megvalósult kérdőíves keresztmetszeti vizsgálat. A hallgatók 5%-a tervez háziorvosként dolgozni a jövőben. Második választandó szakirányként a háziorvostant a hallgatók 4,7%-a, harmadikként 8%-a jelölte meg. A háziorvosi hivatás presztízsét a válaszadók 5 fokozatú Likert-skálán általánosságban átlagosnak, egyéb szakterületen dolgozó szakorvosok között inkább rossznak (átlag: 3,13 vs. 2,39; medián: 3 vs. 2; módusz: 3 vs. 2), ítélik. A pályával kapcsolatos leggyakoribb negatív elképzelések: ala­csony presztí...
    Background Available tools measuring self-management in diabetes are often improperly validated or do not correlate with glucose metabolism. The Diabetes Self-Management Questionnaire (DSMQ-R) is a valid tool, that showed strong... more
    Background Available tools measuring self-management in diabetes are often improperly validated or do not correlate with glucose metabolism. The Diabetes Self-Management Questionnaire (DSMQ-R) is a valid tool, that showed strong relationship with glucose metabolism in tertiary care among people with mostly type 1 diabetes. Aim of the study To validate the translated DSMQ-R questionnaire in a Hungarian sample of people with predominantly type 2 diabetes in primary care. Methods We enrolled 492 adults from 38 practices in this cross-sectional cohort study, who filled out the self-administered questionnaire, consisting of DSMQ-R and the Summary of Diabetes Self-Care Activities (SDSCA) questionnaires. Family doctors provided clinical data. The translation process was performed in six steps, reaching the expert committee appraisal. The validity of the questionnaire was evaluated by assessing reliability and construct validity. Results Cronbach’s alpha showed the questionnaire to reach go...
    In some countries strict tobacco control measures successfully reduced the number of smokers. Although these measures do not have immediate effects, they may serve as investments in the future healthcare. Health care experts should take... more
    In some countries strict tobacco control measures successfully reduced the number of smokers. Although these measures do not have immediate effects, they may serve as investments in the future healthcare. Health care experts should take part actively in the decision making. Aims: To investigate medical students’ relation to smoking and their attitudes about tobacco control measures. Methods: Authors applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: Altogether 245 students completed the questionnaire. It was found that the knowledge of students about health damages caused by tobacco smoking was very good. However, a large number of students are exposed to tobacco smoke (68% of them at home and 85% at public places). Their opinion about tobacco control measures reflects recent law, as only 43% of ...
    Medical years are very important in shaping the attitudes of future doctors. It is proven that doctors who smoke do not advise their patient to stop smoking. We have to know the students’ smoking habits and attitudes about smoking... more
    Medical years are very important in shaping the attitudes of future doctors. It is proven that doctors who smoke do not advise their patient to stop smoking. We have to know the students’ smoking habits and attitudes about smoking cessation to make them interested in the fight against tobacco. Aims: To investigate medical students’ smoking habits and attitudes about cessation. Methods: We applied the Hungarian translation of the Global Health Professionals Student Survey. Medical students from the first and fifth year filled in the survey anonymously during the seminars. Statistical analysis was performed with SPSS. Results: In both years 245 students filled in the questionnaire. In the first year 30.8%, in the fifth year 38.9% of the students were defined as smokers. During the academic study the number of daily smokers and the number of smoked cigarettes increases. Students require training about smoking cessation, however they would entrust it to a specialist. Conclusions: Based ...
    A new patented chemical agent (Al-Mg-hydroxy-carbonate; acid-binding capacity greater than 30 mmol/g) was produced by our work-team. After our preliminary pharmacological and some prospective, randomized, multicentre, controlled clinical... more
    A new patented chemical agent (Al-Mg-hydroxy-carbonate; acid-binding capacity greater than 30 mmol/g) was produced by our work-team. After our preliminary pharmacological and some prospective, randomized, multicentre, controlled clinical studies, this antacid was registered (Tisacid tablet and suspension; Alkaloida, Hungary). A cumulative ulcer healing rate of 80-85% was proved by Tisacid monotherapy applied in low doses (from 80 to 160 mmol/day) in patients with duodenal ulcer. The aims of this study were: (i) to determine the role of different antacids on the genesis of mucosal prostaglandins (PGs) (PGE2 and 6-keto-PGF1 alpha) in normal rats; (ii) to evaluate the effects of indomethacin pre-treatment (20 mg/kg b.w.,s.c.) on the Tisacid-induced alterations of gastric mucosal PG-contents; (iii) to analyse the generation of oxygen free radicals and lipid peroxidation in the rat oxyntic mucosa by the application of different doses of Tisacid (activities of CAT, GSH-px and SOD, content...