Correspondence MEDICAL JOURNAL doctors are possibly unaware that an estimate of 10%°, of all admissions to general wards have had an alcohol-dependency. Alcoholism is excluded from the curricula of medical schools. Few doctors therefore understand anything about alcoholism. Workers with alcoholics learn about the illness from the patients themselves. If a true conception of illness is accepted there is no need for shame to be attached to alcoholism. Recovered alcoholics are fortunate people. Recovered medical alcoholics can greatly help by revealing their identity and assisting in information about this disease by enlightening their colleagues and making themselves available for consultation to sufferers from the disease. I hope my personal experiences can be turned to good effect.-I am, etc., NEIL PANTON. Southampton, Hants. Porphyrinuria SIR,-In Dr. Norman Gitlin's recent communication (11 January, p. 96), the most significant positive finding is the "strongly positive porphobilinogen." Also significant, in a negative sense, is the very modest abnormality in urinary uroporphyrin excretion. This would argue against any "acquired porphyria." On the other hand, it is hard to attach much significance to elevated urinary coproporphyrin in a patient with obvious alcoholic liver disease. Can we be sure that the patient's pain and even the hyperlipaemia' are due to " Zieve's syndrome" and not to acute intermittent or variegate porphyria (possibly precipitated by an alcoholic bout and/or inanition) ? What is badly needed in this case to put these factors in proper perspective is quanrtitation of urinary porphobilinogen (elevated in both acute intermittent and variegate) and faecal protoporphyrin (elevated in variegate).-I
It has been demonstrated that alterations in the corticotrophin-glucocorticoid system follow the extreme changes in carbohydrate metabolism which occur in diabetic patients. In acidosis and hypoglycaemia there is a transitory pathological increase in the plasma cortisol level and in the urinary 17-OHCS excretion. If the diabetes is satisfactorily controlled – even in labile patients – the average values are normal. In satisfactorily controlled angiopathic patients a pathologically increased hormone production cannot be demonstrated. In the uraemic phase of the Kimmelstiel-Wilson syndrome the function of the adrenal cortex deteriorates.
Informatics education in Hungary is based on the National Base Curriculum (NAT) and the Frame Curricula. These documents contain the subjects (sciences), the number of classes for each subject and the requirements for each grade. According to the NAT2012, Informatics as a compulsory school subject is introduced in Grade 6. The filemanagement is among the first topics that students must learn according to the Frame Curricula. However, this is not their first encounter with filemanagent, since by the age of 12 most of the students are already active users of digital tools, and associated with the false assumptions of digital natives. Due to the late introduction, the filemanagement is one of the most neglected topics in informatics education. Nevertheless, this is one of the most important topics, since it is essential for further development in handling digital products. Our research group developed the Webtable-Datatable Conversion (WDC) highmathability method to teach filemanagement. This approach not only focuses on the main file operations but handles real world problems which require firm algorithm construction and datamanagement. The aim of the present study is to measure the effectiveness of the WDC approach with Grade 9 students, where the comparison of groups studying with the traditional and the WDC methods was carried out.
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