Medical Review T. 14, z. 3 (2016)

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  • Obrazek miniatury
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    Music and digital theory (Emanacje fesival 2016 – Kąśna Dolna, 15 july 2016 r., late evening)
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Ciepiela, Lesław; Ciepiela, Katarzyna
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    Alleged cases of syphilis immortalized in the Krakow Altarpiece by Veit Stoss in the light of new research on the origins of the disease in Europe
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Grzegorczyk, Wiesław; Grzegorczyk, Joanna; Grzegorczyk, Krzysztof
    Syphilis is believed to occur in Europe as early as at the end of the fifteenth century when it was carried to Europe from America by Columbus’ sailors in 1493 (“Columbian” theory). In the nineteenth century this theory was questioned; reference was made to historical sources, pointing to the presence of syphilis in the Old World before Columbus (“pre-Columbian” theory). In 1933 a book was published by a Polish venereologist, professor Franciszek Walter on “dermatological details” of St. Mary’s Altar in Krakow by Veit Stoss. The author drew attention to the characters carved in the altar, which can show symptoms of late congenital syphilis (including saddle nose). Stoss’s work was completed in 1489, that is four years before the first Columbus expedition returned to Europe. If Walter’s hypothesis was true, syphilis would have existed in Europe before the discovery of America. In Krakow even older historical sights, mostly sculptures, can be found Prawwhich may suggest syphilis in the presented figures. Possible symptoms of syphilis seen in medieval works of art should be differentiated from other diseases, especially leprosy. Modern studies based on modern experimental methods (paleopathological, archaeological, phylogenetic) have not given yet definitive settlement of the dispute between supporters of two main theories of the origin of syphilis in Europe.
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    Genesis and stages of formation of the Polish Society for Rehabilitation of the Disabled
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Jandziś, Sławomir; Puszczałowska-Lizis, Ewa
    The authors based on the analysis of archival materials and articles in medical journals presented the activities of individuals and organizations for the establishment of a national association for rehabilitation of the disabled. In the mid-war period, the biggest role in promoting the idea of rehabilitation of the disabled persons falls on the orthopaedic environment. The founder of Polish orthopedics, professor I. Wierzejewski, in 1928, was elected to the Senate in order to enter the „Law on the care of the maimed and crippled”. At the IV Congress of the Polish Orthopaedic Association in Lviv, in 1933, one of the sessions was devoted to the care for the crippled. The resolutions of the Congress addressed to the Polish authorities argued for opening the facilities and providing education for young cripples, keeping the statistics of crippled people and the creation of associations cooperating with the International Association of Crippled Child Care. In 1937, the Ministry of Social Welfare made a draft statute of the Society for Combating Disability and Care for the Crippled. Despite many efforts, the society was not founded before the war. At the first post-World War II conference of the members of the Polish Society of Orthopaedics and Traumatology, held in Warsaw in 1946, prof. W. Dega presented a plan for organization of orthopedic treatment and care for the infirm. It assumed, among others, creating a nationwide association to combat disability and care for the infirm. In 1956, he founded the Committee for Cooperation with the International Society for Rehabilitation of the Disabled, which in 1957 was transformed into the Polish Committee for the Rehabilitation of the Disabled. Members of the Committee (W. Dega, Gruca A., A. Hulek, S. Rudnicki, M. Weiss, H. Dworakowska and others) sought to create a socioscientific organization for fighting disability. On March 9, 1960 they organized the meeting claiming to life one of the largest NGOs in the People’s Republic of Poland, the Polish Association for Rehabilitation of the Disabled. The establishment of the Society crowned many years of efforts of individuals and organizations working for the good of people with disabilities in Poland.
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    Autoimmune pancreatitis mimicking malignant pancreatic tumor in 79-year-old patient – a case report
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Partyka, Mariusz; Jednakiewicz, Mariusz; Staroń, Robert; Gutkowska, Dorota; Gutkowski, Krzysztof
    Autoimmune pancreatitis, (AIP) is a rare inflammatory disease of this organ distinguished by a specific clinical course and a good response to glucocorticosteroids. The disease may be limited to the pancreas itself or be part of a multi-organ autoimmune inflammatory process. The basis of diagnosis are radiological image techniques, enabling the location of organ changes, and endoscopic ultrasound examination, giving the possibility of material collection for cytological examination, supplemented by determination of the concentration of G4 subclass immunoglobulins. We report a case of autoimmune pancreatitis mimicking malignant tumor of this organ in a 79- year-old male patient.
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    The influence of physical exercise as a component of cardiac rehabilitation on endothelial dysfunction – review of the related research
    (Wydawnictwo Uniwersytetu Rzeszowskiego, 2016) Domka-Jopek, Elżbieta; Lenart-Domka, Ewa
    Endothelial dysfunction means any disturbance in the vascular endothelial function. There are many data indicating that endothelial dysfunction is a source of numerous vascular diseases. Cardiac rehabilitation, especially connected with increasing physical activity, plays an important role in the prophylaxis of vascular diseases complications in patients. Physical activity causes favorable changes in the circulatory system and improves psychophysical status. It is the base of healthy life style and fundamental element of primary and secondary prevention of cardiovascular diseases. Cardiac rehabilitation after acute coronary incidents reduces total mortality and decreases the risk of next cardiac intervention. Similar beneficial effects may be observed in chronic heart failure. Some reports attempt to explain mechanisms responsible for favorable effect of rehabilitation in primary and secondary prevention of cardiovascular disease. Many authors suggest, that cardiac training improves disturbed function of endothelium in cardiac diseases (hypertension, ischemic heart disease, chronic heart failure). Improved prognosis in patients with cardiovascular diseases after cardiac rehabilitation seems to be dependent on improvement in endothelial function.