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Biomedical subjects

G M Weisz

Publications and source records attributed to G M Weisz.

At least 19 recordsLinked to original sources

"It is wisest here, as always, to maintain a balance": the medical dissertations of Friedrich Schiller.

Johann Christoph Friedrich Schiller (1759-1805) is remembered today for his contributions to literature and aesthetic theory-it is less well known that his first career was in medicine (an army appointment). Scholars have generally held that his primary interest lay in psychology and the psychological aspects of medicine, and that his commitment to other aspects of medicine was perfunctory at best. The present paper argues that a study of Schiller's three medical dissertations-two on psychological aspects of medicine and one on fevers-reveals his attempt "to maintain a balance" between the mind and the body in his approach to medicine.

Academic Dissertations as Topic↗

Erasmus of Rotterdam (1466-1536): renaissance advocate of the public role of medicine.

The great Renaissance scholar Erasmus of Rotterdam was a pioneering advocate of the importance of medicine for social as well as individual welfare. Erasmus' "Oration in praise of the art of medicine" (1518) illustrates his literary approach to this topic. Although the original version of his text did not address the state's role in promoting the health of the populace, Erasmus inserted new material on this topic into the "Oration" for a 1529 edition. This new material and references in some of his other writings from the same period indicate that it was in the 1520s that Erasmus first became a strong advocate of government intervention in public health matters. It is suggested that medical events in Erasmus' own life-his experiences both as a patient and as an observer of diseases-may explain why his interest in public health legislation increased significantly around this time.

Disease Outbreaks↗

The medical ethics of Erasmus and the physician-patient relationship.

Desiderius Erasmus set out his views on medical ethics just over 500 years ago. Applying the characteristic approach of Renaissance Humanism, he drew upon a variety of classical sources to develop his own account of medical obligation. Of particular interest is Erasmus's attention to the patient's duties as well as the physician's. By treating this reciprocal relationship as a friendship between extreme unequals, Erasmus was able to maintain the nobility of the medical art and at the same time deal with the culturally sensitive issue of payment for physicians' services. The use of physician-patient reciprocity as a principle of medical ethics has until recently been considered a novel feature of nineteenth-century medical codes. As Erasmus's treatment of physician-patient reciprocity arose from a classical conception of friendship, there may be grounds for reconsidering the role of friendship in other discourses on medical ethics from the Renaissance to the nineteenth century.

Beneficence↗

Magnetic resonance imaging in spinal disorders.

The value of M.R.I. in diagnosing spinal disorders has been tested in a series of 100 patients. C.T., myelography, discography and the operative findings are compared with the M.R.I. findings. The results indicate that M.R.I. is a valuable diagnostic investigation.

Accidents, Occupational↗

Spinal imaging: will MRI replace myelography?

A retrospective study on the value of magnetic resonance imaging (MRI) in replacing contrast studies of the lumbar spine has been undertaken. Studying pre- and postoperative conditions, the authors attempted to answer the question, Will MRI replace myelography? In this retrospective study, comparison is made in 20 patients between MRI and myelography and with 12 intra-operative findings. The overall impression was that MRI is equally sensitive as the invasive myelogram in diagnosing both protruded lumbar discs and postoperative fibrosis. The practical conclusion was an almost complete abandonment of myelography.

Adult↗

The use of magnetic resonance imaging in the diagnosis of postoperative lumbar conditions.

Magnetic resonance imaging is a new diagnostic procedure which may be applied to diseases of the lumbar spine and its contents. The technique is non-invasive and does not use ionizing radiation; it also has better contrast resolution than do other methods that are available. This article explores the application of the technique to postoperative conditions of the lumbar spine in relation to problems such as discitis, residual disc material, fibrosis, the size of the surrounding fatty tissue, and the shape of the neural contents.

Adult↗

Progressive sacro-iliac obliteration in Forestier disease.

In 11 patients with Forestier disease 4 were shown to have obliteration of the sacroiliac joints. We suggest that if patients with this disease are observed for a long period ossification of the sacro-iliac joints will be seen, as in ankylosing spondylitis, with loss of sacro-iliac pain when present.

Humans↗

Post-traumatic spinal stenosis.

A normal width of the peridural intracanal spinal space has been described as necessary for normal neural tissue mobility. This virtual functional space, called spinal reserve capacity (SRC) is measurable with the aid of computerized tomography. Aging and various lumbar pathological conditions have been described as leading to attenuation or obliteration of this reserve capacity, a phenomenon essential for a symptomatic lumbar canal stenosis. This article discusses delayed, post-traumatic obliteration of the SRC, and its symptoms and signs are illustrated with ten case histories.

Adult↗

The value of CT in diagnosing postoperative lumbar conditions.

A series of 15 postlumbar laminectomy patients was investigated for residual disease. Clinical, myelograpic, and CT correlation was studied. With the assistance of contrast material injections, a "fibrographic effect" was obtained in scar tissue, differentiating it from residual disc material. The viability of free fat graft is detectable with CT technique.

Follow-Up Studies↗

Lumbar canal stenosis in Paget's disease. The staging of the clinical syndrome, its diagnosis, and treatment.

The lumbar syndrome of Paget's disease is classified according to its severity, clinical findings, biochemical factors, and radiological pattern. Pagetoid spinal stenoses may occur in three stages as a progressive clinical syndrome. Several diagnostic procedures, including computerized tomography, (CT) are analyzed to introduce the concept of Spinal Reserve Capacity (SRC). Treatment with calcitonin is recommended at the appropriate stages of the syndrome.

Calcitonin↗

Stenosis of the lumbar spinal canal in Forestier's disease.

Hyperostosis of the spine, Forestier's disease, is a rare, but well defined entity which results from silent, extensive paraspinal calcification. It has been regarded as an asymptomatic ankylosis requiring no medical or surgical treatment. Two patients with Forestier's disease are presented who show severe stenosis of the lumbar canal with early symptoms of neurological compression.

Calcinosis↗

Lumbar spinal canal stenosis in Paget's disease.

Three patients with Paget's disease of the spine presented a non-characteristic lumbar syndrome with minor neuromuscular dysfunction. It is proposed that this be called a premyeloneuropathic syndrome since it is an early stage of an imminent severe myelopathic syndrome. The suspected lumbar canal stenosis in Paget's disease is diagnosed by computerised tomography and successfully reversed by calcitonin.

Calcitonin↗