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H Wyklicky

Publications and source records attributed to H Wyklicky.

36 records · Page 2Linked to original sources

[Prima inter pares--internal medicine in Vienna at the beginning of the 20th century].

In 1901 the Society for Internal Medicine was founded, the purpose of which was to reestablish unity within the field of internal medicine. Paediatrics, dermatology, laryngology, and neurology had established themselves as independent specialties and the unity of internal medicine had disintegrated in the 19th century. On the basis of Nothnagel's complications (First Department of Medicine) and Schrötter's treatment of tuberculosis in sanatoria (Third Department of Medicine), the 19th century continued to exert an influence on medicine until well into the first decade of the 20th century. Neusser furthered haematology and endocrinology and laid the foundations for the Central Roentgen Institute. Before the main task of neurological research became the concern of psychiatry, Frankl-Hochwart conducted research in the fields of neurology and neuro-endocrinology. With the appointment of Noorden, the study of pathological metabolism and diabetes became the principal concern of the First Medical Department. Nevertheless, the research work of his assistant Eppinger made a major contribution to electrocardiography in the first decade of our century. Similarly, Wilhelm Türk at Neusser's department helped to make Vienna a centre of haematology through his improvements in technique, his textbooks and, among other things, his description of agranulocystosis. Nesser's self-willed disciple, Franz Chvostek, continued to propagate making spot diagnoses, as introduced by his mentor, and Schrötter's disciple, Josef Sorgo, expanded on his teacher's endoscropic methods, which he eventually managed to develop into a new therapeutic procedure. Adolf von Strümpell took over Schrötter's "propaedeutic clinic," but returned to his homeland, Germany, a year after having been appointed to the position in Vienna.

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[Not Available].

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Folklore↗

[Not Available].

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Austria↗

[Welfare service of the Emperor Joseph II for orphaned and sick children (author's transl)].

It turned out that the Vienna General Hospital, which was founded in 1784, was not sufficient for the out-door treatment of children. So, in 1787, J. J. Mastalier with the ready assistance of Emperor Joseph II. founded an Institute for Sick Children which later was to house the first Institute for Cowpox Vaccination on the continent. There the first X-ray treatment of pathological tissue was carried out and it also became the working place of Sigmund Freud. Joseph II. provided for the foundlings and also initiated a functioning means for the protection of the unborn by measures taken in the Maternity Hospital of his foundation, i. e., the Vienna General Hospital.

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[The place and importance of history of medicine in the medical curriculum (author's transl)].

Josef Skoda's Ernst Wilhelm von Brücke's. Theodor Billroth's and Hermann Nothnagel's judgements concerning the tasks of teaching history of medicine are discussed in detail. Then a few topics of present-day interest are mentioned: firstly, the changes in view concerning the pathology and clinical picture of angina pectoris over the course of the past century, then Billroth's preparations for his pylorectomy, and the research work carried out to define a cause of arrhythmia perpetua. The feasibility of introducing lectures concerning medical ethics is also dealt with. The starting point for future lectures in the History of Medicine ought to be Paul Diepgen's statement of 1934, i.e., "the most important task of the history of medicine is to serve theoretical and practical medicine as an ancillary science", with the eventual aim, in the widest sense, of benefitting the patients of today's medical students. Max Neuburger's and Erna Lesky's achievements are gratefully and respectfully acknowledged.

Austria↗

[Not Available].

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Austria↗

[Aspects of the history of x-ray therapy in Austria (author's transl)].

Even before the turn of the century, the dermatologist Leopold Freund tried to treat a hairy naevus on the back of a child with the rays Roentgen had discovered in 1895 when all known forms of therapy had failed. Loss of hair, as desired, resulted therein. In order to prove that electric currents were not the effective agent, Freund abducted them and treated another part of the naevus pigmentosus piliferus, however, for a longer period in order to compensate for the supposed loss of energy. An ulcer resulted. A number of renowned researchers doubted the biological effect of the X-rays. Freund also began to doubt his original opinion and later even attacked his very own discovery. Only the findings of Robert Kienböck, after having carefully examined them, let Freund accept his former opinion again. Guido Holzknecht, recognized as a pioneer of X-ray diagnosis even before the First World War, occupied himself successfully with X-ray therapy under the influence of Kienböck. He may be regarded as one of the world's first radiobiologists. Vincenz Czerny, of Austrian origin, and a pupil of Theodor Billroth, became a promotor of the X-ray therapy of malignant blastomas in Heidelberg. K. H. Kärcher, who has been head of the Department of Radiotherapy, Vienna University, for the past ten years is a graduate of this famous school.

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Ignaz Philipp Semmelweis, the prophet of bacteriology.

Although by 1931 I. Ph. Semmelweis' achievements and the tragedy of his life had been given their due place in the history of mankind, Alexander Fränkel, formerly Theodor Billroth's assistant and later his biographer, critically stated that the discoverer of the causes of puerperal fever should have defended his discovery with facts rather than with fanaticism. It was only a few years after Semmelweis' death, for instance, that Billroth made laborious experiments. Billroth's work on Coccobacteria had important implications and even influenced Robert Koch, although his hypotheses did not really predict the pathogenic and specific nature of microbes. In 1847 Semmelweis postulated his theory; ie, that the pathological-anatomical changes which he observed in the bodies of the women who died in childbed, in their newborn infants, and in the autopsy findings on his friend Jakob Kolletschka were an entity, morphologically and clinically. He summed them up under the concept of pyemia. Even though Semmelweis was continually abhorred by the evident statistics and would have been able to prove his discovery through animal experiments, he primarily took to the pen to defend his opinion vehemently. Only the clinical facts proved him right during his lifetime; the triumph of bacteriology which began after his death made him not only the "savior of mothers" but also a genial ancestor of bacteriology.

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