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Patera in Aere. Symbols of the goddess of health on coins and medals.

The numismatic record, coins and medals, portrays many of the symbols of health. The oldest symbol which portrays health, as a positive state of physical well-being, is the patera. First associated with Hygeia, it extended to that of the Roman Goddess of Health, Salus, imparting to the concept of health the additional themes of safety and security. Ancient and modern coins and medals, which portray the patera, are included in this account.

Greece, Ancient↗

Militares medici in nummis repraesentati: the heritage of military medicine in coins and medals.

Coins and commemorative medals constitute one special repository of the history of military medicine. The numismatic record has proven to be the most enduring, albeit one of the most selective, records of the progress of history. Matters of health, and especially of military medicine, have been central to the endeavors and indeed the survival of many cultures and societies. Many such themes in the national and international history of military medicine are preserved in the medallic record. Coins and medallions thus constitute one record of the chronology of this profession, one parallel to that of the more traditional history to be found in oral and written records. This account presents a four-part classification of medical coins and medals of military interest. These examples include (1) medals that portray military surgeons and physicians; (2) medals that commemorate special events of military medicine: (3) coins that portray the themes of the discipline of military medicine and health; and (4) a miscellaneous group that includes such examples as disease "touch pieces" and the militarily worn medals of such bodies as the International Red Cross and the Order of St. John, the latter of which are awarded inter alia for contributions to prehospital care in the field. A representative photo archive of such exemplars is included in this account.

History, 18th Century↗

Kenneth Fitzpatrick Russell: the first reader to the Gordon Craig Library.

A review of the life and achievements of Kenneth Fitzpatrick Russell, whose death in his 76th year robbed us of a civilized gentleman who was at the zenith of his creative output, would be a daunting task, if only because of the breadth of his hobbies and interests: art and medical literature; reading; sinology and seal carving; numismatics, medical philately; bookbinding, collecting bookplates; carpentry; metal work, including pewter casting and silversmithing; model ship building and cooking. Yet these various interests were simply a backdrop to his public career at the University of Melbourne and the Royal Australasian College of Surgeons, where he laid the foundations of an international reputation as scholar and collector.

Australia↗

[Professor Witold J. Orłowski. Obituary for 10th anniversary of his death].

The article presents an outline of Prof. W.J. Orłowski's (1918-1988) biography. He studied at Warsaw University (1936-1939) and Lódź University (1945-1947). He became interested in ophthalmology as early as before completing his studies. He graduated in medicine in 1950, few years later obtained doctor's degree and in 1961 received the thid degree (habilitation) and lectureship. From 1st June 1965 till 30th June 1988 he was Head of Ophthalmologic Clinic at Poznań Medical Academy. He wrote a considerable number of ophthalmologic textbooks, 208 research papers, and was an editor of textbooks and periodicals. Prof. W.J. Orłowski's scientific interest focused on retina diseases which resulted in founding Retinological Section in 1970, and thus starting to develop Polish retinology. As a humanist he rendered services to journalism where, as early as his high school time, he used to publish board bulletins, and edited periodicals including "Glass Houses", "The Forge at the Young", "Life of Youth". During his university studies he worked as journalist in "The Republic" and in "Lódź Daily". After graduating from university he continued his medical and journalist passions as author and editor for "Medical News", "Let's Live Longer", "The Eye Clinic". He was an outstanding expert in the history of ophthalmology. Prof. W.J. Orłowski was a man of a wide range of interests. His hobbies included stamps collecting and numismatics. He received wide recognition among both Polish and foreign ophthalmologists as well earned deep respect from his colleagues and students.

History, 20th Century↗

[A physician and polyhistorian: on the 300th birthday of Johann Heinrich Schulze (1687-1744)].

The 300th anniversary of the birthday of Johann Heinrich Schulze gives rise to the remembrance of life and work of a polyhistorian who is riveted by particular attainments in medicine and several other special branches (orientalistics, graecistics, archaeology, numismatics). The medical historiography considers him one of the outstanding representatives of the 18th century, chemistry calls him the ancestor of photography. The University of Halle honours him as one of the most eminent scientists of its period of foundation.

Germany↗

[Ludovicus Nonnius (1553-1645) Marrano physician in Antwerp, author of the 'Diaeteticon'].

In 1492 and 1497 respectively the King of Spain and the King of Portugal promulgated decrees expelling jewish families from the Iberic Peninsula. The Nuñes family, that came to live in Antwerp at about 1550, was of marranic iberian descent. Alvarez Nuñes, Luis's (Ludovicus) father was for some time professor of medicine at the Louvain University and he practised private medicine in Antwerp for 30 years. He belonged to the group of Portuguese-marranic physicians who in Antwerp gave medicine a new impulse in the XVIth century, thanks to the return to Arabic-Islamic sources and consequently to the Greek tradition. The art of printing, in full expansion in Antwerp (e.g. Christophe Plantin), had also a stimulating influence. Ludovicus Nonnius was born in Antwerp in 1553; he obtained his medical degree in about 1577 in Louvain and settled down in his native town. He built up an important practice and became in 1620 a cofounder of the first medical society in the Southern Netherlands, the 'Collegium Medicum Antverpiense'. As physician, naturalist, writer, latin poet, numismatist and connaisseur of the Greek and Latin authors, this man is a good example of a Renaissance humanist. He died in 1645 at the age of 92. Numerous data point to his friendship with Rubens. Firstly, the frontispieces of two of Nonnius' books were signed by the Antwerp master. Secondly, there is Nonnius' portrait by Rubens. Thirdly, Rubens asked several times for Nonnius' medical advice. The artist appreciated especially his dietary prescriptions. Numerous writings from the hand of Ludovicus Nonnius have been preserved: his correspondence with Justus Lipsius and with the physician and writer from Dordrecht, Jan van Beverwyck, his comments on Latin classics, books on geography and history and several books on numismatics. A special merit of the author is that he can be considered to be the founder of medical dietetics. He was the first to systematically study foods from a medical and hygienic point of view. His work, however, is based upon empiricism and the booklearning of his century. The first of Nonnius' books on dietetics, "Ichthyophagia", describes 37 species of noble fish. He asserts that eating fish is very healthy. The main work of Nonnius is his "Diaeteticon sive de re cibaria libri IV" (first edition 1627, second edition 1645). The four parts of the "Diaeteticon" are full of references to and comments on numerous authors. In his first book he exposes the basic principles of a healthy feeding. Then follows the description of four kinds of bread, an enumeration of vegetables and fruit, with a description of their action upon the body humors. Finally a praise of salt, the universal preserving substance. The second part treats meat, even pork, that, according to Nonnius, may be eaten moderately. In the third book the produce of sea and rivers are examined, in fact a new version of the "Ichthyophagia". Finally in the "Liber Quartus" Nonnius discusses beverages: he describes several sorts of wine and the advises against the mixing of wines. Nonnius gave a great importance to the curative properties of mineral water, for instance by kidney stones. This subject was also dealt with in the correspondence between Nonnius and van Beverwyck. The mild pinotherapy was in any case more advisable than the lithotomy applied in season and out of season at that time. Nonnius' works had a great notoriety which was a rare fact for books about medicine. Nowadays, the general principles the author formulated about 'healthy food' are still valuable. In his view they evidently lean only on empirism; that is why many of his counsels cannot be followed any longer. Nevertheless the insistence of Nonxius on eating fish and drinking mineral water may still be fully agreed with.

Belgium↗

The use of a hand-held metal detector for localisation of ingested metallic foreign bodies - a critical investigation.

UNLABELLED: Ingested metallic foreign bodies (MFBs) are usually diagnosed by taking X-ray films of the neck, chest and/or abdomen. This study evaluates the use of a hand-held metal detector (HHMD) for the diagnosis and localisation of MFBs. In a prospective study, 53 consecutive paediatric patients with history of a swallowed MFB were examined with X-rays and HHMD. In 47 children, the MFB could be verified radiologically. Coins were most frequently swallowed. The HHMD could detect and locate all coins but only 47% of other MFBs. There were no false-positive results. A HHMD is an effective tool for screening the location of suspected ingested coins. This method is easy, inexpensive and free of radiation. Very small MFBs cannot be reliably detected. CONCLUSION: If an innocuous metallic foreign body is clearly identified with a hand-held metal detector in the stomach or lower gastrointestinal tract of an asymptomatic child, additional radiological confirmation is not required.

Adolescent↗

Pediatric coin ingestion and aspiration.

OBJECTIVE: To determine the relationship between physical characteristics of the coin (size), age of the victim, the amount of coins in circulation, and the frequency and outcome of pediatric coin ingestion and aspiration injuries. METHODS: Records of coin related ingestion and aspiration injuries occurring to children 14 years of age or younger were acquired from the US Consumer Product Safety Commission (CPSC). Logistic regression was conducted to control for mutual confounding among variables. RESULTS: From 1994 to 2003, an estimated 252,338 children were treated in hospital emergency departments for non-fatal coin-related ingestion or aspiration, and additional 20 fatalities were reported during the same time span. Children 4 years of age or younger were at the highest risk. It is also observed that younger children are the most vulnerable victims of ingestion and/or aspiration of small coins (e.g., pennies), while older children are more likely to be treated due to ingestion and/or aspiration of larger coins (e.g., quarters). Pennies were involved in more incidents than all other coins combined. The hospitalization rate exhibited a negative correlation with the measure of the diameter and the weight of the coins. The overwhelming majority (94%) of the incidents were ingestion, whereas aspiration victims were more likely to encounter hospitalization. CONCLUSIONS: We hope that this study will raise public and health practitioners' awareness of the risk, and increase supervision, particular of the most vulnerable young children.

Adolescent↗