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On the official medical doctrine in Bulgaria after establishment of Christianity as a state religion.

The author has been studying the problem of Bulgarian national diet tradition in the ninth and tenth centuries for thirty years. In the course of the research, it was necessary to elucidate what medical knowledge the Bulgarians at that time possessed. The analysis revealed an orderly medical doctrine functioning immediately after the conversion of Bulgaria to Christianity and meeting the requirements of the new faith. As early as the tenth century, converting other peoples to Christianity (the Slavonic tribes primarily), Bulgarians imposed their medical doctrine as part of the Christian propaganda among the newly converted communities. This is one of the contributions of the Bulgarian medieval civilization to the world of that time, a contribution that is not well known and therefore not assessed on its merits.

Bulgaria↗

An epidemiological study of G-6-PD deficiency, sickle cell haemoglobin, and ABO blood groups in relation to malaria incidence in Muslim and Christian communities of Kheda, Gujarat, (India).

783 blood samples for the study of distribution of ABO blood groups and sickle cell haemoglobin in relation to malaria, from both the sexes of Muslim and Christian populations of Kheda district were screened. 414 blood samples from male individuals were screened for G-6-PD deficiency. High frequency of G-6-PD deficiency was observed in Christians (5.9%) and low in Muslim (1.8%) population, whereas sickle cell haemoglobin in Muslim population was 1.5% and absent in Christians. Blood group B was dominant in both the communities. Significant association of ABO polymorphs with P. falciparum and total malaria cases was observed.

ABO Blood-Group System↗

[Mortality among Moslem, Christian and Druze infants].

Infant mortality in 3 heterogeneous non-Jewish religious groups in Israel was examined (1977-80). Risk factors contributing to infant mortality were identified and their effects assessed by logistic regression analysis. Mortality among Moslems and Druze was 26.0/1000, compared to 17.2/1000 among Christians and 12.7/1000 among Jews. These differences between the populations were mostly evident after the first month of life. Unexpected excess mortality rates were observed among female infants, compared to males, in the postneonatal period in all 3 groups. This excess was present mainly in Christian and Druze infants born to fathers with few years of education. The trend persisted after accounting for birth weight, maternal age, birth order and place of birth. The female mortality in the postneonatal period was twice that of males in Christians and 1.5 times higher than that of males in Druze. Congenital malformations and immaturity-related conditions were the main causes of neonatal deaths, while infections were the major cause of postneonatal deaths. Among the Druze the postneonatal death rate due to infections reached 8/1000. In the non-Jewish groups 42% of postneonatal deaths occurred out of hospital, compared to 15% among Jews.

Christianity↗

[Respect and tutelage of children in Christianity].

Christian religion, since its beginning, has been strongly interested about infant world, in defending and promoting it. Evangelic stories show Jesus' attention for children even against his disciples and the current culture of that very time that didn't consider them in a special way. Some of healing miracles and most of reanimation ones have, as characters, just children or young people. This particular care has continued after in ecclesial life by the creation of many charitable institutions for children and, recently, also in an sort of re-arrangement of Christian thought about bioethical problems, most of which are really shared with not Christian world. Nevertheless some of them present several patterns (an-encephaly, neonatal care, assisted reproduction, etc.) involving some specific considerations discussed by Authors.

Bioethical Issues↗

Ecclesiogenic neuroses and psychoses in adolescence. On the complicated detachment problems of adolescents from rigorously moralizing, Christian-religious movements.

In the child and adolescent psychiatric department of Bern University Clinic, between 1982 and 1986 42 adolescent male and female patients were admitted for in-patient treatment. 9 of them (21.4%) came from Christian-religious sects. This was all the more surprising as the proportion of marginal Christian-religious groups in the population was 1.4% in the population census in the canton Bern in December 1980. This noticeably over-proportional accumulation was taken as a reason for carrying out an analysis of the case histories. It was shown that the patients from the circles of Christian sects became either obsessive-compulsive neurotically, anorectically or psychotically ill in puberty and that a very strictly moralizing upbringing by the parents was present which led to an aggravation of the relation conflict with the parents in the detachment and separation-process in puberty. By means of three case reports the problem of ecclesiogenic neuroses and ecclesiogenic psychoses in adolescence was gone into and the conclusion was made that the religious conflicts must be given increased attention in the therapeutic dealings with the patients concerned with the inclusion of members of the family and also persons of reference outside the family.

Adolescent↗

[Rehabilitation of the physically handicapped--a challenge to the Christian church?].

The question of whether rehabilitation of physically disabled people constitutes a challenge for the Christian churches must be answered with a clear "Yes" by their members. The churches and hence the Christians themselves, must on the basis of their faith make it quite clear that rehabilitation of physically disabled persons is a holistic process involving body, mind, and soul. Physical care must therefore be matched by intensive spiritual assistance; that handicapped persons are of equal worth in the sight of God as the able bodied, hence do not constitute "unworthy life"; that physically disabled persons must be afforded an existence worthy of human dignity; that Christian communities should encourage volunteer work; that provision of good education and vocational training, as well as preparation for a meaningful life without gainful activity, must be given attention. All these emanate from the call to emulate Jesus Christ.

Christianity↗

Attitudes towards alcohol use among Bulgarians-Christians and Turks-Muslims.

The attitude towards drinking in a given culture plays a very important role in the use and abuse of alcoholic beverages. The purpose of our study was to examine and compare this attitude among the Bulgarians-Christians and Turks-Muslims in Bulgaria. The sample comprised 618 subjects--316 Bulgarians-Christians and 302 Turks-Muslims, selected by means of a randomized cluster design. The sample was stratified by ethnic identity, gender, age and place of residence (town vs. village). This methodology provided us with a way of controlling these confounding variables. The survey was conducted with a standardized questionnaire designed specifically for the study. The findings show that a greater percentage of Turks-Muslim than of Bulgarians-Christians (including those respondents who regularly use alcohol) are in favour of an official prohibition of alcohol in society and even moderate use on special occasions is inadmissible to them. Women, rural residents, people with lower educational status, senior citizens and those to whom religion plays an important part in their lives predominate in the social structure of the Turkish sub-sample favouring official prohibition. Their cultural readiness to say "No" to alcohol is viewed in the context of the abstinent Islamic culture.

Adolescent↗

Cyclophosphamide-induced remission in Weber-Christian panniculitis.

A patient with Weber-Christian panniculitis is described in this report in which treatment with prednisone and hydroxychloroquine caused no improvement of the disease, and even led to a worsening of the symptoms. In contrast, administration of oral cyclophosphamide led to a rapid remission of the disease. As Weber-Christian disease has no known aetiology and no specific treatment has been established, the successful therapy with the cytostatic drug cyclophosphamide may shed light on the pathogenesis of Weber-Christian panniculitis.

Adult↗

Proptosis as the manifesting sign of Weber-Christian disease.

PURPOSE: To identify proptosis as a manifesting sign of Weber-Christian disease (recurrent febrile nodular panniculitis). METHOD: Case report. A 61-year-old man had signs of right proptosis and orbital inflammation that resolved with oral corticosteroid therapy. Orbital inflammation later recurred with associated cutaneous nodules, myalgia, nausea, and malaise. RESULTS: Rheumatologic evaluation and subcutaneous nodule biopsy led to the diagnosis of Weber-Christian disease. The patient required systemic immunosuppressive agents to control the disease. CONCLUSION: This case shows the rare finding of proptosis as the manifesting sign of Weber-Christian disease.

Biopsy↗

Is religious fasting related to iron status in Greek Orthodox Christians?

The Orthodox Christian diet is unique in regularly interchanging from an omnivore to a vegetarian-type diet, and no study to date has focused on the impact of this on Fe status. Thirty-five Greek Orthodox Christian strict fasters (n 17 male, n 18 female; mean age 43.6+/-13.2 years) and twenty-four controls (n 11 male, n 13 female; mean age 39.8+/-7.6 years) were studied before (pre) and near completion (end) of the Christmas fasting (CF) period (40 d), during which meat and dairy products are prohibited. Fe status was assessed using standard haematological parameters, and Fe deficiency was determined via serum ferritin levels (<12 ng/ml) and the tri-index model. While fasters had marginally poorer pre haematological indicators, values were well above the cut-off levels, suggesting that intermittent fasting for a mean of 22.5+/-15.5 years did not have any substantial adverse effects on Fe status. During the CF period the changes in Fe status indices were more beneficial for fasters than for control subjects. In particular, fasters increased their ferritin levels (P = 0.02) and decreased their total Fe-binding capacity (P < 0.001). Compared with males, the effect of CF was more pronounced in female fasters. No subjects were detected with Fe deficiency at the end of the CF period. End dietary Fe and fibre intake were significantly higher in the fasters as compared with the control group (P = 0.038 and P = 0.001, respectively). Adherence to the Orthodox Christian dietary guidelines does not have a major impact on Fe status and is not associated with a significantly greater degree of Fe deficiency.

Adult↗

A Christian philosopher's view of recent directions in the abortion debate.

From the standpoint of a Christian philosopher, heeding the teaching and exhortations of Pope John Paul II and previous popes, I examine three directions in which the recent philosophical debate has developed. In the last seven or eight years there has been 1) a renewed focus on the biological issue of when a human individual comes to be, 2) new arguments for the proposition that personhood is a characteristic acquired after birth, and 3) refinements of the early argument of Judith Thomson. Replying to these developments, I defend, on philosophical grounds, the pro-life position. I argue that a distinct, whole (though immature) human individual comes to be at conception, that he or she is a person, with full moral worth, from the moment he or she comes to be, and the mothers and fathers have a special responsibility to their children which entails (at least) that they ought not to choose to abort them. I conclude by briefly indicating, from the standpoint of Christian faith, why Christian philosophers should vigorously pursue this debate.

Abortion, Induced↗

Weber-Christian disease after weight loss.

Weber-Christian disease has no known cause and is characterized by a febrile, recurrent, nonsuppurative panniculitis occurring preferentially in young, obese women. The present case is of interest in that it occurred in a young, obese woman after she lost 18.2 kg (40 lb) in eight weeks. It is only speculative as to whether the sudden weight loss precipitated the Weber-Christian disease. However, since Weber-Christian disease is an obscure disease with metabolic and autoimmune overtones, such a hypothesis is not unrealistic in a predisposed individual.

Adolescent↗

Cyclophosphamide therapy for Weber-Christian disease associated with alpha 1-antitrypsin deficiency.

Weber-Christian disease is an uncommon disorder of unclear etiology whose unifying feature is fatty tissue inflammation. Its association with alpha 1-antitrypsin deficiency produces severe clinical manifestations. Although many agents have been used to treat Weber-Christian disease, current therapy is based on the poorly documented use of corticosteroids. We have reported the case of a young man with life-threatening Weber-Christian disease associated with alpha 1-antitrypsin deficiency unresponsive to corticosteroids who responded to cyclophosphamide.

Adult↗

Modern Christian healing of mental illness.

Healing of mental illness through religious practices was a key element of early Christianity. In the early twentieth century such healing was associated with blue-collar and rural Fundamentalists, but religious healing practices have gained widespread acceptance by many middle-class, conservative Christian groups. "Evil demons" are now equated with envy, pride, avarice, hatred, and obsessions with alcohol and gambling. Many psychotherapeutic techniques of modern Christian healers appear to be rediscoveries of psychoanalytic insights expressed in religious metaphors. Most responsible healers encourage clients to seek medical and psychiatric help, especially for serious mental disorders. Psychiatrists need not share patients' religious beliefs, but for treatment to be effective these beliefs must be understood and respected.

Humans↗

Central serous retinopathy associated with Weber-Christian disease.

PURPOSE: To report an association between central serous retinopathy and Weber-Christian disease. METHODS: A case report. RESULTS: Central serous retinopathy was noticed in a patient with Weber-Christian disease possibly secondary to vasculitis involving the choriocapillaris. CONCLUSIONS: Central serous retinopathy may be associated with an uncommon systemic condition like Weber-Christian disease.

Exudates and Transudates↗

Weber Christian disease.

Weber Christian disease or idiopathic lobular panniculitis is a skin condition that features recurring inflammation in the fat layer of the skin. We report a case of a 17 year old boy with Weber Christian disease as its occurence is extremely rare with only sparse case reports available, who presented with eighteen-month history off fever with chills off and on, arthralgia predominantly of the knees, ankles, wrists and elbows without swelling or gross limitation of movement. There was also swelling around the eyes and puffiness of the face with lumpy swellings on the jaw, cheeks and chin and painful lumps on the anterior abdominal wall. On examination a febrile patient with pallor, pitting edema of the legs, periorbital edema and multiple non-matted firm to hard tender swellings of the face, jaw and chin and multiple firm tender lumps in the anterior abdominal wall was noted. Investigations revealed anemia, leucopenia, raised sedimentation rate and mild rise of liver enzymes. Biopsy of the abdominal nodule demonstrated a lobular panniculitis without vasculitis as seen in Weber Christian disease.

Adolescent↗

[Hand-Schüller-Christian disease with tumor localization in the posterior fossa].

A 19-year-old girl had been suffering since the age of 4 from Hand-Schüller-Christian disease. The condition was diagnosed by biopsy of a cranial bone lacuna. Later on, she developed diabetes insipidus and bilateral exophthalmos, both being typical signs of Hand-Schüller-Christian disease. At the age of 14, an intracranial tumour in the posterior cerebral fossa was discovered by computerized tomography, but in view of her parent's refusal of surgery, she was operated upon only 4 years later for obstructive hydrocephalus with intracranial hypertension. Two years after this operation, she presented with neurological signs of compression of the medulla oblongata, including tetraparesis and respiratory disorders, and the tumour was resected. Following a brief improvement she died of major hydroelectrolytic disorders due to her irreducible unstable diabetes insipidus. A review of the literature on Hand-Schüller-Christian disease and its rare association with intracranial tumours is analysed. The occurrence of such tumours raise important therapeutic problems and make the prognosis considerably worse.

Brain Neoplasms↗

Hand-Schüller-Christian disease in a septuagenarian.

Hand-Schüller-Christian disease is a disease primarily affecting children, occasionally young adults, and rarely older adults. Very few cases have been reported in individuals past their fifth decade. A review of the English language literature indicates that the onset of Hand-Schüller-Christian disease occurs after the fifth decade in less than 4% of reported cases. A 75-year-old woman's symptoms of Hand-Schüller-Christian disease began in her 76th year, and her cutaneous symptoms were controlled with a topically applied nitrogen mustard.

Adolescent↗