{"title":"Two views on criminal behavior.","authors":"Ambika Natarajan","doi":"10.1007/s10354-025-01082-y","DOIUrl":"https://doi.org/10.1007/s10354-025-01082-y","url":null,"abstract":"<p><p>The emergence of Vienna as a leading center of medical criminalistics has increased research on the physiological differences between criminals and normal people. In the second half of the nineteenth century, criminologists sought to explain human immorality and criminal behavior. In this regard, the work of Moriz Benedikt was of particular significance. This paper argues that the gruesome cases of serial killers who targeted maidservants were instrumental in the rise of forensic medicine and criminalistics in Vienna.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Waltraud Fink, Otto Kasper, Gustav Kamenski, Sonja Zehetmayer, Dietmar Kleinbichler, Martin Konitzer
{"title":"Frequency distribution of health disorders in primary care-its consistency and meaning for diagnostics and nomenclature.","authors":"Waltraud Fink, Otto Kasper, Gustav Kamenski, Sonja Zehetmayer, Dietmar Kleinbichler, Martin Konitzer","doi":"10.1007/s10354-024-01049-5","DOIUrl":"10.1007/s10354-024-01049-5","url":null,"abstract":"<p><p>RN Braun observed that frequencies of health disorders in general practice are so consistent that he called his discovery \"Case Distribution Law\". Our study compares morbidity data from methodologically similar surveys in primary care practices over a period of fifty years. Frequency ranks were determined for each observation period and the first 150 ranks were compared with Spearman's correlation coefficients. All correlations were consistently positive. Frequency ranks were strikingly similar for surveys carried out at approximately the same time, especially when nomenclatural matching had been carried out before data collection. Ranks were also very similar where clear disease classifications were possible, but less so for non-specific symptoms.The consistency of the distribution of health disorders helps develop diagnostic strategies (diagnostic protocols) and appropriate labeling for non-specific, diagnostically open symptom classifications. According to Braun's considerations, the regularity of case distribution plays an important role in the professionalization of primary care.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"99-109"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11928369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tomislav Bečejac, Luka Marcelić, Damir Danolić, Marko Vrančić, Dorian Hiršl, Dubravko Jalšovec
{"title":"Pulmonary presentation and coil marcation of dirofilaria lung coin nodes - case report.","authors":"Tomislav Bečejac, Luka Marcelić, Damir Danolić, Marko Vrančić, Dorian Hiršl, Dubravko Jalšovec","doi":"10.1007/s10354-024-01044-w","DOIUrl":"10.1007/s10354-024-01044-w","url":null,"abstract":"<p><p>Clinicians face significant diagnostic challenges when dealing with nodal lesions of the lung. The majority of lung nodules are benign; however, a significant number can be cancerous. Dirofilaria infestation should also be considered in the differential diagnosis of nodal lung lesions. Most patients with Dirofilaria infestation are asymptomatic. To determine the etiology of nodal lung infiltrations, procedures like radiological imaging, bronchoscopy, endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA), transthoracic biopsy (TTB), tumor markers, nonspecific serological tests, or surgical removal of the lung coin lesions can be performed. Coil marking of the smaller lung lesions under computed tomography (CT) guidance is a helpful tool in determining the position and localization of the nodal lung lesions. Video-assisted thoracoscopic surgery (VATS) or robot-assisted thoracoscopic surgery (RATS) wedge resection is a diagnostic and therapeutic method of choice. No additional treatment of Dirofilaria other than wedge resection of the lung is necessary.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"135-139"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francesco Ferrara, Andrea Zovi, Roberto Langella, Maurizio Capuozzo
{"title":"Monitoring analysis of the use of biosimilar medicines in the Campania region (southern Italy) to support effective and sustainable care.","authors":"Francesco Ferrara, Andrea Zovi, Roberto Langella, Maurizio Capuozzo","doi":"10.1007/s10354-025-01071-1","DOIUrl":"10.1007/s10354-025-01071-1","url":null,"abstract":"<p><strong>Background: </strong>Biosimilar drugs offer a valuable opportunity for healthcare systems worldwide, providing significant cost savings and ensuring the same level of effectiveness and safety in the treatment of chronic conditions. These savings can be reinvested into continuous medical innovations.</p><p><strong>Methods: </strong>A search was carried out to assess the use of key biosimilar medications across various therapeutic areas within an Italian health authority that serves a population of over 1 million people. Data on usage, costs, and the number of patients treated were obtained from the company databases. In addition, a comparison with the year 2022 was performed, aiming to identify any increase in the use of biosimilar drugs during 2023.</p><p><strong>Results: </strong>The analysis of 2023 revealed that a large majority of the studied active ingredients are administered as biosimilar medications, with only a few exceptions. Resistance remains in the prescription of adalimumab and etanercept, with spending on the originators of close to 3 million euros.</p><p><strong>Conclusion: </strong>The comparison between 2023 and 2022 highlighted the growing adoption of biosimilar medications. This positive trend suggests the potential for achieving full utilization in the near future. Such a result would significantly benefit the national healthcare system and the public, ensuring a healthcare approach that is both effective and sustainable.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"128-134"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Concealed spontaneous bilateral tubal pregnancy.","authors":"Ivan Brlečić, Ana-Meyra Potkonjak, Dubravko Habek","doi":"10.1007/s10354-025-01079-7","DOIUrl":"https://doi.org/10.1007/s10354-025-01079-7","url":null,"abstract":"<p><p>Bilateral tubal pregnancy (BTP), a rare form of ectopic pregnancy, occurs in 1/200,000 pregnancies and typically follows assisted reproductive techniques (ARTs). We report a case of spontaneous BTP in a 34-year-old woman presenting with acute abdomen and no prior history of ART. The diagnosis was established 27 days after initial presentation via transvaginal ultrasonography and elevated beta human chorionic gonadotropin (beta-HCG). Following diagnostic laparoscopy, bilateral salpingectomy was performed. This case highlights the possibility of BTP, emphasizing the need to carefully inspect the contralateral adnexa when treating a \"unilateral\" ectopic pregnancy.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Psychophysiological research by the East German State Security and the use of so-called lie detectors in the GDR].","authors":"Rainer Erices","doi":"10.1007/s10354-025-01078-8","DOIUrl":"https://doi.org/10.1007/s10354-025-01078-8","url":null,"abstract":"<p><p>This study is the first to describe research conducted by the GDR State Security on polygraphs and voice analyzers and their conspiratorial use. Stasi files are used to show that the so-called lie detector was also used in the GDR. Up until the late 1960s, MfS superiors considered psychophysiological tests with the polygraph to be questionable and \"ethically and morally reprehensible\". This did not prevent a few experts from conducting extensive research. In addition, own spies were trained to pass polygraph tests in the West without being recognized. With the development of voice analyzers in the early 1970s, the MfS expanded its psychophysiological research. Voice analyses were carried out in hundreds of cases - to identify informers and in criminal investigations. All of the equipment came from the West and was procured despite embargo regulations. Shortly before the end of the GDR, use and research were to be expanded. The public knew nothing about this. There were only indications in the analyzed files that the psychophysiological devices were being used for civilian purposes. The Stasi files on this subject have not yet been fully indexed.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Scurvy-A now forgotten previously widespread disease].","authors":"Heinz Flamm","doi":"10.1007/s10354-024-01054-8","DOIUrl":"10.1007/s10354-024-01054-8","url":null,"abstract":"<p><p>From the sea voyages of the fifteenth century often lasting for years with provisions only of fish, salted meat and biscuits reports came of fatal health alterations of the seamen which were characterized by prostration, loss of teeth and bad breath.Reports on comparable endemic illnesses soon came from the Netherlands, North Germany, the Baltic area, France, Lorraine, Geneva, Bohemia, Moravia, Silesia, Swabia and Russia: the so-called land scurvy. The first medical specification was found in a letter from 1541 by Johann Echt to colleges in the area of Lower Germany, which was published four times. One of the first comprehensive considerations was prepared by the English physician James Lind. Scurvy was also mostly published under many local names, such as Skorbut, Scharbock or Scheurbuik.The pathology of scurvy is dominated by gingival necrosis with loss of teeth, hemorrhages with destruction of the cartilage-bone border especially of the ribs and by subperiosteal hemorrhages of the ribs and long bones.For treatment and prevention of scurvy eating green plants as originally Ficaria verna (lesser celandine, pilewort), Chelidonium majus (great celandine, nipplewort, tetterwort) and Cochlearia officinalis (scurvy grass) proved to be effective. Where green plants were missing decoctions of conifer needles and fresh animal innards were used. When the infantile disease originally named \"acute rachitis\" in England was diagnosed as scurvy (later Möller-Barlow disease) the treatment of cow's milk for baby food became of great interest.Finally, hexuronic acid, later called ascorbic acid or vitamin C, was found to be a drug that could easily dosed for curing and prevention of scurvy.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"75-97"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11903575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142476167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andreas G Nerlich, Roland Sedivy, Michael E Habicht, Francesco M Galassi, Simon Donell, Viktoria Bogner-Flatz, Oliver K Peschel
{"title":"Assassination of Elisabeth, Empress of Austria, Queen of Hungary, on 10 September 1898: further additions and minor annotations.","authors":"Andreas G Nerlich, Roland Sedivy, Michael E Habicht, Francesco M Galassi, Simon Donell, Viktoria Bogner-Flatz, Oliver K Peschel","doi":"10.1007/s10354-024-01053-9","DOIUrl":"10.1007/s10354-024-01053-9","url":null,"abstract":"<p><p>Very recently, a comprehensive re-evaluation of the medical facts and observations surrounding the death of Empress Elisabeth \"Sisi\" of Austria (1837-1898) was published. The Empress was assassinated in Geneva by the anarchist Luigi Luccheni or Lucheni (1873-1910). In parallel to this recent publication, our study group came across an almost unknown letter from Dr. Golay, who was one of the examining doctors of Empress Elisabeth. In this publication we add relevant additions based on this letter and provide further insights regarding the attempts at resuscitation.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"68-72"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142296747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alcohol and the death of Ludwig van Beethoven: comparison of general biographies to the medical literature.","authors":"Dongwon Lee, William Meredith, Benjamin Lebwohl","doi":"10.1007/s10354-023-01010-y","DOIUrl":"10.1007/s10354-023-01010-y","url":null,"abstract":"<p><p>Beethoven's autopsy findings of cirrhosis may have been due to alcoholism. This condition may have been underemphasized historically, given its stigma and the incongruence with the often heroic portrayal of Beethoven. We therefore aimed to compare how medical experts and biographers writing for a non-medical audience describe his final illness in the context of alcoholism. English-language biographies were identified using a survey of biographies of Beethoven and supplemented by the authors. English-language medical publications were identified by searching for \"Beethoven\" in the PubMed® MEDLINE database. We included studies that mentioned Beethoven's final illness and death. We recorded statements regarding alcohol consumption, alcoholism, or alcohol use disorder, and the role of alcohol in Beethoven's death. The most commonly cited final illness was liver disease. Alcohol use was more frequently mentioned in biographies, but alcoholism less so. Alcohol use was invoked as a possible cause of final illness more frequently by medical publications.</p>","PeriodicalId":23882,"journal":{"name":"Wiener medizinische Wochenschrift","volume":" ","pages":"60-67"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9318155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}