History of pancreatic cancer surgery

2020 ◽  
Vol 22 (3) ◽  
pp. 206-210
Author(s):  
B. V. Sigua ◽  
V. P. Zemlyanoy ◽  
E. L. Lataria ◽  
E. A. Zakharov ◽  
S. Yu. Rakita ◽  
...  

Abstract. The first mention of pancreatic cancer dates back to 1761, when the six-volume work of the famous Italian anatomist G. Morgagni On the location and causes of diseases discovered through dissection was published. However, the history of surgical treatment of malignant tumors of the pancreas dates back to the end of the 19th century. The accumulated experience of operational techniques and the introduction of aseptic rules created objective prerequisites for performing operations in complex anatomical zones during that period of time. On July 16, 1882, the famous German surgeon F. Trendelenburg, firstly, performed a successful resection of the tail of the pancreas for sarcoma, founding the development of surgery in this field. However, the success in this sphere could not be shifted to a tumor of the head of the gland due to the subsequent separation of the duct system from the duodenum. Over the following years, many outstanding surgeons tried to solve this problem, such as: A. Codivilla, W. Halsted, W. Kaush, until in the early 40s A. Whipple proposed a new method of pancreatoduodenal resection, that became the gold standard for head cancer treatment pancreas. Although it was not possible to achieve significant success in the treatment of cancer in the original method of operation, as a result at various stages of time this procedure wasnt used a lot and was almost forgotten. Today, surgery remains the leading method in the complex treatment of patients with pancreatic cancer. Minimally invasive technologies have been actively introduced into pancreatic surgery in the past two decades. The indications for surgery have been expanded, lymphadenectomy standards have been introduced, thereby increasing the chances of a successful cure.

Author(s):  
Maxim Yu. Kabanov ◽  
Nikolay I. Glushkov ◽  
Konstantin V. Sementsov ◽  
Anatoliy V. Skorodumov ◽  
Valentin V. Alekseev ◽  
...  

Pancreatic cancer accounts for 810% of all cases of malignant tumors of the digestive organs and 5060% of pancreaticoduodenal malignant neoplasms. Over the past 30 years the incidence of pancreatic cancer in Russia has increased by 30%. The main method of treatment this category of patients requires surgical intervention. Extensive experience has been gained in using various types of surgical therapy. The review analyzes the results of modern studies on the efficacy and safety of the most common of them.


2020 ◽  
Author(s):  
Benjamin Wilkie

People have been visiting and living in the Victorian Grampians, also known as Gariwerd, for thousands of generations. They have both witnessed and caused vast environmental transformations in and around the ranges. Gariwerd: An Environmental History of the Grampians explores the geological and ecological significance of the mountains and combines research from across disciplines to tell the story of how humans and the environment have interacted, and how the ways people have thought about the environments of the ranges have changed through time. In this new account, historian Benjamin Wilkie examines how Djab wurrung and Jardwadjali people and their ancestors lived in and around the mountains, how they managed the land and natural resources, and what kinds of archaeological evidence they have left behind over the past 20 000 years. He explores the history of European colonisation in the area from the middle of the 19th century and considers the effects of this on both the first people of Gariwerd and the environments of the ranges and their surrounding plains in western Victoria. The book covers the rise of science, industry and tourism in the mountains, and traces the eventual declaration of the Grampians National Park in 1984. Finally, it examines more recent debates about the past, present and future of the park, including over its significant Indigenous history and heritage.


2016 ◽  
Vol 34 (2) ◽  
Author(s):  
Andrej Kranjc

Folk tales and tradition evidence that people in Udin Boršt were aware of caves from old. In the 19th century a special type of outlaws occurred in Gorenjska. One of the centres was in Udin Boršt where brigands hid in caves. Under the French occupation the villagers hid in the caves, while during the 2nd World War they were partisans. Water is another factor playing an important role at studying Udin Boršt. Most of the villages were water supplied from Udin Boršt, partly out of caves. As elsewhere in conglomerates in Udin Boršt also there are traces of rock cutting for millstones. The first printed news about the caves in Udin Boršt are found in Valvasor’s Die Ehre des Herzothums Crain. The book History of the Ljubljana Bishop’s Diocese cites seven caves. The modern caving research started in 1946. In 1954 the members of the Natural Science Circle of the 1st Grammar School, Kranj started to visit caves in Udin Boršt. About that time a co-worker of the Karst Research Institute from Postojna started to research these caves. The caves in Udin Boršt were revisited in the seventieth of the past century in connection with the project “Speleological Map of Slovenia”. The connection between the people and the land can be seen from the topographical names too. The last part of the paper deals with these names, including the explanation of the name Udin Boršt. Da so ljudje jame v Udin borštu že dolgo poznali, se odraža v ljudskem blagu in izročilu. V 19. stol. je nastalo rokovnjaštvo. Eno od središč je bilo v Udin borštu, kjer so se rokovnjači skrivali po jamah. Pred Francozi so se skrivali po jamah tudi vaščani, med II. svetovno vojno pa partizani. Drugi dejavnik, ki je igral veliko vlogo pri spoznavanju jam v Udin borštu, je voda. Večina vasi je dobivala vodo iz Udin boršta, deloma iz jam. Kot drugod v konglomeratu, so tudi v Udin borštu sledi lomljenja kamine za mlinske kamne. Prva tiskana vest o jamah v Udin borštu je v Valvasorjevem delu »Slava vojvodine Kranjske«. V Zgodovini fara Ljubljanske škofije je omenjenih sedem jam. Sodobno jamarsko raziskovanje se je pričelo leta 1946. 1954 so pričeli obiskovati jame v Udin borštu člani Prirodoslovnega krožka I. gimnazije iz Kranja. V istem času se je raziskovanja teh jam lotil sodelavec Inštituta za raziskovanje krasa SAZU iz Postojne. Jame v Udin borštu so bile ponovno obiskane sredi sedemdesetih let prejšnjega stoletja, v okviru velikega projekta »Speleološka karta Slovenije«. Povezanost človeka z zemljo se vidi tudi iz krajevnih in ledinskih imen. Zadnji del prispevka se ukvarja s temi imeni, vključno z razlago imena Udin boršt.  


2004 ◽  
Vol 35 (3) ◽  
pp. 284-294
Author(s):  
René Bloch

AbstractStrabo's history of Judaism (Geography 16.2.35ff.), which is most probably copied from Posidonius, focuses less on the past which is idealized than on the present which is criticized—as is common in descriptions of a "golden age" which later deteriorates. The Posidonian thought that the Jewish religion declined made its way into Tacitus' mostly hostile ethnography of Judaism. Modern scholars, especially in the 19th century, when commenting on Posidonius and Tacitus sympathized from a quite different perspective with that very idea of a Jewish decline.


1978 ◽  
Vol 133 (2) ◽  
pp. 182-183
Author(s):  
J. L. T. Birley

I am not a historian, a mere dabbler in history, but the figures of the past have always intrigued me. Psychiatry lives in the shadow of the 19th century, both in terms of its architecture and of its theories. It is not too difficult to give oneself déjà vu feelings about psychiatry, and to see its ‘progress' as a circular tour. But what of it ? In that way we revisit all sorts of old friends, provided we meet them as they really were, and not as dusty images, mouldering statues, ancient deities or foolish fond old men.


2005 ◽  
Vol 12 (3) ◽  
pp. 465-474 ◽  
Author(s):  
Roger Dehem

In the light of monetary experience and theory, the EMS appears to be unsustainable. Monetary history of the past sixty years shows that every attempt to stabilise the international monetary System has been frustrated as a consequence of divergent egocentric monetary policies. The breakdown of the rules of the gold standard game in the twenties, as well as the use of money as an instrument in national macroeconomic policies under the Bretton Woods regime have ultimately led to the demise of the fixed exchange rates System. In the sixties, European views on monetary policies were quite divergent, but in the seventies institutional attempts were made to bring them apparently into line. The "snake" arrangements, initiated in 1972, soon degenerated. The more ambitious attempt of 1979, the institutionally more elaborate EMS, suffers from the same basic weakness as all the previous ones. It lacks a common monetary standard, such as the one proposed in the 1975 Ail-Saints Manifesto. Such a standard is a necessary and a sufficient condition for a sustainable common monetary System.


2021 ◽  
pp. 134-140
Author(s):  
Nozomi Karakuchi ◽  
Ichiro Ohmori ◽  
Masashi Inoue ◽  
Kazuhiro Toyota ◽  
Tadateru Takahashi

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a disease that leads to dilute hyponatremia through excessive secretion of antidiuretic hormone. SIADH has various causes, including ectopic ADH-producing tumors, drug properties, and can be idiopathic. But there have been very few reports of cases in which SIADH has developed after surgery for malignant tumors. In addition, few cases have been reported where this disease has developed after surgery for pancreatic cancer, because the symptoms of hyponatremia are non-specific. These symptoms are particularly gastrointestinal symptoms; therefore, it is difficult to differentiate them, even if SIADH has developed after gastrointestinal surgery. The patient in our case was an 80-year-old woman. She had persistent epigastralgia and left back pain. Imaging studies revealed a tumor in the head of the pancreas, which was diagnosed as pancreatic head cancer. We performed subtotal stomach-preserving pancreatoduodenectomy. After the operation, she complained of appetite loss and general fatigue. Her serum sodium levels decreased to 109 mEq/L on postoperative day 11. She was diagnosed with SIADH using the SIADH diagnostic criteria listed by the Japanese Ministry of Health, Labor and Welfare. We treated the patient with sodium supplementation for hyponatremia, and her symptoms ameliorated. After the event, she did not relapse with hyponatremia. This case is significant in that we performed differential diagnosis after major gastrointestinal surgery for pancreatic cancer and diagnosed SIADH at an early stage.


2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Julian Kitchen ◽  
Diana Petrarca

While teacher education has changed dramatically over the years, educators, policy-makers and the general public are largely unaware of the history of teacher preparation in the province. This history, beginning in the 19th century, tells the story of increasing professionalism over the years as Ontario adapted its system to meet a rising demand for elementary and secondary education. It is a story of authority over education, as teacher training under provincial direction became teacher education in universities, and as accreditation shifted to the Ontario College of Teachers. It is a story of reform, and the limits of reform, in the preparation of teachers for a diverse and changing world. By better understanding the history of teacher preparation in the past, we may gain insight into the present situation and imagine a better future for teacher education in Ontario.


2004 ◽  
Vol 10 (6) ◽  
pp. 716-730
Author(s):  
N. Hwalla ◽  
M. Koleilat

The history of dietetics can be traced as far back as the writings of Homer, Plato and Hippocrates in ancient Greece. Although diet and nutrition continued to be judged important for health, dietetics did not progress much till the 19th century with the advances in chemistry. Early research focused focuses on vitamin deficiency diseases while later workers proposed daily requirements for protein, fat and carbohydrates. Dietetics as a profession was given a boost during the Second World War when its importance was recognized by the military. Today, professional dietetic associations can be found on every continent, and registered dietitians are involved in health promotion and treatment, and work alongside physicians. The growing need for dietetics professionals is driven by a growing public interest in nutrition and the potential of functional foods to prevent a variety of diet-related conditions


Author(s):  
Евгения Константиновна Макаренко

Введение. Становление исторической прозы для детей и юношества в русской литературе началось в первой трети XIX в. и было вызвано стремительным развитием отечественной историографии. Детской писательнице А. О. Ишимовой принадлежит заслуга создания первого адаптированного для детей исторического труда. Принцип художественного осмысления прошлого, фактический материал, концепция истории отечества были заимствованы Ишимовой из «Истории государства Российского» Карамзина. В своей «Истории России в рассказах для детей» писательница заложила жанровые доминанты нового документально-художественного рода сочинений в детско-юношеской литературе, среди которых можно выделить познавательную и нравственно-назидательную цели исторического труда; выбор политической идеологии, которой подчиняется концепция отечественной истории; опору на разные исторические источники, в числе которых важное место занимает современная историография; художественное осмысление прошлого, психологизацию исторического материала; включение фольклорных и авторских литературных текстов; диалогизацию монологического текста в форме обращений и вопросов к адресату и др. Цель – анализ поэтики исторического повествования, а также представленной концепции русской истории в исторических произведениях для детей А. О. Ишимовой и Е. Поселянина. Исследование продолжает необходимую работу в области изучения произведений второго ряда литературы и позволяет определить принципы формирования детско-юношеской исторической прозы XIX – начала XX в. Материал и методы. Дается анализ исторической книги для детей и юношества Е. Поселянина «Сказание о святых вождях Земли Русской». Исследование написано в русле сравнительно-исторической поэтики. Результаты и обсуждение. Созданное Л. Тихомировым государственно-правовое учение о монархическом принципе власти повлияло на идеологическую составляющую исторической книги для детей и юношества Е. Поселянина «Сказание о святых вождях Земли Русской». Поселянин описывает историю Древней Руси и затрагивает современную ему Российскую империю, основываясь на концепции о присущей природе российской государственности модели православной самодержавной монархии. В период обострившегося социально-политического кризиса в конце XIX – начале XX в., когда актуализировалась проблема переоценки российской государственности и общества, а также определялись перспективы развития России в контексте общеевропейских тенденций, Поселянин утверждает ценность и самодостаточность российской государственности, декларирует идею особого пути России. Заключение. Большинство сказаний о русских князьях Е. Поселянина представляют собой переложение их жизнеописаний, взятых из летописей, Четьих-Миней святителя Димитрия Ростовского, Пролога, древнерусских поучений, сказаний, воинских повестей, а также научных трудов историков XIX в. Разнообразие источников, ориентация как на древнерусский жанр исторического сказания, так и на современные писателю мемуарно-биографические жанры обусловили жанровое своеобразие «Сказания...», в котором житийные повести перемежаются с историко-биографическими очерками о русских князьях и святых, объединенных общим повествованием о трагических и героических событиях древнерусской истории. В «Сказании...» Поселянина сочетаются эпическое начало, лиризм и очерковость. Introduction. The development of historical prose for children and youth in Russian literature began in the first third of the 19th century and was caused by the rapid development of Russian historiography, which began with the publication of N. M. Karamzin. The children’s writer A. O. Ishimova is credited with creating the first historical work adapted for children. The principle of artistic comprehension of the past, factual material, the concept of the history of the fatherland was borrowed by Ishimova from Karamzin’s “History of the Russian State”. In her History of Russia in Stories for Children, the writer laid down the genre dominants of a new documentary-artistic kind of works in children’s and youth literature, among which one can single out the cognitive and moral-edifying goals of historical work; the choice of political ideology to which the concept of national history is subject; reliance on various historical sources, among which modern historiography occupies an important place; artistic comprehension of the past, psychologization of historical material; inclusion of folklore and author’s literary texts; dialogization of a monologue text in the form of addresses and questions to the addressee, etc. Aim and objectives. Analysis of the poetics of historical narration, as well as the presented concept of Russian history in historical works for children by A. O. Ishimova and E. Poselyanin. This study continues the necessary work in the field of studying the works of the second series of literature and allows us to determine the principles of the formation of children’s and youth’s historical prose of the XIX – early XX centuries. Material and methods. The article analyzes the historical book for children and youth by E. Poselyanin “On the holy leaders of the Russian Land”. The study is written in the mainstream of comparative historical poetics. Results and discussion. The state-legal doctrine of the monarchical principle of power created by L. Tikhomirov influenced the ideological component of the historical book for children and youth by E. Poselyanin “The Legend of the Holy Leaders of the Russian Land”. The villager describes the history of Ancient Rus and touches on the contemporary Russian Empire, based on the concept of the inherent nature of Russian statehood, the model of an Orthodox autocratic monarchy. During the aggravated socio-political crisis at the end of the 19th and the beginning of the 20th centuries, when the problem of reassessing Russian statehood and society was actualized, and the prospects for the development of Russia in the context of general European trends were determined, Poselyanin affirms the value and self-sufficiency of Russian statehood, declares the idea of a special path for Russia. Conclusion. Most of the legends about the Russian princes E. Poselyanin are transcriptions of their biographies taken from the chronicles, the Chetykh-Minei of St. Demetrius of Rostov, the Prologue, Old Russian teachings, legends, military tales, as well as scientific works of historians of the 19th century. A variety of sources, an orientation both to the ancient Russian genre of historical legends and to the contemporary memoir and biographical genres of the writer determined the genre originality of the Legend, in which hagiographic stories are interspersed with historical and biographical sketches about Russian princes and saints, united by a common narrative about the tragic and heroic events of ancient Russian history. The Peasant’s Tale combines an epic beginning, lyricism and essayism.


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