The use of eponyms in medical case reports: etymological, quantitative, and structural analysis.

BACKGROUND: The present paper focuses on eponyms, that is, terms with proper names, in particular, derived from world mythologies, the Bible, and modern literature. The study highlights the significance of this terminological phenomenon in the English sublanguage of medicine and discusses its role in the process of writing medical case reports. The objectives of the research are to study the prevalence of eponyms in the English language in medical case reports and to analyze the etymology of the revealed terms. The deeper purpose of our study is to demonstrate that eponymic terms in general, and mythological and literary eponyms, in particular, are present in doctors' spoken and written discourse far more extensively than might seem at first glance. By drawing attention to this terminological phenomenon, we will provide relevant guidelines, which will ensure the correct use of eponyms by medical professionals who will deal with the genre of medical case reports. METHODS: We studied the prevalence of these terms in the issues of Journal of Medical Case Reports (2008-2022) and classified them according to their etymological origin and frequency of use. The selected medical case reports were considered using the methods of quantitative examination, and structural, etymological, and contextual analyses. RESULTS: We detected the major tendencies in using mythological and literary eponyms in medical case reports. We found a total of 81 mythological and literary eponyms, represented by 3995 cases of use in Journal of Medical Case Reports issues, and traced the etymology of their onomastic components. Hence, we delineated the five most prevalent sources of these terminological units: Greek mythology, Roman mythology, other world mythologies, the Bible, and fiction. The research revealed that modern medical case reports largely rely primarily on Greek mythology (65 eponyms, 3633 results), which is due to a rich informational and metaphorical arsenal of these ancient corpora of human knowledge. The group of eponyms rooted in Roman mythology ranks second, and these terms are much less prevalent in modern medical case reports (6 eponyms, 113 results). Four eponyms (88 results) represent other world mythologies (Germanic and Egyptian). Two terms with onomastic components come from the Bible (15 results), and four eponyms stem from modern literature (146 results). We also detected several widespread mistakes in the spelling of some mythological and literary eponyms. It is our opinion that the awareness of an eponym's etymology can effectively prevent and minimize the appearance of such errors in medical case reports. CONCLUSIONS: The adequate use of mythological and literary eponyms in medical case reports is an effective way to share one's clinical findings with colleagues from all over the world, because these eponyms are internationally widespread and understood. Correct use of eponyms promotes the continuity of medical knowledge and ensures conciseness and brevity, which are indispensable features of medical case reports as a genre. Therefore, it is highly important to draw students' attention to the most prevalent mythological and literary eponyms, used in contemporary medical case reports, so they could use them appropriately, as well as with due awareness of the origin of these terms. The study also demonstrated that medicine and humanities are closely related and inherently interconnected areas. We believe that the study of this group of eponyms should be an integral component of doctors' training and continuing professional education. This will ensure the interdisciplinary and synergic approach in modern medical education, which in turn will promote the all-round development of future healthcare specialists, endowed not only with professional expertise, but also with extensive background knowledge.

[Oedipus, a traumatological - orthopaedic case? - Essay on an unfortunate figure from antiquity]. / Ödipus, ein traumatologisch - orthopädischer Fall?

This essay studies the physical shape, character and fate of Oedipus, applying relevant and current medical scientific criteria. The abuses he suffered during childhood play an important role in this context. The name Oedipus is usually translated as "swollen foot", but according to various etymological sources, the name can be interpreted in different ways. One of these interpretations alludes to fact that it was easy for the hero to solve the riddle of the sphinx because its key message addressed an orthopedic issue as it was dealing with the function of the feet. During Oedipus' life, he suffered many injuries and disorders, which can be classified using the current ICD code. There is, for example, his blindness after he had blinded himself. In addition, we can assume that Oedipus suffered from a post-traumatic stress disorder and a borderline personality disorder following the child abuse caused by his parents who intended to kill him. Thus, the discussion about his own responsibility for his actions is again being put into question. Oedipus`s life story is once again proof that Greek mythology can reflect the reality of life.

Endocrine disruptors in ancient times and Greek mythology: the spring of Salmacis and the curse of Hermaphroditus.

According to Greek mythology, the spring waters of Salmacis (or Salmakis) feminized the god Hermaphroditus (or Hermaphroditos) and transformed his nature from male to half-male and half-female. The mythical properties of these waters are described in the writings of authors and philosophers of the Hellenistic period. It is evident that the spring of Salmacis and lake actually existed (located in Halicarnassus, today Bodrum, Turkey) and are not the product of poetic imagination. Hence, it could be hypothesized that there were certain natural elements in the waters that had a feminizing effect on the male reproductive axis. We now know, in fact, that naturally occurring environmental agents, also known as endocrine disruptors, can affect the endocrine and reproductive function of both males and females. However, since most endocrine disruptors today are manmade products of the modern industrial lifestyle, the presence and effect of naturally occurring disruptors in times preceding the Industrial Revolution are not widely discussed. It is thus against this background that we seek to formulate a differential diagnosis of male feminization attributable to the effect of natural environmental factors in the form of endocrine disruptors that will have existed in environments round the globe since time immemorial. We conclude that if there had been an accumulation of the mycotoxin zearalenone (ZEA) in the waters of Salmacis, chronic exposure to the lake's water could have resulted in the phenotypic changes described in the Salmacis myth.

Hercules and Cancer: A Metaphorical Attempt to Beat Mortality.

Art offers a visual document of ancestral suffering, as such mythological images in the arts can provide cathartic relief in our patients with existential anxiety. The image of Hercules fighting Hydra and Cancer may serve as an example on how art can help attaining that goal. One example of such an attempt is reflected in the story of Hercules who had to defeat Hydra and Cancer as part of his twelve labors to become immortal. The same way Hercules fought against Cancer to become immortal, humans fight against cancer to defeat death. Cancer is a constant threat to mankind; oftentimes feeling as if it belongs to an alternate reality; a different reality we cannot comprehend, but that will unavoidably reach and impact us all.

MYTHS AND TRUTHS OF THE ASSOCIATION OF RETINAL VASCULAR OCCLUSION WITH COVID-19.

PURPOSE: To critically review data published in the recent past to scrutinize a causal relationship between retinal vascular occlusion and COVID-19. METHOD: A comprehensive literature search was performed on Pubmed with the key words retinal vascular occlusion, retinal vein occlusion, retinal artery occlusion, and COVID-19. RESULTS: A total of 17 case reports were published during this period, and 10 were on retinal vein occlusion and 7 on retinal artery occlusion. Most of the published reports lacked convincing evidences in one or the other aspects, such as insufficient laboratory workup or presence of multiple confounding risk factors. CONCLUSION: In this index article, strength of the data is insufficient to establish a definitive cause-and-effect relationship of retinal vascular occlusive disorders with COVID-19. Hence, clinicians can continue to manage these cases according to the standard guidelines until there are more robust evidences to support this association to alter the diagnostic and treatment modalities.

[Interspecies systemic chimeras]. / Les chimères « systémiques ¼ homme/animal.

Inter-species chimeras are both fantastic and monstrous creatures from Greek or Egyptian mythology, and a long-established research tool. Recent advances in the field of pluripotent stem cells have made it possible to extend the repertoire of inter-species chimeras to "systemic" chimeras, in which the mixing of cells from both species involves all organs including the germline. These chimeric embryos and fetuses open up new research avenues and potential medical applications. We will review the latest advances in the field. We will discuss the concepts of developmental complementation and developmental equivalence. We will discuss the methodological hurdles to be unlocked, as well as the biological and ethical limits of these new technologies.

TITLE: Les chimères « systémiques ¼ homme/animal. ABSTRACT: Les chimères inter-espèces sont à la fois les créatures fantastiques et monstrueuses des mythologies grecque ou égyptienne, et un outil de recherche établi de longue date. Des avancées récentes dans le domaine des cellules souches pluripotentes ont permis d'élargir le répertoire des chimères inter-espèces aux chimères « systémiques ¼ dans lesquelles le mélange des cellules des deux espèces concerne tous les organes, y compris la lignée germinale. Ces embryons et fœtus chimériques ouvrent de nouvelles voies de recherches et des applications médicales potentielles. Dans cette revue, nous ferons le point sur les dernières avancées dans ce domaine. Nous discuterons les concepts de complémentation et d'équivalence développementale. Nous évoquerons également les verrous méthodologiques à débloquer, ainsi que les limites biologiques et éthiques de ces nouvelles techniques.

Covid-19 pandemic and bats: a lucky symbol of evil fortune.

Not available.

Mythological figures in art and genetics: Current perspectives on cyclopia and chimerism.

Mythical figures have been part of human cultural tradition for centuries, worldwide. Some of them were totally imaginary, others were likely inspired by individuals with malformation syndromes, while others are composites of parts of different species. Various artists have created works of art based on these mythical or hybrid beings, such as cyclops and chimeras. The plethora of representations of artworks in ancient, but also contemporary art (statues, paintings, illustrations, photographs, installations) is proof that they still continue to be a source of inspiration, although their rendering and interpretation have changed over time. Contemporary medical genetic knowledge has revealed the underlying pathogenesis and causative molecular basis of malformation syndromes and delineates the corresponding phenotypes. Today, many figures once viewed as mythical are reflected in living humans with medical diagnoses. Ancient terms that arose in mythology-cyclopia, chimera/ism, and others-live on in the medical literature.

Wearing the wolf skin: psychiatry and the phenomenon of the berserker in medieval Scandinavia.

This paper examines the berserker, a frenzied warrior attested to in both the written and material sources of medieval Scandinavia, and elucidates the characteristics that define him. It critiques explanations for the phenomenon offered in the existing historiography and whether this can be explained as a psychiatric diagnosis. It concludes that the berserker cannot be simply defined as a culturally bound or other psychiatric syndrome, or accounted for by psychogenic drugs alone. Instead, it proposes that berserk frenzy constituted a transitory dissociative state shared among a small warband steeped in religious/spiritual ideology. In entering this state, the psyche of the berserker was reconstituted in an almost archetypal pattern. Further research is required into this phenomenon in other contexts, including modern conflicts.