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Biomedical subjects

L J Hoenig

Publications and source records attributed to L J Hoenig.

9 recordsLinked to original sources

Jacob's limp.

This study describes in modern medical terms a traumatic hip injury suffered by the Biblical patriarch Jacob approximately 3,500 years ago. The case history is based on the original Hebrew text found in the Bible book of Genesis (Chapter 32:25-33) as interpreted by traditional Jewish commentaries on the Bible. Jacob sustained a hip injury in hand-to-hand combat with an adversary or through an intense physiological reaction to a prophetic vision of such a battle. He appears to have sustained neurological injury to his sciatic nerve as well as musculoskeletal damage to his hip. These injuries caused a temporary limping gait. Jacob probably sustained a neurapraxia of the sciatic nerve. The differential diagnosis of his musculoskeletal hip injury includes hip dislocation, fracture, soft tissue trauma, and articular pathology.

Bible

The degree of blood pressure evaluation and end organ damage with severe hypertension: a case-control study.

To investigate the association of blood pressure and end-organ damage in patients with severe hypertension in a case-controlled manner, 26 patients with syndromes of acute end-organ damage and severe hypertension were compared with 25 patients with severe but asymptomatic hypertension for a variety of demographic, clinical, and basic laboratory values. Differences were assessed with the Chi-square test and multiple logistic regression analysis. End-organ damage was significantly associated with a degree of systolic and diastolic blood pressure elevation, a history of hypertensive crisis, serum creatinine, and a history of alcohol use, in multivariate analysis. The relationship to creatinine and a history of hypertensive crisis were not present in univariate analysis. The possible relationships of these factors to the pathophysiology of hypertensive crisis are discussed.

Blood Pressure

The arthritis of Christopher Columbus.

Christopher Columbus suffered from an arthritic disorder that began on his First Voyage to the New World. The disease was progressive, punctuated by painful flares in the lower extremities, and, at times, seemed to be associated with fever and ocular symptoms. During his Fourth Voyage and final years of life, Columbus was immobilized by his rheumatologic condition. This article uses contemporary historical accounts of Columbus' illness to trace the clinical features of his disease.

Arthritis

Ben Achiya: the first gastroenterologist in ancient Israel?

Ben Achiya was the name of a Second Temple official who treated the digestive problems of ailing Jewish priests approximately 2500 years ago in Jerusalem. This article examines Talmudic and Rabbinic sources that provide the earliest historical record of a gastrointestinal specialist in ancient Israel.

Gastroenterology

The life and death of Ismar Boas.

Dr. Ismar Boas (1858-1938) was the founder of the medical subspecialty of gastroenterology. In 1886, he opened in Berlin the first specialty clinic for the study of digestive diseases. In 1895, he founded the first journal devoted to gastroenterology. During his long and productive career, Boas was a pioneer in nearly all areas of his field. His most lasting scientific accomplishment is his work on occult bleeding, which first introduced the clinical importance of this abnormal finding for the early diagnosis of gastric carcinoma. Fifty years ago, in 1938, Ismar Boas killed himself as the Nazis occupied Vienna. In this article, we honor the memory of a great physician and retrace the circumstances of his death.

Gastroenterology