High resolution body surface potential maps and an equivalent current dipole model of the cardiac generator were used to assess the heart state in two abnormal conditions: WPW syndrome with single accessory pathway and local ventricular ischemia. Results of a simulation study and experimental verification of the method for both cardiologic abnormalities are presented. Single accessory pathway in WPW syndrome was simulated as initial ventricular activation at the atrio-ventricular ring. Using a current dipole model of the cardiac generator, the locus of arrhythmogenic tissue was assessed with a mean error of 11 mm. Experimental localization of the accessory pathway in a WPW patient was in good agreement with the invasively obtained site. Local repolarization changes were simulated as shortening of the myocytes action potentials in three regions typical for stenosis of main coronary arteries. Using surface QRST integral maps and dipolar source model, small subendocardial and subepicardial lesions of myocardium were inversely located with a mean error of 9 mm and larger transmural lesions with a considerable mean error of 17 mm. Extent and prevalence of subepicardial or subendocardial type of the lesion were reflected in the dipole moment and orientation. In experimental verification of the method, in 7 of 8 patients that underwent PCI of a single vessel, estimated equivalent current dipole position matched well the treated vessel. The results suggest that diagnostic interpretation of body surface potential maps based on dipolar source model could be a useful tool to assess local pathological changes in the heart.
Changes in body mass and body reserves of Little Auks (Alle alle) were studied throughout the breeding season. Body mass loss after chick hatching was analyzed with respect to two hypotheses: (1) mass loss reflects the stress of reproduction, (2) mass loss is adaptive by reducing power consumption during flight. Body mass of both males and females increased during incubation, dropped abruptly after hatching, and remained stable until the end of the chick-rearing period. These changes were largely due to change in mass of fat reserves. Body mass, fat, and protein reserves, when corrected for body size, did not differ between sexes at the end of incubation. Female size-corrected body mass at that time was correlated with peak body mass of chicks. The estimated energy savings for flight due to the decline in adult body mass after chick hatching were small compared with the total energy expenditure of adults feedings chicks, which did not support hypothesis (2). The contribution to chick feeding was not equal; the ratio of females to males caught with food for chicks was 1.8. Size-corrected body mass during chick-rearing was lower in females, proportional to their higher chick feeding effort compared with males. Females, in contrast to males, lost protein reserves during chick-rearing. Digestive tract mass of adults increased by half throughout the breeding period. These findings supported elements of hypothesis (1). Despite high energy expenditure rates, both sexes had about 10 g of fat reserves at the end of chick feeding. Body mass of both sexes was constant during the greater part of the chick-feeding period. It was suggested therefore that mass loss is regulated with respect to lower fat reserves required during chick-rearing.
In this article I try to think about the terms “stories” and “ontologies” in Ewa Domańska’s works: Mikrohistorie. Spotkania w międzyświatach (1999; 2005), Historie niekonwencjonalne (2006), Historia egzystencjonalna (2012), Historia ratownicza (2014) and I try to compare my conclusions with her latest publication. I am interested in the turning point in her thoughts, giving up the theory and methodology of history and switching to the ontology of the dead body. In order to do this I look through these publications and indicate which threads could help work out the excellent, innovative, and fresh conception of Nekros. The main part of the article is a detailed discussion of this. In the other part, I consider how to interpret more traditionally a past description like “cultural memory” and whether Domańska’s works accidentally invalidate them. I suggest a short statement of Marcin Napiórkowski’s and Stephen Marks’ works to show closer (Marks) and further (Napiórkowski) parallels or completely different presentations of similar problems.
This article takes up Adam Dziadek’s somatic approach to literature to explore the theme of erotic experience in two poems by Jarosław Iwaszkiewicz, ‘L’amour Cosaque’ and ‘Amore profane’. With the help of inputs from gender studies and the contemporary theories of the subject it has been possible to profi le the ‘I’ of the poems as a deeply fragmented and sexually ambiguous subject, and, upon the evidence of the elusive autobiographical details woven into the text, as a subject suspended in a liminal space, between the real and the fi ctive world. After analyzing the body represented in the text, both perfect and decrepit, as well as traces of the poet’s carnality that interfere with the text and the reader’s sense of his own soma the article arrives at the following conclusion: in Jarosław Iwaszkiewicz’s lyrics the body seems to project its impressions and experiences onto reality, thus blurring the border between the inside and the outside.
The aim of the paper is to shed light on the theoretical background of the inclusion of health in the standard of living studies, and the use of two of its specifi c measures — life expectancy at birth and body height. Hence, the article describes the idea of capabilities and functionings developed by Amartya Sen as a proposed solution to the limitations of the classic measurement of the standard of living.
Martin Heidegger’s philosophy influenced both psychiatry and practical psychotherapy of mentally disturbed patients. The essay deals with Heidegger’s concepts of corporeality and disease, as they were expounded in the Zollikon seminars, and discusses the influence of Heidegger’s Dasein-analysis on Ludwig Binswanger and Medard Boss. The concepts of Dasein-analysis, proposed by the two psychiatrists, are also discussed. At the end of the paper the author shows the relevance of Heidegger’s thought for psychiatry and psychotherapy in general and for the so-called anthropological psychiatry in particular.