IAHN
Editor-in-Chief: Janusz Ostrowski
Deputy Editor-in-Chief: Davide Viggiano
Editors: Maria Kalientzidou, Guido Gembillo
IAHN Bulletin is the official E-Newsletter of the International Association for the History of Nephrology
INTRODUCTION
Dear Friends,
Although
slightly
delayed,
we
are
glad
to
give
to
your
hands
the
8
issue
of
our
Bulletin
whose
publication
was
largely
prompted
by
the
most
prominent
event
in
the
life
of
our
Association,
that
is
the
12th
IAHN
Congress
held
in
Istanbul,
Turkey
between
30
June
and
3
July
2022.
The
new
Council
elected
in
Istanbul
will
face
its
most
important
task,
which
is
increasing
the
number
of
new
members
of
the
Association.
You
will
find
more
information
on
this
subject
in
this
Bulletin.
The
first
half
of
2022
saw
a
number
of
key
events
in
the
world
of
nephrology
that
are
worth
mentioning.
These
included
national
congresses
held
in
individual
countries,
chiefly
across
Europe.
The
World
Kidney
Day
that
has
been celebrated around the globe for several years now, also attracted attention.
Unfortunately,
there
is
also
bad
news
as
many
prominent
nephrologists
passed
away,
among
them
prof.
Stefan
Angielski, prof. Władysław Grzeszczak in Poland and prof. Ismail Islek in Turkey.
After
the
last
congress,
the
editorial
board
of
the
Bulletin
was
joined
by
new
colleagues
i.e.
Davide
Viggiano,
Maria
Kalientzidou
and
Guido
Gembillo.
I
am
sure
this
will
have
a
positive
effect
on
the
quality
and
content
of
our
Newsletter.
Unceasingly,
we
encourage
all
our
members
and
supporters
to
send
materials
for
publication
in
the
Bulletin.
Your
input
can
be
in
the
form
of
reports
of
nephrology
events,
reviews,
information
about
the
achievements
of
our
members
etc.
We
will
be
very
grateful
for
all
the
materials.
I
hope
that
in
the
new
situation
our
official
journal
will
gain
more
importance
and
contribute
to
the
development
of
the
IAHN.
Both
the
newly-elected
IAHN
Council
and
the
editors
of
the Bulletin are strongly committed to this case.
Janusz Ostrowski
Editor-in-Chief
Bulletin
No. 8, July 2022
www.iahn.info
Janusz Ostrowski
Professor,
Centre of Postgraduate
Medical Education,
Warsaw, Poland
janusz.ostrowski@cmkp.edu.pl
Board of the International Association for the History of Nephrology
Ayse Balat – President
Iwannis Stefanidis – Past President
Davide Viggiano – President Elect
Vincenzo Savica – Treasurer
Natale G. De Santo - (ex officio)
Councillors:
OBITUARy
The
12th
Congress
of
the
International
Association
for
the
History
of
Nephology
(IAHN)
took
place
in
Istanbul
on
June
30-July
2,
2022,
organized
by
Professor
Ayse
Balat,
newly
appointed
President
of
IAHN
and
by
Ahmet
Aciduman, Professor of History of Medicine at the University of Ankara and Councillor of IAHN.
The
Congress―in
presence
and
online―started
with
a
memorable
cruise
on
the
Bosphorus
and
included
two
State-
of-the-art lectures, 7 plenary lectures, 5 mini lectures, 24 oral presentations and an introduction dedicated to Istanbul.
The
following
is
a
personal
view
of
the
12th
IAHN
Congress,
the
view
of
a
physician
scientist
who
has
had
the
possibility
to
attend
to
all
IAHN
Congresses
(1)
including
the
Conference
on
History
of
Nephrology
in
Naples
and
Montecassino
on
October
28-30,
1993,
that
gave
origins
to
IAHN
(2).
“The
notion
of
organizing
a
conference
on
History
of
Nephrology
was
first
conceived
in
July
1991,
in
a
bus
on
the
highways
of
Poland
by
Natale
G.
De
Santo,
Shaul G. Massry and Garabed Eknoyan”(2).
State-of-the-art Lectures
Garabed
Eknoyan
,
opened
the
Congress
online
with
a
stimulating
and
complex
State-
of-the-art
Lecture
on
Interstitial
Nephritis,
Wherefrom,
Wherein
and
Whereto
that
received
many
favourable
comments
at
the
congress
site.
Eknoyan
set
out
on
a
journey
from
1827
to
the
present,
starting
with
chronic
lesions
described
by
Richard
Bright.
He
explained
that
renal
lesions
from
scarlet
fever
observed
in
1858
guided
the
definition
of
acute
interstistial
nephritis
(AIN)
in
1898.
The
subsequent
milestone
was
the
definition
on
tubulointerstitial
nephritis
(TIN)
in
1963
and
its
fibrotic
lesions
that
have
pioneered
our
understanding
that
progression
of
kidney
diseases
is
independent
of
their
etiologies.
Figure 1. Professor Angielski
(photo Janusz Ostrowski)
On
22
April
2022,
an
outstanding
Polish
scientist
and
an
Honorary
Member
of
the
Polish
Society
of
Nephrology,
Professor
Stefan
Angielski,
passed
away.( Fig. 1)
S.
Angielski
was
born
in
Liuboml
in
Volyn
in
1929.
At
the
age
of
11
he
was
deported
to
Siberia
with
all
of
his
family,
and
only
managed
to
return
to
Poland
after
WW2.
Meanwhile,
his
father
was
murdered
in
the
Katyn
massacre
in
1940.
He
began
his
medical
studies
at
the
Medical
Academy
in
Gdańsk
in
1949,
where
he
obtained
his
diploma
in
1954.
His
professional
career
began
while
he
was
still
an
undergraduate
at
the
Department
of
Physiological
Chemistry
of
the
Medical
Academy
in
Gdańsk.
In
1958–1964,
Stefan
Angielski
was
a
lecturer
at
the
Laboratory
of
Pathological
Biochemistry
at
the
Institute
of
Biochemistry
and
Biophysics
of
the
Polish
Academy
of
Sciences,
and
then,
in
1964–1999
-
the
Head
of
the
Laboratory
and
then
Department
of Clinical Biochemistry which he had organised. It is worth adding that it was the first unit of this type in Poland and one of very few in the world.
In
1958,
S.
Angielski
obtained
a
doctoral
degree
in
medical
sciences
on
the
basis
of
the
work
"Amino
acids
in
the
urine
of
identical
and
fraternal
twins",
and
in
1963
-
the
title
of
habilitated
doctor
for
the
work
"Effects
and
transformation
of
maleic
acid
in
the
kidney".
He
received
the
title
of
associate
professor
in
1973
and
professor
in
1980.
He
was
the
author
or
co-author
of
over
250
scientific
papers,
which
were
cited
in
the
world
literature
about
2,000
times. He was also an editor or author of chapters in 12 textbooks on clinical biochemistry, laboratory analysis, nephrology and hypertension.
Stefan
Angielski
held
high
positions
in
international
scientific
bodies.
In
1975–1980
he
was
an
expert
of
the
World
Health
Organisation
on
Genetics,
and
in
1980–1991
-
a
member
of
the
Board
of
the
International
Society
of
Nephrology,
being
internationally
responsible
for
the
department
of
kidney
metabolism.
In
1999,
after
his
retirement,
he
became
the
Head
of
the
Laboratory
of
Cellular
and
Molecular
Nephrology
at
the
Institute
of
Experimental
and Clinical Medicine of the Polish Academy of Sciences.
Professor
Stefan
Angielski
also
held
very
important
administrative
positions
at
the
Medical
Academy
in
Gdańsk.
In
1970–1975
he
was
Director
of
the
Institute
of
Pathology,
in
1975–1980
Vice-Rector
for
Science,
and
in
1990–1993
the
Rector
of
the
University.
He
was
awarded
with,
inter
alia,
the
Gold
Cross
of
Merit,
the
Knight's
Cross
and
the
Officer's
Cross
of
the
Order
of
Polonia
Restituta,
the
Medal
of
the
National
Education
Commission
and
the
Johannes Hevelius Award of the City of Gdańsk.
Professor Stefan Angielski’s death is a big loss for Polish science, his alma mater and the Polish Society of Nephrology.
Janusz Ostrowski
Figure 2. Speakers from the left: prof. Marcin Adamczak, prof. Beata Naumnik,
prof. Janusz Ostrowski, prof. Ryszard Gellert.
INFO FROM POLAND
World Kidney Day in Poland
Similarly to the rest of the world, also in Poland a scientific session has been organised to mark the World Kidney Day. This year, the event took place on
11 March and was again organised by Professor Ryszard Gellert, Director of the Centre of Postgraduate Medical Education in Warsaw and the National
Consultant in Nephrology. The session attended by about 200 participants was still held in a remote system. The lecturers were leading Polish
nephrologists, including members of the IAHN, prof. Andrzej Więcek (honorary member), Prof. Przemysław Rutkowski (former member of the IAHN
Board) and prof. Janusz Ostrowski, former President of the society. The main topics discussed included: the report on the state of renal replacement
therapy in Poland, SARS-CoV-2 in nephrology, pharmacorevolution in nephrology and nephrology development prospects. (Fig. 2)
NEPHROCARDIOLOGY Conference
Another prominent event in Poland was the scientific and training conference titled "Nephrocardiology", which is also organised periodically by the
centre of nephrology in Białystok, led by prof. Beata Naumnik. It took place on 22-23 April at the Medical University of Białystok in the Branicki Palace.
The conference gathered a large group of participants interested in topics common to the fields of nephrology and cardiology. As in the previous case,
IAHN members, prof. Andrzej Więcek as a lecturer, and professors Przemysław Rutkowski and Janusz Ostrowski as session leaders and participants of
discussion panels, took an active part. (Fig. 3,4)
Congress of the Polish Society of Nephrology
Undoubtedly, the most important event would be the 14th Congress of the Polish Society of Nephrology held in Wrocław, where prof. Zdzisław Wiktor
established Poland’s first nephrology clinic back in 1958. The congress took place on 9-11 June and was attended by about 500 participants. Many hot
issues were discussed, including optimisation of renal replacement therapy, interdisciplinary care for patients with nephropathy, treatment of
glomerulopathy, inhibition of the progression of chronic kidney disease, and directions of nephrology development. One of the most important points of
the Congress was the election of the new Board of the Polish Society of Nephrology. For the second time in its history, the body will be headed by a
woman, Professor Magdalena Krajewska, Head of the Department and Clinic of Nephrology and Transplantation Medicine at the Medical University in
Wrocław. (Fig. 5,6,7)
Figure 4. Professor Janusz Ostrowski, first from the right.
(photo Maria Ostrowska)
Figure 3. Professor Przemysław Rutkowski, second from the right.
(photo Maria Ostrowska)
Figure 6. New Board of the Polish Society of Nephrology.
Prof. Magdalena Krajewska fourth from the right.
(photo: Janusz Ostrowski)
Figure 5. Dr Marek Muszytowski, former IAHN Councillor,
awarded with the title of Meritorious to Polish Nephrology.
(photo: Janusz Ostrowski)
Figure 7. Chairs of the scientific session.
First from the left Janusz Ostrowski.
(photo: Maria Ostrowska)
THE 12TH CONGRESS THE INTERNATIONAL ASSOCIATION FOR THE HISTORY OF NEPHROLOGY
Natale G. De Santo, MD
Emeritus Professor,
University of Campania
Luigi Vanvitelli,
Naples, Italy
Natale
Gaspare
De
Santo
gave
the
second
State-of-the-art
lecture,
on
Renal
Diseases
of
Roman
Pontiffs
.
He
started
with
the
1st
description
of
crush
syndrome
that
caused
the
death
in
1192
of
John
XXI,
the
pope
philosopher
of
Portuguese
origin,
five
days
after
the
ceiling
of
his
office
fell
down
on
him
while
working.
The
case
was
narrated
by
Sifridus
de
Balnhusin,—a
chronicler
and
Catholic
presbyter
at
Ehrfurt
(d.1306)—in
Compendium
Historiarum
Monumenta
Germaniae
Historica
Scriptorum
.
De
Santo
also
covered
renal
stone
disease
of
non-gouty
origin
(11
pontiffs),
hydropsy
of
various
origins
(nine
pontiffs),
AKI
associated
with
urosepsis
(2I
pontiffs)
and
gouty
kidney
stone
disease
(26
pontiffs).
He
also
showed
that
there
was
a
discrepancy
in
the
prevalence
on
kidney
stones
in
popes
and
what
we
see
now
in
the
general
population.
In
pontiffs,
uric
acid
stones
more
than
calcium
stones
were
detected.
He
also
demonstrated
that
papal
gouty
stone
disease
fits
well
in
the
model
hypothesized
by
the
Theory
of
Epidemiological
transition
since
gout
and
uric
acid
stones
in
the
last
100
years
disappeared
from
Vatican
palaces,
whereas
they
are
increasing
in
the
general
population,
thus
pointing
to
the
role
of
education
in
eradicating
bad
lifestyles.
The
work
was
complemented
by
data
of
Carmela
Bisaccia
et
al.
on
Malaria
a
papal
disease
,
showing
that
in the years 996 to 1590 AD, a group of 17 popes (from Gregory V to Urban VII) died of malaria.
The Plenary Lecture of the Chairs of the 12th IAHN Congress
Ayse
Balat
and
Ahmet
Aciduman
presented
data
on
Hamse-iŞanizade
(KhamseShānī-zāde)
the
most
important
treatise
written
by
Şanizade
Mehmed
Ataullah
Efendi
(1769
or
1771
–
1826),
a
most
celebrated
and
pioneer
Ottoman
physician,
historian,
polymath
and
polyglot.
The
treatise
consists
of
five
books:
the
first
on
anatomy,
the
second
on
physiology,
the
third
on
diseases
and
their
treatments,
the
fourth
with
surgical
treatments,
the
fifth
book
is
a
pharmacopeia.
The
authors
have
focused
their
interest
on
the
sections
related
to
kidney
and
bladder
anatomy,
physiology,
diseases
and
their
medical
and
surgical
treatments.
Balat
and
Aciduman
have
examined
the
sections
on
the
kidney
and
bladder
anatomy,
physiology,
diseases
and
their
medical
and
surgical
treatments,
transliterated
into
the
modern
Turkish
alphabet
and
finally
translated
into
English.
So
their
presentation
was
on
an
original
topic
that
appealed to audience because of its novelty.
The Plenary Lecture of the President of the 48th ISHM Congress in IASI
Dana
Baran
,
Secretary
of
the
of
International
Society
of
History
of
Medicine
and
President
of
the
48th
ISHM
Congress
in
Iasi
this
year,
delivered
a
plenary
lecture
online
entitled
Some
Romanian
studies
on
renal
physiology
and
Biological
rhythms
.
She
discussed
“1.
correlations
between
the
renal
system
and
the
hypothalamic-pineal
axis
of
the
central
circadian
pace-maker;
2.
impact
of
pineal
serotonin,
melatonin
and
arginine-vasotocin
hormones
and
renin-angiotensin
system
on
kidneys;
3.
Kallikreinkinin
system
influence
on
blood
pressure,
coagulation,
inflammation
and
pain;
4.
quantitative
and
qualitative
periodical
oscillations
of
urinary
excretion;
5.
cardiovascular
circadian
rhythms,
homeostatic
variations
and
reciprocal
interaction
with
the
kidneys;
6.
interference
of
endocrine,
nutritional
and
metabolic
rhythms
with
renal
chronobiology;
7.
erythropoietin
circadian
rhythms;
8.
age
influence
upon renal biorhythms”.
Very
specialized
and
enlightening
contributions
on
the
history
of
nephrology,
pediatric
nephrology,
dialysis,
transplantation―from
the
second
half
of
the
20th
century
to
present―in
Turkey,
the
Arab
World,
in
Europe,
Poland,
Bosnia
Herzegovina,
Croatia
and
Pub
Med
were
given
by
Ali
Başcı,
Ayfer
GürGüven,
RezanTopaloğlu,
Dina
Abdellatif,
Janusz
Ostrowski,
Halima
Resic,
Sanjiin
Racki
and
Iwannis
Stefanidis
.
The
talks
of
Halima
Resic
and
Sanjin Racki
fully detailed the excellency in dialysis and transplantation in Bosnia Herzegovina and at the University of Rijecka and in Croatia.
The lectures of Katarina Derzsiova, M. Şükrü Sever and Mehmet Haberal had a great scientific and emotional impact on the congress.
Katarina
Derzsiova
(Kosice)
illustrated
the
emigration
of
scientists
from
Czechoslovakia
during
Soviet
domination.
She
focused
on
the
Prague
Spring
and
on
the
invasion
on
the
Warsaw
Pact
troops
in
1968
lasting
until
1989.
The
invasion
of
WPT
into
Czechoslovakia
and
the
period
of
cruel
normalization,
had
a
very
negative
impact
on
the
lives
and
work
of
the
Czechoslovak
people,
especially
on
those
with
higher
education.
It
caused
a
political
emigration
from
behind
the
Iron
Curtain.
Many
prominent
scientists,
physicians,
writers,
artists
and
journalists
left.
From
the
field
of
art
she
mentioned
Škvorecký,
Prečan,
Lustig,
Kohout,
Landovský,
Kundera,
from
the
political
field
Pelikán,
Tigrid.
She
illustrated
the
role
of
Jan
Brod
and
William
Ganz.
Brod,
President
of
the
Third
Congress
of
the
International
Society
of
Nephology
in
Prague
in
1996
one
of
the
signatories
of
Two
Thousand
Words:
A
Manifesto
for
Prague
written
by
Ludvik
Vaculik.
It
was
a
political
emigration
from
behind
the
Iron
Curtain.
Brod
emigrated
to
Germany.
Professor
William
Ganz
was
the
world-famous
cardiologist
of
Slovak
origin,
born
in
Košice.
In
1966
he
emigrated
to
the
USA.
He
was
a
co-
inventor
with
Jeremy
Swan
of
the
Swan-Ganz
balloon
flotation
catheter.
Jiří
Pelikán
(1923-1999),
left
Prague
and
was
given
asylum
in
Italy.
He
was
elected
to
the
European
Parliament
for
the
Italian
Socialist
Party
in
1979
and
1984.
After
The
Velvet
Revolution
in
1989
he
was
part
of
the
consultive
council of President Václav Havel.
Professor
M.
Şükrü
Sever
celebrated
Erich
Frank
(1884-1957),
the
unsung
pioneer
in
Turkish
nephrology
and
reformer
of
the
Turkish
University.
Frank,
a
German
scientist
who
had
explored
the
mysteries
of
orthostatic
proteinuria,
essential
hypertension
and
diabetes
insipidus
in
Breslau,
“when
Germany
turned
to
Nazism,
Frank
moved
to
Turkey,
where
he
was
appointed
co-chair
of
the
Department
of
Medicine
of
the
newly
established
Istanbul
University. For the next 23 years, he trained a new generation of modern physicians and laid the foundation of several medical disciplines in Turkey”.
Mehmet
Haberal
,
Professor
at
the
Baskent
University
Faculty
of
Medicine
in
Ankara,
illustrated
the
history
of
kidney
transplantation
in
Turkey.
He
personally
started
on
November
3,
1975
and
going
on
for
a
total
of
3333transplants
(May
2022).
He
proclaimed
present
difficulties
of
transplantation
in
Turkey and asked IAHN members to support the project for expanding the very limited deceased donor program.
The outstanding lectures of Vincenzo Savica, Guido Bellinghieri, Iwannis Stefanidis and Athanasios Diamandopoulous
Vincenzo Savica, the Treasurer of IAHN, added another pearl to his series on the history of urine. As usual he departed from antiquity to introduce the
future. “In antiquity urine was considered a sacred element related to Hindu’s and Tantric religious traditions. It was not considered as a waste product of
the body: but a distilled product selected from the blood and containing useful substances for body care. Sanscrit book Shiwambu’ KalpaVidhi, 5000
years BC, reported urine advantages and Sumerian doctors as well (4000 years BC).Today astronauts produce 23 liters of drinking water per day
recycling urine and shuttle humidity. Now it was discovered that urea from human urine could be a great building material for future moon bases. In fact
urea obtained from the urine of astronauts could be an accessible superplasticizer on the moon for lunar geopolymers by mixing it with regolite and
water/ice present on the moon to build flexible and resistant structures plasticizing the concrete”. Savica did not miss the opportunity to tell the audience
that for Eraclitus of Ephesus “Nothing is created, Nothing is Destroyed, Everything is Transformed”.
Guido Bellinghieri was absent because of Covid-19. His lecture on “JeronimusRuscelli and His Contribution to Nephrology 1504-1566), was illustrated
by Guido Gembillo. Ruscelli, a scientists of classical studies, was member of the Roman Academy of Sdegnati (scornful) and founder of the Academy of
Secreti while working in Naples as advisor of Marquis Alfonso D’Avalos. He authored as Alexius Pedemontanus, a book entitled “The Secreti” that met
with great success even after his death. In this masterpiece, “the author suggests therapies for the most varied diseases, claiming in most cases to have
been tested experimentally in the presence of witnesses in at least three clinical cases and successfully. This is an Aristotelian memory method mainly
based on the principle of provability and repetition so that they could be catalogued as scientifically valid proofs. From the over a thousand prescriptions
reported in the 1567 edition of “The Secreti Novi”, which have been extrapolated, the substances used were the most varied and sometimes curious.
According to Ruscelli, the prescriptions of this updated version of the book were “easy for everyone to do, of minor expense, and useful to all kinds of
people”. The topics of this masterpiece range from general medicine suggestions to more specialistic indications, with a great variety of prescriptions and
treatments of nephrological and urological interest”.
Iwannis Stefanidis President of IAHN discussed the “Remedies for Kidney Ailments in “Physica” by Hildegard von Bingen (1098-1179). A fascinating
topic developed through a specific geographical itinerary. Stefanidis studied “the characteristics of the nephrology oriented remedies in “Physica” and
compared them with the respective remedies in “de Materia Medica” (1st century AD) by Dioscorides Pedanios Anazarbeus. Among all plants there were
15 (5.1%) of nephrological interest (11 within plants and 4 within trees). Only some of the natural ingredients were found with the same indication in the
ancient text (9 out of15). The nephrological treatment indications found included dysuria, nephritic pain and lithiasis in 87% and dropsy (oedema) in
13.0% - comparable with 10% in the Materia Medica. The author concluded that “Physica” gives a reliable picture of medicine in the 12th c. as it was
practiced by the clergy for generations. It also incorporates Hildegard’s own observations and contemporary folk remedies. This fact is supported by the
limited homology of nephrological remedies in Hildegard’s “Physica” with the respective remedies in “de Materia Medica”.
Athanasios Diamandopoulous added an original and provocative hypothesis on the origin of Hippocrates’ thought. He focused “on some of his thoughts
concerning the body’s functions, their counterparts in manual works and their interpretation as an early intuition of the renal tubule’s function as well. The
material we used was the current knowledge of the physiology of the afferent, efferent convoluted tubules and Loop of Henle and a passage of
Hippocrates’ work “Regimen”.
The former, from its beginning to its end, pushes electrolytes, micronutrients and water out of its interior into the interstitial space and on the contrary, it
reabsorbs some of
them. This paradox countercurrent multiplication eventually achieves internal equilibrium. In Regimen 1.6 we read: “All other things are set in due order
[…] Those that take give increase, those that give make diminution.
Men saw a log; the one pulls and the other pushes, but herein they do the same thing, and while making less they make more. Such is the nature of man.
One part pushes, the other pulls; one part gives, the other takes”. Apparently, Hippocrates did not, and could not, know the details of renal function.
Although his hypothesis is crude, we are justified to consider it as the medical ancestor of our current physiological knowledge”.
The outstanding lectures of Vincenzo Savica, Guido Bellinghieri, Iwannis Stefanidis and Athanasios Diamandopoulous
The new editorial board of IAHN’s Bulletin ( Janusz Ostrowski, Davide Viggiano, Guido Gembillo and Maria Kalientzidou presented very
stimulating data.
Janusz Ostrowski, our Past President, gave two extraordinary presentations. The first in collaboration with Jan Kurkus was on Robert Tigerstedt and
the discovery of renin. The second on the history of nephrology in Poland before nephrology was added to the medical curriculum. Poland’s first
nephrological clinic was established in Wrocław in 1958 and was directed by Zdzisław Wiktor (1911-1970).
The first wave of Polish nephrologists included Thomas of Wrocław, Simon Sirenius, Jędrzej Śniadecki, Marceli Landsberg, Henryk Gnoiński, Witold
and Tadeusz Orłowski, Andrzej Biernacki. On them there is ample literature and their role is acknowledged.
Ostrowski identified four additional nephrologists of international fame, Tadeusz Browicz, Anastazy Landau and Stefan Dąbrowski.
Tadeusz Browicz (1847-1928), was professor of pathology at the University of Krakow and was a discoverer of the Browicz-Kupfer cells.
Anastazy Landau (1876-1957) was professor and author of significant contributions on renal physiology, glomerulonephritis, nephrosis and CKD
during his tenure at the Institute of Improvement and Specialisation of Medical Personnel in Warsaw.
Stefan Dąbrowski (1877-1947) was professor of medical physiology and chemistry at the University of Poznan and produced important studies on
diffusion and absorption in the kidneys and on the chemical nature of urochrome.
Davide Viggiano, Professor of Nephrology at the University Luigi Vanvitelli in Naples, incoming President Elect of IAHN and David Widmer of the
Sloan Ketterling Institute, gave An Analysis of Historical Figures with Depression and Kidney Disease: Current Co-Morbidity Studies in Light of Ancient,
Medieval, and Early Modern Descriptions of Disease. They addressed the problem of gout and melancholia in history. “For example, the poet Giovanni
Boccaccio was known to have suffered from gout and melancholia, several descendants of the Portuguese Avis and Spanish Trastamara dynasties, known
for melancholia and madness, also suffered from gout and dropsy, and an interesting historical case series can be seen in Alderson’s review of causes of
death for sultans of the Ottoman Empire. These historical records suggest an association of dropsy, gout, and melancholia paralleled in recent studies of
kidney disease symptoms and depression”. Viggiano and Widmer made a jump from history to modernity and provided a new perspective for old
concepts.
Guido Gembillo et al. celebrated “Franz Volhard: the 150th Birth Anniversary of a Father of Nephrology and Hypertension. His talk nicely dissected
the relevant parts of the “Die Brightische Nierenkrankheit. Klinik, Pathologie und Atlas”, authored by Volhardand Karl Theodor Fahr (1877-1945).
“They developed a new classification of Bright’s disease reported in the book “revolutionizing the concepts behind the mechanisms of
glomerulonephritis ”.They differentiated between (1) degenerative diseases, such as nephrosis (nephrotic syndrome); (2) inflammatory renal diseases,
such as either focal (acute, chronic, postinfectious-interstitial) or focal embolic, or diffuse glomerulonephritis (3) arteriosclerotic renal diseases. Volhard
and Fahr also focused on the different manifestations of uremia: they divided uremia-associated symptoms into two criteria called “true uremia” and
“pseudo-uremia”.
Guido Gembillo, also celebrated the 500th anniversary of the first report on Horseshoe Kidney. Gembillo et al. depart from 3 dates: 1522, 1564, 1761.
“In 1522 Berengario da Carpi described for the first time this renal malformation in his masterpiece “Isagogae breves“ (Introduction to Anatomy). He
reported the findings of a post-mortem examination in the public autopsy hall of the University of Bologna, describing “kidneys continuous as if they
were one kidney, with two emulgent veins, two emulgent arteries, two ureteric ducts”. In 1564 Leonardo Botallo further described and illustrated the
characteristics of this atypical anatomical presentation and later, in 1602, Leonard Doldius added more details by studying this anatomical feature in an
autopsy. In 1761, Giovanni Battista Morgagni discussed this condition not only as a rare anatomical curiosity found only in necroscopy but discussed its
physiological aspect”. Gembillo fully explored the data on the advent of surgery and those more recent on imaging technique.
Maria Kalientzidou, councilor of IAHN, discussed Ancient Wisdom in Pandemic Times: Socrates’ Triple Filter Test. She pointed out that ”in the era of
advanced information and communication tools, public understanding comes mainly from social media and consequently, this causes many conflicts
regarding the prevention and treatment of the disease, shaping and constructing public opinion and reality. Paradoxically, although vaccination against
Covid-19 has proven its efficacy and safety, it remains a profound issue of debate. Nowadays we navigate in social media sources to find the answers as
Socrates was navigating in the ancient «agora» to give the answers by conducting the triple filter test”.
Janusz Ostrowski
Figure 9. Past-President of the IAHN, prof. Iwannis Stefanidis
(photo. Janusz Ostrowski)
Figure 8. From the left: Prof. Ahmet Aciduman (V-ce President)
and Prof. Ayse Balat (Congress President) (photo. Janusz Ostrowski)
Figure 11. Cruise on the Bosphorus
(photo. Janusz Ostrowski)
Figure10. Cruise on the Bosphorus
(photo. Janusz Ostrowski)
Figure 29. Prof. Natale De Santo (first from the left)
(photo. Janusz Ostrowski)
Figure 12. Cruise on the Bosphorus
(photo. Maria Ostrowska)
Figure 14. Participants of the Congress after session
(photo. Janusz Ostrowski)
Figure 13. Prof. Athanasios Diamandopoulos
(photo. Janusz Ostrowski)
Figure 16. Ing. Katarina Derzsiova
(photo. Janusz Ostrowski)
Figure 15. Prof. Natale De Santo
(photo. Janusz Ostrowski)
Figure 18. Dr Maria Kalientzidou
(photo. Janusz Ostrowski)
Figure 17. Prof. Davide Viggiano
(photo. Janusz Ostrowski)
Figure 20. Prof. Şükrü Sever
(photo Janusz Ostrowski)
Figure 19. Participants from Turkey
(photo. Janusz Ostrowski)
Figure 22. Prof. Ayse Balat
(photo. Janusz Ostrowski)
Figure 21. Dr Guido Gembillo during the lecture
(photo. Janusz Ostrowski)
Figure 24. Prof. Janusz Ostrowski
(photo. Maria Ostrowska)
Figure 23. First left: prof. Ahmet Aciduman, prof. Ayse Balat,
prof. Janusz Ostrowski, ing. Katarina Derzsiova, prof. Vincenzo Savica
(photo. Maria Ostrowska)
Figure 26. Dr Carmela Bisaccia
(photo. Janusz Ostrowski)
Figure 25. Prof. Vincenzo Savica
(photo. Janusz Ostrowski)
Figure 28. Prof. Athanasios Diamandopoulos (second from the right),
Honorary Member of the IAHN
(photo. Janusz Ostrowski)
Figure 27. After General Assembly of the IAHN.
Fifth from the left prof. Ayse Balat,
new President of the IAHN (photo. Maria Ostrowska)
Very original work in progress
A collection of very original data (mainly work in progress) were discussed by
H. Nil Sari, Abdullah Yildiz et al, Sadik Nazik et al, Özant Helvacı,
Eray Serdar Yurdakul and Nuray Güneş, Özant Helvacı et al, Ömer Bayrak et al., Murat Aksu, Özgür Kuş and Ahmet Aciduman, Ahmet
Aciduman and his group
. I was very impressed by the findings on sources of Efendi, and by those on Haly Abbas and on Rhazes . The data were very
innovative, but difficult to catch on the run at a tightly run congress.
On serendipity
The presentation by
Özant Helvaci
and
Burçak Cavnar Helvaci
on 3 discoveries due to serendipity was captivating. The first was the discovery of
phlorizin from the bark of the apple trees, published in Germany in 1835. The second was the administration of phlorizin to dogs that caused polyuria
and glucosuria. The third is the current use of phlorizin-based drugs in clinical practice.
Professors Emeriti and Emeritae at the 12th IAHN Congress
Over the last years the Bulletin of IAHN directed by Janusz Ostrowski and the Bulletin of the European Association of Professors Emeriti
(EAPE)―website: europemeriti.org―directed by Natale Gaspare De Santo on many occasions have published articles appearing in both journals, a sign
of friendly and productive collaboration.
The 12th IAHN Congress hosted presentations and/or chairs of many friends of EAPE, namely Garabed Eknoyan, Dana Baran, Halima Resic,
Guido Bellinghieri, Athanasios Diamandopolous, Vincenzo Savica and Natale G. De Santo. At the 12th IAHN Congress they had the opportunity to meet
with an outstanding group of Turkish Professors Emeriti and Emeritae who are historians of nephrology (Emel Akoglu, Ali Anarat, Ali Basci, Necla
Buyan, Ruhan Düsünsel, Ayfer Gür Güven, Hulusi Kocak, Sevgi Mir, Ayşe Öner, Nil Sarı, Lale Sever and Mehmet Sükrü Sever. The hope is that both
groups might be willing to collaborate for the progress of IAHN and EAPE.
All together they were the salt of the 12th IAHN Congress.
This report cannot provide to the readers of the Bulletin the atmosphere enjoyed at congress site and the sense satisfaction and excitement generated by
the advent of a new cadre of historians of nephrology that holds the potential for innovation and continuity in excellency.
Chairs and Speakers of the XIIth Congress of the International Association for the History of Nephrology (IAHN)" in alphabetical order: