Szent remeték mint a szerzetesi élet példaképei: az egri irgalmas rendház 18. századi ablaktáblái Fr. Huetter Lukácstól

Abstract The order of the hospitaller brothers of St John of God worked in Eger from 1726 to 1950. One of them, brother Lucas Huetter (†1760) adorned the window shutters of the monastic cells with paintings between 1749 and 1760. The oil paintings are equally 68×38 cm. The painter in Eger used for his pictures the late 16th century print series by Johannes and Raphael Sadeler made after the works of Antwerp painter Marten de Vos (1532–1603) (titles of the series: “Solitudo sive vitae patrum eremicolarum”, “Sylvae sacrae” and “Trophaeum vitae solitariae”). The twelve scenes on the six window shutters are tightly connected to the monastic way of living. In the first pair of shutters Martinianus and Evagrius exemplify triumph over temptation. The second pair (St Venerius and St Paul the Simple) stresses the importance of obedience. The saint hermits (St Mary the Egyptian, St William of Maleval and Onuphrius) and St Francis of Assisi are paragons of poverty, asceticism and self-denial. The saints on the window shutters of the third cell (St Ignatius of Loyola, St Isidore of Madrid, the hermits Mutius and Simeon) all receive celestial help for the execution of their tasks. In “The Imitation of Christ” Thomas à Kempis presents the holy hermits and sainted founders of the orders as examples to be imitated by the monks and all God-fearing people. The window shutters in Eger did not merely serve as decoration for the cells but filled clearly didactic, exemplary roles: how to overscome the difficulties of the everyday life, to keep focused on God and to become a saint

Eszterházy Károly püspök Szűz Mária iránti tisztelete - műalkotások tükrében = Bishop Károly Eszterházy’s veneration of the Virgin Mary – as reflected in works of art

Bishop Károly Eszterházy’s veneration of the Virgin Mary – as reflected in works of art Most of the works of art ordered by the bishop (liturgical vestment, paintings, mural, statue), expressing the veneration of the Virgin Mary, are on public view in Eger. The bishop’s mitre with the embroidered scene of the Annunciation and an oil painting by Elias Mögel are exhibited at the Archiepiscopal Palace Cultural Tourism and Visitor Centre. The painting gives the illusion of being a wooden panel with the portrait of Bishop Károly Eszterházy on it, and a seven decade rosary hanging on a nail. In his circular letter of 10 March 1782, Károly Eszterházy ordered the rosary to be prayed throughout all parishes of his diocese. The altarpieces depicting Kings Saint Stephen and Saint Ladislaus seeking the intercession and patronage of Our Lady of Hungary (both painted by Johann Lucas Kracker), the statue of the Virgin Mary on the dam in Eger, the mitre, and the book on the life of the Blessed Virgin Mary (1772, Episcopal Printing House) ‒ all reflect the bishop’s spirituality, who wished to lead those entrusted to him to the trust in the Virgin Mary. Biskup Karol Eszterházy a jeho úcta k Panne Márii v kontexte umeleckých diel Na tému umeleckej mecenatúry biskupa Karola Eszterházyho vyšlo mnoho kníh i štúdií. Umelecké diela vzniknuté v naznačenom kontexte sú však menej známou oblasťou dejín umenia. Štúdia sa zaoberá práve nimi. Priblížime si hodvábnu mitru Karola Eszterházyho prešívanú striebrom, na ktorej je okrem jeho rodového erbu zobrazený aj výjav Zvestovania Panne Márii. Podobne sa venujeme aj dielam maliarov Eliasa Mögela a Johanna Lucasa Krackera, ktoré zobrazujú výjavy alebo predmety (napr. ruženec), vhodné zaradenia do skúmanej tematickej oblasti. Úcta Karola Eszterházyho k Panne Márii sa prejavuje aj v jeho obežníkoch a v nariadení modlitby ruženca. Zobrazenia svätých kráľov modliacich sa o príhovor patrónky Uhorska, socha jágerskej priehrady či výtlačky biskupskej tlačiarne sú odrazom spirituality veľkňaza, ktorý motivuje svoje ovečky k dôvere a náklonnosti k Panne Márii

Eszterházy Károly püspök Szűz Mária iránti tisztelete – műalkotások tükrében

Bishop Károly Eszterházy’s veneration of the Virgin Mary – as reflected in works of art Most of the works of art ordered by the bishop (liturgical vestment, paintings, mural, statue), expressing the veneration of the Virgin Mary, are on public view in Eger. The bishop’s mitre with the embroidered scene of the Annunciation and an oil painting by Elias Mögel are exhibited at the Archiepiscopal Palace Cultural Tourism and Visitor Centre. The painting gives the illusion of being a wooden panel with the portrait of Bishop Károly Eszterházy on it, and a seven decade rosary hanging on a nail. In his circular letter of 10 March 1782, Károly Eszterházy ordered the rosary to be prayed throughout all parishes of his diocese. The altarpieces depicting Kings Saint Stephen and Saint Ladislaus seeking the intercession and patronage of Our Lady of Hungary (both painted by Johann Lucas Kracker), the statue of the Virgin Mary on the dam in Eger, the mitre, and the book on the life of the Blessed Virgin Mary (1772, Episcopal Printing House) ‒ all reflect the bishop’s spirituality, who wished to lead those entrusted to him to the trust in the Virgin Mary. ----- Biskup Karol Eszterházy a jeho úcta k Panne Márii v kontexte umeleckých diel Na tému umeleckej mecenatúry biskupa Karola Eszterházyho vyšlo mnoho kníh i štúdií. Umelecké diela vzniknuté v naznačenom kontexte sú však menej známou oblasťou dejín umenia. Štúdia sa zaoberá práve nimi. Priblížime si hodvábnu mitru Karola Eszterházyho prešívanú striebrom, na ktorej je okrem jeho rodového erbu zobrazený aj výjav Zvestovania Panne Márii. Podobne sa venujeme aj dielam maliarov Eliasa Mögela a Johanna Lucasa Krackera, ktoré zobrazujú výjavy alebo predmety (napr. ruženec), vhodné zaradenia do skúmanej tematickej oblasti. Úcta Karola Eszterházyho k Panne Márii sa prejavuje aj v jeho obežníkoch a v nariadení modlitby ruženca. Zobrazenia svätých kráľov modliacich sa o príhovor patrónky Uhorska, socha jágerskej priehrady či výtlačky biskupskej tlačiarne sú odrazom spirituality veľkňaza, ktorý motivuje svoje ovečky k dôvere a náklonnosti k Panne Márii

Fatty Pancreas Is a Risk Factor for Pancreatic Cancer: A Systematic Review and Meta-Analysis of 2956 Patients

Pancreatic cancer (PC) is one of the most lethal cancers worldwide. Recently, fatty pancreas (FP) has been studied thoroughly, and although its relationship to PC is not fully understood, FP is suspected to contribute to the development of PC. We aimed to assess the association between PC and FP by conducting a systematic review and meta-analysis. We systematically searched three databases, MEDLINE, Embase, and CENTRAL, on 21 October 2022. Case-control and cross-sectional studies reporting on patients where the intra-pancreatic fat deposition was determined by modern radiology or histology were included. As main outcome parameters, FP in patients with and without PC and PC in patients with and without FP were measured. Proportion and odds ratio (OR) with a 95% confidence interval (CI) were used for effect size measure. PC among patients with FP was 32% (OR 1.32; 95% CI 0.42-4.16). However, the probability of having FP among patients with PC was more than six times higher (OR 6.13; 95% CI 2.61-14.42) than in patients without PC, whereas the proportion of FP among patients with PC was 0.62 (95% CI 0.42-0.79). Patients identified with FP are at risk of developing PC. Proper screening and follow-up of patients with FP may be recommended

Metabolic-associated fatty liver disease is associated with acute pancreatitis with more severe course: Post hoc analysis of a prospectively collected international registry

Introduction: Non-alcoholic fatty liver disease (NAFLD) is a proven risk factor for acute pancreatitis (AP). However, NAFLD has recently been redefined as metabolic-associated fatty liver disease (MAFLD). In this post hoc analysis, we quantified the effect of MAFLD on the outcomes of AP. Methods: We identified our patients from the multicentric, prospective International Acute Pancreatitis Registry of the Hungarian Pancreatic Study Group. Next, we compared AP patients with and without MAFLD and the individual components of MAFLD regarding in-hospital mortality and AP severity based on the revised Atlanta classification. Lastly, we calculated odds ratios (ORs) with 95% confidence intervals (CIs) using multivariate logistic regression analysis. Results: MAFLD had a high prevalence in AP, 39% (801/2053). MAFLD increased the odds of moderate-to-severe AP (OR = 1.43, CI: 1.09–1.89). However, the odds of in-hospital mortality (OR = 0.89, CI: 0.42–1.89) and severe AP (OR = 1.70, CI: 0.97–3.01) were not higher in the MAFLD group. Out of the three diagnostic criteria of MAFLD, the highest odds of severe AP was in the group based on metabolic risk abnormalities (OR = 2.68, CI: 1.39–5.09). In addition, the presence of one, two, and three diagnostic criteria dose-dependently increased the odds of moderate-to-severe AP (OR = 1.23, CI: 0.88–1.70, OR = 1.38, CI: 0.93–2.04, and OR = 3.04, CI: 1.63–5.70, respectively) and severe AP (OR = 1.13, CI: 0.54–2.27, OR = 2.08, CI: 0.97–4.35, and OR = 4.76, CI: 1.50–15.4, respectively). Furthermore, in patients with alcohol abuse and aged ≥60 years, the effect of MAFLD became insignificant. Conclusions: MAFLD is associated with AP severity, which varies based on the components of its diagnostic criteria. Furthermore, MAFLD shows a dose-dependent effect on the outcomes of AP

Discharge protocol in acute pancreatitis: an international survey and cohort analysis.

There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol. According to our international survey, 87.5% (49/56) of the centres had no discharge protocol. Patients discharged based on protocols have a significantly shorter median length of hospitalization (LOH) (7 (5;10) days vs. 8 (5;12) days) p < 0.001), and a lower rate of readmission due to recurrent AP episodes (p = 0.005). There was no difference in median discharge CRP level among the international cohorts (p = 0.586). HPSG-protocol resulted in the shortest LOH (6 (5;9) days) and highest median CRP (35.40 (13.78; 68.40) mg/l). Safety was confirmed by the low rate of readmittance (n = 35; 5%). Discharge protocol is necessary in AP. The discharge protocol used in this study is the first clinically proven protocol. Developing and testifying further protocols are needed to better standardize patients' care

Discharge protocol in acute pancreatitis : an international survey and cohort analysis

There are several overlapping clinical practice guidelines in acute pancreatitis (AP), however, none of them contains suggestions on patient discharge. The Hungarian Pancreatic Study Group (HPSG) has recently developed a laboratory data and symptom-based discharge protocol which needs to be validated. (1) A survey was conducted involving all members of the International Association of Pancreatology (IAP) to understand the characteristics of international discharge protocols. (2) We investigated the safety and effectiveness of the HPSG-discharge protocol. According to our international survey, 87.5% (49/56) of the centres had no discharge protocol. Patients discharged based on protocols have a significantly shorter median length of hospitalization (LOH) (7 (5;10) days vs. 8 (5;12) days) p < 0.001), and a lower rate of readmission due to recurrent AP episodes (p = 0.005). There was no difference in median discharge CRP level among the international cohorts (p = 0.586). HPSG-protocol resulted in the shortest LOH (6 (5;9) days) and highest median CRP (35.40 (13.78; 68.40) mg/l). Safety was confirmed by the low rate of readmittance (n = 35; 5%). Discharge protocol is necessary in AP. The discharge protocol used in this study is the first clinically proven protocol. Developing and testifying further protocols are needed to better standardize patients’ care.Peer reviewe