PROGRAMY OCHRONY I OPIEKI NAD ZABYTKAMI – NIEDOCENIONY ELEMENT POLSKIEGO SYSTEMU OCHRONY ZABYTKÓW

Under the Act of 23 July 2003 on the Protection and Guardianship of Monuments,a coherent model for caring for historic monuments and sites on both central and local levels was introduced. This concept is intertwined with monitoring and flow of information. The system of managing documents is aimed at optimising actions pertaining to the protection of cultural heritage. As there is a clear hierarchy of these documents, which can also correlate with each other, there are sound reasons behind establishinga coherent protection policy – from municipal/communal level to the central one. National, regional, district, and municipal/communal programmes pertaining to care for historic monuments and sites are strategic tools which shape policy, direct actions towards specific aims, and reflect the will. In a number of cases, however,no programmes have ever been developed. Administrative and legal supervision is still the predominant model in the protection of monuments and sites. The period of 2003 - 2016 was the time to „become familiar” with the new tool applied in heritage protection and management. One should learn from these experiences and promote the idea of devising a coherent strategy aimed at protecting historic monuments and sites by implementing programmes on all administrative levels.Under the Act of 23 July 2003 on the Protection and Guardianship of Monuments,a coherent model for caring for historic monuments and sites on both central and local levels was introduced. This concept is intertwined with monitoring and flow of information. The system of managing documents is aimed at optimising actions pertaining to the protection of cultural heritage. As there is a clear hierarchy of these documents, which can also correlate with each other, there are sound reasons behind establishinga coherent protection policy – from municipal/communal level to the central one. National, regional, district, and municipal/communal programmes pertaining to care for historic monuments and sites are strategic tools which shape policy, direct actions towards specific aims, and reflect the will. In a number of cases, however,no programmes have ever been developed. Administrative and legal supervision is still the predominant model in the protection of monuments and sites. The period of 2003 - 2016 was the time to „become familiar” with the new tool applied in heritage protection and management. One should learn from these experiences and promote the idea of devising a coherent strategy aimed at protecting historic monuments and sites by implementing programmes on all administrative levels

Pomniki Historii, a doświadczenia Światowego Dziedzictwa - rozważania na przykładzie drewnianej architektury sakralnej

The success and dynamic development of the World Heritage List shows the carrying capacity of the concept of identifying an elite group of goods important to the global community in terms of value. At the same time, the evolution of the list reveals threats of blurring of the message and compromising the value of entries after exceeding the critical quantitative mass. In the Polish context, one can see analogous processes and threats in relation to the group of the most valuable property - the Monuments of History. This raises questions about analogies and differences between the two sets of special assets and about the possibility of the Polish reception of the world's concepts of protection. An excellent reference group showing system inconsistencies are Polish monuments of wooden sacral architecture. It is on this example that the concept of "Serial monuments of history" is being discussed. The connection of this concept with the obligation to develop management plans as an expression of an active protective attitude may contribute to the optimization of the system of protection of the property of the highest value. At the same time, comparative analyses included in the management plan methodology may become a tool for rationalizing new recognitions of monument of history, determining the limits of the phenomenon's representation. Referring to a group of monuments, and not to a single, authoritatively appointed representative, is important both for the establishment of protection and education about heritage, as well as for the presentation of the cultural heritage of the country. There is no doubt that the collection of historical monuments and the subset of world heritage in the Polish system of monument protection should stand out as the most valuable assets, both in terms of prestige and due to the effectiveness and standards of protection specified in the management plans.Sukces i dynamiczny rozwój Listy Światowego Dziedzictwa ukazuje nośność koncepcji wskazania elitarnej grupy dóbr istotnych dla globalnej społeczności ze względu na wartość. Jednocześnie ewolucja listy ujawnia zagrożenia rozmywania się przekazu i dewaluacji wartości wpisów, po przekroczeniu ilościowej masy krytycznej. Na gruncie polskim można dostrzec analogiczne procesy i zagrożenia w stosunku do grupy dóbr najcenniejszych – Pomników Historii. Skłania to do pytań o analogie i różnice obu zbiorów dóbr szczególnych oraz o możliwość polskiej recepcji światowych koncepcji ochrony. Doskonałą grupą referencyjną ukazującą niespójności systemowe są polskie zabytki drewnianej architektury sakralnej. Na tym przykładzie omawiana jest koncepcja „Seryjnych pomników historii”. Związanie owej koncepcji z obowiązkiem opracowywania planów zarządzania, jako wyrazu aktywnej postawy ochronnej, może przyczynić się do optymalizacji systemu ochrony dóbr o najwyższej wartości. Jednocześnie zawarte w metodyce planów zarządzania analizy porównawcze mogą stać się narzędziem racjonalizowania nowych uznań za pomnik historii, określenia granic reprezentacji zjawiska. Odwoływanie się do grupy zabytków, a nie do pojedynczego, autorytatywnie wskazanego reprezentanta ma znaczenie zarówno dla stanowienia ochrony, jak i edukacji o dziedzictwie oraz prezentacji dziedzictwa kulturowego kraju. Nie ulega wątpliwości, że zbiór pomników historii i podzbiór dóbr światowego dziedzictwa powinny w polskim systemie ochrony zabytków wyróżniać się, jako dobra najcenniejsze, zarówno pod względem prestiżowym, jak i ze względu na skuteczność oraz standardy ochrony precyzowane w planach zarządzania

Representative or unique : dilemmas in protecting architecture of the 2nd half of the 20th century

A. Riegl stwierdził, że każde ludzkie dzieło posiada wartość historyczną, co czyni je potencjalnym zabytkiem. Myśl tę potwierdzono w Karcie Weneckiej, gdzie stwierdzono: Pojęcie zabytku rozciąga się również na skromne obiekty, które z upływem czasu nabrały znaczenia kulturalnego. Echem tych sformułowań jest egalitaryzm ustawy o ochronie zabytków i opiece nad zabytkami, według której zabytkiem może być to, co jest świadectwem minionej epoki oraz ma wartości historyczne, artystyczne i naukowe. Dla dzieł 2. połowy XX wieku (przynajmniej do 1989 r.) nie ma barier chronologicznych uznania za zabytek w myśl ustawy o ochronie zabytków, a zarazem jest to praktycznie jedyna skuteczna forma ochrony. Przy bogactwie zasobu pojawia się refleksja o konieczności wyboru przedmiotu ochrony. Pytanie, czy chronić np. „blokowiska”, jest trudnym wyzwaniem dla służby konserwatorskiej. Wymusza weryfikację doktryny i kryteriów wyboru obiektów chronionych, skupienie się na dziełach wyjątkowych, kosztem liczebności powtarzalnych.A. Riegl claims that all man-made works have historical value which makes them potential monuments. The idea was confirmed in the Charter of Venice, which states: the concept of monument also applies to modest objects which, in the course of time, have acquired cultural signifi cance. Those words were echoed in the egalitarian Monument Protection Act according to which everything that bears evidence of a bygone era and represents historic, artistic and scientific values may be a monument. For the works of the 2nd half of the 20th century (at least until 1989) there are no barriers of chronological recognition as monuments under the Monument Protection Law. This is the only effective form of monument protection. With the wealth of resources, there appears the need to reflect on the selection of protected objects. The question whether to protect serial houses is a diffi cult challenge for conservation officials. It demands verifying the doctrine, clarifying the criteria for the selection of protected buildings, focusing on exceptional objects at the expense of limiting the number of repetitive works

Subtypes of interictal depressive disorders according to ICD-10 in patients with epilepsy

Background and purpose The purpose of the study was to evaluate the frequency of interictal depressive symptoms and different subtypes of depressive disorders according to 10th revision of the International Classification of Diseases (ICD-10) criteria in patients with epilepsy and its association with the type of epilepsy. Material and methods 289 outpatients with epilepsy (169 females, 120 males) aged 18–82 years completed Beck Depression Inventory (BDI). Subjects who scored >11 in BDI were further evaluated by the psychiatrist according to the ICD-10 diagnostic criteria. Results 41.9% (121) of the 289 participants scored >11 in BDI. 104 (85.9%) patients who scored >11 in BDI had comorbid mental disorders according to ICD-10 criteria. The most common were organic mood disorders (F06.3 – 31.4%), depressive episode (F32 – 22.3%) and dysthymia (F34.1 – 9.1%) There were no differences in the prevalence of depression and subtypes of depression in patients with certain epilepsy types. Depression was diagnosed before entering the study in only one third of patients with final diagnosis of depression. Conclusions Our results confirm the prevailing view that interictal depression is common in epilepsy patients. Depression remains underrecognized and undertreated in patients with epilepsy

Subtypes of interictal depressive disorders according to ICD-10 in patients with epilepsy

Background and purpose: The purpose of the study was to evaluate the frequency of interictal depressive symptoms and different subtypes of depressive disorders according to 10th revision of the International Classification of Diseases (ICD-10) criteria in patients with epilepsy and its association with the type of epilepsy. Material and methods: 289 outpatients with epilepsy (169 females, 120 males) aged 18-82 years completed Beck Depression Inventory (BDI). Subjects who scored >11 in BDI were further evaluated by the psychiatrist according to the ICD-10 diagnostic criteria. Results: 41.9% (121) of the 289 participants scored >11 in BDI. 104 (85.9%) patients who scored >11 in BDI had comorbid mental disorders according to ICD-10 criteria. The most common were organic mood disorders (F06.3 – 31.4%), depressive episode (F32 – 22.3%) and dysthymia (F34.1 – 9.1%) There were no differences in the prevalence of depression and subtypes of depression in patients with certain epilepsy types. Depression was diagnosed before entering the study in only one third of patients with final diagnosis of depression. Conclusions: Our results confirm the prevailing view that interictal depression is common in epilepsy patients. Depression remains underrecognized and undertreated in patients with epileps

Sur les comitants algebraiques des densites

W pracy podano zastosowanie pewnej ogólnej metody klasyfikacji komitant algebraicznych obiektów geometrycznych tranzytywnych (zawartej w pracy [4]) do klasyfikacji komitant gęstości

Depressogenic medications and other risk factors for depression among Polish patients with epilepsy

PURPOSE: The aim of this study was to assess the prevalence of depression among patients with epilepsy and to establish the risk factors of depression in that group, with special focus on the use of potentially depressogenic medications. PATIENTS AND METHODS: We studied 289 consecutive patients who visited epilepsy outpatient clinic (University Hospital of Krakow) and met inclusion criteria. All patients were screened with Beck Depression Inventory (BDI), and those with BDI score ≥12 were further evaluated by a psychiatrist. RESULTS: Mean age of patients was 35.7 years, and mean duration of epilepsy was 14.7 years. Idiopathic generalized epilepsy was diagnosed in 63 patients (21.8%), focal epilepsy was found in 189 subjects (65.4%), and unclassified epilepsy was diagnosed in 37 patients (12.8%). Frequent seizures (>1 per month) were reported in 107 patients (37.0%). Thirty-five patients (12.1%) reported an ongoing treatment with one or more of the predefined potentially depressogenic medication (β-blockers, combined estrogen and progestogen, corticosteroid, or flunarizine). In a group of 115 patients (39.8%) who scored ≥12 points in BDI, depression was finally diagnosed in 84 subjects (29.1%) after psychiatric evaluation. Only 20 of those patients (23.8%) were treated with antidepressant. Independent variables associated with the diagnosis of depression in the logistic regression model included frequent seizures (odds ratio [OR] =2.43 [95% confidence interval, 95% CI =1.38–4.29], P=0.002), use of potentially depression-inducing medications (OR =3.33 [95% CI =1.50–7.39], P=0.003), age (OR =1.03 [95% CI =1.01–1.05] per year], P=0.005), and use of oxcarbazepine (OR =2.26 [95% CI =1.04–4.9], P=0.038). CONCLUSION: The prevalence of depression among consecutive Polish patients with epilepsy reached 29.1%. Less than quarter of them received antidepressant treatment at the moment of evaluation. Independent variables associated with depression included age, frequent seizures, and the use of oxcarbazepine or predefined depressogenic medications

Suicidality and its determinants among Polish patients with epilepsy

Background and purpose The aim of this study was to evaluate the prevalence of suicidal ideation among Polish patients with epilepsy and to assess the potential determinants of suicidality in this cohort. Material and methods The study comprised 301 patients with epilepsy seen in the tertiary epilepsy clinic. Patients’ characteristics included demographic variables, epilepsy-related variables, as well as occurrence of comorbidities, ongoing use of any other medications, family history of epilepsy and/or depression. Beck Depression Inventory (BDI) was used to assess depressive symptoms, and question no. 9 of BDI was specifically used to reveal suicidality. Results Mean age of subjects was 35.5 years. 113 (37.5%) had frequent seizures and 96 patients (31.9%) had remission. BDI score>11 points (suggestive for depression) was found in 127 subjects. Suicidal ideation has been revealed in 30 (10.0%) out of 301 studied patients. Patients with suicidal ideation were older and more commonly reported frequent seizures. Almost all of them (93.3%) had clinically significant depressive symptoms (BDI score>11). Multivariate analysis revealed that severity of depressive symptoms (OR=1.16 per one-point increase in BDI score, 95% CI: 1.10–1.22, p<0.001) and the use of potentially depressogenic medication (OR=3.04, 95% CI: 1.04–8.89, p=0.04) were independent determinants of suicidality among studied patients. Conclusions Suicidal ideations were revealed by about 10% of studied epileptic patients who visited tertiary center for epilepsy. Independent predictors of suicidality among studied patients included depression itself and the use of potentially depressogenic medication