History of medicine

医学史
  • 文章类型: Journal Article
    感染控制仍然是医疗保健系统的重大负担。抗生素在对抗微生物疾病中的不合理使用导致了抗生素耐药性的快速发展。考虑到后者如何对现代治疗的有效性和医学的实践方式产生不利影响,我们应该修改导致建立防腐一般原则的事件,并特别向为其形成做出贡献的人们致敬,记住,直到今天,它们在很大程度上都没有被修改过。如果没有Semmelweis对脓毒症直接传播的概念的概念化,巴斯德的象征性人物,帮助进一步促进了这个想法,和李斯特的方法论结构,科学界将大大推迟赢得与细菌的斗争。
    Infection control remains a significant burden for healthcare systems. The irrational use of antibiotics in the fight against microbial diseases has led to the fast development of antimicrobial resistance. Considering how the latter can adversely influence the effectiveness of modern treatments and the way medicine is practiced, we should revise the events that led to the establishment of the general principles of antisepsis and pay special tribute to the people who contributed to their formation, bearing in mind that they remain unmodified to a great extent until today. Without Semmelweis\' conceptualization of the idea of direct transmission of sepsis, Pasteur\'s emblematic figure that helped promote the idea even further, and Lister\'s methodology structuring, the scientific community would have significantly delayed winning the battle against germs.
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  • 文章类型: Journal Article
    该出版物是俄罗斯唯一专门描述单胺氧化酶不可逆非选择性抑制剂发展历史的专着。这是第一批可供医生在临床实践中使用的抗抑郁药。这种出版物的必要性是显而易见的,因为通过历史观点提供的信息可以更好地了解应用精神药物的现代实用指南的形成过程。该专着提供了结构良好的彻底系统化和对单胺氧化酶不可逆非选择性抑制剂历史数据的详细分析。文本包括许多科学感兴趣的事实。例如,药物在苏联的应用,俄罗斯和其他后苏联国家的空间,这些国家的专家投入到心理药物治疗的发展中,单胺氧化酶抑制剂治疗躯体疾病的经验。此外,每一章都提出了许多重要的一般精神病学甚至一般医学问题的历史见解。该专着无疑会引起精神病学家的兴趣,神经学家,药理学家,等。
    The publication is the only monograph in Russia devoted to description of history of development of irreversible non-selective inhibitors of mono-amine oxidase. It is the first group of antidepressants becoming available for physicians to be applied in clinical practice. The necessity of such publications is obvious because information presented through history perspective permits to better understand process of formation of modern practical guidelines of applying psychotropic drugs. The monograph presents well structured thorough systematization and detailed analysis of data of history of irreversible non-selective inhibitors of mono-amine oxidase. The text includes multitude of facts of scientific interest. For example, application of drug in the USSR, Russia and other countries of post-Soviet space, input of specialists from these countries into development of psycho-pharmacotherapy, experience of using inhibitors of mono-amine oxidase in treatment of somatic diseases. In addition, every chapter presents many historical excursus into important general psychiatric and even general medical issues. The monograph undoubtedly will arise interest among psychiatrists, neurologists, pharmacologists, etc.
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  • 文章类型: Journal Article
    背景:人类在历史上总是提到宗教来解释灾难,和流行病,尤其是当科学无法解释它们的时候。宗教经常被援引为保护手段。2020年的Covid疫情和最初的医疗阳痿引发了古老的恐惧,让人想起一些人的瘟疫。不能只依靠科学,有些人回到宗教。
    方法:进行了叙述性回顾,比较了宗教在马赛大瘟疫期间和新冠肺炎大流行早期阶段的作用。我们主要研究马赛大瘟疫的当代文献,并收集了关于Covid-19的新闻文章。
    结论:对于这两种流行病,有些人在疫情中看到了上帝复仇的迹象。逻辑上,强化精神生活和增加宗教示威可以成为对抗这两种流行病的一种方式。在这些流行病时代研究宗教也强调了它在公共卫生中的作用:有时如果不加管制,就会促进污染,有时以一些立场支持公共卫生政策,至于Covid疫苗。结论/观点:将古老的流行病与当前的流行病进行比较,使我们能够更广泛地了解当前对传染病的看法,在已经高度医学化的社会中。与流行病的斗争仍然是多态的,其中一个方面是宗教。在我们的实践中整合这些信息可以帮助改善患者的整体管理,和公共卫生政策效率。
    BACKGROUND: Humans have always referred to religion in History to explain disasters, and epidemics, especially when science could not explain them. Religion has often been invoked as a mean of protection. The Covid outbreak in 2020 and the initial medical impotence brought up old fears, reminiscent of the plague for some people. Unable to rely on science only, some turned back to religion.
    METHODS: A narrative review was conducted to compare the role of religion during the Great Plague of Marseille versus the early stages of Covid-19 pandemic. We mostly studied contemporary documents on the Great Plague of Marseille, and collected press articles on Covid-19.
    CONCLUSIONS: For both epidemics, some people see in the outbreak a sign of God\'s revenge. Logically, intensifying spiritual life and multiplying religious demonstrations can be a way to fight both epidemics. Studying religion in these times of epidemics also highlights its roles in public health: sometimes facilitating the contaminations if not regulated, sometimes supporting public health policies with some positions, as for Covid vaccines. Conclusion/Perspectives: The comparison of an ancient epidemic with the current pandemic allowed us to take a broader look at the current vision of contagious disease, in societies that have become highly medicalized. The fight against epidemics remains polymorphous, and one of the aspects is religious. Integrating this information in our practices can help improving holistic management of patients, and public health policies efficiency.
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  • 文章类型: Journal Article
    在20世纪初,心理外科在治疗精神病患者方面已经在世界范围内普及,尤其是在西方国家。我们试图记录它在迈索尔政府精神病院(MGMH)的旅程,现在是国家心理健康和神经科学研究所(NIMHANS),班加罗尔.
    审查了1939年至1947年收治的患者的存档病例记录和登记册,以确定接受过心理手术的患者。对已确定患者的病例记录进行临床信息评估,包括心理外科的细节.
    在患者中,107人接受了心理手术,主要是白骨切开术。精神分裂症(51.5%)是其中最常见的诊断,所有患者中有33.7%报告改善.然而,发现改善的存在和程度不一致。可能的副作用没有一致的记录。
    精神外科在西方世界引入后不久就被MGMH采用。然而,在当前的研究中,人们注意到了对其收益和风险的歧义。
    UNASSIGNED: In the early 20th century, psychosurgery had gained worldwide popularity for treating mentally ill persons, especially in western countries. We attempt to chronicle its journey in the Mysore Government Mental Hospital (MGMH), now the National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru.
    UNASSIGNED: Archived case records and registers of patients admitted from 1939 to 1947 were reviewed to identify those who had undergone psychosurgery. Case records of the identified patients were assessed for clinical information, including the details of psychosurgery.
    UNASSIGNED: Among the patients, 107 had undergone psychosurgery, primarily leucotomy. Schizophrenia (51.5%) was the most common diagnosis in them, and 33.7% of all patients were reported to have improved. Yet, inconsistencies were found about the presence and degree of improvement. Possible side effects were not consistently documented.
    UNASSIGNED: Psychosurgery was adopted at the MGMH very soon following its introduction in the western world. However, ambiguity about its benefits and risks was noted in the current study.
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  • 文章类型: Journal Article
    SaimErkun(1901-1949)出生于安纳托利亚爱琴海地区的Manisa,是奥斯曼帝国公民。虽然他的早年生活是在奥斯曼帝国晚期的军事行动中度过的,包括在英国殖民地的军事监狱营地;印度,他活跃的专业生产时期是土耳其共和国初期(Est。1923年,百周年)。他有一个良好的医学教育时期,他的所有主要的世界科学语言,如法语,德语,和英语。除了他的主要职业,他还对伊斯坦布尔征服后的奥斯曼帝国泌尿外科医学感兴趣,并在1930年代的书中为他们分配了一个空间。他是土耳其最早的泌尿科居民(1929-1933年,伊斯坦布尔)之一。他进行了许多泌尿外科手术,并根据现代科学算法发表了结果,此外,在他的出版物中,有一些泌尿外科书籍,包括“历史”,部分指的是古老的奥斯曼帝国文学。在这份手稿中,我们永远专注于泌尿外科这个神奇的词;“前列腺,“在他的文章中。土耳其医学,尤其是泌尿科,由一些聪明勤奋的年轻临床医生如塞姆·埃尔昆更新,第一次世界大战后,由于旧奥斯曼帝国的崩溃,通过现代突厥耶的建立过程进行了短暂的斗争。此外,我们认为泌尿外科这个惊人的特殊词,“前列腺,“尤其应该提到要强调这一开端的重要性。
    Saim Erkun (1901-1949) was born in Manisa at Aegean region of Anatolia as an Ottoman citizen. While his early life was spent in late Ottoman times at military actions including military prison camp in British colony; India, his active professional productive period was in early Turkish republic period (Est. 1923, centenary). He had a good education period for medicine with the help of his good level of all main World scientific languages such as French, German, and English. Besides his main profession, he was also interested in Ottoman urological medicine around the conquer of Istanbul and allocated them a space in his books in 1930s. He was one of the earliest urology resident (1929-1933, Istanbul) of modern medicine in Turkey. He performed many urological procedures and published the outcomes following modern scientific algorithms, furthermore, there have been urological books including \"history\" partly referring to antique Ottoman literature among his publications. In this manuscript we focused on the magic word of Urology forever; \"Prostate,\" among his essays. Turkish medicine, particularly urology, renewed itself by some intelligent hard working young clinicians such as Saim Erkun, immediately after the short struggling by means of establishment process of modern Turkiye after World War I by the collapsing of old Ottoman Empire. Furthermore, we think that the stunning special word of urology, \"prostate,\" should especially be mentioned to emphasize the importance of this beginning.
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  • 文章类型: Systematic Review
    虽然机器人辅助手术正处于文艺复兴时期,远程外科手术,在机器人技术的推动下,在创新和主流临床实践之间的空间中不断发展。本文概述了机器人远程手术的当前利用情况和采用障碍,它对相关的道德问题进行了系统的审查。它说明了如何开发远程外科手术来提供安全的,公平,和高质量的外科护理。
    While robotic-assisted surgery is in a Renaissance, telesurgery, facilitated by robotic technology, is evolving in the space between innovative and mainstream clinical practice. This article outlines the current utilization of robotic telesurgery and barriers to adoption, and it performs a systematic review of relevant ethical concerns. It illustrates how telesurgery can be developed to provide safe, equitable, and high quality surgical care.
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  • 文章类型: English Abstract
    Since its foundation, the Faculty of Medical Sciences (FCM, UNC, Argentina) and its members in the design and implementation of eugenic public policies aimed at preventing depopulation and reducing infant mortality. This study describes these policies since the foundation of this institution until the outbreak of the university reform process.
    A bibliographical analysis of online databases and library catalogs was performed in order to identify texts referring to child care and public health policies promoted by the FCM from 1877 to 1918. Results: 11 bibliographical references were obtained: three books, two scientific journal articles and six Thesis for the title of Doctor in Medicine and Surgery from the FCM.
    A great interest in the characterization of infant mortality in Córdoba and the promotion of exclusive breastfeeding is evident in the texts analyzed. This is associated with the creation and administration of childcare health institutions, including the Children\'s Protective Clinic.
    The FCM, associated to political groups in Córdoba, actively participated in the dissemination of childcare concepts (whose recipients were mainly women-mothers of low socioeconomic strata) and in the implementation of actions aimed at the population growth and the inculcation of moral values accepted by its academics.
    Desde su fundación, la Facultad de Ciencias Médicas (FCM, UNC, Argentina) y sus miembros participaron en el diseño y la aplicación de políticas públicas eugénicas destinadas a evitar la despoblación y disminuir la mortalidad infantil. El presente trabajo describe dichas políticas desde la fundación de dicha institución hasta el inicio del proceso de Reforma Universitaria.
    Se realizó un análisis bibliográfico de bases de datos online y catálogos de bibliotecas para identificar textos referidos a políticas de puericultura y salud pública promovidas por la FCM en el período 1877 - 1918.
    Se obtuvieron un total de 11 referencias bibliográficas: tres libros, dos artículos publicados en revistas científicas y seis Tesis para optar al título de Doctor en Medicina y Cirugía de la FCM. Discusión: Se evidencia en los textos analizados un gran interés en la caracterización de la mortalidad infantil en Córdoba y la promoción de la lactancia materna exclusiva. A ello se asocia la creación y administración de instituciones de salud de puericultura entre los que se destaca el Consultorio Protector de la Infancia.
    La FCM, ligada a grupos políticos cordobeses, participó activamente en la difusión de los conceptos de puericultura (cuyas destinatarias eran principalmente las mujeres-madres de estratos socioeconómicos carenciados) y en la implementación de acciones tendientes al crecimiento poblacional y la inculcación de valores morales aceptados por sus académicos.
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  • 文章类型: Historical Article
    The review analyzes the fundamental work of V. I. Borodulin about the history of Internal Disease Clinic in the USSR, based on the biographies of more than fifty prominent Soviet therapeutists; the research is devoted to development of main Soviet therapeutic scientific schools and formation of new scientific and educational clinical disciplines in this field in 1920s-1970s, as well as difficulties and dynamic life of therapeutic elite in the USSR in that period.
    Представлен анализ фундаментального труда В. И. Бородулина по истории клиники внутренних болезней в СССР, в котором освещены деятельность более чем 50 выдающихся советских терапевтов, история развития основных отечественных терапевтических школ и выделение новых самостоятельных научно-учебных клинических дисциплин в период 1920-х - 1970-х годов. Отражена сложная и динамичная жизнь терапевтической элиты СССР этого периода.
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  • 文章类型: Journal Article
    我们的目的是提供有关安慰剂/nocebo效应以及安慰剂在临床实践中的潜在用途的最新信息。本文只能提供对安慰剂和nocebo效应的粗略概述,并旨在作为读者深入相应文献的起点。在多种医疗条件下观察到安慰剂效应,口服后,与手动治疗以及手术和侵入性程序。在临床试验中使用安慰剂是至关重要的,虽然它的使用伦理正在讨论中。从药代动力学和药效学的角度来看,安慰剂可能表现得像药物,并且也可能与不良事件(nocebo效应)有关。安慰剂可以通过增加或减少药物的作用来改变治疗。与安慰剂效应发生相关的因素是多方面的,但是除了那些依赖安慰剂本身的人,医患关系将是最重要的。由于过去二十年发表的调查结果,安慰剂的心理神经生物学基础正在被更好地理解,虽然还需要进一步的研究。总之,安慰剂效应在临床上表现出弱至中等强度。安慰剂,除了在临床试验中使用,应单独或与治疗相关的另一种治疗方法,在某些情况下可能有用。安慰剂的使用应由欧洲卫生当局通过临床实践指南进行监管,以改善患者护理。
    Our aims were to provide updated information on placebo/nocebo effect and the potential use of placebo in clinical practice. This article can only provide a rough overview on the placebo and nocebo effect and is intended to serve as a starting point for the reader to go deeper into the corresponding literature. The placebo effect has been observed in multiple medical conditions, after oral administration, with manual therapies as well as with surgery and invasive procedures. The use of placebo in clinical trials is fundamental, although the ethics of its use is under discussion. The placebo may behave like a drug from the pharmacokinetic and pharmacodynamic point of view and can also be associated with adverse events (nocebo effect). Placebo can modify treatment by increasing or decreasing the effects of drugs. The factors associated with the occurrence of placebo effect are multiple, but in addition to those that depend on the placebo itself, the doctor-patient relationship would be the most important. As a result of findings that were published in the last two decades, the psycho-neurobiological basis of placebo is becoming better understood, although further studies are needed. In conclusion, the placebo effect in the clinic exhibits weak to moderate intensity. Placebo, in addition to its use in the clinical trial, should be considered another therapeutic remedy either as stand alone or in association with treatment, and could be useful in certain circumstances. The use of placebo should be regulated by the European health authorities through a guide in clinical practice that will improve patient care.
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  • 文章类型: Journal Article
    随着许多疫苗的进步,我们正处于一个激动人心的时刻,包括全世界的志贺氏菌疫苗.看看一些疫苗走过的漫长道路,以表彰那些先驱者的杰出成就,是有启发性的,欣赏科学技术和应用技术的发展,并告知对全球健康具有巨大潜力的疫苗的未来历史。为了实现这一宝贵的回顾,利用PubMed和Embase数据库以及相关搜索词进行叙述性历史文献综述.检索到的文章进行了审查,信息被组织成历史主题,具有里程碑意义的发现,和重要的疫苗开发相似。从病原体发现和首次尝试杀死的全细胞和活减毒方法的经验方法,将综述的文献合成为志贺氏菌疫苗开发的主要时期。以及应用重组DNA工程和结构疫苗学的现代时代。志贺氏菌疫苗开发的历史在过去120年中基本上遵循了疫苗开发的进化路径,但是,在我们开始为世界带来安全有效的全球健康疫苗的未来篇章时,应该考虑到重要的经验教训。
    We are at an exciting moment in time with the advancement of many vaccines, including a shigella vaccine for the world. It is instructive to look at the long road that some vaccines have traveled to recognize the remarkable accomplishments of those who were pioneers, appreciate the evolution of scientific and applied technology, and inform the future history of a vaccine that would have great potential for global health. To achieve this valuable retrospective, a narrative historical literature review was undertaken utilizing PubMed and Embase databases with relevant search terms. Retrieved articles were reviewed and information was organized into historical themes, landmark discoveries, and important vaccine development parallels. The literature reviewed was synthesized into major eras of shigella vaccine development from pathogen discovery and first attempts to empirical approaches of killed whole-cell and live-attenuated approaches, and a modern era that applied recombinant DNA engineering and structural vaccinology. The history of shigella vaccine development has largely followed the evolutionary path of vaccine development over the last 120 years, but with important lessons learned that should be considered as we embark on the future chapters of bringing to the world a safe and effective vaccine for global health.
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