History of medicine

医学史
  • 文章类型: English Abstract
    This article examines the development of urology as an independent medical discipline in Germany, with a particular focus on professionalization and specialization in the 19th and 20th centuries. Based on historical sources, the text illuminates the importance of the German medical profession\'s further training regulations as an instrument of medical self-administration and the classification of urology as a medical specialty in the Bremen guidelines of 1924, which established board certification in diseases of the urinary organs (urology).
    UNASSIGNED: Dieser Artikel untersucht die Entwicklung der Urologie als eigenständige medizinische Disziplin in Deutschland mit besonderem Fokus auf die Professionalisierung und Spezialisierung im 19. und 20. Jahrhundert. Basierend auf historischen Quellen beleuchtet der Text die Bedeutung der Weiterbildungsordnungen der deutschen Ärzteschaft als Instrument der ärztlichen Selbstverwaltung und die Einordnung der Urologie als Sonderfach der Medizin in den Bremer Richtlinien von 1924, welche den Facharzt für Erkrankungen der Harnorgane (Urologie) etablierten.
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  • 文章类型: Historical Article
    This article explores the allure of \"great men\" in medical history through a comparative account of the work and lives of Jean-Martin Charcot and his student and collaborator, Désiré-Magloire Bourneville, in late nineteenth-century France. While historians of science and medicine have self-consciously rejected Whiggish and hagiographic \"great man\" history, the fixity of certain historical actors within our social and cultural histories reveals the continued hold of these figures and what they stand for within the grand narrative. The privileging of institutional and intellectual contributions has been perpetuated in such a way that bottom-up experiences and contributions in realms such as public health have been neglected. I argue that the continued prominence of certain historical medical figures, like Charcot, over forgotten contemporaries, like Bourneville, is representative of the way that historians of science and medicine have implicitly privileged intellectual contributions over social, political, or structural contributions.
    Résumé. Cet article explore l’attrait pour les « grands hommes » dans l’histoire de la médecine, en comparant la vie et l’œuvre de Jean-Martin Charcot et de son élève et collaborateur, Désiré-Magloire Bourneville, dans la France de la fin du XIXe siècle. Bien que le milieu de l’histoire des sciences et de la médecine ait plus ou moins rejeté les approches historiques fondées sur le whiggisme et l’hagiographie des « grands hommes », la permanence de certains acteurs historiques dans notre histoire sociale et culturelle révèle l’emprise que ces figures conservent sur les grands récits et le rôle qu’elles continuent d’y jouer. Le privilège accordé aux contributions institutionnelles et intellectuelles s’est perpétué, de telle sorte que les expériences et les apports provenant de la base dans des domaines comme la santé publique sont demeurés dans l’ombre. Je soutiens ici que l’attention reçue sans cesse par certains personnages de l’histoire de la médecine, tel Charcot, au détriment de leurs contemporains ayant sombré dans l’oubli, tel Bourneville, est représentative de la manière dont les historiens et les historiennes des sciences et de la médecine privilégient toujours, implicitement, les contributions intellectuelles plutôt que les contributions sociales, politiques ou structurelles.
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  • 文章类型: Journal Article
    1783年,亚历山大·门罗·塞孔德斯坚持认为,由于大脑被包裹在骨骼中,其物质几乎不可压缩,头部内的血液数量必须相同,或者几乎一样,在任何时候。多年后,这个假设得到了GeorgeKellie的实验支持,并被称为Monro-Kellie学说。然而,这一学说遭遇阻力。它的审阅者同意指出历史上可以理解的错误,即没有将CSF视为正常的颅内体积。然而,几乎没有发表过关于一些生理,病理生理学,和当时流行的治疗思想可能影响了Monro的假设。最后,也许最重要的是,不清楚为什么Monro,详细了解心室系统的人,未将其作为颅内血容量变化的潜在代偿性室。
    In 1783, Alexander Monro secundus maintained that because the brain is enclosed in a case of bone and its substance is nearly incompressible, the quantity of blood within the head must be the same, or very nearly the same, at all times. Years later, this hypothesis was experimentally supported by George Kellie, and became known as the Monro-Kellie doctrine. However, this doctrine encountered resistance. Its reviewers have agreed to point out the historically understandable error of not having considered the CSF as a normal intracranial volume. Yet, almost nothing has been published about some of the physiological, pathophysiological, and therapeutic ideas prevailing at that time that may have influenced Monro\'s hypothesis. Lastly, and perhaps most importantly, it is not clear why Monro, who knew the ventricular system in detail, did not include it as a potential compensatory compartment for changes in the intracranial blood volume.
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  • 文章类型: Journal Article
    不仅神经学学科有多么紧密的联系,精神病学,和人类学,但更重要的是,他们分享“共同祖先”的程度。本文简要回顾了每个研究领域的定义和历史渊源,然后开始说明它们的“家谱”是如何重叠的。这个例子是通过对许多关键人物的抽样,这些人物不仅为神经精神病学或人类学的兴起做出了贡献,而且为这两个学科的兴起做出了贡献。也就是说,对职业生涯与医学桥接的典范进行了选择性审查,神经精神病学,和人类学。从数十名为跨越这些学科做出重大贡献的人中抽样,说明了他们共同融合的知识祖先的重要程度。这个系列类似于一个数据表,其中包含一些简明的传记插图-过去的学者经过一些或全面的医学培训,随着人类学和神经精神病学的发展,这些学科逐渐成熟。每一个都是,在某种意义上,一个数据点,支持了两个学科的思想史具有共同血统的总体论点。因此,即使是对过去一些“范例”的初步和局部调查,也强调了这种独特的知识分子同胞关系的重要性。此外,现在有大量的活着的学者,他们充分地增加了可能被认为是人类学的“三边婚姻”,精神病学,和神经学。更多当代贡献者的汇编非常值得未来的审查,从这一第一考虑扩展。这项初步工作旨在产生更强大的奖学金,更好地阐明和,因此,丰富和活跃了进一步的工作,同时也揭示了更深层次的洞察力的新途径,特别是关于进化神经科学在规范和病理方面的“概念和启发式进展”。
    It is little appreciated not only how closely linked are the disciplines of neurology, psychiatry, and anthropology but even more so the degree to which they share a \"common ancestry\". This paper briefly reviews the definition and historical origins of each area of study to then begin to illustrate how their \"genealogies\" overlap. This illustration is by way of a sampling of the many key figures who contributed to the rise of not just neuropsychiatry or anthropology but both disciplines. That is, a selective review is undertaken of paragons whose careers bridged medicine, neuropsychiatry, and anthropology. A sampling from among the dozens who have made major contributions to spanning these disciplines illuminates the significant extent of their co-mingled intellectual ancestry. This series is akin to a data table of necessarily concise biographical vignettes - past scholars with some or full medical training who also advanced both anthropology and neuropsychiatry as these disciplines grew into intellectual maturity. Each is, in a sense, a data point that bolsters the overarching thesis that the intellectual history of both disciplines has shared ancestry. Thus, even this preliminary and topical survey of a few past \"exemplars\" underscores the importance of this unique intellectual siblingship. Moreover, there is now a profusion of living scholars who add fulsomely to what might be deemed this \'trilateral marriage\' of anthropology, psychiatry, and neurology. A compilation of more contemporary contributors is well worthy of a future review that expands from this first consideration. This initial work is meant to engender more robust scholarship that better elucidates and, thereby, enriches and enlivens further work while also uncovering new avenues of deeper insight, notably as to the \"conceptual and heuristic progression\" of evolutionary neurosciences with respect to the normative and pathologic.
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  • 文章类型: Historical Article
    AbrahamFlexner的1910年医学教育报告被广泛认为是美国及其他现代医学史上的分水岭。大多数评论员关注其行政和管理影响,尽管Flexner在他的报告中投入了相当大的一部分,以理论上说明他寻求实施的那种医学。密切关注这些部分揭示了一个令人惊讶的连贯的医学说明,基于杜威实用主义的科学哲学,在科学的新实验范式中团结科学研究者和医生。Flexner可以开发出一种超越对医学的认知重新定义的解释,为职业提供社交,文化,以及利用杜威赋予现代科学的极其广泛的权限的伦理认同。由于随后将科学哲学缩小为划定的学术分支学科,这些广泛的实用主义哲学承诺在Flexner的科学医学的根源仍然是一个很大程度上未经探索的知识遗产。
    Abraham Flexner\'s 1910 report on medical education is widely regarded as a watershed moment in the history of modern medicine in the US and beyond. Most commentators focus on its administrative and managerial impact, despite Flexner dedicating a sizeable portion of his report to a theoretical account of the kind of medicine that he seeks to implement. Close attention to these sections reveals a surprisingly coherent account of medicine that, based on a Deweyan Pragmatist philosophy of science, unites scientific investigator and medical practitioner in a new experimental paradigm of science. Flexner can develop an account that goes beyond a mere epistemic redefinition of medicine, providing the profession with a social, cultural, and ethical identity that avails itself of the extremely wide purview that Dewey granted to modern science. Due to the subsequent narrowing of philosophy of science to a delimited academic subdiscipline, these broad Pragmatist philosophical commitments at the roots of Flexner\'s scientific medicine remained a largely unexplored intellectual legacy.
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  • 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: Historical Article
    瓦西里·德米特里耶维奇·谢文斯基的科学传记,在许多文章和专著中描述了俄罗斯疗法的经典。然而,我们的研究发现的材料和结果需要指定他的传记和他的科学学校的某些方面。
    The scientific biography of Vasily Dmitrievich Shervinsky, the classic of Russian therapy is described in a number of articles and monographs. However, uncovered materials and results of our studies require to specify certain aspects of his biography and his scientific school.
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  • 文章类型: Journal Article
    本文考虑了对N.P.Kravkov的同事和同时代人的作品的评估,“俄罗斯麻醉品”的创造者。隐藏的和明确的,阻碍俄罗斯科学家发现应用传播的客观和主观因素,在俄罗斯和国外,已建立。强调了XIX-XX世纪初俄罗斯外科医生的自尊对他们在德国的科学努力的认可。
    The article considers evaluation of works of colleagues and contemporaries of N. P. Kravkov, the creator of \"Russian narcosis\" with hedonal. The hidden and explicit, objective and subjective factors that prevented spreading of application of discovery of Russian scientists, both in Russia and abroad, are established. The dependence of self-esteem of Russian surgeons of XIX - early XX centuries on recognition of their scientific efforts in Germany is emphasized.
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  • 文章类型: Journal Article
    1992年是俄罗斯医药市场历史上非常重要的里程碑。它不是始于1922年1月,而是始于1991年12月,当时总统和政府颁布了开放药品自由市场的法令。B.N.叶利钦的顾问认为市场经济是克服药物缺陷的可靠手段,腐败和官僚垄断。然而,万灵药不起作用。此外,它引起了全新的问题。人类和国家安全意味着保护免受依赖的威胁。毫无准备的进入市场使俄罗斯人和该国严重依赖药品和外国制药公司的进口。这项拟议的研究扩大了我们在本杂志和2022年“药学”杂志上的出版物。当时,对药物稀缺性的分析是根据已发布的来源进行的,并依赖于新闻证据。本研究是根据俄罗斯联邦卫生部的档案文件和作者对监管机构代表的采访进行的。第二份报告重建了俄罗斯医药市场结构要素的出现和相关性的顺序。
    The year of 1992 is very important milestone in history of Russian pharmaceutical market. It began not in January 1922, but in December 1991, when the President and Government enactments to open free market for medications were promulgated. The advisers of B. N. Yeltsin considered market economy as reliable mean to overcome medicinal deficiencies, corruption and bureaucratic monopoly. However, panacea did not work. Moreover, it caused completely new problems. The human and state security implies protection from threats of dependencies. The unprepared dive into market plunged Russians and the country into severe dependence on import of medications and foreign pharmaceutical companies. The proposed study expands our publications in this journal and in journal \"Pharmacy\" in 2022. At that time, analysis of medication scarcity was implemented on the basis of published sources and relied on journalistic evidences. The current study is carried out on the basis of archival documents of the Ministry of Health Care of the Russian Federation and authors interviews of representatives of regulator. The second report reconstructs the sequence of the emergence and correlation of the structural elements of the Russian pharmaceutical market.
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