History of Medicine

医学史
  • 文章类型: Journal Article
    本文总结了脑电图(EEG)的历史和演变。脑电图,用来记录大脑的电活动,是神经科学和医学的关键工具。它的历史和演变反映了我们对大脑功能的理解以及我们诊断和治疗神经系统疾病的能力的重大进步。这个工具彻底改变了我们对大脑电活动的理解,是诊断和治疗癫痫和相关疾病的基石。脑电图从早期实验观察到复杂的现代应用的演变突显了我们监测和解释大脑活动的能力的深刻进步。脑电图仍然是临床和研究环境中的宝贵工具,随着技术的进步而不断发展,以扩大我们对人脑的理解。这篇评论追溯了这个标志性工具的旅程。
    This paper summarizes the history and evolution of the electroencephalogram (EEG). The EEG, used to record the electrical activity of the brain, is a pivotal tool in neuroscience and medicine. Its history and evolution reflect significant advancements in our understanding of brain function and our ability to diagnose and treat neurological conditions. This tool has revolutionized our understanding of the brain\'s electrical activity and is the cornerstone for the diagnosis and treatment of epilepsy and related disorders. The evolution of the EEG from early experimental observations to sophisticated modern applications highlights the profound progress in our ability to monitor and interpret brain activity. The EEG remains an invaluable tool in clinical and research settings, continually evolving with technological advancements to expand our understanding of the human brain. This review traces the journey of this iconic tool.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    1911年,MabelPurefoyFitzGerald(1872-1973)在科罗拉多州山区进行了一项研究,为人体如何应对慢性缺氧提供了宝贵的见解。研究人员获得了2019年诺贝尔生理学或医学奖,认为她的工作对解开缺氧感应系统至关重要。菲茨杰拉德在进行这项研究时发现自己的惊人职业状况为二十世纪初女性在科学领域面临的挑战提供了重要见解。就像GingerRogers和FredAstaire跳舞一样,菲茨杰拉德所做的和她的男同事所做的一样,只有落后和高跟鞋。尽管人们很容易相信女性的这种不平等已经沦为历史,2023年诺贝尔奖获得者卡塔林·卡里科面临的职业挑战突出表明,在科学领域争取女性平等的斗争仍然是一个重大问题。
    In 1911, Mabel Purefoy FitzGerald (1872-1973) conducted a study in the mountains of Colorado that offered invaluable insights into how the body responds to chronic hypoxia. Researchers awarded the Nobel Prize for Physiology or Medicine 2019 cited her work as critical in unravelling the hypoxia sensing system. The astounding career situation in which FitzGerald found herself while conducting this study offers important insights into the challenges faced by women in science at the turn of the twentieth century. Like Ginger Rogers dancing with Fred Astaire, FitzGerald did the equivalent of everything her male colleagues did, only backward and in high heels. Although it is tempting to believe that such inequities for women are relegated to history, the career challenges faced by 2023 Nobel Laureate Katalin Karikó highlight evidence that the struggle for equality of women in science remains a significant problem.
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  • 文章类型: Journal Article
    代谢健康受到神经激素控制的严格调节,下丘脑-垂体前叶轴(HAPA)的功能改变可能引起全身代谢功能障碍。现在可以使用最近的脂毒性和代谢功能障碍相关的脂肪变性肝病(MASLD)的概念来解释在下丘脑损伤的动物中发生的下丘脑肥胖(HO)和肝硬化的古老实验观察。脂毒性,由脂肪组织外器官中积累的脂肪酸的有害影响引起的异常范围,是下丘脑综合征等密切相关的共同致病因素,HO,和面具。讨论了在HO情况下发生的激素缺陷以及一系列代谢和代谢组学紊乱,以及导致的细胞和分子机制,在MASLD光谱中,从简单的脂肪变性肝病到脂肪性肝炎和肝硬化。重点放在知识差距以及如何通过新颖的研究来解决。未来的研究应通过精确定义每个HO患者所涉及的激素失衡和代谢功能障碍,采用精准医学方法。从而为在HAPA改变的背景下发展的MASLD的定制管理铺平了道路。
    Metabolic health is tightly regulated by neuro-hormonal control, and systemic metabolic dysfunction may arise from altered function of the hypothalamic-anterior pituitary axis (HAPA). Ancient experimental observations of hypothalamic obesity (HO) and liver cirrhosis occurring among animals subjected to hypothalamic injury can now be explained using the more recent concepts of lipotoxicity and metabolic dysfunction-associated steatotic liver disease (MASLD). Lipotoxicity, the range of abnormalities resulting from the harmful effects of fatty acids accumulated in organs outside of adipose tissue, is the common pathogenic factor underlying closely related conditions like hypothalamic syndrome, HO, and MASLD. The hormonal deficits and the array of metabolic and metabolomic disturbances that occur in cases of HO are discussed, along with the cellular and molecular mechanisms that lead, within the MASLD spectrum, from uncomplicated steatotic liver disease to steatohepatitis and cirrhosis. Emphasis is placed on knowledge gaps and how they can be addressed through novel studies. Future investigations should adopt precision medicine approaches by precisely defining the hormonal imbalances and metabolic dysfunctions involved in each individual patient with HO, thus paving the way for tailored management of MASLD that develops in the context of altered HAPA.
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  • 文章类型: Journal Article
    Jean-MartinCharcot,经常因他的开创性贡献而受到称赞,很少有人批评他的失误。一个这样的错误是他的视网膜皮质视觉通路的双半解码方案,1875年提出的解释,在神经解剖学上,表现为歇斯底里性弱视并伴有同侧半麻醉的歇斯底里病例。Charcot\'sschemewasinconsistentwiththeolder,普鲁士眼科医生AlbrechtvonGräfe的大致正确方案。Charcot未能进行临床病理相关性研究。他的分析依赖于他与瑞士-法国眼科医生EdmundLandolt一起得出的一系列错误结论:(1)只有视神经损伤才能产生同义偏盲;(2)脑部病变,如果他们产生了同音偏盲,这样做是通过对视神经束的二次影响(例如压力);(3)外侧膝状对皮质投射的损害会产生交叉弱视。到1880年,对Charcot理论的挑战来自法国内部。到1882年,Charcot意识到他的计划是错误的,他批准了他的学生CharlesFéré的一篇论文,该论文通过对Gräfe的计划进行了错误的修改,以适应Charcot的歇斯底里性大脑弱视的概念。1884年,美国神经学家MosesStarr的批评主张Gräfe\的计划,并驳斥了Charcot的错误计划及其随后的衍生物。
    Jean-Martin Charcot, often lauded for his seminal contributions, is seldom critiqued for his blunders. One such blunder was his double-semidecussation scheme for the retinocortical visual pathways, proposed in 1875 to explain, on neuroanatomic grounds, cases of hysteria that manifest hysterical amblyopia accompanied with ipsilateral hemianaesthesia. Charcot\'s scheme was inconsistent with the older, broadly correct scheme of Prussian ophthalmologist Albrecht von Gräfe. Charcot failed to perform clinicopathologic correlation studies. His analysis relied on a series of mistaken conclusions he made in conjunction with Swiss-French ophthalmologist Edmund Landolt: (1) only an optic tract lesion could produce a homonymous hemianopsia; (2) cerebral lesions, if they ever produced homonymous hemianopsia, did so by secondary effects (e.g. pressure) on the optic tracts; and (3) damage to the cortical projections from the lateral geniculate produces a crossed amblyopia. Challenges to Charcot\'s theory came from within France by 1880. By 1882, Charcot recognized that his scheme was erroneous, and he approved a thesis by his pupil Charles Féré that reverted to Gräfe\'s scheme with an ill-conceived modification to accommodate Charcot\'s concept of hysterical cerebral amblyopia. A critique by American neurologist Moses Starr in 1884 argued for Gräfe\'s scheme and refuted Charcot\'s erroneous scheme and its subsequent derivatives.
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  • 文章类型: Journal Article
    牙科的历史始于旧石器时代晚期的人使用用骨头或木头碎片制成的牙签,或者我们的人类祖先开始操纵牙齿表面以消除其保留力的那一刻,所以食物不会卡住。至少在14000年前,基于现有的证据。当前的时间表,在这篇文章中编译,是多年来出版的众多出版物之一。然而,这个时间表包含了三个新的策略。首先,它延伸到选择医学和基本牙科发现,因为牙科史只能用医学史中的主要事件来讲述。第二,它比作者以前遇到的任何时间表都更详细(350个条目)。第三,本时间表中列出的支持事件的几个关键主要参考文献描述了这一努力。最后,包括130个插图,以改善日期的可视化。手稿还包括牙科历史上五个主要阶段的新展示。
    History of Dentistry starts from the moment the Late Paleolithic Man used a toothpick fashioned from a bone or wood splinter, or the moment our human ancestors began to manipulate the surface of a tooth to remove its retentiveness, so food does not get stuck. That was at least 14,000 years ago, based on available evidence. The current timeline, compiled in this article, is one of many published over the years. However, this timeline incorporates three new strategies. First, it extends to select medical and fundamental dental discoveries, as the History of Dentistry can only be told with the main events within the History of Medicine. Second, it is more detailed (350 entries) than any previous timeline the author has encountered. Third, several critical primary references to support events listed in this timeline characterize this effort. Finally, 130 illustrations are included to improve the visualization of dates. The manuscript also includes a new display of the five main stages of dentistry throughout its history.
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  • 文章类型: Historical Article
    通过这一卷牙科历史杂志,我们很自豪地向我们的读者和我们的治疗专业介绍,深入论述我们的历史演变。有人可能会问,“什么是一篇论文,为什么这是独一无二的?”一篇论文最简单的定义是一篇非虚构的书面作品,专注于一个特定的主题,有时是笼统的,有时是深入的。“essay”一词源自法语单词“essai,\"(或作为集合\"Essais)的意思是试验或尝试。首次使用这种方法来解决特定问题通常归因于法国人米歇尔·德·蒙田,生于1533年(图。1).
    With this volume of the Journal of the History of Dentistry we are proud to introduce to our readers and our healing professions, in-depth Essays that focuses on our historical evolution. One might ask, \"What is an Essay and Why is This Unique?\" The simplest definition of an essay is a non-fictional written work that focuses on a particular subject, sometimes in general terms and sometimes in depth. The word \"essay\" is derived from the French word \"essai,\" (or as a collection \"Essais) meaning trial or attempt. The first use of this approach to address a particular issue has often been attributed to the Frenchman Michel de Montaigne, born in 1533 (Fig. 1).
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  • 文章类型: Journal Article
    本来文审查了与COVID-19大流行有关的宵禁现象,并特别注意意大利卫生当局对该流行病的管理。进行了文献综述和历史医学分析。提供了有关宵禁一词的历史医学概述,并提供了军事和健康情景之间的比较。最后,本文强调了在非军事场景中,例如大流行事件和相关的公共卫生应对措施中,与战时事件相关的词语应如何进行语境化。
    The present communication examines the phenomenon of curfew in relation to the COVID-19 pandemic with special attention being laid on the management of the epidemic by Italian health authorities. A literature review and a historical-medical analysis were performed. A historical-medical excursus on the word curfew is offered and a comparison between military and health scenarios is offered. Finally, this article stresses how words connected with wartime events should be contextualized when adopted in unmilitary scenarios such as pandemic events and related public health responses.
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    文章类型: Historical Article
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