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The Tangled History of Cardiac Care
Still the leading cause of death worldwide, heart disease challenges researchers, clinicians, and patients alike. Each day, thousands of patients and their doctors make decisions about coronary angioplasty and bypass surgery. In Broken Hearts David S. Jones sheds light on the nature and quality of those decisions. He describes the debates over what causes heart attacks and the efforts to understand such unforeseen complications of cardiac surgery as depression, mental fog, and stroke. Why do doctors and patients overestimate the effectiveness and underestimate the dangers of medical interventions, especially when doing so may lead to the overuse of medical therapies? To answer this question, Jones explores the history of cardiology and cardiac surgery in the United States and probes the ambiguities and inconsistencies in medical decision making. Based on extensive reviews of medical literature and archives, this historical perspective on medical decision making and risk highlights personal, professional, and community outcomes.
Vol. 70 (1996) through current issue
The leading journal in its field for more than three quarters of a century, the Bulletin is the official publication of the American Association for the History of Medicine and the Johns Hopkins Institute of the History of Medicine. Each issue spans the social, cultural, and scientific aspects of the history of medicine worldwide and includes reviews of recent books on medical history.
Epidemics and Human Response in Western History, Revised Edition
In this updated edition of The Burdens of Disease, with revisions and additions to the original content, including the evolution of drug-resistant diseases and expanded coverage of HIV/AIDS, along with recent data on mortality figures and other relevant statistics, J. N. Hays chronicles perceptions and responses to plague and pestilence over two thousand years of western history. Disease is framed as a multidimensional construct, situated at the intersection of history, politics, culture, and medicine, and rooted in mentalities and social relations as much as in biological conditions of pathology.
Doctors, Specialization, and Urban Change in Philadelphia, 1900-1940
Unevenly distributed resources and rising costs have become enduring problems in the American health care system. Health care is more expensive in the United States than in other wealthy nations, and access varies significantly across space and social classes. James A. Schafer Jr. shows that these problems are not inevitable features of modern medicine, but instead reflect the informal organization of health care in a free market system in which profit and demand, rather than social welfare and public health needs, direct the distribution and cost of crucial resources.The Business of Private Medical Practice is a case study of how market forces influenced the office locations and career paths of doctors in one early twentieth-century city, Philadelphia, the birthplace of American medicine. Without financial incentives to locate in poor neighborhoods, Philadelphia doctors instead clustered in central business districts and wealthy suburbs. In order to differentiate their services in a competitive marketplace, they also began to limit their practices to particular specialties, thereby further restricting access to primary care. Such trends worsened with ongoing urbanization.Illustrated with numerous maps of the Philadelphia neighborhoods he studies, Schafer’s work helps underscore the role of economic self-interest in shaping the geography of private medical practice and the growth of medical specialization in the United States.
From the Indiana Experiment to the Human Genome Era
In 1907, Indiana passed the world's first involuntary sterilization law based on the theory of eugenics. In time, more than 30 states and a dozen foreign countries followed suit. Although the Indiana statute was later declared unconstitutional, other laws restricting immigration and regulating marriage on "eugenic" grounds were still in effect in the U.S. as late as the 1970s. A Century of Eugenics in America assesses the history of eugenics in the United States and its status in the age of the Human Genome Project. The essays explore the early support of compulsory sterilization by doctors and legislators; the implementation of eugenic schemes in Indiana, Georgia, California, Minnesota, North Carolina, and Alabama; the legal and social challenges to sterilization; and the prospects for a eugenics movement basing its claims on modern genetic science.
Charcot in Morocco is the first-ever publication of Dr. Jean-Martin Charcot’s travel diary of his 1887 trip to Morocco. Considered the father of neuropathology, Charcot (1825–1893) is a seminal character in the history of neurology and psychology. His Moroccan travel diary includes his “objective” observations of the local Jewish community, which only fortified his assumptions about the relationship between race and neuropathology. These became a conspicuous feature of his ideas about the hereditary origins of nervous ailments. His ideas – taught as doctrine to a vast audience, including a young Sigmund Freud – reveal the convergence of clinical observation and European anti-Semitism at the end of the nineteenth century.
Including an enlightening critical introduction by renowned Charcot expert Toby Gelfand, Charcot in Morocco provides new insights into the personality of this influential figure and his perspectives on the “Orient” and its inhabitants.
From sentimental stories about polio to the latest cherub in hospital commercials, sick children tug at the public’s heartstrings. However sick children have not always had adequate medical care or protection. The essays in Children’s Issues in Historical Perspective investigate the identification, prevention, and treatment of childhood diseases from the 1800s onwards, in areas ranging from French-colonial Vietnam to nineteenth-century northern British Columbia, from New Zealand fresh air camps to American health fairs.
Themes include: the role of government and/or the private sector in initiating and underwriting child public health programs; the growth of the profession of pediatrics and its views on “proper” mothering techniques; the role of nationalism, as well as ethnic and racial dimensions in child-saving movements; normative behaviour, social control, and the treatment of “deviant” children and adolescents; poverty, wealth, and child health measures; and the development of the modern children’s hospital.
This liberally illustrated collection reflects the growing academic interest in all aspects of childhood, especially child health, and originates from health care professionals and scholars across the disciplines. An introduction by the editors places the historical themes in context and offers an overview of the contemporary study of children’s health.
Jews in Science in the Twentieth Century
Scholars have struggled for decades to explain why Jews have succeeded extravagantly in modern science. A variety of controversial theories—from such intellects as C. P. Snow, Norbert Wiener, and Nathaniel Weyl—have been promoted. Snow hypothesized an evolved genetic predisposition to scientific success. Wiener suggested that the breeding habits of Jews sustained hereditary qualities conducive for learning. Economist and eugenicist Weyl attributed Jewish intellectual eminence to "seventeen centuries of breeding for scholars." Rejecting the idea that Jews have done well in science because of uniquely Jewish traits, Jewish brains, and Jewish habits of mind, historian of science Noah J. Efron approaches the Jewish affinity for science through the geographic and cultural circumstances of Jews who were compelled to settle in new worlds in the early twentieth century. Seeking relief from religious persecution, millions of Jews resettled in the United States, Palestine, and the Soviet Union, with large concentrations of settlers in New York, Tel Aviv, and Moscow. Science played a large role in the lives and livelihoods of these immigrants: it was a universal force that transcended the arbitrary Old World orders that had long ensured the exclusion of all but a few Jews from the seats of power, wealth, and public esteem. Although the three destinations were far apart geographically, the links among the communities were enduring and spirited. This shared experience—of facing the future in new worlds, both physical and conceptual—provided a generation of Jews with opportunities unlike any their parents and grandparents had known. The tumultuous recent century of Jewish history, which saw both a methodical campaign to blot out Europe's Jews and the inexorable absorption of Western Jews into the societies in which they now live, is illuminated by the place of honor science held in Jewish imaginations. Science was central to their dreams of creating new worlds—welcoming worlds—for a persecuted people. This provocative work will appeal to historians of science as well as scholars of religion, Jewish studies, and Zionism.
Long and recurring illnesses have burdened sick people and their doctors since ancient times, but until recently the concept of “chronic disease” had limited significance. Even lingering diseases like tuberculosis, a leading cause of mortality, did not inspire dedicated public health activities until the later decades of the nineteenth century, when it became understood as a treatable infectious disease. Historian of medicine George Weisz analyzes why the idea of chronic disease assumed critical importance in the twentieth century and how it acquired new meaning as one of most serious problems facing national healthcare systems. Chronic Disease in the Twentieth Century challenges the conventional wisdom that the concept of chronic disease emerged because medicine’s ability to cure infectious disease led to changing patterns of disease. Instead, it suggests, the concept was constructed and has evolved to serve a variety of political and social purposes. How and why the concept developed differently in the United States, the United Kingdom, and France are central concerns of this work. In the United States, anxiety about chronic disease spread early in the twentieth century and was transformed in the 1950s and 1960s into a national crisis that helped shape healthcare reform. In the United Kingdom, the concept emerged only after World War II, was associated almost exclusively with proper medical care for the elderly population, and became closely linked to the development of geriatrics as a specialty. In France, the problems of elderly and infirm people were handled as technical and administrative matters until the 1950s and 1960s, when medical treatment of elderly people emerged as a subset of their wider social marginality. While an international consensus now exists regarding a chronic disease crisis that demands better forms of disease management, the different paths taken by these countries during the twentieth century continue to exert profound influence. This book seeks to explain why, among the innumerable problems faced by societies, some problems in some places become viewed as critical public issues that shape health policy.