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Manguinhos hospitals: reflections on scientific politics and heritage, from tropical diseases to covid-19. 曼吉尼奥斯医院:对科学政治和遗产的思考,从热带疾病到 covid-19。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100054
Renato da Gama-Rosa Costa, Renata Soares da Costa Santos, Giovanna Ermida Martire

In 2020 the world suffered from covid-19. Fundação Oswaldo Cruz faced itself again with a challenging task. One of its strategies while battling the disease was building a hospital. It was not the first time the institution would build such a healthcare facility. The first hospital, which nowadays needs preservation measures, opened in 1918 intending to study and treat tropical diseases. The second, built in 2021, was a field hospital designed to treat the new epidemic victims. This article aims to reflect upon both hospitals' construction contexts, as well as contribute to studies on the history of science and health.

2020 年,全世界都在遭受科维-19 病毒的侵袭。奥斯瓦尔多-克鲁斯基金会(Fundação Oswaldo Cruz)再次面临艰巨的任务。在与该疾病作斗争的过程中,它的战略之一就是建造一所医院。这并不是该机构第一次建造这样的医疗设施。第一所医院于 1918 年开业,旨在研究和治疗热带疾病,如今需要采取保护措施。第二所医院建于 2021 年,是一所野战医院,旨在治疗新的流行病患者。本文旨在反思这两所医院的建造背景,并为科学与卫生史研究做出贡献。
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引用次数: 0
Towards a history of global hospital governance, late nineteenth century to mid-twentieth century: a contribution to a history yet to be written. 十九世纪末至二十世纪中叶的全球医院治理史:对尚待书写的历史的贡献。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100051
Céline Paillette

This article draws on the recent historiography in international relations and global health, as well as selected archives, to propose some milestones for a history of global hospital governance from the late nineteenth to the mid-twentieth century. How can we identify a system of hospital governance, including formal and informal arrangements, on a global or sub-global scale? Through the lens of the International Hospital Association, founded in 1931, we highlight the significance of internationalization processes, relationships with other international organizations, transnational interpersonal networks, and forces structuring innovation. This document provides a preliminary starting point for discussion and encourages further research.

本文借鉴近期国际关系和全球卫生方面的史学研究以及部分档案资料,为 19 世纪末至 20 世纪中期的全球医院治理史提出了一些里程碑式的建议。我们如何确定全球或次全球范围内的医院治理体系,包括正式和非正式的安排?通过 1931 年成立的国际医院协会这一视角,我们强调了国际化进程、与其他国际组织的关系、跨国人际网络和创新结构力量的重要性。本文件为讨论提供了一个初步的出发点,并鼓励开展进一步的研究。
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引用次数: 0
Hospitals and medical specialization in Lisbon, 1880-1933. 里斯本的医院和医疗专业化,1880-1933 年。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100052
Isabel Amaral

This study analyzes the influence of hospitals on medical specialization and resulting implications for the history of public health from 1880 to 1933, with a focus on Lisbon as a case study. After the 1755 earthquake, a shift occurred from Renaissance-style hospitals to a network of hospitals that strategically occupied diverse urban spaces, significantly shaping the modernization of medicine and governmental healthcare policies. Employing the framework of the history of science, technology and medicine studies, this research enriches the historiography of hospitals, offering comprehensive insight into their societal significance during the study period.

本研究以里斯本为例,分析了医院对医疗专业化的影响,以及由此对 1880 年至 1933 年公共卫生史产生的影响。1755 年地震后,文艺复兴风格的医院向战略性占据不同城市空间的医院网络转变,极大地影响了医学和政府医疗政策的现代化。这项研究采用了科学、技术和医学史研究的框架,丰富了医院史学,为研究期间医院的社会意义提供了全面的见解。
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引用次数: 0
The "pharmakon" of prevention: artificial immunity in the covid-19 pandemic. 预防的 "药方":科维德-19 大流行病中的人工免疫。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100055
Sofia Varino

The concept of pharmakon encapsulates the paradoxical ambivalence of any therapeutic intervention's harmful as well as beneficial effects; within the context of immunological practices related to covid-19, this ambivalence has been successfully exploited by anti-vaccination movements and is also evident in widespread vaccine hesitancy in wealthy countries where vaccines for this virus are widely available. Here we engage with the theoretical apparatus of the pharmakon to examine how care, harm, risk, and prevention are enacted in covid-19 prevention measures and mobilize the transdisciplinary methodologies of science and technology studies to investigate how anticipatory imaginaries drive cutting-edge research on covid-19 vaccines and the clinical and social practices they have elicited.

pharmakon "的概念概括了任何治疗干预措施既有害又有益的矛盾性;在与covid-19相关的免疫学实践中,这种矛盾性已被反疫苗接种运动成功利用,在广泛提供该病毒疫苗的富裕国家中,疫苗接种的普遍犹豫也证明了这一点。在此,我们将运用药理学的理论机制,研究在covid-19预防措施中如何体现关爱、伤害、风险和预防,并运用科学与技术研究的跨学科方法,探讨预期性想象如何推动covid-19疫苗的前沿研究及其引发的临床和社会实践。
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引用次数: 0
THE EVOLUTION OF HOSPITAL AND HEALTH GOVERNANCE: BETWEEN LOCAL AND GLOBAL. 医院和卫生管理的演变:地方与全球之间。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100050
Isabel Amaral, Alexandra Esteves, Céline Paillette
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引用次数: 0
[Hospitals in Portugal from the nineteenth to the mid-twentieth centuries]. [十九世纪至二十世纪中期葡萄牙的医院]。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100038
Alexandra Esteves

Since the modern era, healthcare in Portugal has been provided primarily by hospitals, many of which were founded by the Sisters of Mercy and known as Misericordias. However, the creation of new hospitals in the nineteenth century and first half of the twentieth century did not necessarily yield improved patient care, since these institutions tended to be small, poorly equipped, and lacking in human and material resources. This study presents a reflection on developments in Portuguese hospitals from 1834 through to the first decades of the twentieth century, drawing on data on several institutions to identify changes and continuities in the healthcare offered.

自近代以来,葡萄牙的医疗保健主要由医院提供,其中许多医院由慈善修女会创建,被称为 Misericordias。然而,在十九世纪和二十世纪上半叶创建的新医院并不一定能改善对病人的护理,因为这些机构往往规模小、设备差、缺乏人力和物力资源。本研究对 1834 年至二十世纪头几十年葡萄牙医院的发展进行了反思,利用几个机构的数据来确定所提供的医疗保健服务的变化和连续性。
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引用次数: 0
The influence of miasmatic theory on the construction of the Hospital Geral de Santo António in Porto in the nineteenth century. 瘴气理论对十九世纪波尔图圣安东尼奥医院建设的影响。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100053
Monique Palma

The aim of this work is to ascertain the relevance of the miasmatic theory for the construction and spatial organization of the Hospital Geral de Santo António in Porto, Portugal, in the 19th century, from then recent graduate physicians' viewpoint. The methodology consists of analyzing the inaugural dissertations presented to the Escola Médico-Cirúrgica do Porto in order to assess the physicians' perceptions of the Santo António Hospital building, with emphasis on the relationship between health, medicine and environment. This work intends to contribute to better understand the relationship between the theoretical referential approach to disease and medical practice, at the interface of health, medicine, and environment by analyzing interspecies encounters.

这项研究旨在从当时刚毕业的医生的角度,确定瘴气理论与 19 世纪葡萄牙波尔图圣安东尼奥医院的建设和空间组织的相关性。研究方法包括分析提交给波尔图医学院的毕业论文,以评估医生对圣安东尼奥医院建筑的看法,重点是健康、医学和环境之间的关系。这项工作旨在通过分析物种间的接触,更好地理解疾病理论参考方法与医疗实践之间的关系,以及健康、医学和环境之间的关系。
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引用次数: 0
[Portuguese health and medicine during the first quarter of the twentieth century through the lenses of Jorge Marçal da Silva]. [通过若热-马尔卡尔-达席尔瓦的视角看二十世纪第一季度葡萄牙的卫生和医学]。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-09-01 DOI: 10.1590/S0104-59702024000100056
Manuel Mendes Silva

This paper aims at illustrating the panorama of health and medicine in Portugal in the first quarter of the twentieth century using the photographic collection of Jorge Marçal da Silva, a doctor and amateur photographer, which has been preserved by his family. From his collection, we have chosen a selection of photographs that illustrate the modus vivendi of the Portuguese population, in the rural interior, on the fishing coast and in city life, as well as some that depict hospital environments and medical care in the capital, in order to reflect on their importance as a source for the historiographical reflection on the history of Portuguese medicine in the 1900s.

本文旨在利用豪尔赫-马尔卡尔-达席尔瓦(Jorge Marçal da Silva)的摄影作品集,展示二十世纪第一季度葡萄牙的医疗卫生全景。我们从他的收藏中选择了一些照片,这些照片展示了葡萄牙人在内陆农村、沿海渔场和城市生活中的生活方式,还有一些照片描绘了首都的医院环境和医疗服务,以便思考这些照片作为 20 世纪葡萄牙医学史史料来源的重要性。
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引用次数: 0
The Brazilian Center for Health Studies and the Brazilian Association of Collective Health: the issue of the nationalization of health in the Brazilian public health reform, 1976-1988. 巴西卫生研究中心和巴西集体卫生协会:1976-1988 年巴西公共卫生改革中的卫生国有化问题。
IF 0.5 4区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2024-07-15 eCollection Date: 2024-01-01 DOI: 10.1590/S0104-59702024000100030en
Tiago Siqueira Reis

An analysis is presented of the approaches taken by the Brazilian Center for Health Studies (Cebes) and the Brazilian Association of Collective Health (Abrasco) towards the nationalization of health during the Brazilian public health reform between 1976 (when Cebes was founded) and the enshrinement of public health in the Federal Constitution (1988). Discussions are presented of the theoretical and strategic principles defended by their intellectuals and the institutions' positions towards the nationalization of health. By positioning themselves against complete nationalization, they did not break away from the privatizing rationale embedded in the prevailing model of healthcare, and endeavored to conciliate private interests within the new framework for public health.

本文分析了巴西卫生研究中心(Cebes)和巴西集体卫生协会(Abrasco)在 1976 年(Cebes 成立之时)至公共卫生写入《联邦宪法》(1988 年)的巴西公共卫生改革期间对卫生国有化所采取的方法。本文讨论了这些机构的知识分子所捍卫的理论和战略原则,以及这些机构对卫生国有化的立场。通过反对完全国有化,这些机构并没有摆脱现行医疗模式中的私有化理念,而是努力在新的公共卫生框架内协调私人利益。
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引用次数: 0
[Obstetric interventionism and maternalization ofwomen in childbirth care in Uruguay, 1920-1940]. [1920-1940 年乌拉圭的产科干预主义和妇女在分娩护理中的母性化]。
IF 0.5 4区 哲学 Q4 Medicine Pub Date : 2024-06-17 eCollection Date: 2024-01-01 DOI: 10.1590/S0104-59702024000100025
Natalia Magnone Alemán

This article analyzes the speeches of leading doctors in the creation of the specialty in childbirth care: gynecotology. Between 1920 and 1940, under the influence of eugenic and maternalist thinking, in a context of valuing the well-being of children, medicine built a new obstetric interventionism under the foundation of improving fetal viability. The supposed female "maternal instinct" was, thus, appealed to improve acceptance of the medical mandate. At the same time, doctors recognized their difficulties in providing adequate care. They did not wait long enough and tended to intervene in unnecessary physiological processes.

本文分析了妇产科这一分娩护理专科创建过程中主要医生的发言。1920 年至 1940 年间,在优生学和母性主义思想的影响下,在重视儿童福祉的背景下,医学在提高胎儿存活率的基础上建立了新的产科干预主义。因此,所谓的女性 "母性本能 "被用来提高人们对医疗任务的接受度。与此同时,医生们也认识到他们在提供适当护理方面的困难。他们等待的时间不够长,而且往往对不必要的生理过程进行干预。
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引用次数: 0
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Historia, ciencias, saude--Manguinhos
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