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Climate, diseases and medicine: the welfare of soldiers during the East Asian War of 1592–1598 气候、疾病和医学:1592-1598 年东亚战争期间士兵的福利
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-04-08 DOI: 10.1017/mdh.2024.8
Baihui Duan
This article examines the care provided for the welfare of soldiers by the three combatant countries – China, Korea and Japan – during the East Asian War of 1592–8. Also known as the Imjin War, this large-scale military conflict can also be understood as an encounter between different state cultures and strategies of military medicine. This study focuses on cold-induced injuries, epidemic outbreaks and external wounds suffered during the war. I illuminate provision of prophylactic measures against cold by the Ming state, as well as attempts by the Sino-Chosŏn medical alliance to manage epidemics and treat wounded soldiers. I contrast these measures with the lack of similar centralised support for the Japanese forces, and examine the effect these differences had upon on military outcomes during the war. The difference in the amount of time, efforts and resources that the three combatant states devoted to sick and injured soldiers has implications not only for our understanding of the war but also for illuminating the early modern history of military medicine in East Asia. By exploring East Asian military medicine during and after the Imjin War, this article responds to recent calls for more detailed examination of histories of military medicine in premodern periods and non-European regions.
本文探讨了 1592-8 年东亚战争期间三个交战国--中国、朝鲜和日本--为士兵福利提供的医疗服务。这场大规模军事冲突也被称为壬辰卫国战争,也可以理解为不同国家文化和军事医学战略之间的交锋。本研究的重点是战争期间由寒冷引起的伤害、流行病的爆发和外伤。我阐明了明朝国家提供的预防感冒措施,以及中朝医学联盟在控制流行病和治疗伤兵方面的尝试。我将这些措施与日本军队缺乏类似的中央支持进行对比,并研究这些差异对战争期间军事结果的影响。三个交战国在为伤病士兵投入的时间、精力和资源上的差异不仅对我们理解战争有影响,而且对阐明东亚军事医学的早期现代史也有影响。通过探讨壬辰卫国战争期间和之后的东亚军事医学,本文响应了近期关于更详细地研究前现代时期和非欧洲地区军事医学史的呼吁。
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引用次数: 0
The expansion of medical education in the Dutch East Indies and the formation of the Indonesian medical profession 荷属东印度群岛医学教育的扩展和印度尼西亚医学界的形成
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-04-08 DOI: 10.1017/mdh.2024.11
Hans Pols
In 1851, the colonial administration of the Dutch East Indies established a two-year program to educate young Javanese men to become vaccinators in Batavia (today’s Jakarta). During the following sixty years, the medical curriculum was expanded several times; in 1913, it consisted of a ten-year program. In 1927, the Batavia Medical School, granting degrees equivalent to those of Dutch university-affiliated medical schools, commenced operations. Consequently, a steadily increasing number of Indonesian physicians with various credentials were employed by the colonial health service, plantations, sugar factories and mines, or established private practices. They became a social group that occupied an ambiguous and even paradoxical position somewhere between Europeans and the indigenous population. During the 1910s, this inspired these physicians to obtain credentials and professional recognition equal to those of their European colleagues. Several of them became active in journalism, politics and social movements. During the 1920s, several became radicalised and criticised the nature of colonial society. In the 1930s, following the increasingly repressive nature of colonial society, most of them remained active in the public sphere while a small group dedicated itself to improving medical research and health care. After the transfer of sovereignty from the Netherlands to Indonesia on 27 December 1949, this small cadre reestablished medical education and health care, and built the Indonesian medical profession.
1851 年,荷属东印度群岛殖民政府在巴达维亚(今雅加达)设立了一个为期两年的项目,培养爪哇青年男子成为疫苗接种员。在随后的六十年中,医学课程几经扩充;1913 年,该课程改为十年制。1927 年,巴达维亚医学院开始招生,该校授予的学位等同于荷兰大学附属医学院的学位。因此,越来越多拥有各种资质的印尼医生受雇于殖民地卫生服务机构、种植园、制糖厂和矿山,或开设私人诊所。他们成为了一个社会群体,在欧洲人和土著居民之间占据着一个模糊甚至矛盾的位置。在 1910 年代,这激励着这些医生获得与欧洲同行同等的资格证书和专业认可。他们中的一些人开始积极参与新闻、政治和社会运动。20 世纪 20 年代,其中一些人变得激进起来,对殖民社会的本质提出了批评。20 世纪 30 年代,随着殖民社会的压迫性日益增强,他们中的大多数人仍然活跃在公共领域,而一小部分人则致力于改善医学研究和医疗保健。1949 年 12 月 27 日荷兰将主权移交给印度尼西亚后,这一小部分人重新建立了医学教育和医疗保健,并建立了印度尼西亚医学界。
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引用次数: 0
Professors of racial medicine: imperialism and race in nineteenth-century United States medical schools. 种族医学教授:十九世纪美国医学院的帝国主义与种族。
IF 0.9 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-04-01 DOI: 10.1017/mdh.2024.9
Christopher D E Willoughby

This article examines some of the racist features of nineteenth-century medical school curricula in the United States and the imperial networks necessary to acquire the data and specimens that underpinned this part of medical education, which established hierarchies between human races and their relationship to the natural environment. It shows how, in a world increasingly linked by trade and colonialism, medical schools were founded in the United States and grew as the country developed its own imperial ambitions. Taking advantage of the global reach of empires, a number of medical professors in different states, such as Daniel Drake, Josiah Nott and John Collins Warren, who donated his anatomical collection to Harvard Medical School on his retirement in 1847, began to develop racial theories that naturalised slavery and emerging imperialism as part of their medical teaching.

这篇文章探讨了十九世纪美国医学院课程的一些种族主义特征,以及获取数据和标本所需的帝国网络,这些数据和标本是医学教育的基础,它确立了人种之间的等级及其与自然环境的关系。该书展示了在贸易和殖民主义日益紧密联系的世界中,美国是如何建立医学院,并随着美国帝国主义野心的膨胀而不断发展壮大的。利用帝国的全球影响力,不同州的一些医学教授,如丹尼尔-德雷克(Daniel Drake)、约赛亚-诺特(Josiah Nott)和约翰-柯林斯-沃伦(John Collins Warren,1847 年退休时将自己的解剖学藏品捐赠给哈佛医学院),开始发展种族理论,将奴隶制和新兴帝国主义归化为医学教学的一部分。
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引用次数: 0
Marginalised within a minority: Jews with disabilities in the Jewish press of the Kingdom of Poland (1860s–1914) 在少数群体中被边缘化:波兰王国犹太报刊中的残疾犹太人(19 世纪 60 年代至 1914 年)
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-03-20 DOI: 10.1017/mdh.2023.35
Maria Antosik-Piela, Aleksandra Oniszczuk

This article is the first scholarly research focusing exclusively on the history of Jews with disabilities in the Kingdom of Poland from the 1860s to 1914. It analyses sources drawn from the Jewish press in Yiddish, Polish, and Hebrew. Areas of investigation include the hierarchy of attitudes towards different categories of individuals with disabilities, spiritual perspectives on disability, and the portrayal of disabilities within Jewish literature. The study places particular emphasis on the Jewish deaf community, given the proliferation of available source material. Drawing on the broad conceptual framework of disability studies, the authors examine the phenomenon of medicalisation, tracing its influence on Jewish public discourse over the latter half of the nineteenth century and the early decades of the twentieth.

本文是第一篇专门研究 19 世纪 60 年代至 1914 年波兰王国残疾犹太人历史的学术研究文章。文章分析了来自依地语、波兰语和希伯来语犹太报刊的资料。研究领域包括对不同类别残疾人态度的等级划分、关于残疾的精神观点以及犹太文学中对残疾的描写。鉴于可获得的原始资料非常丰富,本研究将重点放在犹太聋人群体上。作者借鉴残疾研究的广泛概念框架,研究了医学化现象,追溯了十九世纪后半叶和二十世纪初几十年间医学化对犹太人公共话语的影响。
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引用次数: 0
Commercialising everyday distress: neurasthenia and traditional Chinese medicine in colonial Hong Kong, 1950s to 1980s 将日常困扰商业化:20 世纪 50 年代至 80 年代殖民地时期香港的神经衰弱与传统中医药
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-03-20 DOI: 10.1017/mdh.2024.7
Kelvin Chan

The persistent use of neurasthenia in Asia, an out-dated diagnostic category in modern psychiatry, has confounded many psychiatrists from the 1960s. This paper attempts to understand the prevalence of neurasthenia among the lay public in post-World War II Hong Kong. It examines the social history of psychiatry and focuses on the roles of traditional Chinese medicine in shaping public perceptions and responses towards neurasthenia. This research reveals that, when psychiatrists discarded the term as an ineffective label in the 1950s, practitioners and pharmaceutical companies of Chinese medicine seized on the chance to reinvent themselves as experts in neurasthenia. By commericialising everyday distress, they provided affordable, accessible and culturally familiar healing options to the Chinese public. A case study of neurasthenia, therefore, is not simply about changing disease categories but an important example to illustrate the tensions between traditional medicine and Western psychiatry in Asia.

神经衰弱是现代精神病学中一个过时的诊断类别,它在亚洲的持续使用从 20 世纪 60 年代起就困惑着许多精神病学家。本文试图了解神经衰弱在二战后的香港普通大众中的流行情况。它研究了精神病学的社会历史,并重点探讨了传统中医在塑造公众对神经衰弱的看法和反应方面所起的作用。研究显示,20 世纪 50 年代,当精神科医生认为神经衰弱是一个无效的标签而将其抛弃时,中医从业者和制药公司抓住机会,将自己重新塑造成神经衰弱专家。通过将日常困扰商业化,他们为中国公众提供了经济实惠、方便易得、文化上熟悉的治疗选择。因此,对神经衰弱的案例研究并不只是简单地改变疾病类别,而是说明亚洲传统医学与西方精神病学之间紧张关系的一个重要实例。
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引用次数: 0
Thorny entanglements: feminism, eugenics and the Abortion Law Reform Association's (ALRA) campaign for safe, accessible abortion in Britain, 1936-1967. 棘手的纠葛:女权主义、优生学与堕胎法改革协会 (ALRA) 为英国安全、方便的堕胎而发起的运动,1936-1967 年。
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI: 10.1017/mdh.2024.4
Susanne Maria Klausen

For the past two decades anti-abortionists in the Global North have been aggressively instrumentalising disability in order to undermine women's social autonomy, asserting, falsely, there is an insuperable conflict between disability rights and reproductive rights. The utilisation of disability in struggles over abortion access is not new, it has a history dating back to the interwar era. Indeed, decades before anti-abortionists' campaign, feminists invoked disability to expand access to safe abortion. This paper examines the feminist eugenics in the first organisation dedicated to liberalising restrictive abortion laws, the Abortion Law Reform Association (ALRA), established in England in 1936. ALRA played a vital role in the passage of the Abortion Act 1967 (or the Act) that greatly expanded the grounds for legal abortion, a hugely important gain for women in Britain and beyond seeking legal, safe abortions. In addition, the Act permitted eugenic abortion, which also had transnational effects: within a decade, jurisdictions in numerous Commonwealth countries passed abortion laws that incorporated the Act's eugenics clause, sometimes verbatim. This essay analyses ALRA's role in codifying eugenics in the Abortion Act 1967 and argues that from the outset, ALRA was simultaneously a feminist and eugenist association. Initially, ALRA prioritized their feminist commitment to 'voluntary motherhood' in their campaign whereas starting in the 1940s, they subordinated feminism to negative eugenics, a shift that was simultaneously strategic and a reflection of genuine concern to prevent the birth of children with disabilities.

过去二十年来,全球北方的反堕胎主义者一直在积极利用残疾问题来破坏妇女的社会自主权,并错误地声称残疾权利与生殖权利之间存在不可逾越的冲突。在争取堕胎机会的斗争中利用残疾问题并非新鲜事,其历史可追溯到战时。事实上,早在反堕胎运动之前的几十年,女权主义者就利用残疾问题来扩大安全堕胎的机会。本文探讨了 1936 年在英国成立的首个致力于放宽限制性堕胎法的组织--堕胎法改革协会(ALRA)中的女权主义优生学。堕胎法改革协会在 1967 年《堕胎法》(或称该法)的通过过程中发挥了至关重要的作用,该法极大地扩展了合法堕胎的理由,这对寻求合法、安全堕胎的英国及其他国家的妇女来说是一项极其重要的收获。此外,该法案允许优生堕胎,这也产生了跨国影响:在十年内,许多英联邦国家的司法管辖区通过了堕胎法,其中纳入了该法案的优生条款,有时是逐字逐句地纳入。本文分析了 ALRA 在将《1967 年堕胎法》中的优生学编入法典方面所扮演的角色,并认为从一开始,ALRA 就同时是一个女权主义和优生学协会。最初,ALRA 在其运动中优先考虑女权主义对 "自愿生育 "的承诺,而从 20 世纪 40 年代开始,她们将女权主义置于消极优生学之下,这一转变同时具有战略意义,并反映了对防止残疾儿童出生的真正关注。
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引用次数: 0
MDH volume 68 issue 1 Cover and Front matter. MDH 第 68 卷第 1 期封面和封底。
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-01-01 Epub Date: 2024-04-18 DOI: 10.1017/mdh.2024.16
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引用次数: 0
Smallpox Geographies: vaccination, borders and Indigenous peoples in Australia's coastal north. 天花地理:澳大利亚北部沿海地区的疫苗接种、边界和土著居民。
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-01-01 Epub Date: 2024-03-18 DOI: 10.1017/mdh.2023.39
Chi Chi Huang, Alison Bashford

Australia's approach to its biosecurity and borders has always been two-pronged - quarantine first, vaccination second. This article asks what this combination looked like in practice by exploring two neglected smallpox vaccination campaigns directed towards Indigenous peoples in the early twentieth century. We argue these were important campaigns because they were the first two pre-emptive, rather than reactionary, vaccination programs directed towards First Nations people. Second, both episodes occurred in Australia's northern coastline, where the porous maritime geography and proximity to Southeast Asia posed a point of vulnerability for Australian health officials. While smallpox was never endemic, (though epidemic), in Australia, it was endemic at various times and places across Southeast Asia. This shifting spectre of smallpox along the northern coastline was made even more acute for state and federal health officials because of the existing polyethnic relationships, communities, and economies. By vaccinating Indigenous peoples in this smallpox geography, they were envisioned and embedded into a 'hygienic' border for the protection of white Australia, entwining the two-prongs as one approach. In this article, we place public health into a recent scholarship that has 'turned the map upside down' to re-spatialise Australia's history and geography to the north and its global connections, while demonstrating how particular coastlines and their connections were drawn into a national imaginary through a health lens.

澳大利亚在生物安全和边界问题上一直是双管齐下--首先是检疫,其次是接种疫苗。本文通过探讨 20 世纪初针对土著居民的两次被忽视的天花疫苗接种活动,探讨了这一组合在实践中的表现。我们认为,这两次疫苗接种活动非常重要,因为它们是针对原住民的头两次先发制人的疫苗接种计划,而不是反动的疫苗接种计划。其次,这两次事件都发生在澳大利亚的北部海岸线,那里多孔的海洋地理环境和毗邻东南亚的地理位置成为澳大利亚卫生官员的薄弱环节。虽然天花从未在澳大利亚流行过(尽管是流行病),但在东南亚各地的不同时间和地点却流行过。由于现有的多民族关系、社区和经济,天花在北部海岸线的这种不断变化的阴影对州和联邦卫生官员来说变得更加尖锐。通过为这一天花地区的原住民接种疫苗,他们被设想并嵌入到保护澳大利亚白人的 "卫生 "边界中,将双管齐下作为一种方法。在这篇文章中,我们将公共卫生纳入近期的一项学术研究中,该研究 "颠倒了地图",重新规划了澳大利亚北部的历史和地理及其与全球的联系,同时展示了如何通过卫生视角将特定的海岸线及其联系纳入国家想象之中。
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引用次数: 0
'A sad inheritance of misery': the cultural life of hereditary scrofula in eighteenth-century England. 悲惨的遗产":十八世纪英格兰遗传性瘰疬的文化生活。
IF 1.4 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-01-01 Epub Date: 2024-03-15 DOI: 10.1017/mdh.2023.37
Noelle Dückmann Gallagher

This essay argues that scrofula was one of several disorders, including gout, rickets, and venereal disease, that were 'rebranded' as hereditary in response to broader cultural changes that took place during the Restoration and eighteenth century in England. While the purposes of scrofula's recategorisation were more political than medical, they resulted in this heretofore relatively obscure childhood ailment assuming a new prominence within both medical and popular discourses of the period. Scrofula became both emblem and proof of the links between sexual promiscuity, financial profligacy, and physiological degeneration, its symbolic status reinforced by the legal and moral language used to model processes of hereditary transmission. By likening the inheritance of scrofula to the inheritance of original sin-or, more commonly, to the inheritance of a 'docked entail' or damaged estate-eighteenth-century writers and artists not only made this non-inherited ailment into a sign of catastrophic hereditary decline; they also paved the way for scrofula to be identified as a disease of aristocratic vice, even though its association with crowded, unsanitary living conditions likely made it more common among the poor. By the same token, financial models of disease inheritance facilitated a bias toward paternal transmission, with scrofula often portrayed as passing, like a title or an estate, from father to son rather than from mother to daughter.

这篇文章认为,瘰疬是痛风、佝偻病和性病等几种疾病之一,这些疾病被 "重新命名 "为遗传性疾病,以应对英国王政复辟时期和十八世纪发生的更广泛的文化变革。虽然将瘰疬重新归类的目的更多是出于政治而非医学目的,但却使这种之前相对不为人知的儿童疾病在当时的医学和大众话语中占据了新的重要地位。瘰疬既是性乱交、挥霍无度和生理退化之间联系的象征,也是它们之间联系的证明,它的象征性地位被用来模拟遗传过程的法律和道德语言所强化。18 世纪的作家和艺术家将瘰疬的遗传比作原罪的遗传--或者更常见的说法是 "被扣押的财产 "或受损财产的遗传--不仅将这种非遗传性疾病变成了灾难性遗传衰退的标志,还为瘰疬被认定为贵族恶习铺平了道路,尽管这种疾病与拥挤、不卫生的生活条件有关,很可能在穷人中更为常见。同样,疾病遗传的金融模式也助长了父系遗传的倾向,瘰疬往往被描绘成像头衔或遗产一样,由父亲传给儿子,而不是由母亲传给女儿。
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引用次数: 0
Work, marriage and premature birth: the sociomedicalisation of pregnancy in state socialist East-Central Europe - ERRATUM. 工作、婚姻与早产:东欧-中欧社会主义国家的怀孕社会医学化 - ERRATUM.
IF 0.9 2区 哲学 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2024-01-01 Epub Date: 2024-03-15 DOI: 10.1017/mdh.2024.1
Kateřina Lišková, Natalia Jarska, Annina Gagyiova, José Luis Aguilar López-Barajas, Šárka Caitlín Rábová
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引用次数: 0
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