Korean Journal of Medical History最新文献

This article aims to analyze the types of surgical diseases and treatments in ancient China as documented in bamboo and silk texts, with a particular focus on (external) injury, tetanus, burns, rectal and anal diseases, and inguinal hernias. For this analysis, I gathered 85 instances of disease and treatments recorded in these texts. The 85 cases were further categorized into 13 (external) injuries, 13 metal wounds, 6 tetanus, 22 burns, 16 rectal and anal diseases, and 15 inguinal hernias. The analysis revealed that the treatment of (external) injury and burns focused primarily on the wound site, while the treatment of metal wounds and tetanus centered on addressing the internal body. Internal treatments were mainly prescribed through the use of medicine and food. Surgical intervention was recommended primarily for diseases of the rectum and anus, with medications applied to the woundspost-surgery. For inguinal hernias, a high-protein diet was typically prescribed. As we've seen, in ancient China, surgical diseases were mainly treated with medication, surgery, and dietary prescriptions. And among these prescriptions, drug prescriptions were utilized not only by medical doctors but also by witch-doctors treating diseases in civilian society and soldiers stationed at frontline military posts. In the absence of medical doctors in both civilian society and frontline units, witch-doctors and frontline units purchased or stockpiled prescription drugs and used them to treat patients according to prescription.

South Korea's national healthcare system after liberation often described as transformation from 'sanitation' to 'public health'. The U.S. military government introduced public health nursing as the primary vehicle for communicating the newly introduced concept of public health to the Korean public. This meant that nursing, which had been in a subordinate position within the healthcare system during the Japanese occupation, had to be repositioned within the healthcare system as an independent and leading professional agent of healthcare. At the same time creating positions for public health nurses within the newly envisioned health center system, and convincing the public that nurses were the primary agents of public health activities. Yet, in resource limited setting, the role of public health nurses was significantly scaled back. Initial plans for institutionalized, community-wide health care through home visits shifted to addressing the challenges facing Korean society, including maternal and child health and infectious disease prevention. Ironically, the expansion of health centers during late 1950s diminished the position of public health nurses within local government health systems, who were gradually replaced by male administrative staff. The role of public health nurses was greatly curtailed in the 1960s, but they laid the groundwork for later community nursing and health care efforts. At the same time, public health nurses were assigned with new role of 'visiting' local health centers for observation, education, and management. Public health nursing allows to look beyond the ideological and institutional dimensions to examine how new concepts and practices of "public health" were actually transmitted to communities in post-liberation Korea.

This article focuses on the medical activities conducted by major hospitals in downtown Seoul during the April Revolution in 1960, examining their experiential context and significance. The influx of guns and bullets into Korean society following the liberation in 1945 intertwined with the political and social conflicts of the period, resulting in numerous assassinations, crimes, and terrorism. Gunshot wounds were traumas that became a part of the everyday life of Koreans, as well as scars which reflected their historical contexts. At the same time, the frequent occurrence of gunshot wounds led to the development of medical capacities to treat them. The Korean surgical academia expanded its technical foundation with experiences during and after the Korean War. This progress was particularly noticeable in areas closely related to gunshot wounds, such as craniotomy, thoracotomy, vascular anastomosis, debridement, anesthesia, and blood transfusion. Major hospitals in downtown Seoul served as medical spaces where these experimental and technical foundations were concentrated, allowing them to minimize the death toll despite the massive gunfire by the National Police in April 1960. Thus, the aftermath of the epidemic of gunshots resulted in a rather paradoxical outcome. This development became a resource for doctors and nurses, who added their revolutionary implications in reconstructing the experience of April 1960 in their various memoirs and reports. While memoirs reorganized general medical activities, portraying injured patients as participants in the revolution, reports provided forensic descriptions and interpretations of the deaths, giving authority to the main narrative of the revolution. As the interpretations and significance based on historical contexts gained prominence, major hospitals in downtown Seoul also developed a sense of place closely associated with the revolution.

This study focuses on the health and sanitation projects carried out on Koje Island by the United Nations Civil Assistance Command in Korea (UNCACK). Koje Island was unique as it served as a destination for dispersed refugees and as an area for housing prisoners of war. Unlike in other regions, UNCACK was actively involved in the implementation of health and sanitation projects on Koje Island. Their infectious disease control projects on Koje Island serve as a valuable example for studying infectious disease prevention initiatives and local medical projects in modern and contemporary Korea. In this study, I examine the documents produced by UNCACK to assess the status of infectious disease control and vaccination plans. Additionally, I analyze the disease prevention initiatives implemented among the residents of Koje Island, including isolation, treatment, and improvement of living conditions. Finally, I explore the characteristics of the Koje Island preventive measures and assess the efforts and limitations of both UNCACK and the Korean government in addressing health issues during the Korean War. Despite the presence of refugees and POWs, Koje Island managed to implement systematic public health initiatives in a controlled environment, widely regarded as highly successful. The public health initiatives on Koje Island, led by UNCACK, provided an opportunity to utilize limited resources, manpower, and Korean health professionals, cultivating the skills necessary to manage infectious diseases effectively. Moreover, these initiatives on Koje Island, although modest, continued into the postwar period, influencing medical missionary activities, the demand for health services among residents, the establishment of independent medical institutions, and the implementation of local health projects.

This study investigates the development of military medicine during the Korean War, with a focus on the role of the Medical Field Service School and training programs in the United States. It also explores the nuanced acceptance of American medicine by South Korean doctors. Military surgeon education and training emerged as pivotal catalysts, initiating a qualitative transformation in South Korean medicine and serving as a catalyst for the advancement of modern medical practices. Military surgeon education went beyond imparting military knowledge to civilian doctors; it also acted as a vehicle for disseminating fundamental medical knowledge essential for the progress of Korean medicine. Noteworthy is the strategic selection of exceptional military surgeons for overseas training, serving as a vital link for the assimilation of 'advanced medicine' across diverse medical domains. Contrary to unilateral acceptance, South Korean doctors embraced American medicine based on subjective judgments aligned with the specific needs of South Korean medicine. Acknowledging American medical knowledge and technology through the Medical Field Service School and U.S. training, military surgeons refrained from mere praise, recognizing the substantial gaps between South Korean and American military medicine. Beyond material achievements, South Korean military surgeons also discerned and valued the spiritual legacy of American medicine. These military surgeons actively determined the essential medical majors for South Korea, introducing cutting-edge medical technology, and leveraging relationships with U.S. military surgeons to facilitate opportunities for themselves and their students to study abroad. This proactive approach highlights the independent thought processes of South Korean military surgeons, addressing both material and spiritual needs and serving as internal driving forces for the development of South Korean medicine.

This paper reviews developments in military medicine during the Korean War and places them in the evolution of military medical lessons from the Second World War and the subsequent development of military medicine through the Vietnam War to the present day. The analysis is structured according to the '10 Instruments of Military Healthcare.' Whilst there were incremental developments in military medicine in all these areas, several innovations are specifically attributed to the Korean War. The introduction of helicopters to the battlefield led to the establishment of dedicated medical evacuation helicopters crewed with medical personnel and the evolution into the DUSTOFF system during the Vietnam War. Helicopter evacuation was the primary medical evacuation system in the wars in Iraq and Afghanistan. The establishment of the Mobile Army Surgical Hospital during the Korean War were founded upon the US Auxiliary Surgical Groups or the UK Casualty Clearing Stations of World War II. The requirement for resuscitation and surgical teams close to the battlefield has endured through the development of mobile hospitals of varying sizes from Field Surgical Teams to the current 'modular' Hospital Centre and other international equivalents. There were many innovations in the clinical care of battle casualties covering wound shock, surgical techniques, preventive medicine, and acute psychiatric care that refreshed or advanced knowledge from the Second World War. These were enabled through the establishment of medical research programs that were managed within the theatre of operations. Further advances in all these clinical topics can be observed through the Vietnam War to the wars in Iraq and Afghanistan - all of which were underpinned by institutional directed research programs. Finally, collaboration between international military medical services and the development of Korean military medical services is a major theme of this review. This 'military-tomilitary' and 'civil-military' medical engagement was also a major activity during the Vietnam War and more recently in Iraq and Afghanistan. Overall, the topics and themes in military medicine that were important during the Korean War can be considered to be part of trajectory of innovation in military medicine have been replicated in many subsequent wars. The paper also highlights some 'lessons' from World War II that had to be relearned in the Korean War, and some observations from the Korean War that had to be relearned in subsequent wars.