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"HEALTH FOR ALL". THE MEDICAL SYSTEM IN WALLACHIA UNDER PROTOMEDICUS NICOLAE GUSSI 1848-1859. "人人享有健康"。古西(1848-1859)时期瓦拉几亚的医疗制度。
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.3
Lidia Trausan-Matu

The main objective of this study is to provide an overview of the evolution of the medical system in Wallachia between 1840 and 1860 and the very important role of physician Nicolae Gussi (1802-1869), protomedicus of Wallachia between 1840 and 1859, to transform medicine into a modern public service, accessible to the entire population. Particularly, we will refer to the medical reform project of 1853, which Gussi implemented during the time he headed the medical-sanitary administration. We will insist on the details of the project because it was designed to create a network of county hospitals that would improve the health of the population and, in the medium and long term, would reduce mortality and increase life expectancy. Another dimension of the study aims at the tenure of physicians in county hospitals and describes the medical services they provided to patients, particularly from the poor population.

本研究的主要目的是概述1840年至1860年间瓦拉几亚医疗系统的演变,以及1840年至1859年间瓦拉几亚医学家尼古拉·古西(1802-1869)医生在将医疗转变为现代公共服务方面的重要作用,使所有人都能获得医疗服务。特别是,我们将提到1853年的医疗改革项目,这是古西在他领导医疗卫生行政期间实施的。我们将坚持提供该项目的细节,因为该项目的目的是建立一个县医院网络,以改善人口的健康状况,并在中期和长期内降低死亡率和提高预期寿命。该研究的另一个方面针对的是县医院医生的任期,并描述了他们向病人,特别是穷人提供的医疗服务。
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引用次数: 0
ECONOMIC CRISES AS A MOTIVE FOR CHANGE IN HEALTH CARE SYSTEMS - A HISTORICAL PERSPECTIVE WITH REFERENCE TO THE COVID-19 PANDEMIC 经济危机是卫生保健系统变革的动力——基于COVID-19大流行的历史视角
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.8
Snježana Kaštelan, Boris Kasun, Uršula Kaštelan, Milena Radonjić, Martina Sopta

Economic crises throughout history have often given an impetus for health and social reforms leading to the introduction of general healthcare systems and social equality in a large number of countries. The aim of this paper is to present the major economic crises and their effect on healthcare and social system chronologically. Bismarck's and Beveridge's model, the two most prominent healthcare models, which emerged primarily as a response to major economic crises, constitute the basis for the functioning of most health care systems in the world. An overview of historical events and experiences may be valuable in predicting future developments and potential effects of the crisis on healthcare systems and health in general. An analysis of past crises as well as current health and economic crisis caused by the COVID-19 pandemic and their impact on the healthcare system can facilitate the comprehension of the mechanisms of action and consequences of economic recession. It may also help identify guidelines and changes that might reduce the potential damage caused by future crises. The historical examples presented show that a crisis could trigger changes, which, in theiressence, are not necessarily negative. The response of society as a whole determines the direction of these changes, and it is up to society to transform the negative circumstances brought about by the recession into activities that contribute to general well-being and progress.

纵观历史,经济危机往往会推动卫生和社会改革,从而在许多国家引入一般卫生保健系统和社会平等。本文的目的是呈现主要的经济危机及其对医疗保健和社会系统的影响按时间顺序。俾斯麦(Bismarck)和贝弗里奇(Beveridge)的模式是最著名的两种医疗模式,主要是为了应对重大经济危机而出现的,它们构成了世界上大多数医疗体系运作的基础。对历史事件和经验的概述可能有助于预测未来的发展以及危机对医疗保健系统和总体健康的潜在影响。分析由COVID-19大流行引起的过去危机以及当前的健康和经济危机及其对医疗保健系统的影响,可以促进对经济衰退的行动机制和后果的理解。它还可能有助于确定可能减少未来危机造成的潜在损害的指导方针和变化。所提出的历史例子表明,危机可能引发变化,而这些变化在本质上并不一定是消极的。整个社会的反应决定了这些变化的方向,社会应该把经济衰退带来的消极情况转变为有助于普遍福利和进步的活动。
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引用次数: 2
THE INFLUENCE OF THE VIENNA SCHOOL OF OPHTHALMOLOGY ON THE BEGINNINGS OF MODERN OPHTHALMOLOGY IN CROATIA 维也纳眼科学派对克罗地亚现代眼科起源的影响
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.7
Milan Ivanišević

The founder of the Vienna School of Ophthalmology was Prof. Dr. Georg Joseph Beer, who founded the First University Eye Clinic in the Vienna General Hospital in 1812. Prof. Ferdinand von Arlt led it for 27 years from 1856 to 1883. As the First Eye Clinic became too small, the Second University Eye Clinic was founded in 1883 at the same hospital in Vienna. Since 1885 it had been led for 30 years by Prof. Ernst Fuchs. Many well-known ophthalmologists were leading those Viennese eye clinics. However, Arlt and Fuchs were the main representatives of the Vienna School of Ophthalmology, which was always characterised by the high standards in the diagnosis and therapy of eye diseases. Many Croatian ophthalmologists were educated by them or their students, and later they established eye departments in the major cities in Croatia and transmitted acquired knowledge and experience. The first eye departments in Croatia were formed at the turn of the 19th and 20th century. The First University Eye Clinic in Croatia started to work in Zagreb in 1923. Our ophthalmologists transmitted the organisation of the clinics as they existed in Vienna, and that was the matrix form of all European clinics at that time. Therefore, the tradition of the Vienna School of Ophthalmology was passed on to the next generations. The paper also gives short biographies of Viennese and Croatian ophthalmologists and their mutual relations in education and work.

维也纳眼科学院的创始人是乔治·约瑟夫·比尔教授,他于1812年在维也纳总医院创立了第一所大学眼科诊所。费迪南德·冯·阿尔特教授从1856年到1883年领导了27年。由于第一眼科诊所规模太小,第二大学眼科诊所于1883年在维也纳的同一家医院成立。自1885年以来,恩斯特·富克斯教授领导了30年。许多著名的眼科医生领导着维也纳的眼科诊所。然而,Arlt和Fuchs是维也纳眼科学派的主要代表,该学派在眼病的诊断和治疗方面一直以高标准为特征。许多克罗地亚眼科医生都是由他们或他们的学生教育的,后来他们在克罗地亚的主要城市建立了眼科,并传播了获得的知识和经验。克罗地亚的第一个眼科部门成立于19世纪和20世纪初。克罗地亚第一所大学眼科诊所于1923年在萨格勒布开始运作。我们的眼科医生传播了维也纳诊所的组织结构,这是当时所有欧洲诊所的矩阵形式。因此,维也纳眼科学校的传统被传给了下一代。本文还简要介绍了维也纳和克罗地亚眼科医生及其在教育和工作方面的相互关系。
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引用次数: 0
THE OLDEST LOCATIONS OF CITY HOSPITAL IN RIJEKA 里耶卡市医院最古老的地点
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.2
Nana Palinić
The article describes the oldest locations and buildings for the treatment of patients inRijeka. According to historical sources, the first known site for health care and treatmentwas a hospital founded in the 14th or 15th century in the Old Town, in the St Sebastian Street, in which also existed a little church of the same name. It is not known for sure when the hospital was moved to a new location, to a house opposite the Church of the Assumption of the Blessed Virgin Mary. The Statute of Rijeka from 1530 mentions it under the name Hospital of St. Mary (hospitali Sanctae Mariae) but later changed its name to St. Spirit Hospital. It was named after the chapel located in the same block of buildings. As in the previous location, there was an orphanage and an almshouse within the hospital. The hospital and the orphanage operated in this building until 1822, when, at the initiative of the Municipality, they moved to Brajda, in an adapted complex of buildings of the former wax factory. The building of the former hospital has been adapted for residential use. At the end of World War II, the building was destroyed under aerial bombardment and later a new building was built in its place.
这篇文章描述了里耶卡最古老的治疗病人的地点和建筑。根据历史资料,第一个已知的保健和治疗场所是14或15世纪在老城区圣塞巴斯蒂安街建立的一家医院,其中也有一座同名的小教堂。医院是什么时候搬到新地点的,搬到圣母升天教堂对面的一所房子里,这是不确定的。1530年的里耶卡法令以圣玛丽医院(hospitali Sanctae Mariae)的名义提到它,但后来更名为圣精神医院。它是以位于同一街区的小教堂命名的。和以前的地点一样,医院里有一所孤儿院和一所救济院。直到1822年,医院和孤儿院一直在这座建筑中运作,当时,在市政府的倡议下,它们搬到了布拉吉达,在前蜡厂的建筑综合体中。原医院的建筑已改造为住宅用途。在第二次世界大战结束时,这座建筑在空中轰炸下被摧毁,后来在它的地方建造了一座新建筑。
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引用次数: 0
BADGES/PINS OF NURSING AND MIDWIFERY SCHOOLS IN SLOVENIA FROM 1925 UNTIL EARLY 1980s. 1925年至1980年代初斯洛文尼亚护理和助产学校的徽章/别针。
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.6
Janez Fischinger, Duša Fischinger, Aleš Fischinger

Introduction: Many nursing and midwifery schools in many countries around the world awarded or still award graduation badges or pins to their graduates. All graduates from different parts of the former Kingdom of Yugoslavia and later the Republic of Yugoslavia educated in Slovenian healthcare schools received badges from these schools. Some of the graduates later employed in medical institutions across former Yugoslavia wore these badges on their uniforms. The main purpose of this historical research was to establish which Slovenian health care schools awarded the graduation badges and what they looked like. It was also investigated why the badges ceased to be awarded and what motivated Angela Boškin Faculty of Health Care in Jesenice to reintroduce awarding the badges.

Methods: Due to a lack of written sources, we conducted 393 face to face and telephonic interviews with former badge recipients across Slovenia. Their existing badges were photographed. On the authors' initiative, a private collection of badges was started.

Results: It has been established that in the 20th century all Slovenian secondary health schools awarded badges. The Nursing College, Ljubljana also awarded graduation badges. Five different types of badges in many variants were issued. The first badges were awarded to graduates by Slovenian oldest Nursing School, Ljubljana in 1925. The badges ceased to be awarded in the late 1970s and the early 1980s. Some questions about probable reasons for cessation of awarding badges remain unanswered. Less than a fifth of interviewees kept their badges. Graduating nursing badges were reintroduced in Slovenia in 2017 with a new badge which is presented and depicted in this article. The motivation for the reintroduction of graduating badges is also investigated.

Discussion and conclusion: Unfortunately, many Slovenian nurses and midwives are not sufficiently aware of the meaning and importance of their badges. Although badges are important for professional image and identity of nurses, badges as a symbol of nursing have become almost completely forgotten. Graduation badges are miniature works of art and are proof of the existence and development of Slovenian healthcare schools. Nursing badges present a part of nursing history as well as being our cultural heritage. The badges deserve to be written and talked about and should be displayed in a planned future Slovenian Health Care Museum.

导读:世界上许多国家的许多护理和助产学校授予或仍然授予毕业生毕业徽章或胸针。在斯洛文尼亚保健学校接受教育的来自前南斯拉夫王国不同地区和后来的南斯拉夫共和国的所有毕业生都获得了这些学校颁发的徽章。一些毕业生后来受雇于前南斯拉夫各地的医疗机构,他们的制服上戴着这些徽章。这项历史研究的主要目的是确定斯洛文尼亚哪些卫生保健学校颁发了毕业徽章,以及它们是什么样子的。还调查了为什么停止颁发徽章,以及是什么促使安吉拉Boškin耶撒尼塞卫生保健学院重新颁发徽章。方法:由于缺乏书面资料,我们对斯洛文尼亚的前徽章获得者进行了393次面对面和电话采访。他们现有的徽章被拍照。在作者的倡议下,私人收藏徽章的活动开始了。结果:已确定,在20世纪,斯洛文尼亚所有中等卫生学校都颁发徽章。卢布尔雅那的护理学院也颁发了毕业徽章。发行了五种不同型号的徽章。斯洛文尼亚最古老的护理学校卢布尔雅那于1925年向毕业生颁发了第一批徽章。这些徽章在20世纪70年代末和80年代初停止颁发。有关停止颁发徽章的可能原因的一些问题仍未得到解答。只有不到五分之一的受访者保留了他们的徽章。2017年,斯洛文尼亚重新推出了毕业护理徽章,本文将介绍和描述一种新的徽章。本文还探讨了重新引入毕业徽章的动机。讨论与结论:不幸的是,许多斯洛文尼亚的护士和助产士没有充分意识到他们的徽章的意义和重要性。虽然徽章对护士的职业形象和身份很重要,但徽章作为护理的象征几乎已经被完全遗忘了。毕业徽章是微型艺术品,是斯洛文尼亚卫生保健学校存在和发展的证明。护理徽章是护理历史的一部分,也是我们的文化遗产。这些徽章值得书写和讨论,应该在计划未来的斯洛文尼亚卫生保健博物馆展出。
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引用次数: 0
THE HISTORY OF SYPHILIS IN THE XVI CENTURY AND THE PIVOTAL ROLE OF LUIGI LUIGINI IN THE RENAISSANCE 十六世纪梅毒的历史和路易吉·路易吉尼在文艺复兴时期的关键作用
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.9
Mariano Martini, Emanuele Armocida, Luca Lo Basso, Emiliano Beri, Nicola Luigi Bragazzi, Alessandra Parodi

Syphilis is the prime example of a "new disease" which triggered a transnational (European) discussion among physicians. It appeared between the end of the Middle Ages and the beginning of the Modern Times (at the beginning of the sixteenth century), a time in which medicine was changing from a dogmatic to an experimental discipline. The main changes were in the field of anatomy: in 1543, the same year of the astronomy-disrupting work by Nicolas Copernicus, the new less dogmatic and more empirical approach to anatomy by Andreas Vesalius was published. Nevertheless, in the Renaissance, medicine remains a tradition-bound discipline, proud of its millennial history and its superiority over the empirical, non-academic healers. When syphilis appeared in Europe, several explanations were elaborated. In the mid-16th century, an Italian doctor Luigi Luigini (born in 1526) published in Venice a collection of all the works on syphilis that appeared until 1566. He wanted to entrust to colleagues, contemporary and future, a compendium of all that was known about the "new" disease (the Latin term Novus means both "new" and "strange"). According to the most authors of the collection, the disease is in fact "new" and "strange". Some authors of the collection find it impossible that authorities like Hippocrates and Galen overlooked it. Luigini's work shows the authors' effort to absorb syphilis in the corpus of academic medicine and affirm the authority of academic physicians against the empirical healers.

梅毒是引发跨国(欧洲)医生讨论的“新疾病”的典型例子。它出现在中世纪末期和近代初期(16世纪初)之间,当时医学正从一门教条主义学科转变为一门实验学科。主要的变化发生在解剖学领域:1543年,也就是尼古拉斯·哥白尼颠覆天文学的同一年,安德烈亚斯·维萨里乌斯发表了一篇较少教条主义、更多经验主义的解剖学新方法。尽管如此,在文艺复兴时期,医学仍然是一门受传统束缚的学科,为其千年的历史和对经验主义、非学术治疗师的优势感到自豪。当梅毒在欧洲出现时,有几种解释。16世纪中期,意大利医生路易吉·路易吉尼(生于1526年)在威尼斯出版了一本集,收录了1566年以前所有关于梅毒的著作。他想把所有关于这种“新”疾病(拉丁文Novus的意思是“新的”和“奇怪的”)的知识简编交给现在和未来的同事。根据大多数作者的说法,这种疾病实际上是“新的”和“奇怪的”。一些文集的作者发现,像希波克拉底和盖伦这样的权威人士不可能忽视它。路易吉尼的工作表明,作者努力将梅毒纳入学术医学的语库,并肯定了学术医生对经验治疗师的权威。
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引用次数: 0
DOCTOR APOLINARY TARNAWSKI (1851-1943) - THE PIONEER OF NATURAL MEDICINE AND PHYSIOTHERAPY IN GERIATRICS IN POLAND 波兰老年医学自然医学和物理疗法的先驱
IF 0.2 Q4 Medicine Pub Date : 2021-01-20 DOI: 10.31952/amha.18.2.4
Mariusz Migala, Sławomir Jandziś

Doctor Apolinary Tarnawski (1851-1943) was undoubtedly the precursor of modern natural medicine, preventive medicine, and geriatric physiotherapy in Poland. Based on the experience gained from foreign scientific travel, own knowledge and experience, he developed an original method that he successfully used in his own clinic in Kosów. His assumptions proved to be timeless, and despite the passage of many years have not lost their relevance.

apolary Tarnawski医生(1851-1943)无疑是波兰现代自然医学、预防医学和老年物理疗法的先驱。他根据国外科学旅行的经验和自己的知识和经验,开发了一种新颖的方法,并成功地在Kosów自己的诊所中使用。他的假设被证明是永恒的,尽管许多年过去了,但并没有失去其相关性。
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引用次数: 0
Nomen Est Omen: Medical and Pharmaceutical Occupations in Slovenian Family Names Nomen Est Omen:斯洛文尼亚姓氏中的医疗和制药职业
IF 0.2 Q4 Medicine Pub Date : 2020-06-29 DOI: 10.31952/amha.18.1.1
Mojca Ramšak

The heritage of Slovenian house names and surnames reflects, among others, the former medicine and pharmaceutical occupations, midwifery, and folk medicine practices, and besides that, also health status and illnesses of people. Surnames, which are especially strongly intertwined with family, local and social history, are closely related to folk medicine and magic. Unlike house names (vulgo), which are the usual nicknames for physical and mental characteristics and abilities, surnames denote medical occupations and medicinal folk practice as such. According to the most recent data (as of January 1, 2020) of The Statistical Office of the Republic of Slovenia, at least 40 surnames reminiscent former medical or pharmaceutical professions. These newly discovered digital data in open access are precious for the history of medicine because they allow comparing surnames geographically, by frequency, and through the time.

斯洛文尼亚姓氏和姓氏的遗产,除其他外,反映了以前的医学和制药职业、助产和民间医学实践,除此之外,还反映了人们的健康状况和疾病。姓氏尤其与家庭、地方和社会历史紧密交织在一起,与民间医学和魔法密切相关。与姓氏不同,姓氏通常是对身体和心理特征和能力的昵称,而姓氏则表示医疗职业和民间医疗实践。根据斯洛文尼亚共和国统计局的最新数据(截至2020年1月1日),至少有40个姓氏让人想起以前的医疗或制药行业。这些新发现的开放获取的数字数据对于医学史来说是非常宝贵的,因为它们可以在地理上、频率上和时间上对姓氏进行比较。
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引用次数: 0
[XIX. Scientific conference "Rijeka and its citizens in Medical History", November 8, 2019] (第十九。2019年11月8日科学会议“里耶卡及其公民的医学史”
IF 0.2 Q4 Medicine Pub Date : 2020-06-29
Toni Buterin

The former villa of Archduke Joseph, today's State Archives in Rijeka, as a building of the protected cultural property of the City of Rijeka, once again hosted an international scientific conference "Rijeka and its Citizens in Medical History". It was the nineteenth scientific conference organized by the Croatian Scientific Society for the History of Health Culture, the State Archive in Rijeka and University of Rijeka, Faculty of Medicine. The first session closely connected the Rijeka part of medical historiography, with an emphasis on professions and health care systems of Rijeka, connecting it with its immediate surroundings, people and institutions on whose foundations modern Rijeka medicine rests, while the second session contained topics of wider historical medical range.

约瑟夫大公的前别墅,今天的里耶卡国家档案馆,作为里耶卡市受保护的文化财产,再次主办了一次国际科学会议"里耶卡及其公民的医学史"。这是克罗地亚卫生文化史科学学会、里耶卡国家档案馆和里耶卡大学医学院组织的第十九次科学会议。第一届会议将医学史学的里耶卡部分紧密联系起来,重点是里耶卡的专业和卫生保健系统,将其与现代里耶卡医学基础的直接环境、人员和机构联系起来,而第二届会议则包含了更广泛的历史医学范围的主题。
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引用次数: 0
[Medicine and Art: Encounters, Traces, Connections. Rijeka 2020 - European Capital of Culture as Inspiration] 医学与艺术:相遇,痕迹,联系。里耶卡2020 -欧洲文化之都
IF 0.2 Q4 Medicine Pub Date : 2020-06-29
Igor Salopek

Searching for an answer whether medicine is a science or an art, especially in today's time when the emphasis is on the biotechnological aspects of treatment, the intention of this paper is to reflect on the outcomes of the encounter of medicine and art. Those that are recognised at least in the complementarity of the methodology, creating additional life values. By presenting authentic actions, this is a call for additional health improvement interventions, without allowing the biopsychosocial approach to human integrity to be forgotten. The inspiration for this view was the prestigious title of the European Capital of Culture that the Town of Rijeka was awarded for the year 2020. This city is also a kind of capital of health culture in many ways.

寻找医学是一门科学还是一门艺术的答案,特别是在今天强调治疗的生物技术方面的时候,本文的目的是反思医学和艺术相遇的结果。那些至少在方法的互补性中被认可的,创造额外的生命价值。通过提出切实的行动,呼吁采取更多改善健康的干预措施,同时不忘记对人类完整性的生物心理社会方法。这一观点的灵感来自于Rijeka镇在2020年获得的欧洲文化之都的著名称号。这个城市在很多方面也是一个健康文化之都。
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引用次数: 0
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Acta Medico-Historica Adriatica
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