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Ocaso de la Medicina Social en España: el caso de la leptospirosis 西班牙社会医学的衰落:钩端螺旋体病的案例
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.22
Esteban Rodríguez Ocaña
This paper focuses on a particular case of the public health administration under Franco which shows its decay in the rural areas. Leptospirosis was fought specially in the rice fields, and I afford to evaluate its similarities and disimilarities to previous health campaigns brought about by the idea of Social Medicine. It became a public health hazard after the Civil War, due to its consequences on delicate moments of rice production such as the harvest, although no organised measures were taken until 1953. It was thanks to the first agreement on technical assistance signed with the WHO, that allowed the arrival of Brenno Babudieri, a world famous Italian microbiologist on the matter, who tested a vaccine in Spain. But public health initiatives regarding leptospirosis were laboratory centered, scattered and apparently dependent on the will of the provincial medical officer.
本文以佛朗哥统治下的公共卫生行政为例,分析其在农村地区的衰败。钩端螺旋体病是专门在稻田中防治的,我有能力评估它与以前由社会医学思想带来的卫生运动的异同。内战后,由于它对稻米生产的微妙时刻(如收获)的影响,它成为了一种公共卫生危害,尽管直到1953年才采取有组织的措施。正是由于与世界卫生组织签署了第一份技术援助协议,才使世界著名的意大利微生物学家布伦诺·巴布迪耶里(Brenno Babudieri)得以抵达西班牙,他在西班牙测试了一种疫苗。但是,有关钩端螺旋体病的公共卫生举措是以实验室为中心的,分散的,显然取决于省级医疗官员的意愿。
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引用次数: 3
Curar y custodiar. La cronicidad en el Manicomio La Castañeda, Ciudad de México, 1910-1968 治愈和保护。墨西哥城拉castaneda精神病院的慢性疾病,1910-1968年
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.16
Cristina Sacristán
The article questions the binomial that associates the chronicity and incurability of mental illness with the custodialism of the asylum through a case study, Asylum La Castaneda in Mexico, from 1910 to 1968. We contrast the discourses about the cure and chronicity constructed by Mexican psychiatrists and the statistical trends of patients admitted: new admissions, readmissions, discharges, length of stay, and diagnoses in the light of new treatments. We concluded that according to the doctors, the asylum therapeutic function was severely affected by chronicity and overpopulation, but according to statistics, 80% of the patients had only one admission with a 15-month hospitalization and the long-term confinement rates of readmissions did not impact statistically; two-thirds of the patients left the asylum, and since the 1950s in the context of new therapeutics.
这篇文章通过一个案例研究,质疑精神疾病的慢性和不可治愈性与精神病院的监护联系在一起的二元论,墨西哥的La Castaneda,从1910年到1968年。我们对比了墨西哥精神病学家构建的关于治愈和慢性疾病的论述和入院患者的统计趋势:新入院、再入院、出院、住院时间和新治疗方法下的诊断。我们的结论是,根据医生的说法,精神病院的治疗功能受到慢性和人口过剩的严重影响,但根据统计,80%的患者只住院一次,住院时间为15个月,长期监禁的再入院率没有统计学影响;三分之二的病人离开了精神病院,自20世纪50年代以来,在新疗法的背景下。
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引用次数: 3
Andrés Bello y la difusión de la astronomía: Educación y retórica científica andres Bello和天文学的传播:教育和科学修辞
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.21
Verónica Ramírez Errázuriz, Patricio Leyton Alvarado
This paper analyzes the astronomical texts written by Andres Bello between 1810 and 1848, from its educational nature to its rhetorical expression, suggesting that their main purpose was to show the advances in the field - in terms of knowledge production and also technology development- in order to improve the material and intellectual environment of the nation. It also stands that astronomy should be tought by activating creativity and imagination, which may be linked with Bello’s willing to avoid science and art develop apart from each other, keeping, in this case astronomy bonded with literature.
本文分析了安德烈斯·贝洛在1810年至1848年间撰写的天文学文本,从其教育性质到修辞表达,表明其主要目的是展示该领域的进步-在知识生产和技术发展方面-以改善国家的物质和精神环境。它还主张天文学应该通过激发创造力和想象力来教授,这可能与贝罗避免科学和艺术分开发展的意愿有关,在这种情况下,天文学与文学联系在一起。
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引用次数: 3
Alcoholismo y degeneración en el Manicomio Departamental de Antioquia, Colombia (1920-1930) 哥伦比亚安蒂奥基亚省精神病院的酗酒和退化(1920-1930)
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.14
Alejandro Salazar Bermúdez
In this article we analyze 159 clinical records of patients with diagnoses related to alcohol at the Departamental Mental Hospital of Antioquia, between the years of 1920 and 1930. In that decade an institutional transformation began with the arrival at the direction of Dr. Lazaro Uribe Calad. Besides it was very discussed in the medical and political sector the idea of the racial degeneracy, a matter in which alcoholism played a central role. It is observed in medical publications a constant concern due to the terrible consequences that the high consumption of alcohol could bring in society. However, a deeper review of sources such as the annual Statistics of the Mental Hospital and the clinical records, shows how clinical practice reflected another reality. It is concluded that both, the number of patients who were diagnosed as alcoholic or whose etiology was related to the drink, were much lower than those indicated by the doctors. These incomes mainly responded to moral and social problems, but not to psychiatric issues.
在这篇文章中,我们分析了1920年至1930年间在安蒂奥基亚精神病院诊断出与酒精有关的159例患者的临床记录。在那个十年中,随着拉扎罗·乌里韦·卡拉德博士的到来,一场制度变革开始了。此外,在医疗和政治部门对种族堕落的概念进行了非常热烈的讨论,酗酒在这个问题上起着核心作用。在医学出版物中观察到,由于大量饮酒可能给社会带来可怕的后果,人们一直关注这一问题。然而,对精神病院年度统计数据和临床记录等资料进行更深入的审查,就会发现临床实践反映了另一种现实。结论是,被诊断为酗酒者或其病因与饮酒有关的患者人数都远低于医生所指示的人数。这些收入主要针对道德和社会问题,而不是精神问题。
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引用次数: 0
“Estou no Hospício, Deus”: problematizações sobre a loucura, o hospício e a psiquiatria no diário de Maura Lopes Cançado (Brasil, 1959-60) “我在临终关怀医院,上帝”:莫拉·洛佩斯日记cancado(巴西,1959-60)中关于疯狂、临终关怀和精神病学的问题
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.19
Yonissa Marmitt Wadi
The writer Maura Lopes Cancado circulated in the world of the psychiatric hospitals between the 1950s, 1960s and 1970s. During one of hospitalizations (1959-1960), the third time in the National Psychiatric Center, a hospital complex in Rio de Janeiro, the writer wrote a diary that was later published as the book Hospice is God-Diary I. The bond between the live lived by her and the fiction, which the narrator transited in her diary, creating a unique work from the perspective of academic commentators and literary critics. In the history field of madness and psychiatry, this work offers new possibilities for understanding the configuration of psychiatric care, scientific and therapeutic practices and the various subjects that circulated in the world of Brazilians psychiatric hospitals, in the 1950s, operating a displacement in relation to traditional places of enunciation that are known. In this article, I chose to observe the problematizations of Maura about the institutional daily life and the fact of writing a diary, which oscillate between teaching others and the care of the self. Therefore, I did an enunciative analysis of the narrative, that values the things that were said by her as one of the truths about the psychiatric hospital, medical science and its practices, the mad and the madness.
作家莫拉·洛佩斯·坎卡多(Maura Lopes canado)在20世纪50年代、60年代和70年代在精神病院的世界里流传。1959年至1960年,她第三次在里约热内卢的综合医院——国家精神病学中心住院。在住院期间,她写了一篇日记,后来以《临终关怀是上帝日记1》的名字出版。她的生活与小说之间的联系,在她的日记中被叙述者转换,从学术评论家和文学评论家的角度创造了一部独特的作品。在疯狂和精神病学的历史领域,这项工作为理解20世纪50年代在巴西精神病院世界流传的精神护理、科学和治疗做法以及各种主题的构成提供了新的可能性,这些医院与传统的已知精神病院相比,处于一种替代状态。在这篇文章中,我选择观察莫拉对制度化日常生活的质疑,以及写日记的事实,在教导他人和照顾自己之间摇摆不定。因此,我对她的叙述做了一个清晰的分析,把她所说的作为精神病院、医学及其实践、疯狂和疯狂的真相之一。
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引用次数: 0
La anatomopatología alemana en el centro de la psiquiatría argentina. Una aproximación a los estudios clínicos en el Hospicio de las Mercedes (1900-1910) 阿根廷精神病学中心的德国解剖病理学。拉斯梅塞德斯临终关怀医院的临床研究方法(1900-1910)
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-12-12 DOI: 10.3989/ASCLEPIO.2017.12
Aída Alejandra Golcman, M. A. Ramos
In this article, we explore the development of pathological anatomy in the psychiatric field in Buenos Aires, Argentina, particularly in the Mercedes hospital beginning around 1900. The Argentine government, by means of Dr. Domingo Cabred, contracted German physician Christofried Jakob, through the Ministry of Foreign Relations, to take charge of the Laboratory of Clinical Psychiatry and Neurology at the Mercedes Hospital (1889-1904). To facilitate this work, a laboratory was constructed that was an exact replica of the laboratory of pathological anatomy developed in Germany. This work was critical to cementing the neurobiological school in Argentina and produced important followers of the biological approach to psychiatry. In this article, we investigate a part of the work that developed in this laboratory. Specifically, we focus on the registry of a population of patients who died and were subsequently autopsied in the hospital. We examine the diagnoses that were used to characterize this population and analyze the relationship between laboratory practice and the theory of anatomical pathology during this period. We show that laboratory practices – not just autopsy but also blood tests – were critical technologies to sustain a hygienic diagnostic framework in the hospital. Autopsies demonstrated the causal connection between changes in the anatomical-clinical body and psychopathology and thus, established the psychiatric field as a legitimate branch of medicine that produced scientific explanations for the social problematic of immigration at the turn of the century in Argentina.
在这篇文章中,我们探讨了病理解剖学在阿根廷布宜诺斯艾利斯精神病学领域的发展,特别是在1900年左右开始的梅赛德斯医院。阿根廷政府通过多明戈·卡布雷德博士,通过外交关系部与德国医生克里斯托弗·雅各布签约,由他负责梅塞德斯医院的临床精神病学和神经病学实验室(1889-1904)。为了促进这项工作,建立了一个完全复制德国病理解剖实验室的实验室。这项工作对巩固阿根廷的神经生物学学派至关重要,并培养了精神病学生物学方法的重要追随者。在本文中,我们研究了在这个实验室中开发的部分工作。具体而言,我们关注的是死亡并随后在医院进行尸检的患者群体的登记。我们检查的诊断是用来表征这一人口和分析实验室实践和解剖病理学理论之间的关系在这一时期。我们表明,实验室实践——不仅是尸检,还有血液检测——是维持医院卫生诊断框架的关键技术。尸检证明了解剖-临床身体变化与精神病理学之间的因果关系,从而将精神病学领域确立为医学的一个合法分支,为阿根廷世纪之交的移民社会问题提供科学解释。
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引用次数: 1
Louis Figuier en Brasil: algunas consideraciones acerca de los vulgarizadores de las ciencias en el último cuarto del siglo XIX 路易斯·菲圭尔在巴西:对19世纪最后25年科学庸俗化者的一些思考
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-06-30 DOI: 10.3989/ASCLEPIO.2017.07
Kaori Kodama
This article aims to address aspects of the history of the divulgation of sciences in Brazil in the nineteenth century, through the analysis of the circulation of some translations into Portuguese of the works of French popularizer of science, Louis Figuier. His works, which were translated to different languages, received editions in Brazil and Portugal since late 1860. During this period, a model of popularization of science for non-specialists - working class, women and youth - with emphasis on applied science was gaining terrain. However, this model was also marked by limitations and discontinuities that reflect social issues in the passage to the twentieth century. This paper attempts to highlight the role of translators and editors, understood as mediators of science, whose projects of social reform was primarily focused in popular instruction.
本文旨在通过分析法国科普作家路易斯·菲格尔(Louis Figuier)的一些葡萄牙语译著的流通情况,探讨19世纪巴西科学传播的历史。他的作品被翻译成不同的语言,自1860年底以来在巴西和葡萄牙得到了版本。在此期间,一种面向非专业人员- -工人阶级、妇女和青年- -强调应用科学的科学普及模式正在取得进展。然而,这种模式也有局限性和不连续性,反映了进入20世纪的社会问题。本文试图强调译者和编辑的作用,他们被理解为科学的调解人,他们的社会改革项目主要集中在大众教育上。
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引用次数: 0
El dispositivo gimnástico en el contexto de la medicina social decimonónica española. De las políticas higiénicas a los discursos fundacionales de la “educación física” 19世纪西班牙社会医学背景下的体操装置。从卫生政策到“体育”的基础论述
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-06-30 DOI: 10.3989/ASCLEPIO.2017.04
M. Vicente-Pedraz, Xavier Torrebadella-Flix
In the first half of the c.19, hygienic and therapeutic gymnastic techniques were established throughout Europe as a device of knowledge/power concerning care and control over the body that, on the one hand, allowed the development of professional medical exploitation and, on the other, served as a justification for implementing and legitimising physical education in schools. Through a process of the localising, selecting and interpreting of documents, the object of this paper is to identify the genealogy of such a device within the Spanish context. To this end, particular attention has been placed on the technical manifestations perceptible in both the conflicts and discourses on which this new professional space was constructed. Emphasis has been given to the constitutive doctrinal texture of gymnastics, whose mark–in terms of regularity, stability, moral and physical self-restraint–would be present in the foundational justifications of physical education in schools.
19世纪上半叶,卫生和治疗性体操技术在整个欧洲被确立为一种知识/权力手段,涉及对身体的护理和控制,一方面,它允许专业医疗开发的发展,另一方面,它作为在学校实施体育教育和使其合法化的理由。通过对文件的本地化、选择和解释的过程,本文的目标是在西班牙语境中确定这种装置的谱系。为此,特别注意的是在冲突和话语中可以察觉到的技术表现,这是构建这个新的专业空间的基础。本文着重讨论了体操运动的基本教义结构,它在规律性、稳定性、道德和身体自我约束等方面的标志,将成为学校体育教育的基本依据。
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引用次数: 4
Legitimar psiquiatras antes que curar pacientes. Las terapias de shock en Buenos Aires, Argentina (1930-1970) 合法化精神病医生而不是治疗病人。阿根廷布宜诺斯艾利斯的休克疗法(1930-1970)
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-06-30 DOI: 10.3989/ASCLEPIO.2017.08
Aída Alejandra Golcman
This research aims to explain the theoretical and clinical use of shock therapies in Argentine psychiatric field, particularly in the province of Buenos Aires between 1930 and 1970. It is argued that it is necessary to study the theoretical and clinical psychiatric work, in order to learn how psychiatrists interpreted mental pathology. Thus two distinct scenarios are analyzed: first academia, emphasizing on medical texts expressing discussions held at congresses, conferences, university chairs, and secondly in hospital settings, represented by a population of chronic patients in a hospital on the outskirts of the Capital Federal, the Esteves Hospital of Lomas de Zamora. The use of shock therapy in the hands of psychiatrists, changed the way of understanding madness and transformed the daily course of hospitals. Therefore, the presence of such therapies was relevant to legitimize the discipline, regardless of the “effectiveness” with patients.
本研究旨在解释休克疗法在阿根廷精神病学领域的理论和临床应用,特别是在1930年至1970年之间的布宜诺斯艾利斯省。认为有必要研究精神病学的理论和临床工作,以了解精神科医生如何解释精神病理。因此,分析了两种不同的情况:第一种是学术界,强调医学文本表达在大会、会议、大学主持会议上举行的讨论,第二种是医院环境,以首都联邦郊区医院的慢性病患者为代表,Lomas de Zamora的Esteves医院。精神科医生使用休克疗法,改变了人们对疯狂的理解,也改变了医院的日常治疗。因此,不管对患者的“有效性”如何,这种疗法的存在与该学科的合法性有关。
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引用次数: 4
Fiebre hemorrágica Argentina. Conflictos y desafíos para la ciencia en el ámbito rural 阿根廷出血热。农村科学面临的冲突和挑战
IF 0.2 4区 哲学 Q3 Arts and Humanities Pub Date : 2017-06-28 DOI: 10.3989/ASCLEPIO.2017.10
Cecilia Gárgano, Agustín Piaz
First detected in 1955, the Argentine hemorrhagic fever (AHF) is a serious acute viral illness located in an area of intensive agricultural activity. This article enquires into some of the recent lines of investigation with the purpose of analyzing how medical practices have continued or ceased to be implemented as well as determining whether the social groups identified as main risk groups of the AHF have seen any variation. In order to do this, a summary of the disease’s history has been made in addition to an investigation on the trajectory of the viral research laboratory that monopolized the research, production and distribution of the vaccine: the Maiztegui National Human Viral Disease Institute (INEVH). Based on primary as well as secondary sources and interviews with researchers and staff from the INEVH, we have studied its institutional career along with the conflicts that appeared in its development. These are associated with social and economic issues of the rural area where physicians, scientists and the affected population live and work.
阿根廷出血热于1955年首次发现,是一种发生在农业活动密集地区的严重急性病毒性疾病。本文探讨了最近的一些调查,目的是分析医疗实践是如何继续或停止实施的,并确定被确定为AHF主要风险群体的社会群体是否有任何变化。为此,除了对垄断疫苗研究、生产和销售的病毒研究实验室——迈兹特圭国家人类病毒病研究所——的发展轨迹进行调查外,还对该疾病的历史进行了总结。根据第一手资料和第二手资料,以及对研究所研究人员和工作人员的采访,我们研究了其机构生涯及其发展过程中出现的冲突。这些问题与医生、科学家和受影响人口生活和工作的农村地区的社会和经济问题有关。
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引用次数: 1
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Asclepio-Revista de Historia de la Medicina y de la Ciencia
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