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Florence Nightingale and Responsibility for Healthcare in the Home 弗洛伦斯·南丁格尔和家庭医疗责任
Pub Date : 2021-12-28 DOI: 10.1163/26667711-bja10012
Richard Bates, J. Memel
The focus for this article is the approach taken by the famous British nurse and public health reformer Florence Nightingale (1820–1910) to responsibility for care, with particular reference to healthcare as practised in the home. It begins by examining Nightingale’s involvement as a young woman in ‘Lady Bountiful’ style upper-class charitable health visiting in the period before 1850. It goes on to consider the district nursing model designed by Nightingale and William Rathbone in the 1860s as an attempt to adapt this localised model of charitable care to the demands of industrial Victorian cities. The final section broadens the lens to examine Nightingale’s views on religious vocations in care work and the state’s expanding role in regulating the nursing profession. Nightingale’s ideal vision of care combined multiple elements: attachment to a local community, a sense of religious vocation, and the scalability and fundraising of national or governmental organizations.
本文的重点是英国著名护士和公共卫生改革者弗洛伦斯·南丁格尔(1820-1910)所采取的护理责任方法,特别是在家庭中实践的医疗保健。它首先考察了南丁格尔作为一名年轻女性在1850年之前参与“慷慨夫人”式的上流社会慈善健康访问。它继续考虑南丁格尔和威廉·拉斯伯恩在19世纪60年代设计的区域护理模式,作为一种尝试,使这种本地化的慈善护理模式适应维多利亚时代工业城市的需求。最后一部分拓宽了视角,考察南丁格尔对护理工作中的宗教职业和国家在规范护理专业方面不断扩大的作用的看法。南丁格尔理想的护理愿景结合了多种因素:对当地社区的依恋,宗教使命感,以及国家或政府组织的可扩展性和筹款。
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引用次数: 2
Louise Cilliers, Roman North Africa: Environment, Society and Medical Contribution Louise Cilliers,罗马北非:环境,社会和医学贡献
Pub Date : 2021-12-20 DOI: 10.1163/26667711-20210009
C. F. Salazar
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引用次数: 2
How Ethics Travels: The International Development of Research Ethics Committees in the Late Twentieth Century 伦理如何传播:研究伦理委员会在20世纪后期的国际发展
Pub Date : 2021-12-01 DOI: 10.1163/26667711-20210001
N. Jacobs, Helena Tinnerholm Ljungberg
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引用次数: 0
Bettina Hitzer, Krebs Fühlen: Eine Emotionsgeschichte des 20. Jahrhunderts 感到热,患上癌症20世纪的一个情感故事。世纪
Pub Date : 2021-11-26 DOI: 10.1163/26667711-20210002
C. Timmermann
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引用次数: 0
Maud Ternon, Juger les fous au Moyen Âge dans les tribunaux royaux en France, XIVe-XVe siècles 莫德·特农,《中世纪法国皇家法庭上的傻瓜审判》,14 - 15世纪
Pub Date : 2021-11-19 DOI: 10.1163/26667711-20210008
Hélène Leuwers, Justin Rivest
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引用次数: 0
Magdalena Ptaszyńska and Radosław Ptaszyński, Skalpel’68: Kampania antysemicka w środowisku szczecińskich lekarzy
Pub Date : 2021-11-15 DOI: 10.1163/26667711-20210003
Joanna Nieznanowska
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引用次数: 0
Amir Teicher, Social Mendelism: Genetics and the Politics of Race in Germany, 1900–1948 《社会孟德尔主义:遗传学与德国种族政治,1900-1948》
Pub Date : 2021-11-15 DOI: 10.1163/26667711-20210007
Bernd Gausemeier
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引用次数: 3
Christian Sammer, Gesunde Menschen machen: Die deutsch-deutsche Geschichte der Gesundheitsaufklärung 我是杰克逊博士请问你是谁
Pub Date : 2021-11-15 DOI: 10.1163/26667711-20210006
P. Pfütsch
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引用次数: 0
Dealing with Ethical Issues in Clinical Trials: The ussr in the Global Context 处理临床试验中的伦理问题:全球背景下的苏联
Pub Date : 2021-11-10 DOI: 10.1163/26667711-bja10010
P. Vasilyev, A. Petrenko, V. Tayukina
This paper discusses several ethical issues related to clinical trials within the Soviet system of drug development and testing, which reflected larger ideological principles of healthcare organization in the ussr, with its focus on eradicating market elements from drug development. The centralized state-controlled system was thought to combat such drawbacks of free-market drug development as high prices and aggressive advertising; also to discourage the duplication of research by numerous independent actors that was perceived to be common in capitalist countries. Another significant ethical issue was the Soviet emphasis on the unity of scientific research and clinical treatment. Their strict separation, introduced to support normative standards defined by the U.S. pharmaceutical drug testing system, was rejected in the ussr where knowledge of new treatment options came from treatment practice, not laboratory-like experimental conditions of randomized controlled double-blind trials. The Soviet design was closer to so-called ‘pragmatic trials’ that focus on solving ‘real-life’ problems in clinical practice. Not all ethical problems were successfully addressed in the Soviet model, where there were always significant gaps between neatly postulated theory and messy clinical practice. The unity of scientific research and clinical practice was difficult to achieve. Archival research shows potential ethical issues related to geographic disparities in carrying out clinical trials, and the importance of personal and informal connections in the Soviet model.
本文讨论了与苏联药物开发和测试系统内的临床试验有关的几个伦理问题,这些问题反映了苏联医疗保健组织的更大的意识形态原则,其重点是消除药物开发中的市场因素。中央控制的体制被认为是为了对抗自由市场药物开发的弊端,比如高昂的价格和咄咄逼人的广告;同时也要阻止在资本主义国家中普遍存在的许多独立行为者的重复研究。另一个重要的伦理问题是苏联强调科学研究和临床治疗的统一。它们严格的分离是为了支持美国药物测试系统定义的规范标准而引入的,但在苏联被拒绝,因为新的治疗方案的知识来自治疗实践,而不是像实验室一样的随机对照双盲试验的实验条件。苏联的设计更接近于所谓的“实用试验”,专注于解决临床实践中的“现实生活”问题。在苏联模式中,并非所有的伦理问题都得到了成功的解决,整齐的假设理论和混乱的临床实践之间总是存在着巨大的差距。科学研究与临床实践的统一难以实现。档案研究表明,在进行临床试验时,地理差异可能会引发伦理问题,在苏联模式中,个人和非正式关系的重要性也很重要。
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引用次数: 3
The Institutionalization of Research Ethics Committees in Germany – International Integration or in the Shadow of Nuremberg? 德国研究伦理委员会的制度化——国际融合还是纽伦堡的阴影?
Pub Date : 2021-11-09 DOI: 10.1163/26667711-bja10011
M. Krischel
Although already established in West Germany since the 1970s, with the introduction of research ethics committees (rec s) into the Tokyo revision of the Declaration of Helsinki, they gained in importance. From 1985, a duty to consult rec s in human subject research was written into West German physicians’ codes of conduct. In East Germany (“Deutsche Demokratische Republik”, ddr), a central rec was set up in 1981 within the ddr Ministry of Health, and after German reunification, a duty to consult rec s was introduced in the federal Medical Products Act (Arzneimittelgesetz). Since 2001, European regulations were incorporated into national laws which applied in Germany as in other member states. Regarding the institution and legal history of rec s in Germany, this contribution seeks to answer three questions: (1) Were rec s developed in response to a specifically German experience of medical crimes and the abuse of human research subjects, or were they part of an internationalization of medical research ethics and international integration of German research? (2) Was the setting up of rec s in Germany a more top-down, centralized process or a more bottom-up, grassroots undertaking, and what does this tell us about the status that biomedical researchers gave to the ethics of human subject research in that period? And (3) who has traditionally held authority over human subject research in Germany and who holds it today?
尽管自20世纪70年代以来,研究伦理委员会已经在西德建立,但随着研究伦理委员会(rec)被引入赫尔辛基宣言的东京修订版,它们变得越来越重要。从1985年起,西德医生的行为准则中就规定了在人体实验研究中咨询医生意见的义务。在东德("德意志民主共和国"),1981年在德意志民主共和国卫生部内设立了一个中央委员会,两德统一后,联邦《医疗产品法》(Arzneimittelgesetz)规定了咨询委员会的义务。自2001年以来,欧洲法规被纳入国家法律,适用于德国和其他成员国。关于德国医学研究的制度和法律历史,这篇文章试图回答三个问题:(1)医学研究是针对德国医学犯罪和滥用人类研究对象的具体经验而发展起来的,还是医学研究伦理国际化和德国研究国际一体化的一部分?(2)在德国建立rec是一个自上而下的、集中的过程,还是一个自下而上的、基层的事业,这告诉我们在那个时期生物医学研究者对人体受试者研究伦理的地位是什么?(3)在德国,谁传统上拥有人体实验研究的权威,今天又由谁掌握?
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引用次数: 3
期刊
European journal for the history of medicine and health
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