Assuntos
Adrenalectomia/métodos , Neoplasias da Mama/cirurgia , Carcinoma Ductal de Mama/cirurgia , Recidiva Local de Neoplasia/prevenção & controle , Adrenalectomia/história , Neoplasias da Mama/mortalidade , Neoplasias da Mama/patologia , Carcinoma Ductal de Mama/mortalidade , Carcinoma Ductal de Mama/patologia , Feminino , História do Século XX , Humanos , Invasividade Neoplásica/patologia , Estadiamento de Neoplasias , Ovariectomia/métodos , Prognóstico , Medição de Risco , Análise de Sobrevida , Reino UnidoRESUMO
The first discovery of primary hyperaldosteronism secondary to an aldosterone-secreting adrenal adenoma has been credited solely to Dr. Jerome Conn, an endocrinologist at the University of Michigan and for whom, Conn syndrome was named. Dr. William Baum, a urologist at the University of Michigan, however, was instrumental in the appropriate operation and historical aldosteronoma resection. Despite Dr. Baum's important role in this discovery, he was never included as an author in any of the subsequent papers describing Conn syndrome and, few today would recognize his name. So, who was Dr. Baum and what happened? This historical article aims to revisit the history surrounding the discovery of aldosteronoma as a cause of Conn's syndrome and to catalog the life and involvement of Dr. William C. Baum in that discovery.
Assuntos
Hiperaldosteronismo/história , Urologia/história , Adenoma/complicações , Adenoma/história , Neoplasias das Glândulas Suprarrenais/complicações , Neoplasias das Glândulas Suprarrenais/história , Adrenalectomia/história , Aldosterona/metabolismo , História do Século XX , Humanos , Hiperaldosteronismo/etiologia , Michigan , Estados UnidosRESUMO
In 1955, a paradigm shift in the conception of sex is said to have taken place, when psychologist John Money at Johns Hopkins's Pediatric Endocrinology Clinic argued that 'hermaphroditic' children could be assigned a sex contradictory to their biological sex. Rather than being born male or female, he claimed, these children learned to be boys or girls. Money was subsequently credited the invention of the term gender role. However, Money only confirmed a practice that was established at the clinic several years before his intervention. The clinic's director Lawson Wilkins (1894-1963) had already recommended that certain children, virilized by congenital adrenal hyperplasia, should be raised in the male sex, even though they were by all medical standards of the time female. What mattered for him was assigning the sex that seemed 'better' for these children. What constituted the 'better sex' was contingent on the child's psyche and habitus, social expectations, and on the range of medical and surgical interventions available at the time.
Assuntos
Cortisona/sangue , Transtornos do Desenvolvimento Sexual/história , Identidade de Gênero , Conhecimentos, Atitudes e Prática em Saúde , Hospitais Pediátricos/história , Sexualidade , Hiperplasia Suprarrenal Congênita/história , Adrenalectomia/história , Baltimore , Formação de Conceito , Feminino , História do Século XX , Humanos , Masculino , Percepção SocialRESUMO
Curt Richter introduced behavioral control into the concept of homeostasis, thereby opening entire fields of research. The prevailing dogma, and the techniques he used, conspired to lead Richter and others to interpret regulation in strict negative feedback terms. Although this point of view continues to be embraced by many contemporary biologists, we believe that prevailing sentiment favors a broader view in which organisms integrate anticipatory pre-emptive control over regulated variables whenever possible.