Half-century archives of occupational medical data on French nuclear workers: a dusty warehouse or gold mine for epidemiological research?

This article discusses the availability and completeness of medical data on workers from the AREVA NC Pierrelatte nuclear plant and their possible use in epidemiological research on cardiovascular and metabolic disorders related to internal exposure to uranium. We created a computer database from files on 394 eligible workers included in an ongoing nested case-control study from a larger cohort of 2897 French nuclear workers. For each worker, we collected records of previous employment, job positions, job descriptions, medical visits, and blood test results from medical history. The dataset counts 9,471 medical examinations and 12,735 blood test results. For almost all of the parameters relevant for research on cardiovascular risk, data completeness and availability is over 90%, but it varies with time and improves in the latest time period. In the absence of biobanks, collecting and computerising available good-quality occupational medicine archive data constitutes a valuable alternative for epidemiological and aetiological research in occupational health. Biobanks rarely contain biological samples over an entire worker's carrier and medical data from nuclear industry archives might make up for unavailable biomarkers that could provide information on cardiovascular and metabolic diseases.

Pioneers in ethnopharmacology: the Dutch East India Company (VOC) at the Cape from 1650 to 1800.

The earliest inhabitants of South Africa are believed to be the Khoi-Khoi and San peoples, whose knowledge of economic botany is extensive. Their ethnomedical practice, based on the plant species indigenous to the region, is an oral tradition and particularly susceptible to disruption. The culture of both peoples has during the past 350 years come under increasing threat of extinction, resulting in the likely loss to science of important ethnomedical knowledge. While written records of Khoi-San traditional medical practice are preserved in English, they mainly cover the period from 1800 onward. Earlier written records do exist, but do not appear to have been adequately screened. The present study was undertaken in order to complete the historical written record by critically examining all potential sources of Khoi and San ethnomedical information, for the years 1650-1800. These sources comprised journals of exploratory expeditions, herbarium specimens, published academic works and archival records associated with the activities of the former Dutch East India Company (VOC) at the Cape. The results of the search show that the VOC had a great interest in Khoi and San traditional medicines and attempted to record this knowledge. The VOC archives in particular represent a largely untapped source of ethnomedical information with potential application in health care, new drug development and intellectual property protection.

Critical methods in Tibetan medical histories.

This paper addresses the development of scholastic medical traditions in Tibet through an extension of lists of physicians. I consider the debates that such lists and their accompanying narratives engender for Tibetan historians and reflect on the contributions they make to the identity of the medical tradition. By examining the structure and content of classificatory methods in medical histories, I argue that temporally organized lists document the place of medicine across time, geographically organized lists document the reach of medical knowledge across space, and thematically organized lists document the intertwining of medical knowledge and skill with other aspects of intellectual and civil life. In making these lists, medical historians paint a portrait of the Tibetan medical tradition that evokes connections to Buddhism and the strength and cosmopolitanism of the imperial period. Medical histories thus emphasize a picture of Tibet in the broader context of Asia- a Tibet whose empire lives on culturally or intellectually, if not militarily.

[Archives, photographies, maps for malary in Latina Province]. / Le fonti archivistiche per la storia della malaria in Provincia di Latina.

After an historical introduction about ancient institutional regime of present Littoria/Latina province (until 1870 organized in Naples kingdom and Papal States), this essay is going to a swift analysis of marshes who reigned all over the land from the periphery of Rome to Fondi, when transient sheperds and woodmen were the only human beings of marshy land. So teachers for that unlettered people came into these lands, and so physicians came to fight against malary, first symbiotic enemy of man. So drainages were tried from Roman's epoch to Medieval and Illuministic one. We'll see Popes, feudal ladies and at last drainage trusts, all working to improve human life before the birth of Latina province. New cities and towns were born just during these trials; after the experiences of Angelo Celli, Italian Red Cross and Istituto per il risanamento antimalarico della regione pontina, many laws looked to medical aid for workers in malaric zones (exactly specified in topographic maps). In 1934 the Comitato provinciale antimalarico was introduced all over italian territory with the R.D.n. 1265.

The resurrection of the B.J. Palmer Clinic research: a personal view.

This article discusses the history of the B.J. Palmer Clinic research files, and describes a long-term project to archive these files for use in chiropractic case studies and descriptive research. The methods used in this project, and examples of published works from the B.J. Palmer research will be given. In additon, a researcher's view of B.J. Palmer's important historical role in the chiropractic profession will be offered.