Paleomedicine and the use of plant secondary compounds in the Paleolithic and Early Neolithic.

Reconstructing plant use before domestication is challenging due to a lack of evidence. Yet, on the small number of sites with assemblages, the wide range of different plant species cannot be explained simply in terms of nutrition. Assemblages from the Lower Paleolithic to the Early Neolithic were examined to investigate the relative edible and medicinal properties of the plants. The assemblages contain a mixture of edible species, plants that are both edible and medicinal, and plants with only medicinal properties. The proportion of medicinal plants at all sites is well above the natural average and increases over time. Mechanisms for preventing intestinal parasitic infections are common among animals and together with chimpanzees' preventative and curative self-medication practices suggest an evolutionary context for this behavior. A broad-spectrum approach to plant collection is likely to have been in place throughout the Paleolithic driven, in part, by the need for medicinal compounds.

Recipe Collections and the Realities of Fashionable Diseases in Eighteenth-Century Elite Domestic Medicine.

This chapter focuses on the individualistic nature of medicine by considering manuscript recipe collections, and the concerns and rhetoric of the elite patients who wrote about fashionable diseases and experienced them. Domestic medicine in the eighteenth century was a facet of elite health care that included commercial medicine and professional assistance. Looking broadly at the fashionability of health care, including the fashionability of the consumer goods and services linked to self-management and leisure time, reveals the realities of fashionable diseases in elite lives. The sociocultural rhetoric of fashionable diseases was incorporated into the recipe collecting tradition, but experiences of suffering and a need for care continued to be at the forefront of the discourse in domestic medicine and this writing tradition. This essay argues also that domestic rhetoric and experiences of fashionable disease were significantly driven by consumerism.

Anthropology and addiction: an historical review.

AIMS: This paper reviews the world anthropology of drugs and alcohol use literature, identifying key issues addressed by anthropologists, methods and theoretical models in use, trends in focus over time and future directions. METHODS: Papers and books that comprise the literature were identified through computer search using the keywords: ethnography of drug use (and variants, e.g. drug ethnography, qualitative approaches in drug research), ethnography of drinking, anthropology and drug use, and anthropology and drinking. Search engines included Google Scholar, EBSCOHost, AnthroSource and PubMed. Identified sources were read and integrated into the review. RESULTS AND CONCLUSIONS: The literature search identified a rich and growing literature on the anthropology of drinking and drug use. The research and published literature on the anthropology of drug use has grown and diversified since the 1970s, found acceptance in the wider multi-disciplinary domain of alcohol and drug studies and developed beyond the socio-cultural model to include life-style, critical medical anthropology and experiential explanatory models. Anthropological research has helped to shape the field of addiction science, e.g. ethnographic studies show that the lived worlds and self-identities of drug users have cultural order and socially constructed purpose and meaning, and experiential research shows that some addictions or aspects of addictions can be affirmative, creative and sustainable, at least at the individual level. The human immunodeficiency virus/acquired immune deficiency syndrome pandemic has significantly increased anthropological research on drug-related issues world-wide.

[Sanatoria for tourists, drugs at home, healers on demand: healing cultures in the Duchy of Gotha (1850-1950)]. / Sanatorien füir Touristen--Medikamente für zu Hause--Heilkundige nach Bedarf: Heilkulturen im Herzogtum Gotha (ca. 1850-ca. 1950).

Up to 1920 Thuringia was separated into many territories some of which were known for their unorthodox pharmaceutical industries. Gotha was the only famous duchy because one of its princes had married the Queen of England in 1840. The country was backward and the state administration was incapable of solving health issues. It was due to the interest of some physicians that the fragile balance between homeopathy, naturopathy, physicians and pharmacists broke down after 1900. But the state bureaucracy was unable to convince the people of its new healthcare approaches that were just based on scientific medicine.

The curious death of Constantine Samuel Rafinesque (1783-1840): the case for the maidenhair fern.

Constantine Rafinesque, a French émigré to America in the early 19th century, was a forerunner of Charles Darwin and a zealous field naturalist who identified thousands of new species of plants and animals. His career was controversial in part because of his unfocused ambition to gain scientific recognition. In his later years he published in many areas apart from biology. His polymathic life ended in 1840 with his death (aged 57) from stomach cancer. In 1826 he had developed an illness he thought was consumption and which he believed was cured by a herbal mixture he devised. It may have contained one or more species of ferns related to one now known to induce human gastric carcinoma. Rafinesque's self-medication may have led to his death years later.

"Social medication" and the control of children: a qualitative study of over-the-counter medication among Australian children.

OBJECTIVE: The aim of the study was to identify the patterns of use of over-the-counter (OTC) medications among children. METHODS: The study used a qualitative design, with in-depth interviews of 40 parents with children <5 years of age. RESULTS: There were 3 striking and readily apparent themes in the use of OTC medications among children. One was the administration of OTC medications as a form of "social medication," to give parents control over children's behavior that they perceived as fractious and irritating. A related theme was the use of OTC medications to reduce the inconvenience to the parents of having a sick child, again giving parents greater control and better time-management abilities. Finally, acetaminophen was considered by many parents to have almost miraculous properties in calming, sedating, and lifting the mood of children. CONCLUSIONS: The use of OTC medications for the treatment of minor ailments among children is widespread, despite the lack of evidence of efficacy of the most commonly used medications and the potential for toxicity. With the increasing propensity to look to medication as a means of supporting changing lifestyles, there is an urgent need to review the prevalence and effects of social medication.

The general public's perceptions and use of antimicrobials in Trinidad and Tobago

Objective: To determine the general public's perception and use of antibiotics in Trinidad and Tobago, a two-island republic in the Caribbean. Methods. This prospective study surveyed 824 randomly selected households listed in the telephone directory, from November 1998 to January 1999. Through telephone interviews we determined knowledge about antibiotics and beliefs concerning their safety and efficacy. We studied the influence of age, gender, education, and having private health insurance on knowledge, self-medication, storing medication at home for emergency use ("hoarding"), and asking a private doctor to prescribe antibiotics ("demand prescribing"). Results. For the 824 telephone calls that the interviewers completed, 753 of the households agreed to participate (91.4 percent response rate). Of those 753 participants, 699 of them (93 percent) knew the term "antibiotic", 29 percent (206/699) said it was a drug for bacterial infections, and 25 percent (170/690) had asked a doctor for an antibiotic prescription. Penicillin was correctly identified as an antibiotic across age, gender, and education categories, but 36 percent of respondents incorrectly said Benadryl (diphenhydramine), a common over-the-counter cough and cold formulation, was an antibiotic. Gender was not significantly associated with knowledge of antibiotic safety, with self-medication, or with hoarding antibiotics. On the other hand, completion of tertiary (university) education was significantly associated with correct knowledge of the safety of antibiotics and whether they could cure all infections. Of the various antimicrobials, beta-lactams were the ones that survey respondents had used most frequently in the preceding year, and 20 percent of antibiotics users had used multiple antibiotics in that period. In comparison to persons with private health insurance, more individuals without private health insurance said that antibiotics are safe and do not have side effects, and more of them also incorrectly called aspirin and Benadryl antibiotics. Conclusions. In Trinidad and Tobago, inappropriate use of antimicrobials results from self-medication, over-the-counter availability at the community pharmacy, prescribing on demand, and lack of regulatory control. In order to contain antibiotic abuse, both the Drug Inspectorate of the Ministry of Health and the Pharmacy Board should exert stricter control on the dispensing of antibiotics at private pharmacies. Further, education of the general public and of health care professionals on antibiotic misuse and appropriate use must be instituted, along with community-based surveillance of antimicrobial resistance trends (AU)

[Wood creosote: a historical study and its preparation in combination with herbal drugs].

Two kinds of creosote have been found based on historical evidence of the medicinal uses and origins. One is wood creosote, and distillate of wood-tar containing guaiacol and creosol. The other type of creosote is coal-tar creosote, obtained from coal-tar, containing naphthalene and anthracene as the major constituents. Wood creosote was prepared for the first time in Germany in 1830 and was used for medicinal purposes. It had been listed officially in the German, American, and Japanese Pharmacopoeia as an antibacterial agent for the treatment of pulmonary tuberculosis, diarrhea, and external injury. In recent days, it has been deleted from the Pharmacopoeia in Western countries and not officially used for medicinal purposes. However, wood creosote is still been listed in the Japanese Pharmacopoeia and is used for the treatment of diarrhea. Since the interest of common people in herbal medicines and self-medication has been increasing, the use of wood creosote has also been modified in combination with some herbal drugs, "Seiro-gan" especially is quite popular in Japan as a self-medication for digestive trouble, including food poisoning or diarrhea.

Um aspecto da resistência do saber popular ao saber científico em Uberlândia, na primeira metade do século XX / An aspect of the resistance of the popular knowledge to scientific knowledge, in Uberlândia, in the first half of the XXth century

Discute a tensäo entre o saber popular e o saber científico, elegendo um recorte local que se configura como espaço de análise empírica - a cidade mineira de Uberlândia - onde vestígios da luta entre saberes já säo encontrados em notas, anúncios e editoriais de jornais desde o início do século XX.(AU)