RESUMO
This article deals with the problem of infant mortality in Santiago, Chile, and the development of pediatric medicine during the second half of the nineteenth century and the beginning of the twentieth century. Emphasis is placed on the specialists who contributed to organizing the knowledge and practices that structured their professional field. In order to pursue the objective and systematize this new medical field, our analysis suggests the decisive role of the establishment of the Faculty of Medicine and the appearance of coursework dedicated specifically to childhood diseases. Our research is based on various historical sources including the press, medical literature, thesis archives, and the Anuario Estadístico de la República de Chile [Statistical Yearbook of the Republic of Chile]. Likewise, the inauguration of children's hospitals expresses an institutional setting where physicians position their work, put scientific treatments into practice, and most importantly, they become spaces that allow for the reduction of infant mortality.
Este artículo aborda el problema de la mortalidad infantil en la provincia de Santiago, Chile, y el desarrollo de la medicina pediátrica durante la segunda mitad del siglo XIX e inicios del XX, a través de especialistas que contribuyeron a organizar los conocimientos y prácticas que estructuraron su ejercicio profesional. Para emprender este objetivo y sistematizar este nuevo campo médico, se analizan los antecedentes relativos a la formación de la Facultad de Medicina y el quiebre que representó la aparición de una asignatura dedicada a las enfermedades de la niñez. La investigación se encuentra respaldada en diversas fuentes históricas, entre ellas, la prensa escrita, bibliografía médica, memorias de titulación y el Anuario Estadístico de la República de Chile. La inauguración de los hospitales de niños expresa una institucionalidad, en la que los facultativos posicionaron su labor, pusieron en práctica los tratamientos científicos y, lo más importante, se convirtieron en espacios que permitieron la disminución de la mortalidad infantil.
Assuntos
Hospitais Pediátricos/história , Mortalidade Infantil/história , Pediatria/história , Faculdades de Medicina/história , Chile , História do Século XIX , História do Século XX , Humanos , Lactente , Mortalidade Infantil/tendências , Pediatria/educaçãoRESUMO
RESUMEN Este artículo aborda el problema de la mortalidad infantil en la provincia de Santiago, Chile, y el desarrollo de la medicina pediátrica durante la segunda mitad del siglo XIX e inicios del XX, a través de especialistas que contribuyeron a organizar los conocimientos y prácticas que estructuraron su ejercicio profesional. Para emprender este objetivo y sistematizar este nuevo campo médico, se analizan los antecedentes relativos a la formación de la Facultad de Medicina y el quiebre que representó la aparición de una asignatura dedicada a las enfermedades de la niñez. La investigación se encuentra respaldada en diversas fuentes históricas, entre ellas, la prensa escrita, bibliografía médica, memorias de titulación y el Anuario Estadístico de la República de Chile. La inauguración de los hospitales de niños expresa una institucionalidad, en la que los facultativos posicionaron su labor, pusieron en práctica los tratamientos científicos y, lo más importante, se convirtieron en espacios que permitieron la disminución de la mortalidad infantil.
ABSTRACT This article deals with the problem of infant mortality in Santiago, Chile, and the development of pediatric medicine during the second half of the nineteenth century and the beginning of the twentieth century. Emphasis is placed on the specialists who contributed to organizing the knowledge and practices that structured their professional field. In order to pursue the objective and systematize this new medical field, our analysis suggests the decisive role of the establishment of the Faculty of Medicine and the appearance of coursework dedicated specifically to childhood diseases. Our research is based on various historical sources including the press, medical literature, thesis archives, and the Anuario Estadístico de la República de Chile [Statistical Yearbook of the Republic of Chile]. Likewise, the inauguration of children's hospitals expresses an institutional setting where physicians position their work, put scientific treatments into practice, and most importantly, they become spaces that allow for the reduction of infant mortality.
Assuntos
Humanos , Lactente , História do Século XIX , História do Século XX , Pediatria/história , Faculdades de Medicina/história , Mortalidade Infantil/história , Hospitais Pediátricos/história , Pediatria/educação , Chile , Mortalidade Infantil/tendênciasRESUMO
Resumen En los primeros años del siglo XX, no existía en México un hospital que tuviera la capacidad de atender los problemas de salud de la niñez mexicana, lo que hacía necesaria la construcción de una institución moderna para atenderlos. En 1933, esta situación llevó a un grupo de médicos, encabezados por el Dr. Federico Gómez Santos, a solicitar y conseguir que el presidente de la República, Abelardo L. Rodríguez, reconociera la imperiosa necesidad de contar con un hospital de niños y aprobara el proyecto para su construcción. Luego de diez años de lucha en el campo político, social y económico, y con el apoyo de los presidentes Lázaro Cárdenas y Manuel Ávila Camacho, el 30 de abril de 1943 se inauguró el Hospital Infantil de México. Hoy, después de 75 años de su creación, el hospital ha resistido la prueba del tiempo y mantiene incólume sus principios de asistencia, enseñanza e investigación, emergiendo como la cuna de la pediatría mexicana y latinoamericana.
Abstract In the early years of the 20th century, no hospital in Mexico held the capacity to address the health problems of Mexican children, making it necessary to build a modern institution to take care of these issues. This situation mobilized a group of doctors led by Dr. Federico Gómez Santos to seek the acknowledgement of the President, Abelardo L. Rodríguez, of the urgent need of a children's hospital. Later, the President approved the project for its construction in 1933. After 10 years of struggle in the political, social and economic fields, and with the support of presidents Lázaro Cárdenas and Manuel Ávila Camacho, the Hospital Infantil de México was inaugurated on April 30th, 1943. Today, 75 years after its creation, the hospital has withstood the test of time maintaining intact its principles of assistance, teaching and research, and emerging as the cradle of Mexican and Latin American pediatrics.
Assuntos
Criança , História do Século XX , História do Século XXI , Humanos , Hospitais Pediátricos/história , MéxicoRESUMO
In the early years of the 20th century, no hospital in Mexico held the capacity to address the health problems of Mexican children, making it necessary to build a modern institution to take care of these issues. This situation mobilized a group of doctors led by Dr. Federico Gómez Santos to seek the acknowledgement of the President, Abelardo L. Rodríguez, of the urgent need of a children's hospital. Later, the President approved the project for its construction in 1933. After 10 years of struggle in the political, social and economic fields, and with the support of presidents Lázaro Cárdenas and Manuel Ávila Camacho, the Hospital Infantil de México was inaugurated on April 30th, 1943. Today, 75 years after its creation, the hospital has withstood the test of time maintaining intact its principles of assistance, teaching and research, and emerging as the cradle of Mexican and Latin American pediatrics.
En los primeros años del siglo XX, no existía en México un hospital que tuviera la capacidad de atender los problemas de salud de la niñez mexicana, lo que hacía necesaria la construcción de una institución moderna para atenderlos. En 1933, esta situación llevó a un grupo de médicos, encabezados por el Dr. Federico Gómez Santos, a solicitar y conseguir que el presidente de la República, Abelardo L. Rodríguez, reconociera la imperiosa necesidad de contar con un hospital de niños y aprobara el proyecto para su construcción. Luego de diez años de lucha en el campo político, social y económico, y con el apoyo de los presidentes Lázaro Cárdenas y Manuel Ávila Camacho, el 30 de abril de 1943 se inauguró el Hospital Infantil de México. Hoy, después de 75 años de su creación, el hospital ha resistido la prueba del tiempo y mantiene incólume sus principios de asistencia, enseñanza e investigación, emergiendo como la cuna de la pediatría mexicana y latinoamericana.
Assuntos
Hospitais Pediátricos/história , Criança , História do Século XX , História do Século XXI , Humanos , MéxicoRESUMO
In this paper, I resurrect a long-forgotten inquiry into abuse and maladministration at an institution for people with learning disabilities, the Baldovan Institution near Dundee, that has lain buried in the archives for the past 60 years. I contrast the response to it with the very different response to the similar revelations of the Ely Hospital Inquiry more than a decade later. Whereas Ely opened up the institutional sector to greater public scrutiny and brought with it a formal commitment from the government to shift the balance of care away from the long-term hospital, Baldovan produced recommendations that were limited to the institution and had no impact on public policy or institutional practice. I consider the reasons for this and its implications.
Assuntos
Maus-Tratos Infantis/história , Criança Institucionalizada/história , Hospitais Pediátricos/história , Hospitais Psiquiátricos/história , Deficiência Intelectual/história , Criança , Desinstitucionalização , Feminino , História do Século XIX , História do Século XX , Hospitais Psiquiátricos/legislação & jurisprudência , Humanos , Deficiências da Aprendizagem/história , Masculino , Recursos Humanos de Enfermagem/história , EscóciaRESUMO
Dr David Ryan Cook, Professor Emeritus of Anesthesiology and Pharmacology at the University of Pittsburgh and Chief of Anesthesiology at Children's Hospital of Pittsburgh (1977-1999), is a pioneer in the field of pediatric anesthesiology and pharmacology. Dr Cook contributed significantly to the understanding of pharmacologic differences among infants, children, and adults. His work as a clinician-scientist, educator, and mentor defined the pharmacology of many of the anesthetic agents we continue to use today. He brought science to the art of anesthesia and enhanced the safety of pediatric perioperative care. Based on a 2017 interview with Dr Cook, this article outlines the development of his career and his contributions to the field of anesthesiology and pharmacology.
Assuntos
Anestesiologia/história , Pediatria/história , História do Século XX , História do Século XXI , Hospitais Pediátricos/história , Humanos , Assistência PerioperatóriaRESUMO
The first charity for protection of orphans in Prague was opened in the 16th century by Italian living in Prague. The first outpatient department for sick children in Prague was opened by Johann Melitsch in 1790 in the Saint Lazare hospital in Charles Square. In the same hospital, the first paediatric department with 9 beds was opened by Eduard Kratzman in 1842. Relatively low mortality of hospitalized children that time must be explained. Sick infants were not admitted to hospitals but sent to the orphan institutes with mainly social care, therefore in middle of the 19th century the infant mortality in these establishments was extremely high, during some years nearly 100 %. The first hospital for children in Prague was built by Josef Löschner in Charles Square in 1853, where a number of distinguished paediatricians worked including Gottfried Ritter von Rittershain, who described dermatitis exfoliativa Ritter, Alois Epstein, who described Epsteins pearls by newborns, Adalbert Czerny, who studied glycogen and later became a head of Paediatric clinic in Berlin, Leopold Moll, who was an initiator of the care for mother and child and later became a head of Paediatric clinic in Vienna, Dusan Lambl, who described flagellate (nowadays Giardia lamblia) in the stool of children with diarrhoe, and Bohdan Neureutter, who after the splitting of the Charles-Ferdinand-University on the in German speaking and Czech speaking parts opened the Czech paediatric hospital at the corner of streets Benatska and Vinicna. Due to increasing requirement of paediatric beds in Prague, simultaneous constructions of two paediatric centres were started in Prague. The first, areal with four buildings for German paediatric clinic was opened in 1901, which still serve as the second largest paediatric department in Prague, of course with much lower number of beds than 100 years ago. The second one, the Czech paediatric Frantz Josef I. hospital was opened in 1902, but due to construction of the bridge across the Nusle valley was demolished in 1970 and it´s clinics were transferred to the hospital in Motol. Keywords: history of paediatric health care.
Assuntos
Academias e Institutos , Serviços de Saúde da Criança , Hospitais Pediátricos , Hospitais , Criança , Serviços de Saúde da Criança/história , República Tcheca , Meio Ambiente , História do Século XIX , História do Século XX , Hospitais Pediátricos/história , Humanos , Lactente , Recém-Nascido , UniversidadesRESUMO
The activities concerning mental health care of psychiatric disorders during more than 50 years of service (1966-2016) at the Children's Psychiatric Hospital "Dr. Juan N. Navarro" (HPI), as well as the progressive development of teaching and research, have contributed to its positioning as a leading institution in medical care of high specialization. This has been possible through the training of human resources that focus the quality of care to the children and their families. The hospital has progressed towards diagnostic and therapeutic care of outpatients through the creation of specialized clinics (emotions, behavior, development, adolescence, among others) and the development of more actualized and integral therapeutic programs (behavioral psychotherapy, cognitive behavioral, psychodynamic; individual, group, family, etc.). In the field of education, the hospital has been the most important institution in the training of child psychiatrists in Mexico and its recognition as a research interdisciplinary center has grown.
Resumen: La atención de la salud mental y de los trastornos psiquiátricos de niños y adolescentes a lo largo de 50 años de servicio (1966-2016) en el Hospital Psiquiátrico Infantil Dr. Juan N. Navarro (HPI), y el desarrollo progresivo de la enseñanza y la investigación han contribuido al posicionamiento de éste como institución líder en la atención médica de alta especialidad. El hospital ha evolucionado en la atención diagnóstica y terapéutica de pacientes ambulatorios a través de la creación de clínicas especializadas y del desarrollo de programas terapéuticos cada vez más actualizados e integrales (psicoterapia conductual, psicoterapia cognitivo-conductual, y psicodinámica en modalidad individual, grupal y familiar, etc). En el ámbito de la enseñanza, el hospital ha sido la sede más importante en la formación de psiquiatras infantiles en México, con un progresivo reconocimiento como un centro de investigación interdisciplinaria.
Assuntos
Hospitais Pediátricos/história , Hospitais Psiquiátricos/história , Transtornos do Neurodesenvolvimento/história , Adolescente , Psiquiatria do Adolescente/educação , Criança , Psiquiatria Infantil/educação , História do Século XX , História do Século XXI , Humanos , México/epidemiologia , Transtornos do Neurodesenvolvimento/terapia , Ambulatório Hospitalar/história , Psicologia do Adolescente , Psicologia da CriançaRESUMO
Resumen: La atención de la salud mental y de los trastornos psiquiátricos de niños y adolescentes a lo largo de 50 años de servicio (1966-2016) en el Hospital Psiquiátrico Infantil Dr. Juan N. Navarro (HPI), y el desarrollo progresivo de la enseñanza y la investigación han contribuido al posicionamiento de éste como institución líder en la atención médica de alta especialidad. El hospital ha evolucionado en la atención diagnóstica y terapéutica de pacientes ambulatorios a través de la creación de clínicas especializadas y del desarrollo de programas terapéuticos cada vez más actualizados e integrales (psicoterapia conductual, psicoterapia cognitivo-conductual, y psicodinámica en modalidad individual, grupal y familiar, etc). En el ámbito de la enseñanza, el hospital ha sido la sede más importante en la formación de psiquiatras infantiles en México, con un progresivo reconocimiento como un centro de investigación interdisciplinaria.
Abstract: The activities concerning mental health care of psychiatric disorders during more than 50 years of service (1966-2016) at the Children's Psychiatric Hospital "Dr. Juan N. Navarro" (HPI), as well as the progressive development of teaching and research, have contributed to its positioning as a leading institution in medical care of high specialization. This has been possible through the training of human resources that focus the quality of care to the children and their families. The hospital has progressed towards diagnostic and therapeutic care of outpatients through the creation of specialized clinics (emotions, behavior, development, adolescence, among others) and the development of more actualized and integral therapeutic programs (behavioral psychotherapy, cognitive behavioral, psychodynamic; individual, group, family, etc.). In the field of education, the hospital has been the most important institution in the training of child psychiatrists in Mexico and its recognition as a research interdisciplinary center has grown.
