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2.
Semin Vasc Surg ; 33(3-4): 34-35, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33308593

RESUMO

As a junior colleague of Dr. D. E. Strandness, Jr., for almost 30 years, I had the unique professional opportunity to witness the development of duplex ultrasonography at the University of Washington. "Gene" as he liked to be called, was a surgeon with a persistent curiosity about vascular disease. He led the multidisciplinary team that developed the technique of duplex ultrasound, measured its diagnostic accuracy, and performed research studies to reduce stroke due to carotid bifurcation atherosclerosis. My reflections on the legacy of Dr. Strandness are offered with gratitude for the curiosity "bug" he nurtured in me, which continues today.


Assuntos
Atitude do Pessoal de Saúde , Pesquisa Biomédica/história , Comportamento Exploratório , Cirurgiões/história , Ultrassonografia Doppler Dupla/história , Procedimentos Cirúrgicos Vasculares/história , Educação Médica/história , História do Século XX , História do Século XXI , Humanos , Cirurgiões/psicologia , Procedimentos Cirúrgicos Vasculares/educação
3.
J Anesth Hist ; 6(3): 151-155, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32921485

RESUMO

BACKGROUND: Regional and general anesthesia were widely available in the United States in the late 1960s. The risk of permanent neurological sequelae resulting from spinal anesthesia had largely been dismissed. Although many academic departments of anesthesiology had gained independent status, a significant number operated as divisions within the department of surgery. We present a case report from Peter Bent Brigham Hospital to illustrate the state of anesthetic techniques in use during the late 1960s, and the power dynamics vis-à-vis physician anesthesiologists and surgeons. SOURCES: Hospital records and interviews with individuals familiar with the case. FINDINGS: An otherwise healthy patient underwent inguinal hernia repair. The resident anesthesiologist conducted a preoperative assessment the evening prior to surgery with the patient consenting to the spinal anesthesia, a plan agreeable to the faculty anesthesiologist. The attending surgeon was one of the most prominent surgeons in America and the chairman of their department. He disapproved of the planned anesthetic. Subsequent modifications to the anesthetic plans are discussed, as is the fallout from those actions. CONCLUSION: Spinal anesthesia remained a popular anesthetic option during the late 1960s. General anesthesia with ether, halothane, and other agents an alternative. This case highlights various aspects of perioperative management during a period when many American academic departments of anesthesiology existed as divisions within the department of surgery. It also touches upon the careers of two prominent American physicians.


Assuntos
Anestesia Geral/história , Raquianestesia/história , Anestesiologia/história , Anestesiologistas/história , Anestesiologia/métodos , Boston , História do Século XX , Hospitais de Ensino/história , Humanos , Relações Interprofissionais , Publicações Periódicas como Assunto/história , Cirurgiões/história
6.
Am Surg ; 86(4): 281-283, 2020 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-32391750
8.
Neurosurgery ; 86(6): E509-E516, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32297640

RESUMO

The concept of spinal cord injury has existed since the earliest human civilizations, with the earliest documented cases dating back to 3000 BC under the Egyptian Empire. Howevr, an understanding of this field developed slowly, with real advancements not emerging until the 20th century. Technological advancements including the dawn of modern warfare producing mass human casualties instigated revolutionary advancement in the field of spine injury and its management. Spine surgeons today encounter "Chance" and "Holdsworth" fractures commonly; however, neurosurgical literature has not explored the history of these physicians and their groundbreaking contributions to the modern understanding of spine injury. A literature search using a historical database, Cochrane, Google Scholar, and PubMed was performed. As needed, hospitals and native universities were contacted to add their original contributions to the literature. George Quentin Chance, a Manchester-based British physician, is well known to many as an eminent radiologist of his time who described the eponymous fracture in 1948. Sir Frank Wild Holdsworth (1904-1969), a renowned British orthopedic surgeon who laid a solid foundation for rehabilitation of spinal injuries under the aegis of the Miners' Welfare Commission, described in detail the management of thoraco-lumbar junctional rotational fracture. The work of these 2 men laid the foundation for today's understanding of spinal instability, which is central to modern spine injury classification and management algorithms. This historical vignette will explore the academic legacies of Sir Frank Wild Holdsworth and George Quentin Chance, and the evolution of spinal instability and spine injury classification systems that ensued from their work.


Assuntos
Procedimentos Ortopédicos/história , Traumatismos da Medula Espinal/classificação , Traumatismos da Medula Espinal/história , Cirurgiões/história , História do Século XIX , História do Século XX , Humanos , Vértebras Lombares , Masculino , Doenças da Coluna Vertebral/classificação , Doenças da Coluna Vertebral/história , Fraturas da Coluna Vertebral/classificação , Fraturas da Coluna Vertebral/história , Vértebras Torácicas
10.
Plast Reconstr Surg ; 145(4): 814e-817e, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32221230

RESUMO

BACKGROUND: The authors conducted this study to assess the impact that Drs. Joseph Gruss and Paul Manson have had on craniofacial surgery through their individual contributions and through their trainees. METHODS: This was a retrospective analysis of fellows trained by either Dr. Gruss or Dr. Manson. Demographic and bibliometric measures were recorded for each fellow. Demographic factors included years since completion of fellowship training, current practice of craniomaxillofacial surgery, academic practice, and academic leadership roles. Bibliometric measures included number of publications, number of citations, and h-index. To adjust for scholarly activity before fellowship training, only contributions published after fellowship training were included. RESULTS: Over a 39-year period, a total of 86 surgeons completed fellowship training with either of the two principal surgeons. The mean time since completion of training was 18.7 ± 11.4 years. Seventy-nine percent of surgeons had active practices in craniomaxillofacial surgery; 54 percent had academic practices. The mean number of publications was 26.4 ± 69.3, the mean number of citations was 582 ± 2406, and the average h-index was 6.7 ± 10.6. Among academic surgeons, the average h-index was 10.7 ± 13.1, 89 percent practiced in North America, 89 percent had active practices in craniomaxillofacial surgery, and nearly 50 percent had achieved a leadership role. CONCLUSIONS: Modern craniofacial reconstruction has evolved from principles used in trauma and correction of congenital differences. The extensive impact that Drs. Paul Manson and Joseph Gruss have had on the field, and plastic surgery at large, is evident through their primary contributions and the immense impact their trainees have had on the field.


Assuntos
Docentes de Medicina/estatística & dados numéricos , Cirurgia Ortognática/história , Cirurgiões/estatística & dados numéricos , Cirurgia Plástica/história , Docentes de Medicina/história , História do Século XX , História do Século XXI , Humanos , Internato e Residência/história , Internato e Residência/estatística & dados numéricos , Liderança , Mentores/história , Mentores/estatística & dados numéricos , América do Norte , Cirurgia Ortognática/educação , Cirurgia Ortognática/estatística & dados numéricos , Procedimentos Cirúrgicos Ortognáticos/educação , Procedimentos Cirúrgicos Ortognáticos/história , Publicações/história , Publicações/estatística & dados numéricos , Procedimentos Cirúrgicos Reconstrutivos/educação , Procedimentos Cirúrgicos Reconstrutivos/história , Estudos Retrospectivos , Cirurgiões/educação , Cirurgiões/história , Cirurgia Plástica/educação , Cirurgia Plástica/estatística & dados numéricos
12.
Cir Cir ; 88(1): 117-127, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31967615

RESUMO

It is a remembrance about the main surgeons who have made that surgery have reached levels of excellence in Mexico, which worked mainly during the 1st half of the 20th century, although some of them are out of this period, the surgical specialties in which they stood out, as well as in which institutions they worked, and some of the surgical techniques recommended by them. Some great doctors who were their students are mentioned.


Assuntos
Cirurgia Geral/história , Especialidades Cirúrgicas/história , Cirurgiões/história , História do Século XX , Humanos , México , Especialidades Cirúrgicas/métodos
13.
Can J Surg ; 63(1): E13-E19, 2020 01 16.
Artigo em Inglês | MEDLINE | ID: mdl-31944636

RESUMO

Summary: William Stewart Halsted developed a novel residency training program at Johns Hopkins Hospital that, with some modifications, became the model for surgical and medical residency training in North America. While performing anesthesia research early in his career, Halsted became addicted to cocaine and morphine. This paper dissects how his innovative multi-tier residency program helped him hide his addiction while simultaneously providing outstanding patient care and academic training.


Assuntos
Hospitais Universitários/história , Internato e Residência/história , Especialidades Cirúrgicas/história , Transtornos Relacionados ao Uso de Substâncias , Cirurgiões/história , Anestesia/história , História do Século XIX , História do Século XX , Humanos , Internato e Residência/organização & administração , América do Norte , Especialidades Cirúrgicas/educação
14.
World Neurosurg ; 136: 234-247, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31899393

RESUMO

Edward Archibald, Professor of Surgery at McGill University (1904-1945), Montreal, Canada, was the foremost thoracic surgeon of his generation. Although instrumental in establishing the American Board of Surgery and in standardizing surgical training, he was also influential as a neurosurgeon. Archibald, an early member invited by Harvey Cushing to join the Society of Neurological Surgeons, helped establish neurosurgery as a distinct, specialized discipline. We review Archibald's contributions to the development of neurosurgery in light of his encyclopedic 1908 monograph, "Surgical Affections and Wounds of the Head," which we compare and contrast to the contemporary treatise by Cushing in the same year. Through his writings and correspondence with Wilder Penfield and Cushing, we also describe his role in the creation of the Montreal Neurological Institute. Primary archival sources addressing the professional relationship between Archibald and Cushing and between Archibald and Penfield were consulted. Archibald's personal acquaintance with the principal neurosurgeons of the day, his insight into their personalities, their prominence in the field, and their career paths played a critical role in influencing Penfield to consider relocating to Montreal from Columbia University, despite tempting offers from Boston and Philadelphia. However, it was Archibald's support and mentorship for the creation of an academic center that finally convinced Penfield to move to McGill University. As one of the most influential surgeons of the early 20th century and a founding figure of modern neurosurgery, Archibald is an important part of neurosurgery's legacy.


Assuntos
Neurocirurgia/história , Canadá , História do Século XIX , História do Século XX , Humanos , Cirurgiões/história
17.
J Med Biogr ; 28(1): 38-46, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28972443

RESUMO

This paper examines the life of a 19th century medical practitioner and the impact he had on both people and society. Alexander Thom had a distinguished career as a surgeon in the British Army Medical Service before retiring to become one of the founding settlers and leaders of Perth, Ontario. There his half-pay retirement, land grants from being in the military and his medical practice enabled him to become a successful businessman-mill owner, justice of the peace, local politician and eventually district court judge. Like many doctors of his or any era, his contributions to society extended beyond his medical practice.


Assuntos
Medicina Militar/história , Cirurgiões/história , História do Século XVIII , História do Século XIX , Ontário
19.
Rev. esp. investig. quir ; 23(3): 115-220, 2020. ilus
Artigo em Espanhol | IBECS | ID: ibc-196979

RESUMO

La vinculación de la angiología y la cirugía vascular en España, inicialmente estuvo ligada a la Universidad y en su seno se realizó su primer desarrollo, situación que era compartida por otras especialidades. El España se puede considerar que la consolidación de las especialidades se realizó, salvo con alguna excepción, al margen del mundo universitario y fue en el sistema sanitario público de salud soportado por la denominada Seguridad Social, en donde los profesionales con cierto sentimiento de desprecio hacia el mundo universitario, consolidaron el desarrollo de las especialidades incluida la angiología y cirugía vascular. Posteriormente con el reconocimiento universitario de la casi totalidad de hospitales públicos y muchos de los privados como universitarios, la situación cambió en cuanto a la apreciación del mundo universitario. No obstante, el número de profesionales universitarios especializados en la angiología y cirugía vascular ha sido y es muy reducido en lo que respecta al personal numerario, siendo bastante más numeroso, el contratado temporal de Profesor Asociado en Ciencias de la Salud. Se analiza en el trabajo, la evolución de la vinculación entre especialidad y el mundo de la Universidad junto con los profesores universitarios que la han protagonizado, unidos a algunos acontecimientos y hechos puntuales relevantes relacionados con esta relación


The link between angiology and vascular surgery in Spain was initially linked to the University and its first development was carried out within it, a situation that was shared by other specialties. In Spain, it can be considered that the consolidation of specialties was carried out, with some exceptions, outside the university world and it was in the public health system supported by the so-called Social Security, where professionals with a certain feeling of contempt towards the university world, consolidated the development of specialties including angiology and vascular surgery. Later, with the university recognition of almost all public hospitals and many of the private ones as university, the situation changed in terms of the appreciation of the university world. However, the number of university professionals specialized in angiology and vascular surgery has been and is very small with regard to permanent staff, with the temporary contract of Associate Professor in Health Sciences being much more numerous. At work, the evolution of the link between the specialty and the world of the University is analyzed together with the university professors who have starred in it, together with some relevant events and specific events related to this relationship


Assuntos
Humanos , História do Século XIX , História do Século XX , História do Século XXI , Procedimentos Cirúrgicos Vasculares/história , Universidades/história , Procedimentos Cirúrgicos Vasculares/educação , Doenças Vasculares/cirurgia , Cirurgiões/história , Espanha
20.
Dis Esophagus ; 32(10): 1-2, 2019 Dec 13.
Artigo em Inglês | MEDLINE | ID: mdl-31833554

RESUMO

Dr. David Skinner, the 4th President of the ISDE, was a world-renowned surgeon, educator, scholar, and leader. He participated in the formation of the ISDE, hosted two international congresses in 1983 and 1989, and made important advances in the ISDE during his presidential tenure 1992-1995.


Assuntos
Doenças do Esôfago/história , Gastroenterologia/história , Cirurgiões/história , História do Século XX , História do Século XXI , Humanos , Agências Internacionais/história , Liderança , New York , Sociedades Médicas/história
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