Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 184
Filtrar
2.
Pract Neurol ; 19(5): 427-430, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30948556

RESUMO

There are three classes of people: those who see, those who see when they are shown, those who do not see Leonardo da Vinci The three cardinal qualities necessary for the ideal neurologist are observation, the ability to reason backwards inferentially and specialist knowledge. Modern medical technology has greatly increased the ability to diagnose and treat disease but it has also encouraged a benign variant of abulia, which is killing off the art and science of clinical reasoning. Intent gazing at the unfamiliar with old eyes or a long look at the familiar with new eyes offers the neurologist an opportunity to discover hitherto unnoticed diagnostic signs far beyond the resolution of the brain scanner and even the light microscope. While there may be nothing new under the sun, there are plenty of old things that no one has observed, which have the potential to greatly improve clinical practice.


Assuntos
Neurologistas , Neurologia , História do Século XIX , Humanos , Neurologistas/história , Neurologia/história , Pacientes , Padrões de Prática Médica/história
3.
J Cutan Med Surg ; 23(3): 307-318, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30999785

RESUMO

The specialty of dermatology is constantly changing to meet the medical needs of our society. The discipline is in flux because of a variety of factors such as growing population needs, technological advancements, fiscal restraint, and demographic changes. As part of an in-depth review of the specialty, the Dermatology Working Group (DWG) for the Royal College of Physicians and Surgeons of Canada sought to determine whether the current training configuration is suitably preparing graduates to meet the societal health needs of dermatology patients. In this first of a 2-part series, the authors conducted comprehensive literature and historical reviews and a jurisdictional analysis to understand the current state of dermatology practice in Canada. Herein, they explore trends in the dermatology workforce, population needs, accessibility, and wait times, as well as issues in undergraduate and postgraduate medical education. In a subsequent publication, the DWG will utilize information gained from this historical analysis and jurisdictional review, stakeholder perspectives, and a national survey to shape the future of dermatology training in Canada.


Assuntos
Dermatologia/educação , Dermatologia/história , Educação Médica/história , Canadá , História do Século XX , História do Século XXI , Humanos , Padrões de Prática Médica/história , Padrões de Prática Médica/tendências
5.
Curr Pain Headache Rep ; 23(1): 6, 2019 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-30673879

RESUMO

PURPOSE OF REVIEW: Non-steroid anti-inflammatory drugs (NSAIDs) constitute a vital class of medications in today's headache regimen. However, up until the nineteenth century, they were largely unknown to most of the medical community. The purpose of this review is to explore the evolution of NSAIDs in the treatment of headaches spurred on by the Industrial Revolution in the USA. RECENT FINDINGS: The currently available data on the impact of NSAIDs reflects their significant contribution to headache treatment. The emergence of mass production spurred on by the Industrial Revolution, lead to widespread use of antipyrine, salicylic acid, and acetanilide. However, along with it came the growing awareness of consumer safety, leading to their ultimate downfall, and the subsequent birth of the Food and Drug Act.


Assuntos
Acetanilidas/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Antipirina/uso terapêutico , Cefaleia/tratamento farmacológico , Padrões de Prática Médica/história , Ácido Salicílico/uso terapêutico , Acetanilidas/história , Anti-Inflamatórios não Esteroides/história , Antipirina/história , Cefaleia/história , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Ácido Salicílico/história , Resultado do Tratamento , Estados Unidos/epidemiologia
6.
Med Mal Infect ; 49(4): 264-269, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30409541

RESUMO

OBJECTIVE: To describe the changes in first-line antiretroviral (ART) regimens in France between 2005 and 2015 and patients' characteristics related to the use of protease inhibitors in 2015. METHODS: We extracted all patients starting ART between 2005 and 2015 from a large prospective cohort. Regimens were classified as three nucleoside reverse transcriptase inhibitors (NRTI), or two NRTIs with a boosted protease inhibitor (bPI), with a non-nucleoside reverse transcriptase inhibitor (NNRTI), or with an INSTI. Patients' characteristics at the time of initiation were collected. A multinomial logit model was fitted to analyze characteristics related to the choice of regimen in 2015. RESULTS: We analyzed data from 15,897 patients. The proportion of patients starting with (i) a bPI decreased from 60% before 2014 to 38.1% in 2015; (ii) an NNRTI decreased from 30% to 17.8% in 2015; (iii) an INSTI gradually increased to 39.4% in 2015. In 2015, patients with an initial viral load ˃5 log copies/mL were less likely to receive NNRTI (OR=0.08) or INSTI regimens (OR=0.69) than bPIs. Patients with initial CD4+ T cell count ˂200/mm3 were less likely to receive an NNRTI (OR=0.28) or an INSTI regimen (OR=0.52) than a bPI. Women were less likely to receive an NNRTI (OR=0.79) or an INSTI regimen (OR=0.71) than a bPI; although this depended on age. CONCLUSION: The use of bPI as first-line ART declined sharply in France from 2005 to 2015. bPI remained of preferential use in patients with high viral load, low CD4+ T cell count, and in women.


Assuntos
Antirretrovirais/uso terapêutico , Infecções por HIV/tratamento farmacológico , Padrões de Prática Médica , Adulto , Fármacos Anti-HIV/uso terapêutico , Terapia Antirretroviral de Alta Atividade/estatística & dados numéricos , Estudos de Coortes , Quimioterapia Combinada , Feminino , França/epidemiologia , HIV , Infecções por HIV/epidemiologia , Inibidores da Protease de HIV/uso terapêutico , História do Século XXI , Humanos , Masculino , Pessoa de Meia-Idade , Padrões de Prática Médica/história , Padrões de Prática Médica/estatística & dados numéricos , Padrões de Prática Médica/tendências , Inibidores da Transcriptase Reversa/uso terapêutico , Carga Viral
7.
Artigo em Português | LILACS | ID: biblio-998602

RESUMO

Epidemiologia clínica é o campo de conhecimento que estuda as melhores práticas assistenciais, com foco nos interesses do paciente de compartilhar as decisões com os médicos e demais profissionais de saúde que realizam o atendimento ou prestam cuida-dos. Vale-se da mesma metodologia usada pela epidemiologia tradicional para qualificar e desenvolver a pesquisa aplicada à prática clínica. A vacinação contra a febre amarela, mostra bem a diferença entre os interesses da epidemiologia clínica e os da epidemiologia tradicional. A estratégia populacional pode trazer muitos benefícios para a coletividade que, no geral, apresenta baixo risco e muitos malefícios para um grupo muito menor de indivíduos de alto risco. Os padrões de ações preventivas modificam-se de acordo com a evolução no tempo. Além da prevenção primordial, primária, secundária e terciária este texto discute a prevenção quaternária por meio de ações que visam evitar os danos associados ao uso excessivo de procedimentos diagnósticos e terapêuticos. O diálogo sobre saúde é um contraponto entre o saber científico e o saber popular, a informação dada a partir do conhecimento prévio do indivíduo e da comunidade deve respeitar seus valores, como exemplificado por trabalhos realizados em escolas de ensino fundamental.


Clinical Epidemiology is the field of knowledge that studies the best care practices, focusing on the patient's interest in sharing decisions with physicians and other health professionals who provide treatment or health care. It employs the same methodology used by traditional epidemiology to qualify and develop research applied to clinical practice. Vaccination against yellow fever clearly shows the difference between the interests of clinical epidemiology and those of traditional epidemiology. Population strategy can produce many benefits for society as a whole, which generally involves a lower risk, to the detriment of a much smaller group of high-risk individuals. Preventive care patterns change according to temporal evolution. In addition to primordial, primary, secondary and tertiary prevention, this text also discusses quaternary prevention through actions aimed at avoiding the damage associated with the excessive use of diagnostic and therapeutic procedures. The dialogue on health is a counterpoint between scientific knowledge and common knowledge. Information produced from the prior knowledge of the individual and the community must respect their values, as exemplified by work carried out in elementary schools


Assuntos
Humanos , Masculino , Feminino , Serviços Preventivos de Saúde/economia , Padrões de Prática Médica/história , Doenças Cardiovasculares/prevenção & controle , Doenças Cardiovasculares/epidemiologia
8.
Arch Med Res ; 49(6): 418-420, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30579627

RESUMO

BACKGROUND: The vertiginous pace with which modern medicine advances, can seem overwhelming to students and young doctors. AIM OF THE STUDY: To reappraise an oration by William Osler delivered to medical students at the point of their graduation. METHODS: Narrative review. RESULTS: Osler emphasised the Art of Detachment, the Virtue of Method, the Quality of Thoroughness and the Grace of Humility, which he considers the basic pillars on which a successful medical practice is achieved, Osler's words serve as a guiding light for physicians struggling with the demands of twenty first century medicine.


Assuntos
Educação Médica/história , Padrões de Prática Médica/história , História do Século XIX , História do Século XX , Humanos , Médicos , Estudantes de Medicina
9.
Med Sci (Paris) ; 34(10): 865-871, 2018 Oct.
Artigo em Francês | MEDLINE | ID: mdl-30451681

RESUMO

Modelling knowledge and medical reasoning can be an epistemological project especially now, as medicine seems to reach a scientific status. Through his work on semiotics, abductive reasoning and pragmatism, CS Peirce (1839-1914) offers a series of original solutions. These solutions can give an account of (be considered as a theorical ground for) most of the medical activity in various fields such as the evaluation of the students, the knowledge bases and expert systems, the formal descriptions languages (ontologies), and the evidence-based medicine. By mean of this article, we aim at introducing the medical doctors to this complex but lighting thought on a profession which now uses all the most modern resources of knowledge engineering.


Assuntos
Conhecimento , Lógica , Medicina/métodos , Médicos , Pensamento/fisiologia , Ontologias Biológicas/história , França , História do Século XIX , História do Século XX , Humanos , Padrões de Prática Médica/história , Padrões de Prática Médica/normas
10.
Pol Przegl Chir ; 90(3): 60-68, 2018 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-30426938

RESUMO

Experimental research on liver transplantation was introduced in Poland by Waldemar Olszewski with his team. It was in 1972. Not until 15 years later, in 1987, did Stanislaw Zielinski in Szczecin and Marian Pardela in Katowice make an attempt of transplanting liver in humans. In 1989, the attempt was made by Jacek Pawlak and Marek Krawczyk in Warsaw. The first successful liver transplantation in Poland was performed by Piotr Kalicinski at the Children's Memorial Health Institute, Warsaw. Also, in early 1990s the attempts were made by Jerzy Polanski in Warsaw and Piotr Szyber in Wroclaw. In the next years, liver transplantations were connected with three centers in Szczecin and were associated with the following persons: Roman Kostryka, Maciej Wójcicki and Samir Zeaira. In Warsaw, 1994, Jacek Pawlak, Bogdan Michalowicz and Krzysztof Zieniewicz performed another successful liver transplantation. The program started to develop rapidly and is still up and running. In 2000, Wojciech Rowinski and Marek Pacholczyk created another liver transplant center in Warsaw, while in 2005 Lech Cierpka and Robert Król did the same in Katowice. In the following years, liver transplantation was initiated by Maciej Slupski in Bydgoszcz (2017) and Zbigniew Sledzinski in Gdansk (2018). In the developing liver transplant centers, an exceptional contribution was made by Pawel Nyckowski, Jacek Pawlak, Krzysztof Zieniewicz, Waldemar Patkowski, Tadeusz Wróblewski, Rafal Paluszkiewicz, Marek Pacholczyk, Andrzej Chmura, Maciej Kosieradzki and Marek Krawczyk - all employees of the Medical University of Warsaw. In Wroclaw, Dariusz Patrzalek and Pawel Chudoba were very active in the field of liver transplantations. In 1996, the Organizing-Coordinating Center for Transplantation POLTRANSPLANT was brought to life. It was directed by Janusz Walaszewski, then by Roman Danielewicz and Artur Kaminski. In 1999, Piotr Kalicinski and Marek Krawczyk started the program for liver fragment harvesting and transplantation from living donors. Until the end of 2016, 4186 liver transplantations including 314 liver transplants from living donors were performed in Poland. Currently, the active centers are three centers from Warsaw, namely Pediatric Surgery and Transplantation Surgery, Children's Memorial Health Institute; Department of General, Transplant and Liver Surgery, Medical University of Warsaw; Department of General and Transplant Surgery, Medical University of Warsaw. Other active centers include Department of General and Transplant Surgery, Provincial Hospital in Szczecin, Department of General, Vascular and Transplant Surgery, Medical University of Silesia, Katowice, Department of Vascular, General and Transplant Surgery in Wroclaw. Liver transplant programs have also been initiated at the Department of Liver and General Surgery, Bydgoszcz, and Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk.


Assuntos
Transplante de Fígado/história , Nefrologia/história , Padrões de Prática Médica/história , Centros Médicos Acadêmicos/história , História do Século XX , História do Século XXI , Humanos , Polônia
11.
Med Hist ; 62(2): 155-176, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-29553009

RESUMO

Restoration London saw a wave of publications by physicians advocating that the 'compleat physician' should be one who experimented and produced his own medicines. Only thus, they argued, could the medical hierarchy be restored and medical authority re-established on a defensible basis. This article seeks to explain the context for this unusual approach, and why it failed to attract mainstream physicians by the end of the century, by considering the sixty-year career of one of its leading advocates, Everard Maynwaring (c.1629-1713), a prolific medical author, and what his own failure to enter the medical establishment may show about the problems inherent in this model for the physician. A university-trained gentleman physician who converted to chymical medicine c.1660, Maynwaring published learned and relatively unpolemical texts to persuade both medical and lay audiences of the superiority of experimental medicine as a mode of learned practice, yet could not easily reconcile this with the advocacy and sale of his own chymical medicines (especially as he focused increasingly on a small group of 'universal medicines') without being branded an 'empirick'. Fragmentary evidence regarding his career suggests he became increasingly marginalised, and as an old man was reduced to advertising his cures like the 'empiricks' from whom he had sought to distance both himself and physicians in general.


Assuntos
Pesquisa Biomédica/história , Dissidências e Disputas/história , Padrões de Prática Médica/história , História do Século XVII , História do Século XVIII , Humanos , Londres
12.
Popul Stud (Camb) ; 72(1): 123-136, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29357758

RESUMO

This is a book review turned research paper. The aim is to estimate the differences in the maternal mortality rate (MMR) between untrained midwives, expert midwives, and the famous obstetrician Dr Smellie in eighteenth-century Britain. The paper shows that the birth attendance practices of the expert midwife Mrs Stone and of Dr Smellie were very similar, though Stone used her hands whereas Smellie used forceps. Both applied the same invasive techniques to successfully deliver women with similar fatal complications, techniques that untrained midwives and most surgeons of the time could not perform. However, the same procedures, if used for normal births, would have increased the MMR. So, the key to the low MMR of both was that they kept interventions away from the majority of births that were normal. The paper quantifies the likely MMR for a 'Stone and Smellie style' birth attendance and concludes that the wider dissemination of their techniques can explain the decline in the British MMR.


Assuntos
Parto Obstétrico/história , Mortalidade Materna/história , Tocologia/história , Padrões de Prática Médica/história , Idoso , Competência Clínica/estatística & dados numéricos , Parto Obstétrico/estatística & dados numéricos , Feminino , Conhecimentos, Atitudes e Prática em Saúde , História do Século XVIII , Humanos , Masculino , Tocologia/estatística & dados numéricos , Obstetrícia/história , Padrões de Prática Médica/estatística & dados numéricos , Gravidez , Reino Unido
13.
Dynamis (Granada) ; 38(1): 65-86, 2018.
Artigo em Espanhol | IBECS | ID: ibc-173240

RESUMO

El presente estudio analiza la presencia de los practicantes de la medicina en los tribunales de justicia de una comarca rural valenciana conocida como la Ribera del Júcar, durante los siglos XVI y XVII. Las fuentes utilizadas se refieren fundamentalmente a la villa real más importante de la región, Alzira, y a otro lugar de señorío de pequeñas dimensiones, Albalat, que conservan un importante volumen de procesos judiciales. Se analizan los procedimientos periciales y sus protagonistas, particularmente el informe relacionado con las heridas (dessospitació), ya fueran de arma blanca o de arma de fuego, y su pronóstico, estableciendouna comparación con la literatura médica desarrollada para tal fin


No disponible


Assuntos
História do Século XVI , História do Século XVII , Administração da Prática Médica/história , Administração da Prática Médica/legislação & jurisprudência , Medicina Legal/história , Medicina Legal/legislação & jurisprudência , Padrões de Prática Médica/história , Padrões de Prática Médica/legislação & jurisprudência , Decisões da Suprema Corte/história
14.
Asclepio ; 69(2): 0-0, jul.-dic. 2017.
Artigo em Espanhol | IBECS | ID: ibc-169343

RESUMO

En un contexto de desarrollo de la anatomía patológica y de la irrupción de la mirada científica sobre el cuerpo de los enfermos mentales, los asilos de locos subrayaron la importancia del espacio, real o simulado, como recurso curativo. Las Casas de Orates se armaron a partir de una propuesta que en su diseño, emplazamiento y realización representó los principios del alienismo, ajustados a la realidad chilena. Este proceso impulsó un escenario asilar específico, con paisajes interiores y exteriores, que caracterizaron al alienismo local y a su promesa de tratar la locura. Este artículo estudia los asilos proyectados o levantados en Chile desde la Casa de Locos (1852) hasta el Open Door Nacional (1928), dando cuenta de los procesos de apropiación de un modelo internacional desde las particularidades del paisaje local asilar (AU)


In a period shaped by the development of anatomical pathology and by the entrance of the scientific gaze over the body of the insane, the mental asylum underscored the key importance of the space, real or simulate, as a therapeutic tool. Madhouses were influenced by a proposal that followed in terms of design, location and implementation, the principles of alienism, adjusted to the Chilean setting. This process contributed to develop a specific asylum space, with internal and external landscapes, which characterized local alienism and its promise to treat madness. This article studies the Chilean asylums -planned or built- from the Madhouse (1852) to the National Open Door (1928), in order to show the process of appropriation of an international therapeutic model from the peculiarities of the institutional landscape (AU)


Assuntos
Humanos , Hospitais Psiquiátricos/história , Hospitais para Doentes Terminais/história , Ambiente de Instituições de Saúde/história , Transtornos Mentais/história , Chile , Padrões de Prática Médica/história , Problemas Sociais/história
15.
J Fr Ophtalmol ; 40(9): 723-730, 2017 11.
Artigo em Francês | MEDLINE | ID: mdl-29055730

RESUMO

PURPOSE AND CONTEXT: Intravitreal administration of anti-VEGF agents, available in France since 2007, allows stabilization and improvement in visual acuity in wet age-related macular degeneration (AMD). In the past few years, the management of this disease has evolved in terms of both diagnostic methods and treatment schedules, which have been adapted to the pathophysiology of AMD. The goal of this survey, performed in a representative sample of French ophthalmologists, was to describe the evolution of medical practices one year after a similar survey (Massé et al., J Fr Ophtalmol 2016; 39: 40-7). METHOD: The survey was performed from December, 2014 to March, 2015 in 191 ophthalmologists (53 general ophthalmologists and 98 retina specialists) with an on-line questionnaire. This questionnaire was designed by a committee of ophthalmologists to describe practices concerning screening, diagnosis, treatment and follow-up of wet AMD. RESULTS: An initial intravitreal injection of an anti-VEGF agent was usually performed within 10 days after the diagnosis of wet AMD by 98% of ophthalmologists and within 5 days by 63%. The treatment protocols favored by retina specialists were pro re nata (PRN) for 58%, Observe and Plan for 25% and Treat and Extend for 17%. Bilateral intravitreal injections were performed on the same day by 46% of retina specialists, mostly for the convenience of the patient and because of the low infectious risk. The initial protocol was maintained by one third of retina specialists throughout the course of treatment, while two thirds of them reported that they reassessed the protocol on average after 5 months. CONCLUSION: This survey on the practices of the ophthalmologists in wet AMD highlights an improvement in the time course of patient management and an evolution of treatment schedules toward individualized protocols.


Assuntos
Procedimentos Clínicos , Padrões de Prática Médica , Degeneração Macular Exsudativa/terapia , Adulto , Inibidores da Angiogênese/administração & dosagem , Bevacizumab/administração & dosagem , Protocolos Clínicos , Procedimentos Clínicos/história , Procedimentos Clínicos/estatística & dados numéricos , Procedimentos Clínicos/tendências , Feminino , França/epidemiologia , História do Século XXI , Humanos , Injeções Intravítreas , Masculino , Pessoa de Meia-Idade , Oftalmologistas/estatística & dados numéricos , Padrões de Prática Médica/história , Padrões de Prática Médica/estatística & dados numéricos , Padrões de Prática Médica/tendências , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Degeneração Macular Exsudativa/epidemiologia
16.
Infez Med ; 25(3): 292-297, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-28956551

RESUMO

Sir William Osler is celebrated today not only for his contributions to the advancement of medical education, but also for the humanism he brought to the practice of medicine. He was a doctor whose bedside skills and manners were emulated, and can legitimately be called an infectious diseases specialist. Nonetheless, he was also a humanist in the broader sense of the term, a student of human affairs and human nature, who emphasised compassion for the individual. To what extent, if any, are today's challenges influenced by departures from the paradigms created by Osler? In this paper we sought to ascertain whether such a tradition is still relevant to current practice and may foster a new perspective. We analysed two features of Osler's legacy that may be useful to clinicians: the first is his vision of the patient-physician relationship; the second is his approach to humanities. William Osler saw medicine in its wider scope, with the right and duty to be concerned with the human condition as a whole. Indeed, his rounded concept of the medical profession as being engaged in helping and caring for the whole human being could help physicians build a more humanised medicine. Adopted in the age of evidence-based medicine, the Oslerian approach can enhance the relationship with patients and give physicians a role based on trust and authoritativeness rather than on authority.


Assuntos
Atitude do Pessoal de Saúde , Humanismo/história , Relações Médico-Paciente , Médicos/psicologia , Educação Médica/história , História do Século XIX , História do Século XX , Humanos , Infectologia/história , Medicina Interna/história , Ontário , Padrões de Prática Médica/história , Estados Unidos
18.
Early Sci Med ; 22(1): 103-123, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29781591

RESUMO

Xianxingzhai guang biji ('Expanded Notes from the Studio of Early Enlightenment') is a Chinese medical case collection based primarily on the interaction between the physician Miao Xiyong and his patients. Professional interest alone, however, cannot explain the unique combination of cases with detailed prescriptions. Rather, elite patients played a crucial role in collecting and publishing these cases, driven in part by the need to prepare their own medications at home. Physicians then reciprocated by sharing their prescriptions for patronage, thereby fashioning a more flexible style of medical virtuosity. Finally, both patients and physicians grappled with the unbounded possibilities and dangers presented by novel illnesses and cures. This episode anticipates the consolidation of recipe-cases (fang'an) as a stable didactic genre by the eighteenth century.


Assuntos
Farmacopeias como Assunto/história , Padrões de Prática Médica/história , Medicamentos sob Prescrição/história , China , História do Século XVII , História do Século XVIII , Humanos , Relações Médico-Paciente
19.
Med. hist ; 37(3): 4-18, 2017. ilus
Artigo em Espanhol | IBECS | ID: ibc-167731

RESUMO

En el año 1910, como consecuencia de los preparativos para la celebración del primer Congreso Internacional de la Tuberculosis en Barcelona, las clases médicas de la ciudad escenificaron un duro enfrentamiento con respecto al modelo asistencial dirigido al tratamiento y prevención de la enfermedad fímica. A lo largo del conflicto, el ginecólogo Jaime Queraltó y Ros fue desterrado por acusar al Patronato de Cataluña para la Lucha contra la Tuberculosis, de fomentar el uso de prácticas asistenciales con el único fin de salvaguardar el alma de sus pacientes de la enfermedad, aun a costa de someterles a operaciones superfluas y cruentas, como fue la cauterización de un tatuaje anarquista que se le practicó a uno de los obreros que visitaban sus dispensarios. El interés que suscitó el llamado "caso del anarquista tatuado" traspasó en pocos meses las fronteras nacionales, convirtiendo al Patronato en objeto de las más duras críticas por parte de diversas instituciones extranjeras, y promoviendo a escala nacional un debate sobre las carencias o los beneficios de un modelo asistencial liberal en el que, lejos de fundarse en los principios de una ciencia secular, las prácticas sanitarias parecían seguir sujetas a una serie de valores higiénico-morales tradicionalmente vinculados con la caridad católica. Más allá de dar cuenta del conflicto entre los médicos, el propósito general de nuestro artículo pasa por analizar la forma en que las posturas enfrentadas respondieron a las distintas corrientes políticas de la ciudad, demostrando así la importancia que las prácticas asistenciales habían adquirido dentro las estrategias electorales de los distintos partidos a principios del siglo XX (AU)


In 1910, as a consequence of the preparations for the first International Congress on Tuberculosis in Barcelona, the city's medical community faced a grave confrontation with respect to the model of healthcare offered for the treatment and prevention of the phymic disease. During the conflict, the gynaecologist Jaime Queraltó I Ros was banished for accusing the Catalonian Board for the Fight Against Tuberculosis of promoting the use of a care practice whose sole objective was saving the patient's souls, even if this meant superfluous and bloody operations, like the cauterization of an anarchist tattoo on one of the workers who attended one of their free clinics. The interest arising from the case of the "tattooed anarchist" spread across the national borders in a few months, converting the Board into the object of harsh criticism from different foreign institutions and causing a nation-wide debate on the deficiencies or benefits of a liberal healthcare model that, far from being based on secular science, seemed to continue being tied to a series of hygienic-moral values traditionally linked to catholic charity. Beyond just giving an account of the conflict between physicians, the general aim of our article goes from analyzing the way in which the conflicting postures answered to different political currents in the city to showing the importance that healthcare had acquired within the electoral strategies of the different political parties in the XX century (AU)


Assuntos
Humanos , Tuberculose/história , Associações de Combate a Tuberculose/história , Política de Saúde/história , História da Medicina , Educação Médica/história , Padrões de Prática Médica/história , Assistência à Saúde/história , Religião e Medicina
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA