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Biomedical subjects

J D Key

Publications and source records attributed to J D Key.

At least 37 records · Page 2Linked to original sources

William Osler and Arthur Conan Doyle versus the antivivisectionists: some lessons from history for today.

Reaction against vivisection for research reached its height in the last two decades of the 19th century and the first two of the 20th, and a resurgence began in the 1960s. Antivivisectionism was and is related, in part, to emphasis on humanitarian sentiments. Two humanitarian physicians defended vivisection as essential. Dr. Arthur Conan Doyle in 1886 justified the killing of rabbits to relieve human suffering from hydrophobia. In 1910, he objected to the antihuman campaign of the antivivisectionists. Dr. William Osler reacted similarly to the threat to vivisection. He gave emphatic evidence to investigative committees in the United States in 1900 and in Britain in 1907. Osler also performed vivisection. His experimentation included studies of pig typhoid and tapeworm cysts in pigs and of the fate of india ink injected into the lungs of kittens. Osler and Conan Doyle were but two of the many prominent physicians who helped stem the tide of antivivisection legislation near the turn of the century. A review of the elements that fostered antivivisectionism in the society of their time is relevant in understanding and reacting to similar sentiments in the present era.

Animals

Munchausen's syndrome by proxy (child abuse) presenting as apparent autoerythrocyte sensitization syndrome: an unusual presentation of Polle syndrome.

Munchausen's syndrome was initially described in 1951. It has become increasingly recognized since that time. Recently, Munchausen's syndrome by proxy or Polle syndrome has been described. In this disease entity, a parent causes a factitious disease in a child. The disease may require extensive medical testing and the result may even be death. A wide variety of presentations of Polle syndrome have been reported including cardiac arrest, recurrent sepsis, and factitious bleeding. Autoerythrocyte sensitization, a syndrome of spontaneous purpura, was initially described in 1955. The diagnostic test described is intradermal injection of autologous blood which produces an area of painful purpura. The syndrome is therefore postulated to be due to hypersensitivity in the patient's own RBCs. The majority of patients with autoerythrocyte sensitization have had psychiatric disorders and the symptoms have improved only with psychotherapy. An infant who had a clinical picture of autoerythrocyte sensitization and who was later found to be a victim of Polle syndrome is reported.

Autoimmune Diseases

Assessment and significance of Arthur Conan Doyle's medical writings.

Doyle's medical writings represent a valuable contribution to both the scientific and nonscientific aspects of medicine of the late 19th Century. Up to the present, accounts of these writings have been few, and none of them have been evaluative of their scientific merit. Analysis of Doyle's writings on infectious diseases in particular reveals a remarkable insight, for the 1880s, into the bacterial causation of disease and prevention through immunization.

Adolescent