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The first German textbook of ophthalmology "Augendienst" by G. Bartisch, 1583.

This book contains various illustrations, portraits and an exact index, testimonials proving the author's professional successes as well as an accurate list of the qualities that should be demanded from any ophthalmologist. The anatomy of the head and eye is described according to Galen's ideas and Vesalius' book. Many remedies, prescriptions and medical treatments are discussed, partly showing the mystic influences of the Middle Ages. Bartisch reports several diseases for the first time: Allergic reactions, sympathetic ophthalmia, hemeralopia, photoelectric keratoconjunctivitis, amaurosis due to toxemia of pregnancy. But most important is the part on surgery. A careful pre- and postoperative treatment is demanded in cases of cataract operations. Bartisch describes the removal of eyelashes to cure trichiasis, the operations of ptosis, blepharochalasis and the exenteration of the orbit. This book was appreciated for a long time so that in 1686 a nearly identical reprint was published.

Books↗

The lacrimal surgery of Petrus Camper and his contemporaries.

Lacrimal surgery went through a period of rapid development in the 18th century. This is all the more remarkable because at that time anaesthesia was still unknown. In his ophthalmological textbook "De Oculorum Fabrica et Morbis", written in 1766, the renowned Dutch anatomist and surgeon Petrus Camper (1722-1789) presented a detailed review of the various operative procedures performed by himself and his contemporaries.

History, 18th Century↗

Community mental health ideology presented in high school health textbooks: a content analysis.

The present study examined the community mental health ideology presented in high school health textbooks. A content analysis of texts in national use revealed that a hygiene model of mental health predominated. Further, substantial attention was devoted to drugs and alcohol as central issues for high school students, with particular emphasis on prevention through "consumer" education. Community mental health approaches were largely ignored, with brief mention made of the community mental health center as place where one can go to receive individual treatment. Mental illness was consistently presented as an individual's internal problem, unrelated to the social or ecological context of the individual. The findings were discussed in terms of implications for the exposure to mental health received by high school students and in terms of the need for public education about community mental health issues.

Adolescent↗

How treatment of persons with serious mental illness is portrayed in undergraduate psychology textbooks.

Information on treatment and rehabilitation approaches for persons with serious mental illness was examined in 28 introductory and 14 abnormal psychology textbooks. Both drug and hospital treatment received significantly more coverage than did community rehabilitation approaches in both types of texts. In introductory texts, community rehabilitation received no more coverage than lobotomy. Texts were also examined for their mention of 12 community rehabilitation approaches in current practice. Both types of texts gave a dated presentation of mental health services. However, description of community approaches in abnormal textbooks was more detailed and research-based than in introductory texts. It was hypothesized that textbook coverage mirrors the lack of psychiatric rehabilitation research reported in psychological journals.

Curriculum↗

A methodology for teaching ethics in the clinical setting: a clinical handbook for medical ethics.

The pluralism of methodologies and severe time constraints pose important challenges to pedagogy in clinical ethics. We designed a step-by-step student handbook to operate within such constraints and to respect the methodological pluralism of bioethics and clinical ethics. The handbook comprises six steps: Step 1: What are the facts of the case?; Step 2: What are your obligations to your patient?; Step 3: What are your obligations to third parties to your relationship with the patient?; Step 4: Do your obligations converge or conflict?; Step 5: What is the strongest objection that could be made to the identification of convergence in step 4 or the arguments in step 4? How can this objection be effectively countered?; and Step 6: How could the ethical conflict, or perceived ethical conflict, have been prevented?

Beneficence↗

Principles and practices of medicine. The co-existence of various anemias.

The medical textbooks in our university library present 'principles' as the basis which underlies medical 'practice'. In this article it is argued that this helps different medical logics to co-exist. The example analyzed is that of anemia in the Netherlands. Currently this is defined pathophysiologically, statistically and clinically. These three definitions are intertwined with different strategies for the creation of normal hemoglobin levels and the detection of patients with anemia. The discrepancies between them, however, do not lead to the controversies that might be expected by those who believe in consistency. Instead, the rhetoric of principles-and-practice helps to bring about peaceful co-existence.

Adult↗

Infant feeding - an evaluation of text and taught.

OBJECTIVE: Study was conducted to 1) assess knowledge of doctors, medical interns and nurses/ANMs regarding exclusive breast-feeding, management of common problems related to breast feeding and appropriate complementary foods 2) review the above aspects in books commonly read by medical and nursing students. METHODS: Cross-sectional study conducted in the department of Community Medicine, Maulana Azad Medical College, New Delhi during a seven-month period on 93 interns, 58 medical officers and 44 nurses/ Auxillary Nurse Midwives (ANMs) with the help of a pre-tested structured multiple choice questionnaire and review of some commonly read books of Pediatrics, Community Medicine and Nursing. RESULTS: The concept of 'exclusive breast-feeding' was clear to most health personnel but the fact that water should also not be given was not clear in the books reviewed. The books also lacked emphasis on management of common lactation problems and this was also seen in the knowledge of the health personnel. CONCLUSION: As inappropriate feeding practices are widely prevalent, knowledge of large proportion of health personnel is incorrect and commonly read books are inadequate on this issue, there is need for greater emphasis on this in books and training sessions.

Attitude of Health Personnel↗

Evolution of 20th century attitudes to prophylaxis of pulmonary aspiration during anaesthesia.

PURPOSE: To describe the evolution of aspiration risk identification and prophylactic management during general anaesthesia as presented in the United Kingdom (UK) anaesthesia textbooks published 1900-1998. METHODS: The Cumulated Index Medicus, 1900-1997, was searched under the headings: anaesthesia, aspiration, and pneumonia for relevant articles. A classification of features was created using key words and phrases: fasting guidelines, gastric emptying, intestinal obstruction and peritonitis, gastro-oesophageal function, upper oesophageal sphincter, raised intra abdominal pressure, pregnancy, posture and difficult tracheal intubation. Finally, 46 20th century UK anaesthesia text books were studied for the presence or absence of these features. RESULTS: Throughout the century, intestinal obstruction was a recognized risk factor. Only in the 1940s did some authors mention many of the now known risk factors. Hazards for the pregnant patient were described and in the 1960s the importance of the cricopharyngeus muscle was identified. Prophylactic measures included food and water restriction recommendations, especially in the latter half of the century and gastric lavage and drainage were mentioned throughout the century, as was posture at induction. In the 1950s tracheal intubation began to be routinely recommended. In the 1960s, cricoid pressure appeared and then a burgeoning interest in pharmacological control of gastric content character. Awake tracheal intubation is not always mentioned in 1990-96 textbooks. CONCLUSION: The consensus of information in textbooks since 1970 was lacking in the previous part of the century. Current textbooks are fewer and are published less frequently. Their role in contemporary anaesthesia education and update merits review.

Anesthesia, General↗

Evolution of epidemiologic methods and concepts in selected textbooks of the 20th century.

Textbooks are an expression of the state of development of a discipline at a given moment in time. By reviewing eight epidemiology textbooks published over the course of a century, we have attempted to trace the evolution of five epidemiologic concepts and methods: study design (cohort studies and case-control studies), confounding, bias, interaction and causal inference. Overall, these eight textbooks can be grouped into three generations. Greenwood (1935) and Hill (first edition 1937; version reviewed 1961)'s textbooks belong to the first generation, "early epidemiology", which comprise early definitions of bias and confounding. The second generation, "classic epidemiology", represented by the textbooks of Morris (first edition 1957; version reviewed 1964), MacMahon & Pugh (first edition 1960; version reviewed 1970), Susser (1973), and Lilienfeld & Lilienfeld (first edition 1976; version reviewed 1980), clarifies the properties of cohort and case-control study designs and the theory of disease causation. Miettinen (1985) and Rothman (1986)'s textbooks belong to a third generation, "modern epidemiology", presenting an integrated perspective on study designs and their measures of outcome, as well as distinguishing and formalizing the concepts of confounding and interaction. Our review demonstrates that epidemiology, as a scientific discipline, is in constant evolution and transformation. It is likely that new methodological tools, able to assess the complexity of the causes of human health, will be proposed in future generations of textbooks.

Epidemiologic Methods↗

[The standard textbook on racial hygiene by Erwin Baur, Eugen Fischer, and Fritz Lenz as viewed by the psychiatric and neurological communities from 1921 to 1940].

The textbook "Human heredity and Racial Hygiene" by Erwin Baur, Eugen Fischer, and Fritz Lenz went through five editions between 1921 and 1940. In contemporary journals, it received almost only positive review articles and was considered to be the standard textbook on racial hygiene in the Weimar Republic. After Hitler's takeover in 1933, it became the "scientific" basis for eugenic sterilization programs. In that year, the Nazis enacted a law allowing the involuntary sterilization of persons with diseases thought to be hereditary, mostly neurological and psychiatric disorders. Using review articles on the book, the position of neurologists and psychiatrists towards racial hygiene is analyzed. We describe how they prepared and maintained the acceptance of eugenic politics in the medical profession by praising the standard work on racial hygiene.

Eugenics↗

Review of the " Chirurgia" of Giovanni de Vigo: estimate of his position in the history of surgery.

Giovanni de Vigo, who was born in at Rapallo, Italy, lived in the early Renaissance period (1450-1525). In 1503, De Vigo became the personal surgeon to Pope Julius II. He wrote a surgical book, " Practica Copiosa in Arte Chirurgia," which was completed in 1514 and published in Latin. It was translated into English by Richard Traheron and printed by Edward Whytchurch in 1543. Vigo's " Chirurgia" consists of nine books ranging from a consideration of anatomy necessary for a surgeon, to sections on abscesses, wounds, ulcers, benign and malignant tumors, fractures and dislocations, pharmaceuticals, ointments and plasters, as well as sections on dentistry, exercise, diet, syphilis, among others. De Vigo introduces a novel approach for treating mandible dislocations and describes a trephine he invented, as well as a number of new instruments. Examination of his surgical piece demonstrates that he had a broad spectrum of knowledge in surgery based in part on the ancient Greek and Arabic medical literature but mainly on his personal experience. Giovanni de Vigo contributed significantly to the revival of medicine in the sixteenth century, and he can be considered as a bridge between Greek medicine of antiquity, Arabic medicine, and the Renaissance.

General Surgery↗

Dutch surgery in Japan.

An isolation policy was adopted in feudal Japan from 1639 to 1853 owing to the fear of foreign influence. During those 200 years of isolation, all foreigners were withheld from the country with the exception of the Dutch, who were permitted to establish a trading post on a small island in the Bay of Nagasaki, called Decima. Western culture and science reached the Japanese exclusively through the Dutch on Decima. Health care on Decima was provided by Dutch barber-surgeons, who introduced Western surgical practice in Japan. Official interpreters were the only Japanese allowed on Decima. It was from among these interpreters that the first Japanese surgeons arose who, having mastered the Dutch language, translated several Dutch anatomic and surgical texts. Genpaku Sugita translated a Dutch anatomy textbook into Japanese, which was completed in 1774. This book, entitled Kaitai Shinsho [New Book on Anatomy], was the first Western scientific monograph to be translated entirely into Japanese. Several Dutch surgical schools were founded through which Dutch surgery, known in Japan as "surgery of the red-haired" was propagated. According to the custom of the surgical guilds in Holland, certificates were granted to Japanese apprentices who had completed their training in Dutch surgery. About 60 Dutch surgeons had served on Decima up to 1850, providing the basis for surgery to develop in Japan. Among them, Philipp Franz von Siebold was an exceptional scholar who also had a great impact in making Japanese culture known to the Western world.

Anatomy↗

Charles B.G. de Nancrede: academic surgeon at the fin de siècle.

At the last turn of the century American surgery was in the midst of a number of paradigm shifts, involving transitions in technology, surgical practice, surgical specialization, patient care, surgical training, and medical economics. Charles B. G. de Nancrede was a leader during this formative period. A key figure in the transition from antiseptic to sterile technique in American medicine, he was also a prolific writer, a bold surgeon, and a great surgical educator. De Nancrede created one of the earliest prototypes of the modern multispecialty surgical departments. The coming turn of the century promises new transitions comparable to those of the past.

General Surgery↗