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Colombia Medica (Cali, Colombia) Mar 2020A historical follow-up on the medical diaries about the patient is made, from the Hippocratic texts to the appearance of the current canon of the clinical history... (Review)
Review
A historical follow-up on the medical diaries about the patient is made, from the Hippocratic texts to the appearance of the current canon of the clinical history formulated by Boerhaave in the seventeenth century, through the medieval and the and of the Renaissance; and it is discussed how much the patient's story is present in those writings. It is postulated that the medical narrative that starts from adequately listening to the patient and his story, and adopts a literary workshop format, it is a pedagogical tool that contributes to comprehensive medical training, and offers the patient the opportunity to be treated in an empathic and humanized environment.
Topics: History, 16th Century; History, 17th Century; History, 18th Century; History, 19th Century; History, 20th Century; History, 21st Century; History, Ancient; History, Medieval; Humans; Medical History Taking; Medical Records; Medical Writing; Narrative Medicine; Symptom Assessment
PubMed: 32943802
DOI: 10.25100/cm.v51i1.4223 -
Developmental Medicine and Child... Dec 2018
Topics: Cerebral Palsy; Child; History, 20th Century; History, 21st Century; Humans; Journalism, Medical; Pediatrics
PubMed: 30393858
DOI: 10.1111/dmcn.14057 -
Medical History Jul 2023Though the Hippocratic text has garnered significant attention in the twentieth and twenty-first centuries from classicists, physicians and historians of medicine...
Though the Hippocratic text has garnered significant attention in the twentieth and twenty-first centuries from classicists, physicians and historians of medicine alike, no commentary on this important work currently exists. There remain, however, central questions of interpretation concerning a number of important points: in particular, how the author understands the structure and functioning of the heart.The significance of this text for the history of cardiovascular medicine can be found first in its position as being radically advanced in its portrayal of the inner structure of the heart when compared with any other Hippocratic text. At the same time, the text falls dramatically short of the discoveries of the Alexandrian researchers who studied during the Hellenistic period-that is, around the same period as this text's likely composition. In addition, this work contains the first extant description of the valves of the heart, and its detailed descriptions of a cuspid valve and the have led several scholars to imagine that this text even contains evidence of either a systematic dissection of an animal heart or-what seems impossible outside of Alexandria, Egypt at that time-evidence of the dissection of a human heart.This article intends to provide a full commentary on the text by consolidating, and in some cases correcting, previous interpretive attempts to understand an often referenced, and at times misinterpreted, ancient medical treatise.
Topics: Animals; Humans; Physicians; Hippocratic Oath; Heart
PubMed: 37668381
DOI: 10.1017/mdh.2023.22 -
Medizinische Klinik, Intensivmedizin... May 2021The introduction of an electronic health record (EHR) or an emergency care data set (ECDS), as well as reforms in emergency medical care, is currently part of political... (Observational Study)
Observational Study
BACKGROUND
The introduction of an electronic health record (EHR) or an emergency care data set (ECDS), as well as reforms in emergency medical care, is currently part of political debate in Germany. Currently, no data are available of how emergency departments could benefit from an ePA or NFD in Germany. The aim of this study was to determine if a patient's medical history has an influence on diagnostic and therapeutic decisions in the emergency department.
METHODOLOGY
To answer this question, a descriptive observational study was conducted in an interdisciplinary emergency department with a study population of n = 96.
RESULTS
For 55 patients (59%) neither a doctor's letter nor a drug list was found. However, in 48% of the patients who were admitted to the hospital via the emergency department, additions to the anamnesis record could be identified. Eight (9%) patients showed that therapy and/or diagnostic decisions should have been discussed or changed if the supplemented anamnestic information had been available in the emergency room. In addition, the study revealed that the duration of the anamnesis was prolonged in case of missing medical history (mean: 10-15 min, standard deviation: ±<5 min). In contrast to the patients with a medical history (mean: 5-10 min, standard deviation: ±<5 min).
CONCLUSION
Based on the data stored in EHR and ECDS, therapy and diagnostic decisions could be made more reliably. In the absence of a medical history, the time required for medical history taking in emergency departments is significantly longer, which could be reduced by introducing EHR or ECDS.
Topics: Electronic Health Records; Emergency Medical Services; Emergency Service, Hospital; Germany; Humans
PubMed: 32040681
DOI: 10.1007/s00063-020-00661-8 -
Medical History Apr 2023The fear of the malingering soldier or veteran has existed in Australia since its first nationwide military venture in South Africa. The establishment of the...
The fear of the malingering soldier or veteran has existed in Australia since its first nationwide military venture in South Africa. The establishment of the Repatriation Department in 1917 saw the medical, military and political fields work collectively, to some extent, to support hundreds of thousands of men who returned from their military service wounded or ill. Over the next decades the medical profession occasionally criticised the Repatriation Department's alleged laxness towards soldier recipients of military pensions, particularly those with less visible war-related psychiatric conditions. In 1963 this reached a crescendo when a group of Australian doctors drew battle lines in the correspondence pages of the , accusing the Repatriation Department of directing a 'national scandal', and provoking responses by both the Minister for Repatriation and the Chairman of the War Pensions Assessment Appeal Tribunal. Although this controversy and its aftermath does allow for closer investigation of the inner workings of the Repatriation Department, the words of the doctors themselves about 'phony cronies', 'deadbeats' and 'drongoes' also reveal how the medical fear of the malingering soldier, and particularly the traumatised soldier-malingerer, lingered into the early 1960s and beyond. This paper will analyse the medical conceptualisation of the traumatised soldier in the 1960s in relation to historical conceptions of malingering, the increasingly tenuous position of psychiatry, as well as the socio-medical 'sick role', and will explore possible links with the current soldier and veteran suicide crisis in Australia.
Topics: Male; Humans; Malingering; Military Personnel; Australia; Mental Disorders; Fear
PubMed: 37525458
DOI: 10.1017/mdh.2023.19 -
Medical History Jul 2023Imagery is an overarching feature of Maximus of Tyre's which has never been the subject of systematic investigation. This paper provides a starting point by focusing...
Imagery is an overarching feature of Maximus of Tyre's which has never been the subject of systematic investigation. This paper provides a starting point by focusing exclusively on medical imagery, one of the most pervasive and instrumental types of imagery in Maximus' work that has gone entirely unnoticed in the literature to date. This paper shows that Maximus uses medicine (especially its scientific basis and historical development), the physician (e.g. his skill, provision and sensitivity towards the patient), the body (its physiology and workings) and notions of health and disease with considerable diversity and creativity, in ways that make his examples stand out in relation to earlier (Platonic) or contemporary applications of the medical parallel. It argues that the use of the medical imagery in the pedagogical context in which Maximus' were performed facilitated not just clarity but also concept formation and the shaping of a moral outlook as well as the familiarisation with the proper literary references and verbal and conceptual for admission into the group of the educated elite. Another main thesis is that medical imagery valorises Maximus' philosophical status and his claims to Imperial-period acculturation, thus functioning as a trademark for the rhetorical philosophy he wished to promote.
Topics: Male; Humans; Hospitalization; Physicians
PubMed: 37668378
DOI: 10.1017/mdh.2023.23 -
American Journal of Hematology Jan 2016
Topics: Editorial Policies; Hematology; History, 20th Century; History, 21st Century; Journalism, Medical; Periodicals as Topic
PubMed: 26575091
DOI: 10.1002/ajh.24237 -
Annali Dell'Istituto Superiore Di Sanita 2015
Topics: History of Medicine; History, Ancient; Humans; Philosophy; Philosophy, Medical
PubMed: 26156175
DOI: 10.4415/ANN_15_02_01 -
Medical History Jul 2016
Topics: Behavioral Sciences; Culture; Humans; Indians, North American
PubMed: 27292321
DOI: 10.1017/mdh.2016.24 -
Biomedica : Revista Del Instituto... Dec 2016
Topics: Bioethics; Colombia; Faculty, Medical; History, 20th Century; History, 21st Century; Humans; Pan American Health Organization; Parasitology; Public Health; Societies, Medical; Tropical Medicine
PubMed: 27992992
DOI: 10.7705/biomedica.v36i4.3700