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1.
On October 2, 1919, President Woodrow Wilson suffered a stroke that paralyzed the left half of his body. Wilson's stroke forced the American public to confront stroke, and laypeople came to identify stroke as a nervous disorder, rather than a condition rooted solely in psychological phenomena. His medical care was overseen by Cary Grayson, his personal internist, and Francis X. Dercum, a remarkably accomplished neurologist from Philadelphia. Dercum was very involved in the treatment of the President, from the day of the stroke until years later. While the medical records have been destroyed, some basic facts of Wilson's treatment and rehabilitation can be inferred from the literature. Although Woodrow Wilson was an exceptional patient, his care, albeit administered by some of the most famous physicians of the era, was typical of the time. Therefore, this paper's approach to Wilson's 1919 stroke contextualizes the President's case into the larger scheme of early twentieth-century neurology. 相似文献
3.
1964 -1970年的威尔逊工党政府 ,在思想上试图将科学革命与工党党章规定的目标结合起来 ,实现一种温和的扩大公有制的经济战略 ,但面对工党内部的压力、经济危机和工会的制约等因素 ,在具体行动中执行的是左右逢源的政策。这种思想和实践上的差异 ,在内部导致了思想上的混乱和争论 ,在外部表现为经济目标和政策上不确定 ,由此注定了该届工党政府的失败结局 相似文献
4.
Although many individuals contributed to the development of the science of cerebral localization, its conceptual framework is the work of a single man—John Hughlings Jackson (1835–1911), a Victorian physician practicing in London. Hughlings Jackson's formulation of a neurological science consisted of an axiomatic basis, an experimental methodology, and a clinical neurophysiology. His axiom—that the brain is an exclusively sensorimotor machine—separated neurology from psychiatry and established a rigorous and sophisticated structure for the brain and mind. Hughlings Jackson's experimental method utilized the focal lesion as a probe of brain function and created an evolutionary structure of somatotopic representation to explain clinical neurophysiology. His scientific theory of cerebral localization can be described as a weighted ordinal representation. Hughlings Jackson's theory of weighted ordinal representation forms the scientific basis for modern neurology. Though this science is utilized daily by every neurologist and forms the basis of neuroscience, the consequences of Hughlings Jackson's ideas are still not generally appreciated. For example, they imply the intrinsic inconsistency of some modern fields of neuroscience and neurology. Thus, “cognitive imaging” and the “neurology of art”—two topics of modern interest—are fundamentally oxymoronic according to the science of cerebral localization. Neuroscientists, therefore, still have much to learn from John Hughlings Jackson. 相似文献
5.
Abstract The origins of the neonatal neurological examination are described with their common basis attributable to evolutionary theory, the classical neurosciences, clinical neurology, and developmental psychology. It is shown that not only have the techniques of the bedside examination changed over the past half century but the purpose of the examination has also evolved; initially the examination was used to assess maturation of the developing infant, now it is used to determine whether cerebral pathology may be present and whether examination abnormalities are helpful in outcome assessment. The development of several of the current neonatal neurological examinations are reviewed and their clinical and scientific basis examined. 相似文献
6.
In 1825 Astley Cooper described the first account of ligation of the abdominal aorta. The patient developed loss of feeling in his lower limbs, incontinence of urine and died after several days. A post mortem was carried out but not, unfortunately, of the spinal cord. This case was recorded again by Astley Cooper, by Brock in 1940-41, and again by Ellis in 1994. Whilst there was early recognition of infarction of the brain, infarction of the spinal cord was thought to be almost unknown by Charcot in 1883 but it was recorded in the English literature by Bastian in 1886 and Williamson in 1894. There were isolated case reports but it was the advent of major surgery upon the aorta in the Second World War that drew attention to the frequency of this condition. The subsequent evolution of our recognition of infarction of the cord is described. The present situation, where it can be caused by a fall in blood pressure without there being direct interference to the blood supply, is evaluated. 相似文献
7.
This article draws a quantitative portrait of British neurology in the interwar and postwar periods through an analysis of the first 100 members of the Association of British Neurologists. Through its presentation of data, this article argues that the members of the Association of British Neurologists were extremely ambitious and as a whole had attained unusually high levels of social, professional, and civil distinction. It makes this argument through an examination of their social and educational backgrounds, the trajectory of their careers, and their achievements in the form of editorships of journals, professorships in medicine, positions in government, honorary degrees, and other indicators of merit. This collective study therefore offers an explanation for how the Association of British Neurologists transformed from an elite club in the 1930s into an organization that eventually came to represent clinical neurology across Britain. 相似文献
8.
This article outlines the political agendas surrounding the dedication of the Stonewall Jackson Memorial Statue, an early Confederate monument commissioned in Britain in 1863 and unveiled with much fanfare in Richmond, Virginia in 1875. It argues that the statue’s British provenance made it an ideal means of expressing the distinctive claims of the Conservative Party of Virginia. By commemorating both General Jackson and Britain’s Confederate sympathizers, modernizers in the Conservative Party presented themselves as representatives of an Anglo‐Saxon Christian value system, guardians of the “Old Dominion’s” immemorial character, and defenders of political views that held national and international significance. Thus the Conservatives dedicated an international monument to a transatlantic and implicitly racist cultural tradition as part of their larger effort to facilitate Virginia’s integration into the reconstructed national union on terms favorable to the former Confederates. 相似文献
9.
Thomas Willis made numerous contributions to the neurosciences that were broad in scope. In an age of scientific breakthroughs and intellectual revolutions, Willis bestowed upon medical research the clinical rigor that set the stage for subsequent medical breakthroughs. In Cerebri Anatome, Willis introduced a measure of empiricism hitherto unknown in medieval times. By coupling the delineation of brain and neural anatomy with functional studies, Willis brought the science of clinical neurology into fruition. Psychiatry, too, benefited from Willis' elucidation of mental illness and intellectual disability, and modern behavioral psychologists claim Willis as one their early, most ardent champions. 相似文献
10.
The emergence of neurology as a separate specialty from internal medicine and psychiatry took several decades, starting at the end of the nineteenth century. This can be adequately reconstructed by focusing on the establishment of specialized journals, societies, university chairs, the invention and application of specific instruments, medical practices, and certainly also the publication of pivotal textbooks in the field. Particularly around 1900, the German-speaking countries played an integral role in this process. In this article, one aspect is extensively explored, notably the publication (in the twentieth century) of three comprehensive and influential multivolume and multiauthor handbooks entirely devoted to neurology. All available volumes of Max Lewandowsky's Handbuch der Neurologie (1910–1914) and the Handbuch der Neurologie (1935–1937) of Oswald Bumke and Otfrid Foerster were analyzed. The handbooks were then compared with Pierre Vinken's and George Bruyn's Handbook of Clinical Neurology (1968–2002). Over the span of nearly a century these publications became ever more comprehensive and developed into a global, encompassing project as is reflected in the increasing number of foreign authors. Whereas the first two handbooks were published mainly in German, “Vinken & Bruyn” was eventually published entirely in English, indicating the general changes in the scientific language of neurology after World War II. Distinctions include the uniformity of the series, manner of editorial involvement, thematic comprehensiveness, inclusion of volume editors in “Vinken & Bruyn,” and the provision of index volumes. The increasing use of authorities in various neurological subspecialties is an important factor by which these handbooks contrast with many compact neurological textbooks that were available at the time. For historiographical purposes, the three neurological handbooks considered here were important sources for the general study of the history of medicine and science and the history of neurology in particular. Moreover, they served as important catalyzers of the emergence of neurology as a new clinical specialty during the first decades of the twentieth century. 相似文献
11.
关于美国总统威尔逊的理想主义外交,国内外学者持有不同的见解。从美国和当时的欧亚强国在对中华民国的承认、善后大借款以及对日本"二十一条"的不同反映等问题上可以看出,威尔逊在处理对华政策上和欧亚列强有着鲜明的差别,带有毋庸置疑的理想主义色彩。然而,尽管美国和欧亚强国在对华政策上存在明显的差异,其本质是一致的,即都是以维护本国的国家利益为根本目的。 相似文献
12.
In the latter half of the nineteenth century, the localizationist doctrines became closely associated with the memory trace paradigm. The analysis of the texts dealing with the localization and the nature of ‘the loss of articulated speech’ (motor aphasia) by Bouillaud, Lordat, Dax, Broca, Trousseau, Baillarger, Charcot and Wernicke shows how the biological paradigm of localization presented by Gall and based on the notion of organ-function correspondence was transformed into a model based on localizable memory traces. This change resulted in the theoretical unification of the mechanisms of motor and non-motor forms of aphasia. These forms, which the earlier authors tended to separate in their analyses of the underlying mechanisms, were now regarded as involving similar mechanisms related to the loss of mnestic images. The crucial step in this development was taken by Broca who presented the hypothesis that the faculty of coordination of speech movements, which according to his predecessors was the faculty lost in motor aphasia, was actually an intellectual faculty and a specific form of memory, and motor aphasia consequently a selective kind of amnesia. Theorists like Charcot and Wernicke generalized this idea into a comprehensive theory of the nature of localization based on the notion of memory traces. Thus, the localization of function was reduced to the localization of representations. Instead of biological paradigms, this model of localization is rooted in the epistemological tradition of psychology represented by Locke and Condillac, who were primarily interested in the problem of representation. In physiology, this approach usually resulted in attempts at localizing representations instead of functions. 相似文献
13.
This article highlights the major reflections of ancient Greek mythology in modern neuroscience. An analysis of ancient Greek texts and medical literature using the MeSH term mythology was performed to identify mythological references pertaining to neuroscience. The findings are discussed in relation to etymology, early conceptualization of the nervous system structure and function, incipient characterization of neuropsychiatric disease, and philosophical stance to the practice of medicine in ancient Greece. The search identified numerous observations in clinical neurology (e.g., stroke, epilepsy, cognitive and movement disorders, sleep, pain and neuromuscular medicine, neuroinfectious diseases, headache, neuroophthalmology, and neurourology), neurosurgery, and psychiatry, as well as basic neurosciences (e.g., anatomy, embryology, genetics, pathology, and pharmacology) concealed in ancient myths. Beyond mere etymological allure and imaginative reflections in science, these fables envisage philosophical concepts that still tantalize our protean medical practice today. 相似文献
14.
美国统治菲律宾初期,共和党采取双重的殖民政策,拒绝对其独立做出明确的承诺。威尔逊执政以后,不仅委派弗朗西斯·哈里森在菲律宾推行一系列“菲化”政策,而且还力促议会讨论通过并亲自签署《琼斯法案》,答应在菲律宾人建立稳定政府后就给予他们最终的独立。但他又认为,自治是一种性格,菲律宾的独立,要等到美国所强加的命令和他们应该拥有的自治达到最好调节的时候,扩大自治的速度和兑现独立承诺的时间要视菲律宾的安全和美国的长远利益而定。所以,威尔逊对菲政策的实质就是美国殖民统治下的激进改革,目的仍然是为了维护美国的国家利益。 相似文献
15.
Three American neurologists (C. K. Mills, C. L. Dana, and M. A. Starr) explored the anatomical limits of the motor and tactile systems in the brain from 1884 to 1895. Their papers and critiques of one another show contemporary knowledge, limits of their thinking, and difficulties deciding between alternatives. The issue for them was whether there were separate sensory and motor regions or whether there was a combined sensory-motor region. They based their localization arguments on clinical and laboratory findings and on the conclusions of H. Munk and D. Ferrier. There is a discussion about why differences were unresolved. 相似文献
16.
1917年墨西哥政府颁布了一部限制外国人在墨拥有财产的新宪法。此后不久德国外交部长阿瑟·齐默曼发电报给墨西哥领导人卡兰萨,提议双方建立同盟关系。为了更有效地控制全国,不久卡兰萨宣布没收英国在墨西哥的最大投资——铁路。这一系列举动严重激化了墨西哥与美国和英国的矛盾。1917-1918年,美英之间就如何处理与卡兰萨政府的关系问题产生了巨大分歧,但由于需要美国的帮助,英国政府最终作出了妥协。第一次世界大战的结束使英国失去了在墨西哥的影响力,从而进一步加强了美国对拉美地区的控制。 相似文献
17.
ABSTRACTThe introduction of railway transportation in Great Britain in the early-nineteenth century saw an increased frequency of trauma cases involving persisting symptoms without objective evidence of injury. In 1866, a prominent surgeon, Sir John Eric Erichsen, attributed such symptoms to concussion of the spine (popularized as “railway spine”) that involved an organic pathology, inflammation of the spinal cord in the absence of spinal fracture, with potential psychological overlay. This was widely accepted within the medico-legal context throughout the 1870s, whereby passengers sought compensation for collision-related injuries. In 1883, a railway surgeon named Herbert William Page countered the assertion that many of Erichsen’s cases likely had sustained direct physical injury to the spine, the cord, and/or the spinal nerves; and in cases without such injury, the symptoms were psychogenic, as in traumatic neurasthenia and/or hysteria. Similarities between Erichsen’s and Page’s medico-legal positions, such as conscious and unconscious forms of symptom exaggeration that would both resolve upon settlement of the case, ushered in the era of medical injury compensation. 相似文献
18.
Penetrating through and through (transcranial) injuries of the head and brain by foreign bodies other than bullet or shrapnel are extremely unusual. Although the case of Phineas Gage (1848) has been the most widely publicized, and stimulated much interest in brain function, additional surviving cases of through and through brain penetration by bars, rods or pipes have been reported. The author reviews 12 published cases over the last 150 years and describes two additional cases. The management of these cases is described. This group of patients for the most part experienced a functional outcome despite neurologic deficits. 相似文献
19.
ABSTRACTFrom 1799 to 1801, with the instigation of John Haygarth, physicians in England evaluated the claims of Elisha and Benjamin Perkins that their patented “metallic tractors” could cure a wide variety of disorders. Previous therapies were typically judged based on experience and authority, whereas Perkinism was evaluated using a series of clinical trials of varying methodological sophistication, most employing sham instruments (all but those involving infants or horses), with a variety of trial designs, inconsistent use of contemporary controls, and different approaches to blinding subjects to the treatment administered. Haygarth and his colleagues collectively demonstrated that tractors and sham instruments produced equivalent effects in adults, and, by inference, that the tractors had no special therapeutic properties. Other trials using only genuine tractors demonstrated no effects in infants and horses, subjects who could not reasonably be influenced by suggestion and the imagination. These collective results provided strong support for the rival hypothesis that the observed effects were due to suggestion and the imagination of the subjects. Despite fallacy-laden counterattacks and counterarguments from Benjamin Perkins and his supporters, the trials eroded support for this therapy and led to abandonment of the “Metallic Practice” as a treatment in Britain and elsewhere. 相似文献
20.
September 13 1998 marked the 150th anniversary of the accident to Phineas Gage, one of the most famous cases of survival after massive injury to the brain, and certainly the most famous case of personality change after brain damage. For this article a sample of the current literature about Gage was examined. It was found that although his case is mentioned in about 60% of introductory textbooks in psychology, there is a good deal of inaccuracy in what has been written about him. Similar inaccuracy was found in a smaller sampling of the psychiatric, medical, physiological, linguistic, and general neuroscientific literature. The main basis of the inaccuracies is an ignorance or disregard of what is contained in the primary sources about Gage, coupled with a tendency to attribute to him characteristics that belong to other cases of frontal damage. The errors and their bases are discussed in an endeavour to restore the picture of Gage to its original state. The paper includes an Appendix of verbatim quotations from the primary sources that can be compared with the later, inaccurate renditions. 相似文献
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