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Dissertations / Theses on the topic 'Medical Medical history taking'

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Published: 4 June 2021
Last updated: 2 February 2022

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1

Fulginiti, John Vincent 1959. "Reliability of the Arizona Clinical Interview Rating Scale: A confirmatory study." Thesis, The University of Arizona, 1988. http://hdl.handle.net/10150/276763.

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Reliable measurement of student capability for a skill allows educators to verify student mastery. A major part of a physician's ability to gather information involves patient interviewing, and instruction of this skill is a substantial portion of a medical curriculum. Since 1974, the University of Arizona College of Medicine has employed patient-instructors (PIs), lay persons who function in the roles of patient and teacher for training of interview skills in the Preparation for Clinical Medicine (PCM) program. PIs provide "real" patient-interview experiences and immediate feedback to the students. The PCM program currently has four topic areas: Adult, Pediatric, Geriatric, and Psychiatric. The Arizona Clinical Interview Rating (ACIR) Scale was developed in 1976 to measure the technical performance aspects of interviewing. This study was undertaken to determine reliability of the ACIR. Implication of the results are discussed and suggestions made for the continued application of the ACIR Scale. (Abstract shortened with permission of author.)
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2

Rutledge, Thomas. "Psychological response styles and cardiovascular health : confound or independent risk factor?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0002/NQ34622.pdf.

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3

Grant, Elzaan. "Validity and accuracy of self-reported drug allergies." Thesis, Nelson Mandela Metropolitan University, 2015. http://hdl.handle.net/10948/3295.

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Purpose: Pharmacists must ensure the safe and effective use of medication, but often have only the documented patient history to guide assessment of therapy. There is a lack of information on the incidence of claimed drug allergies or the validity of these self-reported drug allergies in the South African population. Mislabelling of patients as being allergic to medication often deprives them of important therapeutic drugs and alternative agents may be more dangerous, less effective and more costly (Hung et al., 1994). The aim of the research was therefore to determine the incidence of drug allergies in patients admitted to a private hospital and to assess the validity of these self-reported drug allergies. Methods: A descriptive, non-experimental study design was used. Data was collected using a concurrent, cross-sectional approach and collected from patients admitted to hospital using Medical Chart Reviews and researcher-led, questionnaire based interviews. During the seven month sampling period, 693 patients were identified with one or more self-reported drug allergies. A subset of 99 patients (14.2%) consented to a researcher-led interview. The allergies were assigned to one of three groups based on the history: (i) High probability: signs and symptoms typical of an immunological reaction. (ii) Low probability: signs and symptoms of the reaction were predictable reactions or side effects of the drug. (iii) Unknown status: no information concerning the reaction history was available. Results: A total of 953 allergies were identified in the 693 patients, with a ratio of drug allergy to patient of 1.4:1. The majority of claimed allergies were to penicillin (39.2%), opioid analgesics (17.6%), other antimicrobials, including co-trimoxazole (13.5%), NSAIDs (9.9%) and unspecified “sulphur” allergy (8.7%). Descriptions of the “allergic” reactions were only recorded on 8.9% (62, n=693) of the reviewed charts. Only 56.5% (35, n=62) of the symptoms recorded as “allergy” were indicative of the event being allergic or immunological in nature. In total, 1.3% (9, n=693) of the patients with a self-reported allergy received the allergen while in hospital. In three cases this was the result of a pharmacist overlooking the recorded allergy, and dispensing the allergen to the patient. A total of 118 allergies were identified in the 99 interviewed patients, with a ratio of drug allergy to patient of 1.2:1. Inaccurate allergy history was found in 9.1% (9, n=99) of the interviewed patients. Overall, the majority of self-reported drug allergies (67.8%) had a “high probability” of being a true drug allergy. Allergies that were assigned into the high probability group were: penicillin (74.1%), co-trimoxazole (91.7%), NSAID‟s (55.6%) and 75.0% of opioids. Conclusion: In summary, the validity of self-reported drug allergies need to be determined before excluding medication from a patient‟s treatment options. Detailed descriptions can assist in the evaluation of self-reported allergies which would be advantageous to both prescribers and patients. Pharmacists need to play a bigger role in ensuring accurate documentation of drug allergy history, with detailed descriptions, in order to ensure safe and effective drug use within the hospital environment.
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4

Kaufman, David R. "Representation and utilization of information during the clinical interview in medicine." Thesis, McGill University, 1987. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=59603.

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This study evaluated the ability of subjects at 3 levels of expertise, expert physicians, residents and medical students, in the acquisition, representation, and utilization of patient information in the context of solving a complex medical problem. Each subject interviewed a volunteer medical outpatient and was subsequently requested to provide a differential diagnosis. The doctor-patient dialogue was analyzed using cognitive methods of discourse analysis. These methods were used to characterize differences in the content and nature of the history-taking process and in the development of problem representations. The study characterized differences at two levels of representation, observations and findings. Observations are the minimal semantic units of the doctor patient discourse. Findings are higher order units that derive meaning in specific medical contexts.
Differences were found between groups of subjects in the accuracy of diagnoses and in the qualitative nature of representations. These differences were manifested most clearly in terms of a series of efficiency measures designed to characterize the ability of subjects to generate findings. In general, the expert physicians were more selective in the elicitation and processing of critical and relevant findings. An attempt is made to characterize these differences in terms of the strategies used to acquire and represent patient information.
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5

Park, Yujong. "Analyzing medical discourse the organization of doctor-patient interaction in Korean primary care settings /." Diss., Restricted to subscribing institutions, 2009. http://proquest.umi.com/pqdweb?did=1835448471&sid=1&Fmt=2&clientId=1564&RQT=309&VName=PQD.

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6

Clark, Diane E. "Screening for medical referral attitudes, beliefs, and behaviors of physical therapists with greater than 10 years experience /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/clark.pdf.

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7

Nukaga, Yoshio. "The visual transcription of "family disease" : a comparison of the use of medical pedigrees in genetic counseling practices in Canada and Japan." Thesis, McGill University, 1995. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=23729.

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In recent years, with the development of DNA tests and genetic knowledge, there has been a growth of genetic counseling services and research in Canada and Japan. Although the uniqueness of genetic services in medicine lies in the preliminary assessment of the entire family rather than a single patient, few attempts have been made by social scientists to examine the technical and social construction of family trees and medical pedigrees. The purpose of this thesis is to analyze how the family data taken by genetic counselors are transcribed as medical pedigrees and used by associated health care workers in different cultural settings. The comparative analysis was based on an ethnographic approach that included participant-observation in genetic counseling sessions, interviews with clinical workers, and content-analysis of medical textbooks. The findings include three major points: (1) cultural views of the family are taken for granted by genetic counselors; (2) the process of documenting family data consists of four stages: primary transcription, secondary transcriptions, combination and publications; (3) the clinical workers' use of medical pedigrees results in the construction of family history as part of the present family illness.
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8

Leduc, Cassandra. "The development of a family history collection tool for use in a pediatric practice a pilot study /." Waltham, Mass. : Brandeis University, 2009. http://dcoll.brandeis.edu/handle/10192/23240.

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9

Pierce, Lynn Margaret. "Physicians who write about talking with patients : the interview." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56935.

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This thesis critically reviews medical journal literature on the physician-patient interview. The review focuses on literature which is written by and for physicians, in Canadian and American, English language medical journals. Articles, essays and letters to the editor are examined as a cultural exchange amongst physicians that both shapes and is shaped by the values of the medical profession. Chapter One presents literature concerning physician-patient communication in general. The following Chapters Two, Three and Four ("The Physician as Medical Interpreter," "Physician and Patient: in Conflict and in Silence," and "The Patient as Narrator,") focus on themes in the medical journal literature written by physicians on the clinical interview. These Chapters examine the values, explicit and implicit, of this literature. The values are examined for possible epistemological origins in traditional medical ethics, philosophical bioethics, contemporary social movements for the dignity and rights of the individual, and other sources. Thematic shifts in these values over the past twenty years, and the sources of these shifts, are also examined. Finally, the Conclusion evaluates the significance of this literature for the development of a medical morality.
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10

Mangual, Rebecca Bonilla. "Characteristic differences between parents/guardians who keep immunization records and those who do not." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2201.

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11

Zary, Nabil. "Virtual patients for education, assessment and research : a web-based approach /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-272-9/.

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12

Viana, Danilo Vilela 1975. "Historia familial de cancer nos pacientes com diagnostico de cancer de colon e reto no Hospital de Clinicas da Unicamp." [s.n.], 2006. http://repositorio.unicamp.br/jspui/handle/REPOSIP/309743.

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Orientador: Iscia Teresinha Lopes-Cendes, Carmen Passos Lima
Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciencias Medicas
Made available in DSpace on 2018-08-06T07:38:24Z (GMT). No. of bitstreams: 1 Viana_DaniloVilela_M.pdf: 17449794 bytes, checksum: 5628cf41f1e3b3dae3d2ad85bb64f5d4 (MD5) Previous issue date: 2006
Resumo: O câncer de cólon e reto é a quinta causa de mortalidade por câncer no Brasil. Sua taxa de mortalidade vem apresentando um aumento contínuo desde 1979. Entre os fatores de risco mais importantes para essa doença está a história familial de câncer de cólon e reto ou de pólipos adenomatosos. O propósito do presente estudo foi investigar a qualidade das histórias familiais (HF) registradas nos prontuários médicos e estimar a freqüência dos agregados familiais e das síndromes hereditárias de câncer nos pacientes com diagnóstico de câncer de cólon e reto atendidos no Hospital de Clínicas da UNICAMP. Um estudo retrospectivo foi delineado para avaliar os prontuários dos pacientes que tinham confirmação histopatológica do diagnóstico de adenocarcinoma de cólon ou reto. Inicialmente, 415 prontuários que apresentavam codificação para a doença foram selecionados a partir do livro de cirurgias e de uma lista de pacientes atendidos nos ambulatórios de oncologia clínica, radioterapia e proctologia. Foram excluídos 104, sendo realizada a revisão de 311 prontuários. Numa segunda fase do estudo todos esses pacientes foram convocados para um entrevista com médico geneticista para obtenção de nova história familial, e comparação subseqüente dos dados, na qual a história familial previamente registrada foi classificada como completa ou incompleta. Dentre os 311 prontuários revisados, 193 (62%) tinham HF de câncer registrada. No total, 95 pacientes compareceram à entrevista, dos quais 66 tinha HF registrada no seu prontuário para que fosse feita comparação. Dessas 66 HF, 21 (32%) puderam ser consideradas completas e 45 (68%) incompletas. Pelo menos um critério clínico para câncer hereditário foi preenchido por 39 pacientes. Agregação familiar de CCR foi encontrada em 19% dos indivíduos entrevistados. Estes achados demonstram que a coleta e o correto preenchimento das histórias familiais nos prontuários dos pacientes com câncer são freqüentemente negligenciados, o que poderia influenciar negativamente na qualidade da assistência médica a eles prestada. As formas hereditárias de câncer hereditário, em especial a síndrome de Lynch (câncer colorretal hereditário sem polipose - HNPCC), são subdiagnosticadas, impossibilitando que medidas preventivas e diagnóstico precoce sejam oferecidos às suas famílias.
Abstract: Colorectal cancer is the 5th mortality cause by cancer in Brazil, and has been showing a continuous increase in mortality since 1979. Among the most important risk factors for this disease is family history of CRC or adenomatous polyps. The purpose of the present study was to investigate family histories (FH) recorded in medical charts for completeness and accuracy and to estimate the frequency of cancer aggregates and cancer syndromes in colorectal cancer patients treated in a general hospital. A retrospective study was assembled to evaluate archived charts of patients with pathological diagnosis of colorectal adenocarcinoma. Four hundred and fifteen medical records with ICD-10 coding of colorectal cancer were selected from the list of pacients who had had consultation in the clinical oncology, radiation oncology or proctology clinics, from which 104 were excluded because of misclassification or unconfirmed diagnosis. 311 charts were fully reviewed, and these patients invited for a personal interview by a medical geneticist. FH obtained from chart reviews were compared to data obtained from personal interviews and subsequently classified as complete or incomplete. Among the 311 charts, 193 (62%) had FH of cancer recorded. Overall, 95 patients attended the interviews, 66 of whom had a FH recorded in their hospital charts allowing accuracy comparisons. Of these, 21/66 (32%) FH could be considered complete and 45/66 (68%) incomplete. Thirty-nine patients met at least one criterion for hereditary cancer. Familial aggregates of colorectal cancer were found in 18 families (19%). In conclusion, the data in this study showed that FH in medical charts were often flawed or carried important omissions, which could influence negatively medical attention delivered to patients, and that hereditary forms of cancer, especially hereditary non-polyposis colorectal cancer, were underdiagnosed, making it impossible to extend the benefits of early diagnosis and preventive measures to at risk family members.
Mestrado
Genetica Medica
Mestre em Ciências Médicas
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13

Eisenberg, Dana J. "Information Amount and Patient Empowerment: Participation in the HPV Vaccination Decision-Making Process." Columbus, Ohio : Ohio State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1243830226.

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14

Bugüeño, Araya Claudia. "El feedback dialógico y su efectividad en la adquisición de competencias clínicas del nutricionista: una experiencia en estudiantes de nutrición y dietética de la Universidad Católica del Norte." Doctoral thesis, Universitat de Barcelona, 2020. http://hdl.handle.net/10803/669987.

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INTRODUCCIÓN: Actualmente existe la necesidad de asegurar la adquisición de competencias clínicas de los estudiantes en Ciencias de la Salud, para lo cual las prácticas clínicas son esenciales, pero muchas veces son inefectivas. La investigación sugiere que la retroalimentación utilizada en educación médica es poco útil, por algunas prácticas improductivas, ya que se centra en como los profesores “hacen llegar” el feedback al estudiante, lo cual necesita un cambio de enfoque hacia una retroalimentación sostenible que contribuya a la adquisición de competencias y desarrolle en los estudiantes un aprendizaje autorregulado. OBJETIVO: Evaluar la efectividad de la implementación de feedback dialógico en la adquisición de competencias de los estudiantes de Nutrición y Dietética de la Universidad Católica del Norte, de la Región de Coquimbo, Chile. METODOLOGÍA: Estudio cuasiexperimental y longitudinal de cohorte prospectivo con uso de técnicas mixtas (cuali-cuantitativas), realizado en 13 estudiantes de Nutrición y Dietética de la Universidad Católica del Norte, Coquimbo. El seguimiento se realizó entre años 2016 y 2018, evaluando con una rúbrica el nivel de competencias clínicas en 4 instancias (Diagnóstico, Inicio y Final de intervención, y finalmente en el Internado), con un desfase de 4 a 6 meses. La intervención consistió en incluir feedback dialógico al finalizar las cuatro experiencias clínicas y tuvo carácter formativo. También se evaluó la percepción de la calidad del proceso de feedback a través de un cuestionario y un focus group. RESULTADOS: Después de los diferentes análisis descriptivos y comparativos, existen diferencias significativas (p=0,001) entre el nivel de competencia alcanzado por los estudiantes en Diagnóstico v/s Final de experiencias clínicas e Internado, y por otra parte entre Inicio de experiencias cínicas y Final de experiencias clínicas. También se presentan diferencias en distintos criterios de desempeño evaluados. Por otra parte, los estudiantes valoran positivamente el grado en que el proceso de feedback estimuló el diálogo, el contenido del mensaje y en que facilita el proceso de autorregulación, autoevaluación y reflexión. CONCLUSIÓN: El feedback dialógico contribuye a la adquisición de las competencias clínicas y es valorado positivamente por los estudiantes. Se sugiere que el proceso de feedback sea cíclico y motivado por los profesores, finalizando cuando se produce la acción del estudiante (retroalimentación interna), la cual es necesaria para desarrollar la capacidad de pensar y convertirse en aprendices independientes y autorregulados.
INTRODUCTION: There is currently a need to ensure the acquisition of clinical skills of students in Health Sciences, for which clinical practices are essential, but often ineffective. The research suggests that the feedback used in medical education is not very useful, due to some unproductive practices, since it focuses on how teachers “send” the feedback to the student, which needs a change of focus towards sustainable feedback that contributes to the acquisition of skills and develop in students a self-regulated learning. OBJECTIVE: To evaluate the effectiveness of the implementation of dialogic feedback in the acquisition of skills of Dietitians students of the Universidad Católica del Norte, in Coquimbo, Chile. METHODOLOGY: Quasi-experimental and longitudinal study of prospective cohort with use of mixed techniques(qualitative-quantitative), conducted in 13 Dietitians students of the Universidad Católica del Norte, Coquimbo. The follow-up was carried out between 2016 and 2018, evaluating with a rubric the level of clinical competences in 4 instances (Diagnosis, at the beginning and end of Intervention, and finally in the Internship), delayed between of 4 to 6 months. The intervention consisted of including dialogic feedback at the end of the four clinical experiences and was formative. The perception of the quality of the feedback process was also assessed through a questionnaire and a focus group. RESULTS: After the different descriptive and comparative analyzes, there are significant differences (p = 0.001) between the level of competence achieved by the students in Diagnosis v/s Final clinical experiences and Internship, and on the other hand between Beginning of clinical experiences and End of clinical experiences. There are also differences in different performance criteria evaluated. On the other hand, students positively value the degree to which the feedback process stimulated dialogue, the content of the message and how it facilitates the process of self-regulation, self-evaluation and reflection. CONCLUSION: Dialogic feedback contributes to the acquisition of clinical competencies and is positively valued by students. It is suggested that the feedback process be cyclical and motivated by teachers, ending when the student's action occurs (internal feedback), which is necessary to develop the ability to think and become independent and self-regulated learners.
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15

Hayashi, Juliana Yuki. "Desenvolvimento e avaliação de um prontuário virtual da disciplina de Cirurgia da Faculdade de Odontologia da Universidade de São Paulo." Universidade de São Paulo, 2009. http://www.teses.usp.br/teses/disponiveis/23/23149/tde-24102009-115820/.

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A importância dos serviços de assistência odontológica prestada pela Faculdade de Odontologia da Universidade de São Paulo reflete nos dados obtidos do Anuário Estatístico da Universidade de São Paulo. Somente na disciplina de Cirurgia, foram realizados 1075 atendimentos cirúrgicos, no ano de 2000 saltando para 5686 em 2007. A cada paciente gera-se um prontuário que contém informações de cunho pessoal, da história médica, odontológicas, e de imagens que lhe atribui alto valor legal e de pesquisa. Com a alta procura pelos serviços oferecidos pela faculdade, o número de documentos gerados por paciente cresce proporcionalmente e constata-se que o arquivamento dos prontuários de toda a faculdade é frágil e sujeito à ocorrência de eventos que poderiam danificar o material. A morosidade na busca por dados dos pacientes, a perda de informações, e a dificuldade em realizar estudos epidemiológicos levaram à motivação para o desenvolvimento e avaliação de um prontuário virtual e seu respectivo Banco de Dados da disciplina de Cirurgia da Faculdade de Odontologia da Universidade de São Paulo. Um modelo de ficha para transcrição eletrônica, com os mesmos itens da ficha clínico-cirúrgica, foi elaborado e utilizado para a transcrição das informações dos pacientes atendidos no ambulatório de Cirurgia, no curso noturno, no ano de 2008. Um protótipo de prontuário virtual foi desenvolvido e os dados coletados de 417 pacientes foram inseridos e armazenados localmente num Banco de Dados desenvolvido para WEB, visando uma nova forma de acesso à informação. A partir dos testes de uso retrospectivo e prospectivo, concluímos que o protótipo do prontuário virtual representa uma importante ferramenta baseada em tecnologias de informação, de uso epidemiológico, de pesquisa e de avaliação dos requisitos necessários para o desenvolvimento de um prontuário virtual com mais robustez e flexibilidade.
The importance of the dental aid services offered by the School of Dentistry of the University of São Paulo reflects on the data from the Statistical Yearbook of the University of São Paulo. In the discipline of Oral Surgery by itself, 1075 surgical appointments were done in 2000, which has increased greatly to 5686 in 2007. To every new patient admitted by the service, a record file is created and contains personal information, health and dental history, and images, thus setting a high legal and research value on the patient record file for the institution. With the high demand for these dental services, the number of documents by patient proportionally augments and it can be seen in the entire institution fragility of the files archiving and risk of events occurrence that could damage the material. The slowness of retrieving patient data, lack of information, and difficulties motivate the development and evaluation of an electronic health record and its respective database in the discipline of Oral Surgery of the School of Dentistry of the University of São Paulo. A sheet form for electronic transcription, with the same content of the surgical-clinical questionnaire form, was elaborated to transcript the health information of the patients admitted at the Oral Surgery Service, in the nocturnal graduation course during 2008. A prototype of an electronic health record was created and the collected data were processed and stored in a web-based local database, aiming to an innovative access mode to information. By the tests of retrospective and prospective use of the electronic health record, we concluded the prototype of the electronic health record represents an important tool based in technologies of information, useful to epidemiology, research and evaluation of required features to development of an electronic health record more robust and flexible.
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16

Blackmer, Jessie. "Mice, Memory, and Medical history: A Personal Narrative." The Ohio State University, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=osu1314909047.

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17

Brumbaough, John Howard Jr. ""We are Entitled to, and we Must Have, Medical Care": San Juan County's Farm Security Administration Medical Plan, 1938-1946." DigitalCommons@USU, 2015. https://digitalcommons.usu.edu/etd/4589.

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This thesis traces the efforts of rural county in Utah attempting to create a professional medical system and addresses the challenges community faced in this effort including divisions among local and national medical societies, women and gender issues, and opposition to religious hierarchy. Navigating these conflicts, the local leaders in San Juan County established a medical cooperative which enable the permanent residence of a physician and later the construction of a hospital. San Juan County provided these medical services for its residents at a time when many of counties in the United States failed to expand their health services. San Juan succeeded due to dynamic leadership, support of local medical association, and the slow expansion of the medical system.
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18

Curth, Louise Hill. "The medical content of English almanacs, 1640-1700." Thesis, Royal Holloway, University of London, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.272171.

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Emmerich, Nathan. "Taking education seriously : developing Bourdieuan social theory in the context of teaching and learning medical ethics in the UK undergraduate medical degree." Thesis, Queen's University Belfast, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.579710.

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This thesis offers a social theoretical development of Bourdieu' s habitus in order that it might be used to 'take education seriously'. It is conducted from within the later Wittgenstein's view of language and according to a Winchean methodology for 'doing social theory'. The context used for this theoretical exercise in UK medical education, particularly ethics education. The first aim of the thesis is to develop a more cognitive aspect to the habitus and to this end I draw on the idea of 'thinking dispositions.' I argue that 'thinking dispositions' should be considered the product of enculturation rather than socialisation and that former is implied by Bourdieu's construal of this latter process as a 'collective process of inculcation.' I then give a historical account of the development of medical education in the UK over the past 30-40 years making particular reference to the General Medical Councils document Tomorrow's Doctors (1993, revised 2003, 2009). Subsequentially I return to the more theoretical ground which is the central concern of this thesis and attempt to give more definition to the idea of a cognitive habitus through a consideration of the reflective practice and education of medical professionals, the concept of meta-cognition (drawn from science education research), and the idea of a cognitive apprenticeship emerging from socio-cultural learning theory, a branch of Vygotskian psychology. The final chapter returns to Bourdieuan grounds and considers the relationship between enculturation, a cognitive apprenticeship and the habitus. In the conclusion I consider some reflexive implications of my thesis for medical ethics education delivered as part of a medical education and for applied ethics considered as a branch of philosophy which seeks to extend its insights beyond its disciplinary borders as, for example, in medical ethics education.
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Wallace, Rick L. "Taking Consumer Health Information to the People: A Medical and Public Library Collaboration." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/8801.

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Hutt, Marten. "Medical biography and autobiography in Britain, c.1780-1920." Thesis, University of Oxford, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.284246.

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Collins, Kenneth Edward. "Jewish medical students and graduates in Scotland : 1739-1945." Thesis, University of Glasgow, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.277294.

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23

So, Ping-cham, and 蘇炳湛. "Development of medical services in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43780556.

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Schaub, Katherine Elizabeth. "Rape as a Legitimate Medical event from 1800 - 1910." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1372382350.

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Loh, Shi Lin. "Irradiated Trajectories: Medical Radiology in Modern Japan." Thesis, Harvard University, 2016. http://nrs.harvard.edu/urn-3:HUL.InstRepos:33493463.

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This dissertation examines the history of modern Japan via a study of rentogen, or X-rays, in medical practice. Conventional milestones in Japan’s encounters with nuclear science all date from 1945: the atomic bombings of Hiroshima and Nagasaki that same year, the Bikini Atoll fallout incident in 1954, the construction of nuclear power plants from the late 1950s onwards, and most recently, the Fukushima Daiichi meltdown in 2011. All these events produced hibakusha – the Japanese term for survivors of nuclear-related accidents, or people suffering the effects of exposure to ionising radiation. In contrast, this project locates the first hibakusha in an earlier period, revealing a history of radiation exposure in Japan before the atomic bombings. It reaches into the late nineteenth and early twentieth centuries to find Japanese bodies exposed through the development of radiology. In modern Japan, as in Western Europe and America, X-rays constituted the first source of ionizing radiation that produced victims of burns, cancers, and deaths. This study highlights the political, social and cultural impact of modern Western medicine on Japanese society from the Meiji period onwards, showing how electric-powered machines and Western expertise came to define medical practice in the emergent field of radiology.
East Asian Languages and Civilizations
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26

Tougaw, Jason Daniel. "Strange cases : the medical case history and the British novel /." New York : Routledge, 2006. http://catalogue.bnf.fr/ark:/12148/cb40175709b.

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McShane, Charlene. "Prior medical history, drug exposure and risk of multiple myeloma." Thesis, Queen's University Belfast, 2015. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.678815.

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To date, very little is known about the aetiology of the plasma cell disorder multiple myeloma (MM) and its precursor condition monoclonal gammopathy of undetermined significance (MGUS). Chronic antigenic stimulation and, more recently, medications have been investigated as potential aetiological risk factors however findings from observational studies have been largely inconsistent. This thesis aimed to explore the impact of medical history and drug exposure on the risk of developing MGUS and MM. A systematic review of the literature revealed an elevated risk of MGUS/MM in association with prior autoimmune disease and in particular pernicious anaemia. The findings of this study were further supported by a population-based nested case-control study carried out within the UK Clinical Practice Research Oatalink (CPRO). Similarly an increased risk of MGUS and MM following exposure to common community-acquired infections was observed within studies carried out within the CPRO and the USA SEER-Medicare dataset. Autoimmune disease and infections diagnosed after MGUS were not associated with progression to MM or associated Iymphoproliferative disorders within the CPRO dataset. Oral statin and bisphosphonate use was investigated as a risk factor for the development of MGUS/MM and MGUS progression using the UK CPRO dataset. While there was evidence of a reduced risk of MGUS/MM in association with oral statin use, an increased risk of both MGUS and MM was observed among oral bisphosphonate users most likely as a result of detection bias and/or reverse causality. Post-diagnostic statin use was also associated with a reduced risk of MGUS progression to any Iymphoproliferative disorder but not MM. Overall, the studies conducted as part of this thesis support a role for chronic antigenic stimulation in the development of MGUS and MM, and suggest a potential role for statins as chemopreventive agents within the MGUS/MM setting. Further research is however warranted to confirm these findings.
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Tom, Brian Dermot Ming. "Modelling event-history data in the context of medical statistics." Thesis, University of Cambridge, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.624771.

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Harrison, Mark. "Public health and medical research in India, c.1860-1914." Thesis, University of Oxford, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.315793.

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30

Weatherall, Mark. "Scientific medicine and the medical sciences in Cambridge, 1851-1939." Thesis, University of Cambridge, 1994. https://www.repository.cam.ac.uk/handle/1810/272550.

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31

Halpin, Ross William. "A history of concern the ethical dilemma of using Nazi medical research data in contemporary medical and scientific research /." University of Sydney, 2008. http://hdl.handle.net/2123/4010.

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32

Bonanno, Grace. "The Importance of a Pictorial Medical History in Assisting Medical Diagnosis of Individuals with Intellectual Disabilities: A Telemedicine Approach." NSUWorks, 2015. http://nsuworks.nova.edu/gscis_etd/51.

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When face-to-face physical medical exams are not possible, virtual physical exams, in the form of a pictorial medical exam/history, can be substituted, and telemedicine can be the means to deliver these virtual exams. The goal of this work was to determine if presence in the form of a visual and/or pictorial medical history can be of benefit to clinicians in the diagnosis of medical conditions of individuals with developmental disabilities (DDs) and/or intellectual disabilities (IDs), in particular those who cannot, because of their cognitive and/or physical disabilities, verbally relate their illness to a clinician. Virtual exams can also be useful in cases where clinicians may need additional advice from fellow experts, especially if those experts are not physically present. A web-based telemedicine application used for treating persons with DD/IDs was developed. This application includes a visual medical history component incorporated into an electronic medical records application. The purpose is to allow the clinician to use an environment that integrates a written and visual representation of a patient’s medical history and physical findings to aid the clinician in determining a medical diagnosis. Twenty-two clinicians and five direct service aids of a New York State Developmental Disabilities Services Office facility, who deliver healthcare to DD/ID patients on a daily basis, accessed the telemedicine application instead of their traditional hardcopy/paper medical history when examining patients. A comprehensive survey was distributed to the clinicians to determine the effectiveness of the application as well as help answer the primary questions proposed by this research. The results of this study showed that presence in the form of a video medical history is preferred by clinicians rather than having just a written medical history of the patient. Clinicians felt the visual medical history component of the telemedicine application was useful and informative for delivering healthcare to individuals with DD/ID and enabled them in diagnosing a patient as well as lessened the need to transfer patients to the emergency room, resulting in a significant cost savings.
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Foland, Jed Rivera. "The body through the lens : anatomy and medical microscopy during the enlightenment." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:3a82a1a2-15fd-458e-a566-6d52ed59d8b7.

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This thesis examines the role of microscope technology in informing medical and anatomical knowledge during the Enlightenment. Past historians have claimed that microscopy generally stagnated until the popularisation of achromatic microscopes and cell theory in the middle of the nineteenth century. As evidence for this decline, historians have pointed to the poor quality and slow development of microscope designs until the popularisation of achromatic microscopes in the 1820s. In contrast, this thesis highlights the role of specific Enlightenment-era microscopes in answering medical and anatomical questions. It suggests that medical microscopy was far more advanced than previous scholarship has ascertained. Thus far, instrument historians have focused more attention on competing instrument makers as opposed to rival instrument users. This thesis presents several case studies which explore both makers and users. These concern the histories of Enlightenment-era epidemiology, reproduction theory, anatomy, and physiology as well as the different types of microscopes which influenced these fields. In terms of methodology, this thesis neither follows nor casts doubt on any particular theory of historical development; rather, it attempts to shed further light on available primary sources and their contexts. Presenting key case studies illustrates the difficulties that early microscope users faced in acquiring and publishing new observations. To explore the practice of early microscopy further, this thesis presents re-enactments of these case studies using Enlightenment-era microscopes and modern tissue samples. Thus, this thesis is a call to broaden the scope of primary sources available to historians of science and medicine to include instruments and re-enactments. This thesis finds that technological advances did not correlate to microscopical discovery in medicine or anatomy. Both simple and complex microscope designs aided anatomical and medical research. Broader advances in anatomy, physiology, and medical etiology dictated the utility of medical microscopy. Although various groups, such as the French clinicians, saw little need for microscopy towards the end of the eighteenth century, microscope-based evidence continued to play a diagnostic role among lesser-known practitioners despite its lack of visibility in medical literature.
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Bevan, Michael. "The social context of medical practice : gynaecology in Glasgow 1850-1914." Thesis, University of Essex, 1992. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.315625.

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35

Smith, Olivia Freundlich. "Lives, letters, bodies : John Locke's medical interactions contextualised." Thesis, Queen Mary, University of London, 2009. http://qmro.qmul.ac.uk/xmlui/handle/123456789/28166.

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This study offers a close, interdisciplinary reading of several specific instances in which health and sickness were discussed or considered by Locke and his contemporaries. Medical historians have long known that Locke was a medical adviser and practitioner of sorts, and his medical 'cases' have traditionally been scrutinised for details of his medical career and for details of past illnesses and treatments, read against a context of specifically medical thought. In a departure from that tradition, this study presents several of Locke's health-related interactions in their contemporary social contexts, These contexts are not exclusively medical, and it is shown how health issues overlapped with and permeated discussions of land, literature, gender, politics and religion. Focussing on specific micro-historical scenes, this study explores the myriad ways in which health was configured in Locke's world. In this study, we see Locke engaged in presenting the health of a colony in Carolina in America; employed in the management of Anthony Ashley Cooper's festering abscess; writing to the Fletchers of Saltoun about nature-hastening medicines and ignorant practitioners; subduing rumours about Matthew Slade, a mentally unstable scholarly friend; helping Elizabeth Northumberland to describe her searing pains, and more. In this thesis, stories of health from Locke's world are interwoven with similar short scenes of health from his published works to show the reader how Locke himself considered health-related scenes stimulating and illuminating.
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Delisio, John Paul Jr. "Fighting For A Cure| The Berry Plan's Impact on Civilian Medical Research." Thesis, The George Washington University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10621491.

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This paper details the story of Yellow Berets and their research at the National Institute of Health. Yellow Berets were part of the antiwar movement during the Vietnam War. Forced to serve in the military through the Berry Plan, Yellow Berets chose to research civilian medical problems instead of fighting in Vietnam. The combination of Yellow Berets and an increased budget allowed the NIH to become a premier research institute for civilian medical advances.

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37

Jotterand, Fabrice 1967. "Does virtue ethics contribute to medical ethics? : an examination of Stanley Hauerwas' ethics of virtue and its relevance to medical ethics." Thesis, McGill University, 2000. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=33292.

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The aim of this thesis is to examine the concept of virtue ethics in Stanley Hauerwas's understanding of virtue and delineate how that contributes to his ethical reasoning and his comprehension of medical ethics. The first chapter focuses on the shift that occurred in moral theory under the stance of the Enlightenment that eroded the traditional idea of morality as the formation of the self, allowing space for new concepts that dismissed the importance of the agent in the ethical task of seeking the good. In the second chapter, the three main ideas (character, vision, and narrative) that make up Hauerwas' ethical theory are examined with a particular attention to the importance of agency in moral life. The third chapter describes how Hauerwas' medical ethics, informed by his moral theory based on character, vision, and narrative, is relevant to medical ethics. Hauerwas argues that because medicine is a form of human activity with internal goods and standards of excellence intrinsic to its practice, it requires taking into account the notion of agency in the healing relationship. Finally, in the last chapter the specific religious discourse of Hauerwas' ethics is discussed in relation to secular medical ethics. In other words, this thesis raises the question of whether the reduction of medical ethics to a set of principles, as it is mostly the case today, represents a suitable picture of the reality of moral life in medicine.
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司徒雅儀 and Ya-yee Szeto. "Medical culture among the scholar-officials in seventeenth century China." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31225172.

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39

Webb, Katherine A. "The development of the medical profession in Manchester 1750-1860." Thesis, University of Manchester, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.329770.

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40

Quilter, Julia 1970. "Re-inventing rape : an analysis of legal, medical, feminist and governmental discourses." Monash University, Dept. of Literary, Visual and Cultural Studies, 1999. http://arrow.monash.edu.au/hdl/1959.1/8572.

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41

Tesfaye, Facil. "Medical expeditions and scramble for Africa: Robert Koch in Africa 1896-1907." Thesis, McGill University, 2014. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=121329.

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The history of colonial medical expeditions and those involved in them is usually left to medical professionals who use their expertise to decrypt the technical and scientific aspects of the activities conducted on the ground. In addition, such works do not necessarily pay attention to the general historical context in which the expeditions occurred. This study is a historical examination of five medical expeditions that Robert Koch conducted in the African continent between 1896 and 1907. It places the activities of the German scientist in the general historical context of the late nineteenth century Africa, which was described by scholars as a "time of trouble and transformation". The extreme environmental conditions of African continent at the time, and the Scramble for Africa that was unfolding on the ground will thus provide the framework of analysis proposed by this study.
L'histoire des expéditions médicales coloniales et de ceux qui y ont été impliqués est généralement laissée aux professionnels de la santé qui utilisent leur savoir-faire pour décrypter les aspects techniques et scientifiques des activités menées sur le terrain. En outre, ces travaux ne paient pas nécessairement beaucoup d'attention au contexte historique général dans lequel les expéditions ont eu lieu. Cette thèse est un examen historique de cinq expéditions médicales que Robert Koch a mené sur le continent africain entre 1896 et 1907. Cette étude place les activités du scientifique allemand dans le contexte historique général africain de la fin du XIXe siècle, qui a été décrit par certains spécialistes comme un «temps de détresse et de transformation». La situation environnementale extrême du continent Africain de l'époque, ainsi que la ruée vers l'Afrique qui se déroulait au même moment serviront de cadre de l'analyse proposée par cette étude.
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42

Hernandez-Saenz, Luz Maria. "Learning to heal: The medical profession in colonial Mexico, 1767-1831." Diss., The University of Arizona, 1993. http://hdl.handle.net/10150/186479.

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In New Spain, the professionalization of medicine followed the same pattern as in Europe and was prompted by similar intellectual and political factors. As with their European colleagues, the local medical elite of the late eighteenth century was greatly influenced by the Enlightenment, working tirelessly to advance medical science and improve the quality of treatment available to the public. Scientific developments in Europe influenced practitioners in New Spain through local and imported publications as well as through the arrival of a large number of European practitioners. While the Enlightenment played an important role from the scientific and medical points of view, international politics proved crucial to the development of surgery and its rapid rise to a professional level. The intense rivalry among nations prompted Spain to reorganize its armies and consequently, to turn its attention to military surgery. In Mexico, the establishment of formal surgical education and the reorganization of the armies resulted in the arrival of foreign practitioners and the creation of a two tiered system based on nationality. Of equal importance for the initial stages of professionalization was the rapid erosion of traditional social values in the late colonial period. As reflected by the increasing laxity in the enforcement of the limpieza de sangre requirements, race and ancestry as a measure of status were beginning to give way to personal merit. The medical professional gives a unique opportunity to analyze the fascinating world of late colonial Mexico. The hierarchical organization of the profession reflects contemporary society and offers a glance at daily life from the point of view of various socio-economic levels while the relations among its members mirror the complicated relations among the different segments of society. The growing criollo nationalism becomes patent in the attitude of some practitioners, an echo of future and more profound antagonism. From an intellectual point of view, the medical profession illustrates the achievements of local practitioners and pharmacists which have been largely ignored by scholars. Finally, it reflects the last efforts of Spain to reassert control over its colony and its powerlessness to stop the tide of history.
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43

James, Frederick Ernest. "The life and work of Thomas Laycock (1812-1876)." Thesis, University College London (University of London), 1996. http://discovery.ucl.ac.uk/1318051/.

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Following an introduction giving the reasons for writing on Thomas Laycock, there are two chapters of personal biography making use of his unpublished personal Journal. An account is then given of his papers on hysteria and the thinking which led from hysteria to reflex brain function. Next a chapter is devoted to Laycock's writings on public health and his involvement with Edwin Chadwick in the preparation for the City of York of The Report on the state of Large Towns and Populous Districts. Laycock always had a special interest in medical psychology and extended reflex action to explain some of the phenomena of mental illness and memory. An account is also given of his various other writings related to psychiatry. He was aware that extending reflex function to the brain would result in various philosophical and theological problems and Laycock's opinions are given on these issues together with a brief account of his classical work Mind and Brain. Having a great interest in medical psychology, also being a lecturer at the York Medical School and later Professor of the Practice of Physic at Edinburgh, it was natural he should be a pioneer in the teaching of the subject. Many fascinating ideas are to be found in Laycock's writings on general medicine, especially his use of neurology to explain oedema and certain types of pulmonary disease. A trophic nervous system was thought to cause tissue pathology which was a reversion to a lower evolutionary type. In his last decade Laycock wrote consolidating many of his previous ideas but attempted to bring these into line with then current scientific advances. A selection of his unpublished writings is examined in the same chapter. In his lifetime Laycock was not an influential person but he impressed a few of his more able students, several of whom were to become professionally distinguished. The careers of these are described. After some conclusions a bibliography, with notes. is provided of published and unpublished works used in this thesis.
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44

Sauer, Nicholas L. "Disability in Late Imperial Russia: Pathological Metaphors and Medical Orientalism." Youngstown State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1464016404.

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45

Piper, Stamatia A. J. "The emergence of a medical exception from patentability in the 20th century." Thesis, University of Oxford, 2008. http://ora.ox.ac.uk/objects/uuid:85e2c91c-182e-45aa-8580-3908ac343a54.

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Many patent law dilemmas arise from a failure to understand technologies as embedded in broader social, economic and political realities and to contextually analyze these legal phenomena. This narrowness leads to poor legal development, of which the modern medical exception from patentability is one example. Judges have difficulty interpreting it, patentees do not understand its purpose and it does not protect the important medical technologies to which the public would like access. This thesis applies a legal pluralist analysis to examine the emergence of the medical methods exception in order to understand why it was created and legislated. It starts by examining the origins of the exception in the caselaw, and the informal, concurrent norm established by the emerging medical profession in the early 20th century. It then proceeds to examine why the medical profession might have sought and enforced a norm prohibiting its members from patenting, and concludes that this arose from the need of the medical profession to distance itself from the patent law. As a result, professionalizing physicians established an internal normative order that mimicked and in many cases replaced the effect of the formal law. The thesis then proceeds to examine how the form of the informal norm evolved in the period between WWI and WWII, finding that the profession’s norm transformed and broke down concurrently with its efforts to achieve external legitimacy through legislation. That breakdown arose from factors which included growing labour mobility, greater understanding of the benefits of patents, and a growing role of science and industry in medicine that threatened the profession’s access to valuable medical innovation. The thesis concludes with a study of a current case (Myriad Genetics) that applies the thesis’ theoretical framework to a present dispute over the role the law should play in regulating genetic diagnostic tests.
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46

Holman, Bennett Harvey. "The fundamental antagonism| science and commerce in medical epistemology." Thesis, University of California, Irvine, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3727347.

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I consider the claims made by medical ethicists that funding by pharmaceutical companies threaten the integrity of medical research and the claims of philosophers of science that evidence-based medicine can provide a sound epistemic foundation on which to base medical treatment decisions. Drawing on both game theory and medical history, I argue that both medical ethicists and philosophers of science have missed crucial aspects of medical research. I show that both veritistic and commercial aims are enduring and entrenched aspects of medical research. Because these two drives are perpetually pulling medical research in different directions, I identify the resultant conflict as the fundamental antagonism

The primary task of the dissertation is to provide a framework that incorporates both drivers of medical research. Specifically, I argue that medical research is best conceived of as an asymmetric arms race. Such a dynamic is typified by a series of moves and countermoves between competing parties who are adjusting to one another's behavior, in this case between those who seek to make medical practice more responsive to good evidence and those whose primary motivations are instead commercial in character.

Such a model presents three challenges to standard evidential hierarchies which equate epistemic reliability with methodological rigor. The first is to show that reliability and rigor can (and do) come apart as a result of the countermeasures employed by manufactures. This fact suggests that in considering policy proposals to improve epistemic reliability, it is robustness (i.e. resistance to manipulation) that should be the crucial desideratum. The second consequence is a reorientation of medical epistemology. One of the primary strategies that manufacturers have employed is to manipulate the dissemination of information. A focus on an isolated knower obscures the impact that industry has in shaping what information is available. To address these problems medical knowledge must be understood from a social epistemological framework. Finally, and most importantly, the arms race account suggests that the goal of identifying the perfect experimental design or inference pattern is chimerical. There is no final resolution to the fundamental antagonism between commercial and scientific forces. There is only a next move.

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Malowany, Maureen. "Medical pluralism : disease, health and healing on the coast of Kenya, 1840-1940." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/NQ44508.pdf.

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48

Necochea, Lopez Raul. "A history of the medical control of fertility in Peru, 1895 - 1976." Thesis, McGill University, 2010. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=86866.

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Demographic transition theorists posit that, beginning in the 1960s, biomedical contraceptive technologies and foreign countries, the United States in particular, have been primarily responsible for changes in medical fertility control ideas and practices in Peru. This dissertation argues that biomedical technologies and transnational political actors have played a role, but not always in the ways that demographic transition theorists indicate. The mass distribution of contraceptives such as the pill and the intra-uterine device, for example, depended on the existence of US-funded birth control organizations. However, these birth control organizations did not justify their existence in Peru only in terms of the promotion of development, but also by making appeals to the integrity of the family, values that many local physicians cherished. In addition, biomedical knowledge concerning the control of fertility began to be applied long before the 1960s, and not all of it originated in the United States nor was it all oriented towards the limitation of birth rates. Moreover, demographic transition theory's assumption that financial calculations were the primary reason for the prevention or spacing of births overlooks other factors, such as marital strife, that also affected the desire for offspring. Through archival material and oral histories in Peru and the United States, this dissertation raises questions about the ideologies and practices of medical experts, and their interactions with state agencies, foreign governments, the Catholic Church, and people who had abortions.
La théorie de la transition demographique suggere une transformation telle que, depuis les années 1960, les technologies biomédicales et les pays étrangers, espécialement les États-Unis, fut principalement responsables pour les changements des idées et pratiques en matière du contrôle medical de la fertilité au Pérou. Cette thèse argumente que les technologies biomédicales aussi que les acteurs politiques transnationaux en effet jouèrent un rôle, mais pas toujours dans la façon prévue par les théoristes de la transition demographique. La distribution massive des méthodes contraceptifs, tel que la pillule et le dispositif intra-uterin, par example, dépendit de l'existence des organismes de contrôle de la natalité financiés par les États-Unis. Cependent, cettes organismes ne justifièrent leur présence au Pérou seulement par la promotion du developement. Ils attachaient aussi de l'importance à l'integrité de la famille, un valeur que beaucoup des médecins entretinrent. D'ailleurs, des connaissances biomédicales sur le contrôle de la fertilité commencèrent à être appliquées avant les années 1960, et une partie importante d'entre elles ne provinrent pas des États-Unis. De plus, la supposition que la théorie de la transition demographique fasse sur la prevention ou l'espacement des naissances comme simples resultats des calculs economiques néglige autres facteurs, tel que les querelles des couples, lesquelles affectaient aussi le désir d'avoir des enfants. A travers des materiaux d'archives et des intervues au Pérou et aux États-Unis, cette thèse nous emmene a considerer les ideologies et les pratiques des experts médicaux, aussi que les interactions entre eux et des agences gouvernamentales, des gouvernements étrangers, l'église Catholique, et des gens qui avortaient.
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Power, Helen Joy. "Sir Leonard Rogers FRS (1868-1962) : tropical medicine in the Indian medical service." Thesis, University College London (University of London), 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326140.

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50

Deacon, Harriet. "A history of the medical institutions on Robben Island, Cape Colony, 1846-1910." Thesis, University of Cambridge, 1994. https://www.repository.cam.ac.uk/handle/1810/272392.

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