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An engaging history of the role that George Washington, Thomas Jefferson, and Benjamin Franklin played in the origins of public health in America. Before the advent of modern antibiotics, one’s life could be abruptly shattered by contagion and death, and debility from infectious diseases and epidemics was commonplace for early Americans, regardless of social status. Concerns over health affected the Founding Fathers and their families as it did slaves, merchants, immigrants, and everyone else in North America. As both victims of illness and national leaders, the Founders occupied a unique position regarding the development of public health in America. Historian Jeanne E. Abrams’s Revolutionary Medicine refocuses the study of the lives of George and Martha Washington, Benjamin Franklin, Thomas Jefferson, John and Abigail Adams, and James and Dolley Madison away from politics to the perspective of sickness, health, and medicine. For the Founders, republican ideals fostered a reciprocal connection between individual health and the “health” of the nation. Studying the encounters of these American Founders with illness and disease, as well as their viewpoints about good health, not only provides a richer and more nuanced insight into their lives, but also opens a window into the practice of medicine in the eighteenth century, which is at once intimate, personal, and first hand. Today’s American public health initiatives have their roots in the work of America’s Founders, for they recognized early on that government had compelling reasons to shoulder some new responsibilities with respect to ensuring the health and well-being of its citizenry—beginning the conversation about the country’s state of medicine and public healthcare that continues to be a work in progress.
Nearly nine times as many died from diseases during the American Revolution as did from wounds. Poor diet, inadequate sanitation and sometimes a lack of basic medical care caused such diseases as dysentery, scurvy, typhus, smallpox and others to decimate the ranks. Scurvy was a major problem for both the British and American navies, while venereal diseases proved to be a particularly vexing problem in New York. Respiratory diseases, scabies and other illnesses left nearly 4,000 colonial troops unable to fight when George Washington's troops broke camp at Valley Forge in June 1778. From a physician's perspective, this is a unique history of the American Revolution and how diseases impacted the execution of the war effort. The medical histories of Washington and King George III are also provided.
The interpretation of eighteenth-century medicine has been much contested. Some have view it as a wilderness of rationalism and arid theories between the Scientific Revolution and the astonishing changes of the nineteenth-century. Other scholars have emphasized the close and fruitful links between medicine and the Enlightenment, suggesting that medical advance was the very embodiment of the philosphes ' ideal of a practical science that would improve mankind's lot and foster human happiness. In a series of essays covering Great Britain, France, Germany and other parts of Europe, noted historians debate these issues through detailed examinations of major aspects of eighteenth-century medicine and medical controversy, including such topics as the introduction of smallpox inoculation, the transformation of medical education, and the treatment of the insane. The essays as a whole suggest a positive reading of the transformations in eighteenth-century medicine, while stressing local diversity and uneven development.
This consideration of the underlying forces which helped to produce a revolution in 17th century medicine sets out to show how, in the period between 1630 and 1730, medicine came to represent something more than a marginal activity and was influenced by the current developments of the day.
This is an open access title available under the terms of a CC BY-NC-ND 4.0 International licence. It is free to read on the Oxford Academic platform and offered as a free PDF download from OUP and selected open access locations. Medicine in an Age of Revolution is the first major attempt since the 1970s to challenge the idea that the essential engine of medical (and scientific) change in seventeenth-century Britain was puritanism. While Peter Elmer seeks to reaffirm the crucial role of the period of the civil wars and their aftermath in providing the most congenial context for a re-evaluation of traditional attitudes to medicine, he rejects the idea that such initiatives were the special preserve of a small religious elite (puritans), claiming instead that enthusiasm for change can be found across the religious spectrum. At the same time, Elmer seeks to show that medical practitioners were increasingly drawn into contemporary religious and political debates in a way that led to a fundamental politicization of the 'profession'. By the end of the seventeenth century, it was commonplace to see doctors, apothecaries, and surgeons fully engaged in everyday political and civic life. At the same time, religious and political orientation often became an important factor in the career development of medics, especially in towns and cities, where substantial benefits might accrue to those who found themselves in favour with the ruling elites, be they Whig or Tory. The body politic, a Renaissance commonplace, was now peopled by medical practitioners who often claimed a special authority when it came to diagnosing the ills of late seventeenth century society.
A professor of medicine reveals how technology like wireless internet, individual data, and personal genomics can be used to save lives.
How the data revolution is transforming biotech and health care, especially in the wake of COVID-19—and why you can’t afford to let it pass you by We are living through a time when the digitization of health and medicine is becoming a reality, with new abilities to improve outcomes for patients as well as the efficiency and success of the organizations that serve them. In The Patient Equation, Glen de Vries presents the history and current state of life sciences and health care as well as crucial insights and strategies to help scientists, physicians, executives, and patients survive and thrive, with an eye toward how COVID-19 has accelerated the need for change. One of the biggest challenges facing biotech, pharma, and medical device companies today is how to integrate new knowledge, new data, and new technologies to get the right treatments to the right patients at precisely the right times—made even more profound in the midst of a pandemic and in the years to come. Drawing on the fascinating stories of businesses and individuals that are already making inroads—from a fertility-tracking bracelet changing the game for couples looking to get pregnant, to an entrepreneur reinventing the treatment of diabetes, to Medidata's own work bringing clinical trials into the 21st century—de Vries shares the breakthroughs, approaches, and practical business techniques that will allow companies to stay ahead of the curve and deliver solutions faster, cheaper, and more successfully—while still upholding the principles of traditional therapeutic medicine and reflecting the current environment. How new approaches to cancer and rare diseases are leading the way toward precision medicine What data and digital technologies enable in the building of robust, effective disease management platforms Why value-based reimbursement is changing the business of life sciences How the right alignment of incentives will improve outcomes at every stage of the patient journey Whether you're a scientist, physician, or executive, you can't afford to let the moment pass: understand the landscape with this must-read roadmap for success—and see how you can change health care for the better.
Defying Providence is the history of inoculation, the terrifying practice of deliberately infecting individuals with virulent smallpox. This book shows how and why it became widely adopted in the 18th century and how it shaped the development of some of modern medicine's power tools. In particular it shows that vaccination (cowpox) could not have been discovered or used to eradicate the dreadful disease smallpox if inoculation was not already widespread. Defying Providence is a major revision of standard views of 18th century medicine
In three sections, the Oxford Handbook of the History of Medicine celebrates the richness and variety of medical history around the world. It explore medical developments and trends in writing history according to period, place, and theme.
Langley examines the political and social tensions reverberating throughout British, French, and Spanish America, pointing out the characteristics that distinguished each unpheaval from the others: the impact of place or location on the course of revolution; the dynamics of race and color as well as class; the relation between leaders and followers; the strength of counterrevolutionary movements; and, especially, the way that militarization of society during war affected the new governments in the postrevolutionary era. Langley argues that an understanding of the legacy of the revolutionary age sheds tremendous light on the political condition of the Americas today: virtually every modern political issue - the relationship of the state to the individual, the effectiveness of government, the liberal promise for progress, and the persistence of color as a critical dynamic in social policy - was central to the earlier period.