There is little doubt that there are currently obstacles in measuring the impact of the history of medicine within medical training. Consequently, there is a clear need to support a vision that can ...historicize Euro-Western medicine, leading to a greater understanding of how the medical world is a distinct form of reality for those who are about to immerse themselves in the study of medicine.
History teaches that changes in medicine are due to the processes inherent to the interaction among individuals, institutions, and society rather than individual facts or individual authors.
Therefore, we cannot ignore the fact that the expertise and know-how developed during medical training are the final product of relationships and memories that have a historical life that is based social, economic, and political aspects.
Moreover, these relationships and memories have undergone dynamic processes of selection and attribution of meaning, as well as individual and collective sharing, which have also been confronted with archetypes that are still able to influence clinical approaches and medical therapy today.
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DOBA, IZUM, KILJ, NUK, OILJ, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK, VSZLJ
The increasingly swift changes in the field of medicine require a reassessment of the skills necessary for the training of technically qualified doctors. Today’s physicians also need to be capable of ...managing the complex issue of personal relationships with patients. Recent pedagogical debates have focused on so-called “soft skills”, whose acquisition is presented in literature as a quite recent addition to medical studies. Moreover, the historical investigation of deontological texts dating from the mid-nineteenth century back to the Hippocratic Oath shows that medicine has always discussed the need to integrate technical expertise in medicine with specific personal and relationship-based skills. Debates have often circled around whether these “soft skills” could actually be taught or how they could be successfully transmitted to training physicians. The belief that defining medicine is more complex than defining other similar sciences and that the instruments to be used in the relationship with patients cannot be limited to those provided by technical aspects shows a new awareness. Today, this view is often stated as an innovative realization on the part of doctors with regard to the complexity of training and action in a delicate area in which they are entrusted with the management of the balance of the system that is the human body.
The use of the term "irrational", when interpreting ancient and contemporary medical systems, is generally based on a bipolar, perhaps two-party, ideological systematization. This is a perspective ...behind which there is a reifying ideology that defines medical knowledge based on divination and symbolic practices as "irrational". Moreover, they are seen as systematized "beliefs". However, this approach neglects the extent to which rituals permeate all practices, including those of contemporary biomedicine. Even in the case of ancient medicine, concepts of the natural and the spiritual are not, therefore, connoted as a clear watershed between the rational and the irrational in the reductive sense described above. On the contrary, they are conjugated in a manner that coexists within the same medical system. Starting from this interpretative foundation, it is possible to trace practices of rational medicine in the temples of Asclepius, in accordance with the late testimonies of Hippocratic medicine. Consequently, this paper focuses on demonstrating the continuity between temple medicine and "rational medicine" through the communication strategy of the iamata (sanationes) as well as the reports of special patients, such as Aelius Aristides. In addition, the article highlights the political role of writing as a way to regulate the healing not only of the body but also of the civic body. This approach is perfectly consistent with the ancient wisdom and philosophical tradition of overlapping state and body, politics and medicine, lawgivers and physicians.
This paper aims to provide a first glimpse into the genomic characterization of individuals buried in Casal Bertone (Rome, first-third centuries AD) to gain preliminary insight into the genetic ...makeup of people who lived near a tannery workshop,
Therefore, we explored the genetic characteristics of individuals who were putatively recruited as fuller workers outside the Roman population. Moreover, we identified the microbial communities associated with humans to detect microbes associated with the unhealthy environment supposed for such a workshop. We examined five individuals from Casal Bertone for ancient DNA analysis through whole-genome sequencing via a shotgun approach. We conducted multiple investigations to unveil the genetic components featured in the samples studied and their associated microbial communities. We generated reliable whole-genome data for three samples surviving the quality controls. The individuals were descendants of people from North African and the Near East, two of the main foci for tannery and dyeing activity in the past. Our evaluation of the microbes associated with the skeletal samples showed microbes growing in soils with waste products used in the tannery process, indicating that people lived, died, and were buried around places where they worked. In that perspective, the results represent the first genomic characterization of fullers from the past. This analysis broadens our knowledge about the presence of multiple ancestries in Imperial Rome, marking a starting point for future data integration as part of interdisciplinary research on human mobility and the bio-cultural characteristics of people employed in dedicated workshops.
Post mortem body donation (PMBD) for medical training and research plays a key role in medical-surgical education. The aim of this study is to evaluate Italian medical students' awareness and ...attitudes regarding this practice. A questionnaire was sent to 1781 Italian medical students (MS). A total of 472 MS responded: 406 (92.91%) had a strongly positive attitude to PMBD, while 31 (7.09%) were not in favor. The majority of subjects were Catholic (56.36%), while 185 and 21 subjects, said that they did not hold any religious beliefs, or were of other religions, respectively. Multivariate analysis showed significant associations (
-values < 0.05) between PMBD and religion, as well as perceptions of PMBD as an act of altruism, a tool for learning surgical practices, body mutilation, and an act contrary to faith. Although Italian MS believed cadaver dissection to be an important part of their education, they did not know much about it and had not received training on this altruistic choice. As future doctors, MS can play an important role in raising public awareness of the importance of PMBD for medical education and research. Specific educational programs to improve knowledge of this topic among MS are needed.
This paper aims to define the dietary profile of the population of early medieval Rome (fifth–eleventh centuries CE) by carbon and nitrogen stable isotope analysis. This period was characterized by ...deep changes in the city’s economic, demographic, and social patterns, probably affecting its inhabitants’ nutritional habits. Carbon and nitrogen stable isotope analysis of bone collagen was used to detect the nutritional profile of 110 humans from six communities inhabiting the city center of Rome and one from the ancient city of Gabii. Thirteen faunal remains were also analyzed to define the ecological baseline of the medieval communities. The isotopic results are consistent with a diet mainly based on the exploitation of C
3
plant resources and terrestrial fauna, while the consumption of aquatic resources was detected only among the San Pancrazio population. Animal protein intake proved to be similar both among and within the communities, supporting a qualitatively homogenous dietary landscape in medieval Rome. The comparison with isotopic data from the Imperial Age allowed us to detect a diachronic nutritional transition in ancient Rome, in which the collapse of the Empire, and in particular the crisis of economic power and the trade system, represented a tipping point for its population’s nutritional habits.
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EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, OILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
The Longobard cemetery of Castel Trosino (Central Italy, c. 6th-8th CE) was excavated at the end of the 19th century, with more than two hundred burials recovered. Currently only 19 crania and a few ...mandibles are preserved. Among these crania, a case of trepanation is documented on an elderly woman (c. 50 y.o.): the medical treatment, or the condition that led to it, likely influenced her life history. A multidisciplinary investigation of the only available skeletal remains (cranial and denta...
The Iliad, by the Greek poet Homer, is a precious mine of examples of war traumatology. In the specific case of spear wounds in the chest, the death of the Trojan warrior Alcathous is particularly ...interesting from the point of view of the history of medicine and the evolution of cardiology and knowledge of the heart at the time of ancient Greece.
In particular this paper aims to evidence and reconstruct the main anatomical and physiological knowledge of the heart at that time. Indeed, a historical-linguistic analysis of the Greek text prompts some reflections and thoughts on the heartbeat in pathological conditions and on the function of the heart as a hematopoietic organ.
Furthermore, Homer's account is a critical text that highlights the relevance of the use of the senses in the ancient description of nosological pictures and it allows us an interesting and suggestive approach to reconstruction from the historical and historiographical point of view.
•History of Medicine, Cardiology, Anatomy and the evolution of the knowledge of the heart during ancient Greek.•The Iliad, by the Greek poet Homer.•Historical evolution of the main anatomical and physiological knowledge of the heart.•Historical-linguistic analysis of the Greek text.•Reflections on the heartbeat in pathological conditions.•Function of the heart as a hematopoietic organ.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NLZOH, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UILJ, UL, UM, UPCLJ, UPUK, ZAGLJ, ZRSKP
Bioethics is relevant in healthcare and medical schools. However, unlike other foreign countries, its teaching in Italy has only been recently introduced, it is less extensively offered and no ...academic standards for bioethics education have been established. This research aims at understanding whether university bioethics courses attendees appreciate and consider teaching strategies to be effective with the objective of validating a coherent didactic approach to the discipline and stimulate further discussion on ways to improve it.
A standardized survey was administered to 1590 students attending undergraduate degree programs in medicine and healthcare at four Italian universities.
The majority of interviewees (92.5%) had an interest in bioethics, considered it to be important for any life-sciences-related program (73.5%) and most healthcare (77.2%) and medical students (69.2%) suggested its teaching should be included in their curricula and made mandatory (66.3%) and continuous (57.7%), given its usefulness in clinical practice. Students consider bioethics as a care-integrated practice and appreciate teaching methods where it is integrated into clinical cases. Conceptual specificity and interdisciplinarity may affect the learning process and contribute to enhance students' analytical skills.
Italian bioethics education should be revised to meet students' expectations and preferences. Its complex, multi-disciplinary and transversal nature suggests bioethical education to be flexible and integrated among different disciplines, thus stimulating a broader critical capacity through cases studies and other interactive teaching methods for helping students better deal with bioethics-inherent difficulties and improve the learning process.
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