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Making Medical Knowledge

Making Medical Knowledge
Author: Miriam Solomon
Publisher:
Total Pages: 289
Release: 2015
Genre: Evidence-based medicine
ISBN: 0198732619

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How is medical knowledge made? New methods for research and clinical care have reshaped the practices of medical knowledge production over the last forty years. Consensus conferences, evidence-based medicine, translational medicine, and narrative medicine are among the most prominent new methods. Making Medical Knowledge explores their origins and aims, their epistemic strengths, and their epistemic weaknesses. Miriam Solomon argues that the familiar dichotomy between the art and the science of medicine is not adequate for understanding this plurality of methods. The book begins by tracing the development of medical consensus conferences, from their beginning at the United States' National Institutes of Health in 1977, to their widespread adoption in national and international contexts. It discusses consensus conferences as social epistemic institutions designed to embody democracy and achieve objectivity. Evidence-based medicine, which developed next, ranks expert consensus at the bottom of the evidence hierarchy, thus challenging the authority of consensus conferences. Evidence-based medicine has transformed both medical research and clinical medicine in many positive ways, but it has also been accused of creating an intellectual hegemony that has marginalized crucial stages of scientific research, particularly scientific discovery. Translational medicine is understood as a response to the shortfalls of both consensus conferences and evidence-based medicine. Narrative medicine is the most prominent recent development in the medical humanities. Its central claim is that attention to narrative is essential for patient care. Solomon argues that the differences between narrative medicine and the other methods have been exaggerated, and offers a pluralistic account of how the all the methods interact and sometimes conflict. The result is both practical and theoretical suggestions for how to improve medical knowledge and understand medical controversies.


Making Medicine

Making Medicine
Author: Keith Veronese
Publisher: Rowman & Littlefield
Total Pages: 251
Release: 2022-07-15
Genre: Science
ISBN: 1633887545

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How do scientists design the medicine we use to improve our lives? It turns out that many are happy accidents or overlooked mixtures of carbon and hydrogen that go on to not only improve the lives of people the world over, but become million- and billion-dollar makers for pharmaceutical companies. In Making Medicine: Surprising Stories from the History of Drug Discovery, author Keith Veroneseexamines fifteen different molecules and their unlikely discovery –or in many cases, their second discovery –en route to becoming invaluable medications. From the famous story of Alexander Fleming’s discovery of penicillin, to lesser-known stories surrounding drugs like quinine (derived from the bark of the cinchona tree and responsible for saving the lives of millions in the fight against malaria), Veronese reveals the “how” and the “who” behind the pharmaceutical breakthroughs that continue to impact our world. With subjects including cancer-fighting therapies and over-the-counter pain relievers; hair regrowth creams and antidepressants; readers will no doubt have a personal connection to at least one molecule in this book. Like all discoveries made by mankind, the stories behind these breakthroughs and their introduction to the world are often messy, sometimes controversial, and always human. Take digoxin, which correctly prescribed can help heart efficiency, but in higher doses can prove fatal –a fact known all too well by Charles Cullen, a nurse who used digoxin to kill over forty patients. Making Medicine also details how modern pharmaceutical discovery works, including the monumental challenge and accomplishment of creating a COVID-19 vaccine. This fascinating book highlights the serendipitous nature of the discovery of these miracle molecules, along with how they do (or don't) interact with the human body to produce the desired result.


Making Medicine Scientific

Making Medicine Scientific
Author: Terrie M. Romano
Publisher: Johns Hopkins University Press+ORM
Total Pages: 323
Release: 2003-04-30
Genre: Biography & Autobiography
ISBN: 0801876788

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A biography of the English physician and scientist and a history of the advancement of science in the Victorian era. In Victorian Britain, scientific medicine encompassed an array of activities, from laboratory research and the use of medical technologies through the implementation of sanitary measures that drained canals and prevented the adulteration of milk and bread. Although most practitioners supported scientific medicine, controversies arose over where decisions should be made, in the laboratory or in the clinic, and by whom—medical practitioners or research scientists. In this study, Terrie Romano uses the life and eclectic career of Sir John Burdon Sanderson (1829-1905) to explore the Victorian campaign to make medicine scientific. Sanderson, a prototypical Victorian, began his professional work as a medical practitioner and Medical Officer of Health in London, then became a pathologist and physiologist and eventually the Regius Professor of Medicine at Oxford. His career illustrates the widespread support during this era for a medicine based on science. In Making Medicine Scientific, Romano argues this support was fueled by the optimism characteristic of the Victorian age, when the application of scientific methods to a range of social problems was expected to achieve progress. Dirt and disease as well as the material culture of experimentation —from frogs to photographs—represent the tangible context in which Sanderson lived and worked. Romano’s detailed portrayal reveals a fascinating figure who embodied the untidy nature of the Victorian age’s shift from an intellectual system rooted in religion to one based on science. “A useful entry in the canon of science and public health . . . an antidote to the hubris of recent claims of accomplishment.” —Choice


Medicine Science and Dreams

Medicine Science and Dreams
Author: David A. Schwartz
Publisher: Springer Science & Business Media
Total Pages: 358
Release: 2010-10-17
Genre: Medical
ISBN: 9048195381

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Physician-scientists are unusual creatures. While we are drawn to the clinical challenges of our patients, we are also drawn to the opportunities that our patients’ medical problems bring to science. This book contains the unique experiences and encounters that drew 20 accomplished physician-scientists to this profession. These personal stories are those of people and circumstances that have had profound effects on our career decisions, our creative opportunities, and our lives. These stories also serve to highlight the lessons learned along the way and the distinct attributes of these women and men of medicine and science. Our combined hope is that our collective biographies will enhance the public understanding of our profession, will move people from medicine to science and from science to medicine, and will inspire those who are contemplating this extraordinary profession. “It is a rare gift to benefit from the collective wisdom of so many individuals at the same time. These physician scientists have provided readers with helpful advice and thoughtful encouragement. The interesting and thought provoking essays in Medicine Science and Dreams can be read and digested one at a time or all at once in sequence. They provide lessons to be learned by any physician-scientist, whether just starting out or in the middle of a research career. Schwartz has done readers a great service and has added to the legacy of these prominent and successful physician-scientists.” Book review in JAMA, September 7, 2011—Vol 306, No. 9 by Derek S. Wheeler, MD


Making Medicines Affordable

Making Medicines Affordable
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 235
Release: 2018-03-01
Genre: Medical
ISBN: 0309468086

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Thanks to remarkable advances in modern health care attributable to science, engineering, and medicine, it is now possible to cure or manage illnesses that were long deemed untreatable. At the same time, however, the United States is facing the vexing challenge of a seemingly uncontrolled rise in the cost of health care. Total medical expenditures are rapidly approaching 20 percent of the gross domestic product and are crowding out other priorities of national importance. The use of increasingly expensive prescription drugs is a significant part of this problem, making the cost of biopharmaceuticals a serious national concern with broad political implications. Especially with the highly visible and very large price increases for prescription drugs that have occurred in recent years, finding a way to make prescription medicinesâ€"and health care at largeâ€"more affordable for everyone has become a socioeconomic imperative. Affordability is a complex function of factors, including not just the prices of the drugs themselves, but also the details of an individual's insurance coverage and the number of medical conditions that an individual or family confronts. Therefore, any solution to the affordability issue will require considering all of these factors together. The current high and increasing costs of prescription drugsâ€"coupled with the broader trends in overall health care costsâ€"is unsustainable to society as a whole. Making Medicines Affordable examines patient access to affordable and effective therapies, with emphasis on drug pricing, inflation in the cost of drugs, and insurance design. This report explores structural and policy factors influencing drug pricing, drug access programs, the emerging role of comparative effectiveness assessments in payment policies, changing finances of medical practice with regard to drug costs and reimbursement, and measures to prevent drug shortages and foster continued innovation in drug development. It makes recommendations for policy actions that could address drug price trends, improve patient access to affordable and effective treatments, and encourage innovations that address significant needs in health care.


Making Medicine Scientific

Making Medicine Scientific
Author: Terrie Marie Romano
Publisher:
Total Pages: 393
Release: 1993
Genre: Physiology
ISBN:

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A Brief History of Pharmacy

A Brief History of Pharmacy
Author: Bob Zebroski
Publisher: Routledge
Total Pages: 289
Release: 2015-08-20
Genre: History
ISBN: 1317413318

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Pharmacy has become an integral part of our lives. Nearly half of all 300 million Americans take at least one prescription drug daily, accounting for $250 billion per year in sales in the US alone. And this number doesn't even include the over-the-counter medications or health aids that are taken. How did this practice become such an essential part of our lives and our health? A Brief History of Pharmacy: Humanity's Search for Wellness aims to answer that question. As this short overview of the practice shows, the search for well-being through the ingestion or application of natural products and artificially derived compounds is as old as humanity itself. From the Mesopotamians to the corner drug store, Bob Zebroski describes how treatments were sought, highlights some of the main victories of each time period, and shows how we came to be people who rely on drugs to feel better, to live longer, and look younger. This accessible survey of pharmaceutical history is essential reading for all students of pharmacy.


Medicine as Science

Medicine as Science
Author: Phillip H. Roth
Publisher: Nomos Verlag
Total Pages: 226
Release: 2022-11-16
Genre: Social Science
ISBN: 3748931883

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Der Band beleuchtet die vergessene Identität der Medizin als moderne akademische Disziplin. Viele Arbeiten in der Geschichte und Soziologie der Wissenschaft und Medizin haben diese Identität mit dem Fokus auf die Medizin als modernen Beruf überschattet. Dieses Buch untersucht die Identitätsarbeit der Medizin von den Anfängen der modernen Forschungsuniversität bis zu den aktuellen Diskursen über Wissenschaft und Medizin mithilfe einer historischen Soziologie und unter Verwendung einer begriffsgeschichtlichen Perspektive. Es zeigt, wie wichtige Institutionen und Grundkonzepte der Medizin entstanden sind, und legt ihre kulturellen Ursprünge offen. Es wird aufgezeigt, wie die Idee der Biomedizin heute die enge Verbindung zwischen Laborforschung und Aussichten auf eine bessere Gesundheitsversorgung bedeutet.


Science and the Practice of Medicine in the Nineteenth Century

Science and the Practice of Medicine in the Nineteenth Century
Author: W. F. Bynum
Publisher: Cambridge University Press
Total Pages: 308
Release: 1994-05-27
Genre: Medical
ISBN: 9780521272056

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Prior to the nineteenth century, the practice of medicine in the Western world was as much art as science. But, argues W. F. Bynum, 'modern' medicine as practiced today is built upon foundations that were firmly established between 1800 and the beginning of World War I. He demonstrates this in terms of concepts, institutions, and professional structures that evolved during this crucial period, applying both a more traditional intellectual approach to the subject and the newer social perspectives developed by recent historians of science and medicine. In a wide-ranging survey, Bynum examines the parallel development of biomedical sciences such as physiology, pathology, bacteriology, and immunology, and of clinical practice and preventive medicine in nineteenth-century Europe and North America. Focusing on medicine in the hospitals, the community, and the laboratory, Bynum contends that the impact of science was more striking on the public face of medicine and the diagnostic skills of doctors than it was on their actual therapeutic capacities.


Medical Herbalism

Medical Herbalism
Author: David Hoffmann
Publisher: Simon and Schuster
Total Pages: 1915
Release: 2003-10-24
Genre: Health & Fitness
ISBN: 1594778906

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A foundational textbook on the scientific principles of therapeutic herbalism and their application in medicine • A complete handbook for the medical practitioner • Includes the most up-to-date information on preparations, dosage, and contraindications • By the author of The Complete Illustrated Holistic Herbal Medical Herbalism contains comprehensive information concerning the identification and use of medicinal plants by chemical structure and physiological effect, the art and science of making herbal medicine, the limitations and potential of viewing herbs chemically, and the challenge to current research paradigms posed by complex plant medicines. It also includes information on toxicology and contraindications, the issues involved in determining dosage and formulation types for an individual, guides to the different measurement systems and conversion tables, and the pros and cons of both industrial and traditional techniques. With additional sections devoted to the principles of green medicine, the history of Western Herbalism, the variety of other medical modalities using medicinal plants, an extensive resource directory, and a discussion of treatments organized by body system, Medical Herbalism is the comprehensive textbook all students and practitioners of clinical herbalism need to develop their healing practices.