For the first time in human history,hundreds of millions of people all over the world have been subjected to compulsory vaccination with a new type of nucleic acid based vaccines in order to keep their jobs or be able...For the first time in human history,hundreds of millions of people all over the world have been subjected to compulsory vaccination with a new type of nucleic acid based vaccines in order to keep their jobs or be able to travel due to some notorious coronavirus disease 2019(COVID-19)mandates.The vast majority of African countries were either initially deprived of these vaccines,or later,a majority of the population was too skeptical to receive them and preferred a safe early treatment pharmacological approach.Yet,Africa had the lowest COVID-19 mortality rate compared to those countries that adopted mass vaccination.This letter to the editor adds African insights that should be helpful in future pandemics to save millions of precious lives.展开更多
In spite of the fact that the Hippocrates method hardly has been evaluated in a scientific manner and numerous associated iatrogenic complications have been reported, this method remains to be one of the most common t...In spite of the fact that the Hippocrates method hardly has been evaluated in a scientific manner and numerous associated iatrogenic complications have been reported, this method remains to be one of the most common techniques for reducing anterior shoulder dislocations. We report the case of a 69-year-old farmer under coumarin anticoagulant therapy who sustained acute first time anterior dislocation of his dominant right shoulder. By using the Hippocrates method with the patient under general anaesthesia, the brachial vein was injured and an increasing hematoma subsequently caused brachial plexus paresis by pressure. After surgery for decompression and vascular suturing, symptoms declined rapidly, but brachial plexus paresis still was not fully reversible after 3 mo of follow-up. The hazardousness of using the Hippocrates method can be explained by traction on the outstretched arm with force of the operator's body weight, direct trauma to the axillary region by the physician's heel, and the topographic relations of neurovascular structures and the dislocated humeral head. As there is a variety of alternative reduction techniques which have been evalu-ated scientifically and proofed to be safe, we strongly caution against the use of the Hippocrates method as a first line technique for reducing anterior shoulder dislocations, especially in elder patients with fragile vessels or under anticoagulant therapy, and recommend the scapular manipulation technique or the Milch technique, for example, as a first choice.展开更多
Background:Hippocratic medicine is routinely presented as the origin of rational,observational practice.Yet much of what is now called“Hippocratic principles”is a reception history-filtered through Galen,the Alexand...Background:Hippocratic medicine is routinely presented as the origin of rational,observational practice.Yet much of what is now called“Hippocratic principles”is a reception history-filtered through Galen,the Alexandrian medical school,and especially Islamic scholars such as Rhazes,Avicenna,and Masawaiyh.To reassess the enduring influence of Hippocratic medicine on contemporary practice and ethics by(i)distinguishing Hippocratic origins from later systematizations,and(ii)thematizing the philosophical stakes of the 21st-century“Hippocratic revival”(holism,patient-centrism,and the surge of non-science-based alternative medicine).Methods:Textual analysis of the Hippocratic Corpus is integrated with a reception-historical review(Galenic,Alexandrian,and Islamic commentators)and with historiographical framing(Porter,Temkin,Nutton).A conceptual analysis contrasts the Koan holistic and Knidian disease-entity approaches and examines their modern legacies.Results:Core Hippocratic themes-clinical observation,individualization,and ethical commitment-persist,but largely via later reinterpretations.The Koan/Knidian split illuminates today’s tensions between evidence-based standardization and person-centred holism.Modern invocations of Hippocrates often uncritically legitimate“holism”in ways that can blur boundaries between epistemically disciplined person-centred care and non-science-based alternative medicine.Conclusion:Hippocratic principles endure,but only when historically situated and normatively constrained.A philosophically robust“Hippocratic revival”in the 21st century must(a)acknowledge its Galenic-Islamic mediations,(b)preserve evidence standards,and(c)articulate an ethically grounded,epistemically responsible holism rather than a carte blanche for post-truth medical pluralism.展开更多
I love winter in Shanghai.There are the markets,the amplified brightness of the neon-lit overpasses,Ned Kelly’s bloated,bleary-eyed winter-themed trivia,Santa hats at Manhattan in February and magical mulled wine.Now...I love winter in Shanghai.There are the markets,the amplified brightness of the neon-lit overpasses,Ned Kelly’s bloated,bleary-eyed winter-themed trivia,Santa hats at Manhattan in February and magical mulled wine.Now,mulled wine has always been a thing,but it’s awesome that every bar and saloon worth its salt in Shanghai has perfected individual recipes.This got me thinking about drinking steamy spiced wine,and of course,history.展开更多
文摘For the first time in human history,hundreds of millions of people all over the world have been subjected to compulsory vaccination with a new type of nucleic acid based vaccines in order to keep their jobs or be able to travel due to some notorious coronavirus disease 2019(COVID-19)mandates.The vast majority of African countries were either initially deprived of these vaccines,or later,a majority of the population was too skeptical to receive them and preferred a safe early treatment pharmacological approach.Yet,Africa had the lowest COVID-19 mortality rate compared to those countries that adopted mass vaccination.This letter to the editor adds African insights that should be helpful in future pandemics to save millions of precious lives.
文摘In spite of the fact that the Hippocrates method hardly has been evaluated in a scientific manner and numerous associated iatrogenic complications have been reported, this method remains to be one of the most common techniques for reducing anterior shoulder dislocations. We report the case of a 69-year-old farmer under coumarin anticoagulant therapy who sustained acute first time anterior dislocation of his dominant right shoulder. By using the Hippocrates method with the patient under general anaesthesia, the brachial vein was injured and an increasing hematoma subsequently caused brachial plexus paresis by pressure. After surgery for decompression and vascular suturing, symptoms declined rapidly, but brachial plexus paresis still was not fully reversible after 3 mo of follow-up. The hazardousness of using the Hippocrates method can be explained by traction on the outstretched arm with force of the operator's body weight, direct trauma to the axillary region by the physician's heel, and the topographic relations of neurovascular structures and the dislocated humeral head. As there is a variety of alternative reduction techniques which have been evalu-ated scientifically and proofed to be safe, we strongly caution against the use of the Hippocrates method as a first line technique for reducing anterior shoulder dislocations, especially in elder patients with fragile vessels or under anticoagulant therapy, and recommend the scapular manipulation technique or the Milch technique, for example, as a first choice.
文摘Background:Hippocratic medicine is routinely presented as the origin of rational,observational practice.Yet much of what is now called“Hippocratic principles”is a reception history-filtered through Galen,the Alexandrian medical school,and especially Islamic scholars such as Rhazes,Avicenna,and Masawaiyh.To reassess the enduring influence of Hippocratic medicine on contemporary practice and ethics by(i)distinguishing Hippocratic origins from later systematizations,and(ii)thematizing the philosophical stakes of the 21st-century“Hippocratic revival”(holism,patient-centrism,and the surge of non-science-based alternative medicine).Methods:Textual analysis of the Hippocratic Corpus is integrated with a reception-historical review(Galenic,Alexandrian,and Islamic commentators)and with historiographical framing(Porter,Temkin,Nutton).A conceptual analysis contrasts the Koan holistic and Knidian disease-entity approaches and examines their modern legacies.Results:Core Hippocratic themes-clinical observation,individualization,and ethical commitment-persist,but largely via later reinterpretations.The Koan/Knidian split illuminates today’s tensions between evidence-based standardization and person-centred holism.Modern invocations of Hippocrates often uncritically legitimate“holism”in ways that can blur boundaries between epistemically disciplined person-centred care and non-science-based alternative medicine.Conclusion:Hippocratic principles endure,but only when historically situated and normatively constrained.A philosophically robust“Hippocratic revival”in the 21st century must(a)acknowledge its Galenic-Islamic mediations,(b)preserve evidence standards,and(c)articulate an ethically grounded,epistemically responsible holism rather than a carte blanche for post-truth medical pluralism.
文摘I love winter in Shanghai.There are the markets,the amplified brightness of the neon-lit overpasses,Ned Kelly’s bloated,bleary-eyed winter-themed trivia,Santa hats at Manhattan in February and magical mulled wine.Now,mulled wine has always been a thing,but it’s awesome that every bar and saloon worth its salt in Shanghai has perfected individual recipes.This got me thinking about drinking steamy spiced wine,and of course,history.
