E. M. Jones and E. M. Tansey (eds), The Development of Narrative Practices in Medicine c.1960-c.2000
Were the First Transplants Done by Donation after Cardiac Death?
Controlled organ donation after cardiac death (DCD) after awaiting cardiac arrest (Maastricht Category III) has been controversial since its formalisation in the Pittsburgh Protocol in 1992. Much of the controversy involves its abbreviated time to declaration of death by cardiocirculatory criteria and its departure from brain death in the required determination of death. Proponents assert that DCD is a renaissance of the earliest days of transplantation, before widespread acceptance of the concept of brain death. Equivalence between modern DCD and historic non-heartbeating organ donation is used to justify DCD practice and dismiss concerns that DCD may not meet the required determination of death. However, examination of the thoughts of transplantation pioneers regarding the required determination of death and examination of the facts and circumstances of their early transplantation cases reveals that moral equivalence drawn between modern DCD and the first organ transplants is not well founded in historical evidence.
Quelle: http://shm.oxfordjournals.org/cgi/content/short/29/1/131?rss=1
The Gospel of Good Obstetrics: Joseph Bolivar DeLee’s Vision for Childbirth in the United States
This article reconsiders the place of obstetrician Joseph Bolivar DeLee in the historical narrative. Often celebrated as a founding father of the profession, and denigrated as one of the leading proponents of instrumental childbirth, DeLee was not entirely the man historians and childbirth activists blame him for being. Rather than seeking to resolve the contradiction between DeLee's widely cited professional writings and his lesser known practices, this article instead focuses on the broader tenure of DeLee's career, particularly his ‘Gospel of Good Obstetrics’. Doing so permits us to see the efforts of a physician who spent nearly 50 years defending the advantages of home birth without anaesthesia and without instrumentation and who built institutions that provided Chicago mothers with these birthing experiences. This article also explores how DeLee envisioned his techniques and institutions as the basis for an obstetrics revolution in the United States.
Quelle: http://shm.oxfordjournals.org/cgi/content/short/29/1/112?rss=1