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  1. Book ; Online ; E-Book: Of life and limb

    Barr, Justin

    surgical repair of the arteries in war and peace, 1880-1960

    (Rochester studies in medical history ; 47)

    2019  

    Author's details Justin Barr
    Series title Rochester studies in medical history ; 47
    Collection
    Keywords Electronic books
    Language English
    Size 1 Online-Ressource (ix, 292 Seiten)
    Publisher University of Rochester Press
    Publishing place Rochester, NY
    Publishing country United States
    Document type Book ; Online ; E-Book
    Remark Zugriff für angemeldete ZB MED-Nutzerinnen und -Nutzer
    HBZ-ID HT020382386
    ISBN 978-1-78744-583-3 ; 978-1-78744-651-9 ; 9781580469661 ; 1-78744-583-6 ; 1-78744-651-4 ; 1580469663
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Ambulance Trains-From the Crimean War to Ukraine.

    Marble, Sanders / Barr, Justin

    JAMA network open

    2023  Volume 6, Issue 6, Page(s) e2319687

    MeSH term(s) Humans ; Crimean War ; Ukraine ; Ambulances ; Warfare
    Language English
    Publishing date 2023-06-01
    Publishing country United States
    Document type Journal Article
    ISSN 2574-3805
    ISSN (online) 2574-3805
    DOI 10.1001/jamanetworkopen.2023.19687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Anesthesia in the Korean War.

    Zhao, Elizabeth / Barr, Justin

    Anesthesia and analgesia

    2023  Volume 137, Issue 2, Page(s) 451–457

    Abstract: Relying on original, primary source documentation from the National Archives, we describe the practice of anesthesia in mobile army surgical hospital (MASH) units and the 171st Evacuation Hospital during the latter part of the Korean War in 1953. Values ... ...

    Abstract Relying on original, primary source documentation from the National Archives, we describe the practice of anesthesia in mobile army surgical hospital (MASH) units and the 171st Evacuation Hospital during the latter part of the Korean War in 1953. Values were scaled and reported as percentages. These Essential Technical Medical Data Sheets reveal a surprising proportion (12.9%) of men received spinal anesthetics, despite official recommendations to the contrary. Still, the majority (69.2%) of the wounded underwent general anesthesia, most commonly through a mixture of thiopental and nitrous oxide. Despite data from World War II demonstrating the advantages of endotracheal intubation in these patients, few patients (20.6%) were intubated. Six percent benefited from the new curare-based drugs. This is the first English-language article that describes the practice of anesthesia during the Korean War. Utilizing primary source documentation, we found that general anesthesia was the most common type utilized. Newer techniques were not as commonly adopted, despite official recommendations and data from the time. The care provided closely resembled that delivered in the Second World War but inspired a series of technological and pedagogical reforms through the 1950s to improve military anesthesia for the next conflict.
    MeSH term(s) Humans ; Korean War ; Anesthesiology ; World War II ; Anesthesia, General ; Nitrous Oxide
    Chemical Substances Nitrous Oxide (K50XQU1029)
    Language English
    Publishing date 2023-07-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80032-6
    ISSN 1526-7598 ; 0003-2999
    ISSN (online) 1526-7598
    ISSN 0003-2999
    DOI 10.1213/ANE.0000000000006525
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Education of American Surgeons and the Rise of Surgical Residencies, 1930-1960.

    Barr, Justin

    Journal of the history of medicine and allied sciences

    2018  Volume 73, Issue 3, Page(s) 274–302

    Abstract: In the first half of the twentieth century, the training of American surgeons changed from an idiosyncratic, often isolated venture to a standardized, regulated, and mandated regimen in the form of the surgical residency. Over the three critical decades ... ...

    Abstract In the first half of the twentieth century, the training of American surgeons changed from an idiosyncratic, often isolated venture to a standardized, regulated, and mandated regimen in the form of the surgical residency. Over the three critical decades between 1930 and 1960, these residencies developed from an extraordinary, unique opportunity for a few leading practitioners to a widespread, uniform requirement. This article explores the transformation of surgical education in the United States, focusing on the standardization and dissemination of residencies during this key period. Utilizing the archives of professional organizations, it shows how surgical societies initiated and forced reform in the 1930s. It demonstrates the seminal and early role taken by the federal government in the expansion of surgical residencies through incentivized policies and, especially, the growth of the Veterans Administration health system after World War II. Finally, an examination of intra-professional debates over this process illustrates both the deeper struggles to control the nature of surgical training and the importance of residency education in defining the midcentury American surgeon.
    MeSH term(s) Adult ; Education, Medical/history ; Education, Medical/organization & administration ; Female ; History, 19th Century ; History, 20th Century ; History, 21st Century ; Humans ; Internship and Residency/history ; Internship and Residency/organization & administration ; Male ; Middle Aged ; Surgeons/education ; Surgeons/history ; United States
    Language English
    Publishing date 2018-02-02
    Publishing country England
    Document type Historical Article ; Journal Article
    ZDB-ID 80280-3
    ISSN 1468-4373 ; 0022-5045
    ISSN (online) 1468-4373
    ISSN 0022-5045
    DOI 10.1093/jhmas/jrx058
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Ua II Zs.90: Show issues Location:
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  5. Article ; Online: Stricken Before Election: Presidential Health Crises From 1880 to 2020.

    Barr, Justin / Pappas, Theodore N

    Annals of surgery open : perspectives of surgical history, education, and clinical approaches

    2022  Volume 3, Issue 1, Page(s) e126

    Abstract: Between 1880 and today, 6 presidents have suffered major health crises just before their reelection campaigns. Ranging from Chester Arthur's development of Bright's Disease to Donald Trump contracting COVID-19, diseases and their treatments varied ... ...

    Abstract Between 1880 and today, 6 presidents have suffered major health crises just before their reelection campaigns. Ranging from Chester Arthur's development of Bright's Disease to Donald Trump contracting COVID-19, diseases and their treatments varied considerably. More interesting than the medical management, however, is the political maneuvering around each and the extraordinary lengths Presidents went to demonstrate their health to the American people. This article reviews these episodes, comparing and contrasting how each administration handled their crisis and what effect it had on the ensuing election-and thus the history of the United States.
    Language English
    Publishing date 2022-01-11
    Publishing country United States
    Document type Journal Article
    ISSN 2691-3593
    ISSN (online) 2691-3593
    DOI 10.1097/AS9.0000000000000126
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: History of Medicine in the Clerkships: A Novel Model for Integrating Medicine and History.

    Barr, Justin / Ingold, Rachel / Baker, Jeffrey P

    Journal of the history of medicine and allied sciences

    2023  Volume 78, Issue 1, Page(s) 62–70

    Abstract: The history of medicine has only unevenly been integrated into medical education. Previous attempts to incorporate the subject have focused either on the first year, with its already over-subscribed curriculum, or the fourth year in the form of electives ...

    Abstract The history of medicine has only unevenly been integrated into medical education. Previous attempts to incorporate the subject have focused either on the first year, with its already over-subscribed curriculum, or the fourth year in the form of electives that reach a small minority of students. Duke University provides an alternative model for other universities to consider. At our institution we have overcome many of the curricular limitations by including history during the mandatory third year clerkships. Reaching 100% of the medical school class, these sessions align with clinical disciplines, providing students a longitudinal perspective on what they are seeing and doing on the hospital wards. They are taught in conjunction with a medical history librarian and rely heavily on the utilization and interpretation of physical artifacts and archival manuscripts. The surgery, obstetrics/gynecology, and pediatrics rotations now feature successful and popular history of medicine sessions. Describing our lesson plans and featuring a list of both physical and online resources, we provide a model others can implement to increase the use, the framing, and the accessibility of history in their medical schools.
    MeSH term(s) Humans ; History of Medicine ; Child ; Curriculum ; Medicine ; Education, Medical ; Physical Examination ; Students ; Schools, Medical ; Education, Medical, Undergraduate
    Language English
    Publishing date 2023-01-05
    Publishing country England
    Document type Historical Article ; Journal Article
    ZDB-ID 80280-3
    ISSN 1468-4373 ; 0022-5045
    ISSN (online) 1468-4373
    ISSN 0022-5045
    DOI 10.1093/jhmas/jrac042
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  7. Article ; Online: Richard Nixon's Left Knee and Its Impact on American History.

    Barr, Justin / Pascarella, Luigi / Pappas, Theodore N

    The American surgeon

    2023  Volume 89, Issue 12, Page(s) 5559–5564

    Abstract: Richard Nixon injured his left knee in a limousine door while campaigning in North Carolina in 1960, resulting in septic arthritis that required a multi-day admission to Walter Reed Hospital. Still ill for the first presidential debate that fall, Nixon ... ...

    Abstract Richard Nixon injured his left knee in a limousine door while campaigning in North Carolina in 1960, resulting in septic arthritis that required a multi-day admission to Walter Reed Hospital. Still ill for the first presidential debate that fall, Nixon lost the contest based more on his appearance than his performance. Partly as a result of this debate, he was defeated by John F. Kennedy in the general election. Because of his leg wound, Nixon developed chronic DVTs in that limb, including a severe thrombus in 1974 that embolized to his lung, required surgery, and prevented him from testifying at the Watergate Trial. Episodes like this one highlight the value of studying the health of famous figures, where even the most minor injuries have the potential to influence world history.
    MeSH term(s) Humans ; Male ; United States ; Venous Thrombosis ; Politics ; North Carolina ; Accidental Falls
    Language English
    Publishing date 2023-03-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 202465-2
    ISSN 1555-9823 ; 0003-1348
    ISSN (online) 1555-9823
    ISSN 0003-1348
    DOI 10.1177/00031348231161769
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    Uk I Zs.106: Show issues Location:
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  8. Article ; Online: Battle of the Bulge: Aortic Aneurysm Management From Early Modernity to the Present.

    Barr, Justin

    Annals of internal medicine

    2017  Volume 166, Issue 4, Page(s) 291–296

    Abstract: For centuries, physicians have recognized aortic aneurysms as an acute threat to life. Therapeutic approaches to the disease began in the 18th century when leading physicians, such as René Laennec and Antonio Valsalva, applied research on circulation and ...

    Abstract For centuries, physicians have recognized aortic aneurysms as an acute threat to life. Therapeutic approaches to the disease began in the 18th century when leading physicians, such as René Laennec and Antonio Valsalva, applied research on circulation and blood coagulation to devise whole-body fasting and bleeding regimens to prevent rupture. After John Hunter's success in ligating arteries to treat peripheral aneurysms, surgeons attempted analogous operations on the aorta, but even the renowned Sir Astley Cooper and William Halsted met with disastrous results. Other clinicians tried various methods of creating intraluminal clots, including the application of such new technologies as electricity and plastic. Vessel repair techniques, pioneered by Alexis Carrel and others in the 20th century, eventually provided a reliably effective treatment. In the past few decades, minimally invasive methods that approach aneurysms endovascularly through small groin incisions have been adopted. A successful 2005 congressional campaign to fund screening for aortic aneurysms brought the disease to national attention and symbolizes current confidence in curing it. Drawing on various published and unpublished sources, this paper elucidates the development of specific treatments for aortic aneurysms over time and more broadly addresses how medicine and surgery apply the knowledge and technology available in particular eras to treat a specific, identifiable, and lethal disease. Examining the evolution of these therapeutic efforts unveils broader trends in the history of medicine. This allows aortic aneurysms to serve as a case study for exploring shifting philosophies in medical history.
    MeSH term(s) Aortic Aneurysm/history ; Aortic Aneurysm/therapy ; Bloodletting/history ; Fasting ; History, 15th Century ; History, 16th Century ; History, 17th Century ; History, 18th Century ; History, 19th Century ; History, 20th Century ; History, 21st Century ; Humans ; Minimally Invasive Surgical Procedures/history ; Vascular Surgical Procedures/history
    Language English
    Publishing date 2017-02-21
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 336-0
    ISSN 1539-3704 ; 0003-4819
    ISSN (online) 1539-3704
    ISSN 0003-4819
    DOI 10.7326/M16-2081
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  9. Article ; Online: Military Medicine of the Russo-Japanese War and its Influence on the Modernization of the US Army Medical Department.

    Barr, Justin

    U.S. Army Medical Department journal

    2016  , Issue 3-16, Page(s) 118–128

    MeSH term(s) History, 20th Century ; Humans ; Military Medicine/standards ; Military Medicine/statistics & numerical data ; Public Health/methods ; Public Health/standards ; Russian-Japanese War ; Social Change/history ; Typhoid Fever/mortality ; Typhoid Fever/prevention & control
    Language English
    Publishing date 2016-10
    Publishing country United States
    Document type Historical Article ; Journal Article
    ZDB-ID 2041937-5
    ISSN 1946-1968 ; 1524-0436
    ISSN (online) 1946-1968
    ISSN 1524-0436
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  10. Article ; Online: Harry Truman's Complicated Cholecystectomy.

    Pappas, Theodore N / Gloria, Jared N / Barr, Justin

    Annals of surgery open : perspectives of surgical history, education, and clinical approaches

    2022  Volume 3, Issue 1, Page(s) e150

    Abstract: Mini-abstract: Harry S. Truman, the 33rd President of the United States, developed right-sided abdominal pain the year after he left office. Misdiagnosed with appendicitis, Truman underwent an appendectomy before a cholecystectomy treated the underlying ...

    Abstract Mini-abstract: Harry S. Truman, the 33rd President of the United States, developed right-sided abdominal pain the year after he left office. Misdiagnosed with appendicitis, Truman underwent an appendectomy before a cholecystectomy treated the underlying cholecystitis. This error was concealed at the time from the American people. His postoperative course was closely followed by Americans through newspapers and was complicated by a bout of
    Language English
    Publishing date 2022-03-09
    Publishing country United States
    Document type Journal Article
    ISSN 2691-3593
    ISSN (online) 2691-3593
    DOI 10.1097/AS9.0000000000000150
    Database MEDical Literature Analysis and Retrieval System OnLINE

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