La universidad médica en Cuba durante la etapa colonial / The medical university in Cuba during the colonial period

RESUMEN Se realizó una investigación sobre la universidad médica en Cuba, incluyendo la enseñanza de la Medicina y la Estomatología, con el objetivo de explicar su evolución histórica durante la etapa colonial. Se enfatizó en las principales figuras que ejercieron en este período, las primeras publicaciones médicas, y las instituciones y centros asistenciales que regían la práctica de la medicina. Se concluye que la universidad médica en Cuba se fundó sobre una base escolástica y tradicionalista. A partir de 1842, la enseñanza de la Medicina se desarrolló con la creación de nuevos planes de estudios, el incremento de profesionales capacitados, la publicación de revistas científicas de alto prestigio, y la aparición de centros docentes de gran calidad (AU).

ABSTRACT A research was carried out on the medical university in Cuba, including the teaching of Medicine and Dentistry, with the aim of explaining its historical evolution during the colonial period. The authors emphasized the main figures who worked during this period, the first medical publications, and the institutions and healthcare centers that implemented the practice of medicine. It is concluded that the medical university in Cuba was founded on a scholastic and traditionalist basis. From 1842, the teaching of Medicine developed with the creation of new curricula, the increase of trained professionals, the publication of high-quality scientific journals, and the emergence of high-quality teaching centers (AU).

A cidade no pensamento brasileiro, do século XVI ao século XX / The city in Brazilian thought from the 16th to the 20th century

A afirmação do pensamento urbanístico moderno no Brasil não pôde deixar de enfrentar visões persistentes a respeito do papel das cidades na vida nacional, do caráter, relevância ou validade de nosso processo de urbanização, dos vícios e virtudes do mundo urbano. Para elucidar algumas dessas visões, podemos recorrer a textos formadores da consciência local, dos cronistas coloniais redescobertos no século XIX à emergência de uma concepção dominante de "cultura brasileira" na obra de Gilberto Freyre. Ao longo dessa trajetória transparecem diferentes enfoques, imagens e projeções, em que o mundo urbano é visto ora ostentando sua imponência oficial, ora exibindo suas mazelas morais e físicas, mas na maioria das vezes desaparecendo em favor do quadro predominante de um país "essencialmente" rural.

The assertion of modern urban planning in Brazil cannot evade persistent visions of the role of cities in the country's life, of the relevance, validity or character of our urbanization process, or of the vices and virtues of the urban world. In order to elucidate some of these visions, we may consult formative texts of local knowledge ­ from colonial writers rediscovered in the 19th century to the emergence of a dominating notion of "Brazilian culture" in the work of Gilberto Freyre. Along this trajectory different images and projections can be seen in which the urban milieu is regarded either as the imposing official space of Europeanization, or as displaying its physical and moral deficiencies, although more often simply disappearing in favor of the prevailing image of an "essentially" rural country.

Discovery of Eurytrema Eggs in Sediment from a Colonial Period Latrine in Taiwan

In this study we take a closer look at the diseases that afflicted Japanese police officers who were stationed in a remote mountainous region of Taiwan from 1921 to 1944. Samples were taken from the latrine at the Huabanuo police outpost, and analyzed for the eggs of intestinal parasites, using microscopy and ELISA. The eggs of Eurytrema sp., (possibly E. pancreaticum), whipworm and roundworm were shown to be present. True infection with Eurytrema would indicate that the policemen ate uncooked grasshoppers and crickets infected with the parasite. However, false parasitism might also occur if the policemen ate the uncooked intestines of infected cattle, and the Eurytrema eggs passed through the human intestines. These findings provide an insight into the diet and health of the Japanese colonists in Taiwan nearly a century ago.

Traditional Medicine Doctor Kim Gwangjin's Battle against Jaundice during the Japanese Colonial Period / 의사학

This study aims to examine how traditional medicine doctors (醫生) of the Japanese colonial period in Korea treated patients and their own diseases with traditional medicine (漢方) and Western medicine (洋方) by analyzing Clinical Cases (治案) and A Diary of Jaundice Treatment (治疸日記) of Kim Gwangjin (金光鎭, 1885–1940). Through this inquiry, this study aims to reveal that the Japanese colonial period was a time when the traditional medicine and the Western medicine coexisted, and that this period cannot be simply defined as a dualism between “Western medicine, Japanese colonial government” versus “traditional medicine, governed public.” Kim Gwangjin's main method of medical treatment was traditional medicine. Clinical Cases include over 60 treatment cases, and they illustrate that he was a typical doctor at the time using traditional medical knowledge. In addition, Kim wrote A Diary of Jaundice Treatment from January 1939 to July 1940, a month before his death. The disease that led to his death was jaundice. He examined the changes in his abdomen every day, and recorded the changes in edema in upper extremities and testicles, urine and feces. While the treatment that Kim used in the early stages of jaundice were herbal medicines, he was not confined to the boundaries of the traditional medicine as he studied Western medicine to obtain a license of traditional medicine doctor from Japanese colonial government. He took a urine test to confirm whether his illness was jaundice or kidney disease and had X-ray imaging to check for pleurisy at a Western medical hospital in Daegu. Furthermore, he received a procedure to artificially drain bile, took a medicine to excrete bile into the feces, and had injection to treat neuralgia. Mostly, it was diarrhea that bothered Kim, who had been suffering from jaundice. Preventing diarrhea led to edema, and removing edema led to diarrhea again. He managed his symptoms by stopping the herbal medicine treatments and going on a raw food diet. Around this time, Kim relied the most on Ejisan (エヂ散). Ejisan was a type of new medicine mixed with traditional medicine and Western medicine that had the effect of treating edema and digestive disorders. Kim personally manufactured and took the drug until a month before his death, praising it as a necessary drug to treat jaundice. Kim was a traditional medical doctor during the Japanese colonial period. He also had the conventional wisdom that Western medicine was excellent in treating surgical diseases but not effective in internal medicine. However, he used both traditional medicine and Western medicine to treat symptoms of jaundice that have not been treated well and created a new medicine called Ejisan, which combined the two types of medicines. For him, Western medicine was a new medicine that improved the wrong aspects of traditional medicine or the old medicine, but there was still a realm of traditional medicine that Western medicine could not intervene. Furthermore, he published a new theory of traditional medicine called the Principle of Up and Down (升降論), which incorporates some Western medical knowledge. The Japanese colonial government required traditional medicine doctors to study Western medicine, and traditional medicine doctors had to learn Western medicine in order to survive. In the meantime, traditional medicine doctors such as Kim have brought about new changes by integrating the two medical treatments in the clinical field. The Japanese colonial government planned the demise of traditional medicine by forcing traditional medicine doctors to study the Western medicine, but the unexpected achievement brought about by traditional medicine doctors, who survived longer than the Japanese Empire and the colonial government, was an attempt to integrate Eastern and Western medicine.

Rabies Outbreaks and Control during the Japanese Colonial Period in Korea / 의사학

Rabies became one of the critical zoonoses in the modern urban environment since pet keeping culture became widespread in the Western countries in the 18th century. The sanitary policy against rabies was a forceful tool for the colonial rulers in the 19th century. This study describes the rabies outbreaks in the context of prevention methods, experts' engagement and the public response to the policies based on the statistics, regulations and newspaper articles on rabies in Korea during the Japanese colonial period. Based on the changes in the rabies policies, this study divides the time period into three phases. First phase (1905-1914) was characterized with the first epizootics investigation in Korea in 1905 and the “Domestic dog control regulation” in 1909, which legitimated elimination of dogs without owners' name tags. In the second phase (1915-1926), rabies was designated as a reportable disease by the “Act on Prevention of Domestic Animal Infectious Diseases (1915)” and thousands of dogs were slaughtered every year for rabies prevention. In the third phase (1927-1945), vaccination for dogs became a main intervention. From 1927 to 1942, 760,515 dogs were vaccinated. However, the broad scale rabies control projects over these decades did not seem to decrease the outbreaks of rabies because they did not reflect the rabies situation in Korea. Furthermore, the rabies control policy of the Japanese colonial government was criticized by the public for its violence against dogs and humans, for causing conflicts between social classes, and for lack of understanding of traditional human-dog relationship.

The Study of School Hygiene and Physical Education in Chosun during the Early Japanese Colonial Period Carried Out through Educational Magazines: Focusing on the Time Period before the Manchurian Incident in 1910-1931 / 의사학

This research mainly dealt with sanitation and hygiene related editorials quoted from educational magazines published in Chosun until the Manchurian Incident during the Japanese colonial period. The study revealed that modern Japan became aware of the importance of public sanitation from the late nineteenth century and established modern programs so that schools can comprehensively teach students about sanitation and hygiene so as to enter modern imperial society. Japan particularly introduced and carried out modern physical(gymnastics) education as a means of "complete sanitation and hygiene" to improve students' health. As a result of having two times of war, the Japanese Empire reaffirmed the significance of modern sanitation and hygiene. After colonization of Chosun, Japan organized official educational groups and enlightened the public about sanitation and hygiene through editorials on the educational magazines which the groups had published. In order for schools to promote complete sanitation and hygiene based on modern medicine, Japan actively engaged in suggesting the necessity of physical(gymnastics) education which was critical to human's growth and development. After Japanese Government-General of Korea legislated on school hygiene in 1913, Japanese governments school started hiring school doctors and nurses. They stressed the need of providing sanitation and hygiene education in school to prepare for war in 1910's in advance; highlighted that physical (gymnastics) education should be enforced to help students grow and improve their physical strength from a modern medical point of view. In April, 1919, the Japanese Empire implemented the same instruction to the schools where Chosun people attended. But it was found that the law was not applied well to those schools in effect. The Japanese Empire was seen to proclaim the second educational decree in 1922; proposed international hygienic achievement of the time and comments; enlightened the public by connecting "Fletcherism" of the USA with rice crisis, which was a big social issue back then. In an attempt to complement modern sanitation and hygiene, Japan strongly recommended students appropriate physical gymnastics as the most desirable and complete sanitation method, saying it would help them correct their imbalanced condition-which was found from physical examination - and grow up. They even claimed such an absurd logic that ones whose body did not develop normally tend to become criminals, reflecting the then atmosphere of the society, and considered military gymnastics as one of the most important sanitation and hygiene factors that positively influence growth and development. All the fact that Japan tried hard to apply the practice to students cannot be ignored.

Anti-Tuberculosis Policy of the Government General of Korea during Japanese-Colonial Period (1910-1945): From Simple Restriction to Active Enlightenment / 의사학

In this paper, I tried to examine the characteristic of anti-tuberculosis policy in colonial Korea and find out internal constraint of hygienic administration by Japanese government during Japanese-Colonial Period. Despite of high prevalence of tuberculosis among Japanese in Korea, the Japanese Government General of Korea had done almost nothing until 1936. Japan's hygienic administration was highly dependent upon hygienic police, and mainly with compulsory isolation and disinfection. It was inefficient in tuberculosis problem. In 1918, Japanese Government General enacted 'Ordinance of Prevention of Tuberculosis', solely based upon naive tuberculosis etiology in sputum; consisted of simple crackdown and isolation and had no effect due to the limit of anti-tuberculosis and health budget. Also the ordinance actually set limitation upon the tuberculosis facilities, only a few health care facilities could be affordable for tuberculosis patients. Since 1936, the Japanese Government General of Korea began tuberculosis prevention measures in earnest. Due to the Second Sino- Japanese War and World War II, there was urgent need to make Korean society and population as "safe, and healthy rear area". The Government organized 'Chosen Anti-tuberculosis Association' and highly pursued enlightment campaign. It was almost temporary measures of enlightenment and publicity. Also various types of health screening and tuberculosis prevalence research were introduced to Korean people. But it was not so effective to identify tuberculosis problem in Korea. Mass tuberculin test and X-ray test was introduced, but it was not well organized and scientifically designed. Besides, tuberculosis treatment facility was extremely rare because of strict isolation and high standard policy. Japanese Governemtn set numerous tuberculosis-counseling centers and mobilized public doctor for consulting tuberculosis, but the accessibility of centers was very low. Moreover, there was no source to establish facilities like sanatorium. The Japanese Government General of Korea was constantly suffered from limit of budget and a lot of Japanese in Korea had no inherent motive for installing sanatorium and anti-tuberculosis measures. As the result, the effort made by Japanese Government General of Korea to diminish tuberculosis in Korea failed during the wartime.

Jeong Jongmyung, a Korean feminist and midwife of Japanese Colonial Period / 의사학

Jeong Jongmyung (1896-?) was born in Seoul and could have 4 years of formal education in a missionary girls' school. She learned Chinese writing, English, Korean, Japanese, History, Geography, and Science there, which was very rare and high education for Korean girls. But she had to quit it for poverty, and married when she was 17. Her marriage was unhappy and her husband died after 3 years. Jeong entered Severance Hospital Training School for Nurses in 1917 to have economic independence. During her training for 3 years, she studied western science and medicine and learned how to cooperate with other working girls. In 1919, Korean launched Samil Independence Movement. Jeong helped other independence activists as a nursing student and her mother had to be in prison for 3 years. After graduation, she entered the Midwifery School of General Hospital of Government General of Korea to have better position than nurse. As soon as she got midwifery license, she opened her own clinic which gave her social respect income, because there were only 25 Korean midwives in Korea. In 1922 Jeong established and became the leader of the Support Group for Working Girl Students. She continuously established and leaded social movement organizations, in 1924, the Korean Association of Nurses and the Women Comrades Society, in 1926 Jeongwoohoe, in 1927 Geunwoohoe and Shinganghoi. From 1923 Jeong got more fame by public speeches. The main contents of them were the women's problem in Korea. As the first Korean woman communist, she analyzed the Korean society and women's problem as a communist and insisted that the women's liberation movement should be gained in class struggle in cooperation with the proletariat. She was very active and aggressive in public lecture, and in everyday lives, Jeong was so warm hearted and eager to help other activists with her energy and income, so others called her their "sister, housemaid, lover, and mother". The Japanese rulers oppressed her by stopping or forbidding her lectures. In 1931 Jeong was prosecuted for the trial of reconstruction of communist party in Korea. She was sentenced to be guilty and had to be in prison until 1935. Even in prison, she helped other prisoners in labor and continued her job as a midwife after discharge. Jeong could not be active as before because of the worse ruling policy than before, but after the liberation in 1945 she went to North Korea and participated in the women's movement.

Plantas medicinales en revistas científicas de Cuba colonial y neocolonial / The presence of medicinal plants in scientific journal from the colonial and neocolonial Cuba

INTRODUCCIÓN: las plantas medicinales y sus formulaciones constituían un recurso terapéutico de la medicina cubana en la época colonial y neocolonial, no se encuentra información recuperable de los artículos publicados en las revistas científicas de la época. OBJETIVOS: identificar y compilar los artículos científicos sobre usos médicos de plantas medicinales durante la época colonial y neocolonial. MÉTODOS: se realizó una revisión en 16 principales revistas científicas médicas cubanas de la época, se recogieron los datos en un modelo confeccionado al efecto. RESULTADOS: se encontraron en 5 revistas, 53 artículos de plantas medicinales: 8 en Repertorio Médico Habanero (1840-1843), 37 en Anales de la Real Academia de Ciencias Médicas, Físicas y Naturales de La Habana (1864-1958), 1 en Revista Médica de La Isla de Cuba (1858), 2 en Gaceta Médica de La Habana (1878-1880) y 5 en Crónica Médico-Quirúrgica de La Habana (1875-1940) donde no se concluyó la búsqueda; las especies, partes utilizadas, preparaciones, indicaciones, así como estudios realizados fueron variados; en las 11 restantes no se obtuvo información de plantas medicinales. CONCLUSIONES: en la literatura revisada de esta época se publicaba poca información sobre el uso de las plantas medicinales y sus estudios

INTRODUCTION: the medicinal plants and their formulas were a therapeutic resource of Cuban medicine in the colonial and neocolonial period, there is not available a retrieved information of papers published in scientific journals of that period. OBJECTIVES: to identify and to collect the scientific papers on the medical uses of medicinal plants during the colonial and neocolonial period. METHODS: a review in 16 leading Cuban medical scientific journals of that period, collecting the data from a form designed to that end. RESULTS: we found 5 journals, 53 papers on medicinal plants: 8 in Repertorio Médico Habanero (1840-1843), 37 in Anales de la Real Academia de Ciencias Médicas, Físicas y Naturales de La Habana (1865-1958), 1 in Revista Médica de La Isla de Cuba (1858), 2 in Gaceta Médica de La Habana (1878-1880) and 5 in Crónica Médico-Quirúgica de La Habana (1875-1940) where the search wasn't concluded, the species, parts used, preparations, indications, as well as the studies conducted were varied, in the 11 remainder it wasn't possible to get information on medicinal plants. CONCLUSIONS: in the reviewed literature of this period not much information was published on the use of medicinal plants and related studies

A Tripanossomíase Americana antes de Carlos Chagas. / American Trypanosomiasis before Carlos Chagas

Em 1909 Carlos Chagas presenciou uma nova endemia em plena ascensão ? a Tripanossomíase Sul-Americana, em sua homenagem denominada Doença de Chagas ? possível resultado de um desastre ecológico que lentamente se firmava. Estudos através da técnica de PCR demonstraram a presença do parasita entre os indígenas pré-colombianos e a transmissão oral do Trypanossoma, através da ingestão de carne crua ou mal cozida de animais silvestres, pode ter sido relevante entre esses povos. Neste trabalho mostra-se que a presença de vetores e de sintomas da doença pôde ser notada durante o período colonial e no império.

In 1909 Carlos Chagas observed the ascension of a disease ? American trypanosomiasis (Chagas Disease) ? as a possible result of an ecological disaster. Polymerase Chain Reaction (PCR) technique studies have demonstrated the presence of the parasite among pre-Columbian native American populations and the oral transmission of the Trypanossoma; the ingestion of raw or undercooked meat of wild animals may have been relevant in the disease transmission among those people. In this retrospective study it is shown that evidence of the vectorial presence and symptoms of the illness could also be detected during the colonial and imperial periods in Brazil.

The academic trend of Oriental Medicine during the Japanese colonial period as observed through the publication of medical books / 의사학

This thesis examines the academical trend of Oriental Medicine in the Japanese colonial period observed through medical books published during the Japanese colonial period. This is a period in which Western Medicine was introduced, and due to the lean-to-one-side policy by the Japanese, Western Medicine became the mainstream medical science while Oriental Medicine was pushed to the outskirts. Even after all this, the academic activity was flourishing during this period compared to any other periods. This article is divide into various chapters each with its own theme in order to understand the academic trend of Oriental Medicine during the Japanese colonial period. Focusing on the publication of medical books, this article is divided and observed according to various themes such as the study of Dong-Eui-Bo-Gam, the study of Bang-Yak-Hap-Pyeun, the study of Sang-Han-Ron, the study of Sa-sang constitutional medicine, the study of Eui-Hak-Ip-Mun, the study about Bu-Yang-Ron, On-Bo-Ron, and pediatrics, compromise between Western and Oriental Medicine, the study of experience medicine, the study of acupuncture and moxibustion, and etc.

The Characteristics of Korea's Eugenic Movement in the Colonial Period Represented in the Bulletin, Woosaeng / 의사학

Woosaeng, meaning "eugenic" in Korean, was a bulletin published by the Korean Eugenics Association in 1934. With detailed review of the contributors to Woosaeng, its publication background and the contents, the characteristics of Korea's eugenic movement in 1930's and its historical implications of public health are studied. Intellectuals, especially some medical doctors educated abroad, played the pivotal role in publishing Woosaeng and leading the eugenic movement in 1930's. Lee Gabsoo, a medical doctor educated in Germany, is identified as the key person in the whole process. Most of contributors including Lee considered medical science, especially genetics, as the foundation of eugenics and had strong confidence in their belief. A variety of eugenic movements and activities, including enactment of the national eugenic law around the world, was introduced to the Korean society through Woosaeng and it reinforced the eugenic activities in Korea. Although colonial Korea at the time was being heavily imposed with Japan's culture, the eugenic activities were also influenced by Germany and the US through the contributors educated oversea. The overall content and tone of Woosaeng, revealed its 'soft' characteristics, yet it also implied its vulnerability to 'hard' eugenics. Korea's eugenic movement around Woosaeng faces turnover right before 'The Go Fast Imperialism' period. The high class intellectuals tamed by Japanese colonial paradigm in eugenics took the lead and ended up having a significant influence upon the activities around Woosaeng. And even after Koreans' liberation from Japan's annexation, they were able to retain their influence in public health area in the Korean society. In summary, Woosaeng guided us to understand the characteristics of Korea's eugenic movement in 1930's and the historical context of public health in Korea. Moreover, Woosaeng provided a large amount of information about the eugenic movements around the world as well as in Korea. It also provided some specific examples about the strategic relationship between medical science and politics in 1930's Korea.

A Study on the General Public Understanding and Utilization of Korean Traditional Medicine in Colonial Period / 의사학

During Colonial Period, Western Medicine was introduced, and due to the lean-to-one-side policy by the Japanese, Western Medicine became the mainstream medical science while Oriental Medicine was pushed to the outskirts. The general public in colonial period got help from medical profession after they tried something they could do at home when they got sick or injured. There were differences to get help from western or traditional medicine according to their economic status, living area, and educational status, the character of disease or injury, etc. In general, public made more use of traditional medicine than western medicine. Although the traditional medicine had better regional and economic approach, there was another important factor that made the general public prefer traditional medicine to western medicine. The general public had strong belief in the treatment of traditional medicine. There was no strong belief that western medicine was better in scientific ground and modern than oriental medicine. In spite of their general preference for traditional medicine, the general public had some conflict in everyday choice on medicine. The belief of relatives, personal experience, economic status, the character of the disease made the conflict possible. Sometime the general public chose both traditional and western medicine altogether.