William Osler | ScienceGate

En esta revisión se describen la etiología y la naturaleza del asma en el contexto histórico, la patología y fisiopatología en el tiempo y cómo se ha desarrollado el concepto de la terapia en el asma. Desde tiempos antiguos, el asma ha sido reconocida por muchas culturas, incluidas la china, la hebrea, la griega y la romana. Fue el médico griego Hipócrates (460-377 a. C.) de los primeros en describirla, aunque el término era usado para referirse a un síntoma y no a una enfermedad. La mayor contribución para el entendimiento del asma en el siglo XIX fue hecha por Henry Hyde Salter (1823-1871 d. C.), quien propuso una clasificación de asma intrínseca y extrínseca basado en el mecanismo y la naturaleza de varios estímulos. William Osler (1849-1919 d. C.) describió la relación entre los diferentes estímulos que causan disfunción paroxística de las vías aéreas en el asma.

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Men and Books Sir William Osler; Earl F. Nation, editorMen and Books Sir William Osler; Earl F. Nation, editor Durham, North Carolina: The Sacrum Press (Box 3044, Durham, NC 27705), 1987, v + 67 p., $20.00 (U.S.)

Canadian Bulletin of Medical History ◽

10.3138/cbmh.5.1.87 ◽

1988 ◽

Vol 5 (1) ◽

pp. 87-87

Keyword(s):

North Carolina ◽

William Osler

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Physicianship and the Rebirth of Medical Education

10.1093/oso/9780199370818.001.0001 ◽

2018 ◽

Cited By ~ 4

Author(s):

J. Donald Boudreau ◽

Eric Cassell ◽

Abraham Fuks

Keyword(s):

Medical Education ◽

Educational Process ◽

Medical Attention ◽

Patient Centeredness ◽

Goals Of Medicine ◽

The Subject ◽

Definition Of ◽

And Function ◽

William Osler ◽

The Relationship

This book reimagines medical education and reconstructs its design. It originates from a reappraisal of the goals of medicine and the nature of the relationship between doctor and patient. The educational blueprint outlined is called the “Physicianship Curriculum” and rests on two linchpins. First is a new definition of sickness: Patients know themselves to be ill when they cannot pursue their purposes and goals in life because of impairments in functioning. This perspective represents a bulwark against medical attention shifting from patients to diseases. The curriculum teaches about patients as functional persons, from their anatomy to their social selves, starting in the first days of the educational program and continuing throughout. Their teaching also rests on the rock-solid grounding of medicine in the sciences and scientific understandings of disease and function. The illness definition and knowledge base together create a foundation for authentic patient-centeredness. Second, the training of physicians depends on and culminates in development of a unique professional identity. This is grounded in the historical evolution of the profession, reaching back to Hippocrates. It leads to reformulation of the educational process as clinical apprenticeships and moral mentorships. “Rebirth” in the title suggests that critical ingredients of medical education have previously been articulated. The book argues that the apprenticeship model, as experienced, enriched, taught, and exemplified by William Osler, constitutes a time-honored foundation. Osler’s “natural method of teaching the subject of medicine” is a precursor to the Physicianship Curriculum.

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Beyond Last Words: Patterns of Linguistic and Interactional Behavior in a Historical Sample of Dying Hospital Patients

OMEGA - Journal of Death and Dying ◽

10.1177/00302228211000938 ◽

2021 ◽

pp. 003022282110009

Author(s):

Michael Erard

Keyword(s):

Clinical Study ◽

Social Context ◽

Small Step ◽

Left Behind ◽

The Social ◽

Canadian Physician ◽

Hospital Patients ◽

Historical Sample ◽

William Osler ◽

Frequent Observation

Patterns of linguistic and interactional behavior by people at the very end of their lives are not well described, partly because data is difficult to obtain. This paper analyzes descriptions of 486 deaths gathered from 1900 to 1904 in the first-ever clinical study of dying by noted Canadian physician, Sir William Osler. Only 16 patients were noted speaking, and only four canonical last words were reported. The most frequent observation by medical staff was that the deaths were quiet ( n = 30), though range of other behaviors were noted (e.g., moaning, delirium, seeming intention to speak). Osler's problematic study left behind data whose analysis is a small step toward empirically characterizing the linguistic and interactional details of a previously under-described phenomena as well as the importance of the social context in which they occur.

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