DSpace Community:
https://dspace.ewha.ac.kr/handle/2015.oak/171651
2024-03-29T11:32:59Z
2024-03-29T11:32:59Z
Prosthetics, Medicine, and Disability in Modern America: The Case of the A. A. Marks Artificial Limb Company
이현주
https://dspace.ewha.ac.kr/handle/2015.oak/265330
2024-03-08T16:32:05Z
2023-01-01T00:00:00Z
Title: Prosthetics, Medicine, and Disability in Modern America: The Case of the A. A. Marks Artificial Limb Company
Ewha Authors: 이현주
Abstract: Through the case of the A. A. Marks Artificial Limb Company, this article explores how the technology and business of prosthetics grew in America up to the First World War. In 1853, Amasa A. Marks established the artificial limb company A. A. Marks in New York. By the time of the First World War, the company had become the largest supplier of artificial limbs in the United States and had gained international recognition, exporting its products all over the world. Focusing on the company’s growth before the war, this paper analyzes how American artificial limb makers positioned themselves between art and medicine and between surgeons and disabled customers at a time when their occupation had yet to be established as a specialized profession. From the mid-nineteenth century when the artificial limb business burgeoned to the First World War, American society went through various social and cultural changes that influenced the prosthetics industry and the perception of disability. During the Civil War, numerous soldiers were injured but survived because advancements in amputation techniques enabled surgeons to save more lives despite limb loss. The growing number of maimed veterans required more mechanical and public support for their rehabilitation. As a reconstruction project of the nation and a way to address the sense of damaged masculinity felt by injured war veterans, both Union and Confederate states approved support for providing them with artificial limbs at public expense. In postbellum America, as well as deformity and amputation, industrialization created a need for artificial limbs as the brutality of advanced weapons and unfortunate accidents involving machines and railroads increased the number of amputees. Thus during the late nineteenth century and early twentieth century, recognition of maimed bodies in public places went through a legislative and cultural transformation. The growth of artificial limb manufacturer A. A. Marks was in tune with such technological, medical, and sociocultural changes. Along with technological innovations and patents to protect these innovations, Amasa Marks devised various marketing methods and strategies through which the company secured customers and finally expanded the prosthetics market. As its customers increased, the company accumulated quantitative and qualitative data from patients’ responses and interviews, and its own observations. In the late nineteenth century, George E. Marks, Amasa Marks’s son and a representative of the company, analyzed customers’ experiences of disability, gathering information on patterns of disability and mortality rates. Based on the company’s rich experience with a large number of patient cases, George Marks advanced criticisms of surgical methods and provided second opinions on amputation surgeries. In doing so, he attempted to promote the limb maker’s position from mere artisan to specialist, redefining the relationship between medicine and prosthetics and between surgeon and prosthetist. He also conveyed patients’ complaints and needs to the medical men in the process, and distributed the company’s findings and knowledge to surgeons and the general public by publishing treatises, articles, and manuals. Consequently, the company influenced an important epistemological turn in which the prosthetic perspective was considered prior to amputation surgery, not just as an inevitable follow-up. © The Korean Society for the History of Medicine.
2023-01-01T00:00:00Z
A Geopolitical Study on the New Provincial Hospital during the Period of Governor-General Saito
이방원
https://dspace.ewha.ac.kr/handle/2015.oak/262950
2023-07-03T16:31:00Z
2022-01-01T00:00:00Z
Title: A Geopolitical Study on the New Provincial Hospital during the Period of Governor-General Saito
Ewha Authors: 이방원
Abstract: This study examines the characteristics of fifteen Jahye hospitals and provincial hospitals which were established or relocated during Governor-General Saito's regime. The purpose of this study is to analyze these hospitals by connecting them to the directions of Japanese colonial policies, the political beliefs of the governor-general, and their necessity by the local people. The period of expansion of provincial hospitals was divided in to three different periods. The periods are divided as follows: the first appointment of Saito as the governor-general, the period when Jahye hospitals turned into provincial hospitals, and when Saito got reappointed as the governor-general. It analyzes the natural and human geographical environment of each region where Jahye and the provincial hospitals were organized. Based on this analysis, it investigates the geopolitical features of Jahye and provincial hospitals which were established on the Governor-General Saito era.First, the areas that the Joseon Governor-General was interested in establishing Jahye and the provincial hospitals were military points useful for keeping Russia in check and managing the Manchurian region. In addition, those areas were rich in resources needed by Japan and transportation centers which were useful for the collection and distribution of goods. Second, the regions where provincial hospitals were built were rice-producing areas and leading export ports which were related to the rice production growth plan in the early 1920s. Also, the region's own economic power was able to run the hospitals. Third, at the stage of deciding to install a new provincial hospital, there were conflicts due to concerns over the deterioration of the status of nearby areas and existing regions and the difficulty of operating provincial hospitals. Fourth, each provincial hospital was divided into independent provincial hospitals, provincial branch members, provincial branch offices, etc. according to the region's size and population. Among them, some provincial branch members and provincial branch offices were promoted to independent hospitals due to the development and expansion of the region and the increase in the number of patients who used the hospitals. Also, it was revealed that in the process of expanding a city, some regional hospitals were turned into provincial hospitals.In conclusion, the provincial hospitals which were newly built in during the Governor-General Saito era were established in military and economically useful areas for the Japanese colonial rule. Also, transportation facilities such as railroads were installed in the areas, and this lead to concentration of infrastructure and industrial facilities such as companies and factories, which in turn made possible the increase of population, especially the population of Japanese people.
2022-01-01T00:00:00Z
Dr. James Smith's Dream of Eradicating Smallpox and the National Vaccine Institution
이현주
https://dspace.ewha.ac.kr/handle/2015.oak/261334
2024-03-08T16:31:11Z
2022-01-01T00:00:00Z
Title: Dr. James Smith's Dream of Eradicating Smallpox and the National Vaccine Institution
Ewha Authors: 이현주
Abstract: This article re-examines from a new perspective the efforts of James Smith (1771-1841), a Maryland doctor, to eradicate smallpox in the United States. As one of the few successful cowpox inoculators at the turn of the nineteenth century, Smith recognized the necessity for a public vaccine institution that could ensure the safe production and continuous preservation and circulation of vaccine matter. Thus, he devoted himself to creating statewide and national vaccine institutions funded by the state and federal governments. He established the National Vaccine Institution (NVI), but despite his efforts, the NVI existed only a short time from 1813 to 1822. Previous studies on Smith have focused on the 1813 Vaccination Act (An Act to Encourage Vaccination) and the NVI, and have evaluated them as failed projects or historically missed opportunities. However, this kind of approach does not justly place the act and institutions within Smith's larger plan and do not fully discuss the role of the NVI in his system of promoting vaccination in the United States. This article analyzes how he responded to the problems hindering cowpox vaccination, including spurious vaccine, failed vaccination, and low public acceptance of cowpox vaccine. In doing so, this study shows that Smith attempted to establish a universal and systematic vaccination system connecting citizens, government, and medical personnel through the NVI, as well as ensuring a safe and regular supply of vaccine.
2022-01-01T00:00:00Z
Another Tradition of Chinese Medical Knowledge Dissemination: The Characteristics and Significance of the 'Zhiguai Medical Cases' of the Song Period
최해별
https://dspace.ewha.ac.kr/handle/2015.oak/261332
2023-04-11T16:31:14Z
2022-01-01T00:00:00Z
Title: Another Tradition of Chinese Medical Knowledge Dissemination: The Characteristics and Significance of the 'Zhiguai Medical Cases' of the Song Period
Ewha Authors: 최해별
Abstract: During the explanation of the origin of 'prescription,'an interesting phenomena in the accumulation and diffusion of medical knowledge in the Song Period is that many prescriptions contain narratives with bizarre elements, such as those given by God through dreams, received from 'strange people,' or from animals appearing in these dreams. This study features an anecdote called 'zhiguai Medical Cases,' which contains bizarre elements in the dissemination process of prescription, narrative of the treatment experience, and specific content of prescription, called a 'zhiguai prescription. 'In previous research, such prescriptions were often called a 'God-delivered prescription.'However, a 'zhiguai prescription' appears adequate because it includes a number of factors beyond the 'God-delivered prescription.' This study examines the background of the intensive emergence of massive zhiguai medical cases in the Song Period, reviews the characteristics and significance of the zhiguai prescriptions in the context of postwar medical history, and finally investigates the influence of the bizarre narrative by tracing the dissemination of related prescriptions. This study found that the zhiguai prescription experiences were different from the so-called 'academic' that was formed in the Song Period, and it was 'another' method of medical knowledge dissemination based on their narratives. The emergence of many zhiguai medical cases in the Song Period, especially in the Southern Song period, is related to the activities of the literati official. The literati officials of the Song Period frequently witnessed strange or anomalous phenomena in their daily life. They relied on them to relieve the powerlessness of reality and left records. In addition, unlike the authors of the zhiguai genre of the previous era, they maintained an attitude faithful to the facts when recording them. The massive appearance of the zhiguai medical cases in the Song Period was the result of the combination of the intention of the literati official who valued medicine their medical knowledge to spread the awareness, their reliance on the strange or anomalous phenomena, and their attitude that emphasized a realistic narrative. The significance of the zhiguai prescription of the Song Period can be found in the supplementation and diffusion of existing medical knowledge. In previous research, these were collectively described as `public experienced methods'; however, various characteristics were found by analyzing the nineteen cases of zhiguai medical cases in Yijianzhi by comparing them with the related contents of the herbal medicine and prescription books of the time. In the use of herbal medicines for specific diseases, there are cases that are unusual or meaningful when compared with existing herbal medicine or prescription books, and thus, this became a decisive basis for the expansion of herbal knowledge in the later period. Moreover, new treatment methods that were not often seen in medical books at the time were introduced, and they have been continuously transmitted to the medical and herbal medicine books since then. Additionally, this study also found cases that were focused on promoting medical knowledge that was not wellknown, and the knowledge that must be known, although they were recorded in the existing medical and herbal medicine books. The record of the zhiguai medical cases evidently had its meanings in supplementing and disseminating existing medical knowledge. Prescriptions in the record of the zhiguai medical cases of the Song Period were subsequently recorded in various medical and herbal medicine books, and they handed down until the Ming and Qing period. Later, when a zhiguai prescription was described in a medical book, its bizarre narrative was not omitted, leaving a trace in the name of the prescription. It can be seen that this bizarre narrative served as a decisive opportunity for the prescription to be transmitted later, considering that existing medical books mentioned the related narratives in Yijianzhi as the source for these subsequent transmissions. When discussing the characteristics of the Song Period in Chinese medical history, many studies state that a strong academic medical trend was centered on the pulse and internal medicine, referring to the development of printing technology, the literati official's interest in medicine, and the compilation of medical books. The contents and dissemination of the zhiguai medical cases of the Southern Song confirm another' tradition of medical knowledge transmission that relied on the bizarre phenomena and its narratives in Chinese medical history. Its transmission to the Ming and Qing period signifies the continuation of this tradition into later times. The fact that the zhiguai medical cases were later recorded in medical books in the Ming and Qing period clearly shows the dynamism of how knowledge of the 'case' affects the knowledge expansion of medicine, thereby revealing the power of `another' tradition called the 'zhiguai' narratives.
2022-01-01T00:00:00Z