Moral competency of students at a german medical school - A longitudinal survey.

Background: Medical students and doctors face various challenges in clinical practice. Some of these challenges are related to ethical issues. Therefore, teaching ethics respectively building moral competences has become an integral part of the medical curriculum in Germany and many other countries.

Contexts of care for people with differences of sex development: Diversity is still missing in the laboratory routine.

The 2006 Chicago consensus statement of management of disorders/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements.

"At a Glance:" The Role of Diagrammatic Representations in Eugenics Appropriations of the "Infamous Juke Family".

The case of the Juke family is one of the most notable episodes of the history of eugenics in the USA. The Jukes were initially brought to the fore in the 1870s by a famous investigation that aimed at estimating the interplay of heredity and environment in determining the problems of poverty and crime. This inquiry triggered a harsh confrontation between two polar interpretations of the study, an "environmentalist" one and a "hereditarian" one.

Involving Voters and Consumers in Decision-Making about the Health Care System - The Swiss Case: A Review.

Background: Behind the principle of involving users and voters directly in decision-making about the health care system are ideas relating to empowerment. This implies a challenge to the traditional view that scientific knowledge is generally believed to be of higher value than empirical knowledge, as it is the case with CAM. The objectives of this review are (a) to show that this assumption disregards the fact that CAM is as scientific as conventional medicine but has different basic assumptions what the world is being made of and consequently uses different/adapted scientific methods; (b) to demonstrate how a perspective of the history of medicine and science as well as direct democracy mechanisms such as stipulated in the Swiss constitution can be used to achieve the acceptance of CAM in a modern medical health care system.

What can the citations of systematic reviews of ethical literature tell us about their use?-an explorative empirical analysis of 31 reviews.

Background: Systematic reviews of ethical literature (SREL) aim at providing an overview of ethical issues, arguments, or concepts on a specific ethical topic. As SREL are becoming more common, their methodology and possible impact are increasingly subjected to critical considerations. Because they analyse and synthetise normative literature, SREL are likely to be used differently than typical systematic reviews.

A history of thalidomide in India.

In contrast to the well-known stories of the embryotoxic drug, thalidomide, in countries where it was responsible for large numbers of birth defects, there is limited information on its history in India. Its presence before 2002, when the country issued the first marketing licence for a thalidomide-containing preparation, is assumed to be negligible. This article challenges this view by showing that the drug entered the Indian subcontinent through the former Portuguese territory of Goa around 1960.

The history of the development of the regular straight stem in hip arthroplasty.

Since the middle of the 20th century, total hip arthroplasty has become a very successful treatment for all end-stage diseases of the hip joint. Charnley solved with his low frictional torque arthroplasty the problem of wear and friction with the introduction of a new bearing couple and the reduction of the head size, which set the prerequisite for the further development of stem design. This narrative review presents the major developments of regular straight stems in hip arthroplasty.

The 'worm' in our brain. An anatomical, historical, and philological study on the vermis cerebelli.

The cell doctrine-the theory of ventricular localization of the mental faculties-includes Galen's idea of a locking or valve mechanism between the middle and the rear ventricle. The anatomical substrate was the vermiform epiphysis, known today as the . This entity played a significant role in brain physiology even though its appearance, texture, and location changed over time.

Are Old Men Impotent? On a Sparse Discourse of Early Modern Medicine and Its Forensic Implications in Paolo Zacchia's .

In early modern medical literature, there are increasing references to sterility and impotence in older men. This is especially true of the by the Roman physician Paolo Zacchia (1584-1659). In several books of this systematically structured manual, its author discusses medical and legal arguments on the one hand.

The two sides of the scalpel: The polarizing image of surgery in early cinema.

This paper uses extensive database research, film viewing and literature review to show how the field of surgery was staged in the early days of film history. It can be shown that-although surgical medicine was a subject in transition, and many scientific breakthroughs (anesthesia und antisepsis) made surgery less painful and more complication-free-filmmakers still frequently resorted to horror memories of the past and created a questionable, or ambivalent image of the surgeon, sometimes as extreme as the "lunatic with a scalpel" stereotype, blurring the line between genius and madness. But there were also positive staging's: The surgical intervention was often captured on the screen as a last resort for clinically hopeless cases, with the surgeon often presented as a "deus ex machina", the savior out of nowhere.

Addressing the Mental Health Challenges of Refugees-A Regional Network-Based Approach in Middle Hesse Germany.

Refugees constitute a vulnerable group with an increased risk of developing trauma-related disorders. From a clinician's integrative perspective, navigating the detrimental impact of the social, economic, structural, and political factors on the mental health of refugees is a daily experience. Therefore, a collective effort must be made to reduce health inequities.

Assisted dying requests from people in detention: Psychiatric, ethical, and legal considerations-A literature review.

The principle of equivalence of care states that prisoners must have access to the same standard of health care as the general population. If, as recent court decisions suggest, assisted dying is not limited to people with a terminal physical illness or irremediable suffering, it might also be requested by people with severe mental illness in detention. Some of the countries with legal regulations on assisted dying also have recommendations on how to handle requests from prisoners.

Historical review: the German Neurological Society and its honorary members (1952-1982).

Background: As part of a larger project commissioned by the German Neurological Society (DGN), this paper focuses on the DGN's German and Austrian honorary members. In particular, the question of whether former membership in the National Socialist German Workers' Party (NSDAP) or other Nazi organizations was an obstacle to becoming an honorary member in the years 1952-1982, and whether victims of the Nazi regime were also considered for honorary membership.

Results: From the early 1950s to the early 1980s, the DGN awarded honorary membership to 55 individuals.

Dentists in action: a profession on-screen (1913-2013).

Background Fictional portrayals of dentists in feature films have remained largely unexamined to date. The aim of this review is consequently to catalogue and analyse available films produced by US entertainment industry that present 'dentists in action'.Methods Relevant motion pictures were identified by means of keyword-based inquiries in search engines, online databases, websites and by handsearch.

Drug dependence as a split object: Trajectories of neuroscientification and behavioralization at the Max Planck Institute of Psychiatry.

Today, drug dependence is often understood as a "brain disease" and as an indication for behavioral therapy. In this article, I trace the historical development of the notions of drug dependence as a neuronal and behavioral problem in the local research context of the Max Planck Institute of Psychiatry in Munich, Germany. Focusing on the period from the 1950s to the 1980s, I argue that the neuroscientific and behaviorist understanding of "dependence" had two different trajectories that were yoked together under the same institution of self-proclaimed basic research: (a) the neuroscientific notion derived from an older toxicological approach to drug effects that was then accompanied by biochemical methods from the 1950s onwards, and neurochemical approaches from the 1960s and 1970s; and (b) the behaviorist notion had predecessors in psychotherapeutic approaches to addiction that emerged in the 1950s and took a psychodynamic orientation at the Institute.

The ticking time-bomb. Health literacy in the context of genetic risk prediction in familial breast-ovarian cancer; A qualitative study.

Personalised methods of predicting breast and ovarian cancer risk through genetic testing increasingly demand a person's understanding and critical appraisal of risk-related information, as well as decision-making and acting upon disclosure of a positive test result. The current study aims at understanding health literacy (HL) among persons at risk of developing familial breast-ovarian cancer (FBOC) from a bottom-up perspective-incorporating their viewpoints into the research process. Its qualitative design integrates an ethnographic-narrative approach and findings from 10 narrative interviews with women who have undergone genetic testing, analysed by using reflexive grounded theory.

Migrants With Schizophrenia in Forensic Psychiatric Hospitals Benefit From High-Intensity Second Language Programs.

As a result of migration, an increasing number of patients in forensic psychiatric hospitals show poor skills in the national language, which can affect their treatment. Improving the second language (L2) of inpatients with schizophrenia may help to enable effective psychotherapy and thus reduce the risk of criminal recidivism and facilitate reintegration into society, for example because of a language-related higher degree of social functioning. For this purpose, a Hessian forensic psychiatric hospital established a ward specialized in L2 acquisition.

The need for protecting and enhancing TB health policies and services for forcibly displaced and migrant populations during the ongoing COVID-19 pandemic.

Disruption of health services due to the COVID-19 pandemic threatens to derail progress being made in tuberculosis control efforts. Forcibly displaced people and migrant populations face particular vulnerabilities as a result of the COVID-19 pandemic, which leaves them at further risk of developing TB. They inhabit environments where measures such as "physical distancing" are impossible to realize and where facilities like camps and informal temporary settlements can easily become sites of rapid disease transmission.