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奥斯汀·布拉德福德·希尔爵士:医学统计学与疾病预防的定量方法。

Sir Austin Bradford Hill: medical statistics and the quantitative approach to prevention of disease.

作者信息

Wilkinson L

机构信息

Wellcome Institute, London, UK.

出版信息

Addiction. 1997 Jun;92(6):657-66.

PMID:9246794
Abstract

Sir Austin Bradford Hill (1897-1991), son of a prominent medical physiologist, was destined for the study of medicine when World War I intervened. He chase to enlist as a pilot in the Royal Navy Air Service. Having contracted tuberculosis on his way to the Dardanelles, Hill was 'sent home to die'. In spite of the odds he recovered; but with no chance of working in physically taxing fields such as medicine or science. Advised and encouraged by Major Greenwood, he carved out for himself a career in medical statistics, first at the Medical Research Council and subsequently at the London School of Hygiene and Tropical Medicine, where his inspired teaching helped to shape the development of medical research in the second half of the twentieth century. He is particularly remembered for the way he made medical statistics an essential part of modern epidemiology, a new phase in an epidemiology concerned with chronic as well as with infectious diseases. At the same time, he introduced randomization where therapies-beginning with streptomycin in tuberculosis-could be evaluated in large-scale clinical trials. Perhaps his best known achievement is his design of the smoking and lung cancer trials, carried out with Richard Doll who later extended-and still extends-the trials which so convincingly have linked addiction to tobacco to patients' later problems with cancers and with coronary heart disease.

摘要

奥斯汀·布拉德福德·希尔爵士(1897 - 1991),是一位杰出医学生理学家之子,原本注定要学医,但第一次世界大战打断了他的学业。他选择加入皇家海军航空服务队成为一名飞行员。在前往达达尼尔海峡的途中感染了肺结核,希尔被“送回家等死”。尽管困难重重,他还是康复了;但已没有机会从事医学或科学等体力要求高的领域的工作。在格林伍德少校的建议和鼓励下,他开创了医学统计学领域的职业生涯,先是在医学研究委员会,后来在伦敦卫生与热带医学院,在那里他富有启发性的教学推动了20世纪下半叶医学研究的发展。他尤其因将医学统计学变成现代流行病学的重要组成部分而被人们铭记,这是流行病学发展的一个新阶段,该阶段的流行病学既关注慢性病也关注传染病。与此同时,他引入了随机化方法,用于在大规模临床试验中评估从治疗肺结核的链霉素开始的各种疗法。也许他最著名的成就是他与理查德·多尔共同设计的吸烟与肺癌试验,多尔后来扩展了——并且仍在扩展——这些试验,这些试验令人信服地将烟草成瘾与患者后来患癌症和冠心病的问题联系了起来。

相似文献

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Sir Austin Bradford Hill: medical statistics and the quantitative approach to prevention of disease.奥斯汀·布拉德福德·希尔爵士:医学统计学与疾病预防的定量方法。
Addiction. 1997 Jun;92(6):657-66.
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"Association or causation?" The debate on the scientific status of risk factor epidemiology, 1947-c. 1965.“关联还是因果关系?”关于风险因素流行病学科学地位的争论,1947年至约1965年
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Woods and Russell, Hill, and the emergence of medical statistics.伍兹和拉塞尔、希尔与医学统计学的兴起。
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Fisher, Bradford Hill, and randomization.费舍尔、布拉德福德·希尔与随机化
Int J Epidemiol. 2003 Dec;32(6):925-8; discussion 945-8. doi: 10.1093/ije/dyg286.
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The contribution of randomized trials to the cure of haematological disorders from Bradford Hill onwards.从布拉德福·希尔时代开始,随机试验对血液系统疾病治疗的贡献。
Br J Haematol. 2012 Sep;158(6):691-9. doi: 10.1111/j.1365-2141.2012.09213.x. Epub 2012 Jul 5.
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[Evolution of medical statistics and epidemiology in clinical scientific research in the 20th century].[20世纪临床医学科研中医学统计学与流行病学的发展]
Ned Tijdschr Geneeskd. 1999 Dec 25;143(52):2625-8.
7
When genius errs: R.A. Fisher and the lung cancer controversy.当天才犯错:罗纳德·艾尔默·费希尔与肺癌争议
Am J Epidemiol. 1991 Mar 1;133(5):416-25; discussion 426-8. doi: 10.1093/oxfordjournals.aje.a115904.
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Sir Austin Bradford Hill and the progress of medical science.奥斯汀·布拉德福德·希尔爵士与医学科学的进步。
BMJ. 1992;305(6868):1521-6. doi: 10.1136/bmj.305.6868.1521.
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Fisher and Bradford Hill: their personal impact.费希尔与布拉德福德·希尔:他们的个人影响力。
Int J Epidemiol. 2003 Dec;32(6):929-31; discussion 945-8. doi: 10.1093/ije/dyg287.
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[The life of medical historian Miki Sakae, and the "history of Korean medicine and of diseases in Korea"].[医学史学家酒井荣的生平,以及“韩国医学史与韩国疾病史”]
Uisahak. 2005 Dec;14(2):101-22.

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