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[塞尔维亚医学协会周年纪念。自成立以来60周年。梦想成真——塞尔维亚医学协会之家开业]

[Anniversaries of the Serbian Medical Society. 60 years since its founding. The dream is fulfilled--the home of the Serbian Medical Society is opened].

作者信息

Vuković Z

出版信息

Srp Arh Celok Lek. 1998 May-Jun;126(5-6):217-21.

PMID:9863385
Abstract

The Serbian Medical Society was founded in Belgrade in 1872, 126 years ago. At that time, Serbia was liberated from the Ottoman domination, and was one of some thirty existing independent states gaining international recognition in 1878. In 1932 an old dream has been fulfilled--on the occasion of the 60th anniversary of the existence and activity of the Serbian Medical Society--the home of Serbian Medical Society was opened. A 30-year-long period in which the building of the Home was one of the main preoccupations and a "guiding light" of Serbian doctors thus ended. Money from charitable funds was used, which caused certain benefactors to be praised as noted personalities. Medical practice in those days was in the state of choice. There were no means for adequate treatment of certain ailments, and therapy without realistic scientific base was given, often covered by fictitious reasons. This was especially true for tuberculosis and cancer. Under the pretext of the introduction of "new therapeutical approaches" into medical practice and treatment, diverse pharmaceutical formulas were introduced without knowledge of their real effect--injections of milk, drug containing animal embrional cells and special attention was paid to transplantation of the sexual glands. The injection of "camphor oil" (5 cc) was thus "recommended, harmless but useless". The treatment of tuberculosis, which domineered the pathology of population, was very chaotic. The greatest number of drugs for "successful cure" were to be found here. Most commotion was caused by the so-called Friedman's cure for tuberculosis which was rejected only after vigorous debates. Our drug "Joannin" on the basis of "the old tuberculine" was also represented in this confusion (and Koch himself was forced to recant it). This medicament was also hailed as "successful cure". The origin of serious scientific efforts, however, are to be found around newly formed journal "Medicinski pregled", which attracted new and progressive contributors. At this time, the newly formed Ministry of Public Health started a campaign for the introduction of a modern organization of the health care and the inclusion of all population in it. However, in a country devastated by war and stricken by poverity, annomalies in the functioning of the health care existed, as financial preconditions did not exist and healt insurance was still in its infancy. This made the status of doctors difficult, causing long debates in the Serbian Medical Society and fierce criticism of the Ministry of Public Health. The responsible persons were accused of introducing and promoting communist ideas and revolution under the duise of health care for the poipulation.

摘要

塞尔维亚医学协会于126年前,即1872年在贝尔格莱德成立。当时,塞尔维亚从奥斯曼统治下获得解放,是1878年获得国际承认的约30个现存独立国家之一。1932年,一个古老的梦想得以实现——在塞尔维亚医学协会成立及开展活动60周年之际,塞尔维亚医学协会之家落成启用。长达30年的时期结束了,在此期间,协会之家的建设一直是塞尔维亚医生们的主要关注点之一和“指引之光”。慈善基金的资金被用于此项建设,这使得某些捐赠者被誉为知名人士。那个时期的医疗实践处于选择状态。对于某些疾病没有足够的治疗手段,往往会给出缺乏现实科学依据的治疗方法,还常常冠以虚构的理由。肺结核和癌症尤其如此。在将“新治疗方法”引入医疗实践和治疗的幌子下,各种药物配方被引入,却不清楚其实际效果——注射牛奶、含有动物胚胎细胞的药物,还特别关注性腺移植。因此,“樟脑油”(5立方厘米)注射被“推荐,无害但无用”。在当时主导人群病理状况的肺结核治疗方面,情况非常混乱。这里能找到最多号称“成功治愈”的药物。最引人关注的是所谓弗里德曼肺结核疗法,经过激烈辩论后才被否定。我们基于“旧结核菌素”的药物“乔安宁”也在这场混乱中登场(就连科赫本人也被迫收回对它的支持)。这种药物也曾被誉为“成功治愈”药物。然而,严肃科学努力的源头要追溯到新创办的《医学综述》杂志,它吸引了新的进步撰稿人。此时,新成立的公共卫生部发起了一场运动,旨在引入现代医疗保健组织并将全体民众纳入其中。然而,在一个饱受战争蹂躏且贫困不堪的国家,医疗保健的运作存在种种异常情况,因为缺乏资金条件,医疗保险也尚处于起步阶段。这使得医生的处境艰难,在塞尔维亚医学协会引发了长时间的辩论,并遭到了对公共卫生部的激烈批评。相关负责人被指控在为民众提供医疗保健的幌子下引入并宣扬共产主义思想和革命。

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