Given the limitations imposed by pain and infection, the authors of the Modern Age focus on correcting the functional and esthetic defect of the lip with techniques that do not differ greatly from those described in the Middle Ages. The treatment for cleft palate was limited to the creation of "obturators" and surgery for cleft palate was not possible until the 19th century.
A case of lipomatous hypertrophy of the cardiac interatrial septum is reported in a 91-year-old man who attempted to commit suicide. The lesion was found incidentally at autopsy. Gross examination showed a 3.5-cm mass, yellow and firm. Histologic study showed a proliferation of mature fat cells and slightly hypertrophic cardiac muscle cells.
RESUMENA partir de informes de profesionales sanitarios y no sanitarios elaborados en 1719 en Murcia y en 1785 en Cartagena, analizamos las ideas científicas de sus autores y las relaciones que establecen entre el problema de la endemia palúdica y las circunstancias urbanísticas, económicas y sociales en las que se está produciendo. Los autores de ambos informes ven evidente la conexión entre todos estos factores y proponen la lucha contra las tercianas con medidas no sólo médicas y sanitarias, sino también con alternativas a la producción económica, y con reformas en la arquitectura de los locales públicos y obras de carácter urbanístico. Suponen por tanto un tímido intento de interpretar la enfermedad como problema social en sus causas, en sus consecuencias y en el modo de combatirla.
SUMMARYThe scientific concepts of sanitary and non-sanitary professionals are analised from their reports elaborated in Murcia, 1719, and Cartagena, 1785. The relationships between the social, economic and urbanistic conditions and the endemic malaria are shown by their authors, who propose to combat the illness with medical and sanitary measures, as well as economic and urbanistic ones. Their ideas supose a tentative interpretation of causes, consequences and solutions of the illnes as a social problem.
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