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In this chapter I have endeavoured to demonstrate the ways in which an approach that takes the emotions seriously might nuance and complicate our understandings of the history of pre-anaesthetic surgery. In general, historians have tended to focus on the operations of surgical dispassion, or what we might now term clinical detachment. What this research suggests, however, is that compassion and emotional expression played a surprisingly important role in shaping the cultures of early nineteenth-century operative surgery as well as the identities of its practitioners. In the decades immediately preceding the advent of anaesthesia, pain became a central concern of surgical discourse and the response to this concern was shaped by the cultures of sentiment and sensibility. However, this culture of compassion was no ‘natural’ reaction to a self-evident problem. Rather, it was a culturally and historically contingent phenomenon which could be harnessed to the ideologies and ambitions of medical reform. In the hands of men like John Bell and Thomas Wakley, the image of the surgeon as a man of refined and honest sentiment was linked to a critique of the medical and surgical ancien regime, providing an idealised representation of a more expert, meritocratic and altruistic profession.

History --- pre-anesthetic surgery

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The project responds to issues identified by the health and education sector in the UK and internationally, particularly relating to the widely attested difficulty for teachers of opening up conversations around important topics such as consent and pornography.

Sex --- History

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In this book, we discuss the changing medical and public profile of fungal infections in the period 1850–2000. We consider four sets of diseases: ringworm and athlete’s foot (dermatophytosis); thrush or candidiasis (infection with Candida albicans); endemic, geographically specific infections in North America (coccidioidomycosis, blastomycosis and histoplasmosis) and mycotoxins; and aspergillosis (infection with Aspergillus fumigatus). We discuss each disease in relation to developing medical knowledge and practices, and to social changes associated with ‘modernity’. Thus, mass schooling provided ideal conditions for the spread of ringworm of the scalp in children, and the rise of college sports and improvement of personal hygiene led to the spread of athlete’s foot. Antibiotics seemed to open the body to more serious Candida infections, as did new methods to treat cancers and the development of transplantation. Regional fungal infections in North America came to the fore due to the economic development of certain regions, where population movement brought in non-immune groups who were vulnerable to endemic mycoses. Fungal toxins or mycotoxins were discovered as by-products of modern food storage and distribution technologies. Lastly, the rapid development and deployment of new medical technologies, such as intensive care and immunosuppression in the last quarter of the twentieth century, increased the incidence of aspergillosis and other systemic mycoses.

candidiasis --- mycotoxins --- aspergillosis --- fungal infections --- dermatophytosis

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"Public-private partnerships have become an important tool for delivering essential public goods, but critics fear that they erode public accountability. Making partnerships more accountable requires a clear understanding of what accountability means for partnerships and which mechanisms can be used to strengthen it. Accountability in Public Policy Partnerships develops a new model of accountability based on principal-agent theory. This model provides a firm normative foundation for accountability demands. At the same time, it shows which accountability standards apply to which kinds of partnerships. Norm-setting partnerships, for example, require strong mechanisms for participation, whereas implementation partnerships must focus on performance evaluation, competitive bidding and beneficiary feedback processes. The accountability model and standards developed in this book provide a guide for partnership practitioners who are developing the governance structures of their partnerships; they serve as benchmarks for evaluating partnerships; and they provide new inputs for the ongoing accountability debates in the public, the corporate and the civil society sectors. "

publieke zaken --- public policy --- principal-agent theory --- verantwoording --- principal-agent theorie --- accountability

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The study of early modern cancer is significant for our understanding of the period’s medical theory and practice. In many respects, cancer exemplifies the flexibility of early modern medical thought, which managed to accommodate, seemingly without friction, the notion that cancer was a disease with humoral origins alongside the conviction that the malady was in some sense ontologically independent. Discussions of why cancer spread rapidly through the body, and was difficult, if not impossible, to cure, prompted various medical explanations at the same time that physicians and surgeons joined with non-medical authors in describing the disease as acting in a way that was ‘malignant’ in the fullest sense, purposely ‘fierce’, ‘rebellious’ and intractable.3 Theories seeking to explain why cancer appeared most often in the female breast similarly joined culturally mediated anatomical and humoral theory with recognition of the peculiarities of women’s social, domestic and emotional life-cycles. Moreover, as a morbid disease, cancer generated eclectic and sometimes extreme medical responses, the mixed results of which would prompt many questions over the proper extent of pharmaceutical or surgical intervention.

cancer --- early modernity --- early modern cancer --- england --- early modern medical thought