Abstracts fra Bibliotek for Læger 2/2018

INTERVIEW
Renlighed er en dyd

Af chefredaktøren

Omkring 1900 var sæbe en luksusvare, og kun de færreste københavnere havde eget bad. Historiker Nete Wingender fortæller om hovedstadens uddøende badeanstalter.

 

ORIGINALARTIKEL
Hvem ejer diagnosen?

Af Niels Saxtrup & Anders Petersen

Interessekonflikter (Niels Saxtrup)
Interessekonflikter (Anders Petersen)

Who owns the diagnosis? The doctor’s tool on the move

Bibl Læger 2018;210:116 -133.

The diagnosis is, undoubtedly, the main tool in the medical doctor’s toolbox. In this article we discuss, what a diagnosis is, how it is performed, and what role it plays for the patient, the doctor and for society as a whole. We show, that diagnoses represent a process and a classification, which pave the way for the professionally trained doctor; a meaningful direction for treatment and prognosis. Further, it is a key concern for the patient to get a diagnosis in relation to his or her treatment but also for gaining accept, social security and even identity. In that sense, the diagnosis is concrete, dealing with a concrete person under given circumstances and within a certain narrative. However, in contemporary Western societies, the ownership of the diagnosis is not restricted to doctors. Other interested parties also claim the right to use the diagnosis. Consequently, the diagnosis becomes a matter of negotiation – or even a battlefield – as the diagnosis has a specific meaning for patients, relatives, the social system, schools, insurance companies, the medical industry, the state etc. We discuss the possible consequences, and we particularly deal with potential problems, when the patient is viewed as a diagnosis rather than a person.

KVARTALETS GENSTAND
Urinens hemmeligheder

Af Morten A. Skydsgaard

Urin plus kemisk reagens plus et døgns ventetid. Sådan undersøgte man frem til 1950’erne, hvad man får viden om på to minutter i dag. 

 

FEM SKARPE
Den stoflige krop – det kropslige stof

Af chefredaktøren

Natura morta. Vi taler med den svenske kunstner Sarah Vajira Lindström om hendes væv og organer skabt i sanselige tekstiler.

ET BILLEDE FRA MIN HVERDAG
An American Dane

Af Abbey Elsbernd

En medicinstuderende fra Kansas, USA, fortæller om sit møde med det danske sundhedssystem. Kan man virkelig cykle på arbejde og være på fornavn med en overlæge? 

ETISK STUEGANG
Kan DNA-oplysninger krænke danske borgeres privatliv?

Af Nana Cecilie Halmsted Kongsholm & Katla Heðinsdóttir

Interessekonflikter 

Can DNA information violate the privacy of Danish citizens? An analysis of the public debate concerning a National Genome Centre

Bibl Læger 2018;210:158-163.

As part of the national strategy for personalised medicine, the Danish government recently put forth a suggestion to establish a National Genome Centre. This centre will be charged with the task of conducting whole-genome sequencing of DNA material from Danish patients. In spite of the promising visions, the National Genome Centre has been met with widespread public criticism – particularly regarding the concern, that the centre will pose a threat to the privacy of Danes. Two common intuitions fuel this concern: 1) our DNA holds the key to who we are, and 2) the fact that someone else has access to our DNA, is a violation of our privacy. In this article we analyse and discuss these two intuitions. We show, that intuition 1 is based on faulty theories, namely genetic essentialism and exceptionalism, and that intuition 2 mistakes the information inherent in raw DNA for the kind of information, which is relevant to violation of privacy. We conclude, that it is not a violation of privacy, that the National Genome Centre keeps and stores DNA information from Danish citizens, and the concern that it does, is founded on reductionist fallacies and misunderstandings. We further suggest engagement with the public to accommodate its concerns, and in this way preserve public trust and secure the benefits, that personalised medicine can offer.

KUNSTPAUSE
En skulptur og tre digte

Af Henrik Have

En sær fodnote om krop, liv og død, leveret af multikunstneren Henrik Have.

ORIGINALARTIKEL
»Om den mangelfulde Adgang til den medicinske periodiske Literatur«

Af Torsten Schlichtkrull

Interessekonflikter

”On the lacking access to the periodical medical literature” – Copenhagen doctors’ supply of literature around 1870.

Bibl Læger 2018;210:166 -185.

When Copenhagen University’s Faculty of Medicine and The Royal Academy of Surgery merged in 1841, their libraries merged too. Part of the library of the Academy belonged to The Classen Literature Society for doctors, supported by The Classen Foundation. This society had two main functions: publishing of the periodical Bibliotek for Læger (literally: Library for Doctors) and maintaining a journal circulation for the members. The circulation of journals could last up to two years, and only then did the journals reach the University Library. This was not satisfactory for the doctors of Copenhagen, and consequently, in 1869, the medical society Filiatrien tried to change the situation by establishing a reading room for the doctors of Copenhagen, changing the circulation system, and cutting off The Literature Society’s support to Bibliotek for Læger in order to buy more books and journals. This resulted in a harsh debate between members of Filiatrien and the director of The Literature Society.

FEM SKARPE
Fru Drusse er tilbage!

Af chefredaktøren

Lars von Triers »Riget« på nationalscenen. Vi spørger instruktøren hvorfor.