Acute Stroke Decision-Making in Historical and Philosophical Context, 1960-2014

atmire.migration.oldid2326
dc.contributor.advisorStahnisch, Frank W.
dc.contributor.authorShamy, Michel Christopher Frank
dc.date.accessioned2014-07-18T16:25:13Z
dc.date.available2014-11-17T08:00:39Z
dc.date.issued2014-07-18
dc.date.submitted2014en
dc.description.abstractThis thesis applies approaches from the history and philosophy of science to explore the decision-making of contemporary physicians in a common clinical scenario: the treatment of patients with acute stroke. Acute stroke decision-making during the period 1960 to 2014 therefore serves as a case study to address broader questions about how doctors make decisions. I argue that acute stroke decision-making is dependent upon a historically-determined concept of the acute stroke, in that the contemporary meaning of the disease “acute stroke” was established in response to the efficacy of the drug tissue plasminogen activator (tPA) as its treatment. Moreover, I propose that treatment decisions about the use of tPA for acute stroke involve simultaneous and inter-related processes of epistemic and ethical evaluation. Acute stroke decision-making can therefore be conceived as a medical, epistemic and ethical process, occurring within a historical context. This interpretation of acute stroke decision-making argues for the necessary role of the humanities — and especially of the history and philosophy of science — in the study of modern medical practice.en_US
dc.identifier.citationShamy, M. C. (2014). Acute Stroke Decision-Making in Historical and Philosophical Context, 1960-2014 (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/24697en_US
dc.identifier.doihttp://dx.doi.org/10.11575/PRISM/24697
dc.identifier.urihttp://hdl.handle.net/11023/1648
dc.language.isoeng
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgaryen
dc.publisher.placeCalgaryen
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectHistory of Science
dc.subject.classificationdecision-makingen_US
dc.subject.classificationStrokeen_US
dc.subject.classificationNeurologyen_US
dc.subject.classificationHistory of Medicineen_US
dc.subject.classificationEpistemologyen_US
dc.subject.classificationEthicsen_US
dc.titleAcute Stroke Decision-Making in Historical and Philosophical Context, 1960-2014
dc.typemaster thesis
thesis.degree.disciplineHistory
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Arts (MA)
ucalgary.item.requestcopytrue
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