X-rays, fluoroscopy, ultrasound, CT, MRI, and PET scans--medical imaging has become a familiar part of modern health care today. A century ago, however, the idea of looking inside the living body seemed absurd. Wilhelm Roentgen's X-ray image of his wife's shadowy hand--with her wedding band "floating" around a white bone--convinced doctors to rush the new tool into use for diagnosis and treatment.
By the 1920s, the technology was a commonplace wonder: army recruits had routinely lined up for chest X-rays during World War I, and children delighted in seeing the bones of their feet in the green glow of shoestore fluoroscopes. By the late 1960s, the computer and television were linked to produce medical images that were as startling as Roentgen's original X-rays. Computerized tomography (CT) and magnetic resonance imaging (MR) made it possible to picture soft tissues invisible to ordinary X-rays. Ultrasound allowed expectant parents to see their unborn children. Positron emission tomography (PET) enabled neuroscientists to map the brain.
In this lively history of medical imaging, the first to cover the full scope of the field from X-rays to MR-assistant surgery, Bettyann Kevles explores the consequences of these developments for medicine and society. Through lucid prose, vivid anecdotes, and more than seventy striking illustrations, she shows how medical imaging has transformed the practice of medicine--from pediatrics to dentistry, neurosurgery to geriatrics, gynecology to oncology.
Despite their formidable power to reveal the inner secrets of the body, no form of medical imaging can claim to be the product of a technological imperative. As Kevles points out, few of these costly inventions made it easily to the marketplace, and all are vulnerable to the changing economics of the health-care system. In the early years of X-rays, many doctors, technicians, and patients died from overexposure to the invisible radiation. Although we may still find delayed repercussions from these newer technologies, a different kind of danger may lie in our conviction that an early diagnosis is equivalent to a cure.
Beyond medicine, Kevles describes how X-rays and the newer technologies have become part of the texture of modern life and culture. They helped undermine Victorian sexual sensibilities, gave courts new forensic tools, provided plots for novels and movies, and offered artists from Picasso to Warhol new ways to depict the human form.
Naked to the Bone offers readers an unparalled picture of a key technology of the twentieth century.
Focusing on the period between World War I and 1968, Mann draws on archival research and extensive interviews with surviving Malian veterans of French wars to explore the experiences of the African soldiers. He describes the effects their long absences and infrequent homecomings had on these men and their communities, he considers the veterans’ status within contemporary Malian society, and he examines their efforts to claim recognition and pensions from France. Mann contends that Mali is as much a postslavery society as it is a postcolonial one, and that specific ideas about reciprocity, mutual obligation, and uneven exchange that had developed during the era of slavery remain influential today, informing Malians’ conviction that France owes them a “blood debt” for the military service of African soldiers in French wars.
The Eastern Band’s economic decisions of the 1900s did not occur in a vacuum. In fact, these decisions reflected regional changes and the broader development of the post-Civil War American South. The Eastern Band of Cherokee Indians formally incorporated under North Carolina law in the 1880s, and their economic policies evolved as the country experienced Jim Crow segregation, the Great Depression, World War II, and the civil rights movement. During the twentieth century, members of the Eastern Band embraced an economic strategy partially based on tourism. In the late 1900s, they pursued policies that facilitated the rise of casino gaming.
Divided into five chapters, Christopher Arris Oakley’s New South Indians traces the economic development of the Eastern Band throughout the twentieth century to better contextualize the Cherokee Tribal Council’s 1990s decision to incorporate gaming into the nation’s economic strategy. In building his contextual framework, Oakley discusses the interdependent relationships forged by Cherokee Tribal Council members with various public and private entities in order to protect their land, manage their resources, and advance the well-being of their nation’s economy and community.
New South Indians also situates the story within the history of the American South. Thus, the saga of the Eastern Band’s struggle for economic autonomy and financial stability throughout the stormy twentieth century can be seen as an integral part of the historical account of western North Carolina.
A multifaceted glimpse into a vital aspect of contemporary southern history, New South Indians is sure to appeal to a wide variety of readers, from those captivated by Native American culture and the history of the modern South to those interested in economic history.
CHRISTOPHER ARRIS OAKLEY is an associate professor in the Department of History at East Carolina University. He is the author of Keeping the Circle: American Indian Identity in Eastern North Carolina, 1885–2004, and he is coauthor, with Theda Perdue, of Native Carolinians: The Indians of North Carolina.
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