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Biomedical subjects

M R Woodward

Publications and source records attributed to M R Woodward.

4 recordsLinked to original sources

Healing and morality: a Javanese example.

Javanese traditional medicine is based on Sufi Muslim notions of personhood, knowledge and magical power. This world view motivates two conflicting modalities of medical practice: one based on the magic powers of curers (dukun), the others on the religiously validated powers of Sufi saints. The association of magical and bio-medical knowledge allows Javanese to interpret traditional and bio-medical cures as components of a unified health care system. Comparison of Javanese medical, religious and political systems suggests that the structural uniformity of cultural domains derives from the hierarchical organization of cultural knowledge and that the study of traditional medicine and medical pluralism can not be undertaken apart from that of world view.

Attitude to Health

Ultrastructural relationship of skin to nodule and cord in Dupuytren's contracture.

The interface of skin and nodule or cord was studied in Dupuytren's contracture in 11 patients using light and electron microscopy. Four distinct anatomic zones were seen in he skin/nodule specimens, with three zones in skin/cord. Skin/nodule specimens had a striking horizontally layered dense band just underneath the dermis, a feature not found in skin/cord specimens. Electron microscopy showed active contractile fibroblasts (myofibroblasts) in the lower two zones in skin/nodule, with clusters of active and degenerating cells side by side. No myofibroblasts were seen in either the skin/cord or any skin specimen. These data suggest that the nodule is the active source of contraction in Dupuytren's contracture. Skin overlying both nodule and cord appears to be drawn passively by underlying contraction forces. A local defect in palmar skin may prevent normal inhibition of myofibroblast contraction. More aggressive resection of fascia and dermis may be indicated in skin/nodule areas.

Dupuytren Contracture