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Twilight Sleep was a technique originally developed by physicians in Germany in the early 20th century as a novel way to address parturient women’s fear and aversion to pain endured during labor and childbirth. Using a combination of amnestic and analgesic agents such as scopolamine and morphine to synergistically suppress pregnant women’s memories, physicians Carl Gauss and Bernhard Krönig enabled women to give birth free of pain, or more accurately any memories of pain.
Despite widespread use throughout Europe, Twilight Sleep initially experienced less popularity and more resistance in the United States where doctors were wary of the potential health risks that Twilight Sleep brought upon women and infants. Some adverse effects caused by incorrect doses of scopolamine and morphine included hallucinations and uncontrolled thrashing in women and depressed respiration in infants. Thus, Twilight Sleep’s status as a vogue topic in obstetrics during the first half of the 20th century came about due to the work of affluent and educated American women. While lacking formal medical training, a subset of women became experts in the matter of Twilight Sleep by traveling to Germany to experience and investigate Twilight Sleep firsthand then disseminating their findings through published books and articles.
This thesis explores the impact of Twilight Sleep on women and physicians and their perceptions of childbirth. Twilight Sleep empowered women to take on a more active role in shaping the medical care they received rather than accepting that childbirth as a natural event associated with physical and mental trauma and high risk of mortality. For doctors, the debate regarding Twilight Sleep’s safety and efficacy affirmed a ubiquitous notion that childbirth ought to be seen as a pathological rather than natural event. By considering childbirth a medical condition that necessitated treatment, physicians had to evaluate their duties to their patients. In empowering women to be involved in making medical decisions and forcing physicians to balance their medical training with their patients’ needs, Twilight Sleep helped to establishing more reciprocal doctor-patient relationships.
Despite widespread use throughout Europe, Twilight Sleep initially experienced less popularity and more resistance in the United States where doctors were wary of the potential health risks that Twilight Sleep brought upon women and infants. Some adverse effects caused by incorrect doses of scopolamine and morphine included hallucinations and uncontrolled thrashing in women and depressed respiration in infants. Thus, Twilight Sleep’s status as a vogue topic in obstetrics during the first half of the 20th century came about due to the work of affluent and educated American women. While lacking formal medical training, a subset of women became experts in the matter of Twilight Sleep by traveling to Germany to experience and investigate Twilight Sleep firsthand then disseminating their findings through published books and articles.
This thesis explores the impact of Twilight Sleep on women and physicians and their perceptions of childbirth. Twilight Sleep empowered women to take on a more active role in shaping the medical care they received rather than accepting that childbirth as a natural event associated with physical and mental trauma and high risk of mortality. For doctors, the debate regarding Twilight Sleep’s safety and efficacy affirmed a ubiquitous notion that childbirth ought to be seen as a pathological rather than natural event. By considering childbirth a medical condition that necessitated treatment, physicians had to evaluate their duties to their patients. In empowering women to be involved in making medical decisions and forcing physicians to balance their medical training with their patients’ needs, Twilight Sleep helped to establishing more reciprocal doctor-patient relationships.
ContributorsTran, Yvette Ho (Author) / Maienschein, Jane (Thesis director) / Hurlbut, Ben (Committee member) / O'Neil, Erica (Committee member) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Influenza is a viral infection with the potential to infect millions worldwide. In the case of such a pandemic outbreak, direct patient interaction is handled by the medical community, composed of hospitals, medical professionals, and the policies that regulate them. The medical community is responsible not only for treating infected individuals, but preventing the spread of influenza to healthy individuals. Given this responsibility, the medical community has drafted preparedness plans laying down guidelines for action in the case of an influenza pandemic. This project reviewed these preparedness plans for hospitals in Arizona as well as reviewing the literature produced by the Department of Health and Human Services to guide these plans. The review revealed that the medical community is woefully unprepared to handle the number of infected individuals, projected to be close to 90 million. Plans are disorganized, outdated, and nonexistent. The conclusions of this thesis offer suggestions for pandemic policy improvement.
ContributorsAbboud, Alexis J (Author) / Maienschein, Jane (Thesis director) / Creath, Richard (Committee member) / O'Neil, Erica (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2014-05
Description
Abortion is a highly controversial procedure, and it has divided the country into two factions: pro-life and pro-choice. This intense debate is marred by anger through protests and violent actions against supporters of abortion. With all of the tension surrounding the moral significance of the abortion issue, the question arises: How did specific figureheads, events, and contributing factors lead to the generation of the stigma and polarization surrounding the dichotomy of pro-life versus pro-choice abortion stances in the United States of America?
ContributorsAbdi-Moradi, Sepehr (Author) / Maienschein, Jane (Thesis director) / O'Neil, Erica (Committee member) / Abboud, Alexis (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
This paper uses Facebook as a case study for other technological and social media companies given factors presented by the Digital Age. Three different pillars are used to analyze the company. First an examination of the manipulation of users on Facebook by Russian actors is presented. Next, the paper examines whether Facebook is promoting civic participation for good. Lastly, an analyzation of the rising trend of hate speech and extremists using the site is presented. This examination of Facebook then posed three questions regarding companies in the Digital Age as a whole. The first was "What is the extent of Corporate Social Responsibility in the Digital Age?" The second was, "What special obligations do for-profit companies have when it comes to safeguarding the privacy of individuals, or at least insuring that their stored information does not harm them?". The last question presented was, "How Can the Profit Motive and Corporate Morality Co-Exist in the Digital Age?" The findings of this case study showed that due to different factors that are presented in the Digital Age, these ideals of Corporate Social Responsibility, Privacy and Corporate Morality may be even more challenging to uphold during this Age of Information. Due to this fact, companies such as Facebook have an even greater responsibility to abide by these ideals of Corporate Social Responsibility, Privacy and Corporate Morality. This is because of an even larger potential for negative effects due to technological change. Regardless of the possibility for regulation by government, third-party organization or by the organizations themselves, Digital Age Corporations have the duty to protect their users from harm and maintain these three ideals.
ContributorsBrandt, Madeline (Author) / Zachary, Gregg (Thesis director) / Wetmore, Jameson (Committee member) / Department of Information Systems (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Visualizing the Embryo: Establishing Procedures for Digital image Production with the Embryo Project
Description
The Embryo Project (EP) Encyclopedia is an online database that has consolidated hundreds of development-related research articles, with subcategories addressing the context of such research. These articles are written by undergraduate students, graduate students, and professionals in the fields of biology, history, and other fields, and are intended for a diverse audience of readers from both biology and non-biology related backgrounds. As the EP addresses a public audience, it is imperative to utilize all possible means to share the information that each article covers. Until 2013, the EP Encyclopedia did not present images in articles as no formal protocol for image development existed. I have created an image style guide that outlines the basic steps of creating and submitting an image that can complement an EP article and can enhance a reader's understanding of the discussed concept. In creating this style guide, I investigated similar protocols used by other scientific journals and medical professionals. I also used different programs and based my style guide off of the procedures I used in Adobe Illustrator CS6.
ContributorsHamidi, Neekta (Author) / Maienschein, Jane (Thesis director) / Crowe, Nathan (Committee member) / O'Neil, Erica (Committee member) / Barrett, The Honors College (Contributor) / Harrington Bioengineering Program (Contributor)
Created2013-05
Description
This project focuses on the history of how teratogens, or agents which have the potential to cause birth defects, have been understood and tested for teratogenic potential in the US over the twentieth century. Prior to this time, teratogen studies were primarily concerned with cataloguing defects rather than exploring possible causes. At the turn of the twentieth century, experimental teratogen studies with the aim of elucidating mechanisms commenced. However, these early studies did not aim to discover human pregnancy outcomes and ways to prevent them, but simply focused on the results of exposing pregnant mammals to various physical and chemical insults. My project documents the change in understanding of teratogens over the twentieth century, the advancement of testing methods, and the causes of these advancements. Through the Embryo Project at Arizona State University (embryo.asu.edu), a digital encyclopedia for topics related to embryology, development, and reproductive medicine, I wrote ten encyclopedic articles that focused on chemical mechanisms of various teratogens, testing limitations in animal models, and legal and regulatory responses to well-known teratogens. As an extension of my previous work, this project bridges the current gap in research and focuses on contextualizing major events in the field of teratology to determine how these events led to various shifts in the understanding of birth defects and their causes, and how those conceptual shifts led to the creation of teratological testing guidelines. Results show that throughout the twentieth century, there are four distinct shifts in the understanding of teratogens: the first being 1900-1945, the second being 1946-1960, the third being 1961-1980, and the fourth being 1981-2000.
ContributorsTantibanchachai, Chanapa (Author) / Maienschein, Jane (Thesis director) / Laubichler, Manfred (Committee member) / O'Neil, Erica (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor)
Created2014-05
Description
At Arizona State University (ASU), there is a perceived lack of interdisciplinary symposiums for student presenters and a lack of understanding about the university's "#1 in Innovation" title awarded by U.S. News & World report. In addition, ASU focuses on advertising innovation in a few select fields, such as astronomy and space exploration. To address these issues, a team of Lincoln Undergraduate Scholars planned an Ethics & Innovation Symposium with the theme of "Defining Our Future" for April 11, 2018. I chose to conduct a post-event analysis of logistics, successes, and failures. This additional evaluation was meant to serve as a measure of the symposium's sustainability for future years. This thesis addresses the methods of event planning (incl. marketing, gathering student presenters, catering, room reservation), results, and analysis of outcomes specifically for the Ethics & Innovation Symposium. Overall, the thesis document will benefit anyone interested in planning some event at the university level. Additional reference documents are included in this report to provide help with creating a general checklist, developing marketing deliverables, and contacting university departments/organizations.
ContributorsJagadish, Ishitha (Author) / Coursen, Jerry (Thesis director) / Kenney, Sean (Committee member) / O'Neil, Erica (Committee member) / Harrington Bioengineering Program (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
The medical scribe industry is relatively new and populated with pre-medical students trying to gain the necessary experience to be considered qualified candidates for medical school. However, with the emergence of any new industry, there are bound to be flaws in the infrastructure of the position. I chose to investigate the discrepancies between what medical scribe companies were advertising to attract pre-medical students and what pre-medical students reported that they were gaining from the experience. I used qualitative content analysis and a deductive research design based on my own experience and the experience of my fellow scribes. I looked at how medical scribing affected pre-medical students and what struggles they faced when working as a medical scribe. I found that while students reported many negative components of scribing, and that medical scribing companies did not prepare their applicants well for those challenges, most scribes still expressed a significant education benefit to the experience which outweigh the drawbacks. Lastly, I propose the importance of narrative medicine in helping to deal with the hardships of the position and how narrative medicine can serve as a tool for self-reflection on the path to making the next generation of physicians.
ContributorsStefaniak, Pauline (Author) / Robert, Jason (Thesis director) / O'Neil, Erica (Committee member) / Truten, Jack (Committee member) / School of Politics and Global Studies (Contributor) / School of Life Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05
Description
This study, using personal experience as a basis for curiosity, seeks to explore why some portion of engineering students change their majors, whom I am calling "switchers." Another set of students are "persisters," or students who are still currently enrolled in engineering but have considered other paths. In collecting data, two students from each set, within the author's social network, were interviewed. Articles primarily concerning attrition and retention within engineering education were surveyed in this study. The literature's reasons for leaving engineering were tabulated and used to code these interviews, then the trends outside of this table were studied. The literature and all interviewees both stated that engineering students struggle with poor teachers, poor teaching methods, poor curriculum, and a lack of time. Outside of the literature, job prospects caused the interviewed students to feel trapped in engineering. Whether to take this study beyond the exploratory stage, and how to do that, is being considered currently.
ContributorsBaskin, Arizona Gray (Author) / Wetmore, Jameson (Thesis director) / Garbee, Elizabeth (Committee member) / School for the Future of Innovation in Society (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12
Description
This essay explores the role of religion, science, and the secular in contemporary society by showing their connection to social and political legitimacy as a result of historical processes. In Chapter One, the essay presents historical arguments, particularly linguistic, which confirm science and religion as historically created categories without timeless or essential differences. Additionally, the current institutional separation of science and religion was politically motivated by the changing power structures following the Protestant Reformation. In Chapter Two, the essay employs the concept of the modern social imaginary to show how our modern concept of the political and the secular subtly reproduce the objectified territories of science and religion and thus the boundary maintenance dialectic which dominates science-religion discourse. Chapter Three argues that ‘religious’ worldviews contain genuine metaphysical claims which do not recognizably fit into these modern social categories. Given the destabilizing forces of globalization and information technology upon the political authority of the nation-state, the way many conceptualize of these objects religion, science, and the secular will change as well.
ContributorsBianchi, Joseph Anthony (Author) / Bennett, Gaymon (Thesis director) / Wetmore, Jameson (Committee member) / School of Humanities, Arts, and Cultural Studies (Contributor) / College of Integrative Sciences and Arts (Contributor) / School of Historical, Philosophical and Religious Studies (Contributor) / Barrett, The Honors College (Contributor)
Created2018-05