{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T19:40:02Z","timestamp":1758742802297,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Med Humanities"],"accepted":{"date-parts":[[2010,10,26]]},"published-print":{"date-parts":[[2010,12]]},"abstract":"<jats:p>An ex-voto (from the Latin for \u2018from the vow\u2019) is an image made to express the patron's gratitude for divine assistance in the face of personal difficulty. Here, we describe a late 18th century Mexican painting that shows Do\u00f1a Josefa Peres Maldonado undergoing a mastectomy, and, as an ex-voto, expresses her thanks for divine aid in having survived the operation. As such, the painting manifests Do\u00f1a Josefa's response to her disease, drawing on both medical and religious sources of support. This brief report analyses the unusual double dedication of the ex-voto, the elaborate home altar it depicts and the surgical technique it demonstrates.<\/jats:p>","DOI":"10.1136\/jmh.2010.005587","type":"journal-article","created":{"date-parts":[[2010,11,30]],"date-time":"2010-11-30T16:29:00Z","timestamp":1291134540000},"page":"112-114","source":"Crossref","is-referenced-by-count":3,"title":["Breast cancer between faith and medicine: the Peres Maldonado ex-voto: Figure 1"],"prefix":"10.1136","volume":"36","author":[{"given":"Lisa","family":"Pon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James F","family":"Amatruda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2010,11,30]]},"reference":[{"key":"2025092412185918000_36.2.112.1","unstructured":"Purcell R . The stories of strangers: Mexican ex-voto paintings. Virginia Q Rev 2008:81\u00e2\u0080\u009391."},{"key":"2025092412185918000_36.2.112.2","doi-asserted-by":"publisher","DOI":"10.2307\/3566513"},{"key":"2025092412185918000_36.2.112.3","unstructured":"Breton A . Souvenir du Mexique. Minotaure 1939; 12\u00e2\u0080\u009313:31\u00e2\u0080\u009352;32 and 46."},{"key":"2025092412185918000_36.2.112.4","unstructured":"Dones y promesas: 500 a\u00c3\u00b1os de arte ofrenda (ex votos mexicanos). M\u00c3\u00a9xico: Centro Cultural\/Arte Contempor\u00c3\u00a1neo:Dundaci\u00c3\u00b3n Cultural Televisa, 1996:31\u00e2\u0080\u00939, 47\u00e2\u0080\u009363 and 140\u00e2\u0080\u00933."},{"key":"2025092412185918000_36.2.112.5","unstructured":"Luque E Beltr\u00c3\u00a1n M . Powerful images: Mexican ex-votos. In: Netto Calil Zarur E Muir Lovell C , eds. Art and Faith in Mexico: The Nineteenth-Century RetabloTradition. Albuquerque: University of New Mexico Press, 2001:69\u00e2\u0080\u009378."},{"key":"2025092412185918000_36.2.112.6","unstructured":"La Reina de las Am\u00c3\u00a9ricas. Works of Art from the Museum of the Basilica de Guadalupe. Chicago: Mexican Fine Arts Center Museum, 1996:48\u00e2\u0080\u009356 and 121\u00e2\u0080\u00933."},{"key":"2025092412185918000_36.2.112.7","unstructured":"Fraser Giffords G . Mexican Folk Retablos. Albuquerque: University of New Mexico Press, 1974:60\u00e2\u0080\u00931."},{"key":"2025092412185918000_36.2.112.8","unstructured":"Gonz\u00c3\u00a1lez A . Historia del estado de Aguascalientes. Mexico: V. Villada, 1881:59\u00e2\u0080\u009360."},{"key":"2025092412185918000_36.2.112.9","first-page":"355","volume-title":"Historia de la Iglesia Cat\u00c3\u00b3lica en Aguascalientes","volume":"II","author":"Guti\u00c3\u00a9rrez","year":"2003"},{"key":"2025092412185918000_36.2.112.10","unstructured":"Netto Calil Zarur E Muir Lovell C , eds. Art and Faith in Mexico: The Nineteenth-Century RetabloTradition. Albuquerque: University of New Mexico Press, 2001:190\u00e2\u0080\u00938 and 315\u00e2\u0080\u009316."},{"key":"2025092412185918000_36.2.112.11","unstructured":"Villase\u00c3\u00b1or Black C . Creating the Cult of St. Joseph: Art and Gender in the Spanish Empire. Princeton: Princeton University Press, 2006:13\u00e2\u0080\u009339."},{"key":"2025092412185918000_36.2.112.12","unstructured":"O'Malley J . The First Jesuits. Cambridge, MA: Harvard University Press, 1993:30."},{"key":"2025092412185918000_36.2.112.13","doi-asserted-by":"crossref","unstructured":"Grendler P . The University of Mantua, the Gonzaga and the Jesuits, 1584\u00e2\u0080\u00931630. Baltimore: Johns Hopkins University Press, 2009:48.","DOI":"10.1353\/book.3437"},{"key":"2025092412185918000_36.2.112.14","doi-asserted-by":"crossref","unstructured":"Brading D . Church and State in Bourbon Mexico: The Diocese of Michoac\u00c3\u00a1n 1749-1810. Cambridge: Cambridge University Press, 1994:3\u00e2\u0080\u009319.","DOI":"10.1017\/CBO9780511586439"},{"key":"2025092412185918000_36.2.112.15","unstructured":"Edwin Smith Papyrus. Cases 39 and 45. http:\/\/www.touregypt.net\/edwinsmithsurgical.htm (accessed 7 Jul 2010)."},{"key":"2025092412185918000_36.2.112.16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.2008.01060.x"},{"key":"2025092412185918000_36.2.112.17","doi-asserted-by":"crossref","unstructured":"Olson J . Bathsheba's Breast: Women, Cancer, and History. Baltimore: Johns Hopkins University Press, 2002:33\u00e2\u0080\u00935.","DOI":"10.56021\/9780801869365"},{"key":"2025092412185918000_36.2.112.18","unstructured":"Fearon H . A treatise of cancers with a new and successful method of operating, particularly in cancers of the breast and testis. London: J. Johnson, 1784:45\u00e2\u0080\u00936."}],"container-title":["Medical Humanities"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jmh.2010.005587","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T19:19:11Z","timestamp":1758741551000},"score":1,"resource":{"primary":{"URL":"https:\/\/mh.bmj.com\/lookup\/doi\/10.1136\/jmh.2010.005587"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,11,30]]},"references-count":18,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,11,30]]},"published-print":{"date-parts":[[2010,12]]}},"alternative-id":["10.1136\/jmh.2010.005587"],"URL":"https:\/\/doi.org\/10.1136\/jmh.2010.005587","relation":{},"ISSN":["1468-215X","1473-4265"],"issn-type":[{"type":"print","value":"1468-215X"},{"type":"electronic","value":"1473-4265"}],"subject":[],"published":{"date-parts":[[2010,11,30]]}}}