In 1990, Thomas J. Bouchard and his colleagues published the paper “Sources of Human Psychological Differences: The Minnesota Study of Twins Reared Apart” in Science Magazine. The paper described the results of a study initiated in 1979 on the development of twins raised in different environments. The scientists conducted their experiment at the University of Minnesota, in Minneapolis, Minnesota. The researchers physiologically and psychologically assessed monozygotic twins or triplets who were reared apart, comparing the similarity of those twins to twins who were reared together. The research team found that identical twins who are reared apart had the same chance of being similar as twins who were raised together. Bouchard and his colleagues concluded that genetic factors have a large influence on behavioral habits demonstrating the influence of the genetics on development.

In 2010, Theresa S. Betancourt, Robert T. Brennan, Julia Rubin-Smith, Garrett M. Fitzmaurice, and Stephen E. Gliman, published “Sierra Leone’s Former Child Soldiers: A Longitudinal Study of Risk, Protective Factors, and Mental Health” in Journal of the American Academy of Child and Adolescent Psychiatry. The paper describes the results of a longitudinal study of former Sierra Leone child soldiers that examines how protective and risk factors affect children’s post-conflict mental health outcomes over several years of development. Researchers from Harvard University in Cambridge, Massachusetts, conducted the study in collaboration with the International Rescue Committee and the Post-Conflict Reintegration Initiative for Development and Empowerment in Sierra Leone. The study investigated processes that affected the development of 260 former child soldiers at three points in time post-conflict. The authors found that besides war experience, post-conflict factors such as discrimination and community acceptance contribute to the mental health of former child soldiers. Their results have helped intervention programs focus on post-conflict factors to heal children from the harmful effects of war.

From 1951 to 2001, researchers at the University of Oxford in Oxford, England, conducted the British Doctors’ Study, a study that examined the smoking habits, disease rates, and mortality rates of physicians in Britain. Two epidemiologists, scientists who study occurrence and distribution of disease, Richard Doll and Austin Bradford Hill, initiated the study, and statistician Richard Peto joined the team in 1971. The objective of the study was to assess the risks associated with tobacco use, and its relationship to lung cancer. The researchers tracked 34,439 male doctors practicing in Britain, and recorded smoking habits, development of diseases including lung cancer, other cancers, respiratory diseases, cardiovascular diseases, and mortality rates. The researchers published updated results every ten years. In 1980, Doll and other researchers concluded a related study on the smoking habits and disease rates of female doctors practicing in Britain. The results of both studies provided evidence that individuals who smoked tobacco were more likely to develop chronic respiratory illnesses, including lung cancer, and cardiovascular diseases.

Nancy Goodman Brinker founded the largest breast cancer organization in the US, Susan G. Komen for the Cure, during the twentieth century. In 1982, Brinker created the organization, Susan G. Komen for the Cure, in memory of her sister, who had died of breast cancer two years earlier. During the early twentieth century, breast cancer was socially stigmatized, very few people discussed the disease, and there were limited treatment options available for those diagnosed with the disease. Breast cancer is one of the most prevalent forms of cancer and it affects almost 12 percent of women worldwide. In 1983, Brinker created the Susan G. Komen Race for Cure, a fundraising and awareness event for breast cancer. The organization provides funding for research, advocacy, and programs related to breast cancer. In the early 2000s, Brinker served as the US Ambassador to Hungary and, later, as the US Chief of Protocol. In 2009, US president Barack Obama awarded her the Presidential Medal of Freedom, the nation’s highest civilian honor. In 2017, Brinker serves as the Chair of Global Strategy at Susan G. Komen for the Cure and as the World Health Organization’s Goodwill Ambassador for Cancer Control. Brinker’s activism in the field of breast cancer raised awareness, public attention, funding, and support for women affected by breast cancer.

From February 2003 to December 2010, researchers of the Management of Myelomeningocele Study, or MOMS, clinical trial compared the safety and efficacy of different treatments for a specific type of spina bifida, called myelomeningocele. Myelomeningocele, the most frequent and severe form of spina bifida, is a condition in which the bony spinal column does not develop correctly, which causes an opening of the spine, exposure of the spinal cord, and formation of a small sac containing cerebrospinal fluid. Myelomeningocele affects 3.4 infants per 10,000 live births in the United States and is fatal in ten percent of affected infants. Investigators in the MOMS trial aimed to find a more successful treatment for myelomeningocele through different types of surgery. To accomplish that, they performed prenatal, or in utero, and postnatal repair operations in their study. The MOMS researchers concluded that prenatal repair improved motor and neurologic outcomes, such as the ability to activate and coordinate the muscles and limbs, and reduced the risk for fetal death.

In 2015, the British Broadcasting Corporation (BBC) partnered with The Open University to produce the three-part documentary series, Countdown to Life: The Extraordinary Making of You. Michael Mosley, a British television producer and journalist, hosts the documentary. Along with narrating animated scenes of a growing fetus in the womb, Mosley meets with individuals around the world who experienced mutations that can arise in the womb. Introduced over the course of the three episodes, several people share their personal stories of how their bodies did not develop correctly prior to birth. Throughout the documentary, animations of fetal development and individuals’ stories about their own birth defects transition back and forth to show how a fetus develops. Countdown to Life: The Extraordinary Making of You informed the public of what happens to the fetus at the point of conception to the point of birth at forty weeks.

Chāng (Chang) and Ēn (Eng) Bunker were conjoined twins in the nineteenth century in the United States, the first pair of conjoined twins whose condition was well documented in medical records. A conjoined twins is a rare condition in which two infants are born physically connected to each other. In their youth, the brothers earned money by putting themselves on display as curiosities and giving lectures and demonstrations about their condition. The Bunker brothers toured around the world, including the United States, Europe, Canada, and France, and allowed physicians to examine them. Due to the popularity of their exhibition and their origin from Siam (later called Thailand), they became known as the Siamese twins, a term that was used to describe conjoined twins in general until the twentieth century. During their travels and, later, with the autopsy they received, the Bunker brothers provided insight about the development of twins and conjoined twins.

In the article “The History of Twins, As a Criterion of the Relative Powers of Nature and Nurture,” Francis Galton describes his study of twins. Published in 1875 in Fraser’s Magazine in London, England, the article lays out Galton’s use of twins to examine and distinguish between the characteristics people have at birth and the characteristics they receive from the circumstances of life and experience. Galton calls those factors nature and nurture. Based on his study, Galton concluded that nature has a larger effect than nurture on development. By studying twins, Galton introduced a way to examine the effects of nature and nurture in people who were born with similar traits, which allowed him to focus on the effects of experience on a person’s development.

Ian Donald was an obstetrician who developed the technology and therapy of ultrasound diagnostics during the twentieth century in Europe. Ultrasound is a medical diagnostic technique that uses sound waves to produce images of the inside of the body. During the early 1900s, physicians had no way to see inside a woman’s uterus during pregnancy. Donald developed the first method of scanning human internal anatomy in real time, which enabled doctors to diagnose potentially fatal tumors and cysts. Donald’s development of ultrasound imaging enabled doctors and midwives to more accurately track fetal development and prevent potential health problems.

In the nineteenth century, Elizabeth Blackwell was a women’s healthcare reformer and the first woman to receive her medical degree in the United States. She practiced medicine as a primary care physician in both the United States and the United Kingdom. Blackwell graduated medical school from Geneva Medical College in Geneva, New York, where she was the first woman to receive a medical degree in the US. Throughout her career, Blackwell focused on her patients’ rights to access healthcare and education pertaining to healthcare, particularly the rights of women and children, whom she treated in a hospital she cofounded. Blackwell influenced the medical care during the Civil War in the United States by training nurses to treat soldiers injured in battle. In her lifetime, Blackwell educated women on their health and careers as healthcare providers, and as the first woman to receive a medical degree, made it easier for other women to become physicians in the United States.