1. Evolution of Health Care Delivery Flashcards
Prehistoric people treat wounds through
- Immersion in cool water and applying mud to irritated areas
- Sucking stings
- Licking wounds
- Exerting pressure on wounds to stop bleeding
Mesopotamians
Liver –
seat of life
Disease is a divine punishment or mark of sin for
Ancient Hebrews
divine punishment or mark of sin
Disease
Disease was considered an imbalance of the four humors of the body: phelgm, blood, yellow
bile and black bile
4th Century Hebrews
Disease was considered an imbalance of the four humors of the body:
phelgm, blood, yellow bile and black bile
Deities of ancient Egypt were associated with health, illness, and death
Ancient Egypt
healing goddess
Isis
mistress of heaven and protector of women during childbirth
Hathor
fertility
Keket
-Embalming
-linked anatomy and physiology with theology
-Pills, cake suppositories, enemas, ointments, drops, gargles, fumigation and baths
-Drugs were made from vegetable, mineral, and animal substances; and imported materials such as saffron,
cinnamon, perfumes, spices, sandalwood, gums and antimony
Ancient Egypt
- Life is eternal cycle of creation, preservation, and destruction
- Detected diabetes by sweetness of urine
- Treated snakebites by applying tourniquets
- Surgery of nose, earlobes, harelips and hernias
- Perform cesarean sections
Ancient India
balance of yin and yang
Harmony
was considered the way
Tao
forbade dissections
Confucius
Nei Ching
Five methods of treatment -
- Cure the spirit
- Nourish the body
- Give medications
- Treat the whole body
- Acupuncture and moxibustion
- Treatment – exercise, physical therapy, massage
exercise, physical therapy, massage,
Treatment
- Harmony – balance of yin and yang, Tao was considered the way
- Confucius forbade dissections
- Nei Ching
- 11th Century – developed an inoculation against smallpox
Ancient China
developed an inoculation against smallpox
11th Century
- Built healing temples of Asclepios in Thessaly
- Healing rituals began after sundown and often involved fasting or abstinence from certain food or wine
Ancient Greece
round building encircled a pool or sacred spring of water for purification
Tholos
building for incubation site where cure take place
Abaton
- Thales
- Anaximander
- Anaximenes
- Heraclitus
- 6th century BC
Pre-Hippocratic Medicine
Basic element in all animal and plant life was water, from which came the earth and air
Thales
Living creatures originated in water
Anaximander
Air is necessary for life
Anaximenes
Fire principal element of life
Heraclitus
earth, air, fire and water are basic component of life
6th century BC
- father of medicine
- His approach revolutionized medicine from the ancient past and began turning it into and objective science
- People practicing medicine should be pure and holy
- Addressed mental illness, anxiety and depression
Hippocrates
Hippocrates taught that one should
- Observe all
- Study the patient rather than the disease
- Evaluate honestly
- Assist nature
- Healing message of Christ
- Healing was not differentiated into physical, mental, or spiritual
- Luke the physician
- Christian faith – compassion, forgiveness, and concern for the unfortunate and the dispossessed
Christianity
founded a hospital in the fourth century. Other hospitals were established by
Christian community in Caesarea, Edessa, and Bethlehem
Roman Emperor Constantine
With the ________ came the distribution of disease.
Crusades
Crusades brought
Leprosy, typhus and smallpox
Year bubonic plague
1347
- Paracelsus
- Jean Fernel
- Ambroise Pare
- Andreas Versalius
- Latrochemistry
- Jan Baptista van Helmont
- Galileo
- Isaac Newton
- William Harvey
- Christian Huygens
- Gabriel Daniel Fahrenheit
- Marcello Malpighi and Anton van Leeuwenhoek
- Quinine
- Leonardo da Vinci
The Renaissance
father of pharmacology
Paracelsus
- physiology, pathology and therapeutics were standard discipline of medicine
- First suggested that gonorrhea and syphilis are separate diseases
Jean Fernel
Forerunner of clinical surgery
Ambroise Pare
father of anatomy
Andreas Versalius
Combination of alchemy, medicine, and chemistry
Latrochemistry
First measurement of the relative weight of urine
Jan Baptista van Helmont
Presented laws of motion in mathematical manner
Galileo
Discovered gravity
Isaac Newton
Continuous circulation of blood in body system
William Harvey
Centigrade system for measuring temperature
Christian Huygens
Developed the system of measuring temperature
Gabriel Daniel Fahrenheit
Forerunners in the invention of microscope
Marcello Malpighi and Anton van Leeuwenhoek
Was discovered as a treatment for malaria
Quinine
Explored human anatomy through dissections
Leonardo da Vinci
- Albrecht von Haller
- Lazzaro Spallanzani
- Stephen Hales
- Giovanni Battista Morgagni
- Edward Jenner
- William Hunter
- John Hunter
- Philippe Pinel
18th Century
In-depth studies of the nervous system; discovered the relationship of the brain cortex to peripheral nerves, and became founder of modern physiologic theory
Albrecht von Haller
Pioneer of experimental fertilization
Lazzaro Spallanzani
Demonstrated blood circulation, stressed importance of the capillary system, and became the first person to record blood pressure with manometer
Stephen Hales
father of pathology; Correlated anatomy with pathology
Giovanni Battista Morgagni
Smallpox vaccination
Edward Jenner
Specialist in obstetrics, founded the Great Windmill Street School of Anatomy, the first medical
school in London
William Hunter
Experimental surgeon; Method of closing off aneurysm; Pioneer in comparative anatomy
John Hunter
Humane regimen be instilled at Asylum de Bicetre near Paris (care and treatment for mentally ill patients)
Philippe Pinel
- Autopsies were the major focus of medicine
- Carl Rokitansky
- Rudolf Virchow
- Claude Bernard
- Rene -Theophile Hyacinthe Laennec
- Ephraim McDowell - Performed the first successful abdominal surgery to remove a huge cyst from an ovary
- J. Marion Sims
- Joseph Priestly
- Crawford W. Long
- Joseph Lister
- Louis Pasteur
- Robert Koch
- Benjamin Rush
- William Beaumonth
- Gregor Mendel
- Wilhelm Conrad Roentgen
- Pierre and Marie Curie
19th Century
Most outstanding morphologic pathologist of his time
Carl Rokitansky
All cells come from other cells
Rudolf Virchow
-Founder of experimental physiology and discovered the principle of homeostasis, clarified the multiple
functions of the liver, studied digestive activities of the pancreas, and was the first to link pancreas with
diabetes.
-He pioneered and established the specialty of internal medicine.
Claude Bernard
-Pathologic and clinical understanding of chest diseases including emphysema, bronchiectasis and
tuberculosis.
-He was also a pioneer in the invention and use of the stethoscope.
Rene -Theophile Hyacinthe Laennec
Performed the first successful abdominal surgery to remove a huge cyst from an ovary
Ephraim McDowell
- Laid foundation for gynecology and founded the Women’s Hospital of the State of New York
- He invented the Sims position and later the speculum and Catheter
J. Marion Sims
Nitrous oxide gas and chloroform has been discovered but not yet put into practice
1831
Discovered nitrous oxide gas
Joseph Priestly
He suggested to use nitrous oxide gas in surgery but was ignored.
Humphry Davy
Used sulfuric ether during surgery in 1842
Crawford W. Long
- Discovered that bacteria were often origin of disease
- Safe surgical procedure
Joseph Lister
Germ theory of disease and explained the effectiveness of asepsis and antisepsis
Louis Pasteur
Extensive research into microorganisms and founded bacteriology
Robert Koch
First American Psychiatrist
Benjamin Rush
First prominent American Physiologist
William Beaumonth
Foundation of modern genetics - Experiments of heredity of plants
Gregor Mendel
November 8, 1895 – discovered x-rays
Wilhelm Conrad Roentgen
- Discovered radium
- Provided foundation for the use of radioactivity in the treatment of disease
Pierre and Marie Curie
- Major Walter Reed
- Paul Ehrlich
- Pavlov
- Abel, Rowntree, and Turner
- Willem Einthoven
- Hans Burger
- Lind, Eijkman, Hopkins, Szent-Gyorgi, and Funk
- Electron microscope was invented in 1930
- Salk vaccine
- Watson and Crick
- Christiaan Barnard
- Computers and imaging equipment
- Major transplants
- Coronary bypass surgery
- Arthroscopic surgery
- Laparoscopic surgery
- Lithotripsy
- Use of Lasers
- Artificial hips and knees
- Plastic surgery
20th Century
Eradicated yellow fever
Major Walter Reed
father of chemotherapy
Paul Ehrlich
Invented the first artificial kidney that led to dialysis
Abel, Rowntree, and Turner
Made the first electrocardiogram
Willem Einthoven
Invent electroencephalogram
Hans Burger
Defined and isolated vitamins and described their role in life process.
Lind, Eijkman, Hopkins, Szent-Gyorgi, and Funk
Electron microscope was invented in
1930
virtually eliminated the scourge of poliomyelitis
Salk vaccine
Accurately described deoxyribonucleic acid (DNA) molecule and Year
Watson and Crick in 1962
Performed first successful human heart transplant
Christiaan Barnard
- Rapid expansion of technology and information
- Research into genetics has greatly expanded our knowledge about heredity
- Biotechnology
- Robotic surgery
- Electrical conduction system of the heart has been mapped
21st Century
- Less blood
- Faster recovery of patients
- Fewer overall complications
Robotic surgery
a condition of the living animal or plant body or of one of its parts that impairs normal functioning and is
typically manifested by distinguishing signs and symptoms
Disease
death rate
Mortality
occurrence of disease or condition
Morbidity
- Heart Disease
- Cancer
- Cerebrovascular Disease
- Accidents
- Chronic Lower Respiratory Disease
Risk Factors and Primary Causes of Death
- Sedentary lifestyle
- Cigarette smoking
- Hypertension
- Obesity
- Diabetes
- High Cholesterol
Heart Disease
- Cigarette smoking
- Positive stool occult blood
- Failure to perform breast self-examination
- Failure to have Papanicolaou tests (Pap smears)
Cancer
- Cigarette smoking
- Hypertension
- High cholesterol
Cerebrovascular Disease
- Failure to use seat belts
- High alcohol use
Accidents
Cigarette Smoking
Chronic Lower Respiratory Disease
Crawford W. Long used sulfuric ether during surgery
in 1842
First medical school in London
Great Windmill Street School of Anatomy