medicine through time Flashcards

1
Q

how were sick people treated in medieval england

A

barbor surgeons in towns would do blood letting or amputations
wise women gave first aid , herbal remides and supernatural cures
herbalists in the monestries used herbal remides and prayer
treained doctors worked in large towns and used the ideas of hippocrates and galen

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2
Q

what were some super natural curesfor disease in medieval england

A

position of the stars
recommending chants and prayers

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3
Q

what were some natural cures of disease in medieval england

A

clinical obervation
checking pulse and urine
four humors

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4
Q

what procedures did medieval surgeons carry out and why were they questionable

A

blood letting to balance the humors
amputation - operated without pain killers
trenpanning ( drilling into the skull to let demonds out )
cauterisation ( buring a wound to stop blood from coming out )
they had no idea dirt carried disease

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5
Q

what was wrong with public health in the towns in medival times

A

sewage systems could not cope and rivers were often used to remove the waste
cesspites would overflow into roads and river
streets were littered with toilet waste and house hold rubbish
butchers often left guts and blood in the river and leather tanners used dangerous chemicals

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6
Q

what was good about public health in towns in the medieval times

A

some roman sewers still survived and some towns built new pipes out of wood or lead
most towns had privies with cesspites to collect the waste
local councils passed laws to ecourage poeple to keep the streets clean
tradesmen were encouraged to keep areas clean

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7
Q

why were medieval towns so hard to keep clean

A

population grew and facilities could not keep up
rivers were used for drinking water and waste disposal
people had no knowledge of germs

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8
Q

why did monestries have better conditions in the medieval time

A

monestries had lavatoriums were pipes delivered clean washing water, privies were contained and waste was emptied and used as manure , monks washed regularly , infirmaries seperated the ill and healthy people
rich people could donate more money on cleaner facilities
monks read books and understood basic cleaning principles
abbys were often out of town and by the river to protect them from epidemics

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9
Q

when was the black death

A

1348

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10
Q

how was the plague actually spread

A

through rats and fleas which carried the bubonic plague and pneumonic plague.
it came from asia via trade

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11
Q

why did the black death spread so quickly

A

streets were dirty and encouraged rats to breed
animals dug up burried victims quickly
quarantine in villages was not effective
people did not understand germs

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12
Q

what were some remides from the black death

A

prayer
drinking mercury
strapping a shaved chicken to buboes
moving away from a plague area
quarantine

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13
Q

how many people did of the black death in england between 1348 and 1350

A

1.5 million

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14
Q

what were the social , economic , religious and political impacts of the black death

A

social - whole villages were killed
political - demand for higher wages contributed to the peasant revolt in 1381
religgious - damage to catholic church because preists died
economic impact - plague created food shortages and the prices went up which caused hardship for many people
land owners switched to sheep farming because it required fewer people
land workers demanded more money and less willing to work

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15
Q

what does renaissance mean

A

re birth

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16
Q

what were the concequences of the renaisance

A

new land was discovered and explorers brought back new medicine and food
new scientific learning involved hypothesis and observation
new invention like gunpowder caused new wounds
art could show human bodies in realistic detail
painting spread new ideas quickly

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17
Q

who were medical proffesionals in the renaisance

A

barber surgeon - poorly trained people who could give you a hair cut and perform small opperations
apothecaries - little or no medical training but sold potions
wise women - treatment relied on superstition but had extensive knowledge of plants
quacks - travelling salesmen who sell medicines
trained doctors - used new and traditional ideas including the four humors

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18
Q

when was thegreat plague

A

1665

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19
Q

how many people in london die of the great plague

A

100,000

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20
Q

what were remides for the great plague

A

bleeding with leaches
smoking to keep away poisoned air
sniffing a spounge soaked in vinager
using animals to draw out the poison ( frogs , snakes )
moving to the country side to avoid catching the plague

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21
Q

how did people deal with the great plague

A

the recognised the connection between dirt and disease as ost deaths occured in poor areas
mayors issued orders to stop the spread of disease
women searchers identified plague victims and noted down their victims
effective quarantine for 40 days
bodies were burried in mass graves during the night
fires were lit to clear miasma
cats and dogs were killed
gatherings and games were banned
trade over the scottish boarder stopped

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22
Q

how did the great plague end

A

rats became more resistant so fleas did not need to find huamn hosts
in 1666 quarantine rules meant that disease could no longer come in via trade

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23
Q

how were hospitals developed during the eighteenth centuary

A

between 1720 and1750 five new genral hospitals were built in london
hospitals ha specialist wards and often had medical schools to train doctors
treatment was free but still based on the four humors
more christains believed it was better to help the sick than argue about beliefs
fewer people believed that illness was punishment
towards the end of the centuary hospitals opened pharmacies to give free medicine to the poor
the british hospital for mother an babie opened in 1749

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24
Q

what was innoculation

A

giving a healthy person a mild dose of a disease
they did this by blowing dried scabs up their nose to allow them to build up resistance

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25
what were some problems with innoculation
some people believed preventing illness was gods job if the dose was not low enough people could still die disease could still be spread poor peole could not afford it
26
why was vaccintion opposed
jenner published his finding in 1798 but could not explain how it worked attempts to repeat his experiment failed doctors were profiting from innoculation
27
why was vaccination accepted
it was proved effective by scientific experiement it was less dangerous than innoculation members of the royal family were vaccinated parliment gave £10,000 in 1802 for research small pox vaccine was made compulsory in 1853
28
who developed chloroform , when and what did it do
simpson 1847 safe and effective anaethetic
29
reasons for opposition of anaethetic
surgeons were used to opperating quickly on conscious patients some army surgeons thought that soldiers should bravely put up with the pain in the beginning some people died of an overdose of chloroform because people didnt not understand that different people needed different doses it was thought pain during child birth was gods will
30
why did people accept the use of anaesthetics
in 1853 queen Victoria used in childbirth however death rate from infection was still high
31
how was chloroform discovered by simpson
previously laughing gas and ether (1846) had been used for dentist operations but they did not last long enough simpson was a professor of midwifery and first used chloroform during child birth
32
what was spontaneous generation theory
the idea that germs were a concequence NOT cause of an illness
33
how did pastuer prove germ theory
he collected air from different locations in sterile jars he left them for a period of time and came back to see bacteria developing
34
how did lister use germ theory
he thought it caused surgical infection he sprayed carbolic acid on the surgeons hands , opperating area , instruments and bandages carbolic acid killed the bacteria
35
when did lister publish his findings and what were they
1867 11 cases explaining his techniques and publishing germ theory as explanation for the use of antiseptics
36
why did people oppose listers work
doctors did not accept germ theory it took nurses a while to prepare to operate with listers method antiseptic methods had been used before he still operated in street clothes he changed his technique which people put down to ineffectiveness
37
how did people develope listers ideas further
aseptic surgery 1890s surgeons had to be scrubbed , wear gowns , gloves and use sterile instruments.
38
why did people start to believe in germ theory
1866 cattle plague proved one microbe could cause illness by direct contact robert koch proved different microbes caused different illnesses
39
what years were koch discoveries
identified anthrax microbe - 1876 identified cholera - 1884 identified TB - 1882
40
what factors helped koch and pastuers work
war - france and germany were rivals after, france lost the franco prussian war gov - funded their research team work - in 1885 pastuer and his team developed a rabbies vaccine for humans competiton - pasteur was motivated by kochs success in anthrax communication - pasteurs anthrax vaccine was given publcly in 1881 and news spread luck - 1879 pastuer accidently gave a chicken weak cholera showing that it could vaccinate them against a stronger strain
41
impact of pasteur and kochs work
encouraged new generations lister used the diptheria antitoxin and death rate halved by 1905 germ theory was accepted and erlich made the first magic bullet in 1909 to cure syphilis
42
what were the health problems associated with living in the city in the industrial revolution
poor living conditions ( cramped , shared toilets , dirty ) meant that disease such as typhoid , TB and cholera were common cholera epidemics
43
how did cholera epidemics in the 1830-40-50s effect the cities
people thought it came from miasma so cities began to clean up their streets but the importance of clean drinking water was not understood
44
how many people died in the 1831 cholera outbreak
50,000
45
when and why was chadwicks report published
1842 after the 1837-38 cholera outbreaks
46
what did chadwicks report say
disease is caused by bad air , damp and over crowding medical officers should be appointed in local districts people need clean water to develop clean habitats a healthier work force would make the country more money laws should be passed to improve drainage
47
why did the government not react to chadwicks report
they belived in laissez faire
48
what happened when the first public health act was passed
a central board of health was set up to improve public health in towns local towns were empowered to spend money on cleaning the streets it was optional for towns to set up local boards of health
49
when was the first public health act passed
1848
50
what finally got politicians to agree to pay for sanitary improvments
the great stink 1858 when the thames heated up so much that all of the rubbish began to smell
51
who built the sewers in london
bazelgate
52
when was the second public health act passed and what did it say
1875 local councils had to appoint a medical officer , build sewers ,supply fresh water and collect rubbish
53
why didnt flemmings discovery of antibiotics spark interest
he didnt inject it into an infected animal to test the theory that it killed infections
54
how much did the US government invest into penicilin
$80 million
55
how did the production of penicillin impact the country
wildly available to doctors after the war other antibiotics were produced
56
when were stem cells discovered
1953
57
when were MRI discovered
1973
58
when were free vaccines available for TB , diptheria , whooping cough , tetnus ,polio ,measles and rubela
1946-1969
59
when was thalidomide developed
1957
60
when was IVF developed
1978
61
when was the first open heart surgery
1950
62
what is positive health
prevention rather than cure
63
what are some alternative treatments
accupuncture , hypnotherapy , aromatherapy
64
how did war improve x rays
they were used to look for broken bones and disease before the ww1 marie curie developed mobile machines used in ww1 surgeons were able to find pieces of shrapnel with out cutting open the patient
65
how did war improve plastic surgery
gilllies set up a special unit for skin graphes in ww1 queens hospital in kent had 1000 beds for sevre facial wounds by 1921 during ww2 penicillin was used to prevent infection when treating pilots with facial wounds
66
how did war improve blood transfusions
blood groups were discovered by karl landstiener in 1900 hustin discovered sodium citrate stopped blood clotting in 1914 british national blood transfusion service opened in 1938 blood banks developed during ww2
67
how was diet and hygine improved by the war
rations meant people were encouraged to grow their own food which improved diets national immunisation launched for diptheria
68
what did the bohr war recruitment scheme highlight
1899 40% of vulunteers were unfit due to poor diet and poverty related illness the physical deterioration committee was set up and in 1904 published a report concluded men were failing to join the army because of unhealthy lifestyle
69
what did the liberal reforms do
1906 - free school meals 1907 - school medical service 1908 - children and young persons act ( children became protected persons and it was illegal to neglect them ) 1908- old age pensions 1909- first job Centre is built 1911- national insurance act introduces unemployment benefits and sick pay
70
how did the wars impact public health
highlighted the need to tackle poverty evacuated childrens health shocked peopel during ww2 clinic and helath visitors for pregnant women in 1918 slum clearing program started by 1930
71
what did the Beveridge report show
1942 said that people had the right to be free of : disease need ignorance idleness squalor it suggested the way to improve quality of life was for the governemnt to take charge
72
what was part of the welfare state and who set it up
labour won the election after the war and set up the well fare state NHS weekly family allowence to help with child care benifits new homes were built
73
when did the NHS start
1948 by bevan
74
what comes under the NHS
free health care prescriptions and dental treatment still has to payed for it is financed by taxes
75
how much money did the us gov invest into penicilin
$80 million