Medicine - Unit 4 : Modern Medicine Flashcards

1
Q

Medical developments in 20th and 21st centuries : SURGERY

A
  • 1950 - Surgeon William Bigelow performs the first open heart surgery to repair a hole in a baby’s heart
  • 1967 - Christina Bernard, a South African heart surgeon, performs the first heart transplant - patient lives 18 days after that
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2
Q

Medical developments in 20th and 21st centuries : TREATMENTS

A
  • 1970 = British scientist Roy Caine develops the drug cyclosporine = prevents body rejecting transplanted organs
  • 1987 MRI scanning is widely used to monitor brain activity = useful to find tumours
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3
Q

Medical developments in 20th and 21st centuries : BELIEFS

A
  • 1962 : A link is made between thalidomide and deformations in babies = tougher testing and approval processes within the pharmaceutical industry
  • 1953 : Francis Crick and James Watson discover DNA = gene therapy, genetic screening and genetic engineering can develop
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4
Q

Why had alternative medicines been on the rise ?

A
  • the influence of social media
  • lack of trust in the government
  • Many diseases not having a cure
  • difficultly of getting a doctors appointment
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5
Q

Key facts about the BOER WAR

A
  • 1899 - 1902
  • lots of European countries with land and territories
  • First time British used trench warfare and first time used camouflage
  • First time the British used concentration camps
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6
Q

How the BOER WAR helped PUBLIC HEALTH

A

British government realised that they needed more recruits but very few were physically fit and able to join - 40% of recruits were physically unfit

  • Others were concerned about their empire falling due to the state of public health (imperialists)
  • Their east campaign for national efficiency which had many key individuals like Emily Pankhurst and H.G Wells
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7
Q

Key Facts about CHARLES BOOTH

A
  • businessman who worked behind the scenes and used his money to carry out social investigations on the poor
  • Made a book that took 17 years to write
  • Concluded that a large a,puny of poverty was due to the public’ health conditions that the government put on them and he believed that if they improved health it would help the poor
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8
Q

How CHARLES BOOTH helped PUBLIC HEALTH

A
  • Drew attention to the stare of the lower class health and how it negatively impacted them = changed people’s attitudes
  • Put pressure on government to take responsibility
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9
Q

Key facts about BENJAMIN ROWNTREE

A
  • Wealthy and used it to help those in poverty
  • Wanted to investigate the poor and public health in York
  • Took 3 years to complete and came to same conclusion as Booth - saw how 30% lived below the poverty line (couldn’t afford basic needs to lead a healthy lifestyle)
  • David Lloyd George was friends with him and was PM in 1911 so he was directly responsible for some decision making
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10
Q

How BENJAMIN ROWNTREE helped PUBLIC HEALTH

A
  • Found 30% living below poverty line = puts into perspective how bad the level of public health was to people
  • put pressure on government to take responsibility especially David Lloyd George
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11
Q

Why might the individuals and events be less significant to public health

A
  • Booth and Rowntree didn’t have power to change legislation or policy involving public health
  • Poor might not support Booth and Rowntree as they were wealthy and privileged
  • Boer War only targeted men’s health not women, elderly and children
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12
Q

What were the liberal reforms?

A

A series of laws and policies introduced by the liberal government from 1906 that aimed to tackle poverty and improve public health

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13
Q

Why were the LIBERAL REORMS introduced

A

They wanted to decrease infant mortality rates

Wanted people to be prepared for war

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14
Q

ELDERLY : Old Age Pension

A

SUCCESSES
- introduced in 1908
- meant that old people revived an income even though they didn’t work

FAILURES
- Few of the poor lived to be 70 years old (there was a low life expectancy)
- Amount didn’t meet the basic needs of the elderly

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15
Q

CHILDREN : Free School Meals

A

SUCCESSES
- Introduced in 1906
- 1914 : 14 million school meals had been provided

FAILURES
- weren’t compulsory till 1914
- the reform varied across the country as it was left up to the local governments

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16
Q

WORKERS - National Insurance Acts of 1911

A

SUCCESSES
- Health insurance and benefits for the unemployed
- Workers had a higher standard of living
- Labour exchanges (job centres) dealt with unemployment

FAILURES
- Benefits didn’t cover family members or those who didn’t earn over a certain amount of money (women)
- Labour exchanges were only voluntary

17
Q

General successes and failures of the Liberal Reforms

A

+ Showed the government moving away from Laissez Faire attitudes

+ ALL THESE REFORMS ARE STILL IN PLACE TODAY

  • individuals still needed to make contributions to get the benefits
  • reforms didn’t solve all issues of poverty and public health (women)
18
Q

Benefits of WWI on X - rays

A
  • Very important
  • Mobile X-rays were used meet the battlefields : found bullets or shrapnel without having to cut the patient open
19
Q

Benefits of WWI on PLASTIC SURGERY

A
  • Harold Gillies (army doctor) developed plastic surgery
  • set up a special unit to transplant (graft) skin to treat men with facial wounds through the creation of skin grafts
  • Gillies and his colleagues treated over 5000 servicemen by 1921
20
Q

Benefits of WWI on BLOOD TRANSFUSIONS

A

BEFORE WWI
- Karl Landsteiner discovered blood groups = could match blood to the receiver = an increase in the success rate of blood transfusions than in the past without the scientific knowledge
- HOWEVER it was not possible to store blood as it clotted easily = many died from blood loss

DURING AND AFTER :
- Albert Hostin discovered that glucose sodium citrate stopped blood from clotting in contact with the air = taken to patients in bottles or iced = fewer deaths from blood loss

21
Q

Benefits of WW2 on DRUG DEVELOPMENT

A
  • Penicillin = first antibiotic developed in years leading up to the war
  • By 1944 enough penicillin was produced to treat all the allied forces in Europe through the development of machines = mass production
22
Q

Benefits of WW2 on PLASTIC SURGERY

A
  • Archibald McIndoe used new drugs like penicillin to prevent infections when treating pilots with facial injuries
23
Q

Benefits of WW2 on BLOOD TRANSFUSIONS

A
  • Advances in storing blood = kept fresh and useable for longer
  • This led to the British National Blood Transfusion service in 1938. Many blood banks were opened
24
Q

Technological breakthroughs after the wars

A
  • Mass production of medicines
  • Radiotherapy due to developments in radiation
  • Keyhole surgery
  • Keller-Blake splint = extended and elevated broken leg (still used today)
25
Q

William Beveridge

A
  • A British economist and and social reformer
  • In 1942 he released the Welfare State with the Beveridge Report
26
Q

Beveridge Report : 3 Aims

A
  1. All in scheme for social insurance for all families with benefits of adequate amounts
  2. A children’s allowance weekly to support the cost of childcare
  3. All in scheme of medical treatments for all kinds of people : NHS

He encouraged people to support it by promising that it preserves freedom as no one falls behind a certain standard : support ‘from cradle to grave’
ALL THESE EXIST TODAY

27
Q

NHS

A
  • Created/introduced in 1948
  • Aneurin Bevan was the Minister of Health at the time and was given the task of introducing the NHS
28
Q

Opposition to NHS

A
  • Doctors: saw it as an attempt to limit their ability to make money as well as their right to refuse treatment - 41,000 doctors out of 45,000 doctors said they opposed the NHS
  • Churchill: ‘curse on the country’ that discouraged voluntary efforts of good people (doctors)
29
Q

SUCCESSES of NHS

A
  • all medical care = free so poor can access it and therefore increased public health generally
  • women’s healthcare also became significant and a priority
  • from 1948 to present day life expectancy increased
    • Women = 66 to 83
    • Men = 64 to 79
  • Family planning, physio therapy, child care, asthma etc. = always free even today
  • New technologies to increase public health
30
Q

FAILURES of NHS

A
  • many doctors against it and Bevan had to appease them by giving them a salary and allowing them to take private patients
  • By 1950 budget of NHS was under pressure = 1952 has to charge money for glasses, prescriptions and dental treatments = same today
  • Problems = long waiting list and staff being overworked and an increase in the number of elderly people due to good healthcare = more money needed to look after them