health and the people - middle ages Flashcards

1
Q

definition of antibiotics

A

a group of drugs used to cure and treat infections caused by bacteria

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2
Q

definition of antiseptics

A

chemicals used to destroy bacteria and prevent infections

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3
Q

definition of anaesthetics

A

a drug given to produce unconsciousness before and during surgery. a substance that reduces pain

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4
Q

natural medieval treatments for diseases

A

clinical observation - checking the pulse and urine

the four humours

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5
Q

supernatural medieval treatments for diseases

A

position of the stars
prayers
charms

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6
Q

natural medieval beliefs about the causes of illness,

A

bad smells/air
childbirth
warfare
famine

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7
Q

supernatural medieval beliefs about the causes of illness

A

God
sinful lifestyles
witchcraft
four humours out of balance`

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8
Q

Hippocrates work and ideas

A

Hippocratic oath
Hippocratic collection
theory of the four humours
observation and recording

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9
Q

what is the Hippocratic oath

A

doctors swear an oath to maintain high standards and work for the benefit of their patient

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10
Q

what is the Hippocratic collection

A

a collection of over 600 books describing how to treat different illnesses and diseases

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11
Q

theory of the four hunmours

A

the theory you were ill when your humour were out of balance - yellow bile, black bile, phlegm, blood

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12
Q

observation and recording

A

doctors writing down everything about their patient and observing them to see what is wrong and to identify the correct cure instead of guessing

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13
Q

what did Galen do

A

introduced theory of opposites
believed that for illness there had to be one maker - God
discovered the brain controls speech
used treatments such as bleeding and vomiting
wrote books

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14
Q

barber surgeons

A

did minor surgeries, bloodletting and were taught through experience

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15
Q

wise woman

A

gave first aid, herbal remedies, charms and spells based on tradition

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16
Q

herbalist in monasteries

A

used herbal treatments, prayer, bloodletting, used ancient knowledge from books

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17
Q

trained doctors

A

taught based on Hippocrates and Galen’s work in British textbooks and Islamic texts

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18
Q

public health in the middle ages

A

no sewage system or fresh water supply - garbage and human waste thrown onto streets
cesspits removed annually by gong farmers
houses overhung streets - cutting out light and air
rivers were breeding grounds for disease
people only bathed 4 times a year

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19
Q

why were monasteries healthier

A

in isolated places
monks had religious routines of cleanliness to keep them healthy
wealthy - able to build good sanitation facilities
access to medical books - learnt basic principles of good sanitation was to separate wastewater from clean water

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20
Q

what did Vesalius do

A

1514-64
professor in surgery at Padua university
wrote The Fabric of the Human Body in 1543
proved Galen wrong - e.g. jawbone was one part not two. human kidney’s not located on top of each other

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21
Q

what did William Harvey do

A

1578-1657
dissected animals and humans, keeping detailed notes on what he found on his experiments
proved that the heart pumps blood in one direction around the body
showed that blood passes through the heart via the septum and that the arteries take blood away from the heart and the veins bring it back to it

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22
Q

what did Pare do

A

1510-90
French barber surgeon who worked in the army and for royalty
new method for cauterising wounds - egg yolk, turpentine and rose oil
used silk ligatures to stop bleeding
designed prosthetic limbs for wounded soldiers

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23
Q

inoculation

A

purposefully infecting someone with a disease in a controlled way to create immunity

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24
Q

vaccination

A

giving weakened strands of a disease to a healthy person to trigger immunity

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25
Q

how does inoculation work

A

doctors scratched pus from smallpox victims onto a healthy persons skin to give them a mild dose and help them build up resistance

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26
Q

Robert and Daniel Sutton

A

1760’s - invented a new way of inoculation. a tiny stab through the skin with a surgical knife. however, only the rich could afford it

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27
Q

problems with inoculation

A

religious objectors who still thought God sent illness as a punishment
people didn’t understand how giving a small amount of a disease prevented a bigger disease
some people died from it
inoculated people can still pass on infection
expensive

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28
Q

what did Edward Jenner do

A

created a vaccine for smallpox - injected pus from sores of milkmaids into people. when they recover from cowpox, they are immune to small pox.
1798 - published his book ‘an inquiry into the causes and effects of the varioque vaccine, or cow-pox’
1853 - made compulsory due to the high infant mortality rate

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29
Q

key people in the renaissance

A

Vesalius
William Harvey
Pare
Edward Jenner

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30
Q

what did Al Razi do

A

wrote over 200 books
most important book of the collection ‘the comprehensive book of medicine’ collection of medical notes, extracts from readings and observations from medical experiences - major influence on the development of medical practice

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31
Q

what did Ibn Sina do

A

wrote a medical encyclopaedia of medicine surveying the entire medical knowledge available from sources.

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32
Q

what did Thomas Sydenham do

A

known as English Hippocrates due to belief in observation and recordings
discovered each disease is different and it is important to identify the exact disease for the correct remedy
his book ‘observationes medicae’ was standard textbook for doctors for 2 centuries

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33
Q

what did John Hunter do

A

1728-93
served as an army surgeon during 7 year war - dealt with gunshot wounds and amputations
known as the ‘father of scientific surgery’
used observation techniques and then recorded his findings
promoted amputations as a last resort
had a developed understanding of the human body
burking - stole dead bodies from graves for his brothers medical school
had a collection of over 600 preserved body parts, diseases, dead embryos etc…

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34
Q

what is cauterising

A

using a red hot iron to seal blood vessels

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35
Q

when was the black death

A

1347-49

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36
Q

where did the black death origionate

A

chine, spreading along trade routes by rats

37
Q

what caused the black death

A

bubonic plague carried by rate and spread by fleas passed on when other infected fleas bit rats or humans.

38
Q

what did people think caused the black death

A
a punishment from God
planets out of line
work of Jews or other outsiders
bad air
dead bodies
stagnant water
39
Q

how did people treat the black death

A

prayer
flagellants whipped themselves to show repentance
avoided baths as thought opening pores on the body let diseases in
theory of opposites

40
Q

what were flagellants

A

during the black death
religious followers who would whip themselves, believing that by punishing themselves they would invite God to show mercy towards them. they would arrive in towns and head straight to church, where the bells would ring to announce to the townsfolk they had arrived.

41
Q

who was Paracelsus

A

1520’s
town doctor and professor of medicine
criticised work of Hippocrates and Galen
believed illness was caused by chemicals in the body and so treatments should be based on chemicals
God had sent clues to cure illness; he used plants that resembled the illness
didn’t win any support away from Galen; work was not read or shared
described as a crank

42
Q

role of women as healers

A

healer in the family - wise women
not allowed to go to university or train as doctors.
traditionally worked as mid wives, but even that role was downgraded after the invention of forceps. (only men knew how to use them because they gained anatomical knowledge and training in universities)

43
Q

what happened during the renaissance

A
  • classical knowledge of Rome rediscovered
  • questioned rather than accepted what they were taught
  • church lost its power
  • printing press invented (quicker communication of knowledge)
  • developments in art (Leonardo da Vinci) more lifelike drawings
  • humanist ideas developed - new belief and interests in the potential and achievements of mankind.
44
Q

criticisms of Pare’s work

A

using ligatures slowed down work on the battlefields and so many surgeons still used cauterisation
dirty silk threads caused infections
pare had no formal education and so was looked down on by others

45
Q

criticism of Vesalius’s work

A

impact was limited - people refused to accept Galen was wrong
his work did not cure anyone or have any practical use

46
Q

criticism of Harvey’s work

A

limited, people refused to accept these ideas
he could not explain how blood moved between the arteries and veins (capillaries - discovered in 17th century with microscopes)
had little practical value at the time. did not help people get better until blood groups were discovered

47
Q

what happened during the Great Plague

A

watchmen guarded houses of the sick to make sure they stayed shut up
the dead bodies were checked by woman searchers to check plague was the cause and then it was confirmed by surgeons
bedding hung in smoke before used again
fires lit to cleanse the air of poison
house owners swept streets outside their houses
animals not allowed to be kept in the city

48
Q

how did the plague die out

A

when the weather turned colder

the great fire of london

49
Q

what changes were made after the Great Fire of London

A

wider, better paved streets

buildings made of stone and brick

50
Q

what changes were made after the Great Fire of London

A

wider, better paved streets

buildings made of stone and brick

51
Q

opposition of Edward Jenner

A

less profitable for doctors
religious people said it was a punishment from God and it was wrong to interfere with Gods plan
people feared it would turn them into cows
most doubted a country doctor like Jenner could make such an important discovery
Jenner could not explain why it worked

52
Q

when was the middle ages

A

1000-1400

53
Q

when was the early modern Britain (renaissance)

A

1400-1750

54
Q

when was the industrial revolution

A

1750-1900

55
Q

when was the twentieth century

A

1900-1000

56
Q

when were microscopes invented

A

1950’s

57
Q

what was spontaneous generation

A

germs or bacteria were created when things rotted or decayed

58
Q

what did Louis Pasteur do

A

1857 was asked by wine growers to investigate why it went sour. used microscopes to discover that germs made the wine go off. further experiments showed that germs made other liquids go sour. the souring was caused by germs in the air. these germs could be killed by pasteurisation.
he designed a swan necked flask to prove his point - which worked.

59
Q

limitations of Lois Pasteur’s work

A

people refused to accept his ideas
he had not been able to identify a germ that caused human disease
1868 - forced to give up his work for a while after experiencing a stroke

60
Q

what is pasteurisation

A

heating a liquid to kill germs in it

61
Q

what was the relationship like between Robert Koch and Pasteur

A

they had a fierce rivalry

62
Q

Koch’s methods that made it easier to study germs

A
  • used industrial dyes to stain individual germs so that they could be seen
  • devised a way to grow a group of the same germs
  • developed a way to photograph germs to share his findings and information
63
Q

Koch’s achievements after 1872

A
  • able to identify the germ that caused tuberculosis

- other scientist used his methods and son the germ causing typhoid, diphtheria and pneumonia were discovered

64
Q

Louis Pasteur after his stroke

A

1877 recovered from stroke and was driven by rivalry with Koch
he fund out how vaccinations worked - weakened germs built up the body’s defences
developed a vaccine against deadly animal disease anthrax
early 1880’s developed a vaccine for the deadly human disease rabies
methods used by other scientists.

65
Q

what did Florence Nightingale do (1860’s)

A

improved basic hygiene in military hospitals during the Crimean war and saved lives of the soldiers there.
used her fame to raise money and awareness to set up a proper training courses for nurses

66
Q

who was Florence Nightingale

A

born in 1820
trained as a nurse in Germany and ran a hospital for rich women in London
1854 asked to take control of a military hospital in the Crimean war
took 38 nurses with her
when they arrived, they thoroughly cleaned the hospital and improved the death rate from 40% to 2%
1860 set up Nightingale training school for nurses at St Thomas hospital in London
published notes on nursing
known as ‘the lady with the lamp’

67
Q

who was Mary Seacole

A

born in Jamaica
skilled midwife and healer
paid for her own journey to the Crimea war
set up a hotel near the Balaclava to give food and drinks to soldiers
treated men on the battlefields
fell into bad health and had no money
had little impact in Britain

68
Q

who was Elizabeth Blackwell

A

qualified doctor in America
1849 returned to England
only woman on the official list of doctors
encouraged and inspired other women to become doctors

69
Q

Elizabeth Garrett Anderson

A

no university medical school would accept her
tutored privately and worked as a nurse at Middlesex university
1865 passed apothecaries exam and received her license to dispense medicines
went to university in Paris
gained degree in 1869 but not accepted in Britain as it was a French degree

70
Q

discovery of ‘laughing gas’

A

Humphrey Davy
did experiments to discover the properties of gases
he found that nitrous oxide was a natural painkiller
called it ‘laughing gas’
40 years later was used successfully in surgery for the first time

71
Q

opposition to anaesthetic

A

religious groups felt that pain, particularly childbirth, was sent by God and therefore should be suffered through
people did not know what the correct dose of chloroform was or that it was different for men, women and children, and so people died
some doctors felt it made no difference to surgery

72
Q

problems of infection

A

surgeons would use dirty, unsterilized equipment. many patients died after surgery from infected wounds

73
Q

who was Ignaz Semmelweis

A

the first doctor to stop infection
Hungarian, working in Vienna in the 1840’s
believed doctors who did the first examine of patients were spreading diseases on their unwashed hands
ordered doctors to wash their hands in a solution of chloride of lime, an effective antiseptic which killed bacteria
he was correct but could not prove why it worked as Pasteur’s germ theory was another 20 years in the future
ideas were dropped and death rate rose again

74
Q

who was Joseph Lister

A

1867 read through Pasteur’s work and developed use of carbolic acid to kill germs
soaked instruments in it and used carbolic spray to kill germs in the operating theatre
cut the death rate from 46% to 15% in 3 years
promoted the idea of sterile surgery

75
Q

what is aseptic surgery

A

stop germs getting into the operating theatre

76
Q

opposition to Lister’s work and ideas

A

some doctors thought sign of a good doctor was the speed with which he worked
carbolic acid was unpleasant to use - dried out doctors skin, made their eyes water, irritated the throat, flammable
Pasteur’s germ theory was still not accepted by all doctors

77
Q

what did William Halstead do

A

he developed rubber gloves for all doctors and nurses to avoid the spread of germs
American

78
Q

public health during industrial revolution

A

cheap, low-quality slum houses. human waste and rubbish on the streets
no laws forced local councils to provide sewers or clean water

79
Q

when was cholera first in Britain

A

1831
spread from India
boards of health were set up but not made compulsory and disbanded after the epidemic died down

80
Q

when were the later cholera epidemics recorded

A

1848 and 1854
made the wealthy realise they could no longer ignore nor dismiss the causes or effects of the disease
some still believed it was God punishing sinners or miasma as there was little understanding of what actually caused the disease

81
Q

what did William Farr do

A

recorded data about the population
1837, all births, marriages and deaths had to be recorded by war
he used these statistics to map areas with high death rates and looked up the causes of the deaths
proved high death rate was linked to poor living conditions
shamed many local councils into action

82
Q

what did Edwin Chadwick do

A

1842 published ‘report on the sanitary conditions of the labouring population’ - proved that poor people in towns lived in unhygienic and overcrowded conditions, leading to illness, low life expectancy, absence from work, no wages and rich having to pay higher taxes
his solution was for the government to provide public health facilities such as sewers and clean streets and to appoint Medical Officers

83
Q

opposition to Edwin Chadwick

A

rich tax payers objected to paying for improvements to facilities they would not use
local councils resented orders from the central government
many people in government believed in the ‘laissez-faire’ approach

84
Q

1848 public health act

A

first of its kind
effects included:
- setting up a national board of health
- local councils given powers to improve water supply and sewers
- councils appointed medical officers of health and local boards of health to supervise improvements
- not compulsory, only suggested

85
Q

what happened to the national board of health

A

1854 it was abolished after the threat of cholera faded

86
Q

what did John Snow do

A

London doctor
first to use chloroform and ether as an anaesthetic
helped Queen Victoria give birth
believed cholera was caused by the water
seen as the father of modern epidemiology
mapped where cholera victims lived and saw that cases were clustered around a water pump in Broad street 1854. 500 people had died in 10 days
wanted the government to remove the handle
later discovered there was a leaking cesspool nearby

87
Q

opposition to John Snow

A

doctors refused to accept his findings as they did not know why there was a link
many doctors decided to hold onto theories such as miasma and spontaneous generation

88
Q

1875 public health act

A

forced local councils to provide clean water, public toilets, effective drains and sewers
forced councils to appoint medical officers of health and other inspectors to examine and report on local public health facilities