1920-48 Flashcards

(50 cards)

1
Q

What did penicillin do

A

Killed microorganisms

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2
Q

Did Fleming discover the use of penicillin

A

No - in the Middle Ages, mouldy bread was sometimes used to treat wounds. Lister also used it for treatment after the wound did not respond to any antiseptic

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3
Q

When did Fleming publish his ideas on penicillin

A

1929

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4
Q

What was the immediate impact of the discovery of penicillin

A

Limited - it was difficult to produce, especially on a large scale. It was also suggested to work slowly and to be ineffective when mixed with blood

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5
Q

When was the second magic bullet discovered

A

1932

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6
Q

Who were the key individuals in the spreading of the use of penicillin

A

Howard Florey and Ernst chain

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7
Q

How did chain and Florey test penicillin

A

Mice

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8
Q

When was penicillin first used on a human

A

1941 - Albert Alexander - began to recover from septicaemia but died because they ran out of penicillin

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9
Q

Did Florey and chain patent penicillin

A

No

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10
Q

What did Florey and chain do to get funding for penicillin mass production

A

Moved to the USA because Britain was at war so couldn’t afford it

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11
Q

By when was penicillin mass produced

A

1944 - D-day - there was enough penicillin to treat all allied casualties

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12
Q

What are the 5 key factors in the development of penicillin

A
  1. Science
  2. Individuals
  3. Institutions (the US gov funded Florey for 5 years)
  4. Technology
  5. Attitudes in society / ww2
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13
Q

How many lives did penicillin save between 1945 and 1942

A

200 million!!!!

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14
Q

What was the significance of penicillin on other medication

A

It showed that one type of bacteria could kill another, leading to treatments for things like TB

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15
Q

Why did the advancement of development slow after ww1

A

There was less urgency

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16
Q

When was the emergency medical service set up

A

1939

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17
Q

Why did medical schools stop admitting women in the 1920s (3)

A
  1. They thought women would leave the profession to have a family
  2. Some men thought that it destroyed the delicate nature of women
  3. Some male students didn’t want to train with women
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18
Q

What percentage of the women attending medical school in 1920 were working medicine in 1936

A

17%

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19
Q

How were women doctors paid compared to men and what did this mean

A

Less - men became worried that women were cheaper so may take their jobs

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20
Q

How many women medical students were there in 1938 and 1946

A

38 - 2000
46 -2900

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21
Q

How was the impact of war on women in meds in ww2 compared to 1

A

Less in 2 as fewer male doctors were called up to serve

22
Q

What impact did ww2 have on surgery

A

Penicillin was vital because the average gap between injury and surgery was 14 hours

23
Q

Were mcindoe and gillies relatives

A

Yes both from New Zealand

24
Q

When was gillies knighted

25
What are the 2 problems of burns
1. Muscles and nerve damage 2. Disfigurement to appearance, leading to psychological problems
26
What was the treatment for burns originally and what was the issue
Tannic acid - it shrunk the tissue around the burn, limiting mobility
27
What did mcindoe observe that led to the saline bath
Pilots who crashed into the sea healed better than those who crashed on land
28
What was the saline bath
The burn victim was placed in a bath of salty water
29
What was the guinea pig club
Mcindoe’s patients
30
What was east grinsted known as
The village where no one stared
31
When was mcindoe knighted
1947
32
What was used instead of whole blood transfusions
Plasma - could be dried and easily transported
33
What were the 5 evils in the beveridge report
Want - poverty and not having enough money or food Disease Ignorance - lack of education Squalor - dirty and unhygienic conditions Idleness - unemployment, leaning to alcoholism and crime
34
What % of people had heard of the beveridge report
95%
35
What was the slogan of the welfare system
Care “from the crade to the grave”
36
How was the wellfare system paid for
Tax
37
What 4 factors led to the setting up of the NHS
1. The beveridge report 2. Ww2 3. Expanding role of government 4. The 1945 labour government
38
When was the NHS created
1948
39
What was the background of Aneurin Bevan
Poor, left school at 13 to work in a coal mine. He sae first hand the problems of poverty and poor health
40
Who was the minister for health of the 1945 labour government
Aneurin Bevan
41
What was Bevan’s first name
Aneurin
42
How many British practitioners approved of the NHS vs disapproved
40,000 disapproved, 5,000 approved
43
Why did some doctors not approve of the NHS
They thought they would lose money
44
How did Bevan get round the issue of doctors not happy to start the NHS
Agreed to pay GPs based on how many patients they saw. He also agreed they could keep running privately
45
What percentage of doctors in Britain enrolled in the NHS
90%
46
What share of the vote did the Labour Party win in 1945
48%
47
Why was Attlee interested in public health
He was a social worker and fought in the war
48
What was the 1946 national insurance act
Working people were taxed more to help those who couldn’t work (sick, pregnant etc)
49
National health service act - when and what
1946 - all aspects of medicine and care to be part of a national health service, which would be free to use
50
What was the life expectancy in 1901, 1930 and 1950 for women
1901 - 55 1930 - 62 1950 - 70