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
Q

what were some problems with innoculation

A

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

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26
Q

why was vaccintion opposed

A

jenner published his finding in 1798 but could not explain how it worked
attempts to repeat his experiment failed
doctors were profiting from innoculation

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27
Q

why was vaccination accepted

A

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

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28
Q

who developed chloroform , when and what did it do

A

simpson
1847
safe and effective anaethetic

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29
Q

reasons for opposition of anaethetic

A

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

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30
Q

why did people accept the use of anaesthetics

A

in 1853 queen Victoria used in childbirth

however death rate from infection was still high

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31
Q

how was chloroform discovered by simpson

A

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
Q

what was spontaneous generation theory

A

the idea that germs were a concequence NOT cause of an illness

33
Q

how did pastuer prove germ theory

A

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
Q

how did lister use germ theory

A

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
Q

when did lister publish his findings and what were they

A

1867
11 cases explaining his techniques and publishing germ theory as explanation for the use of antiseptics

36
Q

why did people oppose listers work

A

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
Q

how did people develope listers ideas further

A

aseptic surgery
1890s
surgeons had to be scrubbed , wear gowns , gloves and use sterile instruments.

38
Q

why did people start to believe in germ theory

A

1866 cattle plague proved one microbe could cause illness by direct contact
robert koch proved different microbes caused different illnesses

39
Q

what years were koch discoveries

A

identified anthrax microbe - 1876
identified cholera - 1884
identified TB - 1882

40
Q

what factors helped koch and pastuers work

A

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
Q

impact of pasteur and kochs work

A

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
Q

what were the health problems associated with living in the city in the industrial revolution

A

poor living conditions ( cramped , shared toilets , dirty ) meant that disease such as typhoid , TB and cholera were common
cholera epidemics

43
Q

how did cholera epidemics in the 1830-40-50s effect the cities

A

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
Q

how many people died in the 1831 cholera outbreak

A

50,000

45
Q

when and why was chadwicks report published

A

1842 after the 1837-38 cholera outbreaks

46
Q

what did chadwicks report say

A

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
Q

why did the government not react to chadwicks report

A

they belived in laissez faire

48
Q

what happened when the first public health act was passed

A

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
Q

when was the first public health act passed

A

1848

50
Q

what finally got politicians to agree to pay for sanitary improvments

A

the great stink 1858 when the thames heated up so much that all of the rubbish began to smell

51
Q

who built the sewers in london

A

bazelgate

52
Q

when was the second public health act passed and what did it say

A

1875
local councils had to appoint a medical officer , build sewers ,supply fresh water and collect rubbish

53
Q

why didnt flemmings discovery of antibiotics spark interest

A

he didnt inject it into an infected animal to test the theory that it killed infections

54
Q

how much did the US government invest into penicilin

A

$80 million

55
Q

how did the production of penicillin impact the country

A

wildly available to doctors after the war
other antibiotics were produced

56
Q

when were stem cells discovered

A

1953

57
Q

when were MRI discovered

A

1973

58
Q

when were free vaccines available for TB , diptheria , whooping cough , tetnus ,polio ,measles and rubela

A

1946-1969

59
Q

when was thalidomide developed

A

1957

60
Q

when was IVF developed

A

1978

61
Q

when was the first open heart surgery

A

1950

62
Q

what is positive health

A

prevention rather than cure

63
Q

what are some alternative treatments

A

accupuncture , hypnotherapy , aromatherapy

64
Q

how did war improve x rays

A

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
Q

how did war improve plastic surgery

A

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
Q

how did war improve blood transfusions

A

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
Q

how was diet and hygine improved by the war

A

rations meant people were encouraged to grow their own food which improved diets

national immunisation launched for diptheria

68
Q

what did the bohr war recruitment scheme highlight

A

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
Q

what did the liberal reforms do

A

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
Q

how did the wars impact public health

A

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
Q

what did the Beveridge report show

A

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
Q

what was part of the welfare state and who set it up

A

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
Q

when did the NHS start

A

1948 by bevan

74
Q

what comes under the NHS

A

free health care
prescriptions and dental treatment still has to payed for
it is financed by taxes

75
Q

how much money did the us gov invest into penicilin

A

$80 million