Middle Ages and Renaissance Medicine

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Questions and Answers

What was considered a primary cause of disease during the Middle Ages according to the beliefs of Galen and Hippocrates?

  • Imbalance of the 4 humors (correct)
  • Environmental pollution
  • Infections by bacteria
  • Astrological positions

What was a common treatment for illness in the Middle Ages that aimed to restore the balance of the 4 humors?

  • Bloodletting (correct)
  • Fasting
  • Surgical procedures
  • Herbal remedies

How did the prevailing religious beliefs impact medical development during the Middle Ages?

  • Facilitated open discussions about medical theories
  • Promoted reliance on divine intervention and prayer (correct)
  • Supported the study of empirical evidence in medicine
  • Encouraged critical thinking and experimentation

What misconception did people have about the causes of the Black Death?

<p>It was caused by God's punishment for sins (D)</p> Signup and view all the answers

What was the primary role of hospitals in the Middle Ages?

<p>To assist individuals who could not care for themselves (B)</p> Signup and view all the answers

How long did physicians typically train at a university in the Middle Ages?

<p>7 years (C)</p> Signup and view all the answers

Why were there so few physicians in England by 1300?

<p>Limited training opportunities existed (A)</p> Signup and view all the answers

What function did apothecaries serve during the Middle Ages?

<p>Mix and sell medicines (C)</p> Signup and view all the answers

What was a primary belief regarding the cause of diseases during the middle ages?

<p>Diseases were a punishment from G-d for sins. (B)</p> Signup and view all the answers

How did the Church influence the education of doctors in the middle ages?

<p>Discouraged innovative ideas and adhered to traditional teachings. (D)</p> Signup and view all the answers

What was the significant discovery made by William Harvey?

<p>Blood circulates in a one-way system. (B)</p> Signup and view all the answers

What innovation did Edward Jenner contribute to medicine?

<p>The establishment of vaccination for smallpox. (C)</p> Signup and view all the answers

What was John Snow recognized for in the context of public health?

<p>Mapping cholera deaths and linking them to water supply. (A)</p> Signup and view all the answers

What did Louis Pasteur's germ theory challenge about earlier beliefs?

<p>That miasmas were the main cause of diseases. (B)</p> Signup and view all the answers

How did Florence Nightingale contribute to nursing and public health?

<p>By emphasizing hygiene and cleanliness in hospitals. (B)</p> Signup and view all the answers

What was a common misconception about diseases during the 19th century?

<p>Miasmas were the only source of illness. (B)</p> Signup and view all the answers

What was the role of the Public Health Act of 1875?

<p>It established government regulations for public health. (C)</p> Signup and view all the answers

Which discovery in the 20th century clarified the genetic basis of diseases?

<p>The structure of DNA by Crick and Watson. (D)</p> Signup and view all the answers

What did Joseph Lister introduce that significantly improved surgical outcomes?

<p>Antiseptic methods using carbolic spray. (B)</p> Signup and view all the answers

Which major advancement allowed doctors to see internal organs without surgery?

<p>X-ray machines and CT scans. (A)</p> Signup and view all the answers

What was the primary purpose of the mobile X-ray units developed by Marie Curie during WWI?

<p>To locate bullets and shrapnel in the body (D)</p> Signup and view all the answers

What innovation in surgery was significantly advanced due to the need for reconstructive procedures in soldiers?

<p>Plastic surgery (B)</p> Signup and view all the answers

What was the significant discovery made by Crick and Watson regarding DNA?

<p>DNA has a double helix structure. (B)</p> Signup and view all the answers

What role did the triage system play during WWI?

<p>To prioritize treatment based on injury severity (B)</p> Signup and view all the answers

Which project aimed to map the entire human genome, beginning in 1990?

<p>Human Genome Project (A)</p> Signup and view all the answers

Which battle resulted in the highest number of casualties, exceeding 1 million?

<p>The Battle of the Somme (A)</p> Signup and view all the answers

What health risk is associated with the BRCA gene?

<p>Breast cancer (B)</p> Signup and view all the answers

What was the estimated number of total British casualties during WWI, including killed, wounded, or missing?

<p>Approximately 3 million (B)</p> Signup and view all the answers

Which of the following factors is NOT linked to the influence of lifestyle on health?

<p>Genetic mutations (C)</p> Signup and view all the answers

Which medical practice was refined during WWI and helped save many lives?

<p>Blood transfusions (A)</p> Signup and view all the answers

What factors contributed to the high number of deaths from diseases during WWI?

<p>Poor sanitation and spread of infectious diseases (C)</p> Signup and view all the answers

What treatment was first developed from penicillin, discovered by Alexander Fleming?

<p>Antibiotics (C)</p> Signup and view all the answers

What was a significant advancement in medical diagnosis by the 20th century compared to earlier methods?

<p>Use of technology like CT scans. (D)</p> Signup and view all the answers

What type of injuries were prevalent due to the innovation of gas warfare in battles?

<p>Chemical injuries from gas attacks (C)</p> Signup and view all the answers

What common misconception existed about smoking in the early 20th century?

<p>It was fashionable and socially acceptable. (D)</p> Signup and view all the answers

Which of the following is a known consequence of second-hand smoke exposure?

<p>Decreased lung function. (A)</p> Signup and view all the answers

Which health issue can result from a diet lacking essential vitamins and minerals?

<p>Iron deficiency anaemia (D)</p> Signup and view all the answers

What is a current area of research involving DNA that is rapidly advancing?

<p>Genetic therapy (B)</p> Signup and view all the answers

Which activity is associated with increased risk of sexually transmitted infections (STIs)?

<p>Sharing bodily fluids (D)</p> Signup and view all the answers

What characterizes the relationship between lifestyle choices and the development of diseases in the 21st century?

<p>Understanding of lifestyle impacts allows for preventative actions. (D)</p> Signup and view all the answers

What common health problem can result from excessive alcohol consumption?

<p>Liver damage (C)</p> Signup and view all the answers

What was a severe consequence of untreated trench foot?

<p>It sometimes required amputation. (A)</p> Signup and view all the answers

Which health issue was primarily caused by lice in the trenches?

<p>Trench fever (A)</p> Signup and view all the answers

What was one of the first uses of technology in medical diagnosis?

<p>X-rays (A)</p> Signup and view all the answers

What was one of the communication challenges faced during the war?

<p>Telephone lines were often damaged. (D)</p> Signup and view all the answers

What method was eventually introduced to improve battlefield communication?

<p>Wireless radio (D)</p> Signup and view all the answers

What is a significant statistic concerning shell shock during the war?

<p>Between 50,000 and 80,000 men were diagnosed. (C)</p> Signup and view all the answers

What type of injuries were most commonly caused by shelling?

<p>Shrapnel wounds (A)</p> Signup and view all the answers

Which medical intervention began to be used in casualty clearing stations?

<p>Blood transfusions (C)</p> Signup and view all the answers

Why were horse-drawn ambulances often ineffective in transporting the wounded?

<p>The terrain was difficult and often dangerous. (D)</p> Signup and view all the answers

Which health problem was most associated with poor sanitation in the trenches?

<p>Dysentery (D)</p> Signup and view all the answers

What was one condition that could worsen a soldier’s survival following a gunshot injury?

<p>Bacteria from unsanitary conditions (C)</p> Signup and view all the answers

What role did the FANY play during the war?

<p>They provided essential support to the RAMC. (A)</p> Signup and view all the answers

What type of gas was primarily used for attacks causing respiratory damage?

<p>Mustard gas (C)</p> Signup and view all the answers

Which medical treatment started at the casualty clearing stations for serious injuries?

<p>Plastic surgery for facial wounds (B)</p> Signup and view all the answers

What was a consequence of high fever during trench fever?

<p>Increased fatigue and weakness (A)</p> Signup and view all the answers

What was a significant result of Karl Landsteiner's discovery in 1901?

<p>Safer blood transfusions (A)</p> Signup and view all the answers

Which vaccine was introduced to combat tuberculosis?

<p>BCG vaccine (C)</p> Signup and view all the answers

What advancement in medical imaging was introduced later in the 20th century?

<p>CT scans and MRI (B)</p> Signup and view all the answers

Which type of surgery became standard in cardiology during the mid-20th century?

<p>Open-heart surgery (D)</p> Signup and view all the answers

What was a major benefit of the introduction of antiretroviral drugs (ARVs) for HIV treatment?

<p>They transform HIV into a manageable condition (B)</p> Signup and view all the answers

Which public health campaign targeted lifestyle diseases through education?

<p>Anti-smoking campaigns (A)</p> Signup and view all the answers

What was the primary focus of the Clean Air Acts of 1956 and 1968?

<p>Reducing air pollution (B)</p> Signup and view all the answers

Which of the following was a major breakthrough in genetic research completed in 2003?

<p>Completion of the Human Genome Project (C)</p> Signup and view all the answers

Which treatment modality helps prevent complications from infections indirectly?

<p>Antibiotics (D)</p> Signup and view all the answers

What role did blood banks play during World War I and II?

<p>They allowed effective use of stored blood for surgeries (C)</p> Signup and view all the answers

What was a significant outcome of the mass vaccination programs introduced to combat diseases?

<p>Eradication of smallpox globally (D)</p> Signup and view all the answers

Which development in surgical advances helped treat soldiers during the World Wars?

<p>Plastic surgery (A)</p> Signup and view all the answers

What does the introduction of insulin in the 1920s signify for diabetes treatment?

<p>Revolution in diabetes treatment (D)</p> Signup and view all the answers

Flashcards

The Four Humors

The theory that a balance of four bodily fluids (blood, phlegm, yellow bile, and black bile) determined health. Imbalances in these humors caused disease.

Bloodletting

A common treatment in the Middle Ages based on the Four Humors theory. It involved drawing blood from a patient to restore balance.

Miasma Theory

A belief that disease was caused by bad air or miasma. Smells were linked to disease, so people carried sweet-smelling herbs.

Renaissance

A period in European history marked by a resurgence of classical learning, art, and exploration.

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Ancient Greek Medical Theories

In the Middle Ages, medical knowledge was largely based on the teachings of ancient Greek physicians, such as Hippocrates and Galen.

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The Black Death

A deadly pandemic that swept through Europe in the 14th century. It was believed to be God's punishment, so people prayed and fasted.

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Wise Women

Women who practiced medicine in the Middle Ages. They were often skilled in herbal remedies and surgeries.

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Middle Ages Hospitals

Hospitals during the Middle Ages were primarily places for the poor and sick to seek refuge, not necessarily advanced medical care.

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Trench Foot

A condition caused by prolonged exposure to wet and cold conditions in the trenches, resulting in swelling, pain, and sometimes gangrene.

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Trench Fever

A bacterial infection spread by lice, causing high fever, aching muscles, and fatigue.

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Shell Shock (PTSD)

A psychological condition caused by the constant stress of war, characterized by nervous breakdowns, tremors, and flashbacks.

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Dysentery

A severe bacterial infection caused by poor sanitation and contaminated water in the trenches.

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Shrapnel Wounds

Wounds caused by flying fragments of bombs and shells, often resulting in deep, penetrating injuries.

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Gunshot Wounds

Wounds caused by rifle and machine gun fire, ranging from broken bones to internal organ damage.

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Gas Attacks

Chemical weapons used in World War I that caused damage to the respiratory system, eyes, and skin.

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Royal Army Medical Corps (RAMC)

The branch of the British Army responsible for medical care during World War I.

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First Aid Posts

Locations near the front lines where soldiers received initial treatment.

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Casualty Clearing Stations (CCS)

Larger medical units further back from the front lines, providing more advanced treatment.

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First Aid Nursing Yeomanry (FANY)

Women who volunteered as ambulance drivers, nurses, and clerks, providing essential support to the RAMC.

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Stage 1 - The Front Line

The initial stage of treatment where basic care and pain relief were administered.

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Stage 2 - Dressing Stations

A stage where more advanced treatment, including infection control and stabilization, was provided.

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Stage 3 - Casualty Clearing Stations (CCS)

The final stage where surgical operations were performed to address complex injuries.

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Stretcher-Bearers

The arduous task of transporting wounded soldiers from the battlefield to medical faciliites.

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Blood Groups Discovery

The discovery of blood groups by Karl Landsteiner in 1901 revolutionized blood transfusions by making them safer and more effective.

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Blood Banks

During World War I and II, advances in storing blood paved the way for blood banks, making blood readily available for surgeries and emergency treatments.

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BCG Vaccine

A vaccine that protects against tuberculosis, developed in 1921 and widely used for its effectiveness.

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MMR Vaccine

A combined vaccine that protects against measles, mumps, and rubella, introduced in the 1970s and a significant contributor to the decline of these diseases.

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X-Rays

A medical imaging technique using X-rays to provide detailed images of the inside of the body, commonly used for diagnosing fractures and internal conditions.

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CT Scans

A medical imaging technique that provides detailed three-dimensional images of the inside of the body, revolutionizing diagnosis and treatment.

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First Kidney Transplant

The first successful kidney transplant in 1954 marked a groundbreaking milestone in medical history, allowing individuals with kidney failure to live longer, healthier lives.

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Keyhole Surgery

A surgical technique that minimizes incisions and trauma to the body, offering quicker healing and reduced scarring.

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Chemotherapy

The development of chemotherapy drugs like methotrexate in the 1950s revolutionized cancer treatment, offering hope for people battling the disease.

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Pacemaker

A small, electronic device implanted in the chest to regulate irregular heartbeats, improving heart function and quality of life for patients.

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Mass Production of Insulin

The mass production of insulin in the 1920s provided a life-saving treatment for diabetes, enabling people with the condition to manage their blood sugar levels.

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Antiretroviral Drugs (ARVs)

The development of antiretroviral drugs (ARVs) in the 1980s and 1990s transformed HIV from a fatal disease to a manageable condition, significantly increasing the lifespan of infected individuals.

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Dialysis

A life-saving treatment for patients with kidney failure, developed in the 1940s and providing a vital alternative when the kidneys are unable to function properly.

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Smallpox Eradication

The eradication of smallpox globally by 1980 through extensive vaccination programs demonstrated the power of public health initiatives in controlling and eliminating deadly diseases.

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Immunosuppressants

The introduction of immunosuppressants allowed for successful organ transplants by preventing the body from rejecting the foreign organ.

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Triage System

A system for prioritizing patients based on the severity of their injuries, ensuring that those with the highest chance of survival receive prompt care.

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Blood Transfusions

A vital improvement to treatment during WWI, where blood was stored and used to save lives.

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Plastic Surgery

A branch of surgery that advanced significantly during WWI to reconstruct faces and bodies.

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X-rays on the Battlefield

The use of X-ray technology in mobile units on the battlefield to locate bullets and shrapnel, aiding in surgeries.

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The Battle of the Somme

A major battle on the Western Front, known for its high casualty count and the use of new medical techniques.

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The Battle of Ypres

A battle known for its horrific gas warfare, which caused many casualties.

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The Battle of Verdun

One of the longest and bloodiest battles of the war, highlighting the need for medical services.

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Total Wounded Soldiers

Over 2 million soldiers were hospitalized during WWI, showcasing the vast scale of the war's impact.

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Watson and Crick's Discovery

The discovery of the structure of DNA, which revealed the double helix shape and how it can unzip to create copies of itself. This led to the understanding of how genetic information is passed down.

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The Human Genome Project

A project launched in 1990 to map the entire human genome (the complete set of DNA). It involved scientists worldwide and aimed to identify all the genes and their functions.

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BRCA Gene

The BRCA gene is linked to an increased risk of breast cancer. This gene is a powerful example of how DNA mutations can influence disease susceptibility.

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Genetic Therapy

Scientific research that uses DNA to develop new treatments for diseases. This field is still in its early stages, but holds enormous potential for future medical advancements.

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Lifestyle on Health

The study of how a person's lifestyle choices can affect their overall health, both positively and negatively.

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Impact of Smoking

A key factor in many diseases, including lung, throat, and mouth cancers, heart disease, and even tooth decay. It also harms those exposed to secondhand smoke.

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Importance of Diet

A balance of nutrients is essential for health. Eating too much sugar can lead to diabetes, excessive saturated fats are linked to heart disease, and a lack of vitamins and minerals can cause various illnesses.

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Iron Deficiency Anemia

A condition that arises from iron deficiency, often due to a diet lacking iron-rich foods. It can cause fatigue and weakness.

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Alcohol and Health

Excessive alcohol consumption can damage the liver and kidneys. It's important to consume alcohol in moderation.

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Safe Practices for STIs

Unprotected sexual contact or sharing needles can transmit STIs such as HIV. Safe practices are essential to prevent infection.

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Tanning and Skin Cancer

Tanning beds and excessive sun exposure can cause skin cancers. Sunscreen and moderation are key to protecting the skin.

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Technology's Role in Diagnosis

Technological advancements in medical imaging and laboratory testing have greatly improved the accuracy and speed of diagnosis, allowing doctors to identify diseases more effectively.

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Diagnosis: Renaissance vs. 20th Century

In the Renaissance, diagnosis relied heavily on observing patient symptoms. In the 20th century, technology like CT scans revolutionized diagnosis by providing detailed images of internal organs.

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Self-Monitoring of Health

Empowering people to take control of their health through self-monitoring, preventative measures, and understanding the impact of lifestyle choices.

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Discovery of Penicillin

The first antibiotic, discovered in 1928, revolutionized the treatment of bacterial infections. It was later developed for widespread use in the 1940s during World War II.

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Sulphonamides

A broad class of antibiotics that came into use in the 1930s and helped combat a wide range of bacterial infections.

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Divine Punishment Theory

The belief that God controls everything, including diseases, and that illness is a punishment for sins. This belief led to a lack of scientific inquiry into disease causes.

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Isolation

The practice of isolating sick individuals to prevent the spread of disease. This practice was introduced during the Renaissance and was effective in slowing the spread of the Black Death.

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Medical Observation

The practice of recording detailed observations of diseases and their symptoms. It was pioneered by Thomas Sydenham during the Renaissance and paved the way for more objective and scientific understanding of diseases.

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Blood Circulation

The discovery of how blood circulates around the body by William Harvey during the Renaissance. This discovery challenged the prevailing theories of Galen and marked a significant advance in medical knowledge.

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Germ Theory

The theory that diseases are caused by microscopic organisms, first proposed by Louis Pasteur during the 19th Century. This theory revolutionized medicine by providing a scientific basis for understanding and combating infectious diseases.

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Chloroform Anesthesia

The first effective anesthetic, chloroform, was introduced by James Simpson in 1847. It revolutionized surgery, allowing for painless procedures. It had its risks, but its impact on medicine was monumental.

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Cholera and Contaminated Water

The discovery that cholera was spread through contaminated water by John Snow in 1854. It highlighted the importance of public health measures, especially access to clean water, in preventing disease transmission.

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Antiseptics

The use of chemicals to kill germs and prevent infections during surgery, introduced by Joseph Lister in 1867 based on the Germ Theory. It dramatically reduced post-operative infections and made surgery safer.

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Bacteria and Disease

The discovery that specific bacteria cause specific diseases, pioneered by Robert Koch in 1882. This led to the development of vaccines and targeted treatments for various infectious diseases.

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Public Health Act of 1875

The 1875 Public Health Act in Great Britain was a landmark legislation mandating public health improvements, such as clean water, sanitation, and medical inspections. This law marked a shift towards government intervention in public health.

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Florence Nightingale and Nursing

Florence Nightingale's contributions to nursing during the Crimean War, which included promoting hygiene, cleanliness, and rigorous training for nurses. Her work significantly reduced hospital mortality rates, transforming modern nursing practices.

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Medical Imaging

The use of X-rays and CT scans in the 20th century allowed for non-invasive examination of internal organs leading to more accurate diagnosis and treatment without surgery.

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Genetic Diseases

The 1950s discovery that not all diseases are caused by germs, with some diseases being hereditary or due to genetic factors, led to a deeper understanding of disease causation.

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DNA Structure

The discovery of the double helix structure of DNA by Crick and Watson in the 1950s revolutionized biology and medicine. It provided a framework for understanding inheritance, mutation, and the development of genetic diseases.

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Human Genome Project

The ongoing study of the human genome to understand the role of genes in health and disease. This research holds promise for developing cures for complex diseases like cancer and for preventing genetic disorders.

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Study Notes

Middle Ages and Renaissance Medicine

  • Galen and Hippocrates' beliefs influenced medical practices, emphasizing balancing the four humors. Treatments included bloodletting and inducing vomiting. Prevention focused on exercise, diet and maintaining humor balance.
  • Religious beliefs heavily shaped medieval attitudes towards disease. The Black Death was seen as divine punishment, leading to prayer, fasting, and offerings. Miasmas (bad air) were also considered a contributing factor, and remedies included burning herbs and cleaning public spaces.
  • Hospitals primarily served the sick and dying as opposed to being cure-focused. Wise women provided remedies and were important in healing, but physicians came from university training, and surgeons were apprentices. Apothecaries assisted physicians.
  • Limited medical advancements were attributed to the Church's influence, its support of Galen, and the Church's power in education. There was a high respect for tradition and difficult spreading new ideas in a pre-printing press society.

Renaissance Medicine

  • Causes and preventative measures for diseases stayed relatively the same, but isolation was a new treatment.
  • Thomas Sydenham started detailed documentation of diseases and patient's health. Printing facilitated the spread of new medical knowledge. - William Harvey challenged and overturned Galen's theories by discovering the one-way circulation of blood.
  • Andreas Vesalius dissected human bodies to accurately depict anatomy, which then corrected previous misinterpretations of Galen’s work.

18th and 19th Centuries Medicine

  • Edward Jenner developed vaccination against smallpox based on observation and experiments that saved millions.
  • James Simpson employed chloroform as a surgical anesthetic.
  • John Snow discovered that contaminated water was a cause of cholera, thus highlighting the importance of clean water supply.
  • Louis Pasteur's germ theory was published in 1861, proposing that bacteria cause disease, which was later substantiated by experiments.
  • Florence Nightingale improved hospital hygiene and nursing care, significantly reducing hospital mortality rates.
  • Joseph Lister used carbolic acid to prevent infection during surgery.
  • Robert Koch discovered that specific bacteria caused certain diseases, paving the way for vaccines.
  • The 1875 Public Health Act prompted government intervention to improve public health like sewage, water, and medical officers.

20th and 21st Century Medicine

  • Scientists discovered that genetics play a major role in determining susceptibility or predisposition to disease.
  • Crick and Watson's discovery of DNA's double helix structure revolutionized genetic understanding.
  • The Human Genome Project aimed to map the entire human DNA sequence to discover causes of hereditary diseases.
  • Lifestyle factors like diet (sugar, saturated fats, vitamin deficiencies), smoking, alcohol consumption, and exposure to shared bodily fluids and UV rays have been studied alongside disease.
  • Technological advancements led to medical scans (X-rays, CT scans, MRIs), blood tests, and ECGs and blood pressure monitors for accurate diagnoses.
  • Antibiotic discoveries (penicillin, sulphonamides), blood transfusions, vaccines (smallpox, tuberculosis, diphtheria, polio, MMR), and surgery (organ transplants, cardiac procedures, plastic surgery) revolutionized treatment methodologies.
  • The NHS introduced significant advancements in patient access, public health programs, life expectancy, and medical innovation.

WWI Medicine

  • Trench warfare created unsanitary conditions, leading to widespread infectious diseases (trench foot, trench fever, dysentery, cholera, typhus).
  • Shell shock (PTSD) was a significant psychological health issue for soldiers.
  • Wounds like shrapnel and gunshot wounds were common and required emergency, urgent medical treatment.
  • New methodologies were developed such as plastic surgery and blood transfusions.
  • The introduction of X-rays, the triage system and development of the Casualty Clearing Stations improved the treatment process.
  • The Royal Army Medical Corps (RAMC) and First Aid Nursing Yeomanry (FANY) played pivotal roles in the medical evacuation system.

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