Tuesday, February 16, 2016

Medical | Endell Street Military Hospital

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Endell Street Military Hospital was a First World War military hospital located on Endell Street in Covent Garden, central London. This was the only hospital entirely staffed by suffragists (women who supported the introduction of votes for women).

The hospital was established during the First World War in May 1915 by Doctors Flora Murray and Louisa Garrett Anderson. Both women were former members of the Women's Social and Political Union (WSPU), a militant organisation that campaigned for women's suffrage in the early twentieth century. The hospital was run under the Royal Army Medical Corps (RAMC) of the British Army.

Medical Treatment in WW1 > .


[full >]

Medical Texts (1858+) ..

Medical Services

Angels of Mercy - WW1, WW2 > .
Medical Texts (1858+) ..

Nuffield gift of iron lungs > .
Emergency & Medical - WW2 - tb >> .
Student Nurse (1944) (32min) > .
https://vimeo.com/39475629 .
Videos of 30s surgery .


US military & STDs > .

Emergency & Medical - WW2 - tb >> .
Fire Services — NFS, AFS, LFB - tb >> .
>> Tony Blake >> .
>> Wellcome Library historic medical playlists >> .
War and medicine >> .
Anaesthesia >> .
Veterinary medicine >> .

1940 UK Blitz Hospital, Doctors and Nurses Treat Patients, WWII Archive Footage > .
1940 UK hospital, Blitz era, WWII, Injured Patients, Rare Archive Footage > .
1940 Blitz-era, UK Hospital Reception, Rare WWII Archive Footage > .
Civilian Blood transfusion (1941) > .


Military Documentaries - Timeline >> .

War Surgeons - Amputations WW1 > .
https://www.youtube.com/watch?v=36GXIE7rvNs .
https://www.youtube.com/watch?v=ru0tfK8IodQ .

Innovations arising in WWI > .


War and peat: how bog moss helped save thousands of lives in World War I
https://theconversationuk.cmail20.com/t/r-l-jtltuduy-djjiirdtlj-p/
Sphagnum moss made ideal field dressings for wounded soldiers.

World War I: the birth of plastic surgery and modern anaesthesia
https://theconversationuk.cmail20.com/t/r-l-jtltuduy-djjiirdtlj-x/
Medical advances were the only positive things to come out of the Great War.

World War I: the forgotten housewives who helped win the battle on the home front
https://theconversationuk.cmail20.com/t/r-l-jtltuduy-djjiirdtlj-b/
Battling shortages and rising food and fuel prices, housewives played a vital part in Britain's first experience of 'total war'.

How World War I changed British universities forever
https://theconversationuk.cmail20.com/t/r-l-jtltuduy-djjiirdtlj-u/
Estimates suggest that Oxford lost 19% of those who served, Cambridge 18%, and Manchester and Glasgow 17%.

World War I: is it right to blame the Treaty of Versailles for the rise of Hitler?
https://theconversationuk.cmail20.com/t/r-l-jtltuduy-djjiirdtlj-h/
The Treaty of Versailles is often named as the main cause of World War II. But this is an overly simple explanation.

Collecting herbs for pharmaceuticals > .
Meadowsweet, white willow bark -- ASA
Cleavers (goosegrass) -- infection, lymphatic stimulant
Drying herbs + > .
Sage
Foxglove - digitalis
Vitamin C – rosehips – syrup > .

Cultivated Rx - Healing Plants, Grow Your Own Medications - anth >> .
Plants - Medicinal & Toxic - BeSi >> .
Medicinal Foraging, Grow Your Own - Sav >> .
Edwardian Farm & Edwardian Country House >> .

WW2: nettles used for treatment of asthma > .

One stripe per year if pass Preliminary State Examination
Lectures inserted

The Lamp Still Burns (1943) > .

Nursing training > .

Recruiting for nursing assistance > .

The widespread acceptance of the germ theory of disease in the second half of the 19th century sparked a revolutionary change in the understanding of the vital role that microbes play in infectious diseases. Specific bacterial, fungal, and viral pathogens were identified as the causative agents of many serious diseases, and a race immediately began to find effective means to attack these implicated microbes. Vaccines were deployed to prevent infectious disease by educating the host’s immune system with the attenuated or killed microbe of concern. However, they were not an effective remedy against acute infections. Chemical weaponry against bacterial diseases that could rapidly act alone or in concert with the host immune system to clear preexisting infections was discovered just before the turn of the 20th century. The German physician Paul Ehrlich investigated medicinal dyes that would specifically bind to and destroy pathogenic parasites and bacteria, but not harm the host. As the founder of modern chemotherapy, he sought after a “magic bullet” that could target the causative spirochete in syphilis, a devastating, widespread, and incurable disease, which was known since the Renaissance. In 1910, Ehrlich discovered the arsenic-containing chemical dye he eventually named Salvarsan. It was the first chemical compound shown to cure syphilis (Schwartz, Thoburn, Winau). Learn more about Paul Ehrlich in this short documentary.

WW1 
Medical Treatment in WW1 > .
A Fate Worse Than Death - Disfigured Veterans of WW1 - tgw > .  
The facial prosthetics of WW1 > .

Military Casualties


Canadian - Casualty Clearing Station > .
Newsreels (Canadian Army) > .

Antiseptic Surgery - Joseph Lister ..
Endell Street Military Hospital - WW1 ..

Saturday, February 13, 2016

Painfully Slow - Progress of Medicine, Surgery

Apothecaries, barber surgeons, pharmacists, physicians - DrKn >> .
History of Medicine & Surgery - Pers >> .

Penicillin, Discovery 1928

.1928 Discovery of penicillin (1964) >  .

A government-produced film (1964) about the discovery of penicillin by Sir Alexander Fleming, and the continuing development of its use as an antibiotic by Howard Florey and Ernst Boris Chain. The film uses many modernist animations to depict the scientific research. This video was made from material preserved by the BFI National Archive. Find out more: http://catalogue.wellcomelibrary.org/...​. .

Sir Alexander Fleming discusses the problem of antibiotic resistance in 1945: https://soundcloud.com/wellcomelibrar...​. .

The history of penicillin follows a number of observations and discoveries of apparent evidence of antibiotic activity of the mould Penicillium. Following the identification of Penicillium rubens as the source of the compound in 1928 and with the production of pure compound in 1942, penicillin became the first naturally derived antibiotic. There are anecdotes about ancient societies using moulds to treat infections, and in the following centuries many people observed the inhibition of bacterial growth by various moulds. However, it is unknown if the species involved were Penicillium species or if the antimicrobial substances produced were penicillin.

While working at St Mary's Hospital in London, Scottish physician Alexander Fleming was the first to experimentally discover that a Penicillium mould secretes an antibacterial substance, and the first to concentrate the active substance involved, which he named penicillin in 1928. The mould was determined to be a rare variant of Penicillium notatum (now Penicillium rubens), a laboratory contaminant in his lab. For the next 16 years, he studied on methods of better production of penicillin, medicinal uses and clinical trial. His successful treatment of Harry Lambert who had fatal streptococcal meningitis in 1942 proved to be a critical moment in the medical usage of penicillin.

Many later scientists were involved in the stabilization and mass production of penicillin and in the search for more productive strains of Penicillium. Important contributors include Ernst Chain, Howard Florey, Norman Heatley and Edward Abraham. Fleming, Florey and Chain shared the 1945 Nobel Prize in Physiology or Medicine for the discovery and development of penicillin. Dorothy Hodgkin received the 1964 Nobel Prize in Chemistry determining the structures of important biochemical substances including penicillin. Shortly after the discovery of penicillin, there were reports of penicillin resistance in many bacteria. Research that aims to circumvent and understand the mechanisms of antibiotic resistance continues today.

Penicillins (P, PCN or PEN) are a group of antibiotics originally obtained from Penicillium moulds, principally P. chrysogenum and P. rubens. Most penicillins in clinical use are chemically synthesised from naturally-produced penicillins. A number of natural penicillins have been discovered, but only two purified compounds are in clinical use: penicillin G (intravenous use) and penicillin V (given by mouth). Penicillins were among the first medications to be effective against many bacterial infections caused by staphylococci and streptococci. They are members of the β-lactam antibiotics, which are some of the most powerful and successful achievements in modern science.[2] They are still widely used today for different bacterial infections, though many types of bacteria have developed resistance following extensive use.

About 10% of people report that they are allergic to penicillin; however, up to 90% of this group may not actually be allergic. Serious allergies only occur in about 0.03%. Those who are allergic to penicillin are most often given cephalosporin C (another β-lactam antibiotic) because there is only 10% crossover in allergy between the penicillins and cephalosporins.

Penicillin was discovered in 1928 by Scottish scientist Alexander Fleming as a crude extract of P. rubens. Fleming's student Cecil George Paine was the first to successfully use penicillin to treat eye infection (ophthalmia neonatorum) in 1930. The purified compound (penicillin F) was isolated in 1940 by a research team led by Howard Florey and Ernst Boris Chain at the University of Oxford. Fleming first used the purified penicillin to treat streptococcal meningitis in 1942. For the discovery, Fleming shared the 1945 Nobel Prize in Physiology or Medicine with Florey and Chain.

There are several semi-synthetic penicillins which are effective against a broader spectrum of bacteria: these include the antistaphylococcal penicillins, aminopenicillins and the antipseudomonal penicillins.

sī vīs pācem, parā bellum

igitur quī dēsīderat pācem praeparet bellum    therefore, he who desires peace, let him prepare for war sī vīs pācem, parā bellum if you wan...