Lecture #3 11/09/2014 08:32:00 I. Social and community psychiatry a. CMHC (Community Mental Heath Center) b. Psychiatric drugs i. Prozac (SSRI) for depression 1. Anti-depression medication with fewer adverse effects ii. Ritalin 1. For severe ADHD 2. One of the more stolen drugs 3. Used to get a high II. Legal and Ethical Issues a. Mercy killing is illegal in all 50 states, but it happens in circumstances i. Such as having heart disease and not being able to get better ii. Omitting some treatment that can keep a patient for a little longer period of time b. Assisted Suicide i. Doctor Kevorkian, set up apparatuses for which patients control the amount of Barbituet when patients wanted to end their lives c. Organ Transplants i. Keeps getting better and better 1. The technology has gone beyond the organs a. Not enough organs
Lecture #4 11/09/2014 08:32:00 I. History of Diseases – the Black Death a. Caused by a bacterium Yersinia pestis i. There were other many different plagues ii. Flu epidemic after World War I that killed many people in very short time iii. Primarily the disease of the people iv. Human’s don’t transfer black plague amongst people, it takes fleas v. 3 “pandemics” wiped out large proportions of populations 1. 400-500 AD Rome 2. 1347-1665 Europe – killed 33%-50% of population 3. 1896-1933 Asia b. Bubonic plague in Medieval Europe i. Symptoms 1. Acutely inflamed lymph nodes 2. Vomiting and convulsions 3. Delirium 4. Black spots would appear on skin after 3 days 5. Lymph nodes would become extant and were very painful ii. 3 out of 4 children died before the age of 10 iii. During childbirth, 20% of women died iv. What people of that time believed the black plague was caused by: Imbalance of 4 Bodily Humors (Fluids) 1. Blood, Flem, Black Bile, and Yellow Bile
v. Treatment 1. Induced diarrhea 2. Would burn skin 3. Fed too much water vi. Would burn incense to cover smell vii. Streptomycin is modern treatment and cuts down mortality rate to 5% c. Transmission of Bubonic Plague i. Rats carry fleas, which carry the bacteria ii. Rats usually have partial immunity to the plague iii. But when fleas carry the bacteria to a new rat population without immunity, the rats die off, the fleas jump to humans, and a human epidemic breaks out iv. Surviving rats develop immunity and the human epidemic ends v. This cycle is repeated about every 20 years, so, humans epidemics recur once a generation d. Effects of Plague in Europe i. Depopulation leads to breakdown of community 1. Criminals would let loose because the law force became nothing 2. Artisans/Craftsmen became scarce a. Hence the Winchester Cathedral that was started before the plague, was finished after hundreds of years 3. Parliament was not convened because people were afraid of getting the Plague 4. Families were broken up by the plague a. Children became parentless b. Husbands left wives
ii. Becchini 1. People who collected the dead bodies of the people from the Black Plague 2. They extorted the living to take away the dead 3. High mortality occupation because they came into contact with the fleas and many would die off iii.
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- Fall '08
- Bubonic Plague, i., ii., stressful life events