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Transmission of Medical Knowledge


Crawley, 20 July 2012.
Aims of Session
•   Introduce humoral medicine
•   Note taking
•   Skim reading
•   What to put in your essay (working with narrative)
Humoral system of medicine
Humor        Temperame     Element   Season   Qualities   Personal
             nt                                           qualities
Black bile   melancholic   Earth     Autumn   Cold/dry    Creative,
                                                          kind,
                                                          considerate
Yellow/red   sanguine      Fire      Summer   Hot/dry     Extroverted
bile                                                      social
blood        choleric      Air       Spring   Hot/wet     Energetic,
                                                          passionate,
                                                          charismatic
phlegm       phlegmatic    Water     Winter   Cold/wet    Dependable,
                                                          kind,
                                                          affectionate
Galen’s Art of Physick, 1652.
Hot, cold, dry . . .
Hot brains?
Choleric
•   Humor: Yellow Bile
•   Element: Fire
•   Season: Spring
•   Age: Childhood
•   Qualities: Hot & Dry
•   Organ: Gall Bladder
•   Planet: Mars
Phlegmatic
•   Humor: Phlegm
•   Element: Water
•   Season: Winter
•   Age: Old Age
•   Qualities: Cold & Moist
•   Organ: Brain
•   Planet: Moon
Which humour?   Sanguine

                Humor: Blood
                Element: Air
                Season: Summer
                Age: Adolescence
                Qualities: Hot & Dry
                Organ: Heart
                Planet: Jupiter
Which humour?   Melancholic

                Humor: Black Bile
                Element: Earth
                Season: Autumn
                Age: Maturity
                Qualities: Cold & Dry
                Organ: Spleen
                Planet: Saturn
Islamic medicine
• Reading 5.3
• Reading 5.4

How do these readings relate to the key principles of
 Greek medicine?
European Medicine
• Reading 5.7
• Reading 5.8

How do these reading replicate and challenge Islamic
 interpretations of Greek medical works?
Case A
•   unusual tiredness
•   headache
•   runny nose
•   sore throat
•   shortness of breath or cough
•   loss of appetite
•   aching muscles
•   diarrhoea or vomiting
•   It’s been very cold recently
Case B
•   a headache
•   aching muscles
•   tummy ache, diarrhoea and vomiting
•   weakness or lack of energy
•   Shivering, hotness and sweating
•   jaundice - yellow skin and eyeballs
•   feeling light-headed or shaky
•   Bleeding under the skin (showing as pin pricks or
    bruises) or from the nose or gums
•   pale or bluish skin
•   fast heart beat & fast breathing
•   Recent separation from husband
•   Just returned from Africa with male friend
Case C
• has watery faeces with a mild, fishy smell and bits of
  mucus - looks like water in which rice has been washed
• feels sick and vomit
• has abdominal (tummy) cramps
• Very thirsty, dry mouth, dry looking skin
• Very tired
• Sunken eyes
• has a fever
• recently travelled abroad
Skim reading
• Read headings
• Look at figures and examples
• Read first line and last line of each paragraph.
• Note down what the approximate content is of the
  chapter.
• Note down what sources of evidence you have.
Thinking about your notes

Making notes
• When do you make notes?
• Why do you make notes?
• How do you make notes?
• Why do you make notes like this?
• Have you always made notes like this?
Some methods
•   Linear
•   Highlighting
•   Underlining
•   Concept tree/mind map/spider diagram
•   Index cards
What happens next?
•   What do you do with your notes?
•   When do you use your notes?
•   Why do you use your notes?
•   How do you use your notes?
•   Do your notes do what you want them to do?
•   How do you know when they are working?
•   How do you know when they aren’t working so well?
Pirate notes
Question:
Why are these notes so useful?




Because they RRRRRRS
Cornell Note-taking System
•   Record
•   Reduce
•   Recite
•   Reflect
•   Review
•   Recapitulate
•   Sample
Cornell notes page
Record
•   Record as many facts and ideas as you can
•   Don’t write every word
•   Don’t worry about grammatical correctness
•   Use key words – streamline
Reduce or Question
• Reduce important facts to key words or phrases:
  memory cues.
• Formulate questions based on the facts and ideas:
  clarify meanings.
Recite
•   State out loud and in your own words the facts and ideas
•   Hearing your thoughts will sharpen your thinking
•   Cover your notes while you are doing this.
•   Leave your cue words and questions uncovered.
Reflect
• Enhance reflection by asking yourself questions:
  – How do these facts fit into what I already know?
  – How can I apply them?
  – How is knowing this important?
  – What is their significance?
Recapitulate
• Summarise your notes at the bottom of the note page.
• Write in your own words
• Reflect the main points you want to remember
Cornell notes page
The system
2. Reduce or
Question: write
key phrases or
                                       1. Record: write
question that
                                       down facts and
serve as cues for
                                       ideas in phrases.
notes taken in
class.

Cue phrases and
questions should
be in your own                       4. & 5. reflect and
words.                                4 & 5 Reflect and
                                     review
                                      Review
                                     Review your notes
3. Recite:                            Review your notes
                                     periodically by reciting
With classroom                        periodically by reciting
                                     think about what you
notes covered,                        think about what you
                                     have learned.
read each key                         have learned.
word or question.

Recite the fact or
idea brought to
mind by key words    6. Recapitulate: summarise each main
or questions         idea
                     Use complete sentences
Units
• 5.1
• 5.2
• 5.3
What’s in it to win it?
 Did the Islamic translators simply ‘pass on’ Greek
 medical ideas or did they change medical theory and
 practice?
What’s in it to win it?
 In what ways did European practitioners respond to
 writings on medicine by Islamic authors and why?
Jennie Osborn



www.open.ac.uk

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Transmission of Medical Knowledge

  • 1. Transmission of Medical Knowledge Crawley, 20 July 2012.
  • 2. Aims of Session • Introduce humoral medicine • Note taking • Skim reading • What to put in your essay (working with narrative)
  • 3. Humoral system of medicine Humor Temperame Element Season Qualities Personal nt qualities Black bile melancholic Earth Autumn Cold/dry Creative, kind, considerate Yellow/red sanguine Fire Summer Hot/dry Extroverted bile social blood choleric Air Spring Hot/wet Energetic, passionate, charismatic phlegm phlegmatic Water Winter Cold/wet Dependable, kind, affectionate
  • 4. Galen’s Art of Physick, 1652.
  • 7.
  • 8. Choleric • Humor: Yellow Bile • Element: Fire • Season: Spring • Age: Childhood • Qualities: Hot & Dry • Organ: Gall Bladder • Planet: Mars
  • 9.
  • 10. Phlegmatic • Humor: Phlegm • Element: Water • Season: Winter • Age: Old Age • Qualities: Cold & Moist • Organ: Brain • Planet: Moon
  • 11. Which humour? Sanguine Humor: Blood Element: Air Season: Summer Age: Adolescence Qualities: Hot & Dry Organ: Heart Planet: Jupiter
  • 12. Which humour? Melancholic Humor: Black Bile Element: Earth Season: Autumn Age: Maturity Qualities: Cold & Dry Organ: Spleen Planet: Saturn
  • 13. Islamic medicine • Reading 5.3 • Reading 5.4 How do these readings relate to the key principles of Greek medicine?
  • 14. European Medicine • Reading 5.7 • Reading 5.8 How do these reading replicate and challenge Islamic interpretations of Greek medical works?
  • 15.
  • 16. Case A • unusual tiredness • headache • runny nose • sore throat • shortness of breath or cough • loss of appetite • aching muscles • diarrhoea or vomiting • It’s been very cold recently
  • 17. Case B • a headache • aching muscles • tummy ache, diarrhoea and vomiting • weakness or lack of energy • Shivering, hotness and sweating • jaundice - yellow skin and eyeballs • feeling light-headed or shaky • Bleeding under the skin (showing as pin pricks or bruises) or from the nose or gums • pale or bluish skin • fast heart beat & fast breathing • Recent separation from husband • Just returned from Africa with male friend
  • 18. Case C • has watery faeces with a mild, fishy smell and bits of mucus - looks like water in which rice has been washed • feels sick and vomit • has abdominal (tummy) cramps • Very thirsty, dry mouth, dry looking skin • Very tired • Sunken eyes • has a fever • recently travelled abroad
  • 19. Skim reading • Read headings • Look at figures and examples • Read first line and last line of each paragraph. • Note down what the approximate content is of the chapter. • Note down what sources of evidence you have.
  • 20. Thinking about your notes Making notes • When do you make notes? • Why do you make notes? • How do you make notes? • Why do you make notes like this? • Have you always made notes like this?
  • 21. Some methods • Linear • Highlighting • Underlining • Concept tree/mind map/spider diagram • Index cards
  • 22. What happens next? • What do you do with your notes? • When do you use your notes? • Why do you use your notes? • How do you use your notes? • Do your notes do what you want them to do? • How do you know when they are working? • How do you know when they aren’t working so well?
  • 23. Pirate notes Question: Why are these notes so useful? Because they RRRRRRS
  • 24. Cornell Note-taking System • Record • Reduce • Recite • Reflect • Review • Recapitulate • Sample
  • 26. Record • Record as many facts and ideas as you can • Don’t write every word • Don’t worry about grammatical correctness • Use key words – streamline
  • 27. Reduce or Question • Reduce important facts to key words or phrases: memory cues. • Formulate questions based on the facts and ideas: clarify meanings.
  • 28. Recite • State out loud and in your own words the facts and ideas • Hearing your thoughts will sharpen your thinking • Cover your notes while you are doing this. • Leave your cue words and questions uncovered.
  • 29. Reflect • Enhance reflection by asking yourself questions: – How do these facts fit into what I already know? – How can I apply them? – How is knowing this important? – What is their significance?
  • 30. Recapitulate • Summarise your notes at the bottom of the note page. • Write in your own words • Reflect the main points you want to remember
  • 32. The system 2. Reduce or Question: write key phrases or 1. Record: write question that down facts and serve as cues for ideas in phrases. notes taken in class. Cue phrases and questions should be in your own 4. & 5. reflect and words. 4 & 5 Reflect and review Review Review your notes 3. Recite: Review your notes periodically by reciting With classroom periodically by reciting think about what you notes covered, think about what you have learned. read each key have learned. word or question. Recite the fact or idea brought to mind by key words 6. Recapitulate: summarise each main or questions idea Use complete sentences
  • 34. What’s in it to win it? Did the Islamic translators simply ‘pass on’ Greek medical ideas or did they change medical theory and practice?
  • 35. What’s in it to win it? In what ways did European practitioners respond to writings on medicine by Islamic authors and why?

Notas del editor

  1. The symptoms of cholera are caused by the V. cholerae bacteria producing a poison (toxin) in your small bowel. A large number of the V. cholerae bacteria are required to produce enough toxin to cause the symptoms. Cholera is usually spread through water contaminated with infected faeces. If you drink contaminated water you may develop symptoms. You can also get cholera from contaminated food, particularly poorly cooked seafood. It's rare to catch cholera directly from another person. The main treatment for cholera is to replace the fluids that you have lost through diarrhoea. Your body will then usually fight off the infection by itself. You should drink enough fluids to replace those you have lost. It's also advisable that you take an oral rehydration therapy to replace lost salt and minerals. You can buy these from your pharmacist. Always read the patient information that comes with your medicine and if you have any questions, ask your pharmacist for advice. You can also make homemade solutions using sugar and salt, but you should contact your GP or pharmacist for advice first.