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35. Development of Pharmacy and Medicine in Ukraine.

Розвиток фармації і медицини в Україні.
I. Vocabulary

1. Learn the topical vocabulary.

to acquire practical habits — to gain usual or normal practice by skill;

empiric knowledge — knowledge relied on observation and experiment, not on theory;

to introduce reforms — to bring them into use;

to master midwifery — to be trained how to help women in childbirth;

out-patient treatment — treatment when person visits a hospital but not lives there;

to set dislocations — to put a bone which is out of position back to its place.
2. Study the table.

Verb

Noun

Adjective

Adverb

practise

practice

practical

practically

found

foundation

-

-

master

master-mind

masterful

masterfully


3. Explain the meaning of these words.

  • dislocation

  • midwifery

  • occupational illnesses


4. Add appropriate nouns to the adjectives above.

  • aid,

  • treatment,

  • disease,

  • medicine.




  1. Give synonyms to:

  • out-patient

  • occupational

  • in-patient

  • preventive


II. Reading

Read the text carefully:

  1. underline any words that you do not know or are unsure of;

  2. use a dictionary; find or check the meaning of the words you've underlined;

  3. compare what you find with your partner.


DEVELOPMENT OF MEDICAL SER VICE IN UKRAINE

The people who from ancient times lived on the southern steppes between the Dnipro and Danube in the process of labour gradually acquired practical habits of medical aid. Empiric medical knowledge which was enriched by the experience of other peoples was passed on from generation to generation. At the same time expedient hygienic facilities (bath houses, etc) came into being.

With the foundation of Kyiv Rus the level of medical care was raised consi­derably. In those times medical knowledge developed on the basis of original folk medicine enriched by some information derived from antique and Arabian medi­cine and also by the experience of the Southern and Western Slavs in the field of medicinal treatment. With the growth of towns, groups of persons arose out of the handicraftsmen, who had mastered certain practical experience in medical aid, e.g., in setting dislocations, midwifery, etc.

Superstition was considerably widespread in the medical practice of that time. During the age of feudalism epidemics of plague, smallpox and typhoid fever prac­tically never ceased on the territory where Ukrainian people lived, in most coun­tries of the world. But it was only the 17th century that government measures were undertaken against epidemics.

In the late 17th and early 18th centuries the organization of medical services underwent certain changes due to the reforms introduced by Peter I, which de­voted special attention to provision of medicinal services and to medical education. Teaching of natural science and medicine was introduced at the Kyiv Academy, and also at collegiates in Chernihiv, Kharkiv, and Pereyaslav in the 18th century.

On Ukrainian territory physicians were trained at the Yelizavetgrad surgical school (1787—1797). In the 18th and early 19th centuries a large number of the country's medical scientist received their general education in the Kyiv Academy and the collegiates of other Ukrainian cities, and their professional training in the hospital school of St. Petersburg and Moscow, at the medical departments of Mos­cow University (founded in 1764), or at the St. P.& M. medico-surgical academies (founded in 1798).

In 1932 there were 1,333 hospital institutions with 73,800 beds and 18,715 doctors in Ukraine.

Therapeutic and prophylactic aid in Ukraine includes out-patient polyclinic and hospital aid. Most of the patients (about 80 %) begin their treatment at poly­clinics. An extensive network of out-patient departments and polyclinics has been organized in the towns and villages of Ukraine, with well-equipped special de­partments and labouratories. The out-patient treatment is organized on the district-territory principle. Along with medical treatment a great deal of work is carried on disease prevention, in particular that of infectious diseases.

In addition to the general network of medical institutions, medical services to workers in Ukrainian industrial enterprises are effected by medico-sanitary de­partments and health centers which give out-patient and in-patient aid, implement sanitary measures at the places of work and in the workers' homes and also assist in the prevention of occupational illnesses and injuries. Out-patient treatment is widely developed in both town and village.

First aid, urgent medical aid for the population of Ukraine is provided by first-aid station. The overwhelming majority of hospitals were provided with X-ray and physical therapy rooms and clinical diagnostic labouratories. Electro­cardiography, tomofluorography and other up-to-date diagnostic methods are widely spread and biochemical, bacteriological, immunological, cytological, and other research is conducted.
III. Post-reading activities

1. Find in the text the English equivalents of the following word combinations and comment them in the context of the text.

Практичні навички, від покоління до покоління, передавались, Київська Русь, відповідні гігієнічні зручності, рівень медичної допомоги, збагачені відповідною інформацією, на основі народної медицини, епідемії чуми, епідемії віспи, реформи введені Петром І.
2. Answer the following questions.

  1. By which way was empiric medical knowledge enriched in ancient times?

  2. With the foundation of Kyiv Rus the level of medical care was raised con­siderably, wasn't it?

  3. In what cities was teaching of natural science and medicine introduced first in Ukraine?

  4. What does prophylactic aid include?

  5. What is the general network of medical institutions and medical services in Ukraine?


3. Ask your friend:

  • to describe the territory were first Ukrainians lived;

  • what the name of the first Ukrainian state was;

  • who treated people at that time;

  • to name first medical schools and universities;

  • on what principle an out-patient treatment is organized;

  • what diagnostic facilities he (she) knows.


4. Here are some words which will be useful for you while speaking about the development of medical service in Ukraine. Add them to the diagram.

high level handicraftsmen antique widespread epidemics plague

smallpox typhoid reforms changes provision education



















5. Write your commentary on:

  • out-patient polyclinic aid;

  • disease prevention;

  • general network of medical institutions;

  • first aid (urgent aid);

  • facilities at hospitals.


IV. Supplement

Read the text and translate it into Ukrainian. Be ready to discuss the text. While reading make a plan of the text.

THE DEVELOPMENT OF PHARMA CYAND MEDICINE IN UKRAINE

The practice of medicine production in early Rus was based on national tra­ditions and the knowledge taken from ancient texts. First of all there were Greek texts brought to Rus from Byzantium, which was the centre of trade and crafts in the 9th—11th centuries. One of the main trade routes ran through Kyiv, Pskov, and Veliky Novgorod and was comparable to the route through China and India to Europe. The spread of knowledge was enforced due to orthodox monks from the Holy Mt. Athos (Greece).

In the 10th—13 th centuries medicopharmaceutical traditions were well founded in Rus but culture and statehood were the main elements of East European civiliza-

tion development. During those times the main manuscript libraries were collected. Along with the major cities of Europe such libraries were collected in Kyiv, and Veliky Novgorod.

The development of medical and pharmaceutical knowledge started after the establishment of good relations with Western Europe. In the 16th century first pro­fessional pharmacists arrived to Moscow. Thus, pharmacies like western Officina Sanitatis appeared in Russia in the 16th century. The first pharmacy was organized according to western regulations. Still, the biggest influence on Moscow pharma­cies was exerted by the Statute of Friedrich II von Hohenstaufen, which was ac­cepted in England for the regulation of pharmaceutical activity.

So, a Russian pharmacy of those days was selling many products, mainly im­ported from England. According to foreign sources, Russian pharmacies were very well equipped. Pharmaceutical trade formation required proper management of the new kind of activity, and the development of state medicine in Russia took its be­ginning at the end of the 16th century.

The first institution that held responsibility for medical affairs was Apothe­cary's Order that was opened in Moscow in 1581. During 120 years of the Apothe­cary's Order activity it was leaded by major noble families — earl Vyazemsky, future king Boris Godunov, representatives of Cherkassky, Sheremetyevsky, Milo-slavsky and Odoevsky families.
36. Prominent chemists, pharmacists and doctors.

Видатні хіміки, фармацевти і лікарі.
I. Vocabulary

1. You call a person a:

scientist when he (she) is an expert in one of the natural or physical sciences;

lecturer when he (she) gives a lecture (course) being a person lower in rank than a professor;

professor when he (she) is a university teacher at the highest level;

physician when he (she) is a doctor of medicine and surgery;

surgeon when he (she) performs medical operations;

genius when he (she) has exceptional intelligence;

researcher when he (she) is engaged in investigation.
2. Complete the following list with the names of specialists in particular fields.

Science scientist

Chemistry

Physics

Microbiology

Surgery

Physiology
3. Learn the adjectives used to describe great scientists.

He is said to be a brilliant scientist (very clever).

Pyrohov was rather a successful surgeon (gaining of what he was aimed at).

M. Zabolotny was a courageous scientist (able to control fear in the face of danger of cholera vaccine).

H. Boerhaave was an excellent researcher (of the highest quality).
4. Study the table.


Verb

Noun

Adjective

Adverb

succeed

take courage

success courage

successful courageous

successfully courageously


5. Organize the words below to form word combinations.

  1. field 1. infection

  2. human 2. book

  3. world 3. surgery

  4. wound 4. anatomy

  5. reference 5. science


6. Match the words and their translations.

ingenious учень, послідовник

supervisor злоякісний
fame використовувати

tempestuous вистачати

to suffice підвал, сховище

disciple винахідливий

malign слава

vault бурхливий

to apply наглядач, інспектор
ІІ. Reading

  1. Answer the questions.

  • Have you ever heard about Mykola Pyrohov, Danylo Zabolotny, Alexander Fleming, Oleksandr Bohomolets, Herman Boerhaave?

  • What do you know about these people?

  • Is it necessary to know more about the life and work of such prominent scientists? Why?


2.Skim through the text "M.I. Pyrohov" and define its main idea.
3.Read the text and underline any words that you still do not know. Consult the dictionary.

M.I. PYROHOV

Mykola Pyrohov was called a scientist of genius even in his lifetime. His ca­reer as a researcher, excellent surgeon and clinician was tempestuous. At 18, he graduated from Moscow-University; at 22, he became a Doctor of Science; at 26, he was a Professor at Derpt (now Tartu) University, one of the largest in Europe, and at 30 he headed Russian first field surgery clinic. During his first 30 or 50 years in surgery, he started a new trend in the study of human anatomy and physiology based on fundamentally novel methods.

His major research contributed to world science. So this day, Pyrohov's methods are among the basic methods in the study and teach­ing anatomy. Pyrohov's life was dedicated to people, He was a field surgeon during four wars (in the Caucasus in 1817, in the Crimea in 1854, in the Franco-Prussian war in 1870, and in the Russian-Turkish war in 1877), selfiessly saving the lives of the wounded in the most difficult conditions.

He in first created a new medical science, field surgery, and suggested new, rational principles for the grouping, distribution and evacuation of the wounded. His work, Fundamentals of Field Surgery (1864), had soon become a reference book for field surgeons in all countries.

He formulated some of the most important principles of treating gunshot wounds, fractures, shock, and wound infections and developed the most ingenious methods of performing operation. He was also the first to apply, on a large scale, plaster of Paris bandages in field conditions(in Sevastopol, during the Crimean War), which was a revolution in field surgery. Almost 90 years later, during the Great Patriotic War the Pyrohov plaster of Paris was still widely used during the heroic defence of Sevastopol, and on all other fronts, helping save the lives of many thousands of soldiers.

Pyrohov bought Vishnia in 1859, when he was the supervisor of the Kyiv edu­cational district, and spent the last 20 years of his life in the estate. In late Novem­ber 1881 Russia celebrated the 50th anniversary of his career as doctor. Although his attitude towards this, festive occasion was sharply negative, he could hot decline his native Moscow's invitation.
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