Beneath the surface: A historical exploration of trepanation practices across cultures and eras.

This research article explores the ancient origins of trepanation, unravelling its early instances and the associated cultural beliefs that have shaped cranial surgery. It scrutinises the medieval and Renaissance periods, elucidating the evolution of trepanation techniques within the context of advancements in medical knowledge and societal changes. In addition, the research investigates the diverse practices of trepanation across cultures, offering insights into the unique approaches, beliefs and rituals associated with this ancient surgical procedure. Examining the decline of trepanation in mainstream medicine, the article assesses the factors contributing to its diminishing prevalence and the emergence of alternative surgical methods. The study also delves into sporadic resurgences of trepanation in unconventional contexts, providing a nuanced understanding of its enduring fascination. In exploring trepanation's impact on modern medicine, the article sheds light on its contributions to the study of cranial anatomy, the evolution of surgical tools and the broader narrative of medical progress. Ultimately, this historical investigation contributes to a comprehensive understanding of trepanation, revealing the intricate interplay between medicine, culture and the human quest for knowledge and healing.

From bloodthirsty parasites to surgical superstars: The humble leech, a suck-cess story in surgical history.

This historical review delves into the extensive and intriguing history of leeches in surgery. The utilisation of leeches in medical practice dates back thousands of years, from ancient civilisations to the modern era. The therapeutic properties of leeches have led to their persistent presence in surgical procedures. The 'Age of Leeches' during the 18th and 19th centuries witnessed a heightened utilisation of leeches in surgical treatment, given their perceived ability to promote postoperative wound healing and alleviate blood congestion. However, advancements in medical knowledge subsequently diminished their popularity as emerging technologies overshadowed them. Nevertheless, recent years have witnessed a resurgence in the use of leeches in reconstructive surgery, driven by both a greater understanding of their biological mechanisms and their potential source of therapeutic agents. This historical review provides a comprehensive exploration of the historical timeline, societal perceptions and scientific advancements surrounding the use of leeches in surgical practice.

Digging in the dark: Unveiling the unlikely protagonists in medical science advancements - The grave robbers!

This research article aims to shed light on the unconventional profession of grave robbers and explore their unexpected contribution to medical knowledge. While initially seen as villains, grave robbers have inadvertently played a significant role in advancing medical science. By examining historical instances and controversial cases, this study delves into the positive outcomes resulting from their unconventional activities.

The Guinea Pig Club: Forces and factors that revolutionised burns plastic surgery.

The 'Guinea Pig Club' has been described as the most exclusive club in the world, but the entrance fee is something most men would care not to pay, and the conditions of membership are arduous in the extreme. The Guinea Pig Club was formed in July 1941 to support aircrew who were undergoing reconstructive plastic surgery after receiving burn injuries in the Second World War. This paper will explore the novel surgical techniques employed to treat the Guinea Pig Club members, their experiences at the hospital and their lives after the war and how Sir Archibald McIndoe and the Guinea Pig club members revolutionised burns plastic surgery as we know it today.

The potential impact of smoke-free facilities on smoking cessation in people with mental illness.

OBJECTIVE: The aim of this paper was to estimate the degree to which smoke-free facilities may facilitate smoking cessation in smokers with mental illness by estimating the proportion of smokers with mental illness who receive inpatient treatment, their smoking rates and average durations of stay. METHOD: Smoking and hospitalization rates were estimated from the Australian National Survey of Mental Health and Wellbeing. Information on duration of inpatient treatment was calculated from the Western Australian Mental Health Information System. RESULTS: Of Australia's estimated 3,567,000 current adult smokers, 32.4% had a mental illness in the past 12 months, and 66.6% had a lifetime mental illness. However, only 1.4% of smokers were hospitalized for a mental health problem in the past 12 months, and 6.3% had ever been hospitalized for a mental health problem. Of those hospitalized for mental health treatment in the past 12 months, 61.2% were current smokers. In 2007 median duration of inpatient mental health admissions was 1 day, and 57% of admissions had duration of 2 days or less. CONCLUSIONS: The majority of smokers with mental illness are not treated in inpatient facilities, and where inpatient admissions occur they are generally of short duration. While smoking cessation is an important goal in treatment of smokers with mental illness, support after discharge from inpatient care is important for longer term cessation. Other strategies will be required to support smoking cessation efforts for the majority of smokers with mental illness not in contact with mental health services.

Behavioural interventions to reduce the risk of physical illness in persons living with mental illness.

PURPOSE OF REVIEW: It is beyond dispute that people living with mental illness suffer a disproportionate disease burden when compared with people in the general population. This review considers the efficacy and effectiveness of lifestyle behavioural interventions at service delivery level as a strategy to reduce the risk factors that contribute to somatic disease comorbidity. As many factors contribute to the very poor physical health of people living with mental illness and as there are no 'quick fix' remedies, strategies to improve physical health need to be sustainable on a system-wide basis. RECENT FINDINGS: Most studies of behavioural interventions at best report modest success during the period of the intervention. However, even limited success can significantly reduce the likelihood of physical comorbidities developing. Unfortunately, the evidence suggests that any gains during the intervention are mostly lost over time. The implication is that interventions need to be sustainable over the long-term. SUMMARY: When planning behavioural interventions, consideration ought to be given to extending them over a period of years not weeks or months. Approaches that include additional on-going support beyond the intervention period itself promote a greater likelihood of maintaining the improved physical health of the target population.

Lãn Ong (Lê Hu'u Trác, 1720-91) and the Vietnamese medical tradition.

The 18th-century physician Hai Thu'o'ng Lãn Ong is the most celebrated practitioner of Vietnamese medicine. He wrote medical texts and poetry that included, unusually for the time, an autobiographical element and he is the first Vietnamese physician for whom significant biographical information is available. Educated in classical Chinese medicine, he incorporated into the pharmacopoeia traditional herbal remedies indigenous to Vietnam. Despite his inclination to pursue a secluded life, he became the foremost physician of his day and was summoned to the corrupt court of the Trinh Lords in Hanoi, of which he left a revealing account. Since the 19th century his writings have been central to the canon of traditional Vietnamese medicine.