Philadelphia :: essays research papers

This movie caused a lot of hoopla when it was released back in ’93, for it was the first Hollywood studio movie to fully tackle the subject of AIDS. Now, I don’t want to take anything away from the film, because it is still quite entertaining, but it certainly doesn’t come off as a groundbreaking film anymore. Even back when it was released, I personally didn’t think it was that big of a deal because by that time we’d already seen the subject matter covered for years, in news reports, documentaries and independent films; so when PHILADELPHIA finally came along, it seemed like it was just a little overdue†¦ What the film does succeed in doing is taking a deep look at a new kind of discrimination that grew as AIDS became more prevalent in the minds of the general public and how some people’s hatred towards gays got even more fueled as this new disease became a harsh and frightening reality in the world. I was a bit surprised to see the qu ote â€Å"An emotional powerhouse!† on the back cover of the DVD because as it does have its share of emotional scenes, they’re far from overwhelming and it isn’t likely that that is what you’ll take away from it in the end. The most memorable, powerful scenes, in fact, are those awkward moments that are examined as we see how people around Andrew react upon learning of his illness – the most famous ones being Washington’s reaction to Hanks in his office and the confrontation in the public library between Hanks and an employee there. Demme also does an admirable job in making the City of Brotherly Love a real presence in the movie. The opening credit sequence is a beautiful montage of all the great sights of the city and its people, giving us a real sense of the metropolis. From the rich neighborhoods to the slums, from the working class to the homeless sleeping on the streets – it all plays wonderfully as we witness many of them waving to the camera, all from different backgrounds, cultures and races, and all very proud to be Philadelphians. To me, it’s one of the best opening credit sequences in recent memory. Bruce Springsteen’s â€Å"Streets of Philadelphia† plays over it all and it’s still as emotionally involving as it was back when it was ruling the airwaves in ‘93.

Youth Suicide

ARTICLE IN PRESS Journal of Adolescence xxx (2010) 1–8 Contents lists available at ScienceDirect Journal of Adolescence journal homepage: www. elsevier. com/locate/jado Factors accounting for youth suicide attempt in Hong Kong: A model building Gloria W. Y. Wan a, Patrick W. L. Leung b, * a b Clinical Psychology Service, Hong Kong Sheng Kung Hui Welfare Council, 5/F, Holy Trinity Bradury Center, 139 Ma Tau Chung Road, Kowloon, Hong Kong, China 3/F, Sino Building, Clinical and Health Psychology Centre, Department of Psychology, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China b s t r a c t Keywords: Suicide ideation/attempt Family Psychopathology Life events/stressors Chinese youths This study aimed at proposing and testing a conceptual model of youth suicide attempt. We proposed a model that began with family factors such as a history of physical abuse and parental divorce/separation. Family relationship, presence of psychopathology, life stressors, and suicid e ideation were postulated as mediators, leading to youth suicide attempt. The stepwise entry of the risk factors to a logistic regression model de? ned their proximity as related to suicide attempt. Path analysis further re? ned our proposed model of youth suicide attempt. Our originally proposed model was largely con? rmed. The main revision was dropping parental divorce/separation as a risk factor in the model due to lack of signi? cant contribution when examined alongside with other risk factors. This model was cross-validated by gender. This study moved research on youth suicide from identi? cation of individual risk factors to model building, integrating separate ? ndings of the past studies. O 2009 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved. Introduction Youth suicide, being one of the three leading causes of death in young people, has been a focus of research. Various individual risk factors have been identi? ed (Gould, Greenberg, Velting, & Shaffer, 2003). Despite this success, not until recently are there attempts to develop complex theory-based models that draw together all those identi? ed risk factors and depict their interplay (Bridge, Goldstein, & Brent, 2006; Mann, Waternaux, Haas, & Malone, 1999). Correspondingly, empirical studies in this area are few (e. g. Foley, Goldston, Costello, & Angold, 2006; Fortune, Stewart, Yadav, & Hawton, 2007; Prinstein et al. , 2008; Reinherz, Tanner, Berger, Beardslee, & Fitzmaurice, 2006). Hence, we propose here a model of youth suicide attempt and test it in a sample of Chinese high school students. We aim at articulating and testing hypothetical pathways between family factors, psychopathology, life stressors, and suicidal beha vior. Our model begins with consideration of family risk factors, including a history of physical abuse within the family, poor family relationship, and parental divorce/separation (Johnson et al. 2002; Gould, Fisher, Parides, Flory, & Shaffer, 1996; Gould, Shaffer, Prudence, & Robin, 1998; Liu, Sun, & Yang, 2008; Salzinger, Rosario, Feldman, & Ng-Mak, 2007). However, the latter’s association with youth suicidal behavior is no longer signi? cant or attenuated after controlled for parent-child or family relationship (Groholt, Ekeberg, Wichstrom, & Haldorsen, 2000). Family adversities are also known precursors of youth psychopathology (Fergusson, Woodward, & Horwood, 2000). The latter in turn is found to be a risk factor of suicidal behavior * Corresponding author. Tel. : ? 852 2609 6502; fax: ? 852 2603 5019. E-mail address: [email  protected] edu. hk (P. W. L. Leung). 0140-1971/$ – see front matter O 2009 The Association for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved. doi:10. 1016/j. adolescence. 2009. 12. 007 Please cite this article in press as: Wan, G. W. Y. , Leung, P. W. L. , Factors accounting for youth suicide attempt in Hong Kong: A model building, Journal of Adolescence (2010), doi:10. 1016/j. adolescence. 2009. 12. 007 ARTICLE IN PRESS 2 G. W. Y. Wan, P. W. L. Leung / Journal of Adolescence xxx (2010) 1–8 (Brent, Baugher, Bridge, Chen, & Chiappetta, 1999; Osvath, Voros, & Fekete, 2004). A wide range of psychopathology has been implicated, including internalizing/externalizing disorders, and substance use disorders (Brent et al. , 2004; Foley et al. , 2006; Gould et al. , 2003; Lee et al. , 2009; Shaffer et al. , 1996; Stewart et al. , 2006). Furthermore, the risk of suicidal behavior increases with the number of comorbid disorders and with the combination of mood, disruptive and substance abuse disorders (Brent et al. , 1999; Shaffer et al. , 1996). Suicide ideation is among the best predictors of suicide attempt (Prinstein et al. , 2008; Wong et al. , 2008). Studies also suggest that the occurrence of life stressors may prompt suicide ideators into acting on their ideation, ending up in attempted suicide (Borges et al. , 2008; Liu & Tein, 2005). Based upon the above review, our model on youth suicide attempt starts with family risk factors such as a history of physical abuse and parental divorce/separation. We postulate that poor family relationship, psychopathology, life stressors, and suicide ideation act as mediators, leading to suicide attempt. Speci? cally, we hypothesize that a history of physical abuse and parental divorce/separation are associated with poor family relationship. The latter is in turn related to the occurrence of psychopathology in youths. Comorbid internalizing and externalizing disorders then play a crucial role as risk factors to recent life stressors and suicide ideation. Finally, the latter two are risk factors directly linked to suicide attempt. Method Participants and procedure A total of 2754 grade 7–11 Chinese high school students were recruited to participate voluntarily in the study. They were randomly sampled from 15 mainstream high schools of diversi? ed academic rankings from different regions of Hong Kong. The participating schools represented a convenience sample, since they were schools served by the School Counselling Service of Hong Kong Sheng Kung Hui Welfare Council, at which the ? rst author of this study worked. However, the participating schools covered a full range of academic rankings and a wide geographic spread across Hong Kong, and no speci? c bias in their sampling was noted. Thus, they were considered to be representative of local mainstream schools. Special schools of various kinds were excluded. Ethics approval was ? rst obtained from the relevant institutional authority. School visits were then made to explain the objectives of the study. A total of 15 schools were contacted and all of them (100%) agreed to participate in the study. Informed written consents were obtained from parents of the randomly sampled students. The response rate was 94. 4%. The participants completed the self-report questionnaires during school hours. The returned questionnaires were screened for severe psychopathology and suicidal behavior. For ethical reasons, the corresponding school counselors would be alerted for such cases in order to take appropriate actions. Measures Psychopathology The 1991 version of Youth Self-Report (YSR) was re-validated with satisfactory test–retest reliability and criterion validity for use with Hong Kong Chinese youths (Leung et al. , 2006). It evaluated the occurrence of psychopathology in the past 6 months. Since two items in YSR referred to suicidal/self harm behavior and they thus contaminated the relationship under investigation between psychopathology and suicidal behavior, the two items were removed in this study from the construct of internalizing problems as assessed by YSR. Youth suicide ideation/attempt Self-report measures of suicide ideation/attempt had been found to be reliable primary data sources (Joiner, Rudd, & Rajab, 1999; Miranda et al. , 2008). Two measures were used to assess suicide ideation/attempt in this study. First, YSR had two items that referred to suicide ideation and attempt, respectively. However, a single-item measure for a variable was considered undesirable. Hence, two short self-report questionnaires for suicide ideation and attempt were extracted respectively from an existing, longer questionnaire used in a previous local study which asked the occurrences and details of suicide ideation, communication, plan, and attempt (Ho, Leung, Hung, Lee, & Tang, 2000). This questionnaire was found useful in assessing the suicidal behavior of peers of suicide completers and attempters. Depending on whether a youth had consistently indicated suicide ideation and/or attempt both in the adapted questionnaires and with the corresponding item in YSR, he/she would be considered ategorically in this study as a suicide ideator and/or attempter, or not. Recent life stressors The Social Readjustment Rating Scale (SRRS; Holmes & Rahe, 1967) asked 30 stressful life events which might happen to the young people and their families in the preceding 12 months. In this study, items in the SRRS related to parental con? ict and divorce/separation were excluded, since these family events were separately examined elsewhere as family risk factors in our model. Items irrelevant to local young adolescents were also excluded (e. g. accepted at a college of your choice). Family relationship In this study, the Family Relationship Index (FRI), a composite of three subscales (i. e. , cohesion, expressiveness, and con? ict) of the Family Environment Scale (FES; Moos & Moos, 1986), was used as a measure of family relationship. The FRI had Please cite this article in press as: Wan, G. W. Y. , Leung, P. W. L. , Factors accounting for youth suicide attempt in Hong Kong: A model building, Journal of Adolescence (2010), doi:10. 1016/j. adolescence. 2009. 12. 007 ARTICLE IN PRESS G. W. Y. Wan, P. W. L. Leung / Journal of Adolescence xxx (2010) 1–8 3 been found to correlate well with other measures of family dysfunction (Hoge, Andrews, Faulkner, & Robinson, 1989) and was widely used in research with Chinese youths (Locke & Prinz, 2002). Parents’ marital status The current marital status of the participants’ parents was enquired with reference to divorce/separation. History of physical abuse Participants were asked to report if they had experienced any physical abuse in the family since childhood. Three items were adapted from Childhood Trauma Questionnaire (CTQ) (Bernstein et al. 1994) and two additional ones that were relevant to the local Chinese context were speci? cally written for this study, e. g. , ‘‘People in my family had applied corporal punishment to me’’ and ‘‘After I was being physically punished, I had to go to see a doctor or could not go to school’’. Data analysis First, a series of logistic reg ression analysis would be conducted to explore the signi? cance of each individual risk factor separately in predicting suicide ideation and attempt. Except for parental divorce/separation, other risk factors were measured in this study in dimensional scales. They were turned into ategorical data in this logistic regression analysis using distributional cutoffs to de? ne relative deviance (see Table 1 for the exact de? nitions of cutoffs). Second, we tested our proposed model of youth suicide attempt, using hierarchical regression ? rst. The series of predictors would be entered in steps according to their positions in relation to suicide attempt in our proposed model. The risk factors of a history of physical abuse and parental divorce/separation would ? rst be forced into the regression equation, after controlling for effects of the background variables (including age, gender, and family income). Family relationship would then be entered into the equation in the second step. The third batch of predictors would be internalizing and externalizing problems. They were followed in turn by suicide ideation and life stressors. We hypothesized a partial or complete mediational model in which the effects of factors entered ? rst would be attenuated or superseded by those of the subsequent factors in predicting youth suicide attempt. Lastly, path analysis would be conducted to directly test our proposed model of youth suicide attempt, using Lisrel 8. 71. Path analysis has its strengths in examining the chains of in? uences between independent variables, and in postulating the possible cause-and-effect relations among variables for further investigation. An ordinary sample covariance matrix for path analysis would not be appropriate to deal with the dichotomous data of suicidal behavior and parental divorce/separation, as well as the kurtosis and skewness within the other dimensional data. Instead, an asymptotic covariance matrix should be used, analysis of which would require the use of an estimator that allowed for non-normality. The weighted least squares (WLS) method, instead of the maximum likelihood estimator, had provision for such non-normality and was thus the appropriate estimator to be used in this study. Results The mean age of the 2754 participants was 13. 9 years (SD ? 1. 3, range ? 11–18). Among the participants, 55. 7% was male. There were missing data on suicidal behavior from 39 participants. Among the remaining 2715 participants, 252 participants (9. 2%) reported suicide ideation in the past 6 months. Among the 91 (3. 3%) reporting suicide attempt in the same period, only six (6. %) did not report suicide ideation. By gender, among the 1219 female participants, 167 (13. 7%) reported suicide ideation, while only two (3. 0%) of 66 (5. 4%) female suicide attempters did not report suicide ideation. The corresponding ? gures for male participants (1535) were 85 (5. 5%), four (16. 0%), and 25 (1. 6%). Table 1 Percentages of suicide ideators, attempters, and non-suicidal controls, association with various risk factors, and odds ratios (ORs) for predicting suicide ideation and attempt. Variables Cronbach’s Alpha Ideators (n ? 52) n Parents divorced/separated History of physical abusea Poor family relationshipb Internalizing problemsc Externalizing problemsc Frequent recent life stressorsd – 0. 83 0. 83 0. 89 0. 88 – 41 73 142 76 99 102 % 16. 3 29. 0 56. 3 30. 2 39. 3 40. 5 Attempters (n ? 91) n 19 29 51 32 45 44 % 20. 9 31. 9 56. 0 35. 2 49. 5 48. 4 Non-suicidal controls (n ? 2457) n 239 169 602 103 153 364 % 9. 7 6. 9 24. 5 4. 2 6. 2 14. 8 Ideators vs controls OR 1. 8** 5. 8*** 3. 8*** 13. 9*** 9. 8*** 3. 6*** (95% CI) (1. 2–2. 6) (4. 2–8. 1) (2. 9–5. 1) (9. 6–20. 1) (7. 1–13. 4) (2. 7–4. 8) Attempters vs controls OR 2. 3** 5. *** 3. 7*** 10. 7*** 11. 1*** 5. 2*** (95% CI) (1. 3–4. 0) (3. 3–8. 6) (2. 4–5. 7) (6. 6–17. 5) (7. 1–17. 5) (3. 4–8. 1) **p < 0. 01; ***p < 0 . 001. a Cutoff at total score > ? 6 (80th percentile). b Cutoff at total score > ? 15 (80th percentile). c Cutoff at T-score > ? 64 (at clinical range, 92nd percentile). d Cutoff at number of recent life stressors > ? 4 (80th percentile). Please cite this article in press as: Wan, G. W. Y. , Leung, P. W. L. , Factors accounting for youth suicide attempt in Hong Kong: A model building, Journal of Adolescence (2010), doi:10. 1016/j. adolescence. 2009. 12. 07 ARTICLE IN PRESS 4 G. W. Y. Wan, P. W. L. Leung / Journal of Adolescence xxx (2010) 1–8 Table 1 presents the internal consistency coef? cients of the measures employed in this study. They were consistently satisfactory, ranging from 0. 83 to 0. 89. Table 1 also lists the results of separate logistic regression analysis of each risk factor, including the percentages of suicide ideators, attempters, and non-suicidal participants (i. e. , those reporting neither suicide ideation nor attempt) having various risks, as well as t he odds ratios (ORs) of these risk factors in predicting suicide ideation and attempt. Despite multiple testing of the group differences, such testing was all theory-driven (see the literature review above) and was not random so that statistical control of the effects of multiple testing was not required. All three family risk factors (i. e. , parental divorce/separation, history of physical abuse, and poor family relationship) were more prevalent among suicide ideators and attempters, and had signi? cant ORs. Among these risk factors, a history of physical abuse was the best predictor of suicide ideation (OR ? 5. 8, 95% CI ? 4. 2–8. 1) and attempt (OR ? 5. 3, 95% CI ? 3. 3–8. 6). Nearly one third of ideators (29. 0%) and attempters (31. 9%), in contrast to 6. 9% of non-suicidal participants, had a history of being physically abused. With respect to the other two family risk factors, 16. 3% of ideators (OR ? 1. 8, 95% CI ? 1. 2–2. 6) and 20. 9% of attemptors (OR ? 2. 3, 95% CI ? 1. 3–4. 0), compared to 9. 7% of non-suicidal participants, reported parental divorce/separation, while 56. 3% of ideators (OR ? 3. 8, 95% CI ? 2. 9–5. 1) and 56. 0% of attemptors (OR ? 3. 7, 95% CI ? 2. 4–5. 7), compared to 24. 5% of nonsuicidal participants, reported poor family relationship. Compared to family factors, internalizing and externalizing problems were even more associated with higher risks of suicidal behaviors. The ORs of internalizing problems for suicide ideation and attempt were respectively 13. 9 (95% CI ? 9. 6– 20. 1) and 10. 7 (95% CI ? 6. 6–17. 5), while the ORs of externalizing problems were 9. 8 (95% CI ? 7. 1–13. 4) and 11. 1 (95% CI ? 7. 1–17. 5). Nearly one third of ideators (30. 2%) and attempters (35. 2%), in contrast to 4. 2% of non-suicidal participants, had internalizing problems. The corresponding ? gures for externalizing problems were 39. 3% and 49. 5% vs 6. %. Life stressors in the past year also elevated the risk of suicide ideation (OR ? 3. 6, 95% CI ? 2. 7–4. 8) and attempt (OR ? 5. 2, 95% CI ? 3. 4–8. 1). About 40. 5% of suicide ideators and 48. 4% of attempters were reporting more frequent life stressors, compared to 14. 8% of non-suicidal participants. Table 2 shows the results of logistic regression analysis with forced entry of subsets of risk factors in steps, after controlling for background variables (i. e. , age, gender, and family income). With each successive entry of each subset of risk factors, the majority of the previous ones became insigni? ant so that in the ? nal regression model, only recent life stressors (OR ? 1. 01, p < 0. 01) and suicide ideation (OR ? 95. 7, p < 0. 001) signi? cantly accounted for youth suicide attempt. In other words, despite their initial statistical signi? cance when ? rst entered into the regression model, those risk factors such as a history of physical abuse, poor family relationship, and internalizing and externalizing disorders no longer signi? cantly accounted for youth suicide attempt, after life stressors and suicide ideation were later entered into the model. This pattern of results indicated a mediational model largely compatible to our proposed model of youth suicide attempt. It should be noted that parental divorce/separation as a predictor was not signi? cant even when ? rst entered into the regression analysis alongside with a history of physical abuse. This risk factor was thus dropped in the later path analysis. Our proposed model of youth suicide attempt, in a form of a mediational model, was directly tested by path analysis. It achieved a very good ? t: c2 (6, N ? 2754) ? 39. 5, p < 0. 0001; GFI ? 0. 99; AGFI ? 0. 97; RMSEA ? 0. 045; NFI ? 0. 96; CFI ? . 97; RMR ? 0. 57 (Fig. 1). Weighted least squares standardized estimators of the model and their signi? cance according to the two-tailed z value are presented in Fig. 1. All paths shown were signi? cant at p < 0. 01. As shown in Fig. 1, a history of physical abuse, as a family risk factor, was linked directly to suicide ideation, as well as to the ? rst tier of mediators in the m odel, namely, poor family relationship, and externalizing and internalizing problems. They were in turn linked to suicide ideation. The externalizing and internalizing problems were additionally linked to recent life stressors. Finally, suicidal ideation and life stressors were both associated with suicide attempt, with life stressors also linking to the suicide ideation as well. This mediational model with several tiers of mediators explained 48% and 87% of the variances in youth suicide ideation and attempt, respectively. Table 2 Logistic regression of risk factors in predicting youth suicide attempt, controlled for demographic variables. Blocks entered to the modela Deviance between blocks (c2)b 18. 37*** 1. 02*** n. s. 55. 59*** 72. 71*** 1. 02** n. s. 1. 17*** 1. 01* n. s. 1. 07** 1. 07*** 1. 09*** 168. 80*** 10. 5*** 1. 02* n. s. n. s. n. s. n. s. n. s. n. s. 95. 67*** 1. 01** ORs 1 2 3 4 5 1. Family factors History of physical abuse Parental divorce/separation 2. Poor family relationship 3. Psychopathology Internalizing problems Externalizing problems 4. Suicide ideation 5. Life stressors n. s. n. s. 103. 72*** n. s. : non-signi? cant. *p < 0. 05; **p < 0. 01; ***p < 0. 001. a The sequence of blocks entered into the logistic regression model; all factors entered were continuous variables except parental divorce/separation and suicide ideation. b Chi-square deviance of each block entered. Please cite this article in press as: Wan, G. W. Y. , Leung, P. W. L. , Factors accounting for youth suicide attempt in Hong Kong: A model building, Journal of Adolescence (2010), doi:10. 1016/j. adolescence. 2009. 12. 007 ARTICLE IN PRESS G. W. Y. Wan, P. W. L. Leung / Journal of Adolescence xxx (2010) 1–8 5 0. 85*** 0. 52*** 0. 13*** 1. 00*** History of physical abuse 0. 39*** Poor family relationship 0. 19*** 0. 13*** Suicide ideation 0. 20*** 0. 15*** 0. 88*** Suicide attempt 0. 21*** 0. 17*** 0. 44*** 0. 79*** 0. 13*** 0. 33*** Externalizing problems 0. 42*** 0. 29*** Recent stressors 0. 82*** *p

Medical Technology During Civil War - Free Essay Example

Sample details Pages: 4 Words: 1229 Downloads: 10 Date added: 2019/05/08 Category History Essay Level High school Topics: Civil War Essay War Essay Did you like this example? The Civil War lasted from the year 1861 to the year 1865, believe it or not but the main cause of deaths in this war was not from battle wounds but from diseases and poor sanitation from doctors. Both Doctors and Nurses played a vital role during the civil war. They worked hard to save their soldiers, while doing so they discovered the medical practice and surgical operations but more importantly they helped medicine develop into what we have today. Although the medicine was being practiced, it also made the civil war one of the deadliest wars in Americas history. Roughly around six hundred twenty thousand soldiers died in this war; four hundred thousand of those soldiers died of diseases while in the hospital. There was not a high need for hospitals throughout the war, and this would have a major impact on the soldiers. Many men would fall ill with many contagious diseases before even stepping foot on the battle field. During this time the healthcare sources were limited, very few doctors, ambulances, untrained nurses, medical supplies, and sometimes there wouldnt even be a bed for the wounded to rest so they would be lined up outside. Wounded soldiers would be divided into three different groups; first were the surgical cases that were thought to live, second is the slightly wounded because their injuries were non-life threatening, and last would be the beyond hope meaning they had no chance of living. They most fatal surgeries were rarely attempted by doctors such as abdominal surgeries, mainly because of the lack of antibiotics. When temporary hospitals became a high demand, they would use hotels, farmhouses, warehouses, and nearby barns. Hospitals slowly improved but towards the end of the war hospitals were starting to become more of a need and necessity to peoples everyday lives and also creating more jobs for women. During the civil war, the possibility of a doctor being well trained was very slim, the majority of doctors maybe had two yea rs of schooling and they mainly did bookwork. Before the War, surgeons usually dealt with minor surgery cases such as pulling teeth. There were very few Doctors who knew what they were doing during the surgeries and medical practice, they struggled to find out how diseases spread, therefor these doctors didnt realize that they were the reason that the increase of disease was getting out of control. Not washing their hands nor sterilizing their surgical equipment was their main cause of diseases such as typhoid and dysentery; the leading cause of deaths of civil war soldiers during this war. Diseases killed more war soldiers than did battles; bayonets caused less than four percent of wounds, artillery fire caused five percent of wounds and bullets would cause more than ninety percent of wounds. Many people wonder how these brave soldiers gotten through their pain during extreme surgeries. Sulfuric ether and chloroform were the first two anesthetic methods used, but chloroform was preferred by doctors because it took a less amount of dosage than it would sulfuric ether just to do the same job; chloroform also worked faster than sulfuric ether. Sulfuric ether was discovered in Europe by William Morton in 1846. As we honor the sesquicentennial, or 150th anniversary, of the Civil War, it is still widely believed that the sole anesthetic agent used was the whiskey bottle said Maurice S. Albin, M.D., professor in the UAB Department of Anesthesiology. Some patients were given whiskey and a dose of opium, then knocked out with chloroform. Local pain killers, such as powdered opiates, were used for bullet extractions and wound dressings whereas the chloroform and sulfuric ether would be used for more of the major surgeries like amputations. Opium became an addictive drug to the soldiers because opiates or morphine were given to them when they became sick, once the soldiers came home they struggled with the addiction to the pain killers. Soldiers were not the only pe ople who would be addicted to this narcotic, women and families would get addicted as well. Family physicians would prescribe women or family members opium or morphine to cope with grief or an injury. Even with their lack of experience and education, women would offer to help take care of the wounded and sick soldiers on both the battlefield and in the make shift hospitals, they were called nurses and this was the beginning of this profession. Nearly thirty-two hundred women served as nurses in the Civil War. These nurses would assist the doctors during surgeries and amputations, they dressed soldiers wounds, and helped feed the wounded who couldnt feed themselves. During this war, the number of women whom could work for the military was limited but the need for nurses amplified. Women left their families, risked their lives, lived in tents and hospital wagons for around twelve dollars a month. After the war, some of the nurses had went off to write books about their experiences during that time. Doctor Mary Walker was one of the first women surgeons and was the first and only one to treat the injured soldiers of the Civil War. Dr. Walker had not seen this amount of blood shed before, much less worked in the environment. She spoke about one specific soldier who had a serious head injury. As doctor Mary Walker described in her journala shell had taken part of his skull away, about as large a piece as a dollar I could see the pulsation of the brain, and when he walked I could see movement of the same, slight though it was. He was perfectly sensible, and although I never saw him after he was taken to Washington, I learned that he lived several days. Today, people dont think about how much our medicine has changed and shaped since the Civil War or how the Civil War is the start and reasoning in the changing of our medicine. Field medics, or combat medics which were people in the battle field who would be the soldiers first responders and care for them unt il they get to an actual doctor. The change in surgeries are outstanding as well. During the Civil War a doctor could perform an amputation within a couple of minutes, they would either leave the womb open and clean it regularly until new skin grew over the womb. Or they would leave a nice size flap of skin and layer it over the open wound and sealed it, although at that time the word germ wasnt too considerable to the surgeons. Nearly three quarters of the operations performed in the Civil War makeshift hospitals were amputations. And with the amputations becoming more commonly used, prosthetics were born and became more and more demanding. Craftsmen would craft hands, feet, arms and legs according to what that patient needed and was more comfortable in. During the Civil war, there were many forms of medicine and operations, some of the medicine that were used then are still used now such as opiates. Although the basics still remain the same, the medical technology and knowledg e has come a far way. The deadliest thing among the soldiers during the war was diseases such as outbreaks of measles, small pox, malaria, pneumonia, and camp itch. Roughly around six hundred twenty thousand soldiers died in this war; four hundred thousand of those soldiers died of diseases while in the hospital. Don’t waste time! Our writers will create an original "Medical Technology During Civil War" essay for you Create order