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European
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In early medieval Europe, religious groups established hospitals
and infirmaries in monasteries and later developed charitable institutions
designed to care for the victims of vast epidemics of bubonic plague,
leprosy, smallpox, and other diseases that swept Europe during the
Middle Ages. The Benedictines were especially active in this work,
collecting and studying ancient medical texts in their library at
Monte Cassino near Salerno, Italy. St. Benedict of Nursia, the founder
of the order, obligated its members to study the sciences, especially
medicine. The abbot of Monte Cassino, Bertharius, was himself a
famous physician.
During
the 9th and 10th centuries Salerno became Europe's center for medical
care and education and was the site of the first Western school
of medicine. By the 12th century other medical schools were established
at the universities of Bologna and Padua in Italy, the University
of Paris in France, and Oxford University in England.
In
the 13th century, medical licensure by examination was endorsed
and strict measures were instituted for the control of public hygiene.
Representative scientists of this period include the German scholastic
St. Albertus Magnus, who engaged in biological research, and the
English philosopher Roger Bacon, who undertook research in optics
and refraction and was the first scholar to suggest that medicine
should rely on remedies provided by chemistry. Bacon, often regarded
as an original thinker and pioneer in experimental science, was
strongly influenced by the authority of Greek and Arabic medicine.
The
period of the Renaissance, which began at the end of the 14th century
and lasted for about 200 years, was one of the most revolutionary
and stimulating in the history of mankind. Invention of printing
and gunpowder, discovery of America, the new cosmology of Copernicus,
the Reformation, the great voyages of discovery-all these new forces
were working to free science and medicine from the shackles of medieval
stagnation. The fall of Constantinople in 1453 scattered the Greek
scholars, with their precious manuscripts, all over Europe.
The
revival of learning in Western civilizations brought great advances
in human anatomy. Some resulted from the work of artists, including
Italian Leonardo da Vinci, who dissected human corpses to portray
muscles and other structures more accurately. Andreas Vesalius,
a Belgian anatomist, clearly demonstrated hundreds of anatomical
errors introduced by Galen centuries earlier. Gabriel Falliopius
discovered the uterine tubes named after him and diagnosed ear diseases
with an ear speculum. He described in detail the muscles of the
eye, tear ducts, and fallopian tubes. Italian physician Girolamo
Fracastoro recognized that infectious diseases are spread by invisible
so-called seeds that can reproduce themselves. He founded modern
epidemiology, the study of how diseases spread. The term syphilis,
applied to the virulent disease then devastating Europe, was derived
from his famous poem, "Syphilis sive Morbus Gallicus"
(Syphilis or Disease of Gauls, 1530). Ambroise Paré introduced
new surgical techniques and helped to found modern surgery.
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