Papaver somniferum in seventeenth century (Italy): archaeotoxicological study on brain and bone samples in patients from a hospital in Milan.

In this paper, we present the results of toxicological analyses of preserved brain tissue and bone samples from the remains of the seventeenth century patients of the Ospedale Maggiore, the main hospital in Milan and one of the most innovative hospitals in Europe from the Renaissance period. Beneath it, the crypt functioned as the burial place for the deceased of the hospital. In this multidisciplinary study of the remains, toxicological analyses in particular were performed with HPLC-MS/MS on different biological samples from nine individuals. Anthropological, paleopathological, histological, radiological examinations and radiocarbon dating were also carried out. As a result, archeotoxicological analyses revealed the presence of codeine, morphine, noscapine and papaverine, derived from Papaver somniferum, a plant present in the hospital pharmacopeia used as a narcotic, analgesic, astringent, coagulant, and antitussive agent. Such analyses have shed light on the pharmacological therapies administered to the patients near the time of death and have implemented our knowledge of medical treatment and drug administration in the 1600's.

The first major vaccination campaign against smallpox in Lombardy: the mass vaccination campaign against coronavirus nothing new only terminology.

Terminology, technology, communication and organizational strategies are different but we tried to compare the mass vaccination campaign against smallpox with the one we are doing against coronavirus.

Reports on Greenlandic and Faroese medicine from an eighteenth-century medical book.

The authors analyse descriptions of Greenlandic and Faroese medicine found in an Italian medical publication from the 18th century entitled, Europae Medicina a Sapientibus Illustrata […], which was printed in Brescia, in Northern Italy, in 1747. The author of these descriptions, Francesco Roncalli Parolino (1692-1769), was a renowned European physician. Roncalli Parolino focused his study on the treatment of scurvy and he promoted the inclusion of the Greenlandic and Faroese therapy into the broader European context. He was influenced to do this due to the already integrated European perspective of medicine which his book follows.Like now, medicine in 18th-century Europe was multicentric and characterised by rich intellectual activity, which contributed to the enhancement of clinical practice during this period. At the time, Greenland and Faroe Islands were also integrated into this European context because they contributed for medical-scientific development that would lay the foundations for modern medicine. Francesco Roncalli Parolino obtained just recognition for these regions through the advancement and defence of their valuable medical contributions.

SALOMONE ENRICO EMILIO FRANCO (1881-1950) AND 1938 ITALIAN RACIAL LAWS: FROM THE ADRIATIC TO THE MEDITERRANEAN SEA / SALOMONE ENRICO EMILIO FRANCO (1881-1950) DI FRONTE ALLE LEGGI RAZZIALI ITALIANE DEL 1938: DALL'ADRIATICO AL MEDITERRANEO

More than eighty years ago, the so-called Racial Laws banished Italian Jews from all their properties and places. The authors analyze the biography of Salomone Enrico Emilio Franco (1881-1950), a cosmopolite pathologist. Born in Trieste but raised in Venice, he had his medical degree in Padua and was a pathologist at the Venice Hospital, and then he went to Portugal. Franco founded the Institute of pathology of Lisbon University. He studied leishmaniosis and hematology. During WWI, he served as a volunteer in the Italian Army. He was then a full professor of pathology at the Universities of Sassari, Bari, and Pisa. However, he was obliged by the so-called Racial Laws to leave Italy and go to Palestine. He fought as a volunteer for the realization of the State of Israel and directed the Institute of Pathology in Jerusalem.

COVID 19 and Spanish flu pandemics: All it changes, nothing changes.

The Corona Virus 19 (COVID 19) epidemic is an infectious disease which was declared as a pandemic and hit all the Countries, all over the world, from the beginning of the year 2020. There are many similarities between the COVID 19 epidemic and the Spanish flu epidemic. We considered some preventive measures which do not change in the two epidemics.

Medicine in Milan between the Nineteenth and Twentieth centuries.

The author deals with the medical-surgical panorama in Milan at the turn of the 19th century and at the beginning of the 20th century. The advances in knowledge acquired from the mid-nineteenth century on led to the emergence of medical and surgical specializations, as well as of new tools for the prevention and treatment of diseases, and the creation of a health and care network, on which it was possible to graft highly developed training opportunities. The example of an institution set up in Milan at the beginning of the twentieth century to treat the results of traumatic events is emblematic, not only because it is related to occupational accidents, but also because it explains the need to have specialists from various medical and surgical disciplines at the service of the entire population.

Occupational medicine and occupational psychology: a rendezvous in Milan after World War II.

BACKGROUND: In the 1950s, occupational medicine and occupational psychology found a common field of action in the Clinica del Lavoro in Milan. OBJECTIVES This study aims to analyze and document how this encounter took place and, in particular, the contribution of the Clinica del Lavoro to the development of occupational psychology in Italy. METHODS: Historical sources of that period were investigated. RESULTS: Before the 1950s, experimental psychology was only taught at the Catholic University of the Sacred Heart in Milan. The first professor of clinical psychology in the School of Medicine at the State University of Milan, was Marcello Cesa-Bianchi (1926-2018). He collaborated with the graphic, textile and pharmaceutical industries for the personnel training and management, and carried out important research in occupational psychology on behalf of the European Coal and Steel Community. The Chair of Clinical Psychology was initially located in the Clinica del Lavoro and the activity of the team of Cesa-Bianchi was oriented towards the elaboration of professional profiles and job analysis. In those years Cesa-Bianchi also conducted pioneering research in the field of psycho-gerontology. CONCLUSIONS: The historical experience that integrated psychology and occupational medicine in the scientific context of Milan contains a series of values, useful to today's reflection and practice. Our work also undelines the importance of preserving historical documents: only a better knowledge of history can guarantee a better destiny.

[Mobile miniature X-ray evaluation and pneumoconiosis: the role of the Clinica del Lavoro in Milan (1941-1948)]. / La valutazione schermografica delle pneumoconiosis (1941-1948): il ruolo della Clinica del Lavoro di Milano.

Since the end of the 19th century, X-rays have been used to detect lung diseases. In Italy, 207,096 miniature chest radiographs were taken from 1941 to 1948. Traditional radiographs gave better results, but miniature chest radiographs were useful for screening. Indeed, the development of mobile miniature chest radiography units resulted in an improvement in mass X-rays screening for the detection of penumoconiosis. These mobile miniature units were mounted on a bus chassis, a solution that allowed to easily reach workers. The authors analyze some models of X-ray wagon units used by the "Clinica del Lavoro" in Milan in the 1950s. From the point of view of medical museology, the preservation of these devices requires appropriate spaces.

Work and health care in Milan, 1864-1874. / Lavoro e assistenza sanitaria a Milano, 1864-1874.

In 1864 in Milan, Giovanni Rosmini (1832-1896) opened an ophthalmic dispensary for workers. In 1874 this dispensary was transformed into the first ophthalmic hospital of the city. This hospital still exists today. The authors analyze a document that belonged to the lawyer Enrico Rosmini (1828-1898), brother of Giovanni, which helps to piece together the early years of the dispensary, where about 4,000 surgeries were carried out in the first four years of activity. This historical document is valuable as it sheds light on one of the first healthcare institution for workers in Milan.

Between Bouillaud and Broca: An unknown Italian debate on cerebral localization of language.

From 1825 onward, Bouillaud began gathering clinical evidence to support the hypothesis that speech is located in the cerebral frontal lobes. His aim was to provide empirical proof to Gall's theory of a specific substratum of speech in the anterior region of the brain. A well-known discussion ensued inside the French school among supporters and detractors that went far beyond Broca's first report in 1861. Unknown is that Bouillaud's investigations on localization of articulated language also gave rise to a discussion in Italy in the same period. In particular, speech localization formed a central topic in the mid-19th century in Northern Italy mainly thanks to four physicians, Michelangelo Asson, Mosè Rizzi, Gaetano Strambio and Filippo Lussana, who reported on language-impaired patients and approached these cases in the light of Bouillaud's claims. Similarly to the French debate, the Italian medical community also included attacks and advocacies of the hypothesis of a precise localization of articulated language in the frontal lobes. However, they were mainly interested in investigating the anatomo-clinical relationships rather than in supporting Gall's organology. This Italian debate appears to be the first to have developed in the mid-19th century outside that of the French community.

Opera and neuroscience.

Opera is the most complete form of theatrical representation, characterized by musical accompaniment, both instrumental and vocal. It has played an important role in sociocultural spheres, affecting the various social strata and reflecting customs and ideas in different centuries. Composers have created pieces that have also shown the development of medicine. Since the birth of opera in seventeenth century in Italy, neuroscience has played an important role in influencing the representation of madness and neurological aspects. From the Folly of the Renaissance, a path toward a representation of madness was developed, initially linked to the myths of classical antiquity. In the seventeenth and eighteenth centuries, madness was represented as comical or funny, of a loving nature and influenced by the spread of the Commedia dell'Arte (Comedy of Art). In the nineteenth century, with the rise of the first scientific theories of the mind, insanity took more precise connotations and was separated from other psychiatric and neurological diseases. The operas of the twentieth century depicted psychiatric and neurological diseases, taking into account newer medical and scientific discoveries.

[Industrial first aid equipment: a historical analysis (1840-1914) ]. / Gli strumenti di pronto soccorso in azienda: un'analisi storica (1840-1914).

Even if references to the tools required to intervene after an accident can be found in the works of Bernardino Ramazzini (1633-1714) or Johann Peter Frank (1745-1821), it was only with the development of industrial manufacturing that the need to study means to prevent and intervene in cases of accident became evident. In October 1894 the III Congrés International des Accidents du Travail et des Assurances Sociales was held in Milan. The following year, the Milanese trade union movement acknowledged the necessity to address the problem of industrial accidents. In 1896 the Association for Medical Assistance in  Industrial Accidents was founded in Milan. A specific medical institute was set up, appropriate first aid tools were collected and first aid rooms in the main Milanese factories were inaugurated. Nevertheless, few data seem to be available regarding the manufacture and use of this equipment in industry. We analyzed more than fifty catalogs of European industrial products, between 1843 and 1914, to study the evolution of first aid equipment for industrial use. They reflect and attest to the evolution of medicine and surgery, although some models seem to be related to certain industrial categories (railways, electrical appliances), some were similar to ordinary first aid boxes, others were strictly related to surgery; some could only be used by physicians, and others only by workers. Identification, conservation, and reappraisal of these tools is essential for historians of occupational health because these objects were normally not preserved. The catalogues of industrial production are also precious sources, since they are rarely preserved in public libraries and deserve to be used for historical studies.

["PELVIC ABNORMALITIES" AT THE THE OSPEDALE MAGGIORE OF MILAN: HISTORY AND CURRENT EVENTS]. / LE "VIZIATURE PELVICHE" ALL'OSPEDALE MAGGIORE DI MILANO: STORIA E ATTUALITA'.

The authors deal with the theme of the genesis and the increase of the obstetrical collection of pelvic abnormalities, i.e. the "dry" specimens stored at the Ospedale Maggiore (Major Hospital) of Milan (Italy), and of their scientific and educational values. Recently, following the restoration of the crypt of the Annunciation Church of the Ospedale Maggiore, a large space was converted, which could accommodate the pelvises collection permanently. A first step tofinally be able to introduce these extraordinary specimens not only to experts, but also to a wider audience.

[CORPSE CONSERVATION: ATTILIO MAGGIA'S PREPARATIONS]. / LA CONSERVAZIONE INDEFINITA DEL CADAVERE: LE PREPARAZIONI DI ATTILIO MAGGIA.

The authors analyze Attilio Maggia's method of corpse conservation. His method was based on development of formaline vapours and preservation of corpse into a hermetically closed coffin (U.S.Patent 1150688 - Aug. 17, 1915). The corpses preserved could also be hardened after the treatment, exposing them to the air. Attilio Maggia (1864-1945) treated the corpse of italian writer Giovanni Verga (1840-1922). Some Maggia's preparations were preserved into obstetrical museum at Milan University: they are lost, but some records remain (an old inventory register) and attest us the industry of this physician.

[Disinfection in Milan at the beginning of XXth century]. / Il lavoro della disinfezione nella Milano di primo novecento.

The authors analyse some technical and professional aspects of disinfection in Milan at the beginning of XXth century, and the work of Vittorio Maragnoli. Also the use of HCN vapours in disinfestation is here analysed.

[About some medical bibliographical sources of Jacobinic and Napoleonic age]. / Su alcune fonti bibliografiche mediche del periodo giacobino-Napoleonico.

The authors analyze some bibliographical sources of jacobinic and Napoleonic age: books and pamphlets published by Stamperia Italiana e Francese in Milan (Lombardy); the Bullettino del Consiglio Subalpino di SanitY, ossia Giornale Fisico-Medico del Piemonte in Turin (Piedmont); some Charles Botta (1766-1837) books (Storia naturale e medica dell 'isola di Corfù; Mémoire du [...] sur la doctrine de Brown; Vicissitudes de l'instruction publique en Piémont depuis l'an VII jusq'au mois de ventose an XI [...]). They are useful to analyse the spreading of John Brown (1735-1788) theories in Italy, during the jacobinic and napoleonic time.

[Prevention and accidents in Italian popular car magazines during the second postwar years]. / I temi della prevenzione e dell'infortunistica nelle riviste automobilistiche italiane di divulgazione del secondo dopoguerra.

Between the end of the fifties and the second half of the sixties the Italian car industry was one of the few in Europe to introduce technical changes for car safety. Some Italian popular magazines took part in this plan not only by an information and prevention campaign, but also by promoting experimental safety car projects. Among them Quattroruote, rivista mensile per gli automobilisti di oggi e di domani stands out.

Alcmaeon of Croton.

IN THE LATTER half of the sixth century BC, Croton was the site of the most famous medical school in Magna Graecia, where diseases of the human body were examined in a scientific and experimental manner instead of by using the contemporary supernatural, nearly magical concepts. Alcmaeon was one of the most active physicians interested in human physiology in the medical tradition of Croton. Although Alcmaeon was devoted to science and was a skillful experimentalist, little is known about his life and his exact birth date. The relative isolation of Alcmaeon from the great philosophical currents of his time probably facilitated his unprejudiced methodology and may have prevented him from disclosing his theories and demonstrating their value. He pioneered the concept of the relationship between the brain and the mind and was the first to identify the brain as the center of understanding and the essential organ for perceptions, sensations, and thoughts. Through systematic observations, Alcmaeon brought many things to light about the characteristics of the eye and the presence of channels connecting head sensory organs to the brain. He stated that the soul was immortal and introduced the tekmairesthai doctrine, through which the ideas of anamnesis and prognosis gave birth. We highlight his contributions to medical thought, and especially to neuroscience, which reveal Alcmaeon to be a thinker of considerable originality and one of the greatest philosophers, naturalists, and neuroscientists of all time.

[The heart goes to the war: a review of the so-called "soldier's heart" or "irritable heart of soldiers" syndrome]. / Il cuore va alla guerra: rivisitazione della sindrome detta "cuore del soldato" o "cuore irritabile del soldato".

The paper deals with a form of functional heart disorder that caused substantial disability among men in military service. By viewing the condition through the dual lenses of history and modern medical knowledge we can analyse the syndrome and trace the changing medical and social attitudes to it. The disorder is still now present after harrowing events, including natural disasters, assault of individuals, episods of mass violence and combat. A historical review of the syndrome is also useful in extending our understanding of the natural history of stress reactions, their prognostic indicators and the way in which we can intervene to reduce the effects of trauma.