HEALTH CARE IN SLAVONIAN PROVINCE DURING THE 19th CENTURY / Zdravstvena skrb u slavonskom Provincijalu tijekom 19. stoljeca

Due to its proximity to the Ottoman Empire, Slavonia was constantly exposed to the threat of invasion by numerous infectious and non-infectious diseases. An additional aggravating circumstance was the poor living and hygienic conditions in Slavonia, poverty, droughts, and floods. After the withdrawal of the Ottomans at the end of the 17th century, medical care was provided only by a few barbers and 'ranarniks' (i.e., feldshers) who remained in the Slavonian province. Due to the poor medical care, in 1770, the Empress and Queen Maria Theresa issued the General Health Law, which applied to the entire Habsburg Monarchy, including Slavonia. Among other things, it provided for the introduction of formal training for health personnel, ultimately leading to a better quality medical workforce. At the same time, charlatans were increasingly prohibited from working. The shortage of trained physicians, dentists, midwives, pharmacists, and veterinarians was addressed through various measures to promote their education and training. After obtaining their diplomas, these professionals were employed in hospitals, old people's homes, nursing homes, homes for people with disabilities, and other healthcare institutions where the inhabitants of the Slavonian province received medical care.

On Death and Examination of the Dead in the Ottoman Empire: A Historical Perspective.

ABSTRACT: The aims of this study were to examine the procedures performed during the death examination by scanning the qadi registry books of the Ottoman Empire in the 16th-18th centuries and to compare them with the procedures performed today. In our study, a total of 12 Konya qadi registry records from the period between 16th and 18th centuries (1563-1731) were examined. In our study, a total of 70 cases that underwent death discovery and examination were found out of 12 Konya qadi registry books. When the causes of death were evaluated in the cases in which the dead were discovered, being trapped in the wreckage was found as the most common cause with a total of 9 cases. This was followed by drowning (n = 8), being found dead in the open area (n = 8), and sharp injuries (n = 7). Because of the developments in all fields of medicine, it is understandable that wound descriptions are much more detailed today. However, descriptions such as "black bruise, battery, wounding" were found in the qadi registers as well. This case study is one of the most historic and comprehensive death series.

'Pearls' of the nineteenth-century: from therapeutic actors to global commodities medicinal leeches in the Ottoman Empire.

Nineteenth-century physicians increasingly favoured leeching - the placing of a live leech onto a patient's skin to stimulate or limit blood flow - as a cure for numerous ailments. As conviction in their therapeutic properties spread, leech therapy dominated European medicine; France imported over fifty million leeches in one year. Demand soon outpaced supply, spawning a lucrative global trade. Over-collection and farming eventually destroyed leech habitats, wreaked environmental havoc and forced European merchants to seek new supply sources. Vast colonies of leeches were found to inhabit the immense wetlands of the Ottoman Empire, which soon became a major exporter of medicinal leeches. Following the Treaty of Balta Liman (1838), the Ottoman state moved to exert control over the lucrative trade, imposing a tax on leech gathering and contracting with tax-farmers (mültezim) to collect the taxes. British diplomats, merchants and other stakeholders protested the imposition of the tax, as had previously happened with the commodification of wildlife; their pursuit of profit led collectors and farmers to over-gather leeches, with catastrophic consequences. By the end of the century, so great had their worth climbed that the leech population faced extinction. This paper situates medicinal leeches as therapeutic actors of history and adopts an interscale approach in formulating the human-leech interaction. It offers a substantive contribution to the history of medicine, in revealing the centrality of leeches to the rise of modern medicine and global trade, but also by making visible their role in shaping imperial diplomacy and worldwide economic markets.

What Does the Most Celebrated and Pioneer Ottoman Physician, Sanizade Mehmed Ataullah Efendi, Say on Anatomy, Physiology, Diseases, and Surgery of the Urinary System? A Glance at Hamse-i Sanizade or Kanun-i Sanizade.

OBJECTIVES: Hamse-i Sanizade (Khamse Shani-zade) is the most important work of Sanizade Mehmed Ataullah Efendi (1769 or 1771-1826), an Ottoman kadi (qadi), physician, historian, polymath, and polyglot, about medicine and consists of 5 books. The first book, Mir'at al-ebdan fi teshrih a'da' al-insan, is on anatomy. The second book, Usul al-tabi'a, deals with physiology, while the third, Mi'yar al-etibba, mentions diseases and their treatments. These books were published together in Istanbul in 1820. A fourth book, Qanun al-cerrahin, published in Cairo after his death in 1828, discusses surgical treatments of diseases. A fifth book, Mizan al-edviye, is a pharmacopeia. In this study, we examined the information about urinary system anatomy, physiology, diseases, and their medical and surgical treatments in Hamse-i Sanizade. MATERIALS AND METHODS: We examined the first 3 books and the fourth book. The relevant passages were translated into English after being transliterated into the contemporary Turkish alphabet. RESULTS: In the first book, kidney anatomy is discussed under the heading "fi teshrih al-kula" and bladder anatomy under "fi teshrih al-methane." In the second book, the formation and excretion of urine are explained in different headings. In the third book, kidney inflammation and its treatment are discussed, with kidney and bladder stones and their medical treatments explained in detail. Finally, the types and treatments of urinary retention are discussed, with types, causes, symptoms, prognosis, and surgical treatments of bladder stones written in detail. CONCLUSIONS: In the Ottoman Empire, Hamse-i Sanizade is regarded as one of the first gateways to the West in the field of medicine. It was instrumental in modernizing Ottoman-Turkish medicine and contains and reflects the state-of-the-art knowledge of the time regarding the anatomy, physiology, diseases, and medical and surgical treatments of the urinary system.

From Cosmopolitan to Vernacular in the Language Sciences: A Global History Perspective.

Sheldon Pollock's justly famous work on cosmopolitan orders and processes of vernacularization in the worlds of Latinity and Sanskrit invites questions of a comparative and global-historical character. I will raise such questions in the context of the Persianate cosmopolitan order, especially as exemplified by the early modern Ottoman Empire, focusing on the wave of vernacularizations this empire witnessed in the seventeenth-eighteenth centuries. In this process of vernacularization, new vernacular forms of philological learning appear to have played a crucial role. Building on Bourdieu's work, I will try to analyze the Ottoman cosmopolitan as a pre-modern form of linguistic domination, and vernacularization as a form of resistance. Moving beyond Bourdieu, I will be arguing for a genealogical approach that is alive to premodern non-European philological traditions, and to the historically variable relation between (philological) knowledge and power.

Resolving Belief Conflicts through Political Theory: The Case of Two Ottoman Political Thinkers.

In this paper we identify and compare the arguments offered by two leading Ottoman public intellectuals in the nineteenth century, Namik Kemal and Ziya Gökalp, on why Western institutions are compatible with those of their own society. We argue that these arguments exemplify patterns of reasoning, identified by cognitive social psychologists, which purport to resolve inconsistencies that arise in individuals' belief structures. We draw two conclusions from this analysis. Our first conclusion is that the ideas of Ottoman political thinkers, like those of their Western counterparts, constitute a domain of evidence for research in cognitive social psychology. We secondly conclude that political theories have resources to overcome ideological conflicts in a society without resorting to partisanship or utopianism.

The illustrations and terminology of Hamse-i Sânizâde written by Sânizâde Ataullah Efendi: the stomach / Las ilustraciones y terminología de Hamse-i Sânizâde escrito por Sânizâde Ataullah Efendi: el estómago

SUMMARY: The book "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l-Insân" written by Sânîzâde Mehmet Ataullah Efendi was the first illustrated anatomy book published in the Ottoman Empire. The aim of this study was to determine the similarities and differences between the terms and definitions of stomach anatomy used by Sânîzâde at that time and those used today. The stomach section of the "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l-Insân" was examined and related plates were translated into the Turkish language. Anatomical terms and definitions of stomach anatomy in this book were compared to the stomach terminology used in "Terminologia Anatomica" which is the reference book for terminology today. The stomach section was explained under the title "El-Babu-Sâlis fi Tesrihi'l-Mi'de" (Illustrated Stomach Anatomy) in this book. Parts, margins, arteries, veins, nerves and layers of the stomach were explained with the terms and definitions of that period. Terminologia Anatomica has 33 anatomical terms related to the stomach, while 15 terms were identified in the book "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l-Insân". Although more terms related to the stomach anatomy are used today, the fundamental information on stomach anatomy in Sânîzâde's book was compatible with much of the information used in modern anatomy books today.

El libro "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l- Insân" escrito por Sânîzâde Mehmet Ataullah Efendi fue el primer libro de anatomía ilustrado y publicado en el Imperio Otomano. El objetivo de este estudio fue determinar las similitudes y diferen- cias entre los términos y definiciones de la anatomía del estómago utilizados por Sânîzâde en ese momento y los que se utilizan en la actualidad. Se examinó la sección del estómago del "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l-Insân" y las placas relacionadas se tradujeron al idioma turco. Los términos anatómicos y las definiciones de la anatomía del estómago en este libro se compararon con la terminología del estómago utilizada en Terminologia Anatomica, el libro de referencia para la terminología utilizado actualmente. La sección del estómago se explicó bajo el título "El-Babu-Sâlis fi Tesrihi'l-Mi'de" (Anatomía del estómago ilustrada) en este libro. Fueron definidas las partes, márgenes, arterias, venas, nervios y capas del estómago con los términos y definiciones de esa época. Terminologia Anatomica tiene 33 términos anatómicos relacionados con el estómago, mientras que 15 términos fueron identificados en el libro "Mirâtü'l-Ebdân fi Tesrîh-i Âzâü'l-Insân". Aunque hoy en día se utilizan más términos relacionados con la anatomía del estómago, la información fundamental sobre la anatomía del estómago en el libro de Sânîzâde era compatible con gran parte de la información utilizada en los libros de anatomía modernos en la actualidad.

Hidden Curriculum and Politicization of Medical Students in the Late Ottoman Empire.

This article discusses the effect of medical education on politicization during the late Ottoman period. The article focuses on the nineteenth-century emergence of the epistemological and etiological shift in medicine on a global scale, which led to the dominance of the modernization paradigm in the environment of the Military School of Medicine in Istanbul. The ideas favoring modernization and progressivism became widespread through partnerships and differences between the two generations of physicians represented by the periods of Tanzimat (1839-1876) and Abdülhamid II (1876-1909). Based on the narratives of prominent physicians of the late Ottoman and Early Republican Turkey, the article aims to illustrate that all the activities in the school resulted in the gradual transformation of the perspective of the students in contrast to their professors, interpreting the concept of progress as an effective basis to assist the modern aspirations of the administrative elites, composing the hidden curriculum of modern medical education in the Ottoman context. The younger generation began to equate materialism with solidarity, political activism, and insurgency, which would finally enable them to lead the movement against the monarchy or sultan. This generation would also occupy leading administrative positions in the first decades of the new Turkish Republic.

Some Interesting Points of Competition of X-Ray using during the Greco-Ottoman War in 1897 and Development of Neurosurgical Radiology: A Reminiscence.

AIM: To investigate the competition of radiologic development between Turkey and Greece during the Greco-Ottoman War when the first application of X-Ray took place. MATERIAL AND METHODS: A literature review was conducted, and we searched the published papers about X-Ray using during the Greco-Turkish War in 1897. RESULTS: The use of X-Rays in the military dates to the Greco-Ottoman War in 1897, which is an important issue because X-ray was first specifically used in this war. The radiographic images were used to show the evidence of pieces of bullets and shrapnel inside the bodies of soldiers. CONCLUSION: The experience of the Ottoman Empire and Greece is important for the development of neurosurgical radiology. Both Greek and Turkish parts used the X-Ray technology before any of the risks and adverse effects were unknown. More studies are required.

Timekeepers and Sufi Mystics: Technical Knowledge Bearers of the Ottoman Empire.

This article shows how the Ottoman understanding of "useful sciences" was reserved for the religious sciences, offering an alternative reading to the present scholarship on Useful and Reliable Knowledge (URK), which emphasizes economic gain. As religious obligations, like the call for prayer, required precise timekeeping, pursuing astronomical knowledge was deemed "useful." Timekeepers and Sufi mystics (dervishes) represent a link between artisanal and scientific knowledge in Ottoman Turkey between the sixteenth and the nineteenth century. Combining their scholarly knowledge and artisanal skills, they produced traditional time-measuring instruments like quadrants and sundials. With the advent of the mechanical clock in the Ottoman Empire, dervishes became engaged in clock-making. Timekeepers kept producing quadrants, while they also acquired skills in repairing and setting mechanical clocks. This understanding prevailing among madrasa (religious) scholars changed drastically in the nineteenth century when scholars trained in modern schools translated European scientific and technical texts that were defined as holders of useful knowledge.

Possible Early Examples of Medical Tourism.

Health tourism has hundreds of years of history, most notably in visitors traveling to thermal baths. Medical tourism, a type of health tourism, has rapidly expanded in the last quarter century by patients travelling abroad to health centers for medical treatment. Because of lack of records in ancient times, the history of tourism for actual medical treatment is unknown. In Ottoman archives, medical treatment consent forms of patients were officially documented. We analyzed these existing records to identify foreign citizens who came to the Ottoman Empire for medical treatment. In our screening of Konya Ser'iye registration records, we found medical consent forms for three non-Ottoman foreign citizens. All three patients had the same medical illness and came to Konya for medical treatment. Therefore we emphasized that those patients searched for the name of doctor who was an authority on that illness. This study indicates that medical tourism may have occurred well before the 20th century.

Illustrations of Hernia Surgery in the Early Period of the Ottoman Empire by Serefeddin Sabuncuoglu.

BACKGROUND: Imperial Surgery (Cerrahiyyetü'l- Haniyye), penned by Serefeddin Sabuncuoglu (C.E. 1385-1468), is an impressive medical book that was written in Turkish using the Arabic alphabet, containing color miniature drawings and human figures, depicted in a fantastic style. The purpose of this report is to present this unique contribution to the literature on the known history of hernia surgery. METHODS: Imperial Surgery is divided into three chapters, each of which is divided into sections that, in general, present patients and diseases in the form of case reports. Some sections detail the procedures to be performed on a patient, the surgical instruments used and the positioning of the patient, which are described in detail with color miniature drawings. CONCLUSIONS: Serefeddin Sabuncuoglu was a great surgeon in Turkish medical history. Given all of the hernia-related information in literature, the treatise written by Sabuncuoglu in fifteenth century and its suggested approaches to hernias show clearly the place that he should hold in the history of the art of healing. Hernia surgery is described step-by-step under four headings in two chapters, supported by four miniature drawings, including surgical tools.

"HEALTH FOR ALL". THE MEDICAL SYSTEM IN WALLACHIA UNDER PROTOMEDICUS NICOLAE GUSSI 1848-1859.

The main objective of this study is to provide an overview of the evolution of the medical system in Wallachia between 1840 and 1860 and the very important role of physician Nicolae Gussi (1802-1869), protomedicus of Wallachia between 1840 and 1859, to transform medicine into a modern public service, accessible to the entire population. Particularly, we will refer to the medical reform project of 1853, which Gussi implemented during the time he headed the medical-sanitary administration. We will insist on the details of the project because it was designed to create a network of county hospitals that would improve the health of the population and, in the medium and long term, would reduce mortality and increase life expectancy. Another dimension of the study aims at the tenure of physicians in county hospitals and describes the medical services they provided to patients, particularly from the poor population.

MEDICINE ON THE EDGE OF THE HABSBURG TERRITORIES

Designed as a defensive system against the Ottoman Empire, the Austrian military border was doubled by a sanitary cordon, which served as a defense shield against epidemics. In order for this system to function adequately, the border patrol troops that served the House of Habsburg also needed protection against the diseases that threatened the empire. The present study brings into discussion the health problems that border guards from the Banat region experienced, a topic that remains largely unaddressed in the existing literature. By building on original archival research and the specialized work of the epoch, this article traces the main conditions, the means of tackling diseases, the remedies that were specifically local or those found within the European repertoire. It also sheds light on the support that the administrative apparatus offered to the troops, namely medical care in its material form (hospitals, quarantines, pharmacies, medicine, monetary assistance) and human form (the personnel hired at the borders: military doctors, surgeons, midwives, veterinarians). This article concludes that the entire correspondence from the center directed at the local authorities in Banat and vice versa reflects in a unique and subtle way the level of medical knowledge of the time.

Demetrius Zambaco Pasha (1832-1913): The first leprologist of the Orient.

Démétrius Zambaco Pasha (1832-1913) was an internationally renowned Ottoman-born French dermatologist of Greek origin who is considered the first leprologist of the Orient. A graduate from the Faculty of Medicine in Paris, he practised there until he returned to Istanbul in 1872 and later served as a private physician to the Ottoman sultan Abdul Hamid II (1842-1918), then Abbas Hilmi Pasha (1874-1944), the last Khedive of Egypt. Dr Zambaco produced numerous publications in a variety of medical subjects including leprosy, syphilis, morphinomania, eunuchs, and medical history. Leprosy, however, was his main field of scientific interest, with nearly 40 studies published and many other communications presented at international medical congresses. Due to his outstanding scientific contributions, Dr Zambaco garnered many accolades including the Cholera Medal of Honour, the Montyon Prize, and Légion d'Honneur from France as well as the honorary title of Pasha, a higher rank in the political and military system, from the Ottoman Empire.

The 1918 "Spanish Flu" Pandemic in the Ottoman Capital, Istanbul.

Although the general course, possible transmission routes, and actual sociodemographic destruction of the 1918 influenza pandemic in the Western world are well documented, the literature lacks similar data about the Middle East. On the calamity's centenary, this article aims to contribute to filling this gap, investigating the presence and effects of the pandemic in Istanbul, the city bridging the West and East, then as the capital of the Ottoman Empire. After the retrieval of the most relevant articles in Vakit, a daily Istanbul newspaper active throughout the pandemic, a variety of items, including articles with firsthand pronouncements from contemporaneous medical authorities and a clinical account of supportive autopsy findings, are scrutinized and interpreted. The reviewed data are concluded to indicate no epidemiological or factual exception, showing significant parallelism with the Western experience of the pandemic in terms of increased influenza mortality and morbidity, severe clinical presentation, common misinformation and misdiagnosis, and failure to provide effective prevention and medical treatment.

"Tesrih-ül Ebdan ve Tercümâni Kibale-i Feylesûfan": the first illustrated anatomy handwritten textbook in Ottoman-Turkish medicine.

INTRODUCTION: Semseddîn-i Itâkî is a key Turkish scientist in the field of anatomy. His book entitled Tesrih-ül Ebdan ve Tercümâni Kibale-i Feylesûfan which was written in the seventeenth century is accepted as the first illustrated anatomy handwritten textbook in Turkish language. MATERIALS AND METHODS: In this article, it was examined an original copy of Tesrih-ül Ebdan ve Tercümâni Kibale-i Feylesûfan, which is available at the Süleymaniye Library in Istanbul, Turkey, as well as the transliteration of this book from old Turkish (Ottoman-Turkish) alphabet to contemporary Turkish alphabet by Esin Kâhya. In this book, the anatomical drawings and their descriptions were evaluated. RESULTS: In this ancient handwriting, Itâkî begins with thanking God and then describes the general structure of the organs, bones, nerves, muscles and vessels, supporting with various illustrations. These illustrations are mainly focused on cranial bones, muscles, cranial nerves, spinal nerves, stomach, intestines, urogenital system, bladder, trachea, larynx and bronchi. CONCLUSION: While some of these illustrations are similar to the illustrations of the earlier authors such as Ahmed Ibn Mansur, Andreas Vesalius and Juan Valverde de Amusco, others are peculiar to this book. This book is highly significant for it's being the first Turkish book in the field of anatomy in Ottoman-Turkish medicine and the text's being supplemented by illustrations. This book is also a fundamental source for translation of anatomical terms into Turkish. Our knowledge of anatomy continues to improve thanks to the contributions of leading scientists such as Itâkî and, therefore, he deserves praise.

Tracing the papier mache anatomical models of Ottoman Turkish medicine and Louis Thomas Jerôme Auzoux.

Papier-mâché means chewed paper, and it defines a method. Various decorative products and functional tools have been produced with this method, which includes various techniques and materials. Maybe, the most interesting one among these is anatomic models developed and spread around the world by the French physician Louis Thomas Jerôme Auzoux (1797-1880) at the beginning of the nineteenth century. The purpose of this paper is to investigate the role of Dr Auzoux' human anatomical models in Ottoman-Turkish medicine. Primary and secondary sources were analysed such as Museum collections, archives, and scientific databases accessible on the Internet. This revealed that, at the beginning of the 1820s, Dr. Auzoux developed the method for papier-mâché anatomical models after a period of suffering difficulties in finding and preserving cadavers for dissection at the medical faculty which he worked. In 1825, he completed his invention, which had significant advantages over previously used methods for anatomical models, and then founded a production workshop in St. Aubin. Many medical schools in Europe, Africa, and South America utilised these models. Sources mentioned that the Ottoman Empire also purchased various anatomical models. Although it is not exactly known how many and from which models, it is known that whole male and female body models and pregnancy developmental models were purchased in 1837. In addition to human anatomic models, Dr. Auzoux's company also began to manufacture veterinary and botanical models soon. In that period of the Ottoman Empire during which cadaver dissection was forbidden and only artificial models and drawings were used for the education, Auzoux's models can be considered as very important tools for the Turkish Ottoman medical education and influential on the transition from traditional to modern medicine. Today, unfortunately, the fate of most of the human anatomical models purchased in the name of the Ottoman Empire is not known.