The role of austrian physicians and prof. Joseph Hyrtl (1810–1894) on modernization of Ottoman-Turkish medicine

Medical schools have a long history in Ottoman-Turkish medical education. At Ottoman medical schools (medreses), education has been given to students regularly. But because of social dogma and oppression of religion on the science of human anatomy they could not get a chance to improve for centuries. Traditionally, Ottoman-Turkish medical education was shaped under the influence of Galenos (129–200) and Avicenna (980–1037). These influences continued until the beginning of the 19^th century. In this period, Avicenna's most famous medical book “Kanun-ı fit-tıp” was a main anatomy textbook in medical education of the eleventh century. Modernization of educational systems in the Ottoman Empire started during the reign of Sultan Selim the 3^rd (1789–1807) and modern anatomy in Ottoman-Turkish Medicine has flourished following the Austrian physicians. Today's Department of Anatomy at Istanbul Medical School of the Istanbul University is a continuation of Galatasaray Medical School which was the first medical school achieving the western educational level.     

The evolution of epistemological methodologies in anatomy: From antiquity to modern times

Present day scenario regarding epistemological methods in anatomy is in sharp contrast to the situation during ancient period. This study aimed to explore the evolution of epistemological methodologies in anatomy across centuries. In ancient times Egyptian embalmers acquired anatomical knowledge from handling human bodies and likewise anatomical studies in India involved human dissection. Ancient Greeks used theological principles-based methods, animal dissection and human dissection in practice of anatomy. Human dissection was also practiced in ancient China for gaining anatomical knowledge. Prohibition of human dissection led to use of animal dissection in ancient Rome and the trend continued in Europe through Middle Ages. Epistemological methods used by Muslim scholars during Middle Ages are not clearly chronicled. Human dissection returned as primary epistemological method in Renaissance Europe and empirical methods were reinstated after ancient period in human dissection during 16th century. The situation further improved with introduction of pragmatic experiment based approach during 17th century and autopsy-based methods during 18th century. Advances in anatomical knowledge continued with advent of microscope-based methods and emergence of anatomical sections in practice of human dissection in 19th century. Introduction of human observational studies, medical imaging, and molecular methods presented more options in terms of epistemological methods for investigating the human body during 20th century. Onset of 21st century has witnessed dominance of technology-based methods in anatomy. Limited emphasis on ethics in epistemological methodologies since antiquity is a dark aspect of otherwise an eventful evolutionary journey but recent developments are in positive direction.     

Benjamin Hobson (1816–1873): His Work as a medical missionary and influence on the practice of medicine and knowledge of anatomy in China and Japan

Benjamin Hobson was a British missionary and physician who lived in China for twenty years. He founded multiple hospitals in Southern China and used his knowledge of Western medicine to educate Chinese doctors. He wrote several medical textbooks in Chinese of which the first was the A New Theory of the Body (1851). The illustrations from his book were renditions and originals from William Cheselden's Anatomical Tables (1730) and Osteographia (1733).The Japanese version of Hobson's work appeared in Japan during the bakumatsu period (1853–1867), when Japan ended its isolationist foreign policy and began opening itself to the West. During this time, many books from Europe were translated into Chinese to then find their way into Japan. The Chinese anatomy textbook by Hobson (Quanti Xinlun) was instrumental in introducing Western anatomic knowledge to the Chinese and thereby catalyzing a significant change in the practice of medicine in China. A Japanese translation (Zen Tai Shin Ron) of this text published in the 19th century is reviewed. Clin. Anat. 27:154–161, 2014. © 2013 Wiley Periodicals, Inc.     

Capital punishment and anatomy: history and ethics of an ongoing association

Anatomical science has used the bodies of the executed for dissection over many centuries. As anatomy has developed into a vehicle of not only scientific but also moral and ethical education, it is important to consider the source of human bodies for dissection and the manner of their acquisition. From the thirteenth to the early seventeenth century, the bodies of the executed were the only legal source of bodies for dissection. Starting in the late seventeenth century, the bodies of unclaimed persons were also made legally available. With the developing movement to abolish the death penalty in many countries around the world and with the renunciation of the use of the bodies of the executed by the British legal system in the nineteenth century, two different practices have developed in that there are Anatomy Departments who use the bodies of the executed for dissection or research and those who do not. The history of the use of bodies of the executed in German Anatomy Departments during the National Socialist regime is an example for the insidious slide from an ethical use of human bodies in dissection to an unethical one. There are cases of contemporary use of unclaimed or donated bodies of the executed, but they are rarely well documented. The intention of this review is to initiate an ethical discourse about the use of the bodies of the executed in contemporary anatomy.     

The study of anatomy in England from 1700 to the early 20th century

The study of anatomy in England during the 18th and 19th century has become infamous for bodysnatching from graveyards to provide a sufficient supply of cadavers. However, recent discoveries have improved our understanding of how and why anatomy was studied during the enlightenment, and allow us to see the context in which dissection of the human body took place. Excavations of infirmary burial grounds and medical school cemeteries, study of hospital archives, and analysis of the content of surviving anatomical collections in medical museums enables us to re-evaluate the field from a fresh perspective. The pathway from a death in poverty, sale of the corpse to body dealer, dissection by anatomist or medical student, and either the disposal and burial of the remains or preservation of teaching specimens that survive today in medical museums is a complex and fascinating one.     

History of nasopharyngeal study: A 5,000-year odyssey into our evolving understanding of a small but vital region

The nasopharynx has been understudied relative to neighboring anatomical regions. It is a highly complex, integrated space whose function, development, and evolution remains unclear after nearly 5,000 years of study. Historically, most work on the nasopharynx was done with a focus on adjacent structures. It has most often been mentioned in relation to the middle ear (via the Eustachian tube) in ancient texts and has only later been given a designation as one of three portions of a tripartite pharynx among adult humans. As human dissection became practiced more widely in Renaissance Europe, understanding of the nasopharyngeal boundaries improved. With further advancements in the study of nasopharyngeal development, evolution, and anatomical variation from the 19th century up until the present, this region has been shown to be functionally vital and still complicated to define.     

Birth defects before epigenesis

Physicians have tried to explain the origins of birth defects since antiquity. In early humoralist models, fetal anomalies were most often understood in terms of quantity and quality of male and female seed. Maternal imagination was also considered a key environmental influence on fetal development from Hippocrates, Galen, and into late 17th century preformation.     

Anatomical knowledge among medieval folk artists: osteological interpretation of two Dance of Death motifs

Anatomy has a long history that started with dissection of animals and then expanded and flourished thanks to dissections performed on human bodies. Artists had a crucial role in uncovering the secrets of human anatomy. While most studies have focused on the influence of famous Renaissance artists on human anatomy studies, the anatomical drawings by pre‐Renaissance artists and local craftsmen have remained in their shadow. One of the most popular artistic genres in which complete or parts of human skeletons appear is the Dance of Death (Danse Macabre). This article is an anthropological study of two medieval Dance of Death frescoes that are unusual in being relatively early as well as accurately datable. A comparative morphological analysis of the two late 15th century works present in Istria has been conducted. The two works were painted by two local masters and show how the artists filled the gaps in their knowledge of human anatomy mostly with insights into animal bones and imagination. Their artworks, even though only 16 years apart, demonstrate substantial differences in the representation of the skeletons. The article argues that the history of medicine and of art could make good use of osteology and physical anthropology in attempts to define and understand how anatomical knowledge developed among pre‐Renaissance and post‐Renaissance artists and local people.     

Giulio cesare casseri (c. 1552–1616): The servant who became an anatomist

Julius Casserius was born in a poor family in Piacenza in 1552. As a young man, he moved to Padua and soon after, he became a servant to Fabricius, a noted anatomist and professor at the Universitá Artista, who quickly became his mentor. Casserius eventually attended the University of Padua and received a degree in medicine and philosophy. In the following years, a rivalry ensued between Casserius and his former mentor as they competed for teaching privileges, conflicted on dissection philosophies, and disregarded each other's contributions in publications. Tragically, the conflict between these two influential anatomists may have overshadowed their contributions to the study of anatomy. Casserius was one of the first physicians to develop a comprehensive treatise on anatomy. Unfortunately, while Casserius prepared several tracts identifying novel structures, he did not live to see his master collection published as he died suddenly at the peak of his career in 1616. Interestingly, the English anatomist and surgeon John Browne used copies of Casserius' work for his own anatomy text and was labeled a plagiarist. It is the contributions from such pioneers as Casserius on which we base our current understanding of human anatomy. Clin. Anat. 27:675–680, 2014. © 2013 Wiley Periodicals, Inc.     

Bygone theatres of events: A history of human anatomy and dissection

Over the last four millennia, the discipline of anatomy and its relationships with medicine and society have evolved dramatically. Human dissection, the perennial tool for anatomical discovery and education, has both guided this evolution and matured alongside it. Soon after the first cadaveric dissections recorded in ancient Greece, China, India, and Persia, clear endorsements of its practice fell largely silent in the anatomical record for 1,500 years before reappearing in Europe at the dawn of the Renaissance. Between the 13th and 18th centuries CE, the performance of anatomical dissection became a popular form of education and public entertainment, and the demand for human cadavers steadily increased among European anatomical schools while supply remained limited by legal statute. This gave rise to an informal group of amateur and professional body snatchers called the Resurrectionists and, later, inspired the Anatomy Act of 1832 CE. In the 20th and 21st centuries CE, voluntary body bequeathal programs have enabled the practice of human dissection to continue in academic centers as a cornerstone of anatomical education, now with a newfound focus on the development of affective skills. This article provides an abridged account of anatomy's development, highlighting key moments in its growth, the valuable contributions of many different societies to the discipline, and the important roles of several luminary anatomists of antiquity. Within the broader context of this history, it offers an overview of anatomical dissection's evocative past, spanning from its inception to its present-day practice.     

The evolving ethics of anatomy: Dissecting an unethical past in order to prepare for a future of ethical anatomical practice

Anatomical practice has arguably one of the most ethically challenging histories in the medical sciences. Among the oldest scientific disciplines in medicine, dissection of the human body for scientific purposes occurred as early as the third century Before the Common Era. Throughout the history of anatomical practice, human dissection has occurred in ways that cross the line from progressing medical science to violating the sanctity of the human body. The dissection of the human body creates ethical dilemmas which stem from the need for anatomical science to gain medical knowledge in juxtaposition with prevailing religious and moral views surrounding anatomy as a threat to the sanctity of the human body. This article examines the unethical history of human dissection throughout the ages and explores the rationale behind the unethical practices. In addition, this article explores imperative modern day ethical standards in anatomy including, the ethical handling of human bodies, respecting human life, and ensuring informed consent for dissection of bodies that are donated. Finally, this article explores the question of which ethical prism we should use when dealing with anatomy collections or works of the past. Learning both the history of unethical practices in anatomy and the rationale behind them is imperative so that the discipline can prepare for an ethical, diverse, and inclusive future. This article provides a foundation for understanding the evolution of ethics in anatomical practice and is a valuable resource for students and anatomists alike.     

Physician‐anatomists of Italy in Şānīzāde Mehmed Atāullah Efendi's work Mir'āt al‐Abdān (mirror of bodies)

?ānīzāde Mehmed Atāullah Efendi was a pioneer in the history of Turkish medical education with his work ?amse‐i ?ānīzāde (Five Works of ?ānīzāde). The first of these works, Mir'āt al‐abdān fī ta?rīh‐i a‘?āi’l‐insān (Mirror of the Bodies in the Dissection of the Members of the Human Body), concerns anatomy and was written in 1816. ?ānīzāde's Mir'āt al‐abdān is an important milestone in the teaching of anatomy in the Ottoman Empire and was also the first book on anatomy both written in a modern manner and printed in the Ottoman Empire. This paper is based on investigation of a printed copy of Mir'āt al‐Abdān in the library of the History of Medicine and Ethics Department, Ankara University Faculty of Medicine. The main text and explanations were transliterated into the contemporary Turkish alphabet. The names of European physicians and their eponyms in the main text and in the explanations of illustrations were identified and evaluated. The names of European masters of anatomy in ?ānīzāde are mentioned either in the text or in plate explanations. These names and plates indicate well‐known physicians and masters of anatomy whose works were examined and quoted by ?ānīzāde. The references in ?ānīzāde's book and presented in this study relate to Italian physician‐anatomists such as Bartolomeo Eustachi, Gabriele Fallopio, Costanzo Varolio and to others, such as Andreas Vesalius and Adriaan van den Spiegel, who were also Padua‐educated but not Italian. Clin. Anat. 27:808–814, 2014. © 2014 Wiley Periodicals, Inc.     

The potential for non‐invasive study of mummies: validation of the use of computerized tomography by post factum dissection and histological examination of a 17th century female Korean mummy

The socio‐cultural antipathies of some descendants with regard to invasive examinations of age‐old human remains make permission for dissection of Korean mummies of the Joseon Dynasty (1392–1910) difficult to obtain. Overcoming this obstacle necessitated the use of non‐invasive techniques, such as multi‐detector computerized tomography (MDCT) and endoscopic examination, enabling determination of the preservation status of internal organs of mummies without significantly damaging the mummies themselves. However, MDCT alone cannot clearly differentiate specific mummified organs. Therefore, in much the same way as diagnostic radiologists make their MDCT readings on living patients more reliable by means of comparison with accumulated post‐factum data from autopsies or histological studies, examinations of mummies by invasive techniques should not be decried as mere destruction of age‐old human remains. Rather, providing that due permission from descendants and/or other relevant authorities can be obtained, dissection and histological examination should be performed whenever opportunities arise. Therefore, in this study, we compared the radiological data acquired from a 17th century mummy with our dissection results for the same subject. As accumulation of this kind of data could be very crucial for correct interpretation of MDCT findings on Korean mummies, we will perform similar trials on other Korean mummies found in forthcoming days if conditions permit.     

What is happening in our anatomical dissection rooms?

A recent student article relates disrespectful and traumatizing events in a modern dissection room. This comment serves to remind anatomical educators' of their duties toward the medical students. It is the anatomical educators' duty to help students not only to become familiar with the structure of the human body but also with the emotional repertoire available when dealing with the living and the dead. And it is the educators' duty to accompany students through the dissection course experience in a manner that keeps them safe from emotional harm. Clin. Anat. 27:833–834, 2014. © 2014 Wiley Periodicals, Inc.     

Relationship between malaria,environment, people and civilisation in central Italy. Reclamation of the Fucino plain

In this article the incidence of malaria in the course of history is cited as a paradigmatic example of pathocenosis - emergence of new infectious diseases related to the environmental conditions or to the different ecology of the infected host - as malaria is affected by climatic variations and environmental deterioration. The incidence of malaria in the Mesolithic and Neolithic ages is briefly evaluated. Moreover, the finds from a necropolis in the Sele river plain established the effect that the land reclamation of the wetland during the Etruscan period induced on the porotic hyperostosis, an indirect index of malaria sustained by Plasmodium falciparum. In addition, we consider the reclamation in the area of the Fucino plain, a volcanic basin without outflow, whose shores were therefore unhealthy. In the reign of the Claudius, in the early years of the Roman Empire, a tunnel was built to provide an outflow, thereby draining the wetlands. The results of this engineering intervention lasted for six centuries. During medieval times the area was neglected, thus creating the pre-existing insalubrious environmental conditions. It was only during the Bourbon period in the 19th century that a new intervention was initiated, subsequently completed by Prince Torlonia, which allowed the wetlands to be definitively transformed into farmland.     

Henry Jacob Bigelow (1818-1890): his contributions to anatomy and surgery

There have been many advances in the medical world over time that have greatly contributed to ameliorating and prolonging human life. The employment of surgical anesthesia is arguably one of the greatest medical discoveries of all time, and has immensely broadened our ability to treat the ill. While Dr. Henry Jacob Bigelow (1818-1890) was not the inventor of anesthesia, he was the first to publish and advocate its use in the 19th century (Bigelow and Bigelow [1894] A Memoir of Henry Jacob Bigelow, Boston: Little, Brown, and Company; Harrington and Mumford [1905] The Harvard Medical School: A History, Narrative and Documentary, Vol 2, New York: Lewis Publishing Company). Bigelow also contributed to revolutionizing the fields of orthopedic and urologic surgery, publishing extensive research on subjects where there was previously very little knowledge, and even developing new techniques. He also impacted the field of neuropsychiatry in his publication regarding Phineas Gage. His contributions to the medical field have set him apart as one of the most influential and famous surgeons of America in the 19th century. Anatomically, he will be remembered eponymously for his iliofemoral ligament and septum in the femur.