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Ignaz Semmelweis

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Hungarian , or Magyar ( magyar nyelv , pronounced [ˈmɒɟɒr ˈɲɛlv] ), is a Uralic language of the Ugric branch spoken in Hungary and parts of several neighboring countries. It is the official language of Hungary and one of the 24 official languages of the European Union. Outside Hungary, it is also spoken by Hungarian communities in southern Slovakia , western Ukraine ( Transcarpathia ), central and western Romania ( Transylvania ), northern Serbia ( Vojvodina ), northern Croatia , northeastern Slovenia ( Prekmurje ), and eastern Austria ( Burgenland ).

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101-452: Ignaz Philipp Semmelweis ( German: [ˈɪɡnaːts ˈzɛml̩vaɪs] ; Hungarian : Semmelweis Ignác Fülöp [ˈsɛmmɛlvɛjs ˈiɡnaːts ˈfyløp] ; 1 July 1818 – 13 August 1865) was a Hungarian physician and scientist of German descent who was an early pioneer of antiseptic procedures and was described as the "saviour of mothers". Postpartum infection , also known as puerperal fever or childbed fever, consists of any bacterial infection of

202-601: A Turkic language continued to be a matter of impassioned political controversy throughout the 18th and into the 19th centuries. During the latter half of the 19th century, a competing hypothesis proposed a Turkic affinity of Hungarian, or, alternatively, that both the Uralic and the Turkic families formed part of a superfamily of Ural–Altaic languages . Following an academic debate known as Az ugor-török háború ("the Ugric-Turkic war"),

303-417: A circumfix , to change a word's meaning and its grammatical function. Hungarian uses vowel harmony to attach suffixes to words. That means that most suffixes have two or three different forms, and the choice between them depends on the vowels of the head word. There are some minor and unpredictable exceptions to the rule. Nouns have 18 cases , which are formed regularly with suffixes. The nominative case

404-490: A laxative . He died after two weeks, on 13 August 1865, aged 47, from a gangrenous wound, due to an infection on his right hand which might have been caused by the struggle. The autopsy gave the cause of death as pyemia — blood poisoning . Semmelweis was buried in Vienna on 15 August 1865. Only a few people attended the service. Brief announcements of his death appeared in a few medical periodicals in Vienna and Budapest. Although

505-469: A pathology similar to that of the women who were dying from puerperal fever. Semmelweis immediately proposed a connection between cadaveric contamination and puerperal fever. He proposed that he and the medical students carried "cadaverous particles" on their hands from the autopsy room to the patients they examined in the First Obstetrical Clinic. This explained why the student midwives in

606-681: A high proportion of words specific to agriculture and livestock are of Chuvash origin. A strong Chuvash influence was also apparent in Hungarian burial customs. The first written accounts of Hungarian date to the 10th century, such as mostly Hungarian personal names and place names in De Administrando Imperio , written in Greek by Eastern Roman Emperor Constantine VII . No significant texts written in Old Hungarian script have survived, because

707-606: A lecture explaining Semmelweis's work. The lecture was presented before the Royal Medical and Surgical Society in London and a review published in The Lancet , a prominent medical journal. A few months later, another of Semmelweis's former students published a similar essay in a French periodical. As accounts of the dramatic reduction in mortality rates in Vienna were being circulated throughout Europe, Semmelweis had reason to expect that

808-522: A meeting of German obstetricians somewhere in Germany to provide a forum for discussions on puerperal fever, where he would stay "until all have been converted to his theory." In mid-1865, his public behaviour became exasperating and embarrassing to his associates. He also began to drink immoderately; he spent progressively more time away from his family, sometimes in the company of a prostitute; and his wife noticed changes in his sexual behavior. On 13 July 1865,

909-399: A millennium. These include tehén 'cow' (cf. Avestan daénu ); tíz 'ten' (cf. Avestan dasa ); tej 'milk' (cf. Persian dáje 'wet nurse'); and nád 'reed' (from late Middle Iranian ; cf. Middle Persian nāy and Modern Persian ney ). Archaeological evidence from present-day southern Bashkortostan confirms the existence of Hungarian settlements between

1010-785: A million additional people scattered in other parts of the world. For example, there are more than one hundred thousand Hungarian speakers in the Hungarian American community and 1.5 million with Hungarian ancestry in the United States . Hungarian is the official language of Hungary, and thus an official language of the European Union. Hungarian is also one of the official languages of Serbian province of Vojvodina and an official language of three municipalities in Slovenia : Hodoš , Dobrovnik and Lendava , along with Slovene . Hungarian

1111-586: A move that might have offended them. According to his own account, he left Vienna because he was "unable to endure further frustrations in dealing with the Viennese medical establishment". During 1848–1849, some 70,000 troops from the Habsburg -ruled Austrian Empire thwarted the Hungarian independence movement , executed or imprisoned its leaders and in the process destroyed parts of Pest . Semmelweis, upon arriving from

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1212-500: A prize to a monograph written in 1859 in which my teachings were rejected". In a textbook, Carl Braun, Semmelweis's successor as assistant in the first clinic, identified 30 causes of childbed fever; only the 28th of these was cadaverous infection. Other supposed causes included conception and pregnancy, uremia, pressure exerted on adjacent organs by the shrinking uterus, emotional traumata, mistakes in diet, chilling, and atmospheric epidemic influences. Despite this opposition, Braun, who

1313-406: A process of nyelvújítás ( language revitalization ). Some words were shortened ( győzedelem > győzelem , 'victory' or 'triumph'); a number of dialectal words spread nationally ( e.g. , cselleng 'dawdle'); extinct words were reintroduced ( dísz , 'décor'); a wide range of expressions were coined using the various derivative suffixes; and some other, less frequently used methods of expanding

1414-460: A role. Some doctors, for instance, were offended at the suggestion that they should wash their hands, feeling that their social status as gentlemen was inconsistent with the idea that their hands could be unclean. Semmelweis's results lacked scientific explanation at the time. That became possible only in the 1860s and 1870s, when Louis Pasteur , Joseph Lister , and others further developed the germ theory of disease. During 1848, Semmelweis widened

1515-725: A second essay, "The Difference in Opinion between Myself and the English Physicians regarding Childbed Fever". In 1861, Semmelweis published his main work Die Ätiologie, der Begriff und die Prophylaxis des Kindbettfiebers (German for "The Etiology, Concept and Prophylaxis of Childbed Fever"). In his 1861 book, Semmelweis lamented the slow adoption of his ideas: "Most medical lecture halls continue to resound with lectures on epidemic childbed fever and with discourses against my theories. [...] In published medical works my teachings are either ignored or attacked. The medical faculty at Würzburg awarded

1616-495: A series of tumultuous revolutions swept across Europe. The resulting political turmoil would affect Semmelweis's career. In Vienna on 13 March 1848, students demonstrated in favor of increased civil rights , including trial by jury and freedom of expression . The demonstrations were led by medical students and young faculty members and were joined by workers from the suburbs. Two days later in Hungary, demonstrations and uprisings led to

1717-995: A similarly dramatic way over these three centuries. After the arrival of the Hungarians in the Carpathian Basin , the language came into contact with a variety of speech communities , among them Slavic , Turkic , and German . Turkic loans from this period come mainly from the Pechenegs and Cumanians , who settled in Hungary during the 12th and 13th centuries: e.g. koboz " cobza " (cf. Turkish kopuz 'lute'); komondor "mop dog" (< * kumandur < Cuman ). Hungarian borrowed 20% of words from neighbouring Slavic languages : e.g. tégla 'brick'; mák 'poppy seed'; szerda 'Wednesday'; csütörtök 'Thursday'...; karácsony 'Christmas'. These languages in turn borrowed words from Hungarian: e.g. Serbo-Croatian ašov from Hungarian ásó 'spade'. About 1.6 percent of

1818-421: A theoretical explanation for Semmelweis's findings. He is considered a pioneer of antiseptic procedures. Semmelweis's observations conflicted with the established scientific and medical opinions of the time. The theory of diseases was highly influenced by ideas of an imbalance of the basic " four humours " in the body, a theory known as dyscrasia , for which the main treatment was bloodlettings . Medical texts at

1919-440: A type of dementia, which is associated with rapid cognitive decline and mood changes. It might have been third-stage syphilis , a then-common disease of obstetricians who examined thousands of women at gratis institutions, or it might have been emotional exhaustion from overwork and stress. In 1865, János Balassa wrote a document referring Semmelweis to a mental institution. On 30 July, Ferdinand Ritter von Hebra lured him, under

2020-400: Is subject–verb–object (SVO). However, Hungarian is a topic-prominent language , and so has a word order that depends not only on syntax but also on the topic–comment structure of the sentence (for example, what aspect is assumed to be known and what is emphasized). A Hungarian sentence generally has the following order: topic, comment (or focus), verb and the rest. The topic shows that

2121-579: Is always on the first syllable of a word, as in Finnish and the neighbouring Slovak and Czech . There is a secondary stress on other syllables in compounds: viszontlátásra ("goodbye") is pronounced /ˈvisontˌlaːtaːʃrɒ/ . Elongated vowels in non-initial syllables may seem to be stressed to an English-speaker, as length and stress correlate in English. Hungarian is an agglutinative language . It uses various affixes , mainly suffixes but also some prefixes and

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2222-549: Is expressed by a possessive suffix on the possessed object, rather than the possessor as in English (Peter's apple becomes Péter almája , literally 'Peter apple-his'). Noun plurals are formed with –k ( az almák 'the apples'), but after a numeral, the singular is used ( két alma 'two apples', literally 'two apple'; not *két almák ). Unlike English, Hungarian uses case suffixes and nearly always postpositions instead of prepositions. There are two types of articles in Hungarian, definite and indefinite, which roughly correspond to

2323-442: Is marked with boldface. Hungarian has a four-tiered system for expressing levels of politeness. From highest to lowest: The four-tiered system has somewhat been eroded due to the recent expansion of " tegeződés " and " önözés ". Some anomalies emerged with the arrival of multinational companies who have addressed their customers in the te (least polite) form right from the beginning of their presence in Hungary. A typical example

2424-572: Is no longer clear that it is a valid group. When the Samoyed languages were determined to be part of the family, it was thought at first that Finnic and Ugric (the most divergent branches within Finno-Ugric) were closer to each other than to the Samoyed branch of the family, but that is now frequently questioned. The name of Hungary could be a result of regular sound changes of Ungrian/Ugrian , and

2525-613: Is officially recognized as a minority or regional language in Austria , Croatia , Romania , Zakarpattia in Ukraine , and Slovakia . In Romania it is a recognized minority language used at local level in communes, towns and municipalities with an ethnic Hungarian population of over 20%. The dialects of Hungarian identified by Ethnologue are: Alföld, West Danube, Danube-Tisza, King's Pass Hungarian, Northeast Hungarian, Northwest Hungarian, Székely and West Hungarian. These dialects are, for

2626-411: Is often traced to belief perseverance , the psychological tendency of clinging to discredited beliefs. Also, some historians of science argue that resistance to path-breaking contributions of obscure scientists is common and "constitutes the single most formidable block to scientific advances." As a result, his ideas were rejected by the medical community. Other, more subtle, factors may also have played

2727-399: Is sometimes described as having free word order, different word orders are generally not interchangeable, and the neutral order is not always correct to use. The intonation is also different with different topic-comment structures. The topic usually has a rising intonation, the focus having a falling intonation. In the following examples, the topic is marked with italics, and the focus (comment)

2828-475: Is the Funeral Sermon and Prayer , which dates to the 1190s. Although the orthography of these early texts differed considerably from that used today, contemporary Hungarians can still understand a great deal of the reconstructed spoken language, despite changes in grammar and vocabulary. A more extensive body of Hungarian literature arose after 1300. The earliest known example of Hungarian religious poetry

2929-693: Is the 14th-century Lamentations of Mary . The first Bible translation was the Hussite Bible in the 1430s. The standard language lost its diphthongs , and several postpositions transformed into suffixes , including reá "onto" (the phrase utu rea "onto the way" found in the 1055 text would later become út ra ). There were also changes in the system of vowel harmony . At one time, Hungarian used six verb tenses , while today only two or three are used. In 1533, Kraków printer Benedek Komjáti published Letters of St. Paul in Hungarian (modern orthography: A Szent Pál levelei magyar nyelven ),

3030-523: Is the Swedish furniture shop IKEA , whose web site and other publications address the customers in te form. When a news site asked IKEA—using the te form—why they address their customers this way, IKEA's PR Manager explained in his answer—using the ön form—that their way of communication reflects IKEA's open-mindedness and the Swedish culture. However IKEA in France uses the polite ( vous ) form. Another example

3131-582: Is the Uralic family's largest member by number of speakers. Hungarian is a member of the Uralic language family . Linguistic connections between Hungarian and other Uralic languages were noticed in the 1670s, and the family itself was established in 1717. Hungarian has traditionally been assigned to the Ugric branch along with the Mansi and Khanty languages of western Siberia ( Khanty–Mansia region of North Asia ), but it

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3232-485: Is the communication of Yettel Hungary (earlier Telenor, a mobile network operator) towards its customers. Yettel chose to communicate towards business customers in the polite ön form while all other customers are addressed in the less polite te form. During the first early phase of Hungarian language reforms (late 18th and early 19th centuries) more than ten thousand words were coined, several thousand of which are still actively used today (see also Ferenc Kazinczy ,

3333-407: Is unmarked ( az alma 'the apple') and, for example, the accusative is marked with the suffix –t ( az almát '[I eat] the apple'). Half of the cases express a combination of the source-location-target and surface-inside-proximity ternary distinctions (three times three cases); there is a separate case ending – ból / –ből meaning a combination of source and insideness: 'from inside of'. Possession

3434-647: The Hungarian Revolution of 1848 and a full-scale war against the ruling Habsburgs of the Austrian Empire . In Vienna, the March demonstration was followed by months of general unrest. No evidence indicates Semmelweis was personally involved in the events of 1848. Some of his brothers were punished for active participation in the Hungarian independence movement, and the Hungarian-born Semmelweis likely

3535-663: The Romanian lexicon is of Hungarian origin. In the 21st century, studies support an origin of the Uralic languages, including early Hungarian, in eastern or central Siberia , somewhere between the Ob and Yenisei rivers or near the Sayan mountains in the Russian – Mongolian border region. A 2019 study based on genetics, archaeology and linguistics, found that early Uralic speakers arrived in Europe from

3636-832: The Volga River and the Ural Mountains . The Onoğurs (and Bulgars ) later had a great influence on the language, especially between the 5th and 9th centuries. This layer of Turkic loans is large and varied (e.g. szó ' word ' , from Turkic ; and daru ' crane ' , from the related Permic languages ), and includes words borrowed from Oghur Turkic ; e.g. borjú ' calf ' (cf. Chuvash păru , părăv vs. Turkish buzağı ); dél 'noon; south' (cf. Chuvash tĕl vs. Turkish dial. düš ). Many words related to agriculture, state administration and even family relationships show evidence of such backgrounds. Hungarian syntax and grammar were not influenced in

3737-506: The germ theory , giving Semmelweis' observations a theoretical explanation, and Joseph Lister , acting on Pasteur's research, practised and operated using hygienic methods with great success. Ignaz Semmelweis was born on 1 July 1818 in the Tabán neighbourhood of Buda , Kingdom of Hungary , Austrian Empire . He was the fifth child out of 10 of the prosperous grocer family of József Semmelweis and Teréz Müller. Of German ancestry, his father

3838-872: The 2011 Hungarian census, 9,896,333 people (99.6% of the total population) speak Hungarian, of whom 9,827,875 people (98.9%) speak it as a first language, while 68,458 people (0.7%) speak it as a second language . About 2.2 million speakers live in other areas that were part of the Kingdom of Hungary before the Treaty of Trianon (1920). Of these, the largest group lives in Transylvania , the western half of present-day Romania , where there are approximately 1.25 million Hungarians . There are large Hungarian communities also in Slovakia , Serbia and Ukraine , and Hungarians can also be found in Austria , Croatia , and Slovenia , as well as about

3939-695: The Copenhagen maternity hospital and an outspoken critic of Semmelweis's ideas, had reservations concerning the unspecific nature of cadaverous particles and that the supposed quantities were unreasonably small. In fact, Robert Koch later used precisely this fact to prove that various infecting materials contained living organisms which could reproduce in the human body; that is, since the poison could be neither chemical nor physical in operation, it must be biological. It has been contended that Semmelweis could have had an even greater impact if he had managed to communicate his findings more effectively and avoid antagonising

4040-559: The Finno-Ugric hypothesis was concluded the sounder of the two, mainly based on work by the German linguist Josef Budenz . Hungarians did, in fact, absorb some Turkic influences during several centuries of cohabitation. The influence on Hungarians was mainly from the Turkic Oghur speakers such as Sabirs , Bulgars of Atil , Kabars and Khazars . The Oghur tribes are often connected with

4141-468: The First Clinic. Semmelweis described desperate women begging on their knees not to be admitted to the First Clinic. Women began purposefully giving birth in the streets, pretending to have given birth en route to the hospital so they could avoid being admitted to the clinic where the risk of infection, birth complications and death were substantially higher. Semmelweis was puzzled that puerperal fever

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4242-589: The Habsburg Vienna in 1850, likely was not warmly welcomed in Pest. On 20 May 1851, Semmelweis took the relatively insignificant, unpaid, honorary head-physician position of the obstetric ward of Pest's small Szent Rókus Hospital. He held that position for six years, until June 1857. Childbed fever was rampant at the clinic; at a visit in 1850, just after returning to Pest, Semmelweis found one fresh corpse, another patient in severe agony, and four others seriously ill with

4343-486: The Hungarian lexemes collected from technical texts, dialects etc. would total up to 1,000,000 words. Parts of the lexicon can be organized using word-bushes (see an example on the right). The words in these bushes share a common root, are related through inflection, derivation and compounding, and are usually broadly related in meaning. Jakob Kolletschka Jakob Kolletschka (24 July 1803, Biela (now Bělá nad Svitavou ), Bohemia – 13 March 1847, Vienna )

4444-524: The Hungarian language contains 75,000 words, and the Comprehensive Dictionary of Hungarian Language (to be published in 18 volumes in the next twenty years) is planned to contain 110,000 words. The default Hungarian lexicon is usually estimated to comprise 60,000 to 100,000 words. (Independently of specific languages, speakers actively use at most 10,000 to 20,000 words, with an average intellectual using 25,000 to 30,000 words. ) However, all

4545-505: The Hungarians whose exoethnonym is usually derived from Onogurs (> (H)ungars), a Turkic tribal confederation . The similarity between customs of Hungarians and the Chuvash people , the only surviving member of the Oghur tribes, is visible. For example, the Hungarians appear to have learned animal husbandry techniques from the Oghur speaking Chuvash people (or historically Suvar people ), as

4646-458: The Second Clinic, who were not engaged in autopsies and had no contact with corpses, saw a much lower mortality rate. The germ theory of disease had not yet been accepted in Vienna. Thus, Semmelweis concluded some unknown "cadaverous material" caused childbed fever. He instituted a policy of using a solution of chlorinated lime ( calcium hypochlorite ) for washing hands between autopsy work and

4747-455: The Semmelweis family visited friends, and during the visit, Semmelweis's behavior seemed particularly inappropriate. Semmelweis's alleged affliction has been a subject of some debate. According to K. Codell Carter, in his biography of Semmelweis, its exact nature cannot be determined: It is impossible to appraise the nature of Semmelweis's disorder. ... It might have been Alzheimer's disease ,

4848-448: The Ugric and Finnic languages is greater, but the correspondences are also regular. The traditional view holds that the Hungarian language diverged from its Ugric relatives in the first half of the 1st millennium BC, in western Siberia east of the southern Urals . In Hungarian, Iranian loanwords date back to the time immediately following the breakup of Ugric and probably span well over

4949-700: The Viennese authorities to be made docent of obstetrics. A docent was a private lecturer who taught students and who had access to some university facilities. At first, because of Klein's opposition, Semmelweis's petition was denied. He reapplied, but had to wait until 10 October 1850 (more than 18 months), before finally being appointed docent of 'theoretical' obstetrics. The terms refused him access to cadavers and limited him to teaching students by using leather-fabricated mannequins only. A few days after being notified of his appointment, Semmelweis left Vienna abruptly and returned to Pest. He apparently left without so much as saying goodbye to his former friends and colleagues,

5050-456: The chlorine washings would be widely adopted, saving tens of thousands of lives. Early responses to his work also gave clear signs of coming trouble, however. Some physicians had clearly misinterpreted his claims. Additionally, initial responses to Semmelweis's findings tended to downplay their significance by arguing that he had said nothing new . James Young Simpson , for instance, saw no difference between Semmelweis's groundbreaking findings and

5151-422: The commencement of their practice, to pull off legs and arms of infants, and even to pull away the entire body and leave the head in the uterus. Such occurrences are not altogether uncommon; they often happen." Semmelweis had left for Venice on 2 March 1847 to escape the many deaths at the Viennese maternity institution, which haunted him. He returned to Vienna on 20 March 1847. I was immediately overwhelmed by

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5252-488: The daughter of a successful merchant in Pest. They had five children. Semmelweis's views were much more favorably received in the United Kingdom than on the continent, but he was more often cited than understood. The British consistently regarded Semmelweis as having supported their theory of contagion. A typical example was W. Tyler Smith, who claimed that Semmelweis "made out very conclusively" that " miasms derived from

5353-535: The directors of several prominent maternity clinics describing their recent observations. Ferdinand von Hebra , the editor of a leading Austrian medical journal, announced Semmelweis's discovery in the December 1847 and April 1848 issues of the medical journal. Hebra claimed that Semmelweis's work had a practical significance comparable to that of Edward Jenner 's introduction of cowpox inoculations to prevent smallpox. In late 1848, one of Semmelweis's former students wrote

5454-547: The disease. After taking over in 1851, Semmelweis virtually eliminated the disease. During 1851–1855, only eight patients died from childbed fever out of 933 births (0.85%). Despite the impressive results, Semmelweis's ideas were not accepted by the other obstetricians in Budapest. The professor of obstetrics at the University of Pest , Ede Flórián Birly , never adopted Semmelweis's methods. He continued to believe that puerperal fever

5555-531: The dissecting room will excite puerperal disease." One of the first to respond to Semmelweis's 1848 communications was James Young Simpson , who wrote a stinging letter. Simpson surmised that the British obstetrical literature must be totally unknown in Vienna, or Semmelweis would have known that the British had long regarded childbed fever as contagious and would have employed chlorine washing to protect against it. In 1856, Semmelweis's assistant Josef Fleischer reported

5656-461: The east, specifically from eastern Siberia. Hungarian historian and archaeologist Gyula László claims that geological data from pollen analysis seems to contradict the placing of the ancient Hungarian homeland near the Urals. Today, the consensus among linguists is that Hungarian is a member of the Uralic family of languages. The classification of Hungarian as a Uralic/Finno-Ugric rather than

5757-630: The equivalents in English. Adjectives precede nouns ( a piros alma 'the red apple') and have three degrees: positive ( piros 'red'), comparative ( pirosabb 'redder') and superlative ( a legpirosabb 'the reddest'). If the noun takes the plural or a case, an attributive adjective is invariable: a piros almák 'the red apples'. However, a predicative adjective agrees with the noun: az almák piros ak 'the apples are red'. Adjectives by themselves can behave as nouns (and so can take case suffixes): Melyik almát kéred? – A piros at . 'Which apple would you like? – The red one'. The neutral word order

5858-502: The examination of patients. He did this because he found that this chlorinated solution worked best to remove the putrid smell of infected autopsy tissue, and thus perhaps destroyed the causal "poisonous" or contaminating "cadaveric" agent hypothetically being transmitted by this material. The result was the mortality rate in the First Clinic declined 90% and was then comparable to that in the Second Clinic. The mortality rate in April 1847, before

5959-897: The fact that the Eastern Slavs referred to Hungarians as Ǫgry/Ǫgrove (sg. Ǫgrinŭ ) seemed to confirm that. Current literature favors the hypothesis that it comes from the name of the Turkic tribe Onoğur (which means ' ten arrows ' or ' ten tribes ' ). There are numerous regular sound correspondences between Hungarian and the other Ugric languages. For example, Hungarian /aː/ corresponds to Khanty /o/ in certain positions, and Hungarian /h/ corresponds to Khanty /x/ , while Hungarian final /z/ corresponds to Khanty final /t/ . For example, Hungarian ház [haːz] ' house ' vs. Khanty xot [xot] ' house ' , and Hungarian száz [saːz] ' hundred ' vs. Khanty sot [sot] ' hundred ' . The distance between

6060-419: The first Hungarian-language book set in movable type . By the 17th century, the language already closely resembled its present-day form, although two of the past tenses remained in use. German, Italian and French loans also began to appear. Further Turkish words were borrowed during the period of Ottoman rule (1541 to 1699). In the 19th century, a group of writers, most notably Ferenc Kazinczy , spearheaded

6161-419: The idea presented in an 1843 paper by Oliver Wendell Holmes Sr. that childbed fever was contagious ( i.e . that infected persons could pass the infection to others). In fact, Semmelweis was warning against all decaying organic matter, not just against a specific contagion that originated from victims of childbed fever themselves. This misunderstanding, and others like it, occurred partly because Semmelweis's work

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6262-477: The language holds official status nationally in Hungary and regionally in Romania , Slovakia , Serbia , Austria and Slovenia . In 2014 The proportion of Transylvanian students studying Hungarian exceeded the proportion of Hungarian students, which shows that the effects of Romanianization are slowly getting reversed and regaining popularity. The Dictate of Trianon resulted in a high proportion of Hungarians in

6363-436: The language were utilized. This movement produced more than ten thousand words, most of which are used actively today. The 19th and 20th centuries saw further standardization of the language, and differences between mutually comprehensible dialects gradually diminished. In 1920, Hungary signed the Treaty of Trianon , losing 71 percent of its territory and one-third of the ethnic Hungarian population along with it. Today,

6464-489: The leading figure of the Hungarian language reforms.) Kazinczy's chief goal was to replace existing words of German and Latin origins with newly created Hungarian words. As a result, Kazinczy and his later followers (the reformers) significantly reduced the formerly high ratio of words of Latin and German origins in the Hungarian language, which were related to social sciences, natural sciences, politics and economics, institutional names, fashion etc. Giving an accurate estimate for

6565-524: The medical establishment, even given the opposition from entrenched viewpoints. After a number of unfavorable foreign reviews of his 1861 book, Semmelweis lashed out against his critics in a series of open letters. They were addressed to various prominent European obstetricians, including Späth , Scanzoni , Siebold , and to "all obstetricians". They were "highly polemical and superlatively offensive", at times denouncing his critics as irresponsible murderers or ignoramuses. He also called upon Siebold to arrange

6666-448: The medium of writing used at the time, wood, is perishable. The Kingdom of Hungary was founded in 1000 by Stephen I . The country became a Western -styled Christian ( Roman Catholic ) state, with Latin script replacing Hungarian runes . The earliest remaining fragments of the language are found in the establishing charter of the abbey of Tihany from 1055, intermingled with Latin text. The first extant text fully written in Hungarian

6767-563: The membranes surrounding the brain, respectively]. A few days before he died, a metastasis also formed in one eye. I was still animated by the art treasures of Venice, but the news of Kolletschka's death agitated me still more. In this excited condition I could see clearly that the disease from which Kolletschka died was identical to that from which so many hundred maternity patients had also died. The maternity patients also had lymphangitis, peritonitis, pericarditis, pleurisy, and meningitis, and metastases also formed in many of them. Day and night I

6868-519: The mortality of midwives' wards. The maternal mortality rate dropped from 18% to less than 2%, and he published a book of his findings, Etiology, Concept and Prophylaxis of Childbed Fever , in 1861. Despite his research, Semmelweis's observations conflicted with the established scientific and medical opinions of the time and his ideas were rejected by the medical community. He could offer no theoretical explanation for his findings of reduced mortality due to hand-washing, and some doctors were offended at

6969-574: The most part, mutually intelligible . The Hungarian Csángó dialect, which is mentioned but not listed separately by Ethnologue, is spoken primarily in Bacău County in eastern Romania. The Csángó Hungarian group has been largely isolated from other Hungarian people , and therefore preserved features that closely resemble earlier forms of Hungarian. Hungarian has 14 vowel phonemes and 25 consonant phonemes. The vowel phonemes can be grouped as pairs of short and long vowels such as o and ó . Most of

7070-548: The name of the country, " Magyarország " (Hungary), pronounced /ˈmɒɟɒrorsaːɡ/ . It is one of three palatal consonants, the others being ⟨ty⟩ and ⟨ny⟩ . Historically a fourth palatalized consonant ʎ existed, still written ⟨ly⟩ . A single 'r' is pronounced as an alveolar tap ( akkora 'of that size'), but a double 'r' is pronounced as an alveolar trill ( akkorra 'by that time'), like in Spanish and Italian . Primary stress

7171-408: The new hand washing procedures were instituted, was 18.3%. The new procedures started in mid-May leading to lower rates: June 2.2%, July 1.2%, and August 1.9%. In two months in the year following this discovery, for the first time since the introduction of anatomical orientation, the death rate was zero. Semmelweis's hypothesis, that there was only one cause, that all that mattered was cleanliness,

7272-407: The new information for the listeners that may not have been known or that their knowledge must be corrected. For example, "Én vagyok az apád". ('I am your father'. Literally, 'It is I who am your father'.), from the movie The Empire Strikes Back , the pronoun I ( én ) is in the focus and implies that it is new information, and the listener thought that someone else is his father. Although Hungarian

7373-438: The only two applicants for the post. Semmelweis's predecessor, Franz Breit , had been granted a two-year extension. Semmelweis's application for an extension was supported by Joseph Škoda and Carl von Rokitansky and by most of the medical faculty, but Klein chose Braun for the position. Semmelweis was obliged to leave the obstetrical clinic when his term expired on 20 March 1849. The day his term expired, Semmelweis petitioned

7474-478: The pairs have an almost similar pronunciation and vary significantly only in their duration. However, pairs a / á and e / é differ both in closedness and length. Consonant length is also distinctive in Hungarian. Most consonant phonemes can occur as geminates . The sound voiced palatal plosive /ɟ/ , written ⟨gy⟩ , sounds similar to 'd' in British English 'duty'. It occurs in

7575-405: The position in which mothers gave birth and proposed that priests giving last rites in the clinic was terrifying women after birth causing them to develop the fever. Semmelweis' breakthrough occurred in 1847, following the death of his good friend Jakob Kolletschka , who had been accidentally poked with a student's scalpel while performing a post mortem examination . Kolletschka's autopsy showed

7676-509: The pretense of visiting one of Hebra's "new Institutes", to a Viennese insane asylum located in Lazarettgasse ( Landes-Irren-Anstalt in der Lazarettgasse ). Semmelweis surmised what was happening and tried to leave. He was severely beaten by several guards, secured in a straitjacket , and confined to a darkened cell. Apart from the straitjacket, treatments at the mental institution included dousing with cold water and administering castor oil ,

7777-411: The proposition is only for that particular thing or aspect, and it implies that the proposition is not true for some others. For example, in " Az almát János látja". ('It is John who sees the apple'. Literally 'The apple John sees.'), the apple is in the topic, implying that other objects may be seen by not him but other people (the pear may be seen by Peter). The topic part may be empty. The focus shows

7878-419: The reproductive tract following birth and in the 19th century was common and often fatal. Semmelweis discovered that the incidence of infection could be drastically reduced by requiring healthcare workers in obstetrical clinics to disinfect their hands. In 1847, he proposed hand washing with chlorinated lime solutions at Vienna General Hospital 's First Obstetrical Clinic, where doctors' wards had three times

7979-597: The rules of the Hungarian Association of Physicians and Natural Scientists specified that a commemorative address be delivered in honor of a member who had died in the preceding year, there was no address for Semmelweis; his death was never even mentioned. Hungarian language It is also spoken by Hungarian diaspora communities worldwide, especially in North America (particularly the United States and Canada ) and Israel . With 14 million speakers, it

8080-399: The sad news that Professor [Jakob] Kolletschka, whom I greatly admired, had died in the interim. The case history went as follows: Kolletschka, Professor of Forensic Medicine, often conducted autopsies for legal purposes in the company of students. During one such exercise, his finger was pricked by a student with the same knife that was being used in the autopsy. I do not recall which finger

8181-534: The scope of his washing protocol, to include all instruments coming in contact with patients in labour, and used mortality rates time series to document his success in virtually eliminating puerperal fever from the hospital ward. Toward the end of 1847, accounts of the work of Semmelweis (as well as the similar conclusions of Oliver Wendell Holmes Sr. , working in the United States of America) began to spread around Europe. Semmelweis and his students wrote letters to

8282-475: The speakers rejected his doctrine, including the celebrated Rudolf Virchow , who was a scientist of the highest authority of his time. Virchow's great authority in medical circles contributed potently to Semmelweis' lack of recognition. Ede Flórián Birly , Semmelweis's predecessor as Professor of Obstetrics at the University of Pest, never accepted Semmelweis's teachings; he continued to believe that puerperal fever

8383-508: The successful results of hand washing activities at St. Rochus and Pest maternity institutions in the Viennese Medical Weekly ( Wiener Medizinische Wochenschrift ). The editor remarked sarcastically that it was time people stopped being misled about the theory of chlorine washings. Two years later, Semmelweis published his own account of his work in an essay entitled "The Etiology of Childbed Fever". Two years after that, he published

8484-464: The suggestion that they should wash their hands and mocked him for it. In 1865, the increasingly outspoken Semmelweis allegedly suffered a nervous breakdown and was committed to an asylum by his colleagues. In the asylum, he was beaten by the guards. He died 14 days later from a gangrenous wound on his right hand that may have been caused by the beating. His findings earned widespread acceptance only years after his death, when Louis Pasteur confirmed

8585-414: The surrounding 7 countries, so it is widely spoken or understood. Although host countries are not always considerate of Hungarian language users, communities are strong. The Szeklers , for example, form their own region and have their own national museum, educational institutions, and hospitals. Hungarian has about 13 million native speakers, of whom more than 9.8 million live in Hungary. According to

8686-483: The time emphasized that each case of disease was unique, the result of a personal imbalance, and the main difficulty of the medical profession was to establish precisely each patient's unique situation, case by case. The findings from autopsies of deceased women also showed a confusing multitude of physical signs, which emphasized the belief that puerperal fever was not one, but many different, yet unidentified, diseases. The rejection of Semmelweis's empirical observations

8787-517: The total word count is difficult, since it is hard to define a "word" in agglutinating languages, due to the existence of affixed words and compound words. To obtain a meaningful definition of compound words, it is necessary to exclude compounds whose meaning is the mere sum of its elements. The largest dictionaries giving translations from Hungarian to another language contain 120,000 words and phrases (but this may include redundant phrases as well, because of translation issues) . The new desk lexicon of

8888-411: The wishes of the Hungarians, as Braun did not speak Hungarian. As professor of obstetrics, Semmelweis instituted chlorine washings at the University of Pest maternity clinic . Once again, the results were impressive. Semmelweis declined an offer in 1857 to become professor of obstetrics at the University of Zurich . The same year, Semmelweis married Mária Weidenhofer (1837–1910), 19 years his junior and

8989-489: Was Assistant in the First Division in the period April 1849 to summer 1853, maintained a relatively low mortality rate in the First Division, roughly consistent with the rate Semmelweis himself achieved, as mortality rates in the period April 1849 to end 1853 show. These results suggest that Braun continued, assiduously, to require the chlorine washings. At a conference of German physicians and natural scientists , most of

9090-416: Was Professor of Forensic Medicine at Vienna General Hospital in Austria . Jakob Kolletschka is mostly known for his death which eventually led Ignaz Semmelweis to his discovery of the etiology of childbed fever . Below is a quote from the original reference describing the details of his death. In a lecture in 1846 he is reputed to have said, "It is here no uncommon thing for midwives , especially in

9191-459: Was a wealthy man and married Teréz Müller, daughter of the coachbuilder Fülöp Müller. Ignaz began studying law at the University of Vienna in the autumn of 1837, but switched to medicine. He was awarded his doctor of medicine degree in 1844. After failing to obtain an appointment in a clinic for internal medicine, Semmelweis specialized in obstetrics. His teachers included Carl von Rokitansky , Joseph Škoda , and Ferdinand von Hebra . Semmelweis

9292-682: Was an ethnic German born in Kismarton, in the Kingdom of Hungary (now Eisenstadt , Austria ), and his mother an ethnic German from Buda . He was granted citizenship in Buda in 1806 and, in the same year, he opened a wholesale business for spices and general consumer goods. The company was named Zum weißen Elefanten (At the White Elephant) in the Meindl House (today's Semmelweis Museum of Medical History , located at 1–3 Apród Street, Budapest ). By 1810, he

9393-472: Was appointed assistant to Professor Johann Klein in the First Obstetrical Clinic of the Vienna General Hospital on 1 July 1846. Two maternity clinics were at the Viennese hospital. The First Clinic had an average maternal mortality rate of about 10% due to puerperal fever. The Second Clinic's rate averaged less than 4%. Women begged to be admitted to the Second Clinic, due to the reputation of

9494-427: Was cut. Professor Kolletschka contracted lymphangitis and phlebitis [inflammation of the lymphatic vessels and of the veins respectively] in the upper extremity. Then [...] he died of bilateral pleurisy , pericarditis , peritonitis , and meningitis [inflammation of the membranes of the lungs and thoracic cavity, of the fibroserous sac surrounding the heart, of the membranes of the abdomen and pelvic cavity, and of

9595-539: Was due to uncleanliness of the bowel. August Breisky , an obstetrician in Prague, rejected Semmelweis's book as "naïve" and he referred to it as "the Koran of puerperal theology". Breisky objected that Semmelweis had not proved that puerperal fever and pyemia are identical, and he insisted that other factors beyond decaying organic matter certainly had to be included in the etiology of the disease. Carl Edvard Marius Levy , head of

9696-491: Was due to uncleanliness of the bowel. Therefore, extensive purging was the preferred treatment. After Birly died in 1854, Semmelweis applied for the position. So did Carl Braun—Semmelweis's nemesis and successor as Johann Klein 's assistant in Vienna—and Braun received more votes from his Hungarian colleagues than Semmelweis did. Semmelweis was eventually appointed in 1855, but only because the Viennese authorities overruled

9797-491: Was extreme at the time and was largely ignored, rejected, or ridiculed. He was dismissed from the hospital for political reasons and harassed by the medical community in Vienna, being eventually forced to move to Budapest. Semmelweis was outraged by the indifference of the medical profession and began writing open and increasingly angry letters to prominent European obstetricians, at times denouncing them as irresponsible murderers. His contemporaries, including his wife, believed he

9898-423: Was known only through secondhand reports written by his colleagues and students. At this crucial stage, Semmelweis himself had published nothing. These and similar misinterpretations continued to cloud discussions of his work throughout the century. Some accounts emphasize that Semmelweis refused to communicate his method officially to the learned circles of Vienna, nor was he eager to explain it on paper. In 1848,

9999-490: Was losing his mind, and in 1865, nearly 20 years after his breakthrough, he was committed to the Landesirrenanstalt Döbling (provincial lunatic asylum). He died there of septic shock only 14 days later, possibly as the result of being severely beaten by guards. Semmelweis's practice earned widespread acceptance only years after his death when Louis Pasteur further developed the germ theory of disease, offering

10100-423: Was rare among women giving street births, prompting his curiosity as to what protected those who delivered outside the clinic. Troubled by the mortality discrepancy between the two clinics, Semmelweis searched for differences. He excluded overcrowding as a cause since the Second Clinic was always more crowded. He eliminated climate because the two clinics were in close geographical proximity to each other. He altered

10201-499: Was sympathetic to the cause. Semmelweis's superior, professor Johann Klein , was a conservative Austrian, likely uneasy with the independence movements and alarmed by the other revolutions of 1848 in the Habsburg areas . Klein probably mistrusted Semmelweis. When Semmelweis's term was about to expire, Carl Braun also applied for the position of "assistant" in the First Clinic, possibly at Klein's own invitation. Semmelweis and Braun were

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