Portal:Medicine

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The Medicine Portal

The color fresco Care of The Sick by Domenico di Bartolo, 1441–1442, depicting the Santa Maria della Scala hospital in Siena, Italy

Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease, typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Medicine has been practiced since prehistoric times, and for most of this time it was an art (an area of creativity and skill), frequently having connections to the religious and philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism. In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science). For example, while stitching technique for sutures is an art learned through practice, knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.

Prescientific forms of medicine, now known as traditional medicine or folk medicine, remain commonly used in the absence of scientific medicine and are thus called alternative medicine. Alternative treatments outside of scientific medicine with ethical, safety and efficacy concerns are termed quackery. (Full article...)

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  • Image 1 Two disposable injector pens containing insulin. An injector pen (also called a medication pen) is a device used for injecting medication under the skin. First introduced in the 1980s, injector pens are designed to make injectable medication easier and more convenient to use, thus increasing patient adherence. The primary difference between injector pens and traditional vial and syringe administration is the easier use of an injector pen by people with low dexterity, poor vision, or who need portability to administer medicine on time. Injector pens also decrease the fear or adversity towards self-injection of medications, which increases the likelihood that a person takes the medication. Injector pens are commonly used for medications that are injected repeatedly by a person over a relatively short period of time, especially insulin and insulin analogs used in the treatment of diabetes (called insulin pens). Many other medications are also available as injector pens, including other injectable medicines for diabetes, high cholesterol, migraine prevention, and other monoclonal antibodies. Studies have shown injector pens to be at least as effective as vial and syringe administration, and surveys have shown that a vast majority of people would prefer an injector pen over vial and syringe administration if one was available. After a slow uptake in the United States, injector pens have surpassed vial and syringe administration of insulin in type 2 diabetes. (Full article...)
    Two disposable injector pens containing insulin.


    An injector pen (also called a medication pen) is a device used for injecting medication under the skin. First introduced in the 1980s, injector pens are designed to make injectable medication easier and more convenient to use, thus increasing patient adherence. The primary difference between injector pens and traditional vial and syringe administration is the easier use of an injector pen by people with low dexterity, poor vision, or who need portability to administer medicine on time. Injector pens also decrease the fear or adversity towards self-injection of medications, which increases the likelihood that a person takes the medication.

    Injector pens are commonly used for medications that are injected repeatedly by a person over a relatively short period of time, especially insulin and insulin analogs used in the treatment of diabetes (called insulin pens). Many other medications are also available as injector pens, including other injectable medicines for diabetes, high cholesterol, migraine prevention, and other monoclonal antibodies. Studies have shown injector pens to be at least as effective as vial and syringe administration, and surveys have shown that a vast majority of people would prefer an injector pen over vial and syringe administration if one was available. After a slow uptake in the United States, injector pens have surpassed vial and syringe administration of insulin in type 2 diabetes. (Full article...)
  • Image 2 Aniru Sahib Sahib Conteh (6 August 1942 – 4 April 2004) was a Sierra Leonean physician and expert on the clinical treatment of Lassa fever, a viral hemorrhagic fever endemic to West Africa caused by the Lassa virus. Conteh studied medicine at the University of Ibadan in Nigeria and taught at Ibadan Teaching Hospital. He later returned to Sierra Leone where he joined the Centers for Disease Control and Prevention (CDC) Lassa fever program at Nixon Methodist Hospital in Segbwema, first as superintendent and then as clinical director. After the Sierra Leone Civil War began in 1991, the CDC closed their program in Segbwema. Conteh and his medical team moved from Segbwema to the Kenema Government Hospital (KGH), where he spent the next two decades running the only dedicated Lassa fever ward in the world. Conteh collaborated with the British charity Merlin to promote public health in Sierra Leone through education and awareness campaigns intended to prevent Lassa fever. With little funding and few supplies, Conteh successfully reduced mortality rates and saved many lives until an accidental needlestick injury led to his own death from the disease in 2004. (Full article...)

    Aniru Sahib Sahib Conteh (6 August 1942 – 4 April 2004) was a Sierra Leonean physician and expert on the clinical treatment of Lassa fever, a viral hemorrhagic fever endemic to West Africa caused by the Lassa virus. Conteh studied medicine at the University of Ibadan in Nigeria and taught at Ibadan Teaching Hospital. He later returned to Sierra Leone where he joined the Centers for Disease Control and Prevention (CDC) Lassa fever program at Nixon Methodist Hospital in Segbwema, first as superintendent and then as clinical director.

    After the Sierra Leone Civil War began in 1991, the CDC closed their program in Segbwema. Conteh and his medical team moved from Segbwema to the Kenema Government Hospital (KGH), where he spent the next two decades running the only dedicated Lassa fever ward in the world. Conteh collaborated with the British charity Merlin to promote public health in Sierra Leone through education and awareness campaigns intended to prevent Lassa fever. With little funding and few supplies, Conteh successfully reduced mortality rates and saved many lives until an accidental needlestick injury led to his own death from the disease in 2004. (Full article...)
  • Image 3 Elmer Ernest (E. E.) Southard (July 28, 1876 – February 8, 1920) was an American neuropsychiatrist, neuropathologist, professor and author. Born in Boston, Massachusetts, Southard lived in the city for nearly his entire life. He attended Boston Latin School and completed his education at Harvard University. At Harvard, Southard distinguished himself as a chess player. After briefly studying in Germany, he returned to the United States as a pathologist at Danvers State Hospital. Southard held academic appointments at Harvard University and its medical school. He headed the Boston Psychopathic Hospital when it opened in 1912, pioneering the study of brain pathology with particular interests in shell shock and schizophrenia. Southard published several books, including Shell Shock and Other Neuropsychiatric Problems with nearly 1,000 case histories. He was president of the American Medico-Psychological Association and the Boston Society of Psychiatry and Neurology, and held advisory positions with the U.S. Chemical Warfare Service and the Eugenics Record Office. (Full article...)

    Elmer Ernest (E. E.) Southard (July 28, 1876 – February 8, 1920) was an American neuropsychiatrist, neuropathologist, professor and author. Born in Boston, Massachusetts, Southard lived in the city for nearly his entire life. He attended Boston Latin School and completed his education at Harvard University. At Harvard, Southard distinguished himself as a chess player. After briefly studying in Germany, he returned to the United States as a pathologist at Danvers State Hospital. Southard held academic appointments at Harvard University and its medical school.

    He headed the Boston Psychopathic Hospital when it opened in 1912, pioneering the study of brain pathology with particular interests in shell shock and schizophrenia. Southard published several books, including Shell Shock and Other Neuropsychiatric Problems with nearly 1,000 case histories. He was president of the American Medico-Psychological Association and the Boston Society of Psychiatry and Neurology, and held advisory positions with the U.S. Chemical Warfare Service and the Eugenics Record Office. (Full article...)
  • Image 4 Ann Bishop (19 December 1899 – 7 May 1990) was a British biologist from Girton College at the University of Cambridge and a Fellow of the Royal Society, one of the few female Fellows of the Royal Society. She was born in Manchester but stayed at Cambridge for the vast majority of her professional life. Her specialties were protozoology and parasitology; early work with ciliate parasites, including the one responsible for blackhead disease in the domesticated turkey, lay the groundwork for her later research. While working towards her doctorate, Bishop studied parasitic amoebae and examined potential chemotherapies for the treatment of amoebic diseases including amoebic dysentery. Her best known work was a comprehensive study of Plasmodium, the malaria parasite, and investigation of various chemotherapies for the disease. Later she studied drug resistance in this parasite, research that proved valuable to the British military in World War II. She discovered the potential for cross-resistance in these parasites during that same period. Bishop also discovered the protozoan Pseudotrichomonas keilini and worked with Aedes aegypti, a malaria vector, as part of her research on the disease. Elected to the Royal Society in 1959, Bishop was the founder of the British Society for Parasitology and served on the World Health Organization's Malaria Committee. (Full article...)
    Ann Bishop (19 December 1899 – 7 May 1990) was a British biologist from Girton College at the University of Cambridge and a Fellow of the Royal Society, one of the few female Fellows of the Royal Society. She was born in Manchester but stayed at Cambridge for the vast majority of her professional life. Her specialties were protozoology and parasitology; early work with ciliate parasites, including the one responsible for blackhead disease in the domesticated turkey, lay the groundwork for her later research. While working towards her doctorate, Bishop studied parasitic amoebae and examined potential chemotherapies for the treatment of amoebic diseases including amoebic dysentery.

    Her best known work was a comprehensive study of Plasmodium, the malaria parasite, and investigation of various chemotherapies for the disease. Later she studied drug resistance in this parasite, research that proved valuable to the British military in World War II. She discovered the potential for cross-resistance in these parasites during that same period. Bishop also discovered the protozoan Pseudotrichomonas keilini and worked with Aedes aegypti, a malaria vector, as part of her research on the disease. Elected to the Royal Society in 1959, Bishop was the founder of the British Society for Parasitology and served on the World Health Organization's Malaria Committee. (Full article...)
  • Image 5 Dehydration may be severe in diabetic ketoacidosis, and intravenous fluids are usually needed as part of its treatment. Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. A person's breath may develop a specific "fruity" smell. The onset of symptoms is usually rapid. People without a previous diagnosis of diabetes may develop DKA as the first obvious symptom. DKA happens most often in those with type 1 diabetes but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke and certain medications such as steroids. DKA results from a shortage of insulin; in response, the body switches to burning fatty acids, which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH and keto acids in either the blood or urine. (Full article...)

    Dehydration may be severe in diabetic ketoacidosis, and intravenous fluids are usually needed as part of its treatment.

    Diabetic ketoacidosis (DKA) is a potentially life-threatening complication of diabetes mellitus. Signs and symptoms may include vomiting, abdominal pain, deep gasping breathing, increased urination, weakness, confusion and occasionally loss of consciousness. A person's breath may develop a specific "fruity" smell. The onset of symptoms is usually rapid. People without a previous diagnosis of diabetes may develop DKA as the first obvious symptom.

    DKA happens most often in those with type 1 diabetes but can also occur in those with other types of diabetes under certain circumstances. Triggers may include infection, not taking insulin correctly, stroke and certain medications such as steroids. DKA results from a shortage of insulin; in response, the body switches to burning fatty acids, which produces acidic ketone bodies. DKA is typically diagnosed when testing finds high blood sugar, low blood pH and keto acids in either the blood or urine. (Full article...)
  • Image 6 Frataxin Friedreich's ataxia (FRDA or FA) is an autosomal-recessive genetic disease that causes difficulty walking, a loss of coordination in the arms and legs, and impaired speech that worsens over time. Symptoms generally start between 5 and 20 years of age. Many develop hypertrophic cardiomyopathy and require a mobility aid such as a cane, walker, or wheelchair in their teens. As the disease progresses, some affected people lose their sight and hearing. Other complications may include scoliosis and diabetes mellitus. The condition is caused by mutations in the FXN gene on chromosome 9, which makes a protein called frataxin. In FRDA, cells produce less frataxin. Degeneration of nerve tissue in the spinal cord causes the ataxia; particularly affected are the sensory neurons essential for directing muscle movement of the arms and legs through connections with the cerebellum. The spinal cord becomes thinner, and nerve cells lose some myelin sheath. (Full article...)

    Friedreich's ataxia (FRDA or FA) is an autosomal-recessive genetic disease that causes difficulty walking, a loss of coordination in the arms and legs, and impaired speech that worsens over time. Symptoms generally start between 5 and 20 years of age. Many develop hypertrophic cardiomyopathy and require a mobility aid such as a cane, walker, or wheelchair in their teens. As the disease progresses, some affected people lose their sight and hearing. Other complications may include scoliosis and diabetes mellitus.


    The condition is caused by mutations in the FXN gene on chromosome 9, which makes a protein called frataxin. In FRDA, cells produce less frataxin. Degeneration of nerve tissue in the spinal cord causes the ataxia; particularly affected are the sensory neurons essential for directing muscle movement of the arms and legs through connections with the cerebellum. The spinal cord becomes thinner, and nerve cells lose some myelin sheath. (Full article...)
  • Image 7 Colored Scanning electron microscope (SEM) image of SARS-CoV-2, speculated in 2020 as being the first virus to create Disease X Disease X is a placeholder name that was adopted by the World Health Organization (WHO) in February 2018 on their shortlist of blueprint priority diseases to represent a hypothetical, unknown pathogen that could cause a future epidemic. The WHO adopted the placeholder name to ensure that their planning was sufficiently flexible to adapt to an unknown pathogen (e.g., broader vaccines and manufacturing facilities). Director of the US National Institute of Allergy and Infectious Diseases Anthony Fauci stated that the concept of Disease X would encourage WHO projects to focus their research efforts on entire classes of viruses (e.g., flaviviruses), instead of just individual strains (e.g., zika virus), thus improving WHO capability to respond to unforeseen strains. In 2020, experts, including some of the WHO's own expert advisors, speculated that COVID-19, caused by the SARS-CoV-2 virus strain, met the requirements to be the first Disease X. (Full article...)
    Colored Scanning electron microscope (SEM) image of SARS-CoV-2, speculated in 2020 as being the first virus to create Disease X

    Disease X is a placeholder name that was adopted by the World Health Organization (WHO) in February 2018 on their shortlist of blueprint priority diseases to represent a hypothetical, unknown pathogen that could cause a future epidemic. The WHO adopted the placeholder name to ensure that their planning was sufficiently flexible to adapt to an unknown pathogen (e.g., broader vaccines and manufacturing facilities). Director of the US National Institute of Allergy and Infectious Diseases Anthony Fauci stated that the concept of Disease X would encourage WHO projects to focus their research efforts on entire classes of viruses (e.g., flaviviruses), instead of just individual strains (e.g., zika virus), thus improving WHO capability to respond to unforeseen strains. In 2020, experts, including some of the WHO's own expert advisors, speculated that COVID-19, caused by the SARS-CoV-2 virus strain, met the requirements to be the first Disease X. (Full article...)
  • Image 8 The facade of St. Philip's Episcopal Church, on whose property the Lafargue Clinic operated The Lafargue Mental Health Clinic, more commonly known as the Lafargue Clinic, was a mental health clinic that operated in Harlem, Manhattan, New York, from 1946 until 1958. The clinic was named for French Marxist physician Paul Lafargue and conceived by German-American psychiatrist Fredric Wertham, who recognized the dire state of mental health services for blacks in New York. With the backing of black intellectuals Richard Wright and Ralph Ellison, as well as members of the church and community, the clinic operated out of the parish house basement of St. Philip's Episcopal Church and was among the first to provide low-cost psychiatric health services to the poor, especially for poor blacks who either could not afford treatment at New York hospitals or faced racial discrimination from doctors and other hospital staff. The staff consisted entirely of volunteers, and Wertham and Hilde Mosse were the clinic's lead doctors. Though the clinic only operated for 12 years, Wertham and Mosse's experiences from Lafargue were cited in a court decision to integrate schools in Wilmington, Delaware, and later in Brown v. Board of Education, which ruled that separate black and white schools were unconstitutional. Wertham would use case studies from his time at the clinic to support his later arguments that comic books caused juvenile delinquency, as evidenced in his 1954 work Seduction of the Innocent. (Full article...)

    The facade of St. Philip's Episcopal Church, on whose property the Lafargue Clinic operated

    The Lafargue Mental Health Clinic, more commonly known as the Lafargue Clinic, was a mental health clinic that operated in Harlem, Manhattan, New York, from 1946 until 1958. The clinic was named for French Marxist physician Paul Lafargue and conceived by German-American psychiatrist Fredric Wertham, who recognized the dire state of mental health services for blacks in New York. With the backing of black intellectuals Richard Wright and Ralph Ellison, as well as members of the church and community, the clinic operated out of the parish house basement of St. Philip's Episcopal Church and was among the first to provide low-cost psychiatric health services to the poor, especially for poor blacks who either could not afford treatment at New York hospitals or faced racial discrimination from doctors and other hospital staff. The staff consisted entirely of volunteers, and Wertham and Hilde Mosse were the clinic's lead doctors.

    Though the clinic only operated for 12 years, Wertham and Mosse's experiences from Lafargue were cited in a court decision to integrate schools in Wilmington, Delaware, and later in Brown v. Board of Education, which ruled that separate black and white schools were unconstitutional. Wertham would use case studies from his time at the clinic to support his later arguments that comic books caused juvenile delinquency, as evidenced in his 1954 work Seduction of the Innocent. (Full article...)
  • Image 9 Nessa Carey at Eastbourne Sceptics in the Pub in February 2015 after her Epigenetics talk. Nessa Carey is a British biologist working in the field of molecular biology and biotechnology. She is International Director of the technology transfer organization PraxisUnico and a visiting professor at Imperial College London. With expertise in the field of epigenetics and in technology transfer, she promotes the movement of scientists between academia and industry, lecturing often to school students and early career scientists. Carey writes books and articles for a scientifically interested general audience. She is the author of The Epigenetics Revolution and Junk DNA: A Journey Through the Dark Matter of the Genome which explore advances in the field of epigenetics and their implications for medicine. She edited Epigenetics for Drug Discovery for the Royal Society of Chemistry's Drug Discovery Series. (Full article...)

    Nessa Carey at Eastbourne Sceptics in the Pub in February 2015 after her Epigenetics talk.

    Nessa Carey is a British biologist working in the field of molecular biology and biotechnology. She is International Director of the technology transfer organization PraxisUnico and a visiting professor at Imperial College London.

    With expertise in the field of epigenetics and in technology transfer, she promotes the movement of scientists between academia and industry, lecturing often to school students and early career scientists. Carey writes books and articles for a scientifically interested general audience. She is the author of The Epigenetics Revolution and Junk DNA: A Journey Through the Dark Matter of the Genome which explore advances in the field of epigenetics and their implications for medicine. She edited Epigenetics for Drug Discovery for the Royal Society of Chemistry's Drug Discovery Series. (Full article...)
  • Image 10 One second sample of an EEG alpha oscillations . This rhythm occurs at frequencies similar to the mu rhythm, although alpha oscillations are detected over a different part of the brain. The sensorimotor mu rhythm, also known as mu wave, comb or wicket rhythms or arciform rhythms, are synchronized patterns of electrical activity involving large numbers of neurons, probably of the pyramidal type, in the part of the brain that controls voluntary movement. These patterns as measured by electroencephalography (EEG), magnetoencephalography (MEG), or electrocorticography (ECoG), repeat at a frequency of 7.5–12.5 (and primarily 9–11) Hz, and are most prominent when the body is physically at rest. Unlike the alpha wave, which occurs at a similar frequency over the resting visual cortex at the back of the scalp, the mu rhythm is found over the motor cortex, in a band approximately from ear to ear. People suppress mu rhythms when they perform motor actions or, with practice, when they visualize performing motor actions. This suppression is called desynchronization of the wave because EEG wave forms are caused by large numbers of neurons firing in synchrony. The mu rhythm is even suppressed when one observes another person performing a motor action or an abstract motion with biological characteristics. Researchers such as V. S. Ramachandran and colleagues have suggested that this is a sign that the mirror neuron system is involved in mu rhythm suppression, although others disagree. The mu rhythm is of interest to a variety of scholars. Scientists who study neural development are interested in the details of the development of the mu rhythm in infancy and childhood and its role in learning. Since a group of researchers believe that autism spectrum disorder (ASD) is strongly influenced by an altered mirror neuron system and that mu rhythm suppression is a downstream indication of mirror neuron activity, many of these scientists have kindled a more popular interest in investigating the mu wave in people with ASD. Assorted investigators are also in the process of using mu rhythms to develop a new technology: the brain–computer interface (BCI). With the emergence of BCI systems, clinicians hope to give the severely physically disabled population new methods of communication and a means to manipulate and navigate their environments. (Full article...)
    Single lead EEG readout
    One second sample of an EEG alpha oscillations . This rhythm occurs at frequencies similar to the mu rhythm, although alpha oscillations are detected over a different part of the brain.

    The sensorimotor mu rhythm, also known as mu wave, comb or wicket rhythms or arciform rhythms, are synchronized patterns of electrical activity involving large numbers of neurons, probably of the pyramidal type, in the part of the brain that controls voluntary movement. These patterns as measured by electroencephalography (EEG), magnetoencephalography (MEG), or electrocorticography (ECoG), repeat at a frequency of 7.5–12.5 (and primarily 9–11) Hz, and are most prominent when the body is physically at rest. Unlike the alpha wave, which occurs at a similar frequency over the resting visual cortex at the back of the scalp, the mu rhythm is found over the motor cortex, in a band approximately from ear to ear. People suppress mu rhythms when they perform motor actions or, with practice, when they visualize performing motor actions. This suppression is called desynchronization of the wave because EEG wave forms are caused by large numbers of neurons firing in synchrony. The mu rhythm is even suppressed when one observes another person performing a motor action or an abstract motion with biological characteristics. Researchers such as V. S. Ramachandran and colleagues have suggested that this is a sign that the mirror neuron system is involved in mu rhythm suppression, although others disagree.

    The mu rhythm is of interest to a variety of scholars. Scientists who study neural development are interested in the details of the development of the mu rhythm in infancy and childhood and its role in learning. Since a group of researchers believe that autism spectrum disorder (ASD) is strongly influenced by an altered mirror neuron system and that mu rhythm suppression is a downstream indication of mirror neuron activity, many of these scientists have kindled a more popular interest in investigating the mu wave in people with ASD. Assorted investigators are also in the process of using mu rhythms to develop a new technology: the brain–computer interface (BCI). With the emergence of BCI systems, clinicians hope to give the severely physically disabled population new methods of communication and a means to manipulate and navigate their environments. (Full article...)
  • Image 11 People with ADHD struggle more than others to sustain their attention on some tasks (such as schoolwork), but may maintain an unusually intense level of attention for tasks they find immediately rewarding or interesting. Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by executive dysfunction occasioning symptoms of inattention, hyperactivity, impulsivity and emotional dysregulation that are excessive and pervasive, impairing in multiple contexts, and otherwise age-inappropriate. ADHD symptoms arise from executive dysfunction, and emotional dysregulation is often considered a core symptom. Difficulties with self-regulation such as time management, inhibition and sustained attention may result in poor academic performance, unemployment and numerous health risks, collectively predisposing to a diminished quality of life and a direct average reduction in life expectancy of 13 years. ADHD is associated with other neurodevelopmental and mental disorders as well as some non-psychiatric disorders, which can cause additional impairment, especially in modern society. (Full article...)

    People with ADHD struggle more than others to sustain their attention on some tasks (such as schoolwork), but may maintain an unusually intense level of attention for tasks they find immediately rewarding or interesting.

    Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by executive dysfunction occasioning symptoms of inattention, hyperactivity, impulsivity and emotional dysregulation that are excessive and pervasive, impairing in multiple contexts, and otherwise age-inappropriate.

    ADHD symptoms arise from executive dysfunction, and emotional dysregulation is often considered a core symptom. Difficulties with self-regulation such as time management, inhibition and sustained attention may result in poor academic performance, unemployment and numerous health risks, collectively predisposing to a diminished quality of life and a direct average reduction in life expectancy of 13 years. ADHD is associated with other neurodevelopmental and mental disorders as well as some non-psychiatric disorders, which can cause additional impairment, especially in modern society. (Full article...)
  • Image 12 Amputation of the thigh by a railway surgery team c. 1898 Railway surgery was a branch of medical practice that flourished in the 19th and early 20th centuries. It concerned itself with the medical requirements of railway companies. Depending on country, it included some or all of: general practice for railway staff, trauma surgery as a result of accidents on the railways, occupational health and safety, medico-legal activities regarding compensation claims against the company, and occupational testing. Railway surgery was especially well-developed in the US with formal professional organisations and scholarly journals. One of the reasons for this was that US railways were particularly dangerous with a high number of casualties from crashes and an even higher number of workers hurt in industrial accidents. Another reason was that many US routes passed through areas with little or no existing medical infrastructure. In Europe the railways were safer and infrastructure was generally already in place. The duties of railway surgeons in Europe mostly involved investigations into accidents and the resulting claims arising from passengers. In India the railways also faced a lack of existing medical infrastructure and, like the US, had to build it from scratch. Indian Railways still maintains a network of hospitals. (Full article...)
    Amputation of the thigh by a railway surgery team c. 1898

    Railway surgery was a branch of medical practice that flourished in the 19th and early 20th centuries. It concerned itself with the medical requirements of railway companies. Depending on country, it included some or all of: general practice for railway staff, trauma surgery as a result of accidents on the railways, occupational health and safety, medico-legal activities regarding compensation claims against the company, and occupational testing.

    Railway surgery was especially well-developed in the US with formal professional organisations and scholarly journals. One of the reasons for this was that US railways were particularly dangerous with a high number of casualties from crashes and an even higher number of workers hurt in industrial accidents. Another reason was that many US routes passed through areas with little or no existing medical infrastructure. In Europe the railways were safer and infrastructure was generally already in place. The duties of railway surgeons in Europe mostly involved investigations into accidents and the resulting claims arising from passengers. In India the railways also faced a lack of existing medical infrastructure and, like the US, had to build it from scratch. Indian Railways still maintains a network of hospitals. (Full article...)
  • Image 13 Shellfish (shrimp, crab legs, mussels) on platter Shellfish allergy is among the most common food allergies. "Shellfish" is a colloquial and fisheries term for aquatic invertebrates used as food, including various species of molluscs such as clams, mussels, oysters and scallops, crustaceans such as shrimp, lobsters and crabs, and cephalopods such as squid and octopus. Shellfish allergy is an immune hypersensitivity to proteins found in shellfish. Symptoms can be either rapid or gradual in onset. The latter can take hours to days to appear. The former may include anaphylaxis, a potentially life-threatening condition which requires treatment with epinephrine. Other presentations may include atopic dermatitis or inflammation of the esophagus. Shellfish is one of the eight common food allergens, responsible for 90% of allergic reactions to foods: cow's milk, eggs, wheat, shellfish, peanuts, tree nuts, fish, and soy beans. Unlike early childhood allergic reactions to milk and eggs, which often lessen as the children age, shellfish allergy tends to first appear in school-age children and older, and persist in adulthood. Strong predictors for adult-persistence are anaphylaxis, high shellfish-specific serum immunoglobulin E (IgE) and robust response to the skin prick test. Adult onset of fish allergy is common in workers in the shellfish catching and processing industry. (Full article...)

    Shellfish (shrimp, crab legs, mussels) on platter

    Shellfish allergy is among the most common food allergies. "Shellfish" is a colloquial and fisheries term for aquatic invertebrates used as food, including various species of molluscs such as clams, mussels, oysters and scallops, crustaceans such as shrimp, lobsters and crabs, and cephalopods such as squid and octopus. Shellfish allergy is an immune hypersensitivity to proteins found in shellfish. Symptoms can be either rapid or gradual in onset. The latter can take hours to days to appear. The former may include anaphylaxis, a potentially life-threatening condition which requires treatment with epinephrine. Other presentations may include atopic dermatitis or inflammation of the esophagus. Shellfish is one of the eight common food allergens, responsible for 90% of allergic reactions to foods: cow's milk, eggs, wheat, shellfish, peanuts, tree nuts, fish, and soy beans.

    Unlike early childhood allergic reactions to milk and eggs, which often lessen as the children age, shellfish allergy tends to first appear in school-age children and older, and persist in adulthood. Strong predictors for adult-persistence are anaphylaxis, high shellfish-specific serum immunoglobulin E (IgE) and robust response to the skin prick test. Adult onset of fish allergy is common in workers in the shellfish catching and processing industry. (Full article...)
  • Image 14 United States Army medic The United States has compensated military veterans for service-related injuries since the Revolutionary War, with the current indemnity model established near the end of World War I. The Department of Veterans Affairs (VA) began to provide disability benefits for post-traumatic stress disorder (PTSD) in the 1980s after the diagnosis became part of official psychiatric nosology. Post-traumatic stress disorder (PTSD) is a serious, potentially debilitating psychiatric disorder that can develop after experiencing one or more terrifying or horrific events. It is characterized by (1) re-experiencing the trauma(s) in the form of vivid intrusive memories, dissociative flashback episodes, or nightmares; (2) avoidance of trauma-related thoughts and memories; and (3) frequently feeling under threat manifested as, for example, hypervigilance and intense startle reactions. (Full article...)
    United States Army medic


    The United States has compensated military veterans for service-related injuries since the Revolutionary War, with the current indemnity model established near the end of World War I. The Department of Veterans Affairs (VA) began to provide disability benefits for post-traumatic stress disorder (PTSD) in the 1980s after the diagnosis became part of official psychiatric nosology.

    Post-traumatic stress disorder (PTSD) is a serious, potentially debilitating psychiatric disorder that can develop after experiencing one or more terrifying or horrific events. It is characterized by (1) re-experiencing the trauma(s) in the form of vivid intrusive memories, dissociative flashback episodes, or nightmares; (2) avoidance of trauma-related thoughts and memories; and (3) frequently feeling under threat manifested as, for example, hypervigilance and intense startle reactions. (Full article...)
  • Image 15 Arrow points to brachytherapy beads used to treat prostate cancer. Brachytherapy is a form of radiation therapy where a sealed radiation source is placed inside or next to the area requiring treatment. Brachy is Greek for short. Brachytherapy is commonly used as an effective treatment for cervical, prostate, breast, esophageal and skin cancer and can also be used to treat tumours in many other body sites. Treatment results have demonstrated that the cancer-cure rates of brachytherapy are either comparable to surgery and external beam radiotherapy (EBRT) or are improved when used in combination with these techniques. Brachytherapy can be used alone or in combination with other therapies such as surgery, EBRT and chemotherapy. Brachytherapy contrasts with unsealed source radiotherapy, in which a therapeutic radionuclide (radioisotope) is injected into the body to chemically localize to the tissue requiring destruction. It also contrasts to External Beam Radiation Therapy (EBRT), in which high-energy x-rays (or occasionally gamma-rays from a radioisotope like cobalt-60) are directed at the tumour from outside the body. Brachytherapy instead involves the precise placement of short-range radiation-sources (radioisotopes, iodine-125 or caesium-131 for instance) directly at the site of the cancerous tumour. These are enclosed in a protective capsule or wire, which allows the ionizing radiation to escape to treat and kill surrounding tissue but prevents the charge of radioisotope from moving or dissolving in body fluids. The capsule may be removed later, or (with some radioisotopes) it may be allowed to remain in place. (Full article...)

    Arrow points to brachytherapy beads used to treat prostate cancer.

    Brachytherapy is a form of radiation therapy where a sealed radiation source is placed inside or next to the area requiring treatment. Brachy is Greek for short. Brachytherapy is commonly used as an effective treatment for cervical, prostate, breast, esophageal and skin cancer and can also be used to treat tumours in many other body sites. Treatment results have demonstrated that the cancer-cure rates of brachytherapy are either comparable to surgery and external beam radiotherapy (EBRT) or are improved when used in combination with these techniques. Brachytherapy can be used alone or in combination with other therapies such as surgery, EBRT and chemotherapy.

    Brachytherapy contrasts with unsealed source radiotherapy, in which a therapeutic radionuclide (radioisotope) is injected into the body to chemically localize to the tissue requiring destruction. It also contrasts to External Beam Radiation Therapy (EBRT), in which high-energy x-rays (or occasionally gamma-rays from a radioisotope like cobalt-60) are directed at the tumour from outside the body. Brachytherapy instead involves the precise placement of short-range radiation-sources (radioisotopes, iodine-125 or caesium-131 for instance) directly at the site of the cancerous tumour. These are enclosed in a protective capsule or wire, which allows the ionizing radiation to escape to treat and kill surrounding tissue but prevents the charge of radioisotope from moving or dissolving in body fluids. The capsule may be removed later, or (with some radioisotopes) it may be allowed to remain in place. (Full article...)

Did you know – show different entries

  • ... that the polymeal is a diet-based approach to combating heart disease, proposed in December 2004 by Oscar Franco?
  • ... that a mammotome is a device that uses a computer-guided probe to perform breast biopsies, and that it can be conducted on an outpatient basis under local anaesthetic?

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