Clinical Laboratory Microbiology A Practical Approach Pdf File

Clinical Laboratory Microbiology A Practical Approach Pdf File

Statue of, the of medicine, holding the symbolic with its coiled Specialist Physician, medic Medicine is the and practice of the,, and of. Medicine encompasses a variety of practices evolved to maintain and restore by the and of. Contemporary medicine applies,,, and to, treat, and prevent injury and disease, typically through or, but also through therapies as diverse as,,,, and, amongst others. Medicine has existed for thousands of years, during most of which it was an art (an area of skill and knowledge) frequently having connections to the and beliefs of local culture. For example, a would apply herbs and say for healing, or an ancient philosopher and would apply according to the theories of. In recent centuries, since the, most medicine has become a combination of art and science (both and, under the of medical science). While stitching technique for is an art learned through practice, the knowledge of what happens at the and level in the tissues being stitched arises through science.

Prescientific forms of medicine are now known as and. They remain commonly used with or instead of scientific medicine and are thus called.

For example, evidence on the effectiveness of is 'variable and inconsistent' for any condition, but is generally safe when done by an appropriately trained practitioner. In contrast, treatments outside the bounds of safety and efficacy are termed. The Doctor by (1891) Medical availability and clinical practice varies across the world due to regional differences in culture and technology. Modern scientific medicine is highly developed in the, while in such as parts of Africa or Asia, the population may rely more heavily on with limited evidence and efficacy and no required formal training for practitioners.

Even in the however, is not universally used in clinical practice; for example, a 2007 survey of literature reviews found that about 49% of the interventions lacked sufficient evidence to support either benefit or harm. In modern clinical practice, physicians personally assess patients in order to, treat, and prevent disease using clinical judgment. The typically begins an interaction with an examination of the patient's and, followed by a medical interview and a. Basic diagnostic (e.g., ) are typically used. After examination for and interviewing for, the doctor may order (e.g. ), take a, or prescribe or other therapies.

Methods help to rule out conditions based on the information provided. During the encounter, properly informing the patient of all relevant facts is an important part of the relationship and the development of trust. The medical encounter is then documented in the medical record, which is a legal document in many jurisdictions. Follow-ups may be shorter but follow the same general procedure, and specialists follow a similar process. The diagnosis and treatment may take only a few minutes or a few weeks depending upon the complexity of the issue. The components of the medical interview and encounter are: • Chief complaint (CC): the reason for the current medical visit. These are the '.'

A randomized controlled trial (or randomized control trial; RCT) is a type of scientific (often medical) experiment which aims to reduce bias when testing a new.

They are in the patient's own words and are recorded along with the duration of each one. Also called 'chief concern' or 'presenting complaint'. • History of present (HPI): the chronological order of events of symptoms and further clarification of each symptom. Distinguishable from history of previous illness, often called past medical history (PMH). Install Mac Os X On Hp Probook 4540s Power more. Comprises HPI and PMH.

• Current activity: occupation, hobbies, what the patient actually does. • (Rx): what drugs the patient takes including,, and, as well as alternative and. Are also recorded. • Past medical history (PMH/PMHx): concurrent medical problems, past hospitalizations and operations, injuries, past or, history of known allergies. • Social history (SH): birthplace, residences, marital history, social and economic status, habits (including, medications,, alcohol). • (FH): listing of diseases in the family that may impact the patient.

A is sometimes used. • Review of systems (ROS) or systems inquiry: a set of additional questions to ask, which may be missed on HPI: a general enquiry (have you noticed any, change in sleep quality, fevers, lumps and bumps? Etc.), followed by questions on the body's main organ systems (,,,, etc.). The is the examination of the patient for of disease, which are objective and observable, in contrast to symptoms which are volunteered by the patient and not necessarily objectively observable. The healthcare provider uses the senses of sight, hearing, touch, and sometimes smell (e.g., in infection,, ).

Four actions are the basis of physical examination:, (feel), (tap to determine resonance characteristics), and (listen), generally in that order although auscultation occurs prior to percussion and palpation for abdominal assessments. The clinical examination involves the study of: • Vital signs including height, weight, body temperature,,, respiration rate, and hemoglobin • General appearance of the patient and specific indicators of disease (nutritional status, presence of jaundice, pallor or ) • • Head,,, nose, and throat (HEENT) • ( and ) • (large airways and ) • and • Genitalia (and pregnancy if the patient is or could be pregnant) • (including spine and extremities) • (consciousness, awareness, brain, vision,, spinal cord and ) • (orientation,, evidence of abnormal perception or thought). It is to likely focus on areas of interest highlighted in the medical history and may not include everything listed above. The treatment plan may include ordering additional tests and studies, starting therapy, referral to a specialist, or watchful observation. Follow-up may be advised.

Depending upon the plan and the system, various forms of ', such as prior authorization of tests, may place barriers on accessing expensive services. The medical decision-making (MDM) process involves analysis and synthesis of all the above data to come up with a list of possible diagnoses (the ), along with an idea of what needs to be done to obtain a definitive diagnosis that would explain the patient's problem. On subsequent visits, the process may be repeated in an abbreviated manner to obtain any new history, symptoms, physical findings, and lab or imaging results or specialist consultations. Institutions [ ]. The Hospital of, fresco by, 1441–1442 Contemporary medicine is in general conducted within.

Legal, and financing frameworks are established by individual governments, augmented on occasion by international organizations, such as churches. The characteristics of any given health care system have significant impact on the way medical care is provided. From ancient times, Christian emphasis on practical charity gave rise to the development of systematic nursing and hospitals and the today remains the largest non-government provider of medical services in the world. Advanced industrial countries (with the exception of the ) and many provide medical services through a system of that aims to guarantee care for all through a system, or compulsory private or co-operative. This is intended to ensure that the entire population has access to medical care on the basis of need rather than ability to pay. Delivery may be via private medical practices or by state-owned hospitals and clinics, or by charities, most commonly by a combination of all three.

Most societies provide no guarantee of healthcare for the population as a whole. In such societies, healthcare is available to those that can afford to pay for it or have self-insured it (either directly or as part of an employment contract) or who may be covered by care financed by the government or tribe directly. Modern drug Transparency of information is another factor defining a delivery system. Access to information on conditions, treatments, quality, and pricing greatly affects the choice by patients/consumers and, therefore, the incentives of medical professionals. While the US healthcare system has come under fire for lack of openness, new legislation may encourage greater openness.

There is a perceived tension between the need for transparency on the one hand and such issues as patient confidentiality and the possible exploitation of information for commercial gain on the other. Delivery [ ]. Nurses in,, medical services are provided by,,, or other health professionals who have first contact with a patient seeking medical treatment or care. These occur in physician offices,,, schools, home visits, and other places close to patients. About 90% of medical visits can be treated by the primary care provider. These include treatment of acute and chronic illnesses, and for all ages and both sexes. Medical services are provided by in their offices or clinics or at local community hospitals for a patient referred by a primary care provider who first diagnosed or treated the patient.

Referrals are made for those patients who required the expertise or procedures performed by specialists. These include both and services,,, surgery services,,, units, diagnostic and services, centers, etc. Some primary care providers may also take care of hospitalized patients and deliver babies in a secondary care setting. Medical services are provided by specialist hospitals or regional centers equipped with diagnostic and treatment facilities not generally available at local hospitals. These include, treatment centers, advanced unit services,, high-risk pregnancy,, etc. Modern medical care also depends on information – still delivered in many health care settings on paper records, but increasingly nowadays.

In low-income countries, modern healthcare is often too expensive for the average person. International healthcare policy researchers have advocated that 'user fees' be removed in these areas to ensure access, although even after removal, significant costs and barriers remain. Is a practice in medicine and pharmacy in which the who provides a is independent from the who provides the. In the there are centuries of tradition for separating pharmacists from physicians. In Asian countries it is traditional for physicians to also provide drugs. [ ] Branches [ ] Working together as an, many highly trained besides medical practitioners are involved in the delivery of modern health care. Examples include:, and paramedics, laboratory scientists,,,,,,, radiographers,, and,,,.

The scope and sciences underpinning human medicine overlap many other fields., while considered by some a separate discipline from medicine, is a medical field. A patient admitted to the hospital is usually under the care of a specific team based on their main presenting problem, e.g., the cardiology team, who then may interact with other specialties, e.g., surgical, radiology, to help diagnose or treat the main problem or any subsequent complications/developments. Physicians have many specializations and subspecializations into certain branches of medicine, which are listed below. There are variations from country to country regarding which specialties certain subspecialties are in. The main branches of medicine are: • Basic sciences of medicine; this is what every physician is educated in, and some return to in • •, where different medical specialties are mixed to function in certain occasions.

Basic sciences [ ] • is the study of the physical structure of. In contrast to macroscopic or gross anatomy, cytology and histology are concerned with microscopic structures. • is the study of the chemistry taking place in living organisms, especially the structure and function of their chemical components.

• is the study of the structure and function of biological systems by means of the methods of. • is the application of statistics to biological fields in the broadest sense. A knowledge of biostatistics is essential in the planning, evaluation, and interpretation of medical research. It is also fundamental to and evidence-based medicine. • is an interdisciplinary science that uses the methods of and to study biological systems.

• is the microscopic study of individual. As portrayed in his laboratory, 1885 by • is the study of the early development of organisms. • is the study of hormones and their effect throughout the body of animals. • is the study of the demographics of disease processes, and includes, but is not limited to, the study of epidemics. • is the study of genes, and their role in. • is the study of the structures of by light, and.

• is the study of the, which includes the innate and adaptive immune system in humans, for example. • is the study of the applications of physics principles in medicine.

• is the study of, including,,, and. • is the study of molecular underpinnings of the process of, and of the genetic material. • includes those disciplines of science that are related to the study of the. A main focus of neuroscience is the and physiology of the human brain and. Some related clinical specialties include, and. • (theoretical focus) and (practical focus) is the study of the relationship of food and drink to health and disease, especially in determining an optimal diet.

Medical nutrition therapy is done by dietitians and is prescribed for,, weight and eating, allergies,, and diseases. • is the study of disease—the causes, course, progression and resolution thereof.

• is the study of drugs and their actions. • is the study of the interactions between and living organisms.

• is the study of the normal functioning of the body and the underlying regulatory mechanisms. • is the study of the interactions between and living organisms. • is the study of hazardous effects of drugs and. Specialties [ ]. Main article: In the broadest meaning of 'medicine', there are many different specialties. In the UK, most specialities have their own body or college, which have its own entrance examination. These are collectively known as the Royal Colleges, although not all currently use the term 'Royal'.

The development of a speciality is often driven by new technology (such as the development of effective anaesthetics) or ways of working (such as emergency departments); the new specialty leads to the formation of a unifying body of doctors and the prestige of administering their own examination. Within medical circles, specialities usually fit into one of two broad categories: 'Medicine' and 'Surgery.' 'Medicine' refers to the practice of non-operative medicine, and most of its subspecialties require preliminary training in Internal Medicine. In the UK, this was traditionally evidenced by passing the examination for the Membership of the (MRCP) or the equivalent college in Scotland or Ireland.

'Surgery' refers to the practice of operative medicine, and most subspecialties in this area require preliminary training in General Surgery, which in the UK leads to membership of the (MRCS). At present, some specialties of medicine do not fit easily into either of these categories, such as radiology, pathology, or anesthesia. Most of these have branched from one or other of the two camps above; for example anaesthesia developed first as a of the Royal College of Surgeons (for which MRCS/FRCS would have been required) before becoming the and membership of the college is attained by sitting for the examination of the Fellowship of the Royal College of Anesthetists (FRCA).

Surgical specialty [ ]. Surgeons in an Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate or treat a condition such as or, to help improve bodily function or appearance or to repair unwanted ruptured areas (for example, ).

Surgeons must also manage pre-operative, post-operative, and potential surgical candidates on the hospital wards. Surgery has many sub-specialties, including,,,,,,,,,,,,,,, and. In some centers, is part of the division of surgery (for historical and logistical reasons), although it is not a surgical discipline. Other medical specialties may employ surgical procedures, such as and, but are not considered surgical sub-specialties per se. Surgical training in the U.S.

Requires a minimum of five years of residency after medical school. Sub-specialties of surgery often require seven or more years. In addition, fellowships can last an additional one to three years. Because post-residency fellowships can be competitive, many trainees devote two additional years to research.

Thus in some cases surgical training will not finish until more than a decade after medical school. Furthermore, surgical training can be very difficult and time-consuming. Internal specialty [ ]. Main article: Internal medicine is the dealing with the prevention, diagnosis, and treatment of adult diseases.

According to some sources, an emphasis on internal structures is implied. In North America, specialists in internal medicine are commonly called 'internists.' Elsewhere, especially in nations, such specialists are often called.

These terms, internist or physician (in the narrow sense, common outside North America), generally exclude practitioners of gynecology and obstetrics, pathology, psychiatry, and especially surgery and its subspecialities. Because their patients are often seriously ill or require complex investigations, internists do much of their work in hospitals. Formerly, many internists were not subspecialized; such general physicians would see any complex nonsurgical problem; this style of practice has become much less common. In modern urban practice, most internists are subspecialists: that is, they generally limit their medical practice to problems of one organ system or to one particular area of medical knowledge. For example, and specialize respectively in diseases of the gut and the kidneys. In the and some other countries, specialist and are also described as specialist physicians (or internists) who have subspecialized by age of patient rather than by organ system.

Elsewhere, especially in North America, general pediatrics is often a form of. There are many subspecialities (or subdisciplines) of. • /Vascular Medicine • • • • • • • • • • • • • /Pneumology/Respirology/chest medicine • • Training in internal medicine (as opposed to surgical training), varies considerably across the world: see the articles on and for more details. In North America, it requires at least three years of residency training after medical school, which can then be followed by a one- to three-year fellowship in the subspecialties listed above. In general, resident work hours in medicine are less than those in surgery, averaging about 60 hours per week in the US. This difference does not apply in the UK where all doctors are now required by law to work less than 48 hours per week on average.

Diagnostic specialties [ ] • sciences are the clinical diagnostic services that apply laboratory techniques to diagnosis and management of patients. In the United States, these services are supervised by a pathologist. The personnel that work in these departments are technically trained staff who do not hold medical degrees, but who usually hold an undergraduate degree, who actually perform the,, and procedures needed for providing the specific services. Subspecialties include,,,, and. • is the branch of medicine that deals with the study of diseases and the morphologic, physiologic changes produced by them. As a diagnostic specialty, pathology can be considered the basis of modern scientific medical knowledge and plays a large role in.

Many modern molecular tests such as, (PCR),,, gene rearrangements studies and (FISH) fall within the territory of pathology. • Diagnostic is concerned with imaging of the body, e.g. By, x-ray,, and.

Interventional radiologists can access areas in the body under imaging for an intervention or diagnostic sampling. • is concerned with studying human organ systems by administering radiolabelled substances (radiopharmaceuticals) to the body, which can then be imaged outside the body by a or a PET scanner. Each radiopharmaceutical consists of two parts: a tracer that is specific for the function under study (e.g., neurotransmitter pathway, metabolic pathway, blood flow, or other), and a radionuclide (usually either a gamma-emitter or a positron emitter). There is a degree of overlap between nuclear medicine and radiology, as evidenced by the emergence of combined devices such as the PET/CT scanner. • is concerned with testing the physiology or function of the central and peripheral aspects of the nervous system.

These kinds of tests can be divided into recordings of: (1) spontaneous or continuously running electrical activity, or (2) stimulus evoked responses. Subspecialties include,,, and. Sometimes these tests are performed by techs without a medical degree, but the interpretation of these tests is done by a medical professional. Other major specialties [ ] The followings are some major medical specialties that do not directly fit into any of the above-mentioned groups: • (also known as anaesthetics): concerned with the perioperative management of the surgical patient. The anesthesiologist's role during surgery is to prevent derangement in the vital organs' (i.e. Brain, heart, kidneys) functions and postoperative pain. Outside of the operating room, the anesthesiology physician also serves the same function in the labor & delivery ward, and some are specialized in critical medicine.

• is concerned with the skin and its diseases. In the UK, dermatology is a subspecialty of general medicine. • is concerned with the diagnosis and treatment of acute or life-threatening conditions, including, surgical, medical, pediatric, and psychiatric emergencies. •,, or primary care is, in many countries, the first port-of-call for patients with non-emergency medical problems. Family physicians often provide services across a broad range of settings including office based practices, emergency room coverage, inpatient care, and nursing home care. Michel Akotionga of, • and (often abbreviated as (American English) or Obs & Gynae (British English)) are concerned respectively with childbirth and the female reproductive and associated organs. And are generally practiced by gynecological specialists.

• is concerned with the diagnosis and management of hereditary disorders. • is concerned with diseases of the nervous system. In the UK, neurology is a subspecialty of general medicine.

• is exclusively concerned with the eye and ocular adnexa, combining conservative and surgical therapy. • (AE) or paediatrics (BE) is devoted to the care of infants, children, and adolescents. Like internal medicine, there are many pediatric subspecialties for specific age ranges, organ systems, disease classes, and sites of care delivery. • is the medical scientific discipline concerned with the discovery, development, evaluation, registration, monitoring and medical aspects of marketing of medicines for the benefit of patients and public health.

• (or physiatry) is concerned with functional improvement after injury, illness,. • is the study of, diagnosis, and medical & surgical treatment of disorders of the foot, ankle, lower limb, hip and lower back. • is the branch of medicine concerned with the study of the, diagnosis, treatment and prevention of,, and disorders.

Related non-medical fields include and. • is the branch of medicine concerned with preventing disease.

• or is an aspect of health services concerned with threats to the overall health of a community based on analysis. Interdisciplinary fields [ ] Some interdisciplinary sub-specialties of medicine include: • deals with medical problems related to flying and. • deals with the treatment of addiction.

• deals with and principles that apply values and judgments to the practice of medicine. • is a field dealing with the application of principles to medical practice. • is concerned with how systems of interact with patients.

• studies the relationship between human and animal health, and environmental conditions. Also known as ecological medicine,,. • deals with medical aspects of emergency preparedness, disaster mitigation and management. • (or ) is the prevention and treatment of diving-related problems. • is a perspective on medicine derived through applying. • deals with medical questions in context, such as determination of the time and cause of death, type of weapon used to inflict trauma, reconstruction of the facial features using remains of deceased (skull) thus aiding identification. • studies the biological and physiological differences between the human sexes and how that affects differences in disease.

• is a relatively modern branch of clinical medicine that deals with pain and symptom relief and emotional support in patients with including cancer and. • is the general medical care of hospitalized patients. Physicians whose primary professional focus is hospital medicine are called in the United States and. The term Most Responsible Physician (MRP) or attending physician is also used interchangeably to describe this role. • involves the use of lasers in the diagnostics or treatment of various conditions. • includes the (,,, history and religion), (,,, ), and the arts (, theater, film, and ) and their application to and practice. • is a relatively recent field that deal with the application of computers and to medicine.

• is the classification of diseases for various purposes. • is the science/subject of measuring and modelling the process of care in health and social care systems. Trapcode Particular 2 Free Download For Cs3 on this page. • is the provision of health advice to organizations and individuals to ensure that the highest standards of health and safety at work can be achieved and maintained.

• (also called, or algiatry) is the medical discipline concerned with the relief of pain. • is a form of individualized medicine. • is the study of, diagnosis, and medical treatment of disorders of the foot, ankle, lower limb, hip and lower back.

• is concerned with diagnosing, assessing and treating all disorders related to sexuality. • deals with the treatment and prevention and rehabilitation of sports/exercise injuries such as,, injuries to ligaments (ligament tears or ruptures) and their repair in, and. • is the field, more commonly referenced in earlier periods of history, of the various remedies that can be used to treat disease and promote health. • or emporiatrics deals with health problems of international travelers or travelers across highly different environments. • deals with the prevention and treatment of tropical diseases. It is studied separately in temperate climates where those diseases are quite unfamiliar to medical practitioners and their local clinical needs.

• focuses on delivery of unscheduled, walk-in care outside of the hospital emergency department for injuries and illnesses that are not severe enough to require care in an emergency department. In some jurisdictions this function is combined with the emergency room.

•; apply similar techniques as physicians to the care of animals. • entails the practice of medicine in the wild, where conventional medical facilities may not be available. • Many other fields, e.g.

Education and legal controls [ ]. Medical students learning about stitches Medical education and training varies around the world. It typically involves entry level education at a university, followed by a period of supervised practice or,.

This can be followed by postgraduate vocational training. A variety of teaching methods have been employed in medical education, still itself a focus of active research.

In Canada and the United States of America, a degree, often abbreviated M.D., or a degree, often abbreviated as D.O. And unique to the United States, must be completed in and delivered from a recognized university. Since knowledge, techniques, and medical technology continue to evolve at a rapid rate, many regulatory authorities require. Medical practitioners upgrade their knowledge in various ways, including, seminars, conferences, and online programs. Headquarters of the, which regulates the medical profession in Spain In most countries, it is a legal requirement for a medical doctor to be licensed or registered.

In general, this entails a medical degree from a university and accreditation by a medical board or an equivalent national organization, which may ask the applicant to pass exams. This restricts the considerable legal authority of the medical profession to physicians that are trained and qualified by national standards. It is also intended as an assurance to patients and as a safeguard against that practice inadequate medicine for personal gain. While the laws generally require medical doctors to be trained in 'evidence based', Western, or Medicine, they are not intended to discourage different paradigms of health. In the European Union, the profession of doctor of medicine is regulated.

A profession is said to be regulated when access and exercise is subject to the possession of a specific professional qualification. The regulated professions database contains a list of regulated professions for doctor of medicine in the EU member states, EEA countries and Switzerland. This list is covered by the Directive 2005/36/EC. Doctors who are negligent or intentionally harmful in their care of patients can face charges of and be subject to civil, criminal, or professional sanctions. Medical ethics [ ]. A 12th-century manuscript of the Medical ethics is a system of moral principles that apply values and judgments to the practice of medicine.

As a scholarly discipline, medical ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology. Six of the values that commonly apply to medical ethics discussions are: • - the patient has the right to refuse or choose their treatment. ( Voluntas aegroti suprema lex.) • - a practitioner should act in the best interest of the patient.

( Salus aegroti suprema lex.) • - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality). • - 'first, do no harm' ( primum non-nocere).

• - the patient (and the person treating the patient) have the right to be treated with dignity. • and - the concept of has increased in importance since the historical events of the of the Nuremberg trials,, and others. Values such as these do not give answers as to how to handle a particular situation, but provide a useful framework for understanding conflicts. When moral values are in conflict, the result may be an ethical or crisis.

Sometimes, no good solution to a dilemma in medical ethics exists, and occasionally, the values of the medical community (i.e., the hospital and its staff) conflict with the values of the individual patient, family, or larger non-medical community. Conflicts can also arise between health care providers, or among family members. For example, some argue that the principles of autonomy and beneficence clash when patients refuse, considering them life-saving; and truth-telling was not emphasized to a large extent before the HIV era. Statuette of ancient Egyptian physician, the first physician from antiquity known by name. Ancient world [ ] incorporated plants (), animal parts, and minerals. In many cases these materials were used ritually as magical substances by priests,,. Well-known spiritual systems include (the notion of inanimate objects having spirits), (an appeal to gods or communion with ancestor spirits); (the vesting of an individual with mystic powers); and (magically obtaining the truth).

The field of examines the ways in which culture and society are organized around or impacted by issues of health, health care and related issues. Early records on medicine have been discovered from,, medicine (in the ), (predecessor to the modern ), and and. In Egypt, (3rd millennium BC) is the first physician in history known by name. The oldest is the from around 2000 BCE, which describes gynaecological diseases. The dating back to 1600 BCE is an early work on surgery, while the dating back to 1500 BCE is akin to a textbook on medicine. In China, archaeological evidence of medicine in Chinese dates back to the, based on seeds for herbalism and tools presumed to have been used for surgery. The, the progenitor of Chinese medicine, is a medical text written beginning in the 2nd century BCE and compiled in the 3rd century.

In India, the surgeon described numerous surgical operations, including the earliest forms of. [ – ] Earliest records of dedicated hospitals come from Mihintale in where evidence of dedicated medicinal treatment facilities for patients are found. In Greece, the, the 'father of modern medicine', laid the foundation for a rational approach to medicine. Hippocrates introduced the for physicians, which is still relevant and in use today, and was the first to categorize illnesses as,, and epidemic, and use terms such as, 'exacerbation,, resolution, crisis,, peak, and '.

The Greek physician was also one of the greatest surgeons of the ancient world and performed many audacious operations, including brain and eye surgeries. After the fall of the and the onset of the, the Greek tradition of medicine went into decline in Western Europe, although it continued uninterrupted in the. Most of our knowledge of ancient during the comes from the, i.e. the Five Books of, which contain various health related laws and rituals.

The Hebrew contribution to the development of modern medicine started in the, with the physician. Middle Ages [ ]. A manuscript of by, the eighth Imam of.

The text says: 'Golden dissertation in medicine which is sent by Imam Ali ibn Musa al-Ridha, peace be upon him, to.' After 750 CE, the Muslim world had the works of Hippocrates, Galen and Sushruta translated into, and engaged in some significant medical research. Notable Islamic medical pioneers include the,, who, along with Imhotep and Hippocrates, has also been called the 'father of medicine'. He wrote, considered one of the most famous books in the history of medicine. Others include,,, and. Was one of the first to question the Greek theory of, which nevertheless remained influential in both medieval Western and medieval.

By, the eighth Imam of, is revered as the most precious Islamic literature in the Science of Medicine. The Persian hospitals were an early example of.

In Europe, decreed that a hospital should be attached to each cathedral and monastery and the historian likened the during the Middle Ages to an early version of a welfare state: 'It conducted hospitals for the old and orphanages for the young; hospices for the sick of all ages; places for the lepers; and hostels or inns where pilgrims could buy a cheap bed and meal'. It supplied food to the population during famine and distributed food to the poor. This welfare system the church funded through collecting taxes on a large scale and possessing large farmlands and estates. The order was noted for setting up hospitals and infirmaries in their monasteries, growing medical herbs and becoming the chief medical care givers of their districts, as at the great. The Church also established a network of and universities where medicine was studied. The in Salerno, looking to the learning of and physicians, grew to be the finest medical school in Medieval Europe.

Panorama of Siena's, one of Europe's oldest hospitals. During the Middle Ages, the Catholic Church established universities which revived the study of sciences - drawing on the learning of Greek and Arab physicians in the study of medicine. However, the fourteenth and fifteenth century devastated both the Middle East and Europe, and it has even been argued that Western Europe was generally more effective in recovering from the pandemic than the Middle East. In the early modern period, important early figures in medicine and anatomy emerged in Europe, including and. The major shift in medical thinking was the gradual rejection, especially during the in the 14th and 15th centuries, of what may be called the 'traditional authority' approach to science and medicine.

This was the notion that because some prominent person in the past said something must be so, then that was the way it was, and anything one observed to the contrary was an anomaly (which was paralleled by a similar shift in European society in general – see 's rejection of 's theories on astronomy). Physicians like improved upon or disproved some of the theories from the past. The main tomes used both by medicine students and expert physicians were and.

Was the author of, an important book on. Bacteria and microorganisms were first observed with a microscope by in 1676, initiating the scientific field. Independently from, rediscovered the, but this discovery did not reach the public because it was written down for the first time in the 'Manuscript of Paris' in 1546, and later published in the theological work for which he paid with his life in 1553. Later this was described by and. Is sometimes referred to as a 'father of physiology' due to his exemplary teaching in Leiden and textbook 'Institutiones medicae' (1708). Has been called 'the father of modern dentistry'. Injecting a plague vaccine in Karachi, 1898 Veterinary medicine was, for the first time, truly separated from human medicine in 1761, when the French veterinarian founded the world's first veterinary school in Lyon, France.

Before this, medical doctors treated both humans and other animals. Modern scientific (where results are testable and ) began to replace early Western traditions based on herbalism, the Greek ' and other such pre-modern notions. The modern era really began with 's discovery of the at the end of the 18th century (inspired by the method of earlier practiced in Asia), 's discoveries around 1880 of the transmission of disease by bacteria, and then the discovery of around 1900. The post-18th century period brought more groundbreaking researchers from Europe. From and Austria, doctors,, and made notable contributions. In the,,, and are considered important.

Doctor is considered the father of modern. From New Zealand and Australia came,, and.

In the United States,,,, Italy (), Switzerland (), Japan (), and France (,, ) and others did significant work. Russian also did significant work, as did and.

's discovery of penicillin in September 1928 marks the start of modern antibiotics. As science and technology developed, medicine became more reliant upon. Throughout history and in Europe right until the late 18th century, not only animal and plant products were used as medicine, but also human body parts and fluids. Developed in part from and some drugs are still derived from plants (,,,,,,,, etc.). Were discovered by and.

The first antibiotic was (Salvarsan) discovered by in 1908 after he observed that bacteria took up toxic dyes that human cells did not. The first major class of was the, derived by German chemists originally from. Pharmacology has become increasingly sophisticated; modern allows drugs targeted towards specific physiological processes to be developed, sometimes designed for compatibility with the body to reduce. And knowledge of is having some influence on medicine, as the causative of most monogenic have now been identified, and the development of techniques in and genetics are influencing medical technology, practice and decision-making. Evidence-based medicine is a contemporary movement to establish the most effective of practice (ways of doing things) through the use of and. The movement is facilitated by modern global, which allows as much of the available evidence as possible to be collected and analyzed according to standard protocols that are then disseminated to healthcare providers. The leads this movement.

A 2001 review of 160 Cochrane systematic reviews revealed that, according to two readers, 21.3% of the reviews concluded insufficient evidence, 20% concluded evidence of no effect, and 22.5% concluded positive effect. Traditional medicine [ ]. Main article: Traditional medicine (also known as indigenous or folk medicine) comprises knowledge systems that developed over generations within various societies before the introduction of modern medicine. The (WHO) defines traditional medicine as 'the sum total of the knowledge, skills, and practices based on the theories, beliefs, and experiences indigenous to different cultures, whether explicable or not, used in the maintenance of health as well as in the prevention, diagnosis, improvement or treatment of physical and mental illness.' In some and countries, up to 80% of the population relies on traditional medicine for their needs.

When adopted outside of its traditional culture, traditional medicine is often called. Practices known as traditional medicines include,,,,,,,,,,, and. The WHO notes however that 'inappropriate use of traditional medicines or practices can have negative or dangerous effects' and that 'further research is needed to ascertain the efficacy and safety' of several of the practices and medicinal plants used by traditional medicine systems. The line between alternative medicine and is a contentious subject. Traditional medicine may include formalized aspects of folk medicine, that is to say longstanding remedies passed on and practised by lay people. Folk medicine consists of the practices and ideas of body and preservation known to some in a culture, transmitted informally as general knowledge, and practiced or applied by anyone in the culture having prior experience.

Folk medicine may also be referred to as traditional medicine,,,. These terms are often considered interchangeable, even though some authors may prefer one or the other because of certain overtones they may be willing to highlight. In fact, out of these terms perhaps only indigenous medicine and traditional medicine have the same meaning as folk medicine, while the others should be understood rather in a modern or modernized context.

See also [ ].