poxvirus

poxvirus

any of a group of viruses constituting the family Poxviridae, responsible for a wide range of pox diseases in human beings and other animals. Poxvirus was the cause in human beings of smallpox (q.v.), which was declared eradicated worldwide in 1977. (Chicken pox of human beings is caused by a herpesvirus; see herpes zoster.) The virus particle is somewhat brick-shaped, with the longest dimension as much as 250 nanometres (nm; 1 nm = 10 - 9 metre). It is surface-studded with hollow spikes; and contains deoxyribonucleic acid (DNA). Unlike other DNA-viruses, poxviruses appear to develop entirely within the cytoplasm of affected cells. The virus of rabbit pox, or infectious myxomatosis (see myxomatosis), has been used with mixed success in Australia to control the wild-rabbit population.

rhabdovirus

any of a group of viruses constituting the family Rhabdoviridae, responsible for rabies and vesicular stomatitis of cattle and horses. The virus particle is enveloped in a fatty membrane; is bullet-shaped, 70 by 180 nanometres (nm; 1 nm = 10-9 metre); and contains a single helical strand of ribonucleic acid (RNA). See also rabies; vesicular stomatitis.

100 Web Resources for Medical Professionals

If you are employed in the medical field or are currently studying medicine, then the Internet can be a valuable tool. From scientific research to professional networking, it often seems that you can be more productive online than you can in person. Doctors, nurses and others in the medical community are becoming reliant on convenient sites that offer useful information around the clock. The following 100 Web resources for medical professionals are not listed by importance, but rather alphabetized within their corresponding categories.

General Research | Dentistry | Nursing |Obstetrics & Gynecology | Oncology | Pediatrics | Psychiatry | Dictionaries & Journals | Directories | Job Leads | Social Networking | Blogs

General Research

The sites below encompass a variety of topics and will be of interest to medical professionals, medical students and others who wish to learn more about health. From the latest news in medicine to reliable information regarding diagnosis and therapy, the following sites cover it all.

  1. American Medical Association (AMA) — The official site of the AMA offers the latest medical news, as well as information on patient advocacy. The organization should be of interest to both physicians and medical students.
  2. British Medical Association (BMA) — This UK organization welcomes both licensed physicians and medical students from Britain and overseas. Their official Web site offers breaking news on medicine, as well as professional and educational resources for the medical community.
  3. Centers for Disease Control (CDC) — Healthcare providers will find the newest recommendations and guidelines from the CDC on this site. Where communicable diseases are concerned, physicians must stay abreast of the latest breakthroughs and research.
  4. Doctor's Guide — The newest developments in medicine are posted to Doctor's Guide, with topics ranging from acne to viral infections. You will also find a multilingual medical dictionary on this site.
  5. Food and Drug Administration (FDA) — The official site of the FDA lists many regulations that medical professionals should be familiar with. Also, breaking news that concerns the FDA will be posted to this site.
  6. healthfinder.gov — Featuring health news, a weekly newsletter and a wellness guide, this site is invaluable to both professionals and consumers. A drug interaction guide is also a handy tool for those who are prescribing or taking medication.
  7. Health On the Net Foundation (HON) — HON offers a tool that searches hundreds of the most reliable medical sites for information. This site can be useful to anyone, not just medical professionals, and it is available in multiple languages.
  8. MDLinx — MDLinx keeps healthcare professionals and consumers current on the latest in medical research. Also, the site features a job bank and targeted advertisements that may be of interest to medical staff and students.
  9. Mayo Clinic — Mayo Clinic is one of the leading hospital systems in the United States, with multiple locations across the country. The official Mayo Clinic site offers reliable information for healthcare professionals and patients.
  10. Medical / Health Science Libraries on the Web — Compiled by the University of Iowa, this convenient list offers links to every major college library on the Web that focuses on medicine or health sciences.
  11. MedicineNet.com — Offering medical news, medical definitions and an online database of common illnesses and conditions, this site is a great catch. All refresher course for any medical professional. Students will find the site to be great reference material, also.
  12. MedlinePlus — From the National Library of Medicine, this massive site offers research material for both medical professionals and consumers. Video tutorials on this site are especially informative and entertaining.
  13. National Institutes of Health (NIH) — NIH is "The Nation's Medical Research Agency", making their official site a favorite amongst healthcare workers. Various grants can be researched here, including professional research grants and college grants.
  14. National Library of Medicine — Medical professionals should visit the official site of the NLM on a regular basis, as it offers the latest and most reliable news in medical research. Online medical journals, interactive tools and a library catalog are all available on this one informative site.
  15. Ovid — Ovid is a favored site amongst those in the medical and science industries. Offering the latest news and resources in medical research, the reliable information found here should be useful to students and professionals alike.
  16. WebMD — WebMD, though mainly frequented by consumers, can prove to be a quick reference tool for healthcare professionals and students.
  17. World Health Organization (WHO) — The official site of the WHO offers news and research material on global healthcare issues.

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Dentistry

Dentists have a large online presence. Not only do many dentists and dental clinics have their own Web sites, there are plenty of reliable online sources of dental news and information. The following sites are some of the most popular dental sites.

  1. American Dental Association (ADA) — The official site of the ADA includes specific areas for dental professionals and consumers, as well as exclusive content for ADA members.
  2. American Dental Hygienists' Association (ADHA) — Dental professionals and students will find the latest news in dental hygiene on this site, as well as links to important dental health resources.
  3. Dental Hygiene News — As the name suggests, this site is devoted to dental hygiene news. Other areas of the site include dental humor pages and an online dental hygiene store.
  4. DentalNews.com — This aggregate site is updated constantly, keeping dental professionals and students abreast of the latest dental news. Dental News is also a print magazine and select articles are available for download on this site.
  5. E-Dental.com — This is an online market for dental professionals, though the site also offers the latest related headlines and a forum for dental workers to discuss health.
  6. WebDental — From dental supplies to dental schools, information on all things related to the industry can be found on this site. The self-proclaimed "World's Premier Dental Resource", WebDental should be of interest to everyone in the industry, including students.

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Nursing

Nurses are often taken for granted in the medical community, though it isn't for lack of hard work. Nurses and students in nursing school will find the following sites to be both informative and welcoming.

  1. allnurses.com — This site doubles as a forum and news service, offering information and online support to both professional nurses and students.
  2. American Academy of Nurse Practitioners (AANP) — The official site of the AANP offers the latest healthcare news, as well as information on legislation that affects nurse practitioners. Exclusive content is available for AANP members.
  3. American Nurses Association (ANA) — The ANA Web site offers valuable news and resources for nurses, as well as areas specific to certain disciplines. A "Members Only" area contains exclusive content and products.
  4. CyberNurse — CyberNurse is a site maintained by two nurses and offers countless online resources to those in the nursing profession. Nursing students will also find this site invaluable and the online store offers quality, related products.
  5. National League for Nursing (NLN) — The NLN focuses on improving nursing education and welcomes both professionals and students into the organization. This site offers many resources for those in the nursing industry.
  6. Nurse.com — Nurse.com is a large, informative site on all things related to the nursing industry. From the latest medical headlines to education resources, all nursing professionals and students should frequent this site.
  7. Nurses.com — This online market for nursing supplies also offers a message board and job bank. An RSS feed containing the latest medical headlines is also featured on the homepage, making this a versatile resource for nursing professionals and students.

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Obstetrics & Gynecology

Obstetrics and gynecology cover many topics and there are plenty of sites dedicated to women's health. The following sites are most useful to women's health professionals, rather than just patients.

  1. Association of Professors of Gynecology and Obstetrics (APGO) — A non-profit organization, the APGO is dedicated to improving women's healthcare. Those who wish to join will find an online application here, as well as more information on the organization's activities.
  2. Contemporary OB/GYN — This is the official site of a monthly magazine of the same name. Key articles and resources can be found on this site, as well as the ability to subscribe to this cutting-edge publication.
  3. International Breast Cancer Research Foundation (IBCRF) — This global foundation is dedicated to finding a cure for breast cancer and is conducting research that should be of interest to OB/GYNs, as well as medical students.
  4. The National Women's Health Information Center — This government-sponsored site on women's health contains resources for OB/GYNs, medical students and consumers. Information regarding research funding can be found through this site, as well.
  5. OBGYN.net — The leading resources for those involved in the women's healthcare industry can be found here. From news articles to educational tutorials, this site offers a lot of information.
  6. Perinatology.com — News and information on perinatology should be of interest to both OB/GYNs and medical students. From clinical trials to the latest headlines, the leading resources can be found here.

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Oncology

Cancer patients have countless sites devoted to them, but the sites below are mainly intended to assist professionals in the field of oncology.

  1. American Society of Clinical Oncology (ASCO) — From online abstracts to news regarding medical legislation, all the latest information about oncology can be found on this site.
  2. CancerNetwork — CancerNetwork offers the latest news in cancer research, as well as countless resources for oncology professionals and students.
  3. National Cancer Institute (NCI) — This government institution is a leader in cancer research. The informative Web site offers news and publications on cancer research, as well as funding for oncologists and students.
  4. OncoLink — Created by the Abramson Cancer Center, this site offers information and support to medical professionals, students and cancer patients. This is one of the largest sites focused on oncology and is updated daily.

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Pediatrics

With so many online resources available on children's health, it is hard to choose the "top" sites. However, pediatricians and pediatric nurses will find the sites below to be most useful to them.

  1. American Academy of Pediatrics (AAP) — The official site of the AAP offers reliable information and resources about pediatrics. There are areas devoted specifically to parents or professionals and members gain access to exclusive content.
  2. American Board of Pediatrics (ABP) — The official site of this certifying board offers resources for those trying to become certified, as well as practicing pediatricians.
  3. DrGreene.com — Dr. Greene is one of the most famous pediatricians in the world and was the first physician to start his own medical Web site. Healthcare professionals and students may benefit from Dr. Greene's advice, just as parents and caregivers have for years.
  4. GeneralPediatrics.com — For healthcare providers and students who are curious about how the medical community feels about certain pediatric problems, this site may have the answers.

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Psychiatry

From the latest research findings on mental health to online reference materials, the sites below will be useful to those working in the field of psychiatry.

  1. American Academy of Child & Adolescent Psychiatry (AACAP) — The official site of the AACAP offers the latest news on child and adolescent psychiatry, as well as information on related legislation. Those wishing to join the academy can find out how to do so on this Web site.
  2. American Board of Psychiatry and Neurology (ABPN) — The ABPN is a reputable certifying board that promotes excellence in the psychiatric industry. Their official site contains information on the latest in psychiatric research, as well as how to become certified.
  3. American Psychiatric Association (APA) — Physicians can join the reputable APA through this site, as well as pay dues and catch up on the latest psychiatric research.
  4. PsychNet - UK — This British site offers many resources to both medical professionals and consumers. Student lecture material can be found here, as well as leads on various mental health jobs around the UK.
  5. PsychiatrySource.com — Featuring the latest industry news and treatment guidelines, this site is a one-stop source of pertinent psychiatric information.

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Dictionaries & Journals

There are countless medical journals currently in publication, as well as many online glossaries and dictionaries. The following sites feature the most popular and/or extensive medical dictionaries and journals.

  1. American Family Physician — This online journal is an exhaustive source of information about general practice, including the latest research and treatment standards.
  2. American Medical News — This online publication offers academic essays and news articles that are free for 90 days. Paid members will have full access to the site's archives, however.
  3. Free Medical Journals — As the name suggests, this site features free medical journals. There are currently over 400 journals on this site, most of them available in several different languages.
  4. Glossary of Immunology — This handy online glossary features hundreds of medical terms. Using one's Web browser "Find" command will help find specific words on the list.
  5. Health Affairs — Health Affairs focuses on medical policies. Although this journal is only available for a fee, select articles are posted online for no charge.
  6. JAMA: The Journal of the American Medical Association — The AMA produces JAMA, one of the most popular medical journals in publication. Subscriptions are available through this site, though certain articles can be read online for free.
  7. MedTerms Medical Dictionary — MedTerms is a popular resource for both healthcare professionals and students, as it offers definitions to over 16,000 medical terms.
  8. The Merck Manuals — Merck produces some of the most exhaustive and reliable books about diagnosis and therapy. Many physicians have The Merck Manuals saved on their handheld devices, should they need to consult one of the site's online texts at work.
  9. The New England Journal of Medicine (NEJM) — The NEJM is one of the most respected medical journals in publication. Key articles are available for free on this official site, as well as paid subscriptions to the full journal.
  10. PubMed — This online database of MEDLINE records is available to registered physicians and is considered one of the most reliable online sources of medical information.

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Directories

The following online directories will assist both healthcare professionals and consumers with finding physicians, clinics and hospitals. Searches can be narrowed with certain specific fields, such as location, field of study, board certification or accepted insurances.

  1. AMA DoctorFinder — Those looking for physicians who are recommended by the AMA can find them with this simple search tool.
  2. American Hospital Directory — This hospital directory features major hospitals and clinics, in addition to detailed profiles of each result.
  3. DocFinder — DocFinder was the first search tool of its kind and is still one of the best. Free of charge, one can search for doctors from a combined source of databases, including state licensing boards.
  4. DoctorDirectory.com — This online directory, which was created in 1996, can locate doctors according to specialty and location. Also, one can search for hospitals with this tool.
  5. The Health Insurance Directory — This simple directory lists all major health insurances in the United States and connects users with the insurances' Web sites.
  6. Hospital Directory — Featured on U.S. News & World Report's Web site, this hospital directory can help professionals and patients find specifically what they need. This is both a reliable and user-friendly tool.
  7. WebMD Physician Directory — Already a useful site, WebMD features one of the most exhaustive search tools for locating a physician. Search criteria can get very specific with this directory, though it is quite easy to use.
  8. Worldwide Hospitals Search — Not everyone needs to find a hospital in the United States, which is why this tool comes in so handy for many professionals. Featuring hospitals in over 60 countries, there are more than 12,000 current entries in this directory.

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Job Leads

Finishing a degree or certificate in healthcare may seem like hard work, but finding a desirable position is another feat that takes dedication. The sites below will assist those looking for a job in the medical industry, including doctors, nurses and administrators.

  1. Candidate Direct — Candidate Direct is the most popular travel nurse agency on the Web. This company helps travel nurses find positions that suit them and the site's services are available 24 hours a day.
  2. CareerBuilder.com — This is a popular classified ad site for jobs, though it isn't exclusive to medical professionals. However, its popularity may garner plenty of results for those seeking a career in the medical field.
  3. Employment for Physicians — Like the title suggests, this site assists physicians who are looking for a new position. Doctors can search listings and post resumes on this site.
  4. HealthCare Job Bank — Organized by state and occupation, there are many employers who post open positions on this site. These jobs encompass all health-related careers.
  5. HospitalJobsLocator.com — Those looking to work in a hospital may find a position through this site. From doctors to administrators, all positions within a hospital are included.
  6. MEDJobScout — This simple search tool will help one to narrow his/her job search by location, profession and/or specialty.
  7. Monster — The largest job site on the Internet, Monster features many open positions for medical professionals. One can also post his/her resume to this site, often garnering a large response.
  8. Nurse Emp — Though the site's name suggests it is only for those seeking a job in nursing, employers will also post positions for other allied healthcare professionals. This is a popular resource for nurses and medical assistants.

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Social Networking

Online social networking can included Internet dating, meeting friends with similar interests and making professional connections that help one's career. Today, almost everyone uses some form of social networking tool. The following sites are popular amongst healthcare professionals.

  1. DocsBoard.com — Physicians who share advice and anecdotes and who make friends within their field of study primarily use this large system of message boards.
  2. DoctorNetworking.com — This site is a place to network with other physicians. Private, free and anonymous, doctors can share stories and advice without infringing upon anyone's privacy.
  3. iMedExchange — One of the newest and most popular networking sites for physicians, iMedExchange is a very polished online hangout for doctors. Their online tutorial should entice most doctors to join.
  4. LinkedIn — LinkedIn is a way to share your trusted contacts with others, thus creating a large group for you to network with. Unlike other social networking sites with a similar structure, LinkedIn is for professional networking only.
  5. Medical Passions — This is one of the few online dating sites that is specifically dedicated to those within the medical industry. It is a great way to meet people with similar goals and interests (not to mention, erratic schedules).
  6. MomMD — This popular online community is for women in the medical industry who want to meet friends and make business contacts. It is an empowering and welcoming community for female healthcare providers.
  7. Nurse's Cafe — Nurse's Cafe is a place for nurses to discuss healthcare amongst colleagues or just meet other nurses who have similar interests and life experiences.
  8. Nurse Linkup — A new community, Nurse Linkup offers forums, chat rooms, blogs and more to nurses who want to mingle online with colleagues.
  9. Professional Nurse Network — Offering message boards, blogs and more, this site encourages nurses to start an online profile and meet other nurses.
  10. Sermo — Sermo is the reigning champ among social networking sites for licensed doctors. It is considered a classy, intellectual environment for physicians to meet colleagues and make new friends.
  11. Tiromed — Tiromed, another young site, enables both medical professionals and students to meet and greet. Mentoring is encouraged through this site, which can enrich a healthcare provider's career and life.

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Blogs

  1. about a nurse — This popular blog is written by May, an RN from California. Her musings about life in a medical-surgical ward has attracted many fans.
  2. Addicted to Medblogs — This blog is written by someone who is a self-admitted medical blog addict. Here, roles are reversed and doctors often visit the site to leave comments.
  3. code blog: tales of a nurse — Another popular nursing blog, code blog also posts stories that have been submitted by various healthcare professionals. It is an anonymous peek into a fascinating industry.
  4. A Day In the Life of An Ambulance Driver — Driving an ambulance is never boring and neither is this blog. Popular for good reason, this author describes the ups and downs of emergency situations he has to endure every day.
  5. Doctor Anonymous — This is a humorous blog written anonymously by a doctor. It covers medicine in relation to politics, life and beyond. Doctor Anonymous also has an online radio show, broadcast from this blog.
  6. Emergiblog — This is one of the most popular medical blogs on the Web, expertly written by an ER nurse. There is never a dull moment in this nurse's life.
  7. Family Medicine Notes — One of the longest-running medical blogs on the Internet, Family Medicine Notes has been maintained by a family physician since 1999.
  8. FAST FOOD Pharmacy — This is an amusing, sometime poignant blog written by a pharmacist. As indicated by the blog's name, pharmacies are often observed as being like fast food drive-thrus.
  9. GruntDoc — A former marine, this emergency doctor has many wild tales to tell from his home in Texas.
  10. In the Pipeline — For more academic fare, this PhD maintains a very popular blog on Corante.
  11. Kevin, M.D. — Kevin, M.D. is probably the most popular medical blog in the Internet. Written by primary care physician Dr. Kevin Pho and offers one doctor's opinion on the medical industry.
  12. NHS Blog Doctor — This is a very popular blog written by a physician in the UK. His scathing look at problems within the British healthcare industry has many loyal readers.
  13. Medpundit — Medpundit is another blog written by a doctor that provides an insider's view on the state of the medical industry.
  14. The NJO Blog — This is a shared blog between several nurses, discussing the intricacies of nursing life.

Periodic medical examination

Periodic medical examination

Physicians in industry carry out medical examinations, especially on new employees and on those returning to work after sickness or injury. In addition, those liable to health hazards may be examined regularly in the hope of detecting evidence of incipient damage. In some organizations every employee may be offered a regular medical examination.

 

The industrial and the personal physician

When a worker also has a personal physician, there may be doubt, in some cases, as to which physician bears the main responsibility for his health. When someone has an accident or becomes acutely ill at work, the first aid is given or directed by the industrial physician. Subsequent treatment may be given either at the clinic at work or by the personal physician. Because of labour-management difficulties, workers sometimes tend not to trust the diagnosis of the management-hired physician.

 

Industrial health services

During the epoch of the Soviet Union and the Soviet bloc, industrial health service generally developed more fully in those countries than in the capitalist countries. At the larger industrial establishments in the Soviet Union, polyclinics were created to provide both occupational and general care for workers and their families. Occupational physicians were responsible for preventing occupational diseases and injuries, health screening, immunization, and health education.

In the capitalist countries, on the other hand, no fixed pattern of industrial health service has emerged. Legislation impinges upon health in various ways, including the provision of safety measures, the restriction of pollution, and the enforcement of minimum standards of lighting, ventilation, and space per person. In most of these countries there is found an infinite variety of schemes financed and run by individual firms or, equally, by huge industries. Labour unions have also done much to enforce health codes within their respective industries. In the developing countries there has been generally little advance in industrial medicine.

 

Family health care

In many societies special facilities are provided for the health care of pregnant women, mothers, and their young children. The health care needs of these three groups are generally recognized to be so closely related as to require a highly integrated service that includes prenatal care, the birth of the baby, the postnatal period, and the needs of the infant. Such a continuum should be followed by a service attentive to the needs of young children and then by a school health service. Family clinics are common in countries that have state-sponsored health services, such as those in the United Kingdom and elsewhere in Europe. Family health care in some developed countries, such as the United States, is provided for low-income groups by state-subsidized facilities, but other groups defer to private physicians or privately run clinics.

Prenatal clinics provide a number of elements. There is, first, the care of the pregnant woman, especially if she is in a vulnerable group likely to develop some complication during the last few weeks of pregnancy and subsequent delivery. Many potential hazards, such as diabetes and high blood pressure, can be identified and measures taken to minimize their effects. In developing countries pregnant women are especially susceptible to many kinds of disorders, particularly infections such as malaria. Local conditions determine what special precautions should be taken to ensure a healthy child. Most pregnant women, in their concern to have a healthy child, are receptive to simple health education. The prenatal clinic provides an excellent opportunity to teach the mother how to look after herself during pregnancy, what to expect at delivery, and how to care for her baby. If the clinic is attended regularly, the woman's record will be available to the staff that will later supervise the delivery of the baby; this is particularly important for someone who has been determined to be at risk. The same clinical unit should be responsible for prenatal, natal, and postnatal care as well as for the care of the newborn infants.

Most pregnant women can be safely delivered in simple circumstances without an elaborately trained staff or sophisticated technical facilities, provided that these can be called upon in emergencies. In developed countries it was customary in premodern times for the delivery to take place in the woman's home supervised by a qualified midwife or by the family doctor. By the mid-20th century women, especially in urban areas, usually preferred to have their babies in a hospital, either in a general hospital or in a more specialized maternity hospital. In many developing countries traditional birth attendants supervise the delivery. They are women, for the most part without formal training, who have acquired skill by working with others and from their own experience. Normally they belong to the local community where they have the confidence of the family, where they are content to live and serve, and where their services are of great value. In many developing countries the better training of birth attendants has a high priority. In developed Western countries there has been a trend toward delivery by natural childbirth, including delivery in a hospital without anesthesia, and home delivery.

Postnatal care services are designed to supervise the return to normal of the mother. They are usually given by the staff of the same unit that was responsible for the delivery. Important considerations are the matter of breast- or artificial feeding and the care of the infant. Today the prospects for survival of babies born prematurely or after a difficult and complicated labour, as well as for neonates (recently born babies) with some physical abnormality, are vastly improved. This is due to technical advances, including those that can determine defects in the prenatal stage, as well as to the growth of neonatology as a specialty. A vital part of the family health-care service is the child welfare clinic, which undertakes the care of the newborn. The first step is the thorough physical examination of the child on one or more occasions to determine whether or not it is normal both physically and, if possible, mentally. Later periodic examinations serve to decide if the infant is growing satisfactorily. Arrangements can be made for the child to be protected from major hazards by, for example, immunization and dietary supplements. Any intercurrent condition, such as a chest infection or skin disorder, can be detected early and treated. Throughout the whole of this period mother and child are together, and particular attention is paid to the education of the mother for the care of the child.

A part of the health service available to children in the developed countries is that devoted to child guidance. This provides psychiatric guidance to maladjusted children usually through the cooperative work of a child psychiatrist, educational psychologist, and schoolteacher.

American Medical Association (AMA)

American Medical Association /AMA

organization of American physicians, the objective of which is “to promote the science and art of medicine and the betterment of public health.” It was founded in Philadelphia in 1847 by 250 delegates representing more than 40 medical societies and 28 colleges. The AMA includes 54 state or other medical associations; at the turn of the 21st century it had about 300,000 members, or roughly half of all practicing physicians in the United States. Its headquarters are in Chicago.

The AMA disseminates health and scientific information to its members and to the public and carries out a broad range of health education programs via the mass media and lectures. It keeps its members informed of significant medical and health legislation, and it represents its profession before the U.S. Congress and other governmental bodies and agencies, advocating its own views in the process. It helps set standards for medical schools and internship programs, and it tries to detect and alert the public to both quack medical remedies and medical charlatans.

In the AMA headquarters office are various departments concerned with a wide variety of medical topics, including geriatrics, maternal and child care, hospital facilities, medical education, nutrition, drugs, insurance plans, scientific exhibits, health in rural areas, mental health, the cost of medical care, the health of industrial workers, and medical publications. Much of the work of the AMA is carried out under the guidance of committees and scientific councils, which collect and analyze data concerning new medical discoveries and therapies. Such bodies include the council on medical education and hospitals (created in 1904), the council on drugs (founded in 1905 as the council on pharmacy and chemistry), the bureau of investigation (which investigates suspected quackery and charlatanry; founded in 1906), the chemical laboratory (1906), and the bureau of health education (1910).

Publications of the AMA include the weeklies Journal of the American Medical Association and American Medical News and nine journals issued monthly and devoted to such medical specialties as internal medicine, psychiatry, and diseases of children.

Bone cyst

Bone cyst

benign bone tumour that is usually saclike and filled with fluid. Unicameral bone cysts affect the long bones, particularly the humerus and the femur, or heel bones in children and adolescents and are frequently detected as a result of a fracture. Treatment includes excision of the cyst and a bone graft, but spontaneous healing is common. Aneurysmal bone cysts usually occur in young males and consist of cystic bloody tissue that causes an expansion of bone. Swelling and pain are present; this type of bone cyst usually requires excision.

Myeloblast

 Myeloblast

immature blood cell, found in bone marrow, that gives rise to white blood cells of the granulocytic series (characterized by granules in the cytoplasm, as neutrophils, eosinophils, and basophils), via an intermediate stage that is called a myelocyte. The myeloblast nucleus is large and round or oval; its membrane is thin, and the contained chromatin (readily stainable nuclear material) is dispersed in fine strands or tiny granules. Several nucleoli are present; there is relatively little cytoplasm. Cells vary in size and are capable of amoeboid movement; they are difficult to distinguish in the laboratory from lymphoblasts.

internal medicine

internal medicine.

 

medical specialty that deals with the diagnosis and medical, as opposed to surgical, treatment of diseases of adults. It is broadly identical with the practice of the physician, as opposed to that of the surgeon. Internal medicine, which deals with the entire patient rather than a particular organ system, is in effect the parent of other medical specialties such as cardiology, dermatology, and gastroenterology. An advanced practitioner of internal medicine is called an internist in the United States and many other countries.

In 1936 the American Board of Internal Medicine was established in the United States, with the object of formally certifying specialists in internal medicine. Professional qualifications for certification include graduation from an approved medical school, followed by an internship of not less than one year and, further, a prolonged program of intensified training and experience. The core of this program consists of two to three years of full-time residency training in a hospital.

Additional study in the program may be devoted to work in any clinical, investigative, or basic science field related to internal medicine. The training program for internists emphasizes advanced knowledge of anatomy, microbiology, biochemistry, pathology, pharmacology, and physiology. Completion of training is followed by written and oral examinations given by the board and then by certification.

The development of internal medicine as a scientific discipline begins with Thomas Sydenham's concept of disease, articulated in the 17th century. Sydenham closely observed clinical phenomena at the patient's bedside and conceived for the first time the possibility of a variety of distinct “diseases,” as opposed to general illness caused by the imbalance of “humours,” which was then the prevailing theory of disease causation. Sydenham's work created a framework for the classification of diseases, which was built upon by François Boissier de Sauvages, who in 1763 published the first methodical nosology, or description of disease symptoms. Sauvages emphasized symptomatology as the basis for disease classification, since there was no information then available about the causes of diseases.

From the time of Sauvages until the 20th century, internists could do little to treat diseases. Unlike surgeons, who could remove the offending organ, internists had no specific therapies; most of the “treatments” that physicians could offer made the patient worse, not better. The measure of an internist's skill was the accuracy of his diagnosis and the reliability of his advice about the probable outcome of the disease. Only with the development of disease-specific therapies at the beginning of the 20th century did internal medicine become effective in the cure, rather than just the supportive care, of patients. As more and more specific medications and courses of therapy became available and the volume of medical knowledge increased, more and more subspecialties devoted to particular organ systems split off, leaving internal medicine as the specialty of physicians dealing with all problems of the adult patient

Epidemiology

Epidemiology

branch of medical science that studies the distribution of disease in human populations and the factors determining that distribution, chiefly by the use of statistics. Unlike other medical disciplines, epidemiology concerns itself with groups of people rather than individual patients and is frequently retrospective, or historical, in nature. It developed out of the search for causes of human disease in the 19th century, and one of its chief functions remains the identification of populations at high risk for a given disease, so that the cause may be identified and preventive measures implemented.

Epidemiologic studies may be classified as descriptive or analytic. In descriptive epidemiology, demographic surveys are used to determine the nature of the population affected by the disorder in question, noting factors such as age, sex, ethnic group, and occupation among those afflicted. Other descriptive studies may follow the occurrence of a disease over several years to determine changes or variations in incidence or mortality; geographic variations may also be noted. Descriptive studies also help to identify new disease syndromes or suggest previously unrecognized associations between risk factors and disease.

Analytic studies are conducted to test the conclusions drawn from descriptive surveys or laboratory observations. These studies divide a sample population into two or more groups, selected on the basis of suspected causal factor (for example, cigarette smoking) and then monitor differences in incidence, mortality, or other variables. One form of analytic study is the prospective-cohort study, in which members of a population are followed over time to observe differences in disease incidence.

In addition to providing clues to the causes of various diseases, epidemiologic studies are used to plan new health services, determining the incidence of various illnesses in the population to be served, and to evaluate the overall health status of a given population. In most countries of the world, public-health authorities regularly gather epidemiologic data on specific diseases and mortality rates in their populaces.

Pediatric dentistry

Pediatric dentistry, analogous to pediatrics in medicine, is concerned with the dental care of children and adolescents.

Much of the routine of practice is centred on the control of caries (tooth decay) and involves the use of fluoride and dietary and hygienic instruction. The need to influence tooth positions presents the next most frequently encountered problem. The correction of incipient abnormalities in tooth alignment may obviate the necessity for lengthy treatment. Many pediatric dentists use growth-influencing techniques to correct jaw alignments. Patience and a working knowledge of children's behaviour patterns and childhood physical and mental diseases and disease ramifications are important qualifications of the pedodontist.

 

Periodontics

Periodontics is concerned with the prevention, diagnosis, and treatment of diseases of the periodontal tissues—the tissues that surround and support the teeth. These tissues consist mainly of the gums and the jaws and their related contiguous structures.

The most prevalent periodontal disease is periodontitis, commonly called pyorrhea, an inflammatory condition usually produced by local irritants. Periodontitis, if untreated, destroys the periodontal tissues and is a major cause of the loss of teeth in adults.

The advances of periodontics have been mostly in techniques of treatment. It is believed that bacterial plaque, a soft layer of substances rich in bacteria that adheres to the teeth, is the factor responsible for most destruction of the gums and the tissues surrounding the teeth. Periodontists advocate removal of such plaque by a specific regimen of controlled hygiene.

 

Prosthodontics

Prosthodontics is concerned with the restoration and maintenance of oral function, comfort, appearance, and health by the replacement of missing teeth and contiguous tissues with artificial substitutes, or prostheses.

Prosthodontists have special training in the construction and placement of fixed (stationary) and removable appliances for the replacement of missing teeth. They also construct obturators, prosthetic devices designed to close off defects in the roof of the mouth in cases of cleft palate. A subspecialty of prosthodontics is maxillofacial prosthetics, which involves with the creation of appliances, composed of latex, silicone, or other modern materials, designed to replace portions of the face and jaws that have been lost because of surgery, disease, congenital disorders, or accident.

The proper fitting of oral prostheses requires a detailed knowledge of the anatomy of the head and neck, of the physiology of the neuromuscular system, and of the science of occlusion and jaw movements. It also requires skill in planning, mouth preparation, impression making, registration of jaw relations, try-in procedures, placement of the prostheses, and follow-up care.

 

Oral and maxillofacial surgery

 

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Dentistry

Dentistry

Introduction

the profession concerned with the prevention and treatment of oral disease, including diseases of the teeth and supporting structures and diseases of the soft tissues of the mouth. Dentistry also encompasses the treatment and correction of malformation of the jaws, misalignment of the teeth, and birth anomalies of the oral cavity such as cleft palate. In addition to general practice, dentistry includes many specialties and subspecialties, including orthodontics and dental orthopedics, pediatric dentistry, periodontics, prosthodontics, oral and maxillofacial surgery, oral and maxillofacial pathology, endodontics, public health dentistry, and oral and maxillofacial radiology.
 
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Noble prize,Kroemer, Herbert

Kroemer, Herbert
born August 25, 1928, Weimar, Germany
German-born physicist who, with Zhores Alferov and Jack S. Kilby, was awarded the 2000 Nobel Prize for Physics for their work that laid the foundation for the modern era of microchips, computers, and information technology.

After receiving a Ph.D. (1952) from Georg August University in Göttingen, Germany, Kroemer worked in the United States at RCA Laboratories (1954–57) in Princeton, New Jersey, and at Varian Associates (1959–66) in Palo Alto, California. In 1968 he became professor of electrical engineering at the University of Colorado at Boulder, and in 1976 he joined the faculty of the University of California at Santa Barbara.

In 1957 Kroemer carried out theoretical calculations showing that a heterostructure transistor would be superior to a conventional transistor, especially for certain high-frequency uses and other applications. (Most computer chips and other semiconductor components are made from one kind of material, whereas heterostructures are made of different materials.) Scientists later showed that he was correct—heterostructure transistors can operate at frequencies 100 times higher than conventional transistors, and they also work better as amplifiers. Alferov's research team in the Soviet Union applied Kroemer's theory, developing the first practical heterostructure electronic device in 1966. Alferov then pioneered electronic components, including the first heterostructure laser, which both men had proposed independently in 1963. Heterostructure devices made fibre-optic communications possible and are used in numerous everyday products, including computers and video players.

Pathologies

Pathologies

Many types of disease affect the nervous system. A short description of these types and an overview of representative disorders follows.

 

Genetic disease

Inherited neurological diseases are relatively common and may affect any part of the nervous system. Examples of genetic diseases are: Duchenne and other muscular dystrophies; hereditary motor, sensory, or mixed neuropathies; spinocerebellar degenerations; disorders of the fetal neural tube; certain metabolic disorders; and maldevelopment or premature degeneration of parts of the nervous system, seen in Huntington disease and Alzheimer disease. A genetic component also determines a tendency to epileptic seizures.

 

Infections

Although the blood-brain barrier protects the nervous system from microorganisms, it may be damaged by bacteria, viruses, fungi, and other organisms. If damage occurs, resistance to infection of the nervous system is decreased. The major classes of inflammatory disease are meningitis and encephalitis (infections of the meninges, or covering membranes, of the brain and of the brain itself, respectively) and abscesses, which may be situated outside or just below the meninges or in the brain itself. Some viruses lie almost dormant within neural tissue for years before causing destruction. The measles virus may do this, causing a chronic progressive encephalitis that is usually fatal.

Direct infections of muscles and of peripheral nerves are uncommon except in leprosy. Both the central and peripheral nervous systems may be severely damaged by an immune system reaction after relatively trivial infections elsewhere in the body. Finally, in some infections such as diphtheria and botulism, a toxin liberated by the infectious organism attacks the nervous system.

 

Trauma

Traumatic and mechanical injuries can affect all levels of the nervous system. Serious head injuries can lead to compression, laceration, or bruising of the brain inside the cranium. Compression is commonly due to a blood clot inside the brain or formed outside or beneath the dura mater (extra- or subdural hematoma), but inherent swelling of the brain tissue following trauma is also possible as fluid leaks from small blood vessel spaces into the extravascular space (brain edema). Later consequences, such as seizures and alterations in mental processes and personality, indicate damage done to the brain by major or repeated minor head injuries. Less serious head injuries may cause a concussion, a temporary loss of awareness.

Once destroyed, neurons are not replaced. Severed axons sprout growths from the cut end, but they do not form effective connections in the brain or spinal cord. Therefore, destructive injury of, for example, the spinal cord is followed by permanent loss of voluntary movement and of sensation below the level of injury.

In the peripheral nervous system, axons that have been severed or have degenerated because of disease can grow again. If the nerve remains in continuity, sprouting axons may eventually reestablish effective connections with muscle fibres or sensory organs, but reinnervation is often abnormal because of division and misdirection of growing axons.

 

Neoplasms

Both benign and primary and secondary malignant tumours can attack the meninges, the brain, and the spinal cord, its roots, and the peripheral nerves. In the latter sites the tumours are usually benign. The brain and spinal cord may also be compressed by tumours arising in adjacent areas, such as the pituitary gland, the spinal column, or the nasopharynx. Tumours destroy the tissue in which they develop, by compressing neighbouring tissue and by increasing intracranial pressure. Those arising outside the nervous system may lead to disease of the brain, spinal cord, nerve, end-plate, or muscle without direct infiltration of these tissues.

 

Metabolic, toxic, and endocrine disorders

Numerous complications of disease of other organs affect the nervous system. The largest category includes metabolic disorders, many of which have a genetic basis. The most common neural complications are those that result from toxic agents such as bacterial toxins, drugs, and other chemicals. Neural disorders also can result from mineral and electrolyte dysfunction, from abnormal fluid, or from diseases of the endocrine glands (diabetes, thyroid disease), the kidneys, the liver, the lungs (respiratory failure), and the blood (anemia, leukemia).

 

Vascular diseases

The central nervous system has a high metabolic rate and depends upon a liberal blood supply for nutrition and for clearance of metabolic waste-products. Vascular conditions, including interruption of circulation, disrupt nervous function; if circulation is not restored speedily, irreversible damage to neurons results. (The area of dead nervous tissue is known as an infarct.) The peripheral nervous system is much more tolerant of blood supply loss, called ischemia. Another vascular cause of brain damage is hemorrhage due to rupture of an artery.

 

Demyelinating and degenerative disease

Demyelinating disease is characteristically scattered throughout the brain and spinal cord, with small foci where the myelin is destroyed and replaced with glial scar tissue. Nerve fibres running through such areas may remain undamaged, but the lack of insulation normally provided by the myelin leads to a blockage of conduction of electrical impulses. In certain very rare diseases, known as leukodystrophies, large areas of demyelination occur in the white matter of the brain as a result of inherited metabolic disorders. Demyelination is also the result of an immune attack upon the central nervous system, which may follow viral infections such as measles, or of immune deficiency states such as pernicious anemia. Schwann cells, which form the myelin surrounding the axons of peripheral nerves, may suffer immune or toxic attack, as in Guillain-Barré syndrome and diphtheria. This also leads to a blockage of electrical conduction. When an injury is primarily to axons, the Schwann cells are also damaged, producing “secondary demyelination.”

Degenerative diseases are characterized by progressive destruction of neurons without evident cause. Such diseases include Alzheimer disease, affecting primarily the cerebral cortex; Huntington and Parkinson diseases, affecting the basal ganglia and cortex; motor neuron disease, affecting the corticospinal tracts and ventral-horn cells; spinocerebellar degenerations, involving long tracts in the spinal cord, the cerebellum and its connections, and sometimes peripheral nerves; and the hereditary neuropathies with no known metabolic basis, in which motor, sensory, or both classes of peripheral nerves degenerate and lose their function. Most such diseases develop after a variable period during which that part of the nervous system subsequently affected apparently functions normally. As research progresses, the metabolic (and often genetic) bases of these diseases are being successively revealed.

 

Electrical disorders

Electrical disorders present a unique problem of classification. Because the nervous system is a biologic electrochemical complex, it is possible to regard every aspect of its function as an electrical manifestation, but it is primarily the epilepsies that are regarded as expressions of disordered electrical activity. Seizures represent occasional, sudden, rapid, local, and excessive electrical discharges of the gray matter of the brain. There are two main classes, those with a focal origin anywhere within the gray matter and those in which there is no abnormal pathology, but an abnormally low threshold for electrical activation is present. Although certain abnormal movements occasionally have their origin in spinal cord disease, epilepsy is uniquely a brain disease (see below Diseases and disorders: The cerebrum). Narcolepsy, a disorder of sleep mechanisms, is not a variant of epilepsy.

 

Autoimmune disorders

It is uncertain whether any diseases of the nervous system can properly be regarded as representing an allergic cause in the strict sense of the term, but many conditions characterized by an inflammation of the blood vessels, such as the auto-allergic collagen-vascular diseases, do have such a basis. These, through reduction of blood supply to parts of the nervous system, may induce neurological symptoms.

Pathology

Pathology

medical specialty concerned with the determining causes of disease and the structural and functional changes occurring in abnormal conditions. Early efforts to study pathology were often stymied by religious prohibitions against autopsies, but these gradually relaxed during the late Middle Ages, allowing autopsies to determine the cause of death, the basis for pathology. The resultant accumulating anatomical information culminated in the publication of the first systematic textbook of morbid anatomy by the Italian Giovanni Battista Morgagni in 1761, which located diseases within individual organs for the first time. The correlation between clinical symptoms and pathological changes was not made until the first half of the 19th century. The existing humoral theories of pathology were replaced by a more scientific cellular theory; Rudolf Virchow in 1858 argued that the nature of disease could be understood by means of the microscopic analysis of affected cells. The bacteriologic theory of disease developed late in the 19th century by Louis Pasteur and Robert Koch provided the final clue to understanding many disease processes. Pathology as a separate specialty was fairly well established by the end of the 19th century. The pathologist does much of his work in the laboratory and reports to and consults with the clinical physician who directly attends to the patient. The types of laboratory specimens examined by the pathologist include surgically removed body parts, blood and other body fluids, urine, feces, exudates, etc. Pathology practice also includes the reconstruction of the last chapter of the physical life of a deceased person through the procedure of autopsy, which provides valuable and otherwise unobtainable information concerning disease processes. The knowledge required for the proper general practice of pathology is too great to be attainable by single individuals, so wherever conditions permit it, subspecialists collaborate. Among the laboratory subspecialties in which pathologists work are neuropathology, pediatric pathology, general surgical pathology, dermatopathology, and forensic pathology. Microbial cultures for the identification of infectious disease, simpler access to internal organs for biopsy through the use of glass fibre-optic instruments, finer definition of subcellular structures with the electron microscope, and a wide array of chemical stains have greatly expanded the information available to the pathologist in determining the causes of disease. Formal medical education with the attainment of an M.D. degree or its equivalent is required prior to admission to pathology postgraduate programs in many Western countries. The program required for board certification as a pathologist roughly amounts to five years of postgraduate study and training.

Fungus part 1

Introduction
plural  fungi any of about 80,000 known species of organisms of the kingdom Fungi, which includes the yeasts, rusts, smuts, mildews, molds, mushrooms, and toadstools. There are also many funguslike organisms, including slime molds and oomycetes, that do not belong to kingdom Fungi but are often called fungi. Many of these funguslike organisms are included in the kingdom Chromista. Fungi are among the most widely distributed organisms on Earth and are of great environmental and medical importance. Many fungi are free-living in soil or water; others form parasitic or symbiotic relationships with plants or animals.

The fungi are eukaryotic organisms; i.e., their cells contain membrane-bound organelles and clearly defined nuclei. Historically, the fungi were included in the plant kingdom; however, because fungi lack chlorophyll and are distinguished by unique structural and physiological features (i.e., components of the cell wall and cell membrane), they have been separated from plants. In addition, the fungi are clearly distinguished from all other living organisms, including animals, by their principal modes of vegetative growth and nutrient intake. Fungi grow from the tips of filaments (hyphae) that make up the bodies of the organisms (mycelia), and they digest organic matter externally before absorbing it into their mycelia.

While mushrooms and toadstools (poisonous mushrooms) are by no means the most numerous or economically significant fungi, they are the most easily recognized fungi. The Latin word for mushroom, fungus (plural fungi), has come to stand for the whole group. Similarly, the study of fungi is known as mycology—a broad application of the Greek word for mushroom, mykēs. Fungi other than mushrooms are sometimes collectively called molds, although this term is better restricted to fungi of the sort represented by bread mold. (For information about slime molds, which exhibit features of both the animal and the fungal worlds, see protist.)
 

Importance of fungi


Humans have been indirectly aware of fungi since the first loaf of leavened bread was baked and the first tub of grape must was turned into wine. Ancient peoples were familiar with the ravages of fungi in agriculture but attributed these diseases to the wrath of the gods. The Romans designated a particular deity, Robigus, as the god of rust and, in an effort to appease him, organized an annual festival, the Robigalia, in his honour.Fungi are everywhere in very large numbers—in the soil and the air, in lakes, rivers, and seas, on and within plants and animals, in food and clothing, and in the human body. Together with bacteria, fungi are responsible for breaking down organic matter and releasing carbon, oxygen, nitrogen, and phosphorus into the soil and the atmosphere. Fungi are essential to many household and industrial processes, notably the making of bread, wine, beer, and certain cheeses. Fungi are also used as food; for example, some mushrooms, morels, and truffles are epicurean delicacies, and mycoproteins (fungal proteins), derived from the mycelia of certain species of fungi, are used to make foods that are high in protein.Studies of fungi have greatly contributed to the accumulation of fundamental knowledge in biology. For example, studies of ordinary baker's or brewer's yeast (Saccharomyces cerevisiae) led to discoveries of basic cellular biochemistry and metabolism. Some of these pioneering discoveries were made at the end of the 19th century and continued during the first half of the 20th century. From 1920 through the 1940s, geneticists and biochemists who studied mutants of the red bread mold, Neurospora, established the one-gene–one-enzyme theory, thus contributing to the foundation of modern genetics. Fungi continue to be useful for studying cell and molecular biology, genetic engineering, and other basic disciplines of biology.The medical relevance of fungi was discovered in 1928, when Scottish bacteriologist Alexander Fleming noticed the green mold Penicillium notatum growing in a culture dish of Staphylococcus bacteria. Around the spot of mold was a clear ring in which no bacteria grew. Fleming successfully isolated the substance from the mold that inhibited the growth of bacteria. In 1929 he published a scientific report announcing the discovery of penicillin, the first of a series of antibiotics—many of them derived from fungi—that have revolutionized medical practice.Another medically important fungus is Claviceps purpurea, which is commonly called ergot and causes a plant disease of the same name. The disease is characterized by a growth that develops on grasses, especially on rye. Ergot is a source of several chemicals used in drugs that induce labour in pregnant women and that control hemorrhage after birth. Ergot is also the source of lysergic acid, the active principle of the psychedelic drug lysergic acid diethylamide (LSD). Other species of fungi contain chemicals that are extracted and used to produce drugs known as statins, which control cholesterol levels and ward off coronary heart disease. Fungi are also used in the production of a number of organic acids, enzymes, and vitamins.

Form and function of fungi

Size range

The mushrooms, because of their size, are easily seen in fields and forests and consequently were the only fungi known before the invention of the microscope in the 17th century. The microscope made it possible to recognize and identify the great variety of fungal species living on dead or live organic matter. The part of a fungus that is generally visible is the fruiting body, or sporophore. Sporophores vary greatly in size, shape, colour, and longevity. Some are microscopic and completely invisible to the unaided eye; others are no larger than a pin head; still others are gigantic structures. Among the largest sporophores are those of mushrooms, bracket fungi, and puffballs. Some mushrooms reach a diameter of 20 to 25 cm (8 to 10 inches) and a height of 25 to 30 cm (10 to 12 inches). Bracket fungi can reach 40 cm (16 inches) or more in diameter, and puffballs often exceed that size. The largest puffballs on record measured 150 cm (5 feet) in diameter. The number of spores within such giants reaches several trillion.
 

Distribution and abundance


Fungi are either terrestrial or aquatic, the latter living in freshwater or marine environments. Freshwater species are usually found in clean, cool water because they do not tolerate high degrees of salinity. However, some species are found in slightly brackish water, and a few thrive in highly polluted streams. Soil that is rich in organic matter furnishes an ideal habitat for a large number of species; only a small number of species are found in drier areas or in habitats with little or no organic matter. Fungi are found in all temperate and tropical regions of the world where there is sufficient moisture to enable them to grow. A few species of fungi live in the Arctic and Antarctic regions, although they are rare and are more often found living in symbiosis with algae in the form of lichens (see below Lichens). About 80,000 species of fungi have been identified and described, but mycologists estimate that there may be as many as 1.5 million total species.
 

Basic morphology

A typical fungus consists of a mass of branched, tubular filaments enclosed by a rigid cell wall. The filaments, called hyphae (singular hypha), branch repeatedly into a complicated, radially expanding network called the mycelium, which makes up the thallus, or undifferentiated body, of the typical fungus. The mycelium grows by utilizing nutrients from the environment and, upon reaching a certain stage of maturity, forms—either directly or in special fruiting bodies—reproductive cells called spores. The spores are released and dispersed by a wide variety of passive or active mechanisms; upon reaching a suitable substrate, the spores germinate and develop hyphae that grow, branch repeatedly, and become the mycelium of the new individual. Fungal growth is mainly confined to the tips of the hyphae, and all fungal structures are therefore made up of hyphae or portions of hyphae.Some fungi, notably the yeasts, do not form a mycelium but grow as individual cells that multiply by budding or, in certain species, by fission.
 

Structure of the thallus
In almost all fungi the hyphae that make up the thallus have cell walls. (The thalli of the true slime molds lack cell walls and, for this and other reasons, are classified as protists rather than fungi.) A hypha is a multibranched tubular cell filled with cytoplasm. The tube itself may be either continuous throughout or divided into compartments, or cells, by cross walls called septa (singular septum). In nonseptate (i.e., coenocytic) hyphae the nuclei are scattered throughout the cytoplasm. In septate hyphae each cell may contain one to many nuclei, depending on the type of fungus or the stage of hyphal development. The cells of fungi are similar in structure to those of many other organisms. The minute nucleus, readily seen only in young portions of the hypha, is surrounded by a double membrane and typically contains one nucleolus. In addition to the nucleus, various organelles—such as the endoplasmic reticulum, Golgi apparatus, ribosomes, and liposomes—are scattered throughout the cytoplasm.

Hyphae usually are either nonseptate (generally in the more primitive fungi) or incompletely septate (meaning that the septa are perforated). This permits the movement of cytoplasm (cytoplasmic streaming) from one cell to the next. In fungi with perforated septa, various molecules are able to move rapidly between hyphal cells, but the movement of larger organelles, such as mitochondria and nuclei, is prevented. In the absence of septa, both mitochondria and nuclei can be readily translocated along hyphae. In mating interactions between filamentous Basidiomycota, the nuclei of one parent often invade the hyphae of the other parent, because the septa are degraded ahead of the incoming nuclei to allow their passage through the existing hyphae. Once the incoming nuclei are established, septa are re-formed.

Variations in the structure of septa are numerous in the fungi. Some fungi have sievelike septa called pseudosepta, whereas fungi in other groups have septa with one to few pores that are small enough in size to prevent the movement of nuclei to adjacent cells. Basidiomycota have a septal structure called a dolipore septum that is composed of a pore cap surrounding a septal swelling and septal pore. This organization permits cytoplasm and small organelles to pass through but restricts the movement of nuclei to varying degrees.

The wall of the hypha is complex in both composition and structure. Its exact chemical composition varies in different fungal groups. In some funguslike organisms the wall contains considerable quantities of cellulose, a complex carbohydrate that is the chief constituent of the cell walls of plants. In most fungi, however, two other polymers—chitin and glucan (a polymer of glucose linked at the third carbon and branched at the sixth), which forms an α-glucan layer and a special β-1,3-1,6-glucan layer—form the main structural components of the wall. Among the many other chemical substances in the walls of fungi are some that may thicken or toughen the wall of tissues, thus imparting rigidity and strength. The chemical composition of the wall of a particular fungus may vary at different stages of the organism's growth—a possible indication that the wall plays some part in determining the form of the fungus. In some fungi, carbohydrates are stored in the wall at one stage of development and are removed and utilized at a later stage. In some yeasts, fusion of sexually functioning cells is brought about by the interaction of specific chemical substances on the walls of two compatible mating types.When the mycelium grows in or on a surface, such as in the soil, on a log, or in culture medium, it appears as a mass of loose, cottony threads. The richer the composition of the growth medium, the more profuse the threads and the more feltlike the mass. On the sugar-rich growth substances used in laboratories, the assimilative (somatic) hyphae are so interwoven as to form a thick, almost leathery colony. On the soil, inside a leaf, in the skin of animals, or in other parasitized plant or animal tissues, the hyphae are usually spread in a loose network. The mycelia of the so-called higher fungi does, however, become organized at times into compact masses of different sizes that serve various functions. Some of these masses, called sclerotia, become extremely hard and serve to carry the fungus over periods of adverse conditions of temperature and moisture. One example of a fungus that forms sclerotia is Claviceps purpurea, which causes ergot, a disease of cereal grasses such as rye. The underground sclerotia of Poria cocos, an edible pore fungus also known as tuckahoe, may reach a diameter of 20 to 25 cm.Various other tissues are also produced by the interweaving of the assimilative hyphae of some fungi. Stromata (singular stroma) are cushionlike tissues that bear spores in various ways. Rhizomorphs are long strands of parallel hyphae cemented together. Those of the honey mushroom (Armillaria mellea), which are black and resemble shoestrings, are intricately constructed and are differentiated to conduct water and food materials from one part of the thallus to another.
 

Sporophores and spores

When the mycelium of a fungus reaches a certain stage of growth, it begins to produce spores either directly on the somatic hyphae or, more often, on special

sporiferous (spore-producing) hyphae, which may be loosely arranged or grouped into intricate structures called fruiting bodies, or sporophores.
 

Photograph:Fungi can produce spores on somatic hyphae or on special spore-producing hyphae, which are arranged …
 

    * Fungi can produce spores on somatic hyphae or on special spore-producing hyphae, which are arranged …

The more primitive fungi produce spores in sporangia, which are saclike sporophores whose entire cytoplasmic contents cleave into spores, called sporangiospores.

Thus, they differ from more advanced fungi in that their asexual spores are endogenous. Sporangiospores are either naked and flagellated (zoospores) or walled and nonmotile (aplanospores). The more primitive aquatic and terrestrial fungi tend to produce zoospores. The zoospores of aquatic fungi and funguslike organisms swim in the surrounding water by means of one or two variously located flagella (whiplike organs of locomotion). Zoospores produced by terrestrial fungi are released after a rain from the sporangia in which they are borne and swim for a time in the rainwater between soil particles or on the wet surfaces of plants, where the sporangia are formed by parasitic fungi. After some time, the zoospores lose their flagella, surround themselves with walls, and encyst. Each cyst germinates by producing a germ tube. The germ tube may develop a mycelium or a reproductive structure, depending on the species and on the environmental conditions. The bread molds, which are the most advanced of the primitive fungi, produce only aplanospores (nonmotile spores) in their sporangia.
The more advanced fungi do not produce motile spores of any kind, even though some of them are aquatic in fresh or marine waters. In these fungi, asexually produced

spores (usually called conidia) are produced exogenously and are typically formed terminally or laterally on special spore-producing hyphae called conidiophores. Conidiophores may be arranged singly on the hyphae or may be grouped in special asexual fruiting bodies, such as flask-shaped pycnidia, mattresslike acervuli, cushion-shaped sporodochia, or sheaflike synnemata.

Sexually produced spores of the higher fungi result from meiosis and are formed either in saclike structures (asci) typical of the Ascomycota or on the surface of club-shaped structures (basidia) typical of the Basidiomycota. Asci and basidia may be borne naked, directly on the hyphae, or in various types of sporophores, called ascocarps (also known as ascomata) or basidiocarps (also known as basidiomata), depending on whether they bear asci or basidia, respectively. Well-known examples of ascocarps are the morels, the cup fungi, and the truffles. Commonly encountered basidiocarps are mushrooms, brackets, puffballs, stinkhorns, and bird's-nest fungi.
 

Growth

Under favourable environmental conditions, fungal spores germinate and form hyphae. During this process, the spore absorbs water through its wall, the cytoplasm becomes activated, nuclear division takes place, and more cytoplasm is synthesized. The wall initially grows as a spherical structure. Once polarity is established, a hyphal apex forms, and from the wall of the spore a germ tube bulges out, enveloped by a wall of its own that is formed as the germ tube grows.The hypha may be roughly divided into three regions: (1) the apical zone about 5–10 micrometres (0.0002–0.0004 inch) in length, (2) the subapical region, extending about 40 micrometres back of the apical zone, which is rich in cytoplasmic components, such as nuclei, Golgi apparatus, ribosomes, mitochondria, the endoplasmic reticulum, and vesicles, but is devoid of vacuoles, and (3) the zone of vacuolation, which is characterized by the presence of many vacuoles and the accumulation of lipids.

Growth of hyphae in most fungi takes place almost exclusively in the apical zone (i.e., at the very tip). This is the region where the cell wall extends continuously to produce a long hyphal tube. The cytoplasm within the apical zone is filled with numerous vesicles. These bubblelike structures are usually too small to be seen with an ordinary microscope but are clearly evident under the electron microscope. In higher fungi the apical vesicles can be detected with an ordinary microscope equipped with phase-contrast optics as a round spot with a somewhat diffuse boundary. This body is universally known by its German name, the Spitzenkörper, and its position determines the direction of growth of a hypha.

The growing tip eventually gives rise to a branch. This is the beginning of the branched mycelium. Growing tips that come in contact with neighbouring hyphae often fuse with them to form a hyphal net. In such a vigorously growing system, the cytoplasm is in constant motion, streaming toward the growing tips. Eventually, the older hyphae become highly vacuolated and may be stripped of most of their cytoplasm. All living portions of a thallus are potentially capable of growth. If a small piece of mycelium is placed under conditions favourable for growth, it develops into a new thallus, even if no growing tips are included in the severed portion.

Growth of a septate mycelium (i.e., with cross walls between adjacent cells) entails the formation of new septa in the young hyphae. Septa are formed by ringlike growth from the wall of the hypha toward the centre until the septa are complete. In the higher fungi the septum stops growing before it is complete; the result is a central pore through which the cytoplasm flows, thus establishing organic connection throughout the thallus. In contrast to plants, in which the position of the septum separating two daughter cells determines the formation of tissues, the fungal septum is always formed at right angles to the axis of growth. As a result, in fungal tissue formation, the creation of parallel hyphae cannot result from longitudinal septum formation but only from outgrowth of a new branch. In fungi, therefore, the mechanism that determines the point of origin and subsequent direction of growth of hyphal branches is the determining factor in developmental morphogenesis.

The individual fungus is potentially immortal, because it continues to grow at the hyphal tips as long as conditions remain favourable. It is possible that, in undisturbed places, mycelia exist that have grown continuously for many thousands of years. The older parts of the hyphae die and decompose, releasing nitrogen and other nutrients into the soil.
Some species of endophytic fungi, such as Neotyphodium and Epichloë, which invade the seeds of grasses (e.g., ryegrass and fescue) and grow within the plant, grow

not through extension of the hyphal tips but by intercalary growth, in which the hyphae attach to the growing cells of the plant. This type of growth enables the hyphae

of the fungus to grow at the same rate that the plant grows. Intercalary growth of endophytic fungi was discovered in 2007, although for many years scientists

suspected that these fungi possessed unique adaptations that allow them to grow as if they were natural parts of their hosts.

The underground network of hyphae of a mushroom can grow and spread over a very large area, often several metres (yards) in diameter. The underground hyphae

obtain food from organic matter in the substratum and grow outward. The hyphal branches at the edge of the mycelium become organized at intervals into elaborate

tissues that develop aboveground into mushrooms. Such a circle of mushrooms is known as a fairy ring, because in the Middle Ages it was believed to represent the

path of dancing fairies. The ring marks the periphery of an enormous fungus colony, which, if undisturbed, continues to produce ever wider fairy rings year after year.

Fungi can grow into enormous colonies. Some thalli of Armillaria species, which are pathogens of forest trees, are among the largest and oldest organisms on Earth.
 

Nutrition

Epstein-Barr virus /EBV

Epstein-Barr virus (EBV)
virus of the Herpesviridae family that is the major cause of acute infectious mononucleosis, a common syndrome characterized by fever, sore throat, extreme fatigue, and swollen lymph glands.

Epstein-Barr virus was first reported by British scientists M.A. Epstein, Y.M. Barr, and B.G. Achong, who found viruslike particles in cells grown from tissues involved with a newly described lymphatic cancer. The Epstein-Barr virus is known to be able to infect only two different types of cells in the body: some salivary gland cells and one special type of white blood cell (leukocyte). Virus that infects the salivary gland cell is carried into the mouth in the stream of saliva, which is the only bodily fluid that has been proved to contain infectious EBV particles. The type of white blood cell called the B lymphocyte can also carry Epstein-Barr virus. These highly specialized cells manufacture antibodies to help fight infections. Within the salivary gland the virus growth cycle is completed, and infectious virus particles are generated; within the B lymphocytes, however, the virus growth cycle is abortive, and the EBV persists in the B lymphocyte in a partially replicated state for the life of the cell. Even though the virus growth in the B cell is incomplete, the lymphocyte is permanently altered by the infectious process—i.e., B cells can take on growth characteristics that resemble those of cancerous lymphocytes. The affected B lymphocytes can multiply excessively to produce a cancer of the lymphatic system.

In less-developed nations, infection with EBV occurs in almost all children before the age of five and is not associated with recognizable symptoms. In industrialized nations, about half of the population successfully avoids EBV infection through their late teens or early 20s. When EBV infection is delayed until the teenage or early adult years, the body seems to respond to it differently. In about two-thirds of these cases, infection is asymptomatic or very mild. In the remaining one-third of the cases, infection causes mononucleosis.

Other rare disorders have also been linked with Epstein-Barr virus. These include the African lymphoid cancer called Burkitt lymphoma; nasopharyngeal carcinoma, a cancer of the nasal sinuses and throat that is common in southern China, Southeast Asia, and northern Africa and among Eskimos; and certain neurological illnesses, including encephalitis (inflammation of the brain) and paralyses of various nerve groups (for example, Bell palsy, which affects the facial nerve).

There are no specific treatments for any form of EBV infection, and no vaccines have yet been developed.

Reovirus

Reovirus
any of a group of ribonucleic acid (RNA) viruses constituting the family Reoviridae, a small group of animal and plant viruses. The virions of reoviruses (the name is a shortening of respiratory enteric orphan viruses) lack an outer envelope, appear spheroidal, measure about 70 nanometres (nm; 1 nm = 10-9 metre) across, have two icosahedral capsids, and contain a core of segmented, double-stranded RNA. Characteristic features of structure, preferred hosts, and chemistry are the basis for dividing reoviruses into several genera, of which Orthoreovirus, Orbivirus, Rotavirus, and Phytoreovirus are among the best known. Although orthoviruses have been found in the respiratory and enteric tracts of animals, they are not generally pathogenic in adults. Some orbiviruses cause disease in mammals (for example, blue-tongue disease in sheep); rotaviruses have been implicated in infective infantile diarrhea; and phytoreoviruses can destroy rice, corn, and other crops.

Poliomyelitis >Nervous system disease

Poliomyelitis

Poliomyelitis is an acute viral infection. Initially it may cause only a brief, febrile illness, but groups of ventral-horn cells of the spinal cord may be destroyed. This may later cause severe pain with further fever, occasional delirium and meningism (due to accompanying encephalitis), and a rapid onset of muscle atrophy, fasciculations, and weakness that may be localized or diffuse, mild or profound, and that may be fatal if the respiratory or bulbar muscles are involved. Only supportive treatment is available for poliomyelitis, but some recovery occurs in the majority of patients who survive the acute stage of the illness. Since the advent of immunization programs in the 1950s, this disease has been rare in the Western world.

 
Hereditary motor neuropathies

Hereditary motor neuropathies (also known as spinal muscular atrophies and as Werdnig-Hoffman or Kugelberg-Welander diseases) are a diverse group of genetic disorders in which signs of ventral-horn disease occur in babies or young people. The usual symptoms of muscle atrophy and weakness progress more slowly if the disease begins at a later age (5 to 15 years); at later ages the disease may also pass, leaving only chronic mild weakness and secondary skeletal deformities such as scoliosis (rotation of the spine). Less commonly, muscle weakness occurs in specific patterns—for example, involving only the facial, shoulder, or calf muscles—and the progress of the disease is much slower. Babies with these disorders may exhibit respiratory insufficiency, poor ability to suck, and severe limpness and weakness of all muscles except those of the face and eyes; the muscles of the shoulder and pelvic girdles are primarily affected. Motor development is delayed or absent. Diagnosis of hereditary motor neuropathy is confirmed by electromyography and muscle biopsy. Enzyme deficiencies are the cause of some cases of hereditary motor neuropathy, but in most cases the etiological basis of the disease is unknown.

 
Motor neuron disease

Amyotrophic lateral sclerosis (ALS) and lateral sclerosis are both motor neuron diseases, progressive disorders of older people that affect neurons of the ventral horns, of the medullary motor nuclei, and of the corticospinal tracts. ALS, or Lou Gehrig disease, is characterized by muscle wasting due to loss of the ventral-horn cells (the lower motor neurons). Lateral sclerosis is the loss of axons in the lateral columns of the spinal cord (the upper motor neurons of the corticospinal tracts). A combination of upper and lower motor neuron signs is associated with these diseases, but muscle weakness and atrophy of two or more limbs is the primary feature. The brain, eyes, and sensory system are unaffected.

 
Nerve injuries

Nerve injuries function as neuronal neuropathies affecting the axon far from the cell body. Injuries are of three main grades of severity. In neurapraxia there is temporary blockage of impulse conduction, although the axons remain intact. More severe stretch or incision damage interrupts some axons and is called axonotmesis. Injury that actually severs the nerve is called neurotmesis; surgical reattachment of the severed nerve ends is necessary. Neurosurgery does not guarantee a rapid recovery, since new nerve sprouts grow down the nerve framework at the rate of 1 to 2 mm (0.04 to 0.08 inch) per day at most.

Papillomavirus

papillomavirus

also spelled  papilloma virus 

any of a subgroup of viruses belonging to the family Papovaviridae that infect birds and mammals, causing warts (papillomas) and other benign tumours in humans. They are small polygonal viruses containing circular double-stranded DNA; more than 55 distinct types of human papillomaviruses (HPVs) have been identified by DNA analysis. Skin warts are of two types, flat warts (which are superficial and usually on the hands) and plantar warts (on the soles of the feet and on the toes). Genital and venereal warts (condylomata acuminata) are caused by other types of papillomavirus.

Most papillomas, whether found on the skin or in the mucous membranes of the genital, anal, or oral cavities, are benign and may actually go unnoticed for years. A minority of genital and venereal warts, however, are visible, painful, or itchy. The papillomaviruses that cause these warts are transmitted by sexual intercourse, and it is estimated that about 10 percent of the adult population in developed countries has papilloma infections of the genital tract.

A number of papillomaviruses have been linked with various precancerous lesions and malignant tumours, especially cervical cancers. In fact, one or more of these high-risk type HPVs has been found in more than 90 percent of women diagnosed with cervical cancer. Their presence can be detected through an ordinary pap smear. In 2006 the first vaccine against HPV was approved. The vaccine is effective in preventing most cases of cervical cancer in women who have never been infected previously with the virus.

Oncogenic viruses >Cancer

Oncogenic viruses

A large number of DNA and RNA viruses cause tumours in animals, but in humans it is the DNA viruses that are implicated in most forms of cancer. Only one RNA virus is known to cause cancer in humans. The precise role that viruses play in tumour genesis is not clear, but it seems that they are responsible for causing only one in the series of steps necessary for cancer to develop.

 
DNA viruses

Three DNA viruses—human papillomaviruses, the Epstein-Barr virus, and the hepatitis B virus—are linked to tumours in humans.

 
Human papillomaviruses

More than 70 types of human papillomavirus (HPV) have been described. Some cause benign papillomas of the skin (warts). Other strains, particularly HPV-16 and HPV-18, are linked to genital and anal cancers. These viruses are sexually transmitted. HPV-16 and HPV-18 are found in the majority of squamous-cell carcinomas of the uterine cervix. Genital warts with low malignant potential are associated with HPV-6 and HPV-11.

When transforming DNA viruses infect a cell, they integrate their DNA into the genome of the host. At this point the virus does not reproduce but only produces the proteins necessary to commandeer the DNA synthesis machinery of the host cell. Two of these viral genes, E6 and E7, can act as oncogenes. The proteins they encode bind to the protein products of two important tumour suppressor genes, p53 and RB, respectively, knocking these proteins out of action and allowing the cell to grow and divide.

The E6 and E7 proteins of HPV-16 and HPV-18 bind to the RB and p53 proteins very tightly; in contrast, the E6 and E7 proteins of HPV-6 and HPV-11 (the low-risk types) bind RB and p53 with low affinity. The differences in binding ability of these proteins correlate with their ability to activate cell growth, and they are consistent with the differences in malignant potential of these virus strains.

 
Epstein-Barr virus

Epstein-Barr virus (EBV) is a type of herpesvirus that is well known for causing mononucleosis. It also contributes to the pathogenesis of four human tumours: the African form of Burkitt lymphoma, B-cell lymphomas in individuals whose immune systems are impaired from human immunodeficiency virus (HIV, the causative virus of AIDS) infection or the use of immunosuppressant drugs in organ transplantation, nasopharyngeal carcinoma, and some kinds of Hodgkin disease. EBV infects B lymphocytes, one of the principal infection-fighting white blood cells of the immune system. It does not replicate within the B cells; instead, it transforms them into lymphoblasts, which have an indefinite life span. In other words, the virus renders these cells immortal.

Burkitt lymphoma is endemic in certain areas of equatorial Africa and occurs sporadically in other parts of the world. As is the case with other cancer-inducing viruses, it is likely that EBV serves as only the first step toward malignant transformation and that additional mutations are required for bringing about this process.

 
Hepatitis B virus

Hepatitis B virus (HBV) is endemic in Southeast Asia and sub-Saharan Africa, areas that have the world's highest incidence of hepatocellular carcinoma (liver cancer). This and other epidemiological observations, as well as experimental evidence in animal models, have established a clear association between HBV and liver cancer. The precise role of hepatitis B virus in causing liver cancer is not yet understood, but evidence suggests that viral proteins disrupt signal transduction and thereby deregulate cell growth.

 
RNA viruses

Retroviruses have provided some of the most important insights into the molecular cell biology of cancer (see the section Retroviruses and the discovery of oncogenes), and yet only one human retrovirus, the human T-cell leukemia virus type I (HTLV-I), is linked to a human tumour. This virus is associated with a T-cell leukemia/lymphoma that is endemic in the southern islands of Japan and the Caribbean basin but that also is occasionally found elsewhere. HTLV-I infects helper T lymphocytes (the same type of cell that is infected by HIV). Infection occurs when infected T cells are transmitted via sexual intercourse, blood transfusion, or breast feeding. Only about 1 percent of infected individuals will develop leukemia, and then only after a period of 20 to 30 years.

HTLV-I differs from other oncogenic retroviruses in that it does not contain a viral oncogene and does not integrate into specific sites of the human genome to disrupt proto-oncogenes. Although the mechanism of transformation is not clear, a viral protein named tax, which promotes DNA transcription, may be involved in setting up an autocrine (self-stimulating) loop that causes continuous proliferation of infected T cells. When cells are constantly dividing, they are at greater risk from secondary transforming events (mutations) that will ultimately lead to the development of cancer.