156-419: In anatomy , a fistula ( pl. : fistulas or fistulae /- l i , - l aɪ / ; from Latin fistula , "tube, pipe") is an abnormal connection (i.e. tube) joining two hollow spaces (technically, two epithelialized surfaces), such as blood vessels , intestines , or other hollow organs to each other, often resulting in an abnormal flow of fluid from one space to the other. An anal fistula connects
312-412: A basal lamina , the upper layer of the basement membrane , the lower layer is the reticular lamina lying next to the connective tissue in the extracellular matrix secreted by the epithelial cells. There are many different types of epithelium, modified to suit a particular function. In the respiratory tract there is a type of ciliated epithelial lining; in the small intestine there are microvilli on
468-624: A cimino fistula is often deliberately created in the arm by means of a short day surgery in order to permit easier withdrawal of blood for hemodialysis . As a radical treatment for portal hypertension , surgical creation of a portacaval fistula produces an anastomosis between the hepatic portal vein and the inferior vena cava across the omental foramen (of Winslow). This spares the portal venous system from high pressure which can cause esophageal varices, caput medusae , and hemorrhoids. Globally, every year between 50,000 and 100,000 women are affected by fistula relating to childbirth. In botany ,
624-450: A copulatory organ present in most species. The eggs are surrounded by amniotic membranes which prevents them from drying out and are laid on land, or develop internally in some species. The bladder is small as nitrogenous waste is excreted as uric acid . Turtles are notable for their protective shells. They have an inflexible trunk encased in a horny carapace above and a plastron below. These are formed from bony plates embedded in
780-569: A disulfiram -like chemical reaction with alcohol by inhibiting its breakdown by acetaldehyde dehydrogenase , which may result in vomiting, nausea, and shortness of breath. In addition, the efficacy of doxycycline and erythromycin succinate may be reduced by alcohol consumption. Other effects of alcohol on antibiotic activity include altered activity of the liver enzymes that break down the antibiotic compound. The successful outcome of antimicrobial therapy with antibacterial compounds depends on several factors. These include host defense mechanisms ,
936-481: A microscope . Human anatomy, physiology and biochemistry are complementary basic medical sciences, which are generally taught to medical students in their first year at medical school. Human anatomy can be taught regionally or systemically; that is, respectively, studying anatomy by bodily regions such as the head and chest, or studying by specific systems, such as the nervous or respiratory systems. The major anatomy textbook, Gray's Anatomy , has been reorganized from
1092-501: A molecular weight of less than 1000 daltons . Since the first pioneering efforts of Howard Florey and Chain in 1939, the importance of antibiotics, including antibacterials, to medicine has led to intense research into producing antibacterials at large scales. Following screening of antibacterials against a wide range of bacteria , production of the active compounds is carried out using fermentation , usually in strongly aerobic conditions. Antimicrobial resistance (AMR or AR)
1248-470: A sessile lifestyle). Most animals have bodies differentiated into separate tissues and these animals are also known as eumetazoans . They have an internal digestive chamber, with one or two openings; the gametes are produced in multicellular sex organs, and the zygotes include a blastula stage in their embryonic development . Metazoans do not include the sponges , which have undifferentiated cells. Unlike plant cells , animal cells have neither
1404-402: A "treatise on the heart", with vessels carrying all the body's fluids to or from every member of the body. Ancient Greek anatomy and physiology underwent great changes and advances throughout the early medieval world. Over time, this medical practice expanded due to a continually developing understanding of the functions of organs and structures in the body. Phenomenal anatomical observations of
1560-492: A Japanese bacteriologist working with Ehrlich in the quest for a drug to treat syphilis , achieved success with the 606th compound in their series of experiments. In 1910, Ehrlich and Hata announced their discovery, which they called drug "606", at the Congress for Internal Medicine at Wiesbaden . The Hoechst company began to market the compound toward the end of 1910 under the name Salvarsan, now known as arsphenamine . The drug
1716-643: A biological cost, thereby reducing fitness of resistant strains, which can limit the spread of antibacterial-resistant bacteria, for example, in the absence of antibacterial compounds. Additional mutations, however, may compensate for this fitness cost and can aid the survival of these bacteria. Paleontological data show that both antibiotics and antibiotic resistance are ancient compounds and mechanisms. Useful antibiotic targets are those for which mutations negatively impact bacterial reproduction or viability. Several molecular mechanisms of antibacterial resistance exist. Intrinsic antibacterial resistance may be part of
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#17328919948001872-528: A cell wall nor chloroplasts . Vacuoles, when present, are more in number and much smaller than those in the plant cell. The body tissues are composed of numerous types of cells, including those found in muscles, nerves and skin. Each typically has a cell membrane formed of phospholipids , cytoplasm and a nucleus . All of the different cells of an animal are derived from the embryonic germ layers . Those simpler invertebrates which are formed from two germ layers of ectoderm and endoderm are called diploblastic and
2028-433: A class of arachnids have four pairs of legs; a body of two segments—a cephalothorax and an abdomen . Spiders have no wings and no antennae. They have mouthparts called chelicerae which are often connected to venom glands as most spiders are venomous. They have a second pair of appendages called pedipalps attached to the cephalothorax. These have similar segmentation to the legs and function as taste and smell organs. At
2184-552: A coat of glycoproteins . In more advanced animals, many glands are formed of epithelial cells. Muscle cells (myocytes) form the active contractile tissue of the body. Muscle tissue functions to produce force and cause motion, either locomotion or movement within internal organs. Muscle is formed of contractile filaments and is separated into three main types; smooth muscle , skeletal muscle and cardiac muscle . Smooth muscle has no striations when examined microscopically. It contracts slowly but maintains contractibility over
2340-401: A disease or trauma, or purposely surgically created. Various types of fistulas include: Although most fistulas are in forms of a tube, some can also have multiple branches. Types of fistula can be described by their location. Anal fistulas connect between the epithelialized surface of the anal canal and the perianal skin. Anovaginal or rectovaginal fistulas occur when a hole develops between
2496-453: A dissertation, " Contribution à l'étude de la concurrence vitale chez les micro-organismes: antagonisme entre les moisissures et les microbes " (Contribution to the study of vital competition in micro-organisms: antagonism between moulds and microbes), the first known scholarly work to consider the therapeutic capabilities of moulds resulting from their anti-microbial activity. In his thesis, Duchesne proposed that bacteria and moulds engage in
2652-457: A few species have no limbs and resemble snakes. Lizards have moveable eyelids, eardrums are present and some species have a central parietal eye. Snakes are closely related to lizards, having branched off from a common ancestral lineage during the Cretaceous period, and they share many of the same features. The skeleton consists of a skull, a hyoid bone, spine and ribs though a few species retain
2808-513: A high metabolic rate , a light skeletal system and powerful muscles . The long bones are thin, hollow and very light. Air sac extensions from the lungs occupy the centre of some bones. The sternum is wide and usually has a keel and the caudal vertebrae are fused. There are no teeth and the narrow jaws are adapted into a horn-covered beak. The eyes are relatively large, particularly in nocturnal species such as owls. They face forwards in predators and sideways in ducks. The feathers are outgrowths of
2964-746: A mammal. Humans have a head, neck, trunk (which includes the thorax and abdomen ), two arms and hands, and two legs and feet. Generally, students of certain biological sciences , paramedics , prosthetists and orthotists, physiotherapists , occupational therapists , nurses , podiatrists , and medical students learn gross anatomy and microscopic anatomy from anatomical models, skeletons, textbooks, diagrams, photographs, lectures and tutorials and in addition, medical students generally also learn gross anatomy through practical experience of dissection and inspection of cadavers . The study of microscopic anatomy (or histology ) can be aided by practical experience examining histological preparations (or slides) under
3120-466: A million new cases of multidrug-resistant tuberculosis (MDR-TB) are estimated to occur worldwide. For example, NDM-1 is a newly identified enzyme conveying bacterial resistance to a broad range of beta-lactam antibacterials. The United Kingdom's Health Protection Agency has stated that "most isolates with NDM-1 enzyme are resistant to all standard intravenous antibiotics for treatment of severe infections." On 26 May 2016, an E. coli " superbug "
3276-484: A natural pair of related disciplines, and are often studied together. Human anatomy is one of the essential basic sciences that are applied in medicine, and is often studied alongside physiology . Anatomy is a complex and dynamic field that is constantly evolving as discoveries are made. In recent years, there has been a significant increase in the use of advanced imaging techniques, such as MRI and CT scans , which allow for more detailed and accurate visualizations of
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#17328919948003432-496: A number of branches, including gross or macroscopic anatomy and microscopic anatomy. Gross anatomy is the study of structures large enough to be seen with the naked eye, and also includes superficial anatomy or surface anatomy, the study by sight of the external body features. Microscopic anatomy is the study of structures on a microscopic scale, along with histology (the study of tissues), and embryology (the study of an organism in its immature condition). Regional anatomy
3588-517: A patient is infected with a β-lactamase -producing strain of bacteria. Antibiotics are commonly classified based on their mechanism of action , chemical structure , or spectrum of activity. Most target bacterial functions or growth processes. Those that target the bacterial cell wall ( penicillins and cephalosporins ) or the cell membrane ( polymyxins ), or interfere with essential bacterial enzymes ( rifamycins , lipiarmycins , quinolones , and sulfonamides ) have bactericidal activities, killing
3744-460: A perpetual battle for survival. Duchesne observed that E. coli was eliminated by Penicillium glaucum when they were both grown in the same culture. He also observed that when he inoculated laboratory animals with lethal doses of typhoid bacilli together with Penicillium glaucum , the animals did not contract typhoid. Duchesne's army service after getting his degree prevented him from doing any further research. Duchesne died of tuberculosis ,
3900-420: A pump action in which air is first drawn into the buccopharyngeal region through the nostrils. These are then closed and the air is forced into the lungs by contraction of the throat. They supplement this with gas exchange through the skin which needs to be kept moist. In frogs the pelvic girdle is robust and the hind legs are much longer and stronger than the forelimbs. The feet have four or five digits and
4056-465: A resistance mechanism encoded by a single gene conveys resistance to more than one antibacterial compound. Antibacterial-resistant strains and species, sometimes referred to as "superbugs", now contribute to the emergence of diseases that were, for a while, well controlled. For example, emergent bacterial strains causing tuberculosis that are resistant to previously effective antibacterial treatments pose many therapeutic challenges. Every year, nearly half
4212-543: A skeleton to support or protect the body. An exoskeleton is a thickened, rigid cuticle which is stiffened by mineralization , as in crustaceans or by the cross-linking of its proteins as in insects . An endoskeleton is internal and present in all developed animals, as well as in many of those less developed. Epithelial tissue is composed of closely packed cells, bound to each other by cell adhesion molecules , with little intercellular space. Epithelial cells can be squamous (flat), cuboidal or columnar and rest on
4368-497: A systems format to a regional format, in line with modern teaching methods. A thorough working knowledge of anatomy is required by physicians, especially surgeons and doctors working in some diagnostic specialties, such as histopathology and radiology . Academic anatomists are usually employed by universities, medical schools or teaching hospitals. They are often involved in teaching anatomy, and research into certain systems, organs, tissues or cells. Invertebrates constitute
4524-431: A vast array of living organisms ranging from the simplest unicellular eukaryotes such as Paramecium to such complex multicellular animals as the octopus , lobster and dragonfly . They constitute about 95% of the animal species. By definition, none of these creatures has a backbone. The cells of single-cell protozoans have the same basic structure as those of multicellular animals but some parts are specialized into
4680-479: A vertebrate is the vertebral column , formed in the development of the segmented series of vertebrae . In most vertebrates the notochord becomes the nucleus pulposus of the intervertebral discs . However, a few vertebrates, such as the sturgeon and the coelacanth , retain the notochord into adulthood. Jawed vertebrates are typified by paired appendages, fins or legs, which may be secondarily lost. The limbs of vertebrates are considered to be homologous because
4836-693: A vestige of the pelvis and rear limbs in the form of pelvic spurs . The bar under the second fenestra has also been lost and the jaws have extreme flexibility allowing the snake to swallow its prey whole. Snakes lack moveable eyelids, the eyes being covered by transparent "spectacle" scales. They do not have eardrums but can detect ground vibrations through the bones of their skull. Their forked tongues are used as organs of taste and smell and some species have sensory pits on their heads enabling them to locate warm-blooded prey. Crocodilians are large, low-slung aquatic reptiles with long snouts and large numbers of teeth. The head and trunk are dorso-ventrally flattened and
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4992-537: A wide range of bacteria. Following a 40-year break in discovering classes of antibacterial compounds, four new classes of antibiotics were introduced to clinical use in the late 2000s and early 2010s: cyclic lipopeptides (such as daptomycin ), glycylcyclines (such as tigecycline ), oxazolidinones (such as linezolid ), and lipiarmycins (such as fidaxomicin ). With advances in medicinal chemistry , most modern antibacterials are semisynthetic modifications of various natural compounds. These include, for example,
5148-594: A wide range of stretch lengths. It is found in such organs as sea anemone tentacles and the body wall of sea cucumbers . Skeletal muscle contracts rapidly but has a limited range of extension. It is found in the movement of appendages and jaws. Obliquely striated muscle is intermediate between the other two. The filaments are staggered and this is the type of muscle found in earthworms that can extend slowly or make rapid contractions. In higher animals striated muscles occur in bundles attached to bone to provide movement and are often arranged in antagonistic sets. Smooth muscle
5304-811: Is a naturally occurring process. AMR is driven largely by the misuse and overuse of antimicrobials. Yet, at the same time, many people around the world do not have access to essential antimicrobials. The emergence of antibiotic-resistant bacteria is a common phenomenon mainly caused by the overuse/misuse. It represents a threat to health globally. Each year, nearly 5 million deaths are associated with AMR globally. Emergence of resistance often reflects evolutionary processes that take place during antibiotic therapy. The antibiotic treatment may select for bacterial strains with physiologically or genetically enhanced capacity to survive high doses of antibiotics. Under certain conditions, it may result in preferential growth of resistant bacteria, while growth of susceptible bacteria
5460-477: Is almost always used as a partner drug. Methicillin-resistant Staphylococcus aureus infections may be treated with a combination therapy of fusidic acid and rifampicin. Antibiotics used in combination may also be antagonistic and the combined effects of the two antibiotics may be less than if one of the antibiotics was given as a monotherapy . For example, chloramphenicol and tetracyclines are antagonists to penicillins . However, this can vary depending on
5616-486: Is also one of the treatment options for some skin conditions including acne and cellulitis . Advantages of topical application include achieving high and sustained concentration of antibiotic at the site of infection; reducing the potential for systemic absorption and toxicity, and total volumes of antibiotic required are reduced, thereby also reducing the risk of antibiotic misuse. Topical antibiotics applied over certain types of surgical wounds have been reported to reduce
5772-399: Is an example of misuse. Many antibiotics are frequently prescribed to treat symptoms or diseases that do not respond to antibiotics or that are likely to resolve without treatment. Also, incorrect or suboptimal antibiotics are prescribed for certain bacterial infections. The overuse of antibiotics, like penicillin and erythromycin, has been associated with emerging antibiotic resistance since
5928-541: Is commonly taken to refer to human anatomy . However, substantially similar structures and tissues are found throughout the rest of the animal kingdom, and the term also includes the anatomy of other animals. The term zootomy is also sometimes used to specifically refer to non-human animals. The structure and tissues of plants are of a dissimilar nature and they are studied in plant anatomy . The kingdom Animalia contains multicellular organisms that are heterotrophic and motile (although some have secondarily adopted
6084-468: Is considered one of the drivers of antibiotic misuse. Several organizations concerned with antimicrobial resistance are lobbying to eliminate the unnecessary use of antibiotics. The issues of misuse and overuse of antibiotics have been addressed by the formation of the US Interagency Task Force on Antimicrobial Resistance. This task force aims to actively address antimicrobial resistance, and
6240-684: Is coordinated by the US Centers for Disease Control and Prevention , the Food and Drug Administration (FDA), and the National Institutes of Health , as well as other US agencies. A non-governmental organization campaign group is Keep Antibiotics Working . In France, an "Antibiotics are not automatic" government campaign started in 2002 and led to a marked reduction of unnecessary antibiotic prescriptions, especially in children. The emergence of antibiotic resistance has prompted restrictions on their use in
6396-623: Is critically important as it can reduce the cost and toxicity of the antibiotic therapy and also reduce the possibility of the emergence of antimicrobial resistance. To avoid surgery, antibiotics may be given for non-complicated acute appendicitis . Antibiotics may be given as a preventive measure and this is usually limited to at-risk populations such as those with a weakened immune system (particularly in HIV cases to prevent pneumonia ), those taking immunosuppressive drugs , cancer patients, and those having surgery . Their use in surgical procedures
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6552-607: Is driven largely by the misuse and overuse of antimicrobials. Yet, at the same time, many people around the world do not have access to essential antimicrobials. The World Health Organization has classified AMR as a widespread "serious threat [that] is no longer a prediction for the future, it is happening right now in every region of the world and has the potential to affect anyone, of any age, in any country". Each year, nearly 5 million deaths are associated with AMR globally. Global deaths attributable to AMR numbered 1.27 million in 2019. The term 'antibiosis', meaning "against life",
6708-473: Is found in the walls of the uterus , bladder , intestines , stomach , oesophagus , respiratory airways , and blood vessels . Cardiac muscle is found only in the heart , allowing it to contract and pump blood round the body. Nervous tissue is composed of many nerve cells known as neurons which transmit information. In some slow-moving radially symmetrical marine animals such as ctenophores and cnidarians (including sea anemones and jellyfish ),
6864-489: Is inhibited by the drug. For example, antibacterial selection for strains having previously acquired antibacterial-resistance genes was demonstrated in 1943 by the Luria–Delbrück experiment . Antibiotics such as penicillin and erythromycin, which used to have a high efficacy against many bacterial species and strains, have become less effective, due to the increased resistance of many bacterial strains. Resistance may take
7020-529: Is pulled over the internal side of the fistula to keep feces or other material from reinfecting the channel). Management involves treating any underlying causative condition. For example, surgical treatment of fistulae in Crohn's disease can be effective, but if the Crohn's disease itself is not treated, the rate of recurrence of the fistula is very high (well above 50%). In people with kidney failure , requiring dialysis,
7176-483: Is quite distinct from physiology and biochemistry , which deal respectively with the functions of those parts and the chemical processes involved. For example, an anatomist is concerned with the shape, size, position, structure, blood supply and innervation of an organ such as the liver; while a physiologist is interested in the production of bile , the role of the liver in nutrition and the regulation of bodily functions. The discipline of anatomy can be subdivided into
7332-489: Is startlingly rapid". Between 1275 and 1326, the anatomists Mondino de Luzzi , Alessandro Achillini and Antonio Benivieni at Bologna carried out the first systematic human dissections since ancient times. Mondino's Anatomy of 1316 was the first textbook in the medieval rediscovery of human anatomy. It describes the body in the order followed in Mondino's dissections, starting with the abdomen, thorax, head, and limbs. It
7488-399: Is the study of the interrelationships of all of the structures in a specific body region, such as the abdomen. In contrast, systemic anatomy is the study of the structures that make up a discrete body system—that is, a group of structures that work together to perform a unique body function, such as the digestive system. Anatomy can be studied using both invasive and non-invasive methods with
7644-411: Is the vertebral column, composed of articulating vertebrae which are lightweight yet strong. The ribs attach to the spine and there are no limbs or limb girdles. The main external features of the fish, the fins , are composed of either bony or soft spines called rays, which with the exception of the caudal fins , have no direct connection with the spine. They are supported by the muscles which compose
7800-494: Is to help prevent infection of incisions . They have an important role in dental antibiotic prophylaxis where their use may prevent bacteremia and consequent infective endocarditis . Antibiotics are also used to prevent infection in cases of neutropenia particularly cancer-related. The use of antibiotics for secondary prevention of coronary heart disease is not supported by current scientific evidence, and may actually increase cardiovascular mortality, all-cause mortality and
7956-546: Is to try not to use them, and the second rule is try not to use too many of them." Inappropriate antibiotic treatment and overuse of antibiotics have contributed to the emergence of antibiotic-resistant bacteria. However, potential harm from antibiotics extends beyond selection of antimicrobial resistance and their overuse is associated with adverse effects for patients themselves, seen most clearly in critically ill patients in Intensive care units . Self-prescribing of antibiotics
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#17328919948008112-406: Is unlikely to interfere with many common antibiotics, there are specific types of antibiotics with which alcohol consumption may cause serious side effects. Therefore, potential risks of side effects and effectiveness depend on the type of antibiotic administered. Antibiotics such as metronidazole , tinidazole , cephamandole , latamoxef , cefoperazone , cefmenoxime , and furazolidone , cause
8268-590: The Hippocratic Corpus , an Ancient Greek medical work written by unknown authors. Aristotle described vertebrate anatomy based on animal dissection . Praxagoras identified the difference between arteries and veins . Also in the 4th century BCE, Herophilos and Erasistratus produced more accurate anatomical descriptions based on vivisection of criminals in Alexandria during the Ptolemaic period . In
8424-506: The Triassic period. There is one living species, Sphenodon punctatus . The skull has two openings (fenestrae) on either side and the jaw is rigidly attached to the skull. There is one row of teeth in the lower jaw and this fits between the two rows in the upper jaw when the animal chews. The teeth are merely projections of bony material from the jaw and eventually wear down. The brain and heart are more primitive than those of other reptiles, and
8580-406: The anal canal to the perianal skin. An anovaginal or rectovaginal fistula is a hole joining the anus or rectum to the vagina . A colovaginal fistula joins the space in the colon to that in the vagina. A urinary tract fistula is an abnormal opening in the urinary tract or an abnormal connection between the urinary tract and another organ. An abnormal communication (i.e. hole or tube) between
8736-458: The beta-lactam antibiotics , which include the penicillins (produced by fungi in the genus Penicillium ), the cephalosporins , and the carbapenems . Compounds that are still isolated from living organisms are the aminoglycosides , whereas other antibacterials—for example, the sulfonamides , the quinolones , and the oxazolidinones —are produced solely by chemical synthesis . Many antibacterial compounds are relatively small molecules with
8892-441: The bioenergetic failure of immune cells seen in sepsis . They also alter the microbiome of the gut, lungs, and skin, which may be associated with adverse effects such as Clostridioides difficile associated diarrhoea . Whilst antibiotics can clearly be lifesaving in patients with bacterial infections, their overuse, especially in patients where infections are hard to diagnose, can lead to harm via multiple mechanisms. Before
9048-419: The bladder and the uterus is called a vesicouterine fistula , while if it is between the bladder and the vagina it is known as a vesicovaginal fistula , and if between the urethra and the vagina: a urethrovaginal fistula. When occurring between two parts of the intestine, it is known as an enteroenteral fistula, between the small intestine and the skin it's known as an enterocutaneous fistula, and between
9204-400: The epidermis and are found in localized bands from where they fan out over the skin. Large flight feathers are found on the wings and tail, contour feathers cover the bird's surface and fine down occurs on young birds and under the contour feathers of water birds. The only cutaneous gland is the single uropygial gland near the base of the tail. This produces an oily secretion that waterproofs
9360-529: The extracellular matrix . Often called fascia (from the Latin "fascia," meaning "band" or "bandage"), connective tissues give shape to organs and holds them in place. The main types are loose connective tissue, adipose tissue , fibrous connective tissue, cartilage and bone. The extracellular matrix contains proteins , the chief and most abundant of which is collagen . Collagen plays a major part in organizing and maintaining tissues. The matrix can be modified to form
9516-461: The mouthparts . The thorax has three pairs of segmented legs , one pair each for the three segments that compose the thorax and one or two pairs of wings . The abdomen is composed of eleven segments, some of which may be fused and houses the digestive , respiratory , excretory and reproductive systems. There is considerable variation between species and many adaptations to the body parts, especially wings, legs, antennae and mouthparts. Spiders
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#17328919948009672-400: The stomach . All vertebrates have a similar basic body plan and at some point in their lives, mostly in the embryonic stage, share the major chordate characteristics: a stiffening rod, the notochord ; a dorsal hollow tube of nervous material, the neural tube ; pharyngeal arches ; and a tail posterior to the anus. The spinal cord is protected by the vertebral column and is above
9828-558: The sulfonamides . In current usage, the term "antibiotic" is applied to any medication that kills bacteria or inhibits their growth, regardless of whether that medication is produced by a microorganism or not. The term "antibiotic" derives from anti + βιωτικός ( biōtikos ), "fit for life, lively", which comes from βίωσις ( biōsis ), "way of life", and that from βίος ( bios ), "life". The term "antibacterial" derives from Greek ἀντί ( anti ), "against" + βακτήριον ( baktērion ), diminutive of βακτηρία ( baktēria ), "staff, cane", because
9984-402: The 1950s. Widespread usage of antibiotics in hospitals has also been associated with increases in bacterial strains and species that no longer respond to treatment with the most common antibiotics. Common forms of antibiotic misuse include excessive use of prophylactic antibiotics in travelers and failure of medical professionals to prescribe the correct dosage of antibiotics on the basis of
10140-420: The 2nd century, Galen of Pergamum , an anatomist, clinician , writer, and philosopher, wrote the final and highly influential anatomy treatise of ancient times. He compiled existing knowledge and studied anatomy through the dissection of animals. He was one of the first experimental physiologists through his vivisection experiments on animals. Galen's drawings, based mostly on dog anatomy, became effectively
10296-624: The American Holistic Nurses' Association, the American Medical Association , and the American Public Health Association . Despite pledges by food companies and restaurants to reduce or eliminate meat that comes from animals treated with antibiotics, the purchase of antibiotics for use on farm animals has been increasing every year. There has been extensive use of antibiotics in animal husbandry. In
10452-460: The Greek ἀνατομή anatomē "dissection" (from ἀνατέμνω anatémnō "I cut up, cut open" from ἀνά aná "up", and τέμνω témnō "I cut"), anatomy is the scientific study of the structure of organisms including their systems, organs and tissues . It includes the appearance and position of the various parts, the materials from which they are composed, and their relationships with other parts. Anatomy
10608-684: The UK in 1970 (Swann report 1969), and the European Union has banned the use of antibiotics as growth-promotional agents since 2003. Moreover, several organizations (including the World Health Organization, the National Academy of Sciences , and the U.S. Food and Drug Administration ) have advocated restricting the amount of antibiotic use in food animal production. However, commonly there are delays in regulatory and legislative actions to limit
10764-762: The United States, the question of emergence of antibiotic-resistant bacterial strains due to use of antibiotics in livestock was raised by the US Food and Drug Administration (FDA) in 1977. In March 2012, the United States District Court for the Southern District of New York, ruling in an action brought by the Natural Resources Defense Council and others, ordered the FDA to revoke approvals for
10920-565: The activity of antibacterials depends frequently on its concentration, in vitro characterization of antibacterial activity commonly includes the determination of the minimum inhibitory concentration and minimum bactericidal concentration of an antibacterial. To predict clinical outcome, the antimicrobial activity of an antibacterial is usually combined with its pharmacokinetic profile, and several pharmacological parameters are used as markers of drug efficacy. In important infectious diseases, including tuberculosis, combination therapy (i.e.,
11076-438: The administration of a broad-spectrum antibiotic based on the signs and symptoms presented and is initiated pending laboratory results that can take several days. When the responsible pathogenic microorganism is already known or has been identified, definitive therapy can be started. This will usually involve the use of a narrow-spectrum antibiotic. The choice of antibiotic given will also be based on its cost. Identification
11232-485: The antagonism observed between some bacteria, it would offer perhaps the greatest hopes for therapeutics". In 1874, physician Sir William Roberts noted that cultures of the mould Penicillium glaucum that is used in the making of some types of blue cheese did not display bacterial contamination. In 1895 Vincenzo Tiberio , Italian physician, published a paper on the antibacterial power of some extracts of mold. In 1897, doctoral student Ernest Duchesne submitted
11388-471: The anus or rectum and the vagina. Colovaginal fistulas occur between the colon and the vagina. Urinary tract fistulas are abnormal openings within the urinary tract or an abnormal connection between the urinary tract and another organ such as between the bladder and the uterus in a vesicouterine fistula, between the bladder and the vagina in a vesicovaginal fistula, and between the urethra and the vagina in urethrovaginal fistula. When occurring between two parts of
11544-531: The arts and sciences from the Ptolemaic dynasty of Egypt helped raise Alexandria up, further rivalling other Greek states' cultural and scientific achievements. Some of the most striking advances in early anatomy and physiology took place in Hellenistic Alexandria. Two of the most famous anatomists and physiologists of the third century were Herophilus and Erasistratus . These two physicians helped pioneer human dissection for medical research, using
11700-490: The atria were parts of the heart. Herophilus's knowledge of the human body has provided vital input towards understanding the brain, eye, liver, reproductive organs, and nervous system and characterizing the course of the disease. Erasistratus accurately described the structure of the brain, including the cavities and membranes, and made a distinction between its cerebrum and cerebellum During his study in Alexandria, Erasistratus
11856-423: The bacteria. Protein synthesis inhibitors ( macrolides , lincosamides , and tetracyclines ) are usually bacteriostatic , inhibiting further growth (with the exception of bactericidal aminoglycosides ). Further categorization is based on their target specificity. "Narrow-spectrum" antibiotics target specific types of bacteria, such as gram-negative or gram-positive , whereas broad-spectrum antibiotics affect
12012-518: The basis of sense organs and there is a central nervous system (brain and spinal cord) and a peripheral nervous system . The latter consists of sensory nerves that transmit information from sense organs and motor nerves that influence target organs. The peripheral nervous system is divided into the somatic nervous system which conveys sensation and controls voluntary muscle , and the autonomic nervous system which involuntarily controls smooth muscle , certain glands and internal organs, including
12168-437: The blood. Women with menstrual irregularities may be at higher risk of failure and should be advised to use backup contraception during antibiotic treatment and for one week after its completion. If patient-specific risk factors for reduced oral contraceptive efficacy are suspected, backup contraception is recommended. In cases where antibiotics have been suggested to affect the efficiency of birth control pills, such as for
12324-462: The body and they swim by undulating their body from side to side. Reptiles are a class of animals comprising turtles , tuataras , lizards , snakes and crocodiles . They are tetrapods , but the snakes and a few species of lizard either have no limbs or their limbs are much reduced in size. Their bones are better ossified and their skeletons stronger than those of amphibians. The teeth are conical and mostly uniform in size. The surface cells of
12480-427: The body's structures. The discipline of anatomy is divided into macroscopic and microscopic parts. Macroscopic anatomy , or gross anatomy, is the examination of an animal's body parts using unaided eyesight. Gross anatomy also includes the branch of superficial anatomy . Microscopic anatomy involves the use of optical instruments in the study of the tissues of various structures, known as histology , and also in
12636-399: The brain, appreciated the division between cerebellum and cerebrum and recognized that the brain was the "seat of intellect" and not a "cooling chamber" as propounded by Aristotle Herophilus is also credited with describing the optic, oculomotor, motor division of the trigeminal, facial, vestibulocochlear and hypoglossal nerves. Incredible feats were made during the third century BCE in both
12792-568: The broad-spectrum antibiotic rifampicin , these cases may be due to an increase in the activities of hepatic liver enzymes' causing increased breakdown of the pill's active ingredients. Effects on the intestinal flora , which might result in reduced absorption of estrogens in the colon, have also been suggested, but such suggestions have been inconclusive and controversial. Clinicians have recommended that extra contraceptive measures be applied during therapies using antibiotics that are suspected to interact with oral contraceptives . More studies on
12948-516: The cadavers of condemned criminals, which was considered taboo until the Renaissance—Herophilus was recognized as the first person to perform systematic dissections. Herophilus became known for his anatomical works, making impressive contributions to many branches of anatomy and many other aspects of medicine. Some of the works included classifying the system of the pulse, the discovery that human arteries had thicker walls than veins, and that
13104-412: The colon and the skin as a colocutaneous fistula. A fistula can result from an infection, inflammation, injury or surgery. Many result from complications during childbirth. Sometimes a fistula is deliberately surgically created as part of a treatment, for example in the case of an arteriovenous fistula for hemodialysis . The treatment for a fistula varies depending on the type, cause, and severity of
13260-438: The concurrent application of two or more antibiotics) has been used to delay or prevent the emergence of resistance. In acute bacterial infections, antibiotics as part of combination therapy are prescribed for their synergistic effects to improve treatment outcome as the combined effect of both antibiotics is better than their individual effect. Fosfomycin has the highest number of synergistic combinations among antibiotics and
13416-418: The dermis which are overlain by horny ones and are partially fused with the ribs and spine. The neck is long and flexible and the head and the legs can be drawn back inside the shell. Turtles are vegetarians and the typical reptile teeth have been replaced by sharp, horny plates. In aquatic species, the front legs are modified into flippers. Tuataras superficially resemble lizards but the lineages diverged in
13572-402: The digestive and reproductive systems. Herophilus discovered and described not only the salivary glands but also the small intestine and liver. He showed that the uterus is a hollow organ and described the ovaries and uterine tubes. He recognized that spermatozoa were produced by the testes and was the first to identify the prostate gland. The anatomy of the muscles and skeleton is described in
13728-497: The early 20th century, treatments for infections were based primarily on medicinal folklore . Mixtures with antimicrobial properties that were used in treatments of infections were described over 2,000 years ago. Many ancient cultures, including the ancient Egyptians and ancient Greeks , used specially selected mold and plant materials to treat infections . Nubian mummies studied in the 1990s were found to contain significant levels of tetracycline . The beer brewed at that time
13884-402: The egg-laying monotremes , the platypus and the echidnas of Australia. Most other mammals have a placenta through which the developing foetus obtains nourishment, but in marsupials , the foetal stage is very short and the immature young is born and finds its way to its mother's pouch where it latches on to a teat and completes its development. Humans have the overall body plan of
14040-523: The end of each male pedipalp is a spoon-shaped cymbium that acts to support the copulatory organ . In 1600 BCE, the Edwin Smith Papyrus , an Ancient Egyptian medical text , described the heart and its vessels, as well as the brain and its meninges and cerebrospinal fluid , and the liver , spleen , kidneys , uterus and bladder . It showed the blood vessels diverging from the heart. The Ebers Papyrus ( c. 1550 BCE ) features
14196-467: The epidermis are modified into horny scales which create a waterproof layer. Reptiles are unable to use their skin for respiration as do amphibians and have a more efficient respiratory system drawing air into their lungs by expanding their chest walls. The heart resembles that of the amphibian but there is a septum which more completely separates the oxygenated and deoxygenated bloodstreams. The reproductive system has evolved for internal fertilization, with
14352-413: The epidermis is normally formed of epithelial cells and secretes an extracellular matrix which provides support to the organism. An endoskeleton derived from the mesoderm is present in echinoderms , sponges and some cephalopods . Exoskeletons are derived from the epidermis and is composed of chitin in arthropods (insects, spiders, ticks, shrimps, crabs, lobsters). Calcium carbonate constitutes
14508-429: The epithelial lining and in the large intestine there are intestinal villi . Skin consists of an outer layer of keratinized stratified squamous epithelium that covers the exterior of the vertebrate body. Keratinocytes make up to 95% of the cells in the skin . The epithelial cells on the external surface of the body typically secrete an extracellular matrix in the form of a cuticle . In simple animals this may just be
14664-610: The equivalent of tissues and organs. Locomotion is often provided by cilia or flagella or may proceed via the advance of pseudopodia , food may be gathered by phagocytosis , energy needs may be supplied by photosynthesis and the cell may be supported by an endoskeleton or an exoskeleton . Some protozoans can form multicellular colonies. Metazoans are a multicellular organism, with different groups of cells serving different functions. The most basic types of metazoan tissues are epithelium and connective tissue, both of which are present in nearly all invertebrates. The outer surface of
14820-405: The father of microscopical anatomy, discovered that plants had tubules similar to those he saw in insects like the silk worm. He observed that when a ring-like portion of bark was removed on a trunk a swelling occurred in the tissues above the ring, and he unmistakably interpreted this as growth stimulated by food coming down from the leaves, and being captured above the ring. Arthropods comprise
14976-435: The feathers when the bird preens . There are scales on the legs, feet and claws on the tips of the toes. Mammals are a diverse class of animals, mostly terrestrial but some are aquatic and others have evolved flapping or gliding flight. They mostly have four limbs, but some aquatic mammals have no limbs or limbs modified into fins, and the forelimbs of bats are modified into wings. The legs of most mammals are situated below
15132-443: The features of ancient fish. They have a bony skeleton, are generally laterally flattened, have five pairs of gills protected by an operculum , and a mouth at or near the tip of the snout. The dermis is covered with overlapping scales . Bony fish have a swim bladder which helps them maintain a constant depth in the water column, but not a cloaca. They mostly spawn a large number of small eggs with little yolk which they broadcast into
15288-587: The first systemically active antibacterial drug, Prontosil , was developed by a research team led by Gerhard Domagk in 1932 or 1933 at the Bayer Laboratories of the IG Farben conglomerate in Germany. However, the effectiveness and easy access to antibiotics have also led to their overuse and some bacteria have evolved resistance to them. Antimicrobial resistance (AMR), a naturally occurring process,
15444-399: The first bacteria to be discovered were rod-shaped. Antibiotics are used to treat or prevent bacterial infections, and sometimes protozoan infections . ( Metronidazole is effective against a number of parasitic diseases ). When an infection is suspected of being responsible for an illness but the responsible pathogen has not been identified, an empiric therapy is adopted. This involves
15600-514: The first synthetic antibacterial organoarsenic compound salvarsan , now called arsphenamine. This heralded the era of antibacterial treatment that was begun with the discovery of a series of arsenic-derived synthetic antibiotics by both Alfred Bertheim and Ehrlich in 1907. Ehrlich and Bertheim had experimented with various chemicals derived from dyes to treat trypanosomiasis in mice and spirochaeta infection in rabbits. While their early compounds were too toxic, Ehrlich and Sahachiro Hata ,
15756-468: The fistula is temporarily covered, using a fibrin glue or plug. Catheters may be required to drain a fistula. Surgery is often required to assure adequate drainage of the fistula (so that pus may escape without forming an abscess ). Various surgical procedures are used, most commonly fistulotomy , placement of a seton (a cord that is passed through the path of the fistula to keep it open for draining), or an endorectal flap procedure (where healthy tissue
15912-408: The fistula, but often involves surgical intervention combined with antibiotic therapy. In some cases the fistula is temporarily covered using a fibrin glue or plug. A catheter may be required to drain a fistula. Globally, every year between 50,000 and 100,000 women are affected by one or more fistulas relating to childbirth. Typically they are vaginal fistulas, between either the bowel or bladder and
16068-444: The form of biodegradation of pharmaceuticals, such as sulfamethazine-degrading soil bacteria introduced to sulfamethazine through medicated pig feces. The survival of bacteria often results from an inheritable resistance, but the growth of resistance to antibacterials also occurs through horizontal gene transfer . Horizontal transfer is more likely to happen in locations of frequent antibiotic use. Antibacterial resistance may impose
16224-923: The genetic makeup of bacterial strains. For example, an antibiotic target may be absent from the bacterial genome . Acquired resistance results from a mutation in the bacterial chromosome or the acquisition of extra-chromosomal DNA. Antibacterial-producing bacteria have evolved resistance mechanisms that have been shown to be similar to, and may have been transferred to, antibacterial-resistant strains. The spread of antibacterial resistance often occurs through vertical transmission of mutations during growth and by genetic recombination of DNA by horizontal genetic exchange . For instance, antibacterial resistance genes can be exchanged between different bacterial strains or species via plasmids that carry these resistance genes. Plasmids that carry several different resistance genes can confer resistance to multiple antibacterials. Cross-resistance to several antibacterials may also occur when
16380-488: The goal of obtaining information about the structure and organization of organs and systems. Methods used include dissection , in which a body is opened and its organs studied, and endoscopy , in which a video camera -equipped instrument is inserted through a small incision in the body wall and used to explore the internal organs and other structures. Angiography using X-rays or magnetic resonance angiography are methods to visualize blood vessels. The term "anatomy"
16536-482: The head. The dermis is covered with separate dermal placoid scales . They have a cloaca into which the urinary and genital passages open, but not a swim bladder . Cartilaginous fish produce a small number of large, yolky eggs. Some species are ovoviviparous and the young develop internally but others are oviparous and the larvae develop externally in egg cases. The bony fish lineage shows more derived anatomical traits, often with major evolutionary changes from
16692-441: The highest consumption with a rate of 64.4. Burundi had the lowest at 4.4. Amoxicillin and amoxicillin/clavulanic acid were the most frequently consumed. Antibiotics are screened for any negative effects before their approval for clinical use, and are usually considered safe and well tolerated. However, some antibiotics have been associated with a wide extent of adverse side effects ranging from mild to very severe depending on
16848-512: The human body were made, which contributed to the understanding of the brain, eye, liver, reproductive organs, and nervous system. The Hellenistic Egyptian city of Alexandria was the stepping-stone for Greek anatomy and physiology. Alexandria not only housed the biggest library for medical records and books of the liberal arts in the world during the time of the Greeks but was also home to many medical practitioners and philosophers. Great patronage of
17004-577: The intestine, it is known as an enteroenteral fistula, between the small intestine and the skin as an enterocutaneous fistula, and between the small intestine and the colon as a colocutaneous fistula. The following list is sorted by the International Statistical Classification of Diseases and Related Health Problems . Treatment for fistula varies depending on the cause and extent of the fistula, but often involves surgical intervention combined with antibiotic therapy. In some cases
17160-492: The largest phylum of invertebrates in the animal kingdom with over a million known species. Insects possess segmented bodies supported by a hard-jointed outer covering, the exoskeleton , made mostly of chitin . The segments of the body are organized into three distinct parts, a head, a thorax and an abdomen . The head typically bears a pair of sensory antennae , a pair of compound eyes , one to three simple eyes ( ocelli ) and three sets of modified appendages that form
17316-401: The late 1880s. Ehrlich noted certain dyes would colour human, animal, or bacterial cells, whereas others did not. He then proposed the idea that it might be possible to create chemicals that would act as a selective drug that would bind to and kill bacteria without harming the human host. After screening hundreds of dyes against various organisms, in 1907, he discovered a medicinally useful drug,
17472-399: The length of the sides of fish, and these respond to nearby movements and to changes in water pressure. Sharks and rays are basal fish with numerous primitive anatomical features similar to those of ancient fish, including skeletons composed of cartilage. Their bodies tend to be dorso-ventrally flattened, they usually have five pairs of gill slits and a large mouth set on the underside of
17628-409: The location of infection, and the pharmacokinetic and pharmacodynamic properties of the antibacterial. The bactericidal activity of antibacterials may depend on the bacterial growth phase, and it often requires ongoing metabolic activity and division of bacterial cells. These findings are based on laboratory studies, and in clinical settings have also been shown to eliminate bacterial infection. Since
17784-437: The lungs have a single chamber and lack bronchi . The tuatara has a well-developed parietal eye on its forehead. Lizards have skulls with only one fenestra on each side, the lower bar of bone below the second fenestra having been lost. This results in the jaws being less rigidly attached which allows the mouth to open wider. Lizards are mostly quadrupeds, with the trunk held off the ground by short, sideways-facing legs, but
17940-400: The main part of the trunk. The heart has two chambers and pumps the blood through the respiratory surfaces of the gills and on round the body in a single circulatory loop. The eyes are adapted for seeing underwater and have only local vision. There is an inner ear but no external or middle ear . Low frequency vibrations are detected by the lateral line system of sense organs that run along
18096-477: The more developed animals whose structures and organs are formed from three germ layers are called triploblastic . All of a triploblastic animal's tissues and organs are derived from the three germ layers of the embryo, the ectoderm , mesoderm and endoderm . Animal tissues can be grouped into four basic types: connective , epithelial , muscle and nervous tissue . Connective tissues are fibrous and made up of cells scattered among inorganic material called
18252-475: The nerves form a nerve net , but in most animals they are organized longitudinally into bundles. In simple animals, receptor neurons in the body wall cause a local reaction to a stimulus. In more complex animals, specialized receptor cells such as chemoreceptors and photoreceptors are found in groups and send messages along neural networks to other parts of the organism. Neurons can be connected together in ganglia . In higher animals, specialized receptors are
18408-416: The notochord, and the gastrointestinal tract is below it. Nervous tissue is derived from the ectoderm , connective tissues are derived from mesoderm , and gut is derived from the endoderm . At the posterior end is a tail which continues the spinal cord and vertebrae but not the gut. The mouth is found at the anterior end of the animal, and the anus at the base of the tail. The defining characteristic of
18564-516: The occurrence of stroke. There are many different routes of administration for antibiotic treatment. Antibiotics are usually taken by mouth . In more severe cases, particularly deep-seated systemic infections , antibiotics can be given intravenously or by injection. Where the site of infection is easily accessed, antibiotics may be given topically in the form of eye drops onto the conjunctiva for conjunctivitis or ear drops for ear infections and acute cases of swimmer's ear . Topical use
18720-509: The ones which cause the common cold or influenza . Drugs which inhibit growth of viruses are termed antiviral drugs or antivirals. Antibiotics are also not effective against fungi . Drugs which inhibit growth of fungi are called antifungal drugs . Sometimes, the term antibiotic —literally "opposing life", from the Greek roots ἀντι anti , "against" and βίος bios , "life"—is broadly used to refer to any substance used against microbes , but in
18876-428: The only anatomical textbook for the next thousand years. His work was known to Renaissance doctors only through Islamic Golden Age medicine until it was translated from Greek sometime in the 15th century. Anatomy developed little from classical times until the sixteenth century; as the historian Marie Boas writes, "Progress in anatomy before the sixteenth century is as mysteriously slow as its development after 1500
19032-707: The patient's weight and history of prior use. Other forms of misuse include failure to take the entire prescribed course of the antibiotic, incorrect dosage and administration, or failure to rest for sufficient recovery. Inappropriate antibiotic treatment, for example, is their prescription to treat viral infections such as the common cold . One study on respiratory tract infections found "physicians were more likely to prescribe antibiotics to patients who appeared to expect them". Multifactorial interventions aimed at both physicians and patients can reduce inappropriate prescription of antibiotics. The lack of rapid point of care diagnostic tests, particularly in resource-limited settings
19188-511: The possibility of tendon damage from the administration of a quinolone antibiotic with a systemic corticosteroid . Some antibiotics may also damage the mitochondrion , a bacteria-derived organelle found in eukaryotic, including human, cells. Mitochondrial damage cause oxidative stress in cells and has been suggested as a mechanism for side effects from fluoroquinolones . They are also known to affect chloroplasts . There are few well-controlled studies on whether antibiotic use increases
19344-447: The possible interactions between antibiotics and birth control pills (oral contraceptives) are required as well as careful assessment of patient-specific risk factors for potential oral contractive pill failure prior to dismissing the need for backup contraception. Interactions between alcohol and certain antibiotics may occur and may cause side effects and decreased effectiveness of antibiotic therapy. While moderate alcohol consumption
19500-536: The risk of oral contraceptive failure. The majority of studies indicate antibiotics do not interfere with birth control pills , such as clinical studies that suggest the failure rate of contraceptive pills caused by antibiotics is very low (about 1%). Situations that may increase the risk of oral contraceptive failure include non-compliance (missing taking the pill), vomiting, or diarrhea. Gastrointestinal disorders or interpatient variability in oral contraceptive absorption affecting ethinylestradiol serum levels in
19656-790: The risk of surgical site infections. However, there are certain general causes for concern with topical administration of antibiotics. Some systemic absorption of the antibiotic may occur; the quantity of antibiotic applied is difficult to accurately dose, and there is also the possibility of local hypersensitivity reactions or contact dermatitis occurring. It is recommended to administer antibiotics as soon as possible, especially in life-threatening infections. Many emergency departments stock antibiotics for this purpose. Antibiotic consumption varies widely between countries. The WHO report on surveillance of antibiotic consumption published in 2018 analysed 2015 data from 65 countries. As measured in defined daily doses per 1,000 inhabitants per day. Mongolia had
19812-493: The same underlying skeletal structure was inherited from their last common ancestor. This is one of the arguments put forward by Charles Darwin to support his theory of evolution . The body of a fish is divided into a head, trunk and tail, although the divisions between the three are not always externally visible. The skeleton, which forms the support structure inside the fish, is either made of cartilage, in cartilaginous fish , or bone in bony fish . The main skeletal element
19968-670: The shells of molluscs , brachiopods and some tube-building polychaete worms and silica forms the exoskeleton of the microscopic diatoms and radiolaria . Other invertebrates may have no rigid structures but the epidermis may secrete a variety of surface coatings such as the pinacoderm of sponges, the gelatinous cuticle of cnidarians ( polyps , sea anemones , jellyfish ) and the collagenous cuticle of annelids . The outer epithelial layer may include cells of several types including sensory cells, gland cells and stinging cells. There may also be protrusions such as microvilli , cilia, bristles, spines and tubercles . Marcello Malpighi ,
20124-494: The species composition in the intestinal flora , resulting, for example, in overgrowth of pathogenic bacteria, such as Clostridioides difficile . Taking probiotics during the course of antibiotic treatment can help prevent antibiotic-associated diarrhea. Antibacterials can also affect the vaginal flora , and may lead to overgrowth of yeast species of the genus Candida in the vulvo-vaginal area. Additional side effects can result from interaction with other drugs, such as
20280-402: The species of bacteria. In general, combinations of a bacteriostatic antibiotic and bactericidal antibiotic are antagonistic. In addition to combining one antibiotic with another, antibiotics are sometimes co-administered with resistance-modifying agents. For example, β-lactam antibiotics may be used in combination with β-lactamase inhibitors , such as clavulanic acid or sulbactam , when
20436-465: The structural organization of living things. It is an old science, having its beginnings in prehistoric times. Anatomy is inherently tied to developmental biology , embryology , comparative anatomy , evolutionary biology , and phylogeny , as these are the processes by which anatomy is generated, both over immediate and long-term timescales. Anatomy and physiology , which study the structure and function of organisms and their parts respectively, make
20592-428: The study of cells . The history of anatomy is characterized by a progressive understanding of the functions of the organs and structures of the human body. Methods have also improved dramatically, advancing from the examination of animals by dissection of carcasses and cadavers (corpses) to 20th-century medical imaging techniques, including X-ray , ultrasound , and magnetic resonance imaging . Derived from
20748-741: The tail is laterally compressed. It undulates from side to side to force the animal through the water when swimming. The tough keratinized scales provide body armour and some are fused to the skull. The nostrils, eyes and ears are elevated above the top of the flat head enabling them to remain above the surface of the water when the animal is floating. Valves seal the nostrils and ears when it is submerged. Unlike other reptiles, crocodilians have hearts with four chambers allowing complete separation of oxygenated and deoxygenated blood. Birds are tetrapods but though their hind limbs are used for walking or hopping, their front limbs are wings covered with feathers and adapted for flight. Birds are endothermic , have
20904-403: The term is most common in its adjectival forms, where it is used in binomial names to refer to species that are distinguished by hollow or tubular structures. Monarda fistulosa , for example, has tubular flowers; Eutrochium fistulosum has a tubular stem; Allium fistulosum has hollow or tubular leaves, and Acacia seyal subsp. fistula is the subspecies with hollow spines. The term
21060-401: The toes are often webbed for swimming or have suction pads for climbing. Frogs have large eyes and no tail. Salamanders resemble lizards in appearance; their short legs project sideways, the belly is close to or in contact with the ground and they have a long tail. Caecilians superficially resemble earthworms and are limbless. They burrow by means of zones of muscle contractions which move along
21216-538: The trunk, which is held well clear of the ground. The bones of mammals are well ossified and their teeth, which are usually differentiated, are coated in a layer of prismatic enamel . The teeth are shed once ( milk teeth ) during the animal's lifetime or not at all, as is the case in cetaceans . Mammals have three bones in the middle ear and a cochlea in the inner ear . They are clothed in hair and their skin contains glands which secrete sweat . Some of these glands are specialized as mammary glands , producing milk to feed
21372-442: The type of antibiotic used, the microbes targeted, and the individual patient. Side effects may reflect the pharmacological or toxicological properties of the antibiotic or may involve hypersensitivity or allergic reactions. Adverse effects range from fever and nausea to major allergic reactions, including photodermatitis and anaphylaxis . Common side effects of oral antibiotics include diarrhea , resulting from disruption of
21528-493: The use of antibiotics in livestock, which violated FDA regulations. Studies have shown that common misconceptions about the effectiveness and necessity of antibiotics to treat common mild illnesses contribute to their overuse. Other forms of antibiotic-associated harm include anaphylaxis , drug toxicity most notably kidney and liver damage, and super-infections with resistant organisms. Antibiotics are also known to affect mitochondrial function, and this may contribute to
21684-505: The use of antibiotics, attributable partly to resistance against such regulation by industries using or selling antibiotics, and to the time required for research to test causal links between their use and resistance to them. Two federal bills (S.742 and H.R. 2562 ) aimed at phasing out nontherapeutic use of antibiotics in US food animals were proposed, but have not passed. These bills were endorsed by public health and medical organizations, including
21840-445: The use of molds to treat infections was John Parkinson (1567–1650). Antibiotics revolutionized medicine in the 20th century. Synthetic antibiotic chemotherapy as a science and development of antibacterials began in Germany with Paul Ehrlich in the late 1880s. Alexander Fleming (1881–1955) discovered modern day penicillin in 1928, the widespread use of which proved significantly beneficial during wartime. The first sulfonamide and
21996-903: The usual medical usage, antibiotics (such as penicillin ) are those produced naturally (by one microorganism fighting another), whereas non-antibiotic antibacterials (such as sulfonamides and antiseptics ) are fully synthetic . However, both classes have the same effect of killing or preventing the growth of microorganisms, and both are included in antimicrobial chemotherapy . "Antibacterials" include bactericides , bacteriostatics , antibacterial soaps , and chemical disinfectants , whereas antibiotics are an important class of antibacterials used more specifically in medicine and sometimes in livestock feed . Antibiotics have been used since ancient times. Many civilizations used topical application of moldy bread, with many references to its beneficial effects arising from ancient Egypt, Nubia , China , Serbia , Greece, and Rome. The first person to directly document
22152-471: The vaginal canal, but uterine and bowel fistulas also occur. In botany , the term is most common in its adjectival forms, where it is used in binomial names to refer to a species that is distinguished by one or more hollow or tubular structures. Monarda fistulosa , for example, has tubular flowers. The term was first used in the 14th century. A fistula is an abnormal connection between vessels or organs that do not usually connect. It can be due to
22308-442: The vertebrae. Their skulls are mostly broad and short, and are often incompletely ossified. Their skin contains little keratin and lacks scales, but contains many mucous glands and in some species, poison glands. The hearts of amphibians have three chambers, two atria and one ventricle . They have a urinary bladder and nitrogenous waste products are excreted primarily as urea . Amphibians breathe by means of buccal pumping ,
22464-437: The water column. Amphibians are a class of animals comprising frogs , salamanders and caecilians . They are tetrapods , but the caecilians and a few species of salamander have either no limbs or their limbs are much reduced in size. Their main bones are hollow and lightweight and are fully ossified and the vertebrae interlock with each other and have articular processes . Their ribs are usually short and may be fused to
22620-411: The young. Mammals breathe with lungs and have a muscular diaphragm separating the thorax from the abdomen which helps them draw air into the lungs. The mammalian heart has four chambers, and oxygenated and deoxygenated blood are kept entirely separate. Nitrogenous waste is excreted primarily as urea. Mammals are amniotes , and most are viviparous , giving birth to live young. Exceptions to this are
22776-425: Was also responsible for naming and describing the function of the epiglottis and the heart's valves, including the tricuspid. During the third century, Greek physicians were able to differentiate nerves from blood vessels and tendons and to realize that the nerves convey neural impulses. It was Herophilus who made the point that damage to motor nerves induced paralysis. Herophilus named the meninges and ventricles in
22932-477: Was conjectured to have been the source. The use of antibiotics in modern medicine began with the discovery of synthetic antibiotics derived from dyes. Various Essential oils have been shown to have anti-microbial properties. Along with this, the plants from which these oils have been derived from can be used as niche anti-microbial agents. Synthetic antibiotic chemotherapy as a science and development of antibacterials began in Germany with Paul Ehrlich in
23088-522: Was developed by a research team led by Gerhard Domagk in 1932 or 1933 at the Bayer Laboratories of the IG Farben conglomerate in Germany, for which Domagk received the 1939 Nobel Prize in Physiology or Medicine. Sulfanilamide, the active drug of Prontosil, was not patentable as it had already been in use in the dye industry for some years. Prontosil had a relatively broad effect against Gram-positive cocci , but not against enterobacteria . Research
23244-431: Was first used in 1942 by Selman Waksman and his collaborators in journal articles to describe any substance produced by a microorganism that is antagonistic to the growth of other microorganisms in high dilution. This definition excluded substances that kill bacteria but that are not produced by microorganisms (such as gastric juices and hydrogen peroxide ). It also excluded synthetic antibacterial compounds such as
23400-473: Was first used in the 14th century. A fistula plays an central role in William Shakespeares play All's Well That Ends Well Anatomy Anatomy (from Ancient Greek ἀνατομή ( anatomḗ ) ' dissection ') is the branch of morphology concerned with the study of the internal structure of organisms and their parts. Anatomy is a branch of natural science that deals with
23556-423: Was identified in the United States resistant to colistin , "the last line of defence" antibiotic . In recent years, even anaerobic bacteria, historically considered less concerning in terms of resistance, have demonstrated high rates of antibiotic resistance, particularly Bacteroides , for which resistance rates to penicillin have been reported to exceed 90%. Per The ICU Book , "The first rule of antibiotics
23712-507: Was introduced by the French bacteriologist Jean Paul Vuillemin as a descriptive name of the phenomenon exhibited by these early antibacterial drugs. Antibiosis was first described in 1877 in bacteria when Louis Pasteur and Robert Koch observed that an airborne bacillus could inhibit the growth of Bacillus anthracis . These drugs were later renamed antibiotics by Selman Waksman , an American microbiologist, in 1947. The term antibiotic
23868-421: Was particularly concerned with studies of the circulatory and nervous systems. He could distinguish the human body's sensory and motor nerves and believed air entered the lungs and heart, which was then carried throughout the body. His distinction between the arteries and veins—the arteries carrying the air through the body, while the veins carry the blood from the heart was a great anatomical discovery. Erasistratus
24024-434: Was stimulated apace by its success. The discovery and development of this sulfonamide drug opened the era of antibacterials. Observations about the growth of some microorganisms inhibiting the growth of other microorganisms have been reported since the late 19th century. These observations of antibiosis between microorganisms led to the discovery of natural antibacterials. Louis Pasteur observed, "if we could intervene in
24180-542: Was the standard anatomy textbook for the next century. Antibiotic An antibiotic is a type of antimicrobial substance active against bacteria . It is the most important type of antibacterial agent for fighting bacterial infections , and antibiotic medications are widely used in the treatment and prevention of such infections. They may either kill or inhibit the growth of bacteria. A limited number of antibiotics also possess antiprotozoal activity. Antibiotics are not effective against viruses such as
24336-560: Was used to treat syphilis in the first half of the 20th century. In 1908, Ehrlich received the Nobel Prize in Physiology or Medicine for his contributions to immunology . Hata was nominated for the Nobel Prize in Chemistry in 1911 and for the Nobel Prize in Physiology or Medicine in 1912 and 1913. The first sulfonamide and the first systemically active antibacterial drug, Prontosil ,
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