Tuberculin Unit
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Tuberculin Unit
Tuberculin, also known as purified protein derivative, is a combination of proteins that are used in the diagnosis of tuberculosis. This use is referred to as the tuberculin skin test and is recommended only for those at high risk. Reliable administration of the skin test requires large amounts of training, supervision, and practice. Injection is done into the skin. After 48 to 72 hours, if there is more than a five to ten millimeter area of swelling, the test is considered positive. Common side effects include redness, itchiness (pruritus), and pain at the site of injection. Allergic reactions may occasionally occur. The test may be falsely positive in those who have been previously vaccinated with BCG or have been infected by other types of mycobacteria. The test may be falsely negative within ten weeks of infection, in those less than six months old, and in those who have been infected for many years. Use is safe in pregnancy. Tuberculin was discovered in 1890 by Rober ...
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Intradermal
Intradermal injection (also intracutaneous or intradermic, abbreviated as ID) is a shallow or superficial injection of a substance into the dermis, which is located between the epidermis and the hypodermis. For certain substances, administration via an ID route can result in a faster systemic uptake compared with subcutaneous injections, leading to a stronger immune response to vaccinations, immunology and novel cancer treatments, and faster drug uptake. Additionally, since administration is closer to the surface of the skin, the body's reaction to substances is more easily visible. However, due to complexity of the procedure compared to subcutaneous injection and intramuscular injection, administration via ID is relatively rare, and is only used for tuberculosis and allergy tests, monkeypox vaccination, and certain therapies. Vaccine dose sparing For vaccination many clinical studies have proven efficacy of ID administration over subcutaneous (SC), intramuscular (IM) or other ...
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Koch's Postulates
Koch's postulates ( ) are four criteria designed to establish a causality, causal relationship between a microbe and a disease. The postulates were formulated by Robert Koch and Friedrich Loeffler in 1884, based on earlier concepts described by Jakob Henle, and the statements were refined and published by Koch in 1890. Koch applied the postulates to describe the etiology of cholera and tuberculosis, both of which are now ascribed to bacteria. The postulates have been controversially generalized to other diseases. More modern concepts in microbial pathogenesis cannot be examined using Koch's postulates, including viruses (which are Obligate parasite, obligate intracellular parasites) and asymptomatic carriers. They have largely been supplanted by other criteria such as the Bradford Hill criteria for infectious disease causality in Public health#Current practice, modern public health and the Molecular Koch's postulates for microbial pathogenesis. Postulates Koch's four postulates ...
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Order Of The Red Eagle
The Order of the Red Eagle () was an order of chivalry of the Kingdom of Prussia. It was awarded to both military personnel and civilians, to recognize valor in combat, excellence in military leadership, long and faithful service to the kingdom, or other achievements. As with most German and other European orders, the Order of the Red Eagle could be awarded only to commissioned officers or civilians of approximately equivalent status. However, there was a medal of the order, which could be awarded to non-commissioned officers and enlisted men, lower ranking civil servants and other civilians. History The predecessor to the Order of the Red Eagle was founded on 17 November 1705, by the Margrave Georg Wilhelm of Brandenburg-Bayreuth as the '' Ordre de la Sincérité''. This soon fell into disuse but was revived in 1712 in Brandenburg-Bayreuth and again in 1734 in Brandenburg-Ansbach, where it first received the name of "Order of the Brandenburg Red Eagle". The statutes were change ...
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Phenazone
Phenazone (International Nonproprietary Name, INN and British Approved Name, BAN; also known as phenazon, antipyrine (United States Adopted Name, USAN), antipyrin, or analgesine) is an analgesic (pain reducing), antipyretic (fever reducing) and anti-inflammatory drug. While it predates the term, it is often classified as a nonsteroidal anti-inflammatory drug (NSAID). Phenazone was one of the earliest synthetic medications — when it was patented in 1883, the only synthetic medical chemicals on the market were chloral hydrate, a sedative (as well as at least one derivative of that chemical), trimethylamine, and iodol (tetraiodopyrrol), an early antiseptic. One of the earliest widely used analgesics and antipyretics, phenazone was gradually replaced in common use by other medications including phenacetin (itself later withdrawn because of safety concerns), aspirin, paracetamol and modern NSAIDs such as ibuprofen. However, it is still available in several countries either as an over-t ...
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International Medical Congress
The International Medical Congress () was a series of international scientific conferences on medicine that took place, periodically, from 1867 until 1913. The idea of such a congress came in 1865, during the third annual Medical Congress of France; Professor Henri Giutrac proposed holding an international medical conference in 1867, taking advantage of the fact that physicians and surgeons from all over the world would surely be in Paris to attend that year's International Exhibition. The first congress was a great success; it enjoyed the patronage of the French Government, having been officially attended by Victor Duruy, Minister of Public Instruction, and had several honorary members selected from foreign diplomatic bodies and learned societies. Congresses Proposed Congress The 18th Congress was due to be held in Munich in 1917, as unanimously agreed by the permanent commission of the International Congress at the 17th Congress in 1913. The Bavarian government and t ...
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Quinine
Quinine is a medication used to treat malaria and babesiosis. This includes the treatment of malaria due to ''Plasmodium falciparum'' that is resistant to chloroquine when artesunate is not available. While sometimes used for nocturnal leg cramps, quinine is not recommended for this purpose due to the risk of serious side effects. It can be taken by mouth or intravenously. Malaria resistance to quinine occurs in certain areas of the world. Quinine is also used as an ingredient in tonic water and other beverages to impart a bitter taste. Common side effects include headache, tinnitus, ringing in the ears, vision issues, and sweating. More severe side effects include deafness, thrombocytopenia, low blood platelets, and an irregular heartbeat. Use can make one more prone to sunburn. While it is unclear if use during pregnancy carries potential for fetal harm, treating malaria during pregnancy with quinine when appropriate is still recommended. Quinine is an alkaloid, a natural ...
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Allergy
Allergies, also known as allergic diseases, are various conditions caused by hypersensitivity of the immune system to typically harmless substances in the environment. These diseases include Allergic rhinitis, hay fever, Food allergy, food allergies, atopic dermatitis, allergic asthma, and anaphylaxis. Symptoms may include allergic conjunctivitis, red eyes, an itchy rash, sneeze, sneezing, coughing, a rhinorrhea, runny nose, shortness of breath, or swelling. Note that food intolerances and food poisoning are separate conditions. Common allergens include pollen and certain foods. Metals and other substances may also cause such problems. Food, insect stings, and medications are common causes of severe reactions. Their development is due to both genetic and environmental factors. The underlying mechanism involves immunoglobulin E antibodies (IgE), part of the body's immune system, binding to an allergen and then to FcεRI, a receptor on mast cells or basophils where it triggers ...
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Smallpox Vaccine
The smallpox vaccine is used to prevent smallpox infection caused by the variola virus. It is the first vaccine to have been developed against a contagious disease. In 1796, British physician Edward Jenner demonstrated that an infection with the relatively mild cowpox virus conferred immunity against the deadly smallpox virus. Cowpox served as a natural vaccine until the modern smallpox vaccine emerged in the 20th century. From 1958 to 1977, the World Health Organization (WHO) conducted a global vaccination campaign that eradicated smallpox, making it the only human disease to be eradicated. Although routine smallpox vaccination is no longer performed on the general public, the vaccine is still being produced for research, and to guard against bioterrorism, biological warfare, and mpox.Anderson MG, Frenkel LD, Homann S, and Guffey J. (2003), "A case of severe monkeypox virus disease in an American child: emerging infections and changing professional values"; ''Pediatr Infect Dis ...
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Clemens Von Pirquet
Clemens Peter Freiherr von Pirquet (12 May 187428 February 1929) was an Austrian scientist and pediatrician best known for his contributions to the fields of bacteriology and immunology. Career Born in Vienna, he studied theology at the University of Innsbruck and philosophy at the University of Leuven before he enrolled at the University of Graz where he became a doctor of medicine in 1900. He started practicing at the Children's Clinic in Vienna. In 1906 he noticed that patients who had previously received injections of horse serum or smallpox vaccine had quicker, more severe reactions to a second injection. He coined the word allergy (from the Greek ''allos'' meaning "other" and ''ergon'' meaning "work") to describe this hypersensitivity reaction. Soon after, the observation with smallpox led Pirquet to realize that tuberculin, which Robert Koch isolated from the bacteria that cause tuberculosis in 1890, might lead to a similar type of reaction. Charles Mantoux expanded up ...
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Dr Hilda Clark
Hilda Clark (12 January 1881 – 24 February 1955) was a British physician and humanitarian aid worker. Early life Clark was born 12 January 1881 at Green Bank, Street, Somerset, Street, Somerset and was the youngest child of the Quaker C. & J. Clark, shoe manufacturer William Stephens Clark and the social reformer Helen Bright Clark, Helen Priestman Bright Clark. As a child, she was involved in athletics and gymnastics. She had a Quaker education at Brighthelmston, at Birkdale in Southport, Lancashire, about 1896–7, and The Mount, in York, from about 1897 to 1900, before studying medicine at University of Birmingham, Birmingham University and the Royal Free Hospital, Royal Free Hospital, London where she graduated M.B. and B.S. in 1908. She was the sister of Alice Clark (historian), Alice Clark, the feminist and historian and the niece of Annie Clark (physician), Annie Clark, one the first women to formally train in medicine in Britain. Her mother and great-aunts helped to fou ...
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Glycerine
Glycerol () is a simple triol compound. It is a colorless, odorless, sweet-tasting, viscous liquid. The glycerol backbone is found in lipids known as glycerides. It is also widely used as a sweetener in the food industry and as a humectant in pharmaceutical formulations. Because of its three hydroxyl groups, glycerol is miscible with water and is hygroscopic in nature. Modern use of the word glycerine (alternatively spelled glycerin) refers to commercial preparations of less than 100% purity, typically 95% glycerol. Structure Although achiral, glycerol is prochiral with respect to reactions of one of the two primary alcohols. Thus, in substituted derivatives, the stereospecific numbering labels the molecule with a ''sn''- prefix before the stem name of the molecule. Production Natural sources Glycerol is generally obtained from plant and animal sources where it occurs in triglycerides, esters of glycerol with long-chain carboxylic acids. The hydrolysis, saponificatio ...
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Heaf Test
The Heaf test, a diagnostic skin test, was long performed to determine whether or not children had been exposed to tuberculosis infection. The test was named after F. R. G. Heaf. Also known as the Sterneedle test, it was administered by a Heaf gun (trademarked "Sterneedle"), a spring-loaded instrument with six needles arranged in a circular formation which was inserted in the wrist or shoulder. The Heaf test was discontinued in 2005 because the manufacturer deemed its production to be financially unsustainable after manufacturers could not be found for tuberculin or Heaf guns. Until 2005, the test was used in the United Kingdom to determine if the BCG vaccine was needed; the Mantoux test is now used instead. The Heaf test was preferred in the UK, because it was thought to be easier to interpret, with less variability between observers, and less training was required to administer and read the test. Patients who exhibited a negative reaction to the test were considered for ...
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