The National Association of Biology Teachers (NABT) is an American-based scholarly

society.
NABT was formed in 1938 and incorporated in 1956. Their membership comprises
thousands of biology educators and administrators—representing all grade levels—from the
U.S. and abroad.[1] NABT also publishes the journal The American Biology Teacher nine
times a year. Subscriptions to the journal are available for institutions. Individuals may
purchase individual issues.[2]
NABT has a large number of sections, affiliations and committees that help to facilitate
networking and support. Some examples of these are:
4-Year College Section
2-Year College Section
AP Biology
Multicultural Affairs Section
International Section
Role & Status of Women in Biology Education
Retired Members Section
State and Province Affiliate
NABT BioClub
Outreach Coordinators & Informal Educators
NABT has been involved in several controversies over teaching of creationism in public
schools, including McLean v. Arkansas in 1982 and Kitzmiller v. Dover Area School
District in 2005.

Presidents[edit]
This is an incomplete list, for a complete list, please see List of National Association of
Biology Teachers presidents
Current President: Susan Finazzo

Past Presidents
2016: Bob Melton
2015: Jane Ellis
2014: Stacey Kiser
2013: Mark Little
2012: Don French
2011: Dan Ward
2010: Marion V. "Bunny" Jaskot
2009: John Moore
2008: Todd Carter
2007: Patricia Waller
2006: Toby M Horn

Structural
Main articles: Molecular biology, Cell biology, Genetics, and
Developmental biology
Schematic of typical animal cell depicting the various organelles and structures.
Molecular biology is the study of biology at the molecular level.[43] This
field overlaps with other areas of biology, particularly those of
genetics and biochemistry. Molecular biology is a study of the
interactions of the various systems within a cell, including the
interrelationships of DNA, RNA, and protein synthesis and how those
interactions are regulated.
The next larger scale, cell biology, studies the structural and
physiological properties of cells, including their internal behavior,
interactions with other cells, and with their environment. This is done
on both the microscopic and molecular levels, for unicellular
organisms such as bacteria, as well as the specialized cells of
multicellular organisms such as humans. Understanding the structure
and function of cells is fundamental to all of the biological sciences.
The similarities and differences between cell types are particularly
relevant to molecular biology.
Anatomy is a treatment of the macroscopic forms of such structures
organs and organ systems.[44]
Genetics is the science of genes, heredity, and the variation of
organisms.[45][46] Genes encode the information needed by cells for the
synthesis of proteins, which in turn play a central role in influencing
the final phenotype of the organism. Genetics provides research tools
used in the investigation of the function of a particular gene, or the
analysis of genetic interactions. Within organisms, genetic information
is physically represented as chromosomes, within which it is
represented by a particular sequence of amino acids in particular
DNA molecules.
Developmental biology studies the process by which organisms grow
and develop. Developmental biology, originated from embryology,
studies the genetic control of cell growth, cellular differentiation, and
"cellular morphogenesis," which is the process that progressively
gives rise to tissues, organs, and anatomy. Model organisms for
developmental biology include the round worm Caenorhabditis
elegans,[47] the fruit fly Drosophila melanogaster,[48] the zebrafish
Danio rerio,[49] the mouse Mus musculus,[50] and the weed Arabidopsis
thaliana.[51][52] (A model organism is a species that is extensively
studied to understand particular biological phenomena, with the
expectation that discoveries made in that organism provide insight
into the workings of other organisms.)[53]
Physiological
Main article: Physiology
Physiology is the study of the mechanical, physical, and biochemical
processes of living organisms function as a whole. The theme of
"structure to function" is central to biology. Physiological studies have
traditionally been divided into plant physiology and animal physiology,
but some principles of physiology are universal, no matter what
particular organism is being studied. For example, what is learned
about the physiology of yeast cells can also apply to human cells.
The field of animal physiology extends the tools and methods of
human physiology to non-human species. Plant physiology borrows
techniques from both research fields.
Physiology is the study the interaction of how, for example, the
nervous, immune, endocrine, respiratory, and circulatory systems,
function and interact. The study of these systems is shared with such
medically oriented disciplines as neurology and immunology.
Evolutionary
Evolutionary research is concerned with the origin and descent of
species, and their change over time. It employs scientists from many
taxonomically oriented disciplines, for example, those with special
training in particular organisms such as mammalogy, ornithology,
botany, or herpetology, but are of use in answering more general
questions about evolution.
Evolutionary biology is partly based on paleontology, which uses the
fossil record to answer questions about the mode and tempo of
evolution,[54] and partly on the developments in areas such as
population genetics.[55] In the 1980s, developmental biology re-
entered evolutionary biology after its initial exclusion from the modern
synthesis through the study of evolutionary developmental biology.[56]
Phylogenetics, systematics, and taxonomy are related fields often
considered part of evolutionary biology.

 Evolutionary biology – the study of the origin and descent of species over time
 Genetics – the study of genes and heredity.
 Epigenetics – the study of heritable changes in gene expression or cellular
phenotype caused by mechanisms other than changes in the underlying DNA
sequence
 Hematology (also known as Haematology) – the study of blood and blood-forming
organs.
 Integrative biology – the study of whole organisms
 Marine biology (or biological oceanography) – the study of ocean ecosystems, plants,
animals, and other living beings
 Microbiology – the study of microscopic organisms (microorganisms) and their
interactions with other living things
 Bacteriology – the study of bacteria
 Mycology – the study of fungi
 Parasitology – the study of parasites and parasitism
 Virology – the study of viruses and some other virus-like agents
 Molecular biology – the study of biology and biological functions at the molecular level,
some cross over with biochemistry
 Nanobiology – the study of how nanotechnology can be used in biology, and the study of
living organisms and parts on the nanoscale level of organization
 Neuroscience – the study of the nervous system
 Population biology – the study of groups of conspecific organisms, including
 Population ecology – the study of how population dynamics and extinction
 Population genetics – the study of changes in gene frequencies in populations of
organisms
 Paleontology – the study of fossils and sometimes geographic evidence of prehistoric life
 Pathobiology or pathology – the study of diseases, and the causes, processes, nature,
and development of disease
 Physiology – the study of the functioning of living organisms and the organs and parts of
living organisms
 Phytopathology – the study of plant diseases (also called Plant Pathology)
 Psychobiology – the study of the biological bases of psychology
 Radiobiology – study of the action of ionic radiation on living things.
 Quantum biology – the study of quantum mechanics to biological objects and problems.
 Sociobiology – the study of the biological bases of sociology
 Systems biology – the study complex interactions within biological systems through a
holistic approach
 Structural biology – a branch of molecular biology, biochemistry,
and biophysics concerned with the molecular structure of biological macromolecules
 Theoretical biology – the branch of biology that employs abstractions and mathematical
models to explain biological phenomena
 Zoology – the study of animals, including classification, physiology, development, and
behaviour, including:
  Ethology – the study of animal behaviour
 Entomology – the study of insects
 Herpetology – the study of reptiles and amphibians
 Ichthyology – the study of fish
 Mammalogy – the study of mammals
 Ornithology – the study of birds

A patient admitted to the hospital is usually under the care of a

specific team based on their main presenting problem, e.g., the
cardiology team, who then may interact with other specialties, e.g.,
surgical, radiology, to help diagnose or treat the main problem or any
subsequent complications/developments.
Physicians have many specializations and subspecializations into
certain branches of medicine, which are listed below. There are
variations from country to country regarding which specialties certain
subspecialties are in.
The main branches of medicine are:
• Basic sciences of medicine; this is what every physician is educated
in, and some return to in biomedical research
• Medical specialties
• Interdisciplinary fields, where different medical specialties are mixed
to function in certain occasions.
Basic sciences[edit]
• Anatomy is the study of the physical structure of organisms. In
contrast to macroscopic or gross anatomy, cytology and
histology are concerned with microscopic structures.
• Biochemistry is the study of the chemistry taking place in living
organisms, especially the structure and function of their
chemical components.
• Biomechanics is the study of the structure and function of biological
systems by means of the methods of Mechanics.
• Biostatistics is the application of statistics to biological fields in the
broadest sense. A knowledge of biostatistics is essential in the
planning, evaluation, and interpretation of medical research. It
is also fundamental to epidemiology and evidence-based
medicine.
• Biophysics is an interdisciplinary science that uses the methods of
physics and physical chemistry to study biological systems.
• Cytology is the microscopic study of individual cells.
 Louis Pasteur, as portrayed in his laboratory, 1885 by Albert Edelfelt
• Embryology is the study of the early development of organisms.
• Endocrinology is the study of hormones and their effect throughout
the body of animals.
• Epidemiology is the study of the demographics of disease
processes, and includes, but is not limited to, the study of
epidemics.
• Genetics is the study of genes, and their role in biological
inheritance.
• Histology is the study of the structures of biological tissues by light
microscopy, electron microscopy and immunohistochemistry.
• Immunology is the study of the immune system, which includes the
innate and adaptive immune system in humans, for example.
• Medical physics is the study of the applications of physics principles
in medicine.
• Microbiology is the study of microorganisms, including protozoa,
bacteria, fungi, and viruses.
• Molecular biology is the study of molecular underpinnings of the
process of replication, transcription and translation of the
genetic material.
Neuroscience includes those disciplines of science that are related to
the study of the nervous system. A main focus of neuroscience is the
biology and physiology of the human brain and spinal cord.
Secondary care medical services are provided by medical specialists in their offices or clinics
or at local community hospitals for a patient referred by a primary care provider who first
diagnosed or treated the patient. Referrals are made for those patients who required the
expertise or procedures performed by specialists. These include both ambulatory
care and inpatient services, emergency rooms, intensive care medicine, surgery
services, physical therapy, labor and delivery, endoscopy units,
diagnostic laboratory and medical imaging services, hospice centers, etc. Some primary care
providers may also take care of hospitalized patients and deliver babies in a secondary care
setting.
Tertiary care medical services are provided by specialist hospitals or regional centers
equipped with diagnostic and treatment facilities not generally available at local hospitals.
These include trauma centers, burn treatment centers, advanced neonatology unit
services, organ transplants, high-risk pregnancy, radiation oncology, etc.
Modern medical care also depends on information – still delivered in many health care
settings on paper records, but increasingly nowadays by electronic means.
In low-income countries, modern healthcare is often too expensive for the average person.
International healthcare policy researchers have advocated that "user fees" be removed in
these areas to ensure access, although even after removal, significant costs and barriers
remain.[19]
Separation of prescribing and dispensing is a practice in medicine and pharmacy in which
the physician who provides a medical prescription is independent from the pharmacist who
provides the prescription drug. In the Western world there are centuries of tradition for
separating pharmacists from physicians. In Asian countries it is traditional for physicians to
also provide drugs.[20]

Branches[edit]
Working together as an interdisciplinary team, many highly trained health
professionals besides medical practitioners are involved in the delivery of modern health
care. Examples include: nurses, emergency medical technicians and paramedics, laboratory
scientists, pharmacists, podiatrists, physiotherapists, respiratory therapists, speech
therapists, occupational therapists, radiographers, dietitians,
and bioengineers, surgeons, surgeon's assistant, surgical technologist.
The scope and sciences underpinning human medicine overlap many other fields. Dentistry,
while considered by some a separate discipline from medicine, is a medical field.

Contemporary medicine is in general conducted within health care

systems. Legal, credentialing and financing frameworks are
established by individual governments, augmented on occasion by
international organizations, such as churches. The characteristics of
any given health care system have significant impact on the way
medical care is provided.
From ancient times, Christian emphasis on practical charity gave rise
to the development of systematic nursing and hospitals and the
Catholic Church today remains the largest non-government provider
of medical services in the world.[15] Advanced industrial countries (with
the exception of the United States)[16][17] and many developing
countries provide medical services through a system of universal
health care that aims to guarantee care for all through a single-payer
health care system, or compulsory private or co-operative health
insurance. This is intended to ensure that the entire population has
access to medical care on the basis of need rather than ability to pay.
Delivery may be via private medical practices or by state-owned
hospitals and clinics, or by charities, most commonly by a
combination of all three.
Most tribal societies provide no guarantee of healthcare for the
population as a whole. In such societies, healthcare is available to
those that can afford to pay for it or have self-insured it (either directly
or as part of an employment contract) or who may be covered by care
financed by the government or tribe directly.

Modern drug ampoules

Transparency of information is another factor defining a delivery
system. Access to information on conditions, treatments, quality, and
pricing greatly affects the choice by patients/consumers and,
therefore, the incentives of medical professionals. While the US
healthcare system has come under fire for lack of openness,[18] new
legislation may encourage greater openness. There is a perceived
tension between the need for transparency on the one hand and such
issues as patient confidentiality and the possible exploitation of
information for commercial gain on the other.
Delivery[edit]
See also: Health care, clinic, hospital, and hospice
Provision of medical care is classified into primary, secondary, and
tertiary care categories.
 Nurses in Kokopo, East New Britain, Papua New Guinea
Primary care medical services are provided by physicians, physician
assistants, nurse practitioners, or other health professionals who
have first contact with a patient seeking medical treatment or care.
These occur in physician offices, clinics, nursing homes, schools,
home visits, and other places close to patients. About 90% of medical
visits can be treated by the primary care provider. These include
treatment of acute and chronic illnesses, preventive care and health
education for all ages and both sexes.
The components of the medical interview[10] and encounter are:

 Chief complaint (CC): the reason for the current medical visit. These are the 'symptoms.'
They are in the patient's own words and are recorded along with the duration of each
one. Also called 'chief concern' or 'presenting complaint'.
 History of present illness (HPI): the chronological order of events of symptoms and
further clarification of each symptom. Distinguishable from history of previous illness,
often called past medical history (PMH). Medical history comprises HPI and PMH.
 Current activity: occupation, hobbies, what the patient actually does.
 Medications (Rx): what drugs the patient takes including prescribed, over-the-counter,
and home remedies, as well as alternative and herbal medicines/herbal
remedies. Allergies are also recorded.
 Past medical history (PMH/PMHx): concurrent medical problems, past hospitalizations
and operations, injuries, past infectious diseases or vaccinations, history of known
allergies.
 Social history (SH): birthplace, residences, marital history, social and economic status,
habits (including diet, medications, tobacco, alcohol).
 Family history (FH): listing of diseases in the family that may impact the patient. A family
tree is sometimes used.
 Review of systems (ROS) or systems inquiry: a set of additional questions to ask, which
may be missed on HPI: a general enquiry (have you noticed any weight loss, change in
sleep quality, fevers, lumps and bumps? etc.), followed by questions on the body's main
organ systems (heart, lungs, digestive tract, urinary tract, etc.).
The physical examination is the examination of the patient for medical signs of disease,
which are objective and observable, in contrast to symptoms which are volunteered by the
patient and not necessarily objectively observable.[12] The healthcare provider uses the
senses of sight, hearing, touch, and sometimes smell (e.g., in infection, uremia, diabetic
ketoacidosis). Four actions are the basis of physical
examination: inspection, palpation (feel), percussion (tap to determine resonance
characteristics), and auscultation (listen), generally in that order although auscultation occurs
prior to percussion and palpation for abdominal assessments.[13]
The clinical examination involves the study of:

 Vital signs including height, weight, body temperature, blood pressure, pulse, respiration
rate, and hemoglobin oxygen saturation
 General appearance of the patient and specific indicators of disease (nutritional status,
presence of jaundice, pallor or clubbing)
 Skin
 Head, eye, ear, nose, and throat (HEENT)
 Cardiovascular (heart and blood vessels)
 Respiratory (large airways and lungs)
 Abdomen and rectum
 Genitalia (and pregnancy if the patient is or could be pregnant)
 Musculoskeletal (including spine and extremities)
 Neurological (consciousness, awareness, brain, vision, cranial nerves, spinal cord
and peripheral nerves)
 Psychiatric (orientation, mental state, evidence of abnormal perception or thought).
It is to likely focus on areas of interest highlighted in the medical history and may not include
everything listed above.
The treatment plan may include ordering additional medical laboratory tests and medical
imaging studies, starting therapy, referral to a specialist, or watchful observation. Follow-up
may be advised. Depending upon the health insurance plan and the managed care system,
various forms of "utilization review", such as prior authorization of tests, may place barriers
on accessing expensive services.[14]
The medical decision-making (MDM) process involves analysis and synthesis of all the
above data to come up with a list of possible diagnoses (the differential diagnoses), along
with an idea of what needs to be done to obtain a definitive diagnosis that would explain the
patient's problem.
On subsequent visits, the process may be repeated in an abbreviated manner to obtain any
new history, symptoms, physical findings, and lab or imaging results or specialist
consultations.

his article is about the science and art of healing. For medicaments,
see Pharmaceutical drug. For other uses, see Medicine
(disambiguation).
"Academic medicine" redirects here. For the journal, see Academic
Medicine (journal).
Medicine

Statue of Asclepius, the Greek god of

medicine, holding the symbolic Rod of
Asclepius with its coiled serpent
Specialist Physician, medic
Medicine is the science and practice of the diagnosis, treatment, and
prevention of disease. Medicine encompasses a variety of health
care practices evolved to maintain and restore health by the
prevention and treatment of illness. Contemporary medicine applies
biomedical sciences, biomedical research, genetics, and medical
technology to diagnose, treat, and prevent injury and disease,
typically through pharmaceuticals or surgery, but also through
therapies as diverse as psychotherapy, external splints and traction,
medical devices, biologics, and ionizing radiation, amongst others.[1]
Medicine has existed for thousands of years, during most of which it
was an art (an area of skill and knowledge) frequently having
connections to the religious and philosophical beliefs of local culture.
For example, a medicine man would apply herbs and say prayers for
healing, or an ancient philosopher and physician would apply
bloodletting according to the theories of humorism. In recent
centuries, since the advent of modern science, most medicine has
become a combination of art and science (both basic and applied,
under the umbrella of medical science). While stitching technique for
sutures is an art learned through practice, the knowledge of what
happens at the cellular and molecular level in the tissues being
stitched arises through science.
Prescientific forms of medicine are now known as traditional medicine
and folk medicine. They remain commonly used with or instead of
scientific medicine and are thus called alternative medicine. For
example, evidence on the effectiveness of acupuncture is "variable
and inconsistent" for any condition,[2] but is generally safe when done
by an appropriately trained practitioner.[3] In contrast, treatments
outside the bounds of safety and efficacy are termed quackery.
Contents [hide]
temperature. All of these stimuli are processed in the central nervous system.[73]
Adrenocorticotropic hormone (ACTH) and the sympathetic nervous system stimulate the
synthesis of adrenaline precursors by enhancing the activity of tyrosine
hydroxylase and dopamine β-hydroxylase, two key enzymes involved in catecholamine
synthesis.[citation needed] ACTH also stimulates the adrenal cortex to release cortisol, which
increases the expression of PNMT in chromaffin cells, enhancing adrenaline synthesis. This
is most often done in response to stress.[citation needed] The sympathetic nervous system, acting
via splanchnic nerves to the adrenal medulla, stimulates the release of
adrenaline. Acetylcholine released by preganglionic sympathetic fibers of these nerves acts
on nicotinic acetylcholine receptors, causing cell depolarization and an influx
of calcium through voltage-gated calcium channels. Calcium triggers the exocytosis of
chromaffin granules and, thus, the release of adrenaline (and noradrenaline) into the
bloodstream.[74]
Unlike many other hormones adrenaline (as with other catecholamines) does not
exert negative feedback to down-regulate its own synthesis.[75]Abnormally elevated levels of
adrenaline can occur in a variety of conditions, such as surreptitious epinephrine
administration, pheochromocytoma, and other tumors of the sympathetic ganglia.
Its action is terminated with reuptake into nerve terminal endings, some minute dilution, and
metabolism by monoamine oxidase and catechol-O-methyl transferase.
History[edit]
Main article: History of catecholamine research
Extracts of the adrenal gland were first obtained by Polish physiologist Napoleon Cybulski in
1895. These extracts, which he called nadnerczyna("adrenalin"), contained adrenaline and
other catecholamines.[76] American ophthalmologist William H. Bates discovered adrenaline's
usage for eye surgeries prior to 20 April 1896.[77] Japanese chemist Jokichi Takamine and his
assistant Keizo Uenaka independently discovered adrenaline in 1900.[78][79] In 1901,
Takamine successfully isolated and purified the hormone from the adrenal glands of sheep
and oxen.[80] Adrenaline was first synthesized in the laboratory by Friedrich Stolz and Henry
Drysdale Dakin, independently, in 1904.[79]

Society and culture[edit]

Adrenaline junkie[edit]
See also: Novelty seeking
An adrenaline junkie is somebody who engages in sensation-seeking behavior through "the
pursuit of novel and intense experiences without regard for physical, social, legal or financial
risk".[81] Such activities include extreme and risky sports, substance abuse, unsafe sex, and
crime. The term relates to the increase in circulating levels of adrenaline during
physiological stress.[82] Such an increase in the circulating concentration of adrenaline is
secondary to activation of the sympathetic nerves innervating the adrenal medulla, as it is
rapid and not present in animals where the adrenal gland has been removed.[83] Although
such stress triggers adrenaline release, it also activates many other responses within the
central nervous system reward system which drives behavioral responses, so while the
circulating adrenaline concentration is present, it may not drive behavior. Nevertheless,
adrenaline infusion alone does increase alertness[84] and has roles in the brain including the
augmentation of memory consolidation.[82]:147–8
Strength[edit]
Main article: Hysterical strength
Adrenaline has been implicated in feats of great strength, often occurring in times of crisis.
For example, there are stories of a parent lifting part of a car when their child is trapped
underneath.[85][86]

vary by tissue type and tissue expression of adrenergic receptors. For

example, high levels of epinephrine causes smooth muscle relaxation
in the airways but causes contraction of the smooth muscle that lines
most arterioles.
Epinephrine acts by binding to a variety of adrenergic receptors.
Epinephrine is a nonselective agonist of all adrenergic receptors,
including the major subtypes α1, α2, β1, β2, and β3.[59] Epinephrine's
binding to these receptors triggers a number of metabolic changes.
Binding to α-adrenergic receptors inhibits insulin secretion by the
pancreas, stimulates glycogenolysis in the liver and muscle,[60] and
stimulates glycolysis and inhibits insulin-mediated glycogenesis in
muscle.[61][62] β adrenergic receptor binding triggers glucagon secretion
in the pancreas, increased adrenocorticotropic hormone (ACTH)
secretion by the pituitary gland, and increased lipolysis by adipose
tissue. Together, these effects lead to increased blood glucose and
fatty acids, providing substrates for energy production within cells
throughout the body.[62]
Its actions are to increase peripheral resistance via α1 receptor-
dependent vasoconstriction and to increase cardiac output via its
binding to β1 receptors. The goal of reducing peripheral circulation is
to increase coronary and cerebral perfusion pressures and therefore
increase oxygen exchange at the cellular level.[63] While epinephrine
does increase aortic, cerebral, and carotid circulation pressure, it
lowers carotid blood flow and end-tidal CO2 or ETCO2 levels. It
appears that epinephrine may be improving macrocirculation at the
expense of the capillary beds where actual perfusion is taking
place.[64]
Measurement in biological fluids[edit]
Epinephrine may be quantified in blood, plasma or serum as a
diagnostic aid, to monitor therapeutic administration, or to identify the
causative agent in a potential poisoning victim. Endogenous plasma
epinephrine concentrations in resting adults are normally less than
10 ng/L, but may increase by 10-fold during exercise and by 50-fold
or more during times of stress. Pheochromocytoma patients often
have plasma adrenaline levels of 1000–10,000 ng/L. Parenteral
administration of epinephrine to acute-care cardiac patients can
produce plasma concentrations of 10,000 to 100,000 ng/L.[65][66]
called the catecholamines. It is produced in some neurons of the