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Contents - IADR/AADR

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development totaled $1.6 billion in 1968 in the United States; in 1903 the Public Health Service expended a<br />

total of $300 for a research grant in Chicago.<br />

THE LABORATORY IN GROWTH OF MEDICAL SCIENCE<br />

The recent growth of medical science emerged from the increasing interest in chemistry, physics,<br />

microbiology, and pharmacology, as well as in the physiology of health and disease in animals and man. The<br />

problems of the bedside were taken to the laboratory and the discoveries of the laboratory brought to the<br />

bedside. Precision necessary for the new knowledge came through the invention of specific tools and technics:<br />

electrocardiography, electromyography, and angiography; radio scanning for studies of the brain, lung, heart<br />

chambers, liver, pancreas, and spleen; the evaluation of electrolytes in the body fluids and of phosphorus,<br />

calcium, uric acid, creatinine, bicarbonate, and glucose; the determination of blood gases; pulmonary function<br />

tests; improved visualization of the retina by photography; esophagoscopy, gastroscopy, peritoneoscopy,<br />

proctoscopy, thoracoscopy, mediastinoscopy, bronchoscopy, and cystoscopy; the use of isotopes of iron,<br />

sodium, iodine, and phosphorus for both treatment and diagnosis; and the employment of sophisticated<br />

laboratory technics such as column chromatography, absorption spectroscopy, ultracentrifugation, electron<br />

microscopy, X-ray diffraction, electrophoresis on gel media, and immunochemical assays.<br />

Wilhelm Roentgen's wildest dreams could never have imagined the broad range of developments that<br />

flowed from his discovery of a simple X-ray light beam at his laboratory in Würzburg in 1895. Diagnostic<br />

radiology came to include cholecystography, intravenous pyelography, myelography, and angiography and<br />

brought out details such as those seen through tomography, air contrast, and cinematography; it helped to track<br />

down deformities, infection, ulcers, and tumors wherever they occurred. Thanks to the discovery of artificial<br />

radiotherapy by the Joliots in 1934, therapeutic radiology with its gamma rays and its cobalt 60 has been useful<br />

in the treatment of tumors and leukemia. Robert Koch would be surprised at the rise of a new field in<br />

microbiology, the viruses—such as the adenovirus, the virus of Eaton agent pneumonia, and the virus of<br />

hepatitis.<br />

Stupendous developments were a diagnostic skin test of trichinosis; successful vaccination against<br />

tuberculosis, measles, German measles, cholera, and poliomyelitis; and the Dick test for susceptibility to scarlet<br />

fever. 1<br />

Pathology contributed the Pap test, in which smears taken from the cervix, lungs, mammae, and stomach<br />

are studied for early diagnosis of cancer. 2 Percutaneous biopsy of liver and lungs became commonplace.<br />

SUCCESSES IN SURGERY<br />

Surgery entered the vascular system and altered our previously hopeless outlook in that area. In 1945<br />

Alfred Blalock and Helen B. Taussig 3 at the Johns Hopkins Hospital operated on three children with cyanosis<br />

INTERNATIONAL ASSOCIATION FOR DENTAL RESEARCH (<strong>IADR</strong>) – THE FIRST FIFTY YEAR HISTORY PAGE 10

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