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bacterial meningitis ati: Practical Emergency Resuscitation and Critical Care Kaushal Shah, Jarone Lee, Kamal Medlej, Scott D. Weingart, 2013-10-24 Portable, concise and evidence-based clinical information on critical care topics for medical students and residents. |
bacterial meningitis ati: Modern Hospital , 1950-07 |
bacterial meningitis ati: Pocket Companion to Robbins & Cotran Pathologic Basis of Disease E-Book Richard N Mitchell, Vinay Kumar, Abul K. Abbas, Jon C. Aster, 2016-05-29 This pocket companion offers rapid, portable access to the most important pathology facts and concepts from Robbins and Cotran Pathologic Basis of Disease, 9th Edition. It distills the key concepts and principles of pathology into a condensed, at-a-glance format, making it the perfect reference for quick review anytime! - Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. - Access key concepts and principles of pathology in a condensed, at-a-glance format. - Locate additional information with abundant page references to the parent text. - Review for in-course exams and the USMLE Step 1 with content that highlights the most important material in the current edition Robbins and Cotran Pathologic Basis of Disease. - Easily find information with help from a format that closely follows the Table of Contents from the current edition of the parent text. |
bacterial meningitis ati: Pocket Companion to Robbins & Cotran Pathologic Basis of Disease: First South Asia Edition - E-book Richard N Mitchell, Vinay Kumar, Abul K. Abbas, Jon C. Aster, 2016-09-13 This pocket companion offers rapid, portable access to the most important pathology facts and concepts from Robbins and Cotran Pathologic Basis of Disease, First South Asia Edition. It distills the key concepts and principles of pathology into a condensed, at-a-glance format, making it the perfect pocket-sized reference for quick review anytime! - Access key concepts and principles of pathology in a condensed, at-a-glance format that fits in your pocket. - Locate additional information with abundant page references to the parent text. |
bacterial meningitis ati: Case Studies in Neurological Infection Tom Solomon, Benedict D. Michael, Alastair Miller, Rachel Kneen, 2019-03-21 Presents 61 adult and pediatric case studies of common and rare causes of neurological infection in developed and resource-poor settings. |
bacterial meningitis ati: Neurohospitalist Medicine S. Andrew Josephson, W. David Freeman, David J. Likosky, 2011-09-29 Over the past decade, the hospitalist model has become a dominant system for the delivery of inpatient care. Forces such as national mandates to improve safety and quality, and intense pressure to safely reduce length of hospital stays, are now exerting pressure on neurologists. To meet these challenges, a new neurohospitalist model is emerging. This is the first authoritative text to detail the advances and strategies for treating neurologic disease in a hospital setting. It includes chapters on specific acute neurologic diseases including stroke, epilepsy, neuromuscular disease and traumatic brain injury and also addresses common reasons for neurologic consultation in the hospital including encephalopathy, electrolyte disturbances and neurologic complications of pregnancy. Ethical and structural issues commonly encountered in neurologic inpatients are also addressed. This will be a key resource for any clinician or trainee caring for neurologic patients in the hospital including practising neurologists, internists and trainees across multiple subspecialities. |
bacterial meningitis ati: USMLE Step 1 Lecture Notes 2022: Pathology Kaplan Medical, 2022-02-01 The only official Kaplan Lecture Notes for USMLE Step 1 cover the comprehensive information you need to ace the exam and match into the residency of your choice. Up-to-date: Updated annually by Kaplan’s all-star faculty Integrated: Packed with clinical correlations and bridges between disciplines Learner-efficient: Organized in outline format with high-yield summary boxes Trusted: Used by thousands of students each year to succeed on USMLE Step 1 Looking for more prep? Our USMLE Step 1 Lecture Notes 2022: 7-Book Set has this book, plus the rest of the 7-book series. |
bacterial meningitis ati: Meningitis and Encephalitis , 2004 |
bacterial meningitis ati: NCLEX-RN Flashcard Study System Mometrix Nursing Certification Test Team, 2010 |
bacterial meningitis ati: Textbook of Stroke Medicine Michael Brainin, Wolf-Dieter Heiss, Susanne Tabernig, 2014-09-11 Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care. |
bacterial meningitis ati: The Clinical Practice of Emergency Medicine Ann Harwood-Nuss, 1991 |
bacterial meningitis ati: Managing the Critically Ill Child Richard Skone, Fiona Reynolds, Steven Cray, Oliver Bagshaw, Kathleen Berry, 2013-03-07 A practical, user-friendly guide to the management of sick children, written by experienced paediatric emergency physicians and anaesthetists. |
bacterial meningitis ati: The Brigham Intensive Review of Internal Medicine E-Book Ajay K. Singh, Joseph Loscalzo, 2017-12-31 Based on the popular review course from Harvard Medical School, The Brigham Intensive Review of Internal Medicine, 3rd Edition, provides in-depth coverage on all specialties of internal medicine, as well as palliative care, occupational medicine, psychiatry, and geriatric medicine. Ideal for preparing for certification or recertification, this highly regarded review tool keeps you up to date with tremendous changes in the field, incorporating detailed discussions in every chapter, essential learning points, more than 600 review questions, numerous tables and figures, and more. - Organizes 100+ chapters into 10 broad sections, with one additional section devoted to board simulation. Each chapter includes a section of multiple-choice questions. - Shares the knowledge and expertise of leading authorities from Harvard as well as former chief residents at Brigham and Women's Hospital, making this an excellent exam review tool as well as a general practice resource. - Includes three new chapters: Sedation Agitation-Sleep Deprviation; Hepatitis B and C; and Evaluation of the Dyspneic Patient. - Features a brand new, full-color design with all-new diagrams and color photos. - Provides extensively revised information throughout, including more MOC-focused content. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
bacterial meningitis ati: Differential Diagnosis in Cytopathology Book and Online Bundle Paolo Gattuso, Vijaya B. Reddy, Shahla Masood, 2014-12-04 This updated edition remains the essential text for pathologists seeking to make accurate diagnoses from the vast number of differentials. |
bacterial meningitis ati: Anatomic and Clinical Pathology Review - E-Book Meghan Hupp, 2022-04-12 Using a unique outline format, Anatomic and Clinical Pathology Review is both a concise guide for board preparation and a practical quick reference for both residents and practitioners. It covers the major organ systems and subspecialty areas you'll encounter on the certification and recertification exam, including well-established correlations with contemporary molecular and genomic medicine. This comprehensive, easy-to-use review by Dr. Meghan M. Hupp provides the information you need to confidently recognize and accurately diagnose diseases and interpret what you see under the microscope and in the laboratory. - Distills the essential information needed to prepare for both the Anatomic and Clinical Pathology board exams in an easy-to-read outline format. - Provides high-yield, at-a-glance summaries in quick reference format for all topics that are encountered by pathology residents and practitioners in the boards. - Uses brief, to-the-point explanatory text to make key facts easier to memorize. - Incorporates current molecular and serologic tumor markers, techniques, and findings as appropriate. - Features numerous high-quality illustrations that provide a visual guide to histologic appearance of key entities. - Ideal for junior residents as a framework for rotations through the subspecialties, for senior residents and fellows to prepare for boards and their future practice, and for newly practicing pathologists. |
bacterial meningitis ati: Pathology of Solid Organ Transplantation Helen Liapis, Hanlin L. Wang, 2010-12-25 Because of the progress in diagnostic transplantation pathology interpretation of transplant biopsies is increasingly becoming an attractive field for general surgical pathologists. The book focuses on the pathology of transplantation in the following organs: kidney, liver, lungs, heart, pancreas and small intestine. An introductory section addresses common entities that may complicate all transplant recipients such as infections, post-transplant lymphoproliferative disease and graft versus host disease, followed by 6 sections with detailed manifestations of rejection in each organ. This comprehensive, well-illustrated book serves the needs and meets the requirements of pathologists in training and those practicing in centers with limited volume of transplant biopsies in daily practice. |
bacterial meningitis ati: An Introduction to Clinical Emergency Medicine S. V. Mahadevan, Gus M. Garmel, 2012-04-10 Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians. |
bacterial meningitis ati: USMLE Step 1 Lecture Notes 2017: Pathology Kaplan Medical, 2017-02-07 The only official Kaplan Lecture Notes for USMLE Step 1 cover the comprehensive information you need to ace the exam and match into the residency of your choice. * Up-to-date: Updated annually by Kaplan’s all-star faculty * Integrated: Packed with clinical correlations and bridges between disciplines * Learner-efficient: Organized in outline format with high-yield summary boxes * Trusted: Used by thousands of students each year to succeed on USMLE Step 1 |
bacterial meningitis ati: Clinical Manual of Emergency Pediatrics Ellen F. Crain, Jeffrey C. Gershel, 2003 Now available in a compact 4 x 7 format, this portable reference covers the management of emergency conditions seen in pediatric patients. The Fourth Edition includes new sections on pediatric emergency radiology and sports injuries, plus expanded material on infectious diseases and environmental emergencies.. . very well written. . . more complete than traditional pocket books.. -Pediatric Emergency Care Review-review of the previous edition. |
bacterial meningitis ati: Nelson Textbook of Pediatrics E-Book Robert Kliegman, Bonita F. Stanton, Joseph W. St. Geme III, Nina F Schor, Richard E. Behrman, 2011-06-10 Nelson Textbook of Pediatrics has been the world’s most trusted pediatrics resource for nearly 75 years. Drs. Robert Kliegman, Bonita Stanton, Richard Behrman, and two new editors—Drs. Joseph St. Geme and Nina Schor—continue to provide the most authoritative coverage of the best approaches to care. This streamlined new edition covers the latest on genetics, neurology, infectious disease, melamine poisoning, sexual identity and adolescent homosexuality, psychosis associated with epilepsy, and more. Understand the principles of therapy and which drugs and dosages to prescribe for every disease. Locate key content easily and identify clinical conditions quickly thanks to a full-color design and full-color photographs. Access the fully searchable text online at www.expertconsult.com, along with abundant case studies, new references and journal articles, Clinics articles, and exclusive web-only content. Stay current on recent developments and hot topics such as melamine poisoning, long-term mechanical ventilation in the acutely ill child, sexual identity and adolescent homosexuality, age-specific behavior disturbances, and psychosis associated with epilepsy. Tap into substantially enhanced content with world-leading clinical and research expertise from two new editors—Joseph St. Geme, III, MD and Nina Schor, MD—who contribute on the key subspecialties, including pediatric infectious disease and pediatric neurology. Manage the transition to adult healthcare for children with chronic diseases through discussions of the overall health needs of patients with congenital heart defects, diabetes, and cystic fibrosis. Recognize, diagnose, and manage genetic conditions more effectively using an expanded section that covers these diseases, disorders, and syndromes extensively. Find information on chronic and common dermatologic problems more easily with a more intuitive reorganization of the section. |
bacterial meningitis ati: Biomedical Index to PHS-supported Research , 1988 |
bacterial meningitis ati: Robbins Essential Pathology E-Book Vinay Kumar, Abul K. Abbas, Jon C. Aster, Andrea T Deyrup, 2020-04-22 The newest addition to the highly regarded Robbins family of pathology references, Robbins Essential Pathology is a concise resource that covers the core knowledge needed for coursework and exams in an integrated, multimedia format designed for today's students. Ideal for use with an integrated medical curriculum, this easy-to-study multimedia package provides reliable Robbins content in a concentrated, highly efficient format, now fully integrated with interactive digital resources (cases, MCQs, images). Efficient, effective, and up to date, this new Robbins learning resource delivers the essential information you need to obtain a strong scientific foundation in pathology. - The most concise Robbins text available, providing high-quality content and a case-based approach in a focused, multimedia learning package for coursework and exam preparation. - Focuses on the core knowledge of disease mechanisms and essential clinical aspects that medical students need to know. - Features more than 500 images and tables that illustrate key disorders and concepts. |
bacterial meningitis ati: Drug Information Handbook, 1996-97 Charles Lacy, Lora L. Armstrong, Naomi Ingram, Leonard L. Lance, 1996-08 |
bacterial meningitis ati: Case Studies in Pediatric Infectious Diseases Frank E. Berkowitz, 2007-08-13 This book features 121 case studies intended to provide an approach to the diagnosis and treatment of pediatric infectious diseases. There are three sections: the first discusses the principles of diagnosing infections, using epidemiology, microbiology, and clinical medicine, while also discussing the principles of treatment; the second, constituting the core of the book, consists of case studies. A brief case scenario, designed to challenge the reader to work out the answer, is followed by a discussion of the case. The third section contains tables and lists about infectious agents and their epidemiology. |
bacterial meningitis ati: Davis's Drug Guide for Rehabilitation Professionals Charles D. Ciccone, 2013-03-21 A one-of-a-kind guide specifically for rehabilitation specialists! A leader in pharmacology and rehabilitation, Charles Ciccone, PT, PhD offers a concise, easy-to-access resource that delivers the drug information rehabilitation specialists need to know. Organized alphabetically by generic name, over 800 drug monographs offer the most up-to-date information on drug indications, therapeutic effects, potential adverse reactions, and much more! A list of implications for physical therapy at the end of each monograph helps you provide the best possible care for your patients. It’s the perfect companion to Pharmacology in Rehabilitation, 4th Edition! |
bacterial meningitis ati: Biomedical Index to PHS-supported Research: pt. A. Subject access A-H , 1992 |
bacterial meningitis ati: The Causes of Epilepsy Simon D. Shorvon, Frederick Andermann, Renzo Guerrini, 2011-04-14 Causation is an aspect of epilepsy neglected in the scientific literature and in the conceptualization of epilepsy at a clinical and experimental level. It was to remedy this deficiency that this book was conceived. The book opens with a draft etiological classification that goes some way to filling the nosological void. The book is divided into four etiological categories: idiopathic, symptomatic, cryptogenic, and provoked epilepsies. Each chapter considers topics in a consistent fashion, dealing with the phenomenon of epilepsy in each etiology, including its epidemiology, clinical features and prognosis, and any specific aspects of treatment. The book is a comprehensive reference work, a catalogue of all important causes of epilepsy, and a clinical tool for all clinicians dealing with patients who have epilepsy. It is aimed at epileptologists and neurologists and provides a distillation of knowledge in a form that is helpful in the clinical setting. |
bacterial meningitis ati: The Clarion Call Aston Bitrus Jatau, R. I. Ati, 1998 |
bacterial meningitis ati: Preterm Birth Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding Premature Birth and Assuring Healthy Outcomes, 2007-05-23 The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers. |
bacterial meningitis ati: Reverse Acronyms, Initialisms & Abbreviations Dictionary. Mary Rose Bonk, Regie Carlton, Gale Research Inc, 1997 |
bacterial meningitis ati: Emerging Infectious Diseases , 1995 |
bacterial meningitis ati: Adams and Victor's Principles of Neurology Allan H. Ropper, Raymond Delacy Adams, Maurice Victor, Robert H. Brown, 2005 Covers symptoms and signs of disordered nervous function, their analysis in terms of anatomy and physiology, and their clinical implications. Also included are accounts of occurrences of the syndromes and descriptions of main categories and types of disease that express themselves by each syndrome. |
bacterial meningitis ati: Pediatric Nursing Made Incredibly Easy Lippincott Williams & Wilkins, 2014-07-01 Pediatric Nursing Made Incredibly Easy! Second Edition Whether you are prepping for the NCLEX or certification exam, looking for an aid to class materials, or just want to refresh your skills, Pediatric Nursing Made Incredibly Easy!is the answer. Part of the award-winning Made Incredibly Easy! Series, this fun, practical guide addresses pediatric care and childhood disorders in light of each level of child development, with a family-involved care approach. Full of expert insight and MIE’s trademark wit, this lively reference addresses the full range of common pediatric conditions, and illuminates the many roles of the pediatric nurse. Features: · Current data on more than 100 pediatric disorders, including genetic and cognitive disorders · Coverage of topics including: cultural considerations, hospital care, children with disabililties and terminal illness, pain assessment and management, drug metabolism, healthcare team collaboration, ethics and professional boundaries · Full color inserts illuminate complex concepts · “Nurse Joy” and other illustrated characters offer tips and insights · Easy-reference format with concise, bulleted content · Numerous tables, illustrations and flow charts · Special features: · Just the Facts – quick summary at start of each chapter · Quick Quiz – at end of each chapter · Advice from Experts – experienced practitioners’ insights · It’s all relative – teaching tips and checklists for family education · Growing pains – developmental stage descriptions, expectations and risks · Cultured pearls – insights on unique aspects of care by cultural group · Glossary of essential pediatric terms, selected references, and online sources |
bacterial meningitis ati: Pediatric Emergency Critical Care and Ultrasound Stephanie J. Doniger, 2014-04-24 Emergency bedside ultrasound assessment is well established for adult patients, but has only recently been introduced into everyday clinical practice for the care of pediatric patients. Pediatric Emergency Critical Care and Ultrasound is a concise, practical text which explains the principles of ultrasound, its diagnostic application in all organ systems and its use as a procedural adjunct. Both well-established and innovative applications are described, assisting the practitioner in incorporating ultrasound into daily practice, facilitating patient care and decreasing radiation exposure. Case studies and abundant illustrations enable the reader to study the appropriate techniques in detail and learn from real examples from the pediatric emergency department and intensive care unit. Pediatric Emergency Critical Care and Ultrasound is the first comprehensive bedside ultrasonography resource focusing on pediatric patients and is essential reading not only for pediatric emergency medicine subspecialists but for all emergency physicians, intensivists/critical care physicians and pediatricians. |
bacterial meningitis ati: Biomarkers in Trauma, Injury and Critical Care Rajkumar Rajendram, Victor R. Preedy, Vinood B. Patel, 2023-03-22 This handbook systematically presents biomarkers for traumatic injuries. The book covers topics such as traumatic brain injury, liver injury, burn severity, muscle heart damage, and acute inflammation in polytrauma and their detection by biomarkers. Biomarkers and methods used in critical care and critically ill patients are discussed, as well as biomarkers in trauma and special conditions. Specific biomarker components are explained and models for modeling trauma in research are presented. This systematic handbook is an excellent resource for researchers and specialists in trauma research and treatment, as well as clinicians and physicians who want a thorough overview of various injuries, trauma, and their detection methods. |
bacterial meningitis ati: Bacterial and Mycotic Infections of Man René Jules Dubos, 1965 |
bacterial meningitis ati: Jubb, Kennedy & Palmer's Pathology of Domestic Animals: 3-Volume Set Grant Maxie, 2015-08-14 The 6th edition of Jubb, Kennedy, and Palmer's Pathology of Domestic Animals continues the long tradition of this classic set of volumes as the most comprehensive reference book published on the topic of pathology of the common domestic mammals, with emphasis on disease conditions of cattle and small ruminants, swine, horses, dogs and cats. Using a body systems approach, recognized authorities in their fields provide overviews of general characteristics of the system, reactions to insult, and disease conditions broken down by type of infectious or toxic insult affecting the anatomical subdivisions of each body system. Since the publication of the 4th edition in 1993, much has changed. Disease agents, such as Bovine viral diarrhea virus (BVDV) type 2, Porcine reproductive and respiratory syndrome virus (PRRSV), Porcine circovirus 2, Hendra virus, and Leptospira spp., have emerged or further evolved. Molecular-based testing, including polymerase chain reaction (PCR) and in-situ hybridization, have allowed further understanding of pathogenesis of disease, and have greatly furthered our diagnostic capabilities. - Updated content includes new and evolving pathogens and diagnostic techniques. - Updated bibliographies give readers new entry points into the rapidly expanding literature on each subject. - NEW! High-resolution color images clearly depict the diagnostic features of hundreds of conditions. - NEW! Introduction to the Diagnostic Process chapter illustrates the whole animal perspective and details the approaches to systemic, multi-system, and polymicrobial disease. - NEW! Coverage of camelids is now included in the reference's widened scope of species. - NEW! Team of 30+ expert contributors offers the latest perspective on the continuum of issues in veterinary pathology. - NEW! Expanded resources on the companion website include a variety of helpful tools such as full reference lists with entries linked to abstracts in Pub Med and bonus web-only figures. - NEW! Full-color design improves the accessibility of the text. |
bacterial meningitis ati: Cecil Essentials of Medicine E-Book Edward J. Wing, Fred J. Schiffman, 2021-03-17 Known for its concise, easy-to-read writing style and comprehensive coverage, Cecil Essentials of Medicine has been a favorite of students, residents, and instructors through nine outstanding editions. This revised 10th Edition continues the tradition of excellence with a focus on high-yield core knowledge of key importance to anyone entering or established in the field of internal medicine. Fully revised and updated by editors Edward J. Wing and Fred J. Schiffman, along with other leading teachers and experts in the field, Cecil Essentials remains clinically focused and solidly grounded in basic science. - New focus on high-yield, core knowledge necessary for clerkships or residencies in medicine, with concise, complete coverage of the core principles of medicine and how they apply to patient care. - Each section describes key physiology and biochemistry, followed by comprehensive accounts of the diseases of the organ system or field covered in the chapters. - Full-color design enhances readability and retention of concepts, while numerous imaging videos cover cardiovascular disease, endoscopy, sphincterotomy, and more. - Superb images and photographs vividly illustrate the appearance and clinical features of disease. - New chapters cover Women's Cancer and Transitions in Care from Children to Adults with Pulmonary Disease. |
bacterial meningitis ati: Sexually Transmitted Diseases National Center for Prevention Services (U.S.). Division of STD/HIV Prevention, 2002 |
bacterial meningitis ati: Manual of Emergency Pediatrics Robert M. Reece, 1974 Concentrates on the information most vital to the ER physician. This authoritative manual provides coverage of resuscitation measures and medical emergencies, including neurologic, respiratory, cardiac, obstetrical, gastrointestinal, infectious disease, hematologic/oncologic, cutaneous emergencies, and more. Discussions of surgical emergencies, signs and symptoms of disease, primary care conditions in the ER, as well as procedures and imaging techniques are included. |
Bacteria - Wikipedia
The most common fatal bacterial diseases are respiratory infections. …
Bacterial Infection: Causes, Symptoms…
Sep 20, 2022 · Bacterial infections are any illness or condition caused by …
Bacteria | Cell, Evolution, & Classifi…
4 days ago · bacteria, any of a group of microscopic single-celled organisms …
Bacteria - Definition, Shapes, Characteri…
Oct 4, 2019 · Bacteria are single-celled microorganisms with …
Bacteria: Definition & Characteristics Wit…
Feb 2, 2023 · In 1838, the German naturalist Christian Gottfried Ehrenberg …
Bacteria - Wikipedia
The most common fatal bacterial diseases are respiratory infections. Antibiotics are used to treat bacterial infections and are also used in …
Bacterial Infection: Causes, Symptoms, Treatment & Prev…
Sep 20, 2022 · Bacterial infections are any illness or condition caused by bacterial growth or poisons (toxins). You can get sick from getting …
Bacteria | Cell, Evolution, & Classification | Britannica
4 days ago · bacteria, any of a group of microscopic single-celled organisms that live in enormous numbers in almost every environment on Earth, …
Bacteria - Definition, Shapes, Characteristics, Types & Exam…
Oct 4, 2019 · Bacteria are single-celled microorganisms with prokaryotic cells, which are single cells that do not have organelles or a true nucleus and are …
Bacteria: Definition & Characteristics With Example…
Feb 2, 2023 · In 1838, the German naturalist Christian Gottfried Ehrenberg called them ‘bacteria’, from the Greek word ‘baktḗria’, meaning ‘little stick’. …