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Integrative Medicine | St. Marys | Lewiston, Maine

Posted: March 7, 2019 at 1:45 am

Integrative Medicine is a specialty that uses all aspects of healing from conventional andcomplementary care. It takes into account the importance of all factors of life on health, both internal (mind, body, and spirit) and external (social and environmental). Integrative Medicine puts a focus on natural, less invasive, and evidence-based care plans for optimal health.

Why consult with an integrative medicine provider?

A 90-minute consultation includes:

Program Director - Anne Brown, MD

Anne Brown, MD has been an internist at St. MarysRegional Medical Center since 1996. She attended medical school at University ofVermont and completed her residency at theOcshner Foundation in New Orleans, Louisiana, and her mind-body training at the Benson-Henry Institute, an affiliate of Massachusetts General Hospital andHarvard Medical School. She completed her fellowship training in 2014 at the University of Arizona to becomea specialist in Integrative Medicine, for which she is is board certified.

Integrative programs we offer:

For more information on Integrative Medicine at St. Mary's, please contact:Dr. Anne BrownSt. Mary's Integrative Medicine & Weight Management198 Main Street, Lewiston, ME 04240(207) 753-4970

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Integrative Medicine | St. Marys | Lewiston, Maine

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Integrative Medicine | The Everett Clinic

Posted: March 7, 2019 at 1:45 am

What is integrative medicine?

Integrative medicine is a patient-centered approach that addresses the biological, psychological, social and spiritual aspects of health and illness. It is a very personalized approach that takes into consideration your unique conditions, needs, and circumstances. Integrative medicine utilizes multiple evidenced based disciplines to help prevent and heal illness and disease and help patients move toward optimal health.

It is based on a partnership between provider and patient, emphasizes respect for the human capacity for healing and utilizes more natural, less invasive therapies when appropriate.

Integrative medicine can be effective at treating chronic disease comprehensively and works with you to prevent disease development. By deeply examining your unique qualities, family history, lifestyle, social structure, and medical status, an individualized care plan is developed. Integrative medicine providers partner with you as well as your primary care provider (PCP) to help provide effective solutions.

Integrative medicine combines all forms of medicine beyond the traditional Western modelso a treatment plan may include diet modifications, nutritional or herbal supplements or recommendations for mind-body practices like meditation or hypnosis. Referral to other evidence-based modalities is utilized when needed, such as acupuncture or bodywork.

Integrative medicine may be a good fit for those who are interested in taking a deeper look at the cause of their diseases/symptoms and for those who are willing to make some changes to their lifestyle to achieve optimal health or to reduce their medications.

Integrative Medicine is a specialty service, and like most other specialties, you will still need a PCP. In some cases, it may be possible for your Integrative Medicine specialist to act as both.

Cheryl Beighle, MD, provides pediatric care at Marysville, Shoreline, and integrative cancer care for adults at Providence Regional Cancer Partnership Everett. To schedule an appointment, call 360-651-7492 for Marysville, 206-401-3200 for Shoreline and 425-297-5560 for the Cancer Partnership.

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Integrative Medicine | The Everett Clinic

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Integrative Medicine | MaineHealth

Posted: March 7, 2019 at 1:45 am

Massage Therapy

Massage therapy means that a provider will manipulate (handle, rub or feel) your body to try to help it feel better. Massage therapy is done by someone called a massage therapist. Massage is a way to help with:

Massage therapy is called a complementary therapy because it can be used in conjunction with clinical careto help with some conditions. Massage is used as an added treatment with regular medical care, and never in place of medical care.

It is important to eat a variety of nutritious foods to stay strong and healthy. Your health care provider may recommend that you take dietary supplements if you are not getting enough nutrients from the foods that you eat. Dietary supplements can be consumed through tablets, herbs, powders, capsules, drinks and foods. Examples of common dietary supplements include calcium, folate, iron and Vitamins A, B, C, D and E.

Talk to your health care provider before taking a new dietary supplement. Ingesting too much of certain dietary supplements can pose a risk to your health. Your provider will help you decide which supplements to take and how much.

Acupuncture can be used to help treat a wide variety of health conditions, including chronic pain, addiction, migraines, allergies and stress. Providers who perform acupuncture are called acupuncturists. The acupuncturist will ask the patient about health conditions and concerns. The acupuncturist will then partially insert tiny needles into the skin at specific points on the body. The needles are removed before the patient goes home. Acupuncture does not leave any lasting marks on the skin.

Usingmind-body relaxation techniques,learn how to use your thoughts to positively influence some of your bodys physical responses, thereby decreasing stress.

Mind-body relaxation exercises have been shown to:

Examples of mind-body calming exercises could include:

Mind-body relaxation techniques are not a substitute for medical care, but often can complement the clinical care you are receiving.

Our health does not just depend on our genes and family history. If we arent eating the right things or getting the right nutrients this can cause problems, or make health conditions worse. Nutritional medicine focuses on making sure that you are getting the right nutrients to help your body do its best, rather than just prescribing a medicine or procedure.

Here are some of the things that nutritional medicine might offer you:

Doctors of osteopathic medicine believe that structural problems in the spinal column can affect the nerves that radiate out to different organs, causing disease. Using osteopathic manipulative therapy, also known as OMT, your physician will move your muscles and joints using techniques such as stretching, gentle pressure and resistance. These treatments can promote healing, decrease pain and increase overall mobility. OMT is used to treat many medical conditions including:

OMT should not hurt and includes more than 40 different techniques including soft tissue massage, muscle energy work, myofascial release, and osteopathic cranial release (the application of soft pressure to your skull to stimulate healing). Other than individuals with bone cancer, bone or joint infection, osteoporosis or spinal fusion, patients of any age and with almost any health conditions can safely receive OMT.

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Integrative Medicine | MaineHealth

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Integrative Medicine – Highland Oaks | Wake Forest Baptist …

Posted: March 7, 2019 at 1:45 am

This chart is a list of the most common health insurance plans we accept. This list is subject to change. Please check your individual plan to confirm their participation and the coverage allowed.

Due to the different physician groups and hospitals within the Wake Forest Baptist system, physician services and hospital services are billed separately. Please remember that health insurance coverage varies, so some services may not be covered.

If you dont see your plan or you have questions, please call our Customer Service Center at 877-938-7497. We will do our best to work with you and your plan.

WFUHS - Wake Forest University Health Sciences (physician services)NCBH - North Carolina Baptist HospitalDavie - Davie Medical CenterLMC - Lexington Medical CenterCHC - Cornerstone HealthcareWilkes - Wilkes Regional Medical CenterN/A - Not applicable to services provided at facilityand/pr CHCNC - Not contracted, very low to no volume for facility and/or CHC

CIGNA BEHAVIORAL HEALTH (limited providers)

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Integrative Medicine - Highland Oaks | Wake Forest Baptist ...

Recommendation and review posted by G. Smith

Genetic Tests for Targeted Cancer Therapy – Lab Tests Online

Posted: March 7, 2019 at 1:43 am

NOTE: This article is based on research that utilizes the sources cited here as well as the collective experience of the Lab Tests Online Editorial Review Board. This article is periodically reviewed by the Editorial Board and may be updated as a result of the review. Any new sources cited will be added to the list and distinguished from the original sources used. To access online sources, copy and paste the URL into your browser.

Sources Used in Current Review

Mahadevan, D. (2015 November 18 Updated). Targeted Cancer Therapy. Medscape Drugs and Diseases. Available online at http://emedicine.medscape.com/article/1372666-overview#showall. Accessed on 9/05/16.

(2013 July 12 Revised). Targeted Cancer Therapy. American Cancer Society. Available online at http://www.cancer.org/treatment/treatmentsandsideeffects/treatmenttypes/targetedtherapy/index. Accessed on 9/05/16.

(2014 June 12 Revised). The History of Cancer. American Cancer Society. Available online at http://www.cancer.org/acs/groups/cid/documents/webcontent/002048-pdf.pdf. Accessed on 9/05/16.

(2014 April 25 Reviewed). Targeted Cancer Therapies. National Cancer Institute. Available online at http://www.cancer.gov/about-cancer/treatment/types/targeted-therapies/targeted-therapies-fact-sheet. Accessed on 9/05/16.

Chaturvedi, P. and Wenig, B. (2015 November 23 Updated). Targeted Molecular Therapy in Head and Neck Squamous Cell Carcinoma Overview of Targeted Molecular Therapy in HNSCC. Available online at http://emedicine.medscape.com/article/854971-overview#showall. Accessed on 9/05/16.

Tuazon, S. (2015 September 25 Updated). BRAF Gene Mutation Tests. Medscape Drugs and Diseases. Available online at http://emedicine.medscape.com/article/2045309-overview#showall. Accessed on 9/05/16.

Markman, M. (2016 April 26 Updated). Colorectal Cancer and KRAS/BRAF. Medscape Drugs and Diseases. Available online at http://emedicine.medscape.com/article/1690010-overview Accessed on 9/05/16.

(2016 June 09 Updated). List of Cleared or Approved Companion Diagnostic Devices (In Vitro and Imaging Tools). US Food and Drug Administration. Available online at http://www.fda.gov/medicaldevices/productsandmedicalprocedures/invitrodiagnostics/ucm301431.htm. Accessed on 9/14/16.

Cagle, P. et. Al (2016). Emerging Biomarkers in Personalized Therapy of Lung Cancer. Adv Exp Med Biol. 2016;890:25-36. doi: 10.1007/978-3-319-24932-2_2. Abstract. Available online at http://www.ncbi.nlm.nih.gov/pubmed/26703797. Accessed on 9/14/16.

Dietel, M. et al (2015 September). A 2015 update on predictive molecular pathology and its role in targeted cancer therapy: a review focussing on clinical relevance. Cancer Gene Ther. 2015 Sep;22(9):417-30. doi: 10.1038/cgt.2015.39. Epub 2015 Sep 11. Abstract. Available online at https://www.ncbi.nlm.nih.gov/pubmed/26358176/. Accessed on 9/14/16.

Abramson, R. 2016. Overview of Targeted Therapies for Cancer. My Cancer Genome (Updated August 8). Available online at https://www.mycancergenome.org/content/molecular-medicine/overview-of-targeted-therapies-for-cancer. Accessed September 2016.

Sources Used in Previous Reviews

Linnea Baudhuin, Phd, DABMG. Assistant Professor of Laboratory Medicine. Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.

(Revised 2011 November 18). Targeted Cancer Therapies. National Cancer Institute Fact Sheet [On-line information]. Available online at http://www.cancer.gov/cancertopics/factsheet/Therapy/targeted. Accessed March 2012.

Gaughan, E. and Costa, D. (2011 May 19). Genotype-driven Therapies for Non-small Cell Lung Cancer, Focus on EGFR, KRAS and ALK Gene Abnormalities. Medscape Today News from Ther Adv Med Oncol v 3(3):113-125 [On-line information]. Available online at http://www.medscape.com/viewarticle/742530. Accessed March 2012.

Ribas, A. and Flaherty, K. (2011 July 8). BRAF Targeted Therapy Changes the Treatment Paradigm in Melanoma. Nat Rev Clin Onc. 2011;8(7) Medscape Today News from Nat Rev Clin Onc. v 8(7) [On-line information]. Available online at http://www.medscape.com/viewarticle/744864. Accessed March 2012.

Mahadevan, D. and Talavera, F. (2011 May 16) Targeted Cancer Therapy. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/1372666-overview#showall. Accessed March 2012.

Bayon, R. and Chaturvedi, P. (2011 March 29). Targeted Molecular Therapy in Head and Neck Squamous Cell Carcinoma Overview of Targeted Molecular Therapy in HNSCC. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/854971-overview. Accessed March 2012.

(2009 July/August). KRAS Mutation Testing for Anti-Epidermal Growth Factor Receptor Therapy in Colorectal and Lung Cancer. Mayo Clinic Mayo Medical Laboratory Communique [On-line information]. Available online at http://www.mayomedicallaboratories.com/articles/communique/2009/07.html. Accessed May 2012.

Cankovic, M. et. al. (2009 December 8). Clinical Performance of JAK2 V617F Mutation Detection Assays in a Molecular Diagnostics Laboratory: Evaluation of Screening and Quantitation Methods. American Journal of Clinical Pathologyv 132(5):713-721. [On-line information]. Available online at http://www.medscape.com/viewarticle/712654. Accessed March 2012.

(Updated 2011 July 8). Colorectal Cancer Trials Support Gene Testing for Two Drugs. National Cancer Institute Fact Sheet [On-line information]. Available online at http://www.cancer.gov/clinicaltrials/results/summary/2008/genetest1108. Accessed March 2012.

Cheson, B. et. al. (2011 November 23). 2011 Top Game Changers in Oncology. Medscape Today News [On-line information]. Available online at http://www.medscape.com/viewarticle/754136. Accessed March 2012.

Corless, C. et. al. (2011 December 31). Gastrointestinal Stromal Tumours Origin and Molecular Oncology. Medscape Today News from Nat Rev Cancer v 11(12):865-878 [On-line information]. Available online at http://www.medscape.com/viewarticle/754503. Accessed March 2012.

Markman, M. (Updated 2011 November 29). Genetics of Non-Small Cell Lung Cancer. Medscape Reference [On-line information]. Available online at http://emedicine.medscape.com/article/1689988-overview. Accessed March 2012.

Cook, J. et. al. (Updated 2011 July). Gastrointestinal Stromal Tumors GIST. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/GIST.html?client_ID=LTD. Accessed March 2012.

Lyon, E. et. al. (Updated 2011 July). 5-Fluorouracil Sensitivity. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/5FU.html. Accessed March 2012.

Lyon, E. et. al. (Updated 2011 April). UGT1A1 Genotyping Irinotecan. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/Irinotecan.html. Accessed March 2012.

Turner, J. et. al. (2010 December 17). KRAS Mutation Testing for Colorectal Cancer (CRC). CAP [On-line information]. Available online through http://www.cap.org. Accessed March 2012.

Test ID: FLCA Lung Cancer, ALK (2p23) Rearrangement, FISH, Tissue. Mayo Clinic Mayo Medical Laboratories [On-line information]. Available online at http://www.mayomedicallaboratories.com/test-catalog/Overview/60619. Accessed March 2012.

Lyon, E. et. al. (Updated 2011 April). CYP2D6 Genotyping Tamoxifen. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/Tamoxifen.html. Accessed March 2012.

Jarboe, E. et. al. (Updated 2011 February). Colorectal Cancer. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/ColorectalCancer.html#tabs=0. Accessed March 2012.

Johnson-Davis, K. and McMillin, G. (Updated 2011 August). Pharmacogenetics PGx. ARUP Consult [On-line information]. Available online at http://www.arupconsult.com/Topics/PGx.html?client_ID=LTD#tabs=0. Accessed March 2012.

Kelland, K. (2012 March 7). Cancer gene mutation more complex than previously thought: study. MedlinePlus from Reuters Health [On-line information]. Available online at http://www.nlm.nih.gov/medlineplus/news/fullstory_122697.html. Accessed March 2012.

Clarke, W., Editor ( 2011). Contemporary Practice in Clinical Chemistry 2nd Edition: AACC Press, Washington, DC. Pp 602-603

(2012) American Cancer Society. Treatment Types. Available online at http://www.cancer.org/Treatment/TreatmentsandSideEffects/TreatmentTypes/index.Accessed April 2012.

(2012) American Cancer Society. Targeted Therapy. Available online at http://www.cancer.org/Treatment/TreatmentsandSideEffects/TreatmentTypes/TargetedTherapy/index.Accessed April 2012.

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Genetic Tests for Targeted Cancer Therapy - Lab Tests Online

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Chemist – Wikipedia

Posted: March 7, 2019 at 1:42 am

A chemist (from Greek chm (a) alchemy; replacing chemist from Medieval Latin alchimista[1]) is a scientist trained in the study of chemistry. Chemists study the composition of matter and its properties. Chemists carefully describe the properties they study in terms of quantities, with detail on the level of molecules and their component atoms. Chemists carefully measure substance proportions, reaction rates, and other chemical properties. The word 'chemist' is also used to address Pharmacists in Commonwealth English.

Chemists use this knowledge to learn the composition and properties of unfamiliar substances, as well as to reproduce and synthesize large quantities of useful naturally occurring substances and create new artificial substances and useful processes. Chemists may specialize in any number of subdisciplines of chemistry. Materials scientists and metallurgists share much of the same education and skills with chemists. The work of chemists is often related to the work of chemical engineers, who are primarily concerned with the proper design, construction and evaluation of the most cost-effective large-scale chemical plants and work closely with industrial chemists on the development of new processes and methods for the commercial-scale manufacture of chemicals and related products.

The roots of chemistry can be traced to the phenomenon of burning. Fire was a mystical force that transformed one substance into another and thus was of primary interest to mankind. It was fire that led to the discovery of iron and glasses. After gold was discovered and became a precious metal, many people were interested to find a method that could convert other substances into gold. This led to the protoscience called alchemy. The word chemist is derived from the New Latin noun chimista, an abbreviation of alchimista (alchemist). Alchemists discovered many chemical processes that led to the development of modern chemistry. Chemistry as we know it today, was invented by Antoine Lavoisier with his law of conservation of mass in 1783. The discoveries of the chemical elements has a long history culminating in the creation of the periodic table by Dmitri Mendeleev. The Nobel Prize in Chemistry created in 1901 gives an excellent overview of chemical discovery since the start of the 20th century.

Jobs for chemists usually require at least a bachelor's degree, but many positions, especially those in research, require a Master of Science or a Doctor of Philosophy (PhD.). Most undergraduate programs emphasize mathematics and physics as well as chemistry, partly because chemistry is also known as "the central science", thus chemists ought to have a well-rounded knowledge about science. At the Master's level and higher, students tend to specialize in a particular field. Fields of specialization include biochemistry, nuclear chemistry, organic chemistry, inorganic chemistry, polymer chemistry, analytical chemistry, physical chemistry, theoretical chemistry, quantum chemistry, environmental chemistry, and thermochemistry. Postdoctoral experience may be required for certain positions.

Workers whose work involves chemistry, but not at a complexity requiring an education with a chemistry degree, are commonly referred to as chemical technicians. Such technicians commonly do such work as simpler, routine analyses for quality control or in clinical laboratories, having an associate degree. A chemical technologist has more education or experience than a chemical technician but less than a chemist, often having a bachelor's degree in a different field of science with also an associate degree in chemistry (or many credits related to chemistry) or having the same education as a chemical technician but more experience. There are also degrees specific to become a chemical technologist, which are somewhat distinct from those required when a student is interested in becoming a professional chemist. A Chemical technologist is more involved in the management and operation of the equipment and instrumentation necessary to perform chemical analyzes than a chemical technician. They are part of the team of a chemical laboratory in which the quality of the raw material, intermediate products and finished products is analyzed. They also perform functions in the areas of environmental quality control and the operational phase of a chemical plant.

In addition to all the training usually given to chemical technologists in their respective degree (or one given via an associate degree), a chemist is also trained to understand more details related to chemical phenomena so that the chemist can be capable of more planning on the steps to achieve a distinct goal via a chemistry-related endeavor. The higher the competency level achieved in the field of chemistry (as assessed via a combination of education, experience and personal achievements), the higher the responsibility given to that chemist and the more complicated the task might be. Chemistry, as a field, have so many applications that different tasks and objectives can be given to workers or scientists with these different levels of education or experience. The specific title of each job varies from position to position, depending on factors such as the kind of industry, the routine level of the task, the current needs of a particular enterprise, the size of the enterprise or hiring firm, the philosophy and management principles of the hiring firm, the visibility of the competency and individual achievements of the one seeking employment, economic factors such as recession or economic depression, among other factors, so this makes it difficult to categorize the exact roles of these chemistry-related workers as standard for that given level of education. Because of these factors affecting exact job titles with distinct responsibilities, some chemists might begin doing technician tasks while other chemists might begin doing more complicated tasks than those of a technician, such as tasks that also involve formal applied research, management, or supervision included within the responsibilities of that same job title. The level of supervision given to that chemist also varies in a similar manner, with factors similar to those that affect the tasks demanded for a particular chemist.

It is important that those interested in a Chemistry degree understand the variety of roles available to them (on average), which vary depending on education and job experience. Those Chemists who hold a bachelor's degree are most commonly involved in positions related to either research assistance (working under the guidance of senior chemists in a research-oriented activity), or, alternatively, they may work on distinct (chemistry-related) aspects of a business, organization or enterprise including aspects that involve quality control, quality assurance, manufacturing, production, formulation, inspection, method validation, visitation for troubleshooting of chemistry-related instruments, regulatory affairs, "on-demand" technical services, chemical analysis for non-research purposes (e.g., as a legal request, for testing purposes, or for government or non-profit agencies); chemists may also work in environmental evaluation and assessment. Other jobs or roles may include sales and marketing of chemical products and chemistry-related instruments or technical writing. The more experience obtained, the more independence and leadership or management roles these chemists may perform in those organizations. Some chemists with relatively higher experience might change jobs or job position to become a manager of a chemistry-related enterprise, a supervisor, an entrepreneur or a chemistry consultant. Other chemists choose to combine their education and experience as a chemist with a distinct credential to provide different services (e.g., forensic chemists, chemistry-related software development, patent law specialists, environmental law firm staff, scientific news reporting staff, engineering design staff, etc.).

In comparison, chemists who have obtained a Master of Science (M.S.) in chemistry or in a very related discipline may find chemist roles that allow them to enjoy more independence, leadership and responsibility earlier in their careers with less years of experience than those with a bachelor's degree as highest degree. Sometimes, M.S. chemists receive more complex tasks duties in comparison with the roles and positions found by chemists with a bachelor's degree as their highest academic degree and with the same or close-to-same years of job experience. There are positions that are open only to those that at least have a degree related to chemistry at the master's level. Although good chemists without a Ph. D. degree but with relatively many years of experience may be allowed some applied research positions, the general rule is that Ph. D. chemists are preferred for research positions and are typically the preferred choice for the highest administrative positions on big enterprises involved in chemistry-related duties. Some positions, especially research oriented, will only allow those chemists who are Ph. D. holders. Jobs that involve intensive research and actively seek to lead the discovery of completely new chemical compounds under specifically assigned monetary funds and resources or jobs that seek to develop new scientific theories require a Ph. D. more often than not. Chemists with a Ph. D. as the highest academic degree are found typically on the research-and-development department of an enterprise and can also hold university positions as professors. Professors for research universities or for big universities usually have a Ph. D., and some research-oriented institutions might require post-doctoral training. Some smaller colleges (including some smaller four-year colleges or smaller non-research universities for undergraduates) as well as community colleges usually hire chemists with a M.S. as professors too (and rarely, some big universities who need part-time or temporary instructors, or temporary staff), but when the positions are scarce and the applicants are many, they might prefer Ph. D. holders instead.

The three major employers of chemists are academic institutions, industry, especially the chemical industry and the pharmaceutical industry, and government laboratories.

Chemistry typically is divided into several major sub-disciplines. There are also several main cross-disciplinary and more specialized fields of chemistry. There is a great deal of overlap between different branches of chemistry, as well as with other scientific fields such as biology, medicine, physics, radiology, and several engineering disciplines.

All the above major areas of chemistry employ chemists. Other fields where chemical degrees are useful include astrochemistry (and cosmochemistry), atmospheric chemistry, chemical engineering, chemo-informatics, electrochemistry, environmental science, forensic science, geochemistry, green chemistry, history of chemistry, materials science, medical science, molecular biology, molecular genetics, nanotechnology, nuclear chemistry, oenology, organometallic chemistry, petrochemistry, pharmacology, photochemistry, phytochemistry, polymer chemistry, supramolecular chemistry and surface chemistry.

Chemists may belong to professional societies specifically for professionals and researchers within the field of Chemistry, such as the Royal Society of Chemistry in the United Kingdom, or the American Chemical Society (ACS) in the United States.

The highest honor awarded to chemists is the Nobel Prize in Chemistry, awarded since 1901, by the Royal Swedish Academy of Sciences.

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Chemist - Wikipedia

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