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Disease and Society

Hum Biol 217, Disease and Society, Exam 1

QuestionAnswer
What is Disease? A disorder of structure or function
Where/Who can Disease Occur in? Humans, animals, plants, etc...
Does disease have a solid definition? No, it has many different definitions and it has changed over time.
What disease does most people think of right away? Infectious disease - those caused by microbes
What are the Roles of Microbes? Most microbes are good and can help us in society.
What are the different Microbes? Pathogens, Food chain (autotrophs, decomposers), Digestive, Antibiotics, Biotechnology, Bioremediation, Disease research, and foods and fermentation.
Which Microbe is the bad one? Pathogens
Microbial Abundance Refers to the quantity of microorganisms present in a specific environment, such as soil or water
What is Microbial Abundance measured in? Absolute abundance and relative abundance
Absolute abundance indicates the actual number of microorganisms present (eg bacteria or fungi)
Relative abundance describes the proportion of a specific microorganism within the total microbial community
Drilling cores Two biospheres
environmental versatility sulfur/methane -based metabolism
Undersea Vents Part of microbial abundance somehow
Prokaryotes 2 domains/super kingdoms (archaea and bacteria)
Bacteria Contains some pathogens, most not though. Science of bacteriology
Eukaryotic Microbes - Fungi (kingdom) Decomposers Single or multicellular Science of Mycology
Eukaryotic Parasites Protozoa (Kingdom) Helminths (worms)
Protozoa (Kingdom) single celled may be pathogenic science of Protozoology
Helminths (worms) microscopic life stages (stages you can see without a scope. Worms!) Science of Parasitology
Viruses are... Acellular
Viruses: a simple structure (capsid, nucleic acid) obligate intracellular growth Science of Virology
Smaller relatives of viruses viroids (plants) Prions
Prions misfolded proteins in the body that cause fatal illnesses in people and animals
Taxonomy Genus Species Viral naming systems
Fields of Microbiology Infection control industrial microbiology biotechnology
Additional Fields of Study Immunology Epidemiology Etiology Bioremediation
Immunology studies the immune system, its functions, and its role in protecting the body from diseases
Epidemiology study of how diseases affect the health and illness of populations. Focuses on the distribution, patterns, and determinants of health-related states
Etiology The cause, set of causes, or manner of causation of a disease or condition.
Bioremediation natural process that uses living organisms, primarily microorganisms, to remove or neutralize contaminants from the environment, making it a crucial method for environmental cleanup
History of Disease Curses or spells humors or imbalances Miasmas Etc.. Documented Plagues (leprosy, bubonic plague)
Humors or imbalances The theory of the four humors, developed by Hippocrates and later expanded by Galen, posited that health was maintained by a precise balance of these four substances: blood, phlegm, yellow bile, and black bile.
Humors regarding illness Each humor was associated with specific qualities, seasons, and temperaments, and an imbalance was believed to cause illness
History Microscopic Development Schleiden/Schwann (cell theory)
Microscopic Development Robert Hooke (microscopic cells) Anton van Leeuwenhoek (lenses, looked at everything)
Spontaneous Generation versus Biogenetics Pasteur (biogenesis wins! - Life comes from other life) Other achievements (fermentation, pasteurization, and rabies vaccines)
Germ Theory Definition: Microbes cause disease Koch (culture, postulates) Semmelweiss Lister
Immunology Edward Jenner Pasteur Metchnikoff
Epidemic CDC describes it as "an unexpected increase in the number of disease cases in a specific geographical area" (Yellow fever, smallpox, measles, and polio) Doesn't necessarily have to be contagious (West Nile Fever and rapid increase in obesity)
Pandemic WHO describes it as "when a diseases growth is exponential" Growth rates skyrocket, each day grows more than the day prior Virus covers wide area, affecting several countries and populations
Endemic Disease outbreak is endemic when it is consistently present but limited to a particular region Makes disease spread and rate predictable Malaria is an example of an endemic
The Scientific Method A way of looking at the world to understand it better
How do we think about this stuff? The Scientific Method: 1) Observe phenomenon 2) Develop hypothesis 3) Make predictions 4) Devise test of predictions 5) Carry out test and analyze results
Process of Science Scientists generally test hypotheses using the scientific method
Theory does not mean "hunch" In science it means the way you interpret a set of facts and is a valid explanation of the phenomena you witnessed
Do things change in Science YES! Examples: shape of our planet, how inheritance works, how atoms function, how solar system functions, number of planets in our solar system (pluto)
Role of Experiments Procedures used to study a phenomenon under known conditions Allows you to predict what will happen if a hypothesis is not wrong Can never prove a hypothesis 100% correct
Experimental Design Control group -A standard for comparison -Identical to experimental group except for variables being studied Sampling Error -Non-representative sample skews results -Minimize by using large samples
Limits of Science Scientific approach cannot provide answers to subjective questions Cannot provide moral, aesthetic, or philosophical standards
Confounding Variables Confounder -A factor other than the one being studied that is associated both with the disease and with the factor being studied. Distorts or masks the effects of another variable on the disease
Example of Confounder? Coffee Study (Coffee and Pancreatic Cancer - smoking is confounder)
Robert Koch First to use solid media in microbiology developed several strains used pure cultures discovered the cause of several infections developed KOCHS POSTULATES
Kochs Postulates and Germ Theory Find evidence of a particular microbe in every case of disease Isolate microbe from an infected and grow in lab Inoculate a susceptible healthy subject and observe for same disease Reisolate the microbe from this subject
Kochs Postulates (1-2) 1) The microorganism must be found in abundance in all organisms suffering from the disease, but should not be found in healthy organisms 2) The microorganism must be isolated from a disease organism and grown in pure culture
Kochs Postulates (3-4) 3) The cultured organism should cause disease when introduced to a healthy organism 4) The microorganism must be reisoltated from the inoculated diseased experimental host and identified as bein gidentical to the original causative agent
Kocks Postulates Limits/Expectations Some pathogens cannot be cultured in the lab Some diseases are human specific and cannot grow in animals A single pathogen can cause several disease conditions Additionally, a single disease condition can be caused by several different microorganisms
Don't Forget! Science never looks for "Truth" -Looking for ways to understand our world -That means being able to CHANGE how we see things as our knowledge grows -It also means being responsible for what we have learned
Host Invasion Terms Pathogen Contamination Exposure Infection Disease
Pathogen Ability to cause disease in a host (organism that harbors another)
Contamination Microorganisms are present (fomites can play a role)
Exposure Came into contact with pathogen
Infection Multiplication of any parasitic organism in or on the hosts body Infestation is usually used to distinguish larger parasites (worms)
Disease A disturbance in the state of health where the body can't carry out its normal functions
Infection/Disease Relationships Interactions between pathogens and their hosts -May not always show clinical signs or symptoms -But infection can cause disease --Severity varies, +/- permanent effects
Infection/Disease Relationships Examples RN doesn't use aseptic procedures when dressing a wound. Contaminates her hand MD doesn't use aseptic procedures either. MD becomes infected with Staph via a small cut after contaminating hands. MDs wound has developed pus and develops a boil (disease)
Pathogenicity Capacity to produce disease
Pathogenicity depends on: ability to invade host, multiply, and avoid host's defenses -Variable depending on microbe
Microbial Count Amount of organisms entering the body. Some may need many while others only need a few to cause disease
Virulence Intensity of disease. Varies by pathogen and by infected host (carrier state). Can increase or decrease
When Virulence decreases... it is called Attenuation
Ex. Virulence Transportation Lab technique where pathogen is passed from normal host to a new species and then passed through many members of new species. Pathogen adapts to new host so no longer virulent to original host (Pasteur and rabies) (Use in vaccine production)
Stages of Pathogenesis Exposure (portal of entry - mouth, skin, nose, eye, etc...) Adhesion (pathogen has to attach to host cells) Invasion (pathogen spreads into local tissues and may spread to rest of body) Infection (successful multiplication of pathogen)
Virulence Factors help the pathogen colonize and damage the tissue and evade the immune system
Immune System - Part of Lymphatic System What is its Function? Protect the body from damage or disease Self vs. Non-self Detects antigens (foreign invaders) and destroys via: -Phagocytosis/destruction -foreign cell membrane lysis -inactivates pathogens/chemicals -Precipitates/agglutinates cells/molecules
White Blood Cell (WBC) = Leukocyte One function = phagocytosis (garbage can) --Neutrophils, eosinophils, basophils. Monocytes/Macrophages Other Types: T and B lymphocytes - do not phagocytize
Leukocyte can also classify as granulocytes and agranulocytes Granulocytes: neutrophil, basophil, eosinophil Agranulocytes: lymphocytes and monocytes/macrophages
2 General Types of Immune Reactions 1. Nonspecific Immunity -Rapid response, generalized (not specific) 2. Specific Immunity
Nonspecific Immunity; 1st line of defense -1st Line of Defense --Physical Barriers: skin prevents Ags from getting in --Chemical Barriers: Antimicrobial proteins
Nonspecific Immunity; 2nd line of defense -2nd Line of Defense --Inflammatory Response (bacteria invade, cause damage, and chemicals released) --Phagocytosis: Leukocytes --Interferon = protein produced by virally inflicted cell that inactivates it (flu like symptoms) --Complement
Nonspecific, 2nd Line Defenses: Inflammation 1. Redness: vasodilation, increased blood flow 2. Heat: due to increased blood flow 3. Swelling: ECF increased in tissue 4. Pain: Mechanoreceptors and pain receptors activated by swelling and chemical mediators 5. Loss of Function: due to swelling..
Inflammation Purpose Attract immune system cells and molecules to injury site tissue repair clean-up crew destroy microbes
Steps of Inflammation 1. Vasoconstriction and clotting, mast cells release cytokines and chemotaxis molecules 2. Vessels then dilate: brings healing factors but makes vessels "leaky" so fluid links into area diapedesis --Edema: accumulation of fluid
Digging Deeper in Step One of Inflammation --Cytokine: Chemical substance produced by white blood cells and tissue cells that regulates development, inflammation, and immunity --Histamine: inflammation mediator that increases vasodilation and vascular permeability
Third Step of Inflammation 3. Resolution: microphages, lymphocytes, and fibroblasts migrate in; initiate immune response and repair; scar may be created
Inflammation: Fever Fever: abnormal elevation in body temperature -Can be caused by a microbe or the I.S. response (toxin, chemical factors from I.S.)
Purpose of Fever Inhibits bacterial replication Impedes bacterial access to food Stimulates immune reactions (This is why doctor may tell you not to lower fever with drugs, etc...)
Specific Immunity 2 Types: Humoral and Cell Mediated Immunity
Specific Immunity, 3rd line of defense Unique, specific reactions to a certain antigen 3 Requirements 1) Antigen enters 2) There is a specific response to that antigen 3) The second time the antigen is encountered, there is "memory" and a quicker response
Major Histocompatibility Complex (MHC) (=HCA) Glycoproteins found on all body cells except RBCs Receptor plays a vital role in recognition of self by the immune system and in rejection of transplanted tissues "Tolerance"
Class 1 MHC Self, found on all nucleated human cells
Class II MHC On some WBCs, Antigen presenting cells (APCs)
APCS = Antigen Presenting Cell Immune cells that mediate the cellular immune response by processing and presenting antigens for recognition by certain lymphocytes such as T cells -Macrophages -Dendritic cells -Langerhans cells -B cells
To be recognized by T cell receptor Antigens must be modified/processed
Specific Immunity: Humoral Immunity B cell -> Plasma cell -> Abs Antibody = protective protein vs. a specific antigen
abs attach to ag to: 1. Neutralize toxin 2. Agglutinate Ag, Macrophage eats 3. Ab activates complement system and contributes to cell lysis 4. Memory cells
B cell activation 1. Ag can bind and be an APC to helper T 2. B-cell activation 3. Clonal Expansion --1. Make memory cells --2. Plasma cells/ antibody synthesis
Antibodies Abs - immunoglobins - Ig 5 types -1. IgG - 1st exposure, slow -2. IgM - Chronic or 2nd exposure, quicker -3. IgA - mucosal surfaces, leaves blood for tissue -4. IgE - allergy -5. IgD - unknown
Specific Immunity: Cell Mediated Immunity
Created by: Motato
 

 



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