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Pathology
The study of disease
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Etiology
The study of the cause of a disease
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Pathogenesis
The development of disease
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Infection
Colonization of the body by pathogenes
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Disease
An abnormal state in which the body is not functioning normally
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Epidemiology
The study of the movement and transmission of disease
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Normal Microbiota
- Permanenitly colonize host but dont cause disease.
- Type and location of organism all depends on micro enviroment.
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Microbial antagonism
- The competition between microbes.
- Normal microbiota protects body against invaders by adjusting different levels.
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Transient microbiota
May be present for days, weeks, or months.
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Symbiosis
Is the relastionship between normal microbiota and the host
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Mutualism
Both the human and microbe benifit
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Probiotics
Typically lactic acid producing bacteria ingested to aid digestion and protect intestine from pathogens
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Parasitism
One organism benifits at the expense the other (pathogens)
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Pathogen
Disease causing microbe, not typically part of normal microbiota.
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Opportunistic pathogens
Take advantage of a weaked immune system to cause disease.
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Robert Koch 1877
- First to link particular microbe with a disease.
- Etiology.
- Kock's Postulates.
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Kock's Postulates
- 1. Same pathogen must be present in every cse of diease.
- 2. Pathogen must be isolated and grown in pure culture.
- 3. Pathogen from culture must cause same disease in newly inoculated animal.
- 4. Pathogen must be isolated from inoculated animal and must be proven to be original pathogen.
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Kosh's Problems
- Not all diseases can be cultured.
- Some pathogens cause many diseases.
- Some pathogens can only cause disease in humans and not in test animals.
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Symptom
A change in body function that is felt by patient and a result of disease.
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Sign
A change in a body that can be measured or observed as a result of disease.
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Syndrome
A specific group of signs ans symptoms that accompany a disease
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Communicable disease
A disease that is spread from one host to another
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Contagious disease
A disease that is easily spread from one host to another measured on a degree scale
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Non-communicable disease
I disease that is not transmitted from on host to another.
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Incidence
Fraction of a population that contracts a disease during a specific time
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Prevalence
- Fraction of the population having a specific disease at a given time
- AIDS
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Sporadic disease
- Disease that occurs occasionally in a population
- FLU
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Endemic disease
Disease constantly present in a population
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Epidenic disease
Disease acquired by many hosts in a given area in a short time
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Pandemic disease
Worldwide epidemic
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Herd immunity
- Immunity in most of a population
- Vaccination sched. to protect population
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Acute disease
Symptoms develope rapidly, common cold
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Chronic disease
Disease develops slowly, turberculosis
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Subacute disease
Symptoms between acute and chronic, endocarditis
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Latent disease
Disease with a period of no symptoms when the causative agent is inactive, shingles
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Local infection
Pathogens are limited to a small area of the body, abscesses
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Systemic infections
An infection throughout the body, measles
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Focal infection
Systemic infection that began as a local infection, tooth infection
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Sepsis
Toxic inflammatory condition arising from the spread of microbes especially bacteria or their toxins
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Systemis infections 4
- Bacteremia
- Septicemia
- Toxemia
- Viremia
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Primary infection
Acute infection that causes the initial illness
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Secondary infection
Opportunistic infection after a primary infection
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Subclinic disease
No noticeable signs or symptoms, hepatitis A
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Predisposing factors
- Makes body more susceptible to disease
- age, fatige, short urethra, lifestyle
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Incubation period
Interval between initial infection and first appearance of symptoms
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Prodromal period
Short period following incubation with mild diseaase symptoms
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Period of illness
Highest severity of disease symptoms, sometimes resulting in death
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Period of convalescence
Body returns to previous condition
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Reservoir
Continual source of infection
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Carriers
Many have in-apparent infections or latent disease (humans)
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Zoonoses
Transmission from animal to human (animal) rabies
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Non-living reservoirs
Environmental reservoir water nad soil
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Direct Contact
Requires association between infected and suseptible host (person to person)
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Indirect contact
Spread by fomites (non-living objects)
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Droplet contact
Transmition via airborne droplets
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Vehicle transmission
Transmission by food, water, air, IV fluids, drugs, body fluids
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Vectors
- Any agent (person, animal, or microorganism) that carries and transmits an infectious agent
- Flees, ticks, mosquitoes
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Mechanical transmission
Passive transport of pathogens (carried on insect feet)
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Biological transmission
Vector fufills portion os pathogens life cycle
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Nosocomial infections
Are acquired as a result of a hospital stay
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Emergin Infectious Diseases
EID disease that is new or changing, showing increase in incidence or a patential to increase
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Epidemiology
Important for disease control on population
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Epideniologists
- Disease occurrence
- To whome age, race, sex ect
- Mode of transmission
- Reservoirs
- Effective methods of control
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John Snow
Showed how disease spread
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Ignaz Semmelweis
Proper hand washing tech prevents spreading
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Florence Nightingale
Showed improved sanitation decreased the incidence of epidemic
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Descriptive
Collection and analysis of data (Snow)
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Analytical
Comparision of a diseased group and a healthy group (nightingale)
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Experimental
- Controlled experiments (Semmelweis)
- test drug effectiveness
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Case reporting
Health care workers report specific diseases to local, statem and national officers
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Nationally notifiable diseases
Contagious and or deadly diseases, physicians are required to report occurrence
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Center of Disease Control and Prevention CDC
Collects and anaylzes epidemiological information in the US
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Morbidity
Incidence of a specific notifable disease
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Mortality
Deaths from notifiable diseases
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Morbidity rate
Number of people affected in relation to the total population in a given time period
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Mortality rate
Number of deaths from a disease in relation to the population in a given time
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