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Definition
-sequence of cellular & tissue events that take place from time of initial contact w/ an etiologic agent until expression of disease
-etiology; results in structural/functional abnormalities and clinical manifestations-development or evolution of a disease - |
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ETIOLOGY or ETIOLOGICAL FACTORS |
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Definition
-the cause of disease (genetic, infective, immune, injuries, etc) for path chart.. -Risk factors -Precipitating factors -Arrange info into logical grouping |
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-caused unintentionally by medical therapy; tx causes problem |
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disease originating or acquired in a hospital/institution |
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-objective, observable, measurable evidence of a disease/health alteration; Everything you can see
-Phys. exam, observations, lab data, diagnostic testing |
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subjective evidence (feelings, thoughts) of a disease/health alteration Subjective complaint by the person with the disorder |
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an attempt by the body to make up for a defect, alteration, or loss of capacity |
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-secondary disease or injury that develops during or follows a primary disease
-unexpected;new disease states caused by the disease or tx. |
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educated prediction of the expected outcome of a disease or injury |
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-frequency of disability (interference with a person's normal phys, mental, or emotional function)within a population
-effects an illness has on a person's life; incidence, persistence & long-term consequences of disease |
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-frequency of deaths within a population # of persons dying per year/number of persons in population
-provides info about trends in the health of a population |
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number of new and old cases of a disease in a given population. # of ppl in a pop. that have a particular disease (i.e. cases per 100) |
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number of newly diagnosed cases of a disease in a given population |
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a condition with relatively sudden onset and short duration; sharp or severe |
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disease that lasts for a long time, usually years |
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the process by which living organisms adjust or change in response to a wide variety of environmental forces and stressors in order to survive |
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Definition
decrease in cell size, decrease in O2 consumption, less mitoch., reversible |
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increase in cell size
incr. functioning tissue mass |
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increase cell number by cells that are able to undergo mitotic division |
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reversible chge. 1 adult cell type (epithelial or mesenchymal) replaced by another adult cell type. change in form |
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deranged cell growth varying in size, shape and organization |
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Definition
interruption of, or alteration in body functions and/or structures. In _____, the body's normal adaptive mechanisms are often overwhelmed. |
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Categories of Structural Changes due to Disease |
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Definition
*Genetic or Developmental- alterations caused by genetic makeup of individual or due to changes in utero. from congenital abnormalities to diseases assoc. to inherited tendencies *Hyperplasias & Neoplasms- diseases characterizedby increases in cell population *Acquired injuries & Inflammatory- alterations caused by internal or external agents that destroy cells or cause the body to injure itself by means of inflammatory process. |
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Etiology of disease: EXTERNAL CAUSE (EXOGENOUS) |
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Definition
physical injury- trauma, electricity, pressure, heat/cold, ionizing radiation,burns, radiation.
chemical injury- poisons, drug rxns, ETOH(alcohol)
microbiological injury- bacteria, viruses, fungi, rickettsia, etc |
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Etiology of Disease: INTERNAL CAUSES (ENDOGENOUS) |
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Definition
Vascular- obstruction, bleeding, altered flow
Immunologic- immune deficiency, allergy, autoimmune process Metabolic- abnormal metabolism or deficiency of lipids, carbs, protein, minerals, vitamins, fluids |
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How can the alterations in body function and/or structure caused by the etiological agent and the body's response to the agent be detected? |
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Definition
Through clinical manifestations (signs & symptoms) and through lab/diagnostic test findings |
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Term
LEADING CAUSES OF DEATH IN U.S. |
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Definition
1)Heart disease 2)Cancer
3)Stroke
4)Accidents
5)Obstructive lung disease |
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FREQUENCY OF ACUTE DISEASE |
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Definition
1. Respiratory illnesses
2. Injuries
3. Other infections |
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PREVALENCE OF CHRONIC DISEASES |
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Definition
1. Arthritis
2. Hearing impairment
3. Hypertension
4. Heart disease
5. Visual impairment
6. Chronic bronchitis
7. Asthma
8. Diabetes |
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What is the greatest skill you must acquire to succeed? Who determines your grades? |
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Definition
Self discipline! YOU! (me) |
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Definition
-Ability to maintain stable state of the body |
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Multiple factors that predispose to a particular disease |
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What is the the etiologic agent and the risk factors for HIV infection? |
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Definition
- virus
- blood & body fluid exposure, sexual contact, needle sharing, tattoos, etc. |
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What factors affect Pathogenesis? |
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Definition
*Time *Quantity *Location *Morphologic changes |
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Definition
the structure or form of cells or tissues. changes both gross anatomic and microscopic changes and lesions |
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Compare Etiology and Pathogenesis |
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Definition
etiology describes what sets the disease process in motion
pathogenesis is how the disease process evolves |
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Definition
conditions that are present at birth |
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Definition
defects occur after birth |
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Definition
-the expected outcome of a certain situation
-impairments following or caused by the disease |
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What two ways can signs & symptoms originate from? |
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Definition
Either related to the primary disorder or the body's attempt to COMPENSATE for altered function/pathologic condition |
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Definition
the extent to which a repeated observation gives the same result |
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Definition
The extent to which a measurement tool measures what it is intended to measure |
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Definition
The proportion of people with a disease that are positive (true positive) |
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Definition
The proportion of people without a disease that are negative (true negative) |
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FACTORS DERIVED BY USING EPIDEMIOLOGIC METHODS |
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Definition
-How disease is spread
-How to control disease
-How to prevent disease
-How to eliminate |
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What is the leading cause of death in 1900, today, and why? |
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Definition
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Definition
For over 50 years, educating patients on heart health. Looks at twelve different risk calculators to inform patients on age of heart physiologically vs. actual heart age. helps people to make change that will help them in 20-30 years to come |
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Nurse's Health Study at Brigham & Women's Hospital |
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Definition
Teaching affiliate of Harvard Medical School in Boston. one of the nation's leading transplant centers, performing heart, lung, kidney, and heart-lung transplant surgery, as well as bone marrow transplantation. nationally recognized for clinical and research excellence in cardiovascular medicine, neurosciences, arthritis and rheumatic disorders, orthopedics and cancer |
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Definition
progression and projected outcome of a disease without medical intervention |
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Term
What is the difference in physiological response to stress between you and a cave man? What about behavioral response? |
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Definition
A1: Nothing.
A2: Different. ppl get stressed sitting down where as cave men would release that E thru running. --> So, now we have more pathophysiological conditions |
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Definition
-Any physical, emotional, social, or other factor that requires the body to respond or change
-Causes activation of neuroendocrine and immune systems -General adaptation response |
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Who was Walter Cannon and Hans Selye? |
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Definition
-W.C. "Fight or flight" and homeostasis(physiological systems oppose change)
-H.S.-stress |
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Term
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Definition
Hypothalamic pituitary adrenal axis- homeostatic interactions betw. 3 organs that controls rxns to stress, blood levels of cortisol or sleep-wake cycles & regulates processes such as digestions, immune sys., mood, sexuality, E use. part of neuroendocrine system & limbic -Corticotropic Releasing factor (CRF) -->SNS: arousal, anxiety, vigilance(insomnia)- mediated by catecholamines -->suppresses digestion, reproduction, etc. (fight or flight) |
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Definition
any of a group of sympathomimetic amines (including dopamine, epinephrine, and norepinephrine) - important role in the body's physiological response to stress. Their release at sympathetic nerve endings increases the rate and force of muscular contraction of the heart, constricts peripheral blood vessels(incr. BP),etc |
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GENERAL ADAPTATION SYNDROME |
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Definition
-aka generalized stress response -coritcotropin-releasing hormone (CRH)production -Anti-diuretic hormone release -SNS activation (activates all stress response) -Renin-angiotensin-aldosterone pathway activation (incr. high BP) |
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Term
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Definition
-a major "stress hormone" - help regulate stress response -diverts metabolism from building tissues to supplying energy for dealing with the stress -causes signs and symptoms of chronic stress Chain: Hypothalamus-->CRH-->anterior pituitary-->ACTH-->Adrenal cortex-->cortisol--> alters glucose, fat, and protein metabolism AND suppresses inflammatory and immune responses |
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Term
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Definition
*Incr. blood glucose *Stronger sympathetic system effect on heart rate *decr. in nonessential E-using activities like: Hormone production(metabolic rate&reproductive functns decr.), bone formation, and R & WBC production(immune system becomes depressed) |
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ANTIDIURETIC HORMONE (ADH) |
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Definition
-AKA vasopressin -causes vasocostriction -makes kidneys reabsorb water from urine to blood |
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Definition
"fight or flight" response -rapid response to trauma and emergency -Epinephrine (adrenalin) and norepinephrine (noradrenalin) both released -both attach to adrenergic receptors on cells chain: Pain,fear,low BP-->hypothalamus-->SNS activated--> SNS neurons-->Norepinephrine-->adrenal medulla-->Epinephrine released into blood -BP restored -reduction in blood flow to skin, guts, kidneys -skin becomes pale -decrease in urine production and GI activity |
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What does norepinephrine and epinephrine do to the heart and blood vessels? |
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Definition
heart- incr. HR, incr. heart strength--> incr. BP
blood vessels-vasoconstriction in skin, guts, kidneys -->incr. BP |
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What does biological and psychosocial stress each lead to? |
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Definition
Each other. biological stress to psychosocial psychosocial stress to biological biological ex: trauma, car accident, illness psychosocial ex. loss & lack of support |
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What influences BEHAVIOR during times of stress? |
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Definition
Neuroendocrine Control Systems |
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Term
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Definition
*Hardiness (genetically wired differently for rxns/adaptations: ex. someone could instantly cry from sad news, another could have no expression at all) *Health status (one could already be sick with a lot of other things or not) *Psychosocial factors *Experience and past learning *Time available for adaptation *Genetic Factors *Age *Nutrition *Physiologic reserves *Sleep |
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During times of stress, what are the immune effects of increased cortisol? |
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Definition
-Immunosupression: *infections *cancer- breakdown of immune system by kicking out good stuff that should really be kicking out bad stuff *Autoimmune diseases |
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NEUROENDOCRINOLOGY OF STRESS EX: DECR. SLEEP |
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Definition
Decreased sleep leads to reduced anorexigenic hormone leptin & elevated ghrelin -> stimulates hunger(esp. for carbs ie sugar) for E to fight off what is prohibiting sleep in stone age(fight or flight)-> obesity |
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Term
FACTORS AFFECTING ADAPTATION TO STRESSORS |
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Definition
*Health status *Psychosocial resources *Rapidity with which the need to adapt occurs *Availability of adaptive responses *Ability of body to select the best appropriate response |
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Definition
*Physiological adaptation *Cognitive coping *Social support |
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BIOLOGICAL EFFECTS ON STRESS |
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Definition
1)Cardiovascular system --Hypertension, MI, Stroke (not enough perfusion to the brain) 2)GI and hepatobiliary systems --Inflammation, Ulceration, Diabetes 3)Immune system --Cancer, infections |
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PSYCHOLOGICAL EFFECTS ON STRESS |
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Definition
*Depression *Anxiety *Low self esteem *Social isolation *Physical illness |
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How do stresses affect normal cell function? |
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Definition
A) cells must make adaptive changes in order to maintain function
B)When maintaining function is unattainable, injury occurs which either turns into maladaptive changes or cell death |
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Definition
Allows the stressed tissue to survive or maintain function
-thru atrophy, hypertrophy, hyperplasia, metaplasia, dysplasia |
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Definition
-Oxygen deficiency -Trauma -Infectious, immune -Chemical -Radiation -Nutritional |
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How do stresses damage cells? |
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Definition
-direct damage to proteins, membranes, DNA -ATP depletion -Free radical formation -Increased intracellular calcium |
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Term
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Definition
-programmed cell death -triggered by decr. survival signals or activation of death pathways -->role of p53 in monitoring cell damage -Activation of caspases -enzymatic degradation of intracellular structures -Neat & tidy, no release of intracellular components |
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Term
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Definition
-strategy for learning pathophysiology -results in a concise, informative chart diagramming the etiology, physiological alterations, and clinical manifestations of a specific disease or injury. -Column 1: Etiology vs. risk factors -Column 2: Structural/Functional Alterations -Column 3: Clinical manifestations- signs and symptoms |
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STRUCTURAL/FUNCTIONAL ALTERATIONS (path chart) |
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Definition
-description of changes at the cellular, tissue, organ, and system level -arrange in chronological sequence-start w/ what happens 1st; finish w/ complications -Link alterations with etiologies in column 1, where possible |
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Definition
-PNI -study of the effects of mental and neurological status of the immune system
-interaction of behavioral, neural, & endocrine factors and function of immune system |
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Term
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Definition
-neuroendocrine control system that mediate the physical, emotional, and behavioral reactions to stressors -2 factors that determine severity: 1)properties of stressor 2)condition of person being stressed |
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Term
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Definition
1) CRF(sm. peptide hormone-CRH)is secreted by hypothalamus that triggers pituitary to secrete. 2)Pituitary secretes Adrenocorticotropic hormone (ACTH)then triggering adrenal gland to secrete 3)Adrenal gland secretes mainly cortisol 4)Cortisol suppresses CRF & ACTH in negative feedback
-->Increase release -> immunosuppression |
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Term
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Definition
study of inherited changes in phenotype or gene expression cause by changes in DNA sequence |
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GENETIC CONTROL OF CELL FUNCTION |
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Definition
-Genetic info is embedded in stable DNA molecule and is needed to control structure & function -Every cell in the body has the same genetic info but uses different portions of the info -To produce proteins to help control cell function, DNA must be: 1) transcribed of its code to assemble protein onto mRNA 2) mRNA code translated to assemble protein onto rRNA in cytoplasm 3)AAs, via tRNA is delivered to rRNA to synthesize the proteins |
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Definition
-small intracellular structures arranged in pairs; one member of the pair is from dad, one member from mom. contain most genetic info. |
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Definition
-biological units of heredity, self-producing, and located at specific position(locus) on a particular chromosome. |
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Term
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Definition
2 types of cell division: meiosis and mitosis |
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Term
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Definition
S phase, occurring toward the end of interphase, in which DNA is synthesized; the G2 phase, a relatively quiescent period; the M phase, consisting of the four phases of mitosis; and the G1 phase of interphase, which lasts until the S phase of the next cycle. |
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Term
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Definition
-Single gene- only 1 pair of genes involved in transmission of info.
-Codominance- when both members(alleles) are expressed fully in a heterozygote
-multifactorial- multiple alleles at different loci affect outcome |
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Term
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Definition
events or environmental agents responsible for initiating stress response. endogenous or exogenous |
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Definition
The factors affecting the ability to adapt include: -Nutrition -Hardiness -psychosocial factors -sleep-wake cycles -genetic endowment & age -physiological reserve -rapidity with which need for adaptation occurs |
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Term
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Definition
-gene pair, 1 inherited from father, 1 from mother |
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Term
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Definition
recessive- both members code for the trait/trait expressed only in Homozygote
dominant- trait expressed in Heterozygote, only one member of gene pair codes for trait |
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Term
MULTIFACTORIAL INHERITANCE DISORDERS |
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Definition
an unknown amount of gene mutations involved that doesn't follow mendelian inheritance.
3 patterns: -congenital malformations involve single organ or tissue from same embryonic developmental field -incr. in # of preganancies = incr. in severity of children w/ same or similar defects as the first -The more distant the family member, risk for the disease decr. |
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Term
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Definition
simultaneous breaks in 2 chromosomes from different pairs, with exchange of chromosome parts
-no genetic info lost IF it is balance reciprocal |
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Term
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Definition
failure of the chromosomes to separate during oogenesis or spermatogenesis. results in aneuploidy (abnormal chromosome #) can happen to autosomes and sex chromosomes |
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Definition
complete haploid set of chromosomes with its associated genes -genetic makeup of cell, composed of DNA |
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Definition
A person who has a genetic defect but does not develop any symptoms or signs of the defect. The carrier's offspring may inherit the defect and develop the associated disorder. |
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Definition
biochemical event such as nucleotide change, deletion or insertion that produces a new allele |
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Definition
total chromosomal characteristics of a cell; arranged from biggest to smallest |
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How does dry gangrene turn into wet/moist? |
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