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Mapa mental

PBL 2 - an unimmunized child

Rama shanawani Inglês

Mind map on PBL 2 an unimmunized child: CAM, preventive medicine, whooping cough, vaccines and immunity and treatment

Mind map: PBL 2 an unimmunized child

Conteúdo do mapa

PBL 2 - an unimmunized child

  1. CAM

    • complementary and alternative medicine
    • stands for
    • alternative
      • practises that replace conventional medicine
      • definition
    • complimentary
      • positive addition to conventional medicing
      • definition
    • uses medical practises
      • standard medical care
      • not part of
    • reasons people use CAM
      • to boost immunity
      • skeptical about conventional medicine
      • believe that body can heal itself
      • less expensive
    • examples
      • herbal medicine
      • traditional chinese medicine
      • meditation
      • chiropratctic
      • yoga
    • disadvantages
      • not enough research
        • problems with safety
      • poor quality
      • adverse side effects
      • harmful drug-herb interactions
      • may delay proper treatment
      • could worsen the condition
  2. PREVENTIVE MEDICINE

    • aims
      • eliminate disease
    • reduce spread of disease
    • try to stop infection
    • practised by
      • any individual
      • primary healthcare physicians
      • government agencies
    • tactics
      • motivate people themselves
        • by placing government policies
    • types
      • primary prevention
        • prevent infections from occuring
        • examples
          • taking vaccines
          • exercising regularly
      • secondary prevention
        • measures that lead to early detection
        • treat illness before severe symptoms
        • done by educating people
          • breast self-examination
          • example
      • tertiary prevention
        • rehabilitation following severe illness
        • retrain, rehabilitate, re-educate
          • people with impairment/disability
  3. THE WHOOPING COUGH

    • bordetella pertussis
      • is a type of bacteria
        • gram negative
          • thin peptidoglycan layer
          • outer lipid membrane
        • coccobacilli
          • can be
            • cocci
              • round shaped
            • bacilli
              • rod shaped
        • strict aerobic
          • need oxygen to grow
        • catalase positive
          • breaks down
            • H2O2 --> H2O + O2
      • function
        • attaches to cilia
          • in upper respiratory system
        • cause local damage
        • release toxins
          • inhibit Gi protein
            • regulate adenylate cyclase
          • disrupts normal cellular metabolism
        • increase mucus production
        • increase respiratory secretions
    • caused by
    • also known as pertussis
    • highly contagious respiratory disease
    • more common in children
    • cause uncontrollable violent coughing
      • struggle to breathe
        • infant may become cyanotic
    • deep whooping sound
      • trying to take a breath
      • when
    • spread by droplets
    • groups at risk
      • pregnant women
      • infants
      • elderly
      • immunodeficient people
    • signs and symptoms
      • stage 1: catarrhal stage
        • resembles common cold
        • runny nose & nasal congestion
        • sneezing
        • occasional cough
        • lasts 1 to 2 weeks
      • stage 2: paroxysmal stage
        • intense rapid coughs
        • more frequent cough attacks
        • whooping sound appears
        • vomiting
        • lasts from 1 to 10 weeks
      • stage 3: convalescent stage
        • chronic cough
          • fewer outbursts of coughs
        • lasts weeks to months
        • lasts weeks to months
    • laboratory diagnosis
      • PCR tests
      • culture bacteria
        • observe under microscope
        • then
      • specimen taken by
        • nasopharyngeal swab
  4. VACCINES

    • routes of adminstration
      • subcutaneous
      • intramuscular
      • oral
      • intradermal
      • scarification
      • intranasal
    • anti- vaxxers
      • opposed to vaccination
      • refuse to vaccinate their kids
        • assume it will harm them
      • cause the infectious diseases to re-emerge
        • e.g measles
    • pertussis vaccines
      • DTP
        • Combination vaccine
        • include
          • diphtheria
          • tetanus toxoids
          • killed whole cells of the bacterium
          • pertussis antigens
      • Dtap
        • Hexavalent
        • acellular
      • Tdap
        • Tetanus toxoid reduced diphtheria
        • acellular pertussis
    • do not cause autism
    • how is safety ensured
      • Pre-clinical evaluation (animals)
        • Safety/toxicity
        • Biologic activity
        • Dose/route of administration
      • Phase I
        • small numbers of human volunteers
        • Dose
        • Safety/toxicity
        • Biologic/immune response
      • Phase 2
        • 50-100 human volunteers
        • Safety/toxicity
        • Immune response
        • Demonstration of protection
      • phase 3
        • greater numbers of susceptible volunteers
        • Requires vaccinated and control groups
        • Further evaluation of safety/toxicity
        • Provides estimate of level of efficacy
  5. IMMUNITY AND TREATMENT

    • antibiotics used for pertussis
      • erythromycin
      • azithromycin
      • clarithomycin
      • ulfamethoxazole-trimethoprim
      • protein synthesis inhibitors
        • Peptidyl transferase 50s
        • Inhibition of translocation 50S
        • Binding of new tRNA 30s
      • macrolides
        • Bacteriostatic
          • only prevent growth of bacteria
        • similar to penicillin G
        • pharmacokinetics
          • absorption
            • erythromycin base is destroyed by gastric acid
              • need enteric coating
              • so
            • other antibiotics are stable in stomach
            • good oral absorption
          • distribution
            • well except CSF
            • concentrated in liver
          • metabolism
            • erythromycin & clarithromycin in liver
            • azithromycin is not metabolised
          • excretion
            • azithromycin
              • in bile
            • chlarithromycin
              • in kidney
            • enterohepatic reabsoption
    • types of immunity
      • active immunity
        • natural
          • acquired by infection
        • artificial
          • by taking vaccination
        • produce memory cells
        • long lived
      • passive immunity
        • natural
          • maternal transfer
            • breast milk
            • placenta
        • artificial
          • antibody injection
          • antibody transfer
        • short lived
        • does not produce memory cells
    • types of immunoglobins
      • IgM
        • pentamer or monomer
        • first Ig secreted
      • IgA
        • dimer
      • IgD
        • B cell receptor
      • IgG
        • most abundant
      • IgE
        • allergies
        • bind to basophil/mast cell

Informações

Descrição
Mapa Mental sobre PBL 2 - an unimmunized child, criado por Rama shanawani em 05-09-2021.
Criado por
Rama shanawani
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