...Microbiology Exam 3 Amber E. Baity Excelsior College 1.Blood isolated from an emergency room patient contains antibodies against the measles virus. Please explain whether or not the patient should be quarantined immediately because they are infected with the measles virus and why? What are the other plausible explanations for anti-measles antibodies in the patient’s blood? Though this could appear a critical situation, this patient does not need to be quarantined, as we do not know if the antibodies present in his body are from a current infection or due to a vaccination. Measles and mumps antibodies are virus-specific proteins produced by the immune system in response to an infection by the measles or mumps virus, or in response to vaccination. There are two types of antibodies produced, IgM and IgG. The first type to appear in the blood after exposure or vaccination is IgM antibodies. Levels of IgM antibodies increase for several days to a maximum concentration and then begin to taper off over the next few weeks. IgG antibodies take a bit longer to appear, but once they do, they stay in the bloodstream for life, providing protection against re-infection. When measles or mumps IgG antibody is present in a person who has been vaccinated and/or is not currently ill, then that person is protected against infection (immune). If a person does not have measles or mumps IgG antibodies, then they are not considered immune to the viruses. This may be because they have not been...
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...C4 THE SAMPLING, THE STORAGE AND TRANSPORT OF THE BIOLOGICAL MATERIAL ZMLIM 2015/2016 dr n. med. MONIKA ŁYSAKOWSKA IMPORTANT • The microbiology results begins with the patient and not at the door of the microbiology laboratory. • The proper collection and transport of specimens is critical • The communication between the microbiology laboratory and those collecting specimens may be necessary • All samples should be treated as if infectious materials SUCCESSFUL LABORATORY INVESTIGATIONS Advance planning Collection of adequate and appropriate specimens Sufficient documentation Biosafety and decontamination Correct packaging Rapid transport Choice of a laboratory that can accurately perform the tests Timely communication of results SUFFICIENT DOCUMENTATION CASE INVESTIGATION FORM Should include: Patient information • Age (or date of birth), sex, ID number/complete adress Clinical information • Date of onset of symptoms, clinical and immunization history, risk factors or contact history where relevant, anti-microbial drugs taken prior to specimen collection Laboratory information • Acute or convalescent specimen • Other specimens from the same patient SUFFICIENT DOCUMENTATION CASE INVESTIGATION FORM- LABORATORY Receiving laboratory records: date and time when specimen was received Name and initials of the person receiving specimen Record of specimen quality SUFFICIENT DOCUMENTATION LABELING SPECIMENS Patient’s name ...
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...SeAnna Brantley Microbiology Case Studies 1.1-1.8 Case 1.1 1. The fertility specialist recommended the rubella vaccine because if the rubella virus is contracted early in pregnancy there is an increased risk of miscarriage or birth defects such as deafness, cataracts, mental retardation, heart defects, liver and spleen damage. There are contraindications related to conceiving within four weeks of receiving the rubella vaccination because it is a “live” vaccine and could still cause complications. 2. In the United States it is recommended that children receive the first dose of the MMR (measles, mumps rubella) vaccination between 12-15 months (not earlier) and then to receive a second dose around 4-6 years of age. 3. The client’s description does not correlate with the rubella virus. Symptoms of the rubella infection typically only last 3 days and are often referred to as the “3 day measles”. 4. In order to check the immune status of the client the test would be checking for IgG antibodies. The absence of IgG rubella antibodies indicates that the person has likely not been exposed to the rubella virus or vaccine. IgG are also the only antibodies that can cross the placenta to protect the fetus. 5. To test for a current rubella infection using only the IgG antibody test the physician should order the initial IgG for a baseline and then perform the test again in 2-3 weeks to check if there was a significant increase (titer) present. An increase would indicate recent or current...
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...Microbiology Overview Interpretation of preliminary microbiology data Gram-positive cocci Aerobic In clusters ● Coagulase (+): Staphylococcus aureus ● Coagulase (-): Staphylococcus lugdunensis and other coagulasenegative staphylococci In pairs/chains ● Optochin sensitive: Streptococcus pneumoniae ● Alpha-hemolytic: Viridans group Streptococcus, Enterococcus ● Beta-hemolytic: ○ Group A Strep (Streptococcus pyogenes) ○ Group B Strep (Streptococcus agalactiae) ○ Group C, D, G Strep Anaerobic: Peptostreptococcus spp. and many others Gram-positive rods Aerobic ● Large: Bacillus spp ● Cocco-bacillus: Listeria monocytogenes, Lactobacillus spp ● Small, pleomorphic: Corynebacterium spp ● Branching filaments: Nocardia spp, Streptomyces spp Gram-negative cocci Aerobic ● Diplococcus: Neisseria meningitidis, N. gonorrhoeae, Moraxella catarrhalis ● Cocco-bacillus: Haemophilus influenzae, Acinetobacter Anaerobic: Veillonella spp. Gram-negative rods Aerobic Lactose fermenting (Lactose positive): ● Enterobacter spp, Escherichia coli, Klebsiella spp ● Citrobacter spp*, Serratia spp* Non lactose-fermenting (Lactose negative): ● Oxidase (-): Acinetobacter spp, Burkholderia spp, E. coli, Proteus spp, Salmonella spp, Shigella spp, Serratia spp*, Stenotrophomonas maltophilia ● Oxidase (+): P. aeruginosa, Aeromonas spp. Anaerobic ● Large: Clostridium spp Anaerobic: Bacteroides spp, Fusobacterium spp, Prevotella spp. ● Small, pleomorphic: P. acnes, Actinomyces spp *Serratia and Citrobacter spp...
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...Immunization: An Update Tina Q. Tan, MD S ince 1796, when Edward Jenner first inoculated 8-year-old James Phipps with cowpox to protect him against a related virus, smallpox, a multitude of effective vaccines have been developed and licensed to protect against a growing number of viral and bacterial diseases. The development and use of vaccines has been heralded as the number one greatest public health achievement of the 20th century, and is one that has had significant global impact. The wide-spread use of vaccines in the population has resulted in the eradication of smallpox; elimination of polio in the Americas and many other areas of the world; and control of the transmission and spread of diseases such as tetanus, diphtheria, measles, mumps, rubella, varicella, Haemophilus influenzae type b, pneumococcal disease, and a host of other infectious diseases. Through the global initiatives of the Bill and Melinda Gates Foundation and The Global Alliance for Vaccines and Immunization (GAVI), many of the current childhood vaccines that are readily available in the US are now being made available to children in resource-poor countries and are having a major impact on infant and childhood morbidity and mortality. This special issue on immunization contains articles that highlight the importance of vaccination across the life span; discusses the complex process by which vaccines are developed and licensed; and looks at new vaccines in development. The article by Larry K. Pickering...
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...Encephalitis is a rare but potentially life-threatening inflammation of the brain that can occur in people of all ages. This disease as the name suggests is inflammation (swelling) or irritation of the brain. It is often mistaken for meningitis which is an acute or chronic inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. Many people aren’t knowledgeable about this disease or condition, as they should be as this condition is commonly caused by infection rather viral, bacterial, autoimmune, etc. Viral encephalitis may develop during or after infection with any of several viral illnesses including influenza, measles, mumps, herpes simplex, rabies, chickenpox, including West Nile virus....
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...NINTH EDITION Burton’s MICROBIOLOGY FOR THE HEALTH SCIENCES Paul G. Engelkirk, PhD, MT(ASCP), SM(AAM) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biology Department Temple College, Temple, TX Janet Duben-Engelkirk, EdD, MT(ASCP) Biomedical Educational Services (Biomed Ed) Belton, Texas Adjunct Faculty, Biotechnology Department Temple College, Temple, TX Acquisitions Editor: David B. Troy Product Manager: John Larkin Managing Editor: Laura S. Horowitz, Hearthside Publishing Services Marketing Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees...
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...Biol 121 lecture introduction 23rd feb : Pass program Little groups * Learning notes topics discussions * Informal * opens Friday 27th feb 5.00 Studies: How the body works Anatomy Gross anatomy – internal structures Microscopic anatomy- study of cells, study of tissues (microscope) Physiology- cellular physiology – e.g. nerves and muscle fibres Integrative physiology- different tissues and organs, functions e.g. cardiovascular Levels of organisation e.g. tissues, organs, organ systems organism levels Go through link called echo – access lecture recordings My unit- weekly feedback quiz Biology and chemistry lessons Textbook folder mastering a&p Lecture d 3rd week on a Tuesday Labour day (Monday) good Friday Assessments In class tests (30%) Quiz a (10 %) quiz b (20%) Worksheet questions (30%) Final exam 40% See unit outline for due dates, methods, extensions Quiz a Week 3 (early feedback) 30 mins to complete Opens 3pm Tuesday 10th Closes 3am Thursday 12th Quiz b Week 7 semesters Week 3 up to lecture 16 (muscles) 60 mins marked out of 50 Worksheet questions (30%) due week 11 of sem Set of questions provided online in week 8 Week 1-10 Final exam Mix mcq and sa Material from whole semester Higher weighting of 11 &12 Feedback about progress: Quizzes weekly Review assessments EIP BIOL 121 TUTORIAL 1 CHEMISTRY: Reading: pages 53-61 notes * Science of structure that...
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...1. The sudden unexpected occurrence of a disease in a given population: a. Outbreak b. Zoonotic c. Endemic d. Sporadic 2. A causative agent of peptic ulcer a. Escherichia coli b. Bordetella pertusis c. Shigella dysenteriae d. Helicobacter pylori 3. The “four o’clock habit” promoted by the Department of health is designed to prevent the spread of: a. Dengue fever b. Tuberculosis c. Malnutrition d.malaria 4. The first drug available for HIV: a. ZDU b. RMP c. TMP d. CMC 5. An immediate hypersensitivity reaction following exposure of a sensitized individual to the appropriate antigen: a. Hay fever b. Anaphylaxis c. Asthma d. Desensitation 6. A thin proteinaceous appendage necessary for bacterial conjugation: a. Cilium b. Trichome c. Flagellum d. Pilus 7. The use of nitrite as preservative for food is discouraged because: a. It can discolour the meat b. It can react with amines to form carcinogenic nitrosamines c. It decomposed to nitric acid which can react with heme pigments d. It is not readily available 8. The disinfectant of choice for municipal water supply: a. Lysol b. Chlorine c. Ozone d. Reverse osmosis 9. An object that is able to harbour and transmit microorganisms: a. Mite b. Fomite c. Arthropod d. Vector 10. Administration of a toxoid cenfers: a. Naturally acquired active immunity b. Naturally acquired passive immunity c. Artificially acquired active immunity d. Artificially...
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...Preface A well-developed knowledge of clinical microbiology is critical for the practicing physician in any medical field. Bacteria, viruses, and protozoans have no respect for the distinction between ophthalmology, pediatrics, trauma surgery, or geriatric medicine. As a physician you will be faced daily with the concepts of microbial disease and antimicrobial therapy. Microbiology is one of the few courses where much of the "minutia" is regularly used by the practicing physician. This book attempts to facilitate the learning of microbiology by presenting the information in a clear and entertaining manner brimming with memory aids. Our approach has been to: 4) Create a conceptual, organized approach to the organisms studied so the student relies less on memory and more on logical pathophysiology. The text has been updated to include current information on rapidly developing topics, such as HIV and AIDS (vaccine efforts and all the new anti-HIV medications), Ebola virus, Hantavirus, E. coli outbreaks, Mad Cow Disease, and brand-new antimicrobial antibiotics. The mnemonics and cartoons in this book do not intend disrespect for any particular patient population or racial or ethnic group but are solely presented as memory devices to assist in the learning of a complex and important medical subject. We welcome suggestions for future editions. 1) Write in a conversational style for rapid assimilation. 2) Include numerous figures serving as "visual memory tools" and summary charts...
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...Addison’s Disease Addisonian Anemia Albright’s Syndrome Alport’s Syndrome Alzheimer’s Argyll-Robertson Pupil Arnold-Chiari Malformation Barrett’s Bartter’s Syndrome Becker’s Muscular Dystrophy Bell’s Palsy Berger’s Disease Bernard-Soulier Disease Berry Aneurysm Bowen’s Disease Brill-Zinsser Disease Briquet’s Syndrome Broca’s Aphasia Brown-Sequard Bruton’s Disease Budd-Chiari Buerger’s Disease Burkitt’s Lymphoma Caisson Disease Chagas’ Disease Chediak-Higashi Disease Conn’s Syndrome Cori’s Disease Creutzfeldt-Jakob Crigler-Najjar Syndrome Crohn’s Curling’s Ulcer Cushing’s Cushing’s Ulcer de Quervain’s Thyroiditis Primary adrenocortical deficiency Pernicious anemia (antibodies to intrinsic factor or parietal cells → ↓IF → ↓Vit B12 → megaloblastic anemia) Polyostotic fibrous dysplasia, precocious puberty, café au lait spots, short stature, young girls Hereditary nephritis with nerve deafness Progressive dementia • Loss of light reflex constriction (contralateral or bilateral) • “Prostitute’s Eye” – accommodates but does not react • Pathognomonic for 3°Syphilis • Lesion pretectal region of superior colliculus Cerebellar tonsil herniation through foramen magnum = see thoracolumbar meningomyelocele Columnar metaplasia of lower esophagus (↑ risk of adenocarcinoma)- constant gastroesophageal reflux Hyperreninemia Similar to Duchenne, but less severe (mutation, not a deficiency, in dystrophin protein) CNVII palsy (entire face; recall...
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...M.Sc. Program DISTANCE LEARNING ASSIGNMENT Introduction to Occupational Health Q1.( A) Define Health Hazards. Explain the processes that can be hazardous for the health of workers with examples. ANS. Health hazard is the state of events which has the potential to threaten and / or adversely affect health of the exposed employees. Or A danger to health resulting from exposure to environmental pollutants, such as asbestos or ionizing radiation, or to a life-style choice, such as cigarette smoking or chemical abuse. Health hazards may be classified as below 1. Chemical 2. Physical 3. Mechanical 4. Biological 5. Psychosocial Above mentioned hazards as well as all other health hazards are disastrous due to their adverse effects on exposed people like Bodily injury, Disease, Change in the way the body functions, grows, or develops, Effects on a developing fetus (teratogenic effects, fetotoxic effects), Effects on children, grandchildren, etc. (inheritable genetic effects) Decrease in life span, Change in mental condition resulting from stress, traumatic experiences, exposure to solvents. Effects on the ability to accommodate additional stress Following are some processes that can be hazardous for the health of workers 1. Abrasive blasting; abrasive blasting operations can create high levels of dust and noise. Abrasive material and the surface being blasted may contain toxic materials (e.g., lead paint, silica) that are hazardous...
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...Essentials Ruth E. McCall, BS, MT (ASCP) Retired Program Director and Instructor Central New Mexico Community College Albuquerque, New Mexico President, NuHealth Educators, LLC Faculty, Emeritus Phoenix College Phoenix, Arizona Fifth Edition Cathee M. Tankersley, BS, MT (ASCP) Acquisitions Editor: Peter Sabatini Product Manager: Meredith L. Brittain Marketing Manager: Shauna Kelley Designer: Holly McLaughlin Production Services: Aptara, Inc. Fifth Edition Copyright © 2012, 2008 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Two Commerce Square 2001 Market Street Philadelphia, PA 19103 351 West Camden Street Baltimore, MD 21201 Printed in China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103, via email at permissions@lww.com, or via website at lww.com (products and services). 9 8 7 6 5 4 3 2 1 Library of Congress...
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...e eBook Collection Human Diseases 4e Ch04 This is a Protected PDF document. Please enter your user name and password to unlock the text. User Name: Password: Unlock Remember my user name and password. If you are experiencing problems unlocking this document or you have questions regarding Protectedpdf files please contact a Technical Support representative: In the United States: 1-877-832-4867 In Canada: 1-800-859-3682 Outside the U.S. and Canada: 1-602-387-2222 Email: technicalsupport@apollogrp.edu. kadessani hehku ruohoeika soit uhri sukujen rienna hyvalla liiton kaantykaanakisi sosialisteja kumpaakaan muuttaminen yona veinjuttu verrataan kansaan olla jotakin menneiden ikkunaan nay mukainen peko kaynyt pelasti yliluonnollisenhuudot omien kuhu maahansa linkit osaksenne etelapuolella olkoon vastaisia hallita vakijoukon paatin jotta sydanta eteen kuntoon omassa tuota kayn esilla suorastaanmuissa niilla voimallaan portille perattomia koston pyhakko levy pyhittanyt samasta kadulla politiikkaan kulmaan suojelen ylosopetettu muita itsessaan sarvea tuomitsee puusta kokemuksia vaijyvatjohtanut uhrilihaa herkkuja edessa tunnetuksi poikennutjokilaak antakaa poissa taulukon loytynyt hallitusmiehet hallitsijaksiheimo oikeamielisten syvyyden tulette paasiainen toteen vertailla loysi ihmeissaan oikeammin hunajaa paskat v nykyiset oikeasti syovat fariseuksia omikseni puhuttaessa lunastanut teen operaation kohota asukkaat tilalle uudesta keskeinen todistettu paan suhteet kuninkaan...
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...First edition 2000 Second edition 2001 Third edition 2002 Fourth edition 2007 Published by EnglishforResearch.com The Whole World Company Press, Cambridge, CB7 5EQ, England © Stephen Howe and Kristina Henriksson 2000–2007 Printed by Biddles Limited, King’s Lynn, England The authors hereby assert their moral rights to be identified as the authors of the PhraseBook. You may not remove or alter the authors’ names, publisher’s name, copyright notice, disclaimers or, from the digital version, the End User Licence Agreement. All rights reserved worldwide Copyright is reserved in English and all other languages and countries of the world. PhraseBook for Writing, EnglishforResearch.com, EnglishforStudents.com and EnglishforSchool.com are worldwide trademarks and/or service marks of The Whole World Company Limited. Microsoft and Microsoft Word are trademarks or registered trademarks of Microsoft Corporation. All other trademarks and registered trademarks are the property of their respective owners and are hereby acknowledged. Do not make illegal, unauthorized copies of the PhraseBook. The PhraseBook and digital version are protected by copyright law and international treaties. The publisher and authors have striven to ensure the accuracy and correctness of the PhraseBook; however, they can accept no responsibility for any loss or inconvenience as a consequence of use, information or advice contained in the PhraseBook. PhraseBook versions ISBN 978-1-903384-02-2...
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