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Aging
Universal process in all organisms that is inevitable and varies by individual
Aging definitions
chronological, biological, apparent, psychological, social
True or false: Our body's cells and tissues all age at the same rate.
False. Some divide every few days and others live in body through the span of entire life
What is aging influenced by?
Genetics and environmental factors
What does aging yield
Decreased adaptability to internal and external stressors
Increased vulnerability to fraility, disease, and mortality
True or false: rates of bodily aging vary from person to person
True
hallmarks of aging
-altered intercellular communication
-genomic instability
-telomere attrition
-epigenetic alterations
-loss of proteostasis
-deregulated nutrient sensing
-mitochondrial dysfunction
-cellular senescence
-stem cell exhaustion
True or false: cellular senescence is a hallmark of genetic aging
False
cellular senescence
Cells lose their ability to replicate, while metabolic processes continue
Changes in environment, nutrition and medical care have ______ the expected/average age of survival
Extended
Frailty
Increased vulnerability to adverse health outcomes
What does frailty result from
Aging associated decline in multiple physiological systems
Domains and Impairments of frailty
Physical - low grip strength, low physical activity, sarcopenia
Nutritional - low energy, unintentional weight loss, dysregulated energetics
Sensory - reflexes, gait, balance deficits
Cognitive - attention deficits
Sarcopenia
Loss of muscle mass and strength
Dysregulated energetics
Decreased energy production or increased utilization
Ways of assessing frailty
- frailty phenotype
- frailty index
frailty phenotype
- Frail presence of 3 or more of the following: weight loss/shrinking, weakness, poor endurance, slowness, low physical activity
- pre-frail: presence of 1 or 2 deficits
- not frail: absence of deficit
Frailty index
Expressed as ratio of deficits present to total number of deficits
Frailty index and frailty phenotype
Complement each other
Tests used to assess frailty
Short performance physical battery tests
Mini-mental state exam (MMSE)
Short Performance Physical Battery
To stimulate physical symptoms of frailty
1. Romberg balance test
2. Gait speed test
3. Chair stand test
Mini-Mental State Examination (MMSE)
To stimulate neurological symptoms of frailty. Assess mental status using 5 areas of cognitive function
- orientation, registration, attention, recall, language
Aging and frailty equipment
- knee wrap (affect balance and gait speed)
- over shoes (affect balance)
- back brace (affect balance and gait speed)
- Headphone (stimulate tinnitus)
- simulation goggles (Stimulate glaucoma)
- simulation glasses (Stimulate cataracts)
MMSE
- gloves (affected dexterity)
- glasses
- goggles
- cotton balls (muffle hearing)
Bar Graph vs. Scatterplot
Bar graph - measure differences and relay info regarding different IV
Scatterplot - used to look for trend between 2 variables
Requirements of graphs
- black or grey
- tick marks (major outside)
- labels
- error bars
How to add error bars in excel graph
- calculate std dev
- click error bars
- more options > custom > specify calculated std dev
How does the flu spread
Respiratory droplets projected when infected people cough and sneeze that are inhaled when we breathe
How long can flu remain infectious on surfaces
24 hours
Flu symptoms
Fever, chills, cough, body aches
How long do flu symptoms last?
5-7 days
When do flu symptoms begin
1-2 days after becoming infectious
reproduction number (R0)
The number of subsequent infections in a susceptible population caused by a viral illness in one individual during its infective period
If R0 < 1
infection fails to spread
If R0 >1
infection will spread
attack rate
percentage of people who become ill in population after exposure
What factors does speed of virus spread depend on
- characteristics of virus and infected hosts
Flu vulnerable groups
Pregnant women
Children under 5
People with chronic medical conditions
People with immunosuppressive conditions
Health care workers
Seniors (>65)
Ways to limit flu
- vaccine
- washing hands + other hygiene
- quarantine
- antivirals
immunosenescence
The immune system works less well as we age. Senescence of the cells in the immune system
When do vaccines become less effective
Over age 65
Epidemiology
Branch of medical science concerned with the incidence, distribution, and control of diseases that affect large numbers of people.
SEIR model
Transmission of disease. Follows: susceptible > exposed > infected > recovered
Affected population
Number of infected + number recovered
% affected
(# infected + # recovered)/(initial population) x 100
Seroconversion
The window of time from when an individual is vaccine and producing antibodies but does not yet have immunity
Strategies for outbreak control
- vaccination
- isolation
- antivirals
Nerve vs. Neuron
Neuron = single cell.
Nerve = branch with many cells (neurons).
Neuron Classification
- input (sensory, interneuron, motor neuron)
- anatomy (monopolar, bipolar, multipolar)
- location (central, peripheral)
- transmitter produced (serotonergic, dopaminergic)
- Relationship to another neuron (presynaptic, postsynaptic)
presynaptic neuron
neuron that sends the signal
postsynaptic neuron
the neuron on the receiving end of the synapse
Types of neural signals
Internal
Neuron-to-neuron
internal signals
Electrical signals
- action potentials - sodium/potassium spikes
- graded potentials
- plateau potentials
Neuron-to-neuron signals
Chemical signals - delivered by vesicles across
- neurotransmitters
Electrical signals
- electrical synapses
- emphatic signalling
Membrane potential
Inside of neuron has more negative charge than outside when neuron is inactive
What is neural activity affected by
Changing the voltage of the membrane potential
Spatial summation
Activity of MULTIPLE presynaptic neurons combine to change postsynaptic neuron
Temporal summation
SINGLE presynaptic neuron firing multiple action potentials to change postsynaptic neuron
What between neurons is important for function
Connection
Why is neurotransmitter type irrelevant to function
Receptors determine responses of target neuron
Aging impact on neurons
- fewer neurons
- fewer synaptic connections
-les synaptic plasticity
- greater risk of neurodegenerative disease
- accumulated risk of injury over time
Ganglia
Clusters of nerve cell bodies
What is used to distinguish strong external stimulus from weak
Pattern and frequency of action potentials
T-test
Statistical hypothesis that determines whether there is a statistical difference between the means of two groups
Assumptions of a t-test
- data must be continuous or ordinal
- data is selected randomly
- data is representative of general population
- data when plotted follows a normal distribution
- large sample size (over 30 usually)
- homogeneity of variance
Types of T-tests
- independent one sample
- independent two sample
- paired t test
Independent one sample t -test
Compares the mean of sample group to set mean ( 7 yr olds vs. Everyone else)
Formula: t = (m-u)/s/sqr(n)
- t = t-value
- m = mean of sample
- u = population mean (theoretical value)
- s = std dev
- n = sample size
Degrees of freedom
N - 1
If t-value < critical value
Fail to reject null hypothesis
If t-value > critical value
Reject null hypothesis
Independent two sample T-test
Compares the mean of 2 different samples, not to theoretical or population mean (boys vs. Girls)
Formula: t = (mA = mB) / sqrt ((sA^2/nA) + (sB^2 / nB))
- mA = mean of A
= mB = mean of B
- sA^2 - variance of A
- sB^2 - variance of B
- nA = sample size of A
- nB = sample size of B
Paired T-test
Compares the mean of sample group to the mean of the same sample group at a different time point (before vs. After)
Formula: t = m / s / (sqrt n)
- m - mean difference between the 2 means
- s = standard dev of difference between 2 means
- n = sample size
More neural connection
= more firing (AP) = faster AP
Histology
Study of healthy tissue
Pathology
Study of unhealthy tissue
Major tissue components
Cells, fibers, matrix (ground substance)
Tissue
Group of cells that act together to perform a specific function
4 basic tissues in human body
- epithelial
- connective
- muscle
- nervous
Epithelial tissue
Tissue that covers and lines organs and organisms
Found on the surface
Connective tissue
Tissue that supports and connects
Not found on the surface
Muscle tissue
Tissue that contracts and produces motion and/or locomotion
Nervous tissue
Tissue that responds to stimuli and conducts impulses for communication of information
Classification of Epithelium
Number of layers
- simple = single layer
- stratified = multiple layers
Shape
- squamous
- cuboidal
- columnar
Function
- transitional
- germinal
transitional epithelium
1. multiple layers of cells
2. superficial layer of cells (dome cells) have shape varying from rounded to flattened depending on distension of organ
3. capacity to stretch
germinal epithelium
found lining the reproductive organs, andthese cells are specialized to produce gametes, the eggs and the sperm
Squaomous
covered with scales or cells
examples of simple epithelium
squamous
- endothelium
- bowmans capsule
- loop of henle
-alveoli
cuboidal
- glands
- ovary surface
columnar (things that need lining?)
- stomach
- kidney tubules
- bronchi
- uterus
- bronchi
examples of stratified epithelium
squamous
- epidermis of skin
cuboidal
- skin
- ducts of sweat glands
term-105
columnar
- large ducts of glands
Specializations of epithelial membranes
- simple and branched glands
- microvilli
- cilia