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Sound
Mechanical energy transmitted by longitudinal pressure waves
Pitch
Number of vibrations per second, higher frequency means higher pitch
Intensity
Energy or loudness, higher amplitude means higher intensity
Pinna
Collects sound wave, channels to ear canal
Tympanic membrane
Eardrum, sound waves hit and it vibrates
Ossicles ( malleus, incus and stapes)
Tiny bones that amplify vibration
Stapes
Strikes oval window, create fluid waves in cochlea
Sensory hair cells
Fluid motion bends hair, triggers electrical impulses
Cochlea nerve
transmits impulses to auditory cortex
Ear
Hearing and fluid allows balance/pressure release
Conductive hearing loss
Hearing impairment from interference with sound waves to cochlea
Sensorineural hearing loss
hearing loss from problems with the cochlea nerve, sensory hair cells, or inner ear
Audiogram
Right ear= red o, bone conduction marked with <
Left ear= marked with blue x, bone conduction marked with >
Hearing thresholds
0-20, normal and 41-55 moderate loss
Air bone gap
Bone conduction is significantly better than air conduction - indicates conductive hearing loss, if both are poor, sensorineural loss
Rinne test
Uses a tuning fork to compare bone and air conduction
Speech in noise test
Evaluates patient comprehension by testing ability to distinguish words around background intensity, sensorineural hearing loss
Hearing aids
Electronic device amplifies sound, helps conductive hearing loss
Cochlear implant
Converts waves into electrical signals, helps sensorineural hearing loss
Innate immunity
Immediate, non specific response to any pathogen, skin, mucus, macrophages
Acquired immunity
Specific, learned, response developed after exposure to an antigen
Antigen
Foreign macromolecule eliciting an immune response
Antibody
Antigen binding immunoglobulin produced by b cells that are an effect of immune response
Edward Jenner
Smallpox vaccine, exposure to harmless antigen=immune memory
Killed vaccine
Uses dead pathogen
Live attenuated vaccine
Uses weakend version of pathogen
Toxoid
Targets toxins produced by pathogen
Subunit
uses only a specific piece of pathogen like a protein
Naked DNA
Uses a gene from pathogen to trigger immune response
Recombinant vector
Use harmless virus to deliver pathogen dna
Recombinant DNA technology
Vaccine against hepatitis b, use viral protein and insert into bacterial plasmid
Recombinant process
Plasmid, restriction enzyme cuts plasmid and cuts out gene of interest, use ligase to glue it into plasmid-plasmid only cut once
Plasmid rules
Don’t cut origin of replication-plasmid has to be able to replicate
Do not cut antibiotic resistance gene- have to make sure plasmid is successful
Don’t use enzyme that cuts DNA into tiny pieces-could lose important parts
Do not cut off more than 20 base pairs on each side
Use enzyme that makes sticky ends, not blunt- fits together and glues better
Attack rate
Ill people/total people at risk
Cohort study
Long term, same people, exposed vs non exposed
Case control study
RIght now, cases ( with disease) are compared to controls (healthy)