Lecture 33+34+DLA Flashcards

1
Q

respect for persons

A

Show fidelity to patient; show respect for

patient dignity and autonomy

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2
Q

Beneficence

A

Act in patient interest

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3
Q

Nonmaleficence

A

Avoid harm to patient

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4
Q

Utility

A

Balance benefit & harm

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5
Q

Justice

A

Be fair (distribution, procedures, respect, equity)

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6
Q

duty based or deontological

A

Act in ways that fulfil your moral obligations

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7
Q

outcome based or consequential

A

Act in ways that maximize outcomes

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8
Q

virtue based

A

Act from virtuous character and intention

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9
Q

Group 1 virus

A

can be enveloped or not have an envelope

double stranded DNA

replicate in the nucleus

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10
Q

herpes virus replication cycle

A

group 1 virus

  1. immediate early protein synthesis to take over cell
  2. the target is the genome: DNA poly
  3. late proteins are structural; form a capsid
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11
Q

group II viruses

A

non-enveloped
can be - or + sense
single stranded DNA

replicate in the nucleus

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12
Q

group III viruses

A

RNA genome

RNA dependent polymerase

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13
Q

Group IV viruses

A

can be enveloped or non-enveloped
have + sense ssRNA
replication happens in the cyto

the + sense is converted into a - sense

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14
Q

Group V viruses

A

are enveloped and contain - sense
can be segmented or non-segmented
ssRNA

have their own RNA dependent RNA poly

produce a + sense

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15
Q

Group VI viruses

A

are enveloped and contain two identical (diploid) copies of (+ve) sense, ssRNA genome

replication occurs in the nucleus and they use reverse transcriptase

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16
Q

Group VII viruses

A

enveloped, dsDNA viruses containing apartial ssDNA overhang

17
Q

Antigenic drift

A

evolution due to small changes in the genome

sequence within a define strain which usually occurs at a slower rate compared to antigenic shift

18
Q

Antigenic shift

A

resulting in exchange (reassortment) of RNA
segments between two different influenza viruses that
subsequently gives rise to a highly pathogenic

usually segmented viruses

19
Q

Phenotypic mixing or transcapsidation

A

a non-genetic interaction

interaction in which virus particles released from a cell that is infected with two different viruses have
components from both the infecting agents, but with a genome from one of them

20
Q

Pseudotypes

A

non -genetic interaction in which nucleocapsid of one virus acquires envelope from another type of virus.

21
Q

parts of justice

A

procedural justice = fairness of law

distributive justice = criteria of distribution (goods, harms)

social justice = improve conditions for those not so well off

22
Q

elements of respect for persons

A

fidelity = loyalty, keeping promises
autonomy = individual capacity of choice
veracity = truth telling
avoidance of killing = withholding and withdrawing treatment

23
Q

Patient centered care

A
  1. attention to needs and individual
  2. empathy
  3. information
  4. dignity
24
Q

positive rights

A

require actions!

ex:
truthful
justice (be fair)
acknowledge patient preferences

25
negative rights
do not require actions protect privacy avoid killing avoid harming
26
the four limitations to patient autonomy
the harm principle diminished capacity or autonomy paternalism public health protections
27
Therapeutic privilege
Justifies withholding information when it poses a serious psychological threat Competent patients have the right to refuse treatment
28
utility
Utility = beneficence + nonmaleficence Utility tells us to act to maximize the net benefits in light of their probabilities, severities of harm, value to the patient, and reasonable alternatives