evolution of health and disease Flashcards

1
Q

health determinants are _ or _

A

proximal or distal

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2
Q

proximal determinants

A

physiological causes of disease

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3
Q

are proximal or distal determinants easier to affect?

A

proximal

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4
Q

distal determinants

A

underlying causes of disease

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5
Q

categories of distal determinants

A

biologic, behavioral, societal

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6
Q

types of biological determinants

A

genetic or developmental

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7
Q

developmental plasticity

A

we can change phenotype to match environment, but only a good thing if our future environment matches

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8
Q

societal determinants include:

A

exposures and status

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9
Q

health risks from our genome

A

aneuploidy, single gene mutations, snps

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10
Q

susceptibility to disease (5)

A

exposure to environment conditions that we can’t adapt to, post reproductive loss of selection pressure, co evolution with mutating virulent pathogen, harmful allele has benefit to heterozygous, evolutionary design constraints

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11
Q

Example: exposure to environment conditions that we can’t adapt to

A

diabetes, osteoarthritis

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12
Q

example: post reproductive loss of selection pressure,

A

RA

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13
Q

example:co evolution with mutating virulent pathogen

A

TB, HIV

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14
Q

example: harmful allele has benefit to heterozygous

A

sickle cell

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15
Q

example: evolutionary design constraints

A

low back pain, choking

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