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
Q

negative rights

A

do not require actions

protect privacy
avoid killing
avoid harming

26
Q

the four limitations to patient autonomy

A

the harm principle
diminished capacity or autonomy
paternalism
public health protections

27
Q

Therapeutic privilege

A

Justifies withholding information when it poses a serious psychological threat

Competent patients have the right to refuse treatment

28
Q

utility

A

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