Module 8: Non-Infectious Diseases Flashcards

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1
Q

What is homeostasis?

A

The process by which an organism maintains a stable internal environment, despite fluctuating external environmental conditions.

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2
Q

Why is homeostasis important?

A

-By maintaining constant conditions (temp, pH, levels of water) in the body our enzymes are ableto carry out their functions efficiently.
-Cells survive best in an isotonic solution: needs to be maintained so that cells don’t shrink of expand
-Enzymes are very important catalysts which require specific conditions to function at their best.

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3
Q

What is the internal environment?

A

The internal environment (of a cell) is the fluid surrounding a cell within a multicellular organism. It is internal to the organism, but the environment of the cell. Depending on where the type of cell, the internal environment could be blood plasma, tissue fluid or cerebrospinal fluid.

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4
Q

How is the general internal equilibrium maintained?

A

Adjusting physiological processes including body temperature, CO2 concentration, blood pH, blood glucose levels and water balance.

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5
Q

What is a negative feedback loop? (General detecting and counteracting of change)

A

Detecting change: receptors (sensory cells) within the body detect a change in a particular component of the internal environment (e.g. temperature, blood pH). This change is called a stimulus.
Counteracting the change: a response occurs that will reverse (or counteract) the change, which is brought about by the effector organs and will restore the body to its constant internal state.

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6
Q

Temperature and thermoregulation (increase in body temp)

A

→ increase in body temp, messages are sent to the front of the hypothalamus (the heat-loss control centre) which initiates the process to cool the body
→ vasodilation – blood vessels dilating, heat radiates from skin surface
→ activation of sweat glands to secrete sweat, removing heat from the body when it evaporates

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7
Q

Temperature and thermoregulation (decrease in body temp)

A

decrease in body temp, messages are sent to the back of the hypothalamus
→ vasoconstriction – blood vessels constricting, removing blood from skin surface + conserving heat
→ shivering begins + heat is produced

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8
Q

Glucose (rise in glucose levels)

A

→ rise in blood glucose levels, specialized cells in the pancreas detect the increase,
→ triggers the release of the hormone, insulin which then causes blood glucose levels to decrease

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9
Q

Glucose (drop in glucose levels)

A

→ blood glucose levels decrease, this is detected in a different group of cells in the pancreas
→ the hormone glucagon is released, and is then converted to glucose in the liver
→ blood glucose levels increase

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10
Q

What are receptors?

A

Receptors are responsible for detecting stimuli, any changes from set point, that are outside tolerance limits. They contain sensory cells and can take numerous forms depending on stimuli.

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11
Q

What are the different kinds of receptors?

A

→ Photoreceptors = detect light
→ Thermoreceptors = detect changes in temperature – heat
→ Osmoreceptors = detect changes in water levels
→ Chemoreceptors = detect concentration of certain chemicals

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12
Q

What is the stimulus response model?

A

The nervous system takes messages from receptors → the CC interprets the correct response to the information → sends messages to effectors in order to respond to the stimulus

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13
Q

The nervous system

A

The nervous system is responsible for coordinating all of the body’s activities. It acts as a control centre to coordinate activities that maintain homeostasis within the body. Neural pathways by which messages travel in the body are provided by the nervous system. It is composed of the central and peripheral nervous system.

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14
Q

What is the central nervous system?

A

CNS consists of the brain and spinal cord where it gathers information from all over the body + coordinated responses.

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15
Q

What is the peripheral nervous system?

A

PNS comprises all the nerves that lie outside of the CNS, connecting the CNS to the rest of the body. It carries messages to and from the CNS

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16
Q

What is a neuron?

A

Neurons are information messengers. They use electrical impulses and chemical signals to transmit information between different areas of the brain, and between the brain and the rest of the nervous system.

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17
Q

What is a cell body, dendrite and axon?

A
  • Cell body = contains a nucleus and many other organelles
    → Dendrites = branch off the main cell body, receive messages in the form of impulses
    → Axons = long extension of the cytoplasm of the cell body – it transmits the electrical impulse down the neuron and is connected to the muscle to tell them what to do.
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18
Q

Sensory neuron

A

→ found in PNS
→ connected to sensory organs (eyes ears nose tongue skin) and detects stimuli
→ carry impulses from sensory cells in PNS to CNS

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19
Q

Interneuron

A

→ found in CNS
→ receives messages/impulses from sensory messages + sends response message to motor neurons

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20
Q

Motor neuron

A

→ found in PNS
→ receives message from CNS
→ connect to muscles, glands + organs (effectors) to carry out the response

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21
Q

What are hormones?

A

The main component of the endocrine system are hormones, which
are chemical messengers molecules secreted by endocrine glands.

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22
Q

How do hormones assist homeostasis?

A

➔ These hormones are transported by the bloodstream to cells
possessing the receptors for the particular hormone.
➔ The hormones cause these cells to change their activity in a way that
will maintain homeostasis within the body.
➔ Hormones achieve this by influencing the activity of particular
enzymes or the concentration of these enzymes in the cells, known
as target cells.

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23
Q

What is the endocrine system?

A

The endocrine system is a collection of glands that produce hormones that regulate the activity of the body such as metabolism, growth and development, tissue function, sexual function, reproduction, sleep etc. Glands can be stimulated to secrete hormones (chemical messenger molecules) by messages from the nervous system, by other hormones or by receptors

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24
Q

Behavioural adaptations (temperature)

A

-Movement (shaded areas regulate heat exposure), deliberate muscle use (contractions create heat), sunbaking (surface area for heat absorption), licking (heat evap through saliva), drinking water (fluids to maintain cells in an isotonic state)

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25
Q

Structural adaptations (temperature)

A

-Insulation: feathers, fur etc trap a later of air next to skin to reduce the transfer of heat to environment
-SAVR: more compact bodies reduce the surface area for heat exchange- retaining heat

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26
Q

Physiological adaptations (temperature) (vasoconstriction and dilation)

A

-Vasoconstriction- (narrowing), Vasodilation (widening) allows animals to regulate the SAVR of their circulatory systems to retain or expel heat when required

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27
Q

Physiological adaptations (temperature) (metabolic rates)

A

-Can be increased to increase the production of heat energy internally, deceased to cool body temperature

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28
Q

Physiological adaptations (temperature) (muscle contraction)

A

-Shivering or making small in the skeletal muscles to produce heart

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29
Q

Physiological adaptations (temperature) (sweating)

A

-As perspiration allows sweat to evaporate from the surface of the skin which has an evaporative cooling effect

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30
Q

Physiological adaptations (temperature) (panting)

A

-Allows evaporation from internal body surfaces, such as nasal passages, mouth and lungs which has a cooling effect

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31
Q

What is transpiration-cohesion-tension theory? (brief)

A

Its the mechanism by which water flows through the xylem of plants

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32
Q

Transpiration-cohesion-tension theory process

A

Transpiration- evaporation of water through the stomata of plants
Cohesion- that water molecules are attracted to one another, so they will move in a cohesive stream
Tension-Water molecules are attracted to the surfaces they touch
(by regulating the levels at which transpiration occurs- retain or release water as required

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33
Q

Homeostasis in plants (smaller leaves)

A

-Smaller leaves- reduces SAVR (reduces area available for transpiration- less water)

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34
Q

Homeostasis in plants (closing stomates and movement)

A

-Closing stomates: inhibits the ability for water to leave the plant through the leaves
-Movement- angling leaves away from the sun at different times- reduce transpiration (cool)

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35
Q

Homeostasis in plants (Dropping leaves in summer)

A

-Dropping leaves conserves water to essential parts of the plant

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36
Q

What causes genetic diseases?

A

-Gene or chromosomal abnormalities caused by point or chromosomal mutations
-Errors during gamete formation or exposure to mutagen
-Could be inherited from parents or as a result of acquired changes to pre-existing genes

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37
Q

Examples of genetic diseases

A

-Down Syndrome and cystic fibrosis

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38
Q

Examples of environmental disases

A

-Minamatta (ingestion of mercury)
-Mesothelioma (cancer as a result of asbestos exposure)

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39
Q

What causes environmental diseases?

A

-Interactions with the environment- factors such as radiation
-Exposure to harmful or toxic chemicals such as toxic metals or noxious gases

40
Q

What causes nutritional diseases?

A

-Issues with diet- excessive or insufficient consumption of food
-Problems with digestion
-Consumption of incorrect amounts of foods

41
Q

Examples of nutritional diseases

A

-Scurvy and type 2

42
Q

What causes cancer?

A

Many different factors- infectious agents, genetic disorders, exposure to mutagens, lifestyle choices like alcoholism

43
Q

Examples of cancer

A

Breast cancer (inherited), melanoma (sun), lung cancer from smoking

44
Q

What is cancer itself?

A

-A disease in which abnormal cells grow in an uncontrolled manner.
-It is the result of changes to the fundamental molecular changes of a cell due to mutation
-In normal cells, growth and division are tightly regulated so that cells can function correctly

45
Q

What can cancerous cells do? (alteration of cellular regulation)

A

-Replicate indefinetly
-Evade growth supressors in the body
-Resist cell death
-Induce increased blood flow to the tumour site
-Invade other tissues and metastises

46
Q

Changes to cellular function effects (cancer)

A

Cancerous cells have the potential to metasise meaning invade or spread around the body. Tumours are the uncontrollable division of cancerous cells

47
Q

What is epidemiology?

A

The study of, incidence, distribution and possible control of diseases. Patterns and causes of diseases within populations

48
Q

What are the features of valid epidemiological studies?

A

-Large sample sizes, select populations with unequal exposure to possible causes- must include an independent variable and allow valid conclusions to be drawn, collect data on other factors (sex, lifestyle etc)

49
Q

Case study: Obesity (classification)

A

Nutritional disease

50
Q

Case study: Obesity (Cause)

A

High calorie diets and sedentary lifestyle

51
Q

Case study: Obesity (Global patterns)

A

-13 percent of all adults are obese
-2.8 million die as a result of obesity
-Highest in America and lowest in South East Asia

52
Q

Case study: Obesity (Contributory factors)

A

-Changes in diet (processed)
-Changes to lifestyle- work and leisure etc

53
Q

T2D- Prevention

A

-Normal weight, eating a healthy and varied diet, exercising regularly

54
Q

T2D- Treatment and management

A

-Eating well- helps to manage levels of blood glucose- high fibre diets, low fat, avoiding refined sugars and carbs, low GI
-Exercise, monitoring blood glucose, treatment (metformin-increase insulin sensitivity to take glucose), insulin injections, bariatric surgery

55
Q

T2D- further directions for research

A

-Inc understanding of the factors contributing to T2D
-Future research- genetic risks and analysing genomes- risk of developing disease (pre-emptive, personalised medicine), organ transportation, islet cell transplants for diabetics- growing health external cells and inserting

56
Q

Asbestos causes

A

-Inhaled asbestos fibres- inflammatory reaction in lung tissue
-lack of oxygen uptake in blood

57
Q

Melanoma stats

A

-In 2009-2013- 90% chance of survival
-Number of new cases per year jumped from 3000 in 1982 to 12000 in 2013

58
Q

Treatment of melanoma

A

Early detection, surgery removal of cancerous cells, radiation, x ray, chemo, targeted therapies (DRUGS AFFECT MOLECULES OF TUMOR GROWTH), immunotherapy- own immune system- vaccinations and checkpoint inhibitors

59
Q

Melanoma future directions

A

-target therapies- interupting uncontrolled cell division
-immunotherapy- not successful with all patients

60
Q

Benefits of engaging in an epidemiological study

A

-Comprehensive and wide reaching in their implications and applications
- Cause and patterns of disease
-Implementing hbp

61
Q

Effectiveness of SLIP SLOP SLAP

A

-incidence of melanoma has increased (somewhat), but basal cell carcinoma and squamous cell has decreased
-effective amongst younger people
-cost effective

62
Q

Eval a method used in an epidemiological study
PIMA INDIAN POPULATION- Native Americans (about)

A

-Physical activitity and a decrease in T2d
-NativeAmerican Community in Arizona
-Carried out from 1987-2000 15-59
-Every 2 years glucose test, physical examination

63
Q

PIMA Indian Method

A

-Interviewd about their activity
-leisure and occupation were recorded
-average work schedule, walking hours, time spent sitting- exercise intensity
-if they were incapable of recording properly they were excluded
-Follow up visits
-Incidence rates were calculated by age groups, gender, and physical activity

64
Q

PIMA Indian evaluation

A

-Large sample size, long period, scientifically approved methods, collecting and analysed data
-non diabetics of all ages and groups were tested
-objective means- doctor diagnosis- no measurement bias
-BMI index etc

65
Q

Genetic engineering to prevent non-infectious diseases (general)

A

-Many non-infectious diseases are the result of mutations to genetic material
-Curing diseases using genetic engineering
-Changing genetic code

66
Q

Genetic enginerring (Gene therapy)

A

-Introducing a normal, functioning gene into cells, correct sequences, fixing illnesses like cystic fibrosis
-vectors such as attenuated viruses

67
Q

CRISPR

A

-Point mutations may be accurately introduced into genomes, alter genomes of all edited cells- lasting somatic cell edit

68
Q

Embryo screening or editing

A

-Couples who are known carriers
-Without genetic defect for implantation- whole organism changes

69
Q

Effectiveness of genetic engineering to prevent disease

A

-Mapping human genome and GWAS- bias of infectious disease
-Identofying mutations that cause people to be predisposed to disease
-Screening, diagnosis, early prevention, creating vaccines

70
Q

Developing strategies to prevent a non-infectious disease outbreak

A

-uses epidemiological studies to minitor trends, emerging patterns and prevalence
-Locations at high risk, planning policy, strategies, preventions

71
Q

Developing strategies to prevent a non-infectious disease outbreak (how)

A

-public health campaigns, social media, disseminate information, driving conversation, legislation

72
Q

Structure of the ear

A
  1. Outer ear (pinna and ear canal)
  2. Middle ear (osciles and ear drum)
  3. Inner ear (Cochlea, auditory nerve, and brain)
73
Q

Function of the ear

A

Ear transfers energy in different forms from the external environment to the brain.When sound enters the ear in the form of waves, the ear drum vibrates. This vibration movement causes
the bones of the middle ear, the ossicles, to move in a chain-like fashion. This movement ‘knocks’ on a
membrane window of the cochlea. The cochlea is filled with fluid, which moves in response to this knock.
Hair cells lining the cochlea are bent in response to the fluid vibrations, which creates an electrical impulse
to be sent along the auditory nerve and to the brain.

74
Q

What is conductive hearing loss?

A

-Caused by a problem with the mechanical conduction of vibrations through the outer and middle ear- ineffective sound transfer
-ear infections perforation of the eardrum

75
Q

What is sensorineural hearing loss?

A

Damage to the inner ear, may arrive at cochlear but isn’t passed to auditory nerve or auditory might be broken. Could be congenital or from age

76
Q

Structure of the eye

A

Sclera- forms the oaque, tough protective coat that surrounds the eye, transparent cornea
Choroid layer- contains blood vessels, the posterior of the choroid is black to make the light tight and reduce the scattering or reflection of light in the eye- forward section is cillary body, lens, iris
-Inner layer- retina

77
Q

Function of the eye

A

1.Light enters the eye firstly through the cornea
2. The cornea refracts light through the pupil, the width is controlled by the iris
3. Pupils dilate and contract to let in light or keep it out
4.Light passes through the lens which focuses light by shortening or lengthening the width
5. Globe of the eyeball is filled with vitrous gel that gives the eye spherical shape whilst allowing light to be transmitted
6. Light rays come to a focal point where the image is focused at the retina
7. As light hits the retina light energy is turned into electrical impulses by rods and cones, sending the message to the optical nerve and to the brain by processing

78
Q

Refractive errors

A

Occurs when the eye does not focus light properly, due to an incorrect shaping of the cornea

79
Q

Myopia (nearsightedness)

A

-Cornea is too curved or the eyeball is too long- resulting in light refracted at an angle that places the focal plane in front of the retina- far away= blurry

80
Q

Hyperopia

A

-Far sightedness occurs whenthe cornea is too flat or the eyeball is too short, light is focused beyond the retina
-close up blurry

81
Q

Astigmatism

A

Vision is blurred at all distances- misshapen cornea that isn’t uniform in all directions

82
Q

Structure of the kidney

A

Blood enters the kidney through the renal artery and leaves via the renal vein. The cortex is the outer part of the kidney, medualla - petal like things, pelvis- drainage area connected to the ureter
Nephrons are situated across the cortex and medulla

83
Q

What is a nephron?

A

Filtering is performed by microscopic structures called nephrons, situated across the cortex and the
medulla. Every kidney has about a million nephrons, each performing the job of filtration. Capillaries
are wound around the nephron structures, providing an interface across which exchange of nutrients may
occur. When blood first enters the kidneys, the capillaries are squeezed into a very tightly wound struc-
ture called a glomerulus. This structure is so compact that all fluid in the blood (everything except red
blood cells) is squeezed out, into the Bowmans capsule. In the proximal convoluted tubule, essential
molecules such as water, glucose, salts and nutrients are transferred back into the capillary. The rest of
the nephron structure performs a balancing function, regulating the return of salts back into the blood
in response to bodily requirements. Hormones may also act on the nephron, increasing permeability to
certain substances to promote their reabsorption into the blood. All wastes, excess substances and fluids
are then drained into the collecting duct, which leads to the renal pelvis to eventually be drained out of
the kidney and the body.

84
Q

Loss of kidney function

A

-Damage to nephrons- can t filter, reabsorp or secrete correctly
-Inability to remove wastes, balancing of salt and water levels in the blood
-Nausea, vomiting, HBP, fatigue, swelling, sleep problems, diabetes, kidney stones

85
Q

Cochlear implants

A

Used for sensorineural hearing loss
Cochlear implants are electronic devices which replace the function of damaged inner ears (the cochlea).
It enables sound, received through an external transmitter, to be transferred to the auditory nerve, allowing individuals who have damaged the hair cells of the inner ear to hear. A sound processor captures sound, and turns it into digital code. This digitally-coded sound is transmitted to the implant, which converts it to electrical impulses. These impulses are then sent along the electrode, which is placed in the inner ear. The electrode then stimulates the hearing nerve, which sends impulses to be brain to be interpreted as sound.

86
Q

Bone conduction implants

A

➔ Used for conductive hearing loss.
➔ Has a microphone that detects the sound and transforms it into vibrations,
which are then passed via the implant to the bone above the ear.
➔ These vibrations are directed through the bone to the cochlea, where they
are processed as normal.
➔ These implants bypass the malformed or damaged outer and middle ear
and transfer the vibrations directly into the inner ear.

87
Q

Hearing Aids

A

Used for both conductive hearing loss and sensorineural hearing loss.
➔ Are used to magnify the sound vibrations to better enable their transmission
to the middle ear and then the inner ear.

88
Q

Spectacles for myopia

A

➔ can be corrected by wearing spectacles with concave lenses, which are
thick towards the outside and thinner towards the centre.
➔ These lenses bend the light rays outwards, causing them to diverge before
they reach the eye.
➔ This extends the focal length of the light rays, allowing the focused image
of a distant object to fall on the retina instead of in front of it.

89
Q

Spectacles for hyperopia

A

➔ Can be remedied by wearing spectacles with convex lenses, which are
thicker towards the centre and thinner towards the edges.
➔ This type of lens bends incoming light rays inwards, causing them to begin
converging before they reach the eye, shortening the focal length and
allowing the focused image of a near object to fall on the retina rather than
behind it.

90
Q

Laser surgery

A

➔ Used to reshape the cornea in order to correct vision problems.
➔ The surgeon will create a thin flap in the top of the cornea, which is folded
back so that the underlying stroma can be accessed.
➔ An excimer laser uses short wave ultraviolet light to remove tiny amounts
of tissue.
➔ This reshapes the cornea so that it focuses light more accurately.
➔ Nearsightedness = flatten cornea.
➔ Farsightedness = increase curve of cornea.

91
Q

Hameodialysis

A

➔ Waste filtered from the blood outside of the body in a dialysis machine.
➔ An A-V fistula is made in the patient’s arm, from which blood is drawn, and
then passed through a series of semi-permeable membranes.
➔ This allows for toxins to be drawn out of the blood into dialysis fluid, and
clean blood returned to the body.

92
Q

Peritoneal

A

➔ Cleansing fluid is flown into the peritoneal cavity in the abdomen by a catheter.
➔ Wastes are filtered into the cavity from the blood.
➔ The fluid with the waste products is then drawn from the abdomen and
discarded.
➔ Peritoneal dialysis can be performed by yourself at home or whilst
travelling, allowing for more flexibility in lifestyle and independence.

93
Q

General effectiveness of technology

A

➔ Technologies aim to assist with the effects of a disorder and improve the quality of life of the
sufferer.
➔ Without technology, individuals would have to manage to the best of their ability to cope with the
effects of the disorder.
➔ Not only would these individuals be affected, but so would their families or carers.
➔ The burden on the Health & Welfare systems would be increased due to the continual support that
would have to be provided.

94
Q

Advantages to cochlear implant

A

➔ The popular implant gives individuals the ability to communicate effectively with those around them
➔ These involved the use of sign language, lip reading and often a reduced ability to develop effective
language skills, especially in those that are born profoundly deaf.
➔ With the implementation of the cochlear implant, those born profoundly deaf now have the ability to
develop at a normal rate and showed no signs of developmental delays in language, hearing and
speech.
➔ Infants will develop language and speaking skills normally.
➔ Older adults that have lost their residual hearing and have a cochlear implant are able, after a
period of adjustment and training, to hear the world around them again and experience an improved
quality of life.
➔ They are able to be more independent and to contribute positively to both their family and society
without extra assistance.

95
Q

Advantages to spectacles

A

➔ Spectacles are affordable and easy to wear.
➔ Ready-made spectacles can now be purchased cheaply and can be effective for the wearer.
➔ Prescription spectacles are made specifically for each individual’s eye disorder and can correct for
astigmatism.
➔ High refraction plastic lenses are now used to reduce the weight of thick lenses.
➔ Sunglasses are designed to protect the eyes from harmful ultraviolet radiation.
➔ You can improve your eyesight instantly.

96
Q

Disadvantages to spectacles

A

➔ Ready-made spectacles do not effectively assist with all eye disorders such as astigmatism.
➔ It is not the best solution that addresses the root cause of the vision disorder.
➔ Most people experience degrading quality of vision overtime while wearing eyeglasses.
➔ As years went by, the patient may need a stronger prescription to improve eyesight. This could
happen due to the eye muscles being so used to contact with the eyeglasses that it changes shape
drastically which in turn worsens vision because the eyeball focus has changed drastically.
➔ When you wear new pairs of eyeglasses you would feel a slight discomfort adjusting to it.