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Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
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ISBN:9781305964792
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Chapter7: Ethical Considerations
Section: Chapter Questions
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If you may please help me with evidence and the explanation of the chart in 1700–1800. The other years aren't neccessary but thank you.

E.L. Trudeau was quick to distinguish between a helpful therapy and a cure. He opened the Adirondack
Cottage Sanitarium, where poor and rich alike could come and receive the benefits of fresh air, plenty of
sunlight, rest, and abundant but simple nourishing food. Hundreds benefited. Similar institutions
opened up in the U.S., and the movement was already well underway in Western Europe. But the cure
would only come in the 1950s with the discovery of antibiotics that were effective against the
mycobacterium.
Questions
Choose ONE of the following questions for your group to answer. Some outside research will
be required - you will have to find an additional resource to help you answer this question.
Your answer must include at least one direct quote from this resource. In addition, write an
evaluation of the resource that you choose: how did you find it? Who wrote the
information, and on what is it based? What makes it a reliable resource?
Question 1:
The curve shown in Figure 2 has three parts,
from 1700-1800, 1800 to approx. 1955, and
1955 to approximately 1985. The data used to
produce the curve are from Western Europe,
but a similar one could be expected for the
United States. From what you know of the
history and culture of the United States and
Western Europe, write a paragraph telling
why each part of the curve looks the way it
does. In looking just at this graph, what would
you predict about the death rate from TB in
2000 and 2005?
Death rate per 100,000
1000
500
100
50+
10-
5-
1
0.5
1700 1750 1800 1850 1900 1950
Year
2000
Figure 2: Western European mortality statistics-
TB deaths over time (Based on Murray, 2001).
In recent years, a combination of development
of antibiotic resistant strains of MTb along
with the creation of a reservoir of immunocompromised people by the worldwide AIDS epidemic have
contributed to a resurgence of tuberculosis in the United States and a worldwide upswing in TB cases
and deaths. This resurgence has been accompanied by a resurgence of interest in the disease by
scientists asking new questions about the nature of true host genetic susceptibility/resistance genes for
tuberculosis, about virulence genes within the mycobacterium itself which might offer new drug targets,
and about the epigenetic factors that may influence disease predisposition and outcome in people with
tuberculosis.
Transcribed Image Text:E.L. Trudeau was quick to distinguish between a helpful therapy and a cure. He opened the Adirondack Cottage Sanitarium, where poor and rich alike could come and receive the benefits of fresh air, plenty of sunlight, rest, and abundant but simple nourishing food. Hundreds benefited. Similar institutions opened up in the U.S., and the movement was already well underway in Western Europe. But the cure would only come in the 1950s with the discovery of antibiotics that were effective against the mycobacterium. Questions Choose ONE of the following questions for your group to answer. Some outside research will be required - you will have to find an additional resource to help you answer this question. Your answer must include at least one direct quote from this resource. In addition, write an evaluation of the resource that you choose: how did you find it? Who wrote the information, and on what is it based? What makes it a reliable resource? Question 1: The curve shown in Figure 2 has three parts, from 1700-1800, 1800 to approx. 1955, and 1955 to approximately 1985. The data used to produce the curve are from Western Europe, but a similar one could be expected for the United States. From what you know of the history and culture of the United States and Western Europe, write a paragraph telling why each part of the curve looks the way it does. In looking just at this graph, what would you predict about the death rate from TB in 2000 and 2005? Death rate per 100,000 1000 500 100 50+ 10- 5- 1 0.5 1700 1750 1800 1850 1900 1950 Year 2000 Figure 2: Western European mortality statistics- TB deaths over time (Based on Murray, 2001). In recent years, a combination of development of antibiotic resistant strains of MTb along with the creation of a reservoir of immunocompromised people by the worldwide AIDS epidemic have contributed to a resurgence of tuberculosis in the United States and a worldwide upswing in TB cases and deaths. This resurgence has been accompanied by a resurgence of interest in the disease by scientists asking new questions about the nature of true host genetic susceptibility/resistance genes for tuberculosis, about virulence genes within the mycobacterium itself which might offer new drug targets, and about the epigenetic factors that may influence disease predisposition and outcome in people with tuberculosis.
Dr. Trudeau had followed Dr. Koch's work with interest. He worked hard to learn how to culture MTb
organisms, and was the first to do so in the United States. Intrigued by the correlation between healthy
outdoor lifestyle and efficient anti-tubercular defense in his own case, he devised a simple experiment.
The experiment spoke to both the MTb "germ" as sole causative agent of tuberculosis and a possible
therapy for the disease. The experiment was described in his 1886 paper, "Environment in its Relation to
the Progress of Bacterial Invasion in Tuberculosis." The following is an excerpt from that paper:
First. What results ensue when both bacillary infection and unhygienic surroundings are made
to coexist in tuberculosis?
Second. Are unhygienic surroundings when every known precaution has been taken to exclude
the bacillus sufficient of themselves to bring about the disease?
Third. Is bacillary infection invariably progressive in animals placed under the best conditions of
environment attainable?
Experiments.-Fifteen rabbits were made use of and divided in three lots, each set of animals
being placed under conditions best adapted to answer in the results noted [in] the three
questions already referred to.
Experiment No. 1. Five rabbits were inoculated in the right lung and in the left side of the neck
with five minims of sterilized water in which was suspended a sufficient quantity of a pure
culture (third generation) of the tubercle bacillus to render the liquid quite perceptibly turbid
The needle of the Koch's inoculating syringe was inserted subcutaneously on the left side of the
neck and in the third intercostal space to a depth of thirty millimetres on the right side. These
animals were then confined in a small box and put in a dark cellar. They were thus deprived of
light, fresh air and exercise and were also stinted in the quantity of food given them while being
themselves artificially infected with the tubercle bacillus.
Experiment No. 2. Five healthy rabbits were placed under the following conditions: A fresh hole
about ten feet deep was dug in the middle of a field, and the animals having been confined in a
small box with high sides but no top, were lowered to the bottom of this pit, the mouth of
which was then covered with boards and fresh earth. Through this covering a small trap door
was cut which was only opened long enough each day to allow of the food, consisting of a small
potato to each rabbit, being thrown to the animals. So damp was the ground at the bottom of
this pit that the box in which the rabbits were confined was constantly wet. Thus these animals
were deprived of light, fresh air, and exercise, furnished with but a scanty supply of food while
breathing a chill and damp atmosphere, though free from disease themselves and removed as
far as possible from any accidental source of bacterial infection.
Experiment No. 3. Five rabbits having been inoculated in precisely the same manner as the
animals in the first experiment, were at once turned loose on a small island in June, 1886. It
would be difficult to imagine conditions better suited to stimulate the vitality of these animals
to the highest point than were here provided. They lived all the time in the sunshine and fresh
air, and soon acquired the habit of constant motion so common in wild animals. The grass and
green shrubs on the island afforded all the fresh food necessary and in addition they were daily
provided with an abundant supply of vegetables. Thus, while artificially infected themselves
they were placed in the midst of conditions well adapted to stimulate their vital powers to the
highest point attainable.
Transcribed Image Text:Dr. Trudeau had followed Dr. Koch's work with interest. He worked hard to learn how to culture MTb organisms, and was the first to do so in the United States. Intrigued by the correlation between healthy outdoor lifestyle and efficient anti-tubercular defense in his own case, he devised a simple experiment. The experiment spoke to both the MTb "germ" as sole causative agent of tuberculosis and a possible therapy for the disease. The experiment was described in his 1886 paper, "Environment in its Relation to the Progress of Bacterial Invasion in Tuberculosis." The following is an excerpt from that paper: First. What results ensue when both bacillary infection and unhygienic surroundings are made to coexist in tuberculosis? Second. Are unhygienic surroundings when every known precaution has been taken to exclude the bacillus sufficient of themselves to bring about the disease? Third. Is bacillary infection invariably progressive in animals placed under the best conditions of environment attainable? Experiments.-Fifteen rabbits were made use of and divided in three lots, each set of animals being placed under conditions best adapted to answer in the results noted [in] the three questions already referred to. Experiment No. 1. Five rabbits were inoculated in the right lung and in the left side of the neck with five minims of sterilized water in which was suspended a sufficient quantity of a pure culture (third generation) of the tubercle bacillus to render the liquid quite perceptibly turbid The needle of the Koch's inoculating syringe was inserted subcutaneously on the left side of the neck and in the third intercostal space to a depth of thirty millimetres on the right side. These animals were then confined in a small box and put in a dark cellar. They were thus deprived of light, fresh air and exercise and were also stinted in the quantity of food given them while being themselves artificially infected with the tubercle bacillus. Experiment No. 2. Five healthy rabbits were placed under the following conditions: A fresh hole about ten feet deep was dug in the middle of a field, and the animals having been confined in a small box with high sides but no top, were lowered to the bottom of this pit, the mouth of which was then covered with boards and fresh earth. Through this covering a small trap door was cut which was only opened long enough each day to allow of the food, consisting of a small potato to each rabbit, being thrown to the animals. So damp was the ground at the bottom of this pit that the box in which the rabbits were confined was constantly wet. Thus these animals were deprived of light, fresh air, and exercise, furnished with but a scanty supply of food while breathing a chill and damp atmosphere, though free from disease themselves and removed as far as possible from any accidental source of bacterial infection. Experiment No. 3. Five rabbits having been inoculated in precisely the same manner as the animals in the first experiment, were at once turned loose on a small island in June, 1886. It would be difficult to imagine conditions better suited to stimulate the vitality of these animals to the highest point than were here provided. They lived all the time in the sunshine and fresh air, and soon acquired the habit of constant motion so common in wild animals. The grass and green shrubs on the island afforded all the fresh food necessary and in addition they were daily provided with an abundant supply of vegetables. Thus, while artificially infected themselves they were placed in the midst of conditions well adapted to stimulate their vital powers to the highest point attainable.
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May you please provide a source explaining/proving my answer. It can be anything on antibiotics, time periods, tuberculosis, anything.

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