03 May 2009

Menopause



Menopause
Presentation lecture from: Uni. of Maryland

"Menopause is a wake-up call to a new phase of your life. A wake-up call most people cannot handle, but what's the choice? You sure can't go back to sleep. So get up and decide what you're doing today—and on into the years ahead." —modified after Marisa Weiss, M.D.

What Is Menopause?
* Menopause is defined as the cessation of ovarian function, or the cessation of menstrual cycles
* Menopause is a natural process, it is not a disease
* The mean age for menopause is 51 years
* One third of woman’s life occurs after menopause

Menopause

* Medical
* Surgical
* “Cold turkey"
* Persistent low (less tan 20 pg/ml) levels of estrogen
* Persistent elevated levels of
FSH (13–90 milli-international units per milliliter)
LH (15–50 mIU/mL).

Normal levels of estrogen before menopause peak at 150–300 picograms per milliliter each month (depending on where you are in your menstrual cycle)

Lack of negative feedback
What Is Perimenopause?

* Perimenopause is a transition rather than an event
* It is the period of time surrounding menopause when ovarian function is declining, but has not stopped
* Onset of perimenopause is usually 3-5 years before the periods stop
* Perimenopause and menopause may last 2-10 years

Other factors then hormones:

Empty nest, divorce, widowhood, the dependency of sick parents, the death of a parent or parents, or kids in trouble are all common experiences at this stage of life. Setting aside the hormonal changes that relate to menopause, it's common to feel stress, isolation, and depression.

Menopause/Aging

"Growing old is not for sissies”
Symptoms of Perimenopause

* Hot flashes
* Vaginal dryness
* Breast Tenderness
* Mood disturbances
* Sleep disturbances
* Urinary tract infections/incontinence
* Menstrual changes
* Sexual dysfunction

Other Physiologic Changes
* Slowing of metabolism
* Weight gain
* Changes in lipids
* Increase in heart disease
* Osteoporosis

Heart Disease

* Leading cause of death in women
* Higher risk after menopause probably due to changes in cholesterol levels when estrogen levels decline
* Elevated “bad” cholesterol (LDL)
* Lower “good” cholesterol (HDL)
* Elevation in triglycerides (fats)

Osteoporosis

* 1 out of 2 white women will have an osteoporotic fracture in their lifetime
* 24% of patients over age 50 will DIE in the year following an osteoporotic hip fracture
* Deaths due to osteoporosis far exceed the numbers of deaths due to breast cancer
* Other consequences- physical limitation, chronic pain, depression, poor quality of life

Menopause

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Microbiological Methods



Microbiological Methods

Making Media
Pouring Culture Plates
Sterile Technique
Inoculating Plates and Culture Tubes
Use of a Plate Counter to Estimate Microbial Population Densities

Culturing Microorganisms
Sterile Technique

* When culturing bacteria or other microorganisms, it is important to keep your work area as clean as possible.
* This prevents the introduction of other microorganisms from the environment into your culture.
* The techniques used to prevent contamination are referred to as sterile techniques.
* Start by washing your down your work or lab benches with a surface disinfectant. The most commonly used disinfectants for lab use are:
o 10% bleach (recommended by the CDC)
o 85% ethanol

Sterile Technique (2)

* Turn off any forced air heating or air conditioning units that create strong air current in your work area.
* A small room or closet that can be closed off is worth the effort to set-up if you will be doing a lot of microbial culturing.
* You can install a UV bulb in a fluorescent light fixture to surface sterilize your work bench if you have an enclosed area. Remember to leave the area when you turn on the UV light source!

Sterile Technique (3)

* All glassware should be cleaned and sterilized before you begin.
* All pipettes, spatulas, and test tube (culture) racks should also be sterilized.
* You can purchase sterile, disposable culture tubes, petri dishes, and pipettes to minimize the quantity of glassware that you have to sterilize.

Sterile Technique (4)

* Don’t forget to wash you hands after you finish cleaning and put on a pair of sterile disposable gloves before you begin.
* Once your work area is clean, your hands are clean, and your glassware is clean and sterile, don’t contaminate the work area by placing “dirty items” such as pencils, pens, notes, or books in the sterile work area.

Media Preparation
Microbiological Media

* The type of growth medium that you use is a function of the organisms that you want to culture. Use a reference book (there are many) to determine the type of medium that is best suited for your organism of interest.
* Common media include Luria Broth (LB), Nutrient Agar, Potato-Dextrose Agar (PDA), Bold’s Basal Medium (BBM)….
Luria Broth

Things to remember:
Assemble all of your chemicals in your work area before you begin.
Accurately weigh each of the dry ingredients in your culture media.
Add each dry culture medium ingredient to the culture flask.
Add distilled (or deionized) water to make the correct volume. Heat AND stir (agar will burn if it is not stirred) until all of the ingredients go into solution. When the media boils, it is ready for sterilization.
Media Sterilization

* There are two reliable methods used to sterilize microbial culture media:
o autoclave
o pressure cooker
* When using an autoclave, use the “wet” setting for sterilizing liquids (flasks, bottles, culture tubes, etc), and use the “dry” setting when sterilizing empty containers, stoppers, etc.

Media Sterilization (2)

* All liquid media should be sterilized for a minimum for 45 minutes at high temperature and pressure. Autoclaves will cycle automatically, but if you use a pressure cooker, set a timer.
* Remember not to tighten the cap or seal on any container; it will explode under high pressure and temperature!
Sterilize for 45 minutes using the wet cycle (autoclave) or at maximum pressure in a pressure cooker. Remember to cover the top of the flask or jar with aluminum foil to prevent contamination when as the media cools.
When using a pressure cooker, don’t over fill the cooker, and remember to weight your containers so they don’t fall over!
Sterilize at high temperature and pressure for 45 minutes before turning off the heat. Remember to allow enough time for the pot to heat up!

Plate Pouring Tips

* Line empty plates along the edge of the work bench.
* Open the petri dish lid at about a 30-45° angle to allow the hot liquid to cover the bottom of the dish. The thermal current created by the hot media prevents bacteria and fungal spores from landing in your clean dish.

Line your sterile petri plates along the edge of the table. Transfer hot media to a small sterile container and pour 15-20 ml of the plate media into each petri plate. The petri plate lid should be open slightly, but not completely open as this increases contamination.
* As the plates are poured, move the filled plates to the back of the table until the plates cool and congeal.
* Once the plates have cooled and the media is firm, store the plates media side-up (bottom) with the lid securely taped or the plates restacked in the manufacturer’s plastic sleeve.
* To increase the shelf-life of the plates, store in a cool, dry environment until they are used (refrigerator).


Inoculating Plates and Culture Tubes

* Clean and surface sterilize your work area as detailed in the section on Sterile Technique.
* Use either disposable inoculation loops or a metal loop that can be heat sterilized to inoculate plates, slants, and liquid culture tubes.
* If using a metal loop, be sure to cool the loop by touching the sterile cooled liquid media or the sterile culture plate before the placing the loop in your live culture. Failure to cool the loop will kill your active microbial cultures!
If gas is unavailable in your lab area, you can modify a standard Bunsen burner to use camp stove propane containers as fuel.

Inoculation of Liquid and Solid (Slant) Culture Tubes

Step 1: Remove the culture tube stopper or cap with one (do not set it down) and flame the mouth of the tube to surface sterilize the mouth. The heated tube surface will generate a thermal current that prevents contamination of the culture.

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Fundamental Techniques in Microbiology



Fundamental Techniques in Microbiology
Presentation lecture by:Dr Paul D. Brown

Introductory Biochemistry
Fundamental Techniques
* Microscopy
* Staining
* Aseptic technique
* Sterilization and waste disposal
* Media preparation

Microscopy
* Measurement
o Microorganisms are very small
o Use metric system
o Metre (m) : standard unit
o Micrometre = 1 x10-6 m
o Nanometre = 1 x10-9 m
o Angstrom = 1 x10-10 m

Terms Relevant to Microscopy
* Total Magnification
o Eyepiece x objective lens
* Resolution
o Ability of the lens to distinguish two points as separate
o Optimal RP achieved with blue light
o Theoretical limit for light microscope is 0.2 m
* Refractive Index (η)
o Measurement of relative velocity at which light passes through a material.
o η= 1.0 in air
o η (Oil) = η (glass) = up to 1.5
Resolving Power
Transmission electron microscope
Scanning electron microscope
Light microscope
Human eye
R.P. in Angstroms
Resolving Power
Optical Instrument

Types of Microscopes
* Simple: one lens
* Compound: more than one lens

The Compound Microscope
* enters the eye
o sees virtual, inverted image
* further magnif. by ocular
* forms magnified real image
* enters objective
* focuses light on object
* light enters condenser

Objectives

* 10X Scanning Find the object
* 40X High-Dry Focus the object
* 100X Oil immersion Fine focus

The Condenser
* Functions
o Focus light on object plane
o Ensure adequate intensity
* Height of condenser controls
o Uniformity of brightness
o Contrast (minimises “stray light”)
o (Indirectly) angle of light entering objective

Use of Immersion Oil

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