Lecture I - introducton
Infectinn =Thenpreeencenifnandividin nmiicri) nir anieinn
Illnee =nTheniiientnatnwhichnthenmiicri) nir anieincaueeenmIeeue ndaia enn
Pathi en =nAnnir anieinmirneubetance nthatncannpitentalllncaueendieeaee
Wirienmheliinthe ncannbeneeennwithnthennakednele.nPritizianandnbacterianundernthenli htn
iicriecipenandnvirueuenindernelectrinniicriecipe.
Infectinnvenillneee,ntuberculieiel
Mlcibacteriuintuberculieiennien90%naeliptiiatcnmninillneee .n utncannbenreactvatednafernleare.nInn
aniiiunendefcientnpereinme. .nAIDS nitncannreactvatentuberculieientincaueendieeaee/illneeec
PiirnnutritinncannleadntinNutritinalllnAcquirednIiiunenDefcienclnSlndriienmNAIDS
eerincinvereiinlnthentienperiidndurin nwhichnanepecifcnantbidlndevelipenandnbeciieendetectablen
innthenbliid.
Pathi ennenternbidlnandnantbidlnreepineenwillnfilliw.nThenbidlnwillnaddreeenthenpathi en,nbutnthat
takeeneiientieenbefirennuibernifnantbidieenienhi hneniu hntinbenieaeured.nThatnperiidnienalein
callednthenwindiwnperiid.n
Yiunarenalreadlninfected,nbutnbidlndidn’tnpriducednantbidieeneniu hnlet.nSiniiiunenreepinee =n
antbidieeniennitnieaeurablenlet.
,Anchildnwithnundernutritinl
Thliuenm =niipirtantninniiiunendefeneeneletei
reducednthliicnepitheliui
expandednextracellularniatrix
thliicltendepletin
reducednthliicnhiriine
Spleennm =nijzernipela ,nverwijderin nvannafvaletifennuitnhetnblied
reducedncellularitl
dieir anizednwhitenpulp
eplenicltendepletinnmincreaeednapiptieie
alteredninfaiiatirlnenvirinient
ineniirriwnm =viriatenvannbliedcellen
reducedncellularitl
expandednextracellularniatrix
alterednetriia
erlthriidnhlpiplaeia/dleplaeia
reducednheiatipiietcnpri enitirncelle
iipairednileliidncellniaturatinnandniibilizatin
Lliphnnideenm =nverwijderin nvannafvaletifennuitnhetnblied,nafweernte enninfectee
Reducedncellularitl
Alterednleukicltentrafckin
Alterednant enntrafckin nthriu hncinduit
Iipairednbarriernfunctin
Fewernantbidlnfiriin ncelle
Galtnm = utnaeeiciatednllifiidenteeue =npritectna ainetninvaeiin
Siallnpelernpatchednandn eriinalncenter
Fewernintraepithelialnlliphicltee,nn ncellenandnTcelle
fevernantbidlnfiriin ncellenandnleeeneecretirlni A
Malarianandnhiikwirincanncaueenaneiia
Malarialnplaeiidiui
hiikwirilnduidenalen
Malenwirin8)10ii,nfeialenwirin10)13ii.
,Lar enbucalncavitlnwithncutn nteeth
Lifenepann1nlear,neiietieenlin er.
Lifenclclenduidenale
Ancllietiianduidenale/Necatirnaiericanuen
Withinn1)2ndalenlarvaendevelipnnmundernwari,nhuiidncinditine n
Larvaen riwnin/innfeaceenirninneiilnn
Afern5)10ndalendevelipientnifnninfectiuenlarvaenmcannii ratenandneurvivenfirnweeke n
Mi ratinnvianveine,nheart,nlun entininteetnenmciu hin nup,naecarienaleinhaventhat
24nhiurenaferninfectinninninteetnenlarvaenatachnandndevelipnintinadultnwirien
IfniralllninfectednblnA.nduidenalenninlun npaeea e
Sliptiienhiikwiril
AneiialnnCaueednblnatachientnandneecretinnifnant)cia ulanten
Licalnekinnianifeetatinln Griundnitch”ndurin npenetratinnifnthenlarvaenªAirwaleln
Durin nlun nii ratinlnciu hin ,neputui,nfever..
Hiikwirinandnnutritinln
Irinndefcienclnaneiian+Priteinnialnutritinn+nNutritinalnandn riwthnfailure
Lecture nutriton
Nutritinalnepidiiiili l =nThenetudlnifnthenrelatinehipnbetweennnutritinnandnhealth.
Tinexaiinenthenrilenifnnutritinninnthenetili lnifndieeaeen
Tiniinitirnnutritinalnetatuenifnpipulatinen
Tindevelipnnutritinalninterventinentinpreventndieeaee
Expieure =nfiidnirnnutriente.
Chan enthenfiriulatinnifnthenetudieenbeliwntinrepreeentnetudieenifnfiideln
1.n etancaritenenandnHIVnpri reeeiinnnnIntakenifnvitaiinnAnrichnfiidenandnHIVnpri reeeiin
, 2.nChildnundernnutritinnandnrieknifninfectinnnEner lncineuiednfiidnandnrieknifninfectin
3.nZincnintakenandntuberculieienrieknIntakenifnzincnrichnfiidenme. .neeafiid nandntuberculieienriek
etancaritenenienfiundninnve etableenandnfruitenandninnthenbidlncinvertedntinvitaiinnA.
Dietary intake methods
Dietarlnrecallm =naekin nback l
Pri
Dietenifnindividualeniverntientendntinbencirrelatedn
Nitntiencineuiin n
Miniialneubjectnburdennmninbiiiarkere
Cine
Requireenekilledninterviewern
Relieeninnieiirl
Difcultntineetiatenquantteen
Variatinninndietniverntienmdalnifnweek,neeaeinalitl n
Relevantntienperiid
Liiitedntienfraie
Detailedndietnrecird =nDetailedniealnblniealnrecirdin nifnfiidniteienandnquanttee,npreferablln
wei htednandnrecirdednatnthentienifnthenieal
Pri
Mirenaccuratenmwei hed n
Relieenleeeninnieiirln
Dieennitnrequireneubjectntiniakeneetiatee
Cine
Hi hneubjectnburdennnmfirneverlniealnliunhaventinwei htnit
Dietnchan eeninnreepineentinthenpriceeennmiipirtantnine
Subjectenlikellntiniieeninfiriatin
24Hnrecall =nDetailednlietnifnallnthenfiidencineuiedninnthenpaetn24nhiure.nThennliuncannQuantflnit,n
haventhen randnandnkniwnthenPreparatinn =naekin nbacknivernthenpreviiuendal.
Priln
Relieenleeeninnieiirln
Refectenintakenpreviiuendaln– nninalterin neatn nbehaviir
Cinl
Hi hneubjectnburdennnmliunhaventinfllninnanlitnifn1nwhilendal
Skilledninterviewern