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See you week seven next week is with our schedule. Penbells will be checked after the mid-park of week nine. Although I may not be here, but the PA will be here to check your attendance. And no reporting on that day. Here? Your mic? - Oh!

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may occur through oral general contact.

- Thank you.

a szkoli, így érzére.

your manager today.

and prevention.

It can be

denesiz

Very nice illustration, diagrams. You could really see those features. Can you go back to those of the...

Okay, let's start off with that. With those of the structures, what do we see? Plus this of their handouts, clearly pointing on the difference between the two. NG, the gonococcus, and that are the NM, meningococci. So you could clearly see what would be their virulence factors. As they indicated here, that of the NM.

We just say NG, Neisseria, Gonococcus, or Gonorrhea would be having those of the Pili. What are Pili? What are those structures? What are those Pili? What is that for? How do they use that? So these are your Pili. They're like Pili. So what do they use that for?

They would be using that for purposes of? What are those peely hair-like surfaces structures for? It was clearly stated here, they used that as one of their virulence factors. So for what purpose do they use that?

Yes, very good. So that would be for purpose of attachment. So that are the mucosal cells of the host. So they cannot be washed away easily because they're able to hold on to anchor themselves on the host mucosal cells. On the other hand, what do we have for the meningococcus?

What do they use as their structure?

What is their virulence factor? I'm referring here on your handouts. They also have the Pili, but what is used primarily? Do you have your handouts?

So for the meningococcus, what do they have? Primarily, they use the... So if the gonococcus would use spili, the meningococcus would use what?

They will be using

Capsule or capsule. So that becomes their powerful antiphagocytic. Could you flash the capsule? Very nice illustration. Capsule of the meningococcus. Because they utilize a lot of illustrations here that would clearly demonstrate what I have in the PPT, in my PPT. So that would be that capsule.

And the others that we see also would be them getting this of the iron utilization, wiring, capturing those of the iron. So that would be under VF, virulence factors. Aside from that, we have this porine or paproteins for, again, attachment, adherence, and cell invasion. Although both will have LOS, what is LOS? LOS.

Thank you.

do you mean by l os for the meningococcus this would be the endotoxin activity causing those vascular damage what do you mean by l os lipo lipo my problem only oligo saccharides so this would be also having um seen in that of the gonococcus now question with that of the

the medical importance of these two as we could clearly see it here in the tabulated format we mentioned about gonorrhea NG is a sexually transmitted illness STD sexually transmitted disease and you presented that statistics in the US 2016 can you flash that a lot of cases very high incidence in

Even if we update this, I believe there would be a lot more of those recorded, reported. What about those not reported cases in the U.S.? We're talking of the U.S., not here locally, because they would have a lot of registered STDs there. Not only one, not only for gonorrhea, these patients may also suffer from syphilis, chlamydia. There could be more than one STD that they may be suffering. So they should be checked, they should be examined for not only one disease, but also more STD with that. And not only them, as a patient, they're also...

Considering partners. Because what's essential for this NG, most of the patients are asymptomatic. That makes it more dangerous. What do you mean by asymptomatic? Not symptoms. No symptoms. They are carriers. They are highly infectious. And yet, they do not manifest any of those symptoms that they suffer. Such kind of infectious disease.

a lot of incidents a lot of cases it is very common so to speak with that of this kind of infection being shared with others are you saying the the the scenario that we are presenting here high incidence but low mortality low death high incidence low death

my last slide you would see that i highlighted that also tabulated format high incidence low mortality but with meningitis what do we have low incidence but high mortality not so common with meningococcus cases in but high mortality patients would be dying if not immediately Treated, they will easily die. Why?

What's the problem with meningococcus, with meningitis? All the vaccines are available here. Conjugate for A, C, W, Y. Why patients suffer from brain damage and spinal cord damage? What are complications of meningococcal kind of infection? Neisseria meningitis. Can you tell us what would be the diseases

that will be brought about by the Neisserium and in GTDs. In your handouts.

- No, we're gonna fix it.

Mm-hmm.

So, this is very serious disease. Patient would be brought to the ICU. And what would be the complications? Even if the patient would survive, what would be the complications of meningitis bacteria, the Neisseria meningitis? Causing meningitis. What would be the complications even if they survive?

No, no, no.

Hmm? Only the current picture.

What would happen to the patient even if they survived? So we know high mortality, high death cases if the patient would be having to suffer from meningitis because of the Neisseria meningitis. But even if they survived, what could happen? Fascular shock. vascular shock, what else?

I don't know what to say. But... your hearing

sense of hearing even if you survive so choose the lesser one that would be on deafness but again you would become disabled for life but with brain damage that's a lot that the patient would be comatose that would be non-functioning individual for life because of that meningitis and it is very very serious disease now same question with the previous group what's the implication of this high

high incidence, low mortality for gonorrhea versus low incidence, high mortality with that of meningitis. What's the implication on this for you as an arts? We're talking about infection control.

ICM, infection control measures. What would be the primary infection control measure with that of the gonocopus versus the meningocopus?

Infection control measure for the gonorrhea.

Can you tell me what's the main problem with the NG, the gonococcus? What's the main problem? So you could proceed with that of the infection control measure. In one word, what's the main problem of gonorrhea versus that of meningitis?

simplify that high incidence low mortality what's the problem high incidence low mortality what is that gonorrhea what's the problem just one word starts with s std how is it transmitted sexual yes spreading problem

spread problem, transmission problem. Yes we know through sexual engagement of those individuals who are infected. How do you control the spread? That's the main problem with gonorrhea. High incidence, so many cases. It's spreading exponentially. How do we control that spread? So that's the main problem with gonorrhea. What's the problem with meningitis?

low incidence high mortality what's the problem with meningitis one word respite d john let's yeah maybe death problem mortality very high low incidence but mortality or death rate is so high how do we control now this that so that's the main problem with this too now let's reconcile

If you know spread problem, death problem, how do we deal with that? Death is more important. Yes. Infection control measure with gonorrhea. It can be prevented by?

Again, by? Condoms. Condoms. That would be the primary. You agree? That would be the primary solution for the spread problem, condoms. Yeah, by the book. I agree, but it's not. How do you control that problem of spread? Yeah, I agree, condom, safe.

sexual activity with that but there's more into that that's only secondary not active hmm not active louder not active yeah yeah

Not being active, what do you mean? Sexually active, not to be sexually active. Ah, okay, I got it. Not to be sexually active. In other words, that's, yeah, I understand where you are coming from. When you say not to be sexually active, meaning you only have to stick with one partner. That is what she meant by that. not to be active.

With number two, number three, number four, number five, number six. Because that's active sexual lifestyle, right? But when you only have only one to stay for the rest of your life, that's being safe. Right? Safe sex. Not with a condom, but with having only one partner for life. But easier said than done. Right? because when you are probably in the other countries,

not here, I'm not speaking of Korea, you would be able to be proud of that statistics, not comparable to the U.S. having those, wow, very high incidents, right? How do you call that relationship? Monogamous kind of relationship, only one, not so many active kind of relationship. That's good. Secondary would be unsafe sex education with

use of condom what else what would be number three as far as you are concerned nurses what do you do what can we do yes education public health education we have a role on that how do we properly educate those who are sexually active not only them but also their partners need to be checked health focus what would be our focus how

will they be screened properly screened tested in contact tracing also necessary maybe this person would have number two this number two would have another partner and the other partner will also be sharing that to another partner so it multiplies a thousand fold right so that would be on screening Very good. What else?

what about use of antibiotics what do we have for the antibiotics what would be the treatment ceptriaxone we're done with antibiotics right have we started antibiotics in at in our pathopharma yes did we have we started in antibiotics in pathopharma or not yet

yet i will be asking like in the other section what is a free action what kind of antibiotic is that a seat from my seat from my zinc what kind of antibiotic is that so it's a dual therapy but for uh we could leave it that way if it's not yet covered in class okay so with those complications of what are the complications of gonorrhea

Complication of gonorrhea.

inegal features.

Pelvic inflammatory disease. Louder. Pelvic inflammatory disease. Yes, PID. Pelvic inflammatory disease is number one. What else? The risk of infertility is another two. Is number two. Then, number three. Ophthalmia neonatorum. That would be on blindness, complication, disability again,

for the infants. Third would be for the men. These can be handled more manageable than the women and that of the infants. More complications from women and infants. In fact, we have more women cases than the men on this gonorrhea. What about meningitis or meningitis? Again, what's the problem with meningitis? Death problem.

So what's the implication here as a nurse? What's your infection control measure?

meningitis because you know the complication would be brain death brain damage and and and deafness being deaf for life so that's a disability for gonococcus you have blindness as complication for meningitis it's deafness but

more serious with brain damage so how as a nurse do we handle that song you

Get ready for the next group. What time is it? 11:07. 11:07. 11:07. 11:07. How do we manage? How do we control infection of the meningococcus to prevent those deafness and those treatments drum lip records.

brain damage. What would be our main concern for this program?

Yes, vaccination program, that's one. Correct? What else? So emphasize on vaccination program. What else?

be on our rapid response for that treatment prophylactically what about those who were exposed to the patient of meningitis they should be treated prophylactically with antibiotics you cannot afford not to take antibiotics if you were exposed to those patients having meningitis Highly, again, infectious for both.

So prophylactically, we would be given that kind of antibiotics if you have such exposure. I remember one volunteer who tried to save the life of a child without knowing exposure to meningitis. Mop to mop was given. OMG. directly

Giving that. But we should be giving with the use of Ambu bag. But this is outside of the hospital setting. Of course, they got meningitis as well. They were brought for ICU admission, for close monitoring directly. Because that's why we also protect ourselves. I'm not saying do not provide mouth to mouth. Only if you know the history of that.

But if you are not sure of this, I will not take the risk. I can just provide CPR, but not mouth-to-mouth directly. I should be able to protect myself. Otherwise, I would also be risking myself. But if I know this person personally, why not do that? So you also have to consider that. Okay. Anything else you'd like to add?

Are we clear of that? Last but not the least on lab identification. Can you flash it with the lab? I love your visuals. So many of those visuals. Lab identification. The glucose something. Here. Please take note of this.

How do you simplify that? It's also in my handout, in my PPT. Lab identification, culture-based identification. With that of the oxidase test, oxidase positive for this. Also, with that of the meningococcus, gonococcus, what do we have? Glucose utilization. Can you write gonococcus? G, gonococcus. Can you write that?

Can you look at my PPT? With that, may I? Here. Can you make it bigger? Here. Would you mind looking at your notes on that? On that lab identification. What do we have? Meningococcus on that figure 11.12 lab identification.

That Neisseria meningitidis produces acid from oxidation of glucose and maltose. Look at the spelling of meningococcus. M with that and the G. M for the maltose, G for the glucose. Glucose, maltose. So that phenol, originally red, will be changed into yellow.

oxidation so this is also what we see on that so we would be seeing glucose maltose change with that phenol but not so from red to yellow but not the sucrose but with gonorrhea what what would be the change only on the G G gonorrhea G glucose but no change in maltose and sucrose are you following

So that would be on that phenol lab identification. All right. Thank you. I guess I highlighted that as well. Very nice with your PPT and your colors. Did you see that camera in the last group? Six minutes to go. Just ask me.

group? One question before your presentation. Could you tell me which would be the top three? I know the GIT bacteria. How many do you have? There's a lot on that. Twelve. Twelve on the list. Which one do you consider as the top three? Equally. Medically important bacteria with your chapter.

And why? I'm sure you studied your assigned topic. Did you provide the handouts to them? Not yet. Would you mind giving it to them so they could bring it next meeting? Yes. If they don't bring, I will give deduction to them. Thank you.

What is it? I'll give you a good job. I'll give you a good job. Even the last five minutes. Can you tell us which one would be the top three? My name is the top four. That one? Yeah. I don't have to get one in five. Thank you. Thank you. Thank you. Thank you. Thank you.

진짜 어렵다. 진짜 어렵다. 들으면 들을수록 모르겠어. 그룹 3는 리스테리아, 리스테리아, 모노사이토지류, 코리네박테리아, 디스테리아. 그룹 4는 공룡과 같은 경우에 있는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 것입니다. 그룹 4는 공룡과 같은 경우에 있는 것입니다.

E. Coli, number one, why? Why?

I already know, what disease if misplaced? We are on the GIP, gram-negative grads. They are normal, flora, but if they are misplaced somewhere else, what would be the number one disease of the E. coli? Thank you.

E. coli would bring diarrhea, intestinal E. coli causing watery bloody diarrhea. That's number two. What's the number one? Problem with E. coli.

Obrigada.

ugly, hemolytic. What's the number one? UTI. Problem with E. coli. Yes, my dear. Your smile means a lot. What's the main problem with E. coli? It could cause... Not really. We would - I'll stop her before, yes.

What's the disease? If UTI would be number one, number two would be the intestinal E. coli. What would be next after E. coli? If UTI is the answer. Number one is E. coli, number two is what? - E. coli.

- Why?

Number three would be...

H by Lori, why?

For the next meeting, I'd like you to justify those answers with E. coli, number one, San Manila, number two, number three, H. Pylori, by statistics, locally and globally. Let's see if it is correct. In terms of incidence and in terms of mortality. Can you do that? Can you present it to us? Next meeting, we would be expecting that you present.

Justification for your answers of saying E. coli would be medically important because it causes UTI and those of the intestinal diarrhea. Number two would be Salmonella. Number three would be H. pylori. Why did you choose that? In terms of statistics, local incidence of cases of UTI for E. coli and those of bloody, watery diarrhea.

and the Salmonella and that of H. pylori. And globally, if it also would be justified by that. And of course, your infection control measures for those diseases. Kamsahamnida. I'll see you next week.