Gardasil (HPV Vaccine) Glossary of Terms

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Abnormal: Outside the expected norm, or uncharacteristic of a particular patient.

Acellular: Not made up of cells or divided into cells. Or lacking intact cells as, for example, an acellular vaccine which may contain cellular material but not complete cells.

Adenocarcinoma: A cancer that develops in the lining or inner surface of an organ and usually has glandular (secretory) properties. More than 95 percent of prostate cancers are adenocarcinomas.

Aluminum: A naturally occurring element that makes up about 8% of the surface of the earth and is always found combined with other elements such as oxygen, silicon, and fluorine. Aluminum is is the most common metallic element in the earth's crust but has no clear biologic role. Everyone is exposed to low levels of aluminum from food, air, and water. Exposure to high levels of aluminum may result in respiratory problems (aluminosis). Inhalation of bauxite (aluminum ore) fumes may cause pulmonary fibrosis. Aluminum in the bloodstream may lead to neurological symptoms and may be fatal.
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Breast milk: Milk from the breast. Human milk contains a balance of nutrients that closely matches infant requirements for brain development, growth, and a healthy immune system. Human milk also contains immunologic agents and other compounds that act against viruses, bacteria, and parasites.

Cancer: An abnormal growth of cells which tend to proliferate in an uncontrolled way and, in some cases, to metastasize (spread).
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Catalyst: A substance that speeds up a chemical reaction but is not consumed or altered in the process. Catalysts are of immense importance in chemistry and biology. All enzymes are catalysts that expedite the biochemical reactions necessary for life. The enzymes in saliva, for example, accelerate the conversion of starch to glucose, doing in minutes what would otherwise take weeks.

Cervical: Having to do with any kind of neck, including the neck on which the head is perched and the neck of the uterus.

Cervical cancer: Cancer of the entrance to the womb (uterus). The cervix is the lower, narrow part of the uterus (womb). The uterus, a hollow, pear-shaped organ, is located in a woman's lower abdomen, between the bladder and the rectum. The cervix forms a canal that opens into the vagina, which leads to the outside of the body.

Diphtheria: An acute infectious upper respiratory tract disease that affects the throat. It is caused by the bacteria Corynebacterium diphtheriae. Symptoms include sore throat and mild fever at first. As the disease progresses, a membranous substance forms in the throat that makes it difficult to breathe and swallow. Diphtheria can be deadly. It is one of the diseases that the DT (diphtheria-tetanus), DTP (diphtheria-tetanus-pertussis), and DTaP (diphtheria-tetanus-acellular-pertussis) vaccines are designed to prevent.

Dizziness: Painless head discomfort with many possible causes including disturbances of vision, the brain, balance (vestibular) system of the inner ear, and gastrointestinal system. Dizziness is a medically indistinct term which laypersons use to describe a variety of conditions ranging from lightheadedness, unsteadiness to vertigo.
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FDA: Food and Drug Administration.

Fever: Although a fever technically is any body temperature above the normal of 98.6 degrees F. (37 degrees C.), in practice a person is usually not considered to have a significant fever until the temperature is above 100.4 degrees F (38 degrees C.).
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Generic: 1. The chemical name of a drug. 2. A term referring to the chemical makeup of a drug rather than to the advertised brand name under which the drug may be sold. 3.A term referring to any drug marketed under its chemical name without advertising.

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Genital: Pertaining to the external and/or internal organs of reproduction.

Guillain-Barre syndrome: A disorder characterized by progressive symmetrical paralysis and loss of reflexes, usually beginning in the legs. The paralysis characteristically involves more than one limb (most commonly the legs), is progressive, and is usually proceeds from the end of an extremity toward the torso. Areflexia (loss of reflexes) or hyporeflexia (diminution of reflexes) may occur in the legs and arms.
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Headache: A pain in the head with the pain being above the eyes or the ears, behind the head (occipital), or in the back of the upper neck. Headache, like chest pain or back ache, has many causes.
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Hepatitis: Inflammation of the liver, irrespective of the cause. Hepatitis is caused by a number of conditions, including drug toxicity, immune diseases, and viruses.

Hepatitis B: Inflammation of the liver due to the hepatitis B virus (HBV), once thought to be passed only through blood products. It is now known that hepatitis B can also be transmitted via needle sticks, body piercing and tattooing using un sterilized instruments, the dialysis process, sexual and even less intimate close contact, and childbirth. Symptoms include fatigue, jaundice, nausea, vomiting, dark urine, light stools. Diagnosis is by blood test. Treatment is via anti-viral drugs and/or hepatitis B immunoglobulin (HBIG).
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HPV: Human papillomavirus.

Human papillomavirus: One of the family of more than 100 viruses that are responsible for causing warts. Abbreviated HPV. The majority of HPVs produce warts on the hands, fingers, or face. Most of these warts are innocuous, causing nothing more than cosmetic concerns. Several types of HPV are confined primarily to the moist skin of the genitals, producing genital warts, and have been identified as a cause of cancer of the cervix and other cancers of the ano-genital region. The HPVs that cause wartlike growths on the genitals are sexually transmitted. A vaccine is available that protects against infection by the most common types of HPVs that are associated with cancer and genital warts.

Immune: Protected against infection, usually by the presence of antibodies.

Immune system: A complex system that is responsible for distinguishing a person from everything foreign to him or her and for protecting his or her body against infections and foreign substances.

Immunity: The condition of being immune. Immunity can be innate'for example, humans are innately immune to canine distemper'or conferred by a previous infection or immunization.

Immunosuppressive: 1. Pertaining to immunosuppression, the suppression of the immune system.
2. An agent capable of suppressing the immune response.

Infection: The invasion and multiplication of microorganisms such as bacteria, viruses, and parasites that are not normally present within the body. An infection may cause no symptoms and be subclinical, or it may cause symptoms and be clinically apparent. An infection may remain localized, or it may spread through the blood or lymphatic vessels to become systemic (bodywide). Microorganisms that live naturally in the body are not considered infections. For example, bacteria that normally live within the mouth and intestine are not infections.

Itching: An uncomfortable sensation in the skin that feels as if something is crawling on the skin and makes the person want to scratch the affected area. Itching is medically known as pruritis; something that is itchy is pruritic.

Joint: The area where two bones are attached for the purpose of permitting body parts to move. A joint is usually formed of fibrous connective tissue and cartilage. Joints are grouped according to their type of motion: ball-and-socket joint; hinge joint; condyloid joint, which permits all forms of angular movement except axial rotation; pivot joint; gliding joint; or saddle joint. Joints can move in only four ways: gliding, in which one bony surface glides on another, without angular or rotatory movement; angular, a movement that occurs only between long bones, increasing or decreasing the angle between the bones; circumduction, which occurs in joints composed of the head of a bone and an articular cavity, with the long bone describing a series of circles and the whole forming a cone; and rotation, in which a bone moves about a central axis without moving from this axis. Also known as articulation and arthrosis.

Nausea: Stomach queasiness, the urge to vomit. Nausea can be brought on by many causes, including systemic illnesses (such as influenza), medications, pain, and inner ear disease.

Nursing: 1) Profession concerned with the provision of services essential to the maintenance and restoration of health by attending the needs of sick persons. 2) Feeding a infant at the breast.

Pain: An unpleasant sensation that can range from mild, localized discomfort to agony. Pain has both physical and emotional components. The physical part of pain results from nerve stimulation. Pain may be contained to a discrete area, as in an injury, or it can be more diffuse, as in disorders like fibromyalgia. Pain is mediated by specific nerve fibers that carry the pain impulses to the brain where their conscious appreciation may be modified by many factors.
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Pertussis: Whooping cough, a communicable, potentially deadly illness characterized by fits of coughing followed by a noisy, "whooping" indrawn breath. It is caused by the bacteria Bordetella pertussis. The illness is most likely to affect young children, but sometimes appears in teenagers and adults, even those who have been previously immunized. Immunization with DPT (diphtheria-pertussis-tetanus) vaccine provides protection, although that immunity may wear off with age. When teenagers and adults get pertussis, it appears first as coughing spasms, and then a stubborn dry cough lasting up to eight weeks.
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Precancerous: Pertaining to something that is not yet overtly cancerous, but appears to be on its way to becoming a cancer. Synonymous with premalignant.

Pregnancy: The state of carrying a developing embryo or fetus within the female body. This condition can be indicated by positive results on an over-the-counter urine test, and confirmed through a blood test, ultrasound, detection of fetal heartbeat, or an X-ray. Pregnancy lasts for about nine months, measured from the date of the woman's last menstrual period (LMP). It is conventionally divided into three trimesters, each roughly three months long.
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Pregnant: The state of carrying a developing fetus within the body.
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Prescription: A physician's order for the preparation and administration of a drug or device for a patient. A prescription has several parts. They include the superscription or heading with the symbol "R" or "Rx", which stands for the word recipe (meaning, in Latin, to take); the inscription, which contains the names and quantities of the ingredients; the subscription or directions for compounding the drug; and the signature which is often preceded by the sign "s" standing for signa (Latin for mark), giving the directions to be marked on the container.

Proteins: Large molecules composed of one or more chains of amino acids in a specific order determined by the base sequence of nucleotides in the DNA coding for the protein.
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Recombinant: A person with a new combination of genes, a combination not present in either parent, due to parental recombination of those genes.

Syndrome: A combination of symptoms and signs that together represent a disease process.

Syringe: A medical device that is used to inject fluid into, or withdraw fluid from, the body. A medical syringe consists of a needle attached to a hollow cylinder that is fitted with a sliding plunger. The downward movement of the plunger injects fluid; upward movement withdraws fluid. Medical syringes were once made of metal or glass, and required cleaning and sterilization before they could be used again. Now most syringes used in medicine are plastic and disposable.

Tetanus: An often fatal infectious disease that is caused by the bacterium Clostridium tetani, which usually enters the body through a puncture, a cut, or an open wound. Tetanus leads to profound painful spasms of muscles, including 'locking' of the jaw so that the mouth cannot open, and death. The C. tetani bacteria releases a toxin that affects the motor nerves, which stimulate the muscles. Prevention involves immediately cleaning and covering any open wound and getting a tetanus vaccination. Regular boosters are necessary to ensure immunity. Unvaccinated people who get puncture wounds or cuts should get tetanus immunoglobulin and a series of tetanus shots immediately; those who have been immunized but are unsure of the date of their last tetanus shot should get boosters. Also known as lockjaw.

Tiredness: See: Tired.

Uterus: A hollow, pear-shaped organ that is located in a woman's lower abdomen, between the bladder and the rectum. The narrow lower portion of the uterus is the cervix (the neck of the uterus). The broader upper part is the corpus, which is made up of three layers of tissue. In women of childbearing age, the inner layer (endometrium) of the uterus goes through a series of monthly changes known as the menstrual cycle. Each month, endometrial tissue grows and thickens in preparation to receive a fertilized egg. Menstruation occurs when this tissue is not used, disintegrates, and passes out through the vagina. The middle layer (myometrium) of the uterus is muscular tissue that expands during pregnancy to hold the growing fetus and contracts during labor to deliver the child. The outer layer (parametrium) also expands during pregnancy and contracts thereafter.

Vaccination: Injection of a killed microbe in order to stimulate the immune system against the microbe, thereby preventing disease. Vaccinations, or immunizations, work by stimulating the immune system, the natural disease-fighting system of the body. The healthy immune system is able to recognize invading bacteria and viruses and produce substances (antibodies) to destroy or disable them. Immunizations prepare the immune system to ward off a disease. To immunize against viral diseases, the virus used in the vaccine has been weakened or killed. To only immunize against bacterial diseases, it is generally possible to use a small portion of the dead bacteria to stimulate the formation of antibodies against the whole bacteria. In addition to the initial immunization process, it has been found that the effectiveness of immunizations can be improved by periodic repeat injections or "boosters." Also see Vaccines (in the plural) and Vaccine of a specific type (such Vaccine, Polio).

Viral: Of or pertaining to a virus. For example, if a person has a viral rash, the rash was caused by a virus.

Virus: A microorganism that is smaller than a bacterium that cannot grow or reproduce apart from a living cell. A virus invades living cells and uses their chemical machinery to keep itself alive and to replicate itself. It may reproduce with fidelity or with errors (mutations); this ability to mutate is responsible for the ability of some viruses to change slightly in each infected person, making treatment difficult. Viruses cause many common human infections and are also responsible for a number of rare diseases. Examples of viral illnesses range from the common cold, which can be caused by one of the rhinoviruses, to AIDS, which is caused by HIV. Viruses may contain either DNA or RNA as their genetic material. Herpes simplex virus and the hepatitis B virus are DNA viruses. RNA viruses have an enzyme called reverse transcriptase that permits the usual sequence of DNA-to-RNA to be reversed so that the virus can make a DNA version of itself.
RNA viruses include HIV and hepatitis C virus. Researchers have grouped viruses together into several major families, based on their shape, behavior, and other characteristics. These include the herpes-viruses, adenoviruses, papovaviruses (including
the papillomaviruses), hepadnaviruses, poxviruses, and parvoviruses, among the DNA viruses. On the RNA virus side, major families include the picorna-viruses (including the rhinoviruses), calciviruses, paramyxoviruses, orthomyxoviruses, rhabdoviruses, filoviruses, and retroviruses. There are dozens
of smaller virus families within these major classifications. Many viruses are host specific, capable of infecting and causing disease in humans or specific animals only.

Vulvar: Pertaining to the vulva, the female external genitalia including the labia majora, labia minora, clitoris, the tiny glands called Bartolin's glands, and the entrance to the vagina (the vestibule of the vagina).

Womb: The womb (uterus) is a hollow, pear-shaped organ located in a woman's lower abdomen between the bladder and the rectum. The narrow, lower portion of the uterus is the cervix; the broader, upper part is the corpus. The corpus is made up of two layers of tissue.