This document provides an overview of the anatomy of the brain and findings from a necropsy (autopsy) of the brain. It describes the major structural divisions and lobes of the brain, as well as key structures like the cortex, limbic system, basal ganglia, thalamus, brainstem, and cranial nerves. The necropsy section outlines the procedure for removing the brain and describes common findings including pia-arachnoid fibrosis, meningeal congestion, and prolapsed cerebellum. It also discusses using Pandy's reagent to test for excess cerebrospinal fluid proteins which can indicate infections of the central nervous system.
Anatomical localisation of function is a fundamental principle in the neurosciences. This presentation highlights the basics neuroanatomy and correlate major brain structure with their functions.
cerebrum, sulci and gyri of cerebrum, lobes of cerebrum, frontal lobe , parietal lobe, temporal lobe and occipital lobe, sulci and gyri presnet in each lobes, and the functional areas , of cerebrum, brodmann areas of cerebrum, borders and surfaces of cerebrum, insula,
1. Brain Facts
2. MRI Imaging Techniques
3. How the Various Imaging Helps Us in Treatment
Objectives
Planning
4. Locate and Identify Pertinent Cerebral Anatomy
on CT and MRI Images
5. What is a Functional MRI and What it Tells Us
Anatomical localisation of function is a fundamental principle in the neurosciences. This presentation highlights the basics neuroanatomy and correlate major brain structure with their functions.
cerebrum, sulci and gyri of cerebrum, lobes of cerebrum, frontal lobe , parietal lobe, temporal lobe and occipital lobe, sulci and gyri presnet in each lobes, and the functional areas , of cerebrum, brodmann areas of cerebrum, borders and surfaces of cerebrum, insula,
1. Brain Facts
2. MRI Imaging Techniques
3. How the Various Imaging Helps Us in Treatment
Objectives
Planning
4. Locate and Identify Pertinent Cerebral Anatomy
on CT and MRI Images
5. What is a Functional MRI and What it Tells Us
CNS parts, Neuron, Synapse and its transmission, Grey and White matter of brain and spinal cord, 3 layers of meninges, Spinal cord structure and divisions, Brain parts and lobes with functions
The brain stem is a critical part of the human brain that connects the brain to the spinal cord.
It plays a vital role in basic life functions and serves as a bridge between the higher brain centers (such as the cerebral cortex) and the rest of the body.
The brain stem is responsible for essential functions such as breathing, heart rate, blood pressure, and basic reflexes.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. Anatomy of Brain and
Necropsy findings:
Submitted to : Sir Imtiaz Ahmed
Submitted by : Abdul Wahab
15-arid-4445
2. Anatomy of brain:
• The central nervous system consists of the brain and the spinal cord. The
peripheral nervous system consists of the extensions of neural structures
beyond the central nervous system and includes somatic and autonomic
divisions.
• The brain is composed of 3 main structural divisions: the cerebrum, the
brainstem, and the cerebellum. At the base of the brain is the brainstem,
which extends from the upper cervical spinal cord to the diencephalon of
the cerebrum. The brainstem is divided into the medulla, pons, and midbrain.
Posterior to the brainstem lies the cerebellum.
3.
4. Cont.…
• Gross Anatomy:
• Cerebrum:
• The cerebrum is the largest component of the brain. It is divided into right and left
hemispheres. The corpus callosum is the collection of white matter fibers that joins
these hemispheres.
• Each of the cerebral hemispheres is further divided into 4 lobes: the frontal lobe,
the parietal lobe, the temporal lobe, and the occipital lobe. The medial temporal
lobe structures are considered by some to be part of the so-called limbic lobe.
5. Cont.…
• Cortex and subcortical fibers:
• The outermost layer of the cerebrum is the cortex, which has a slightly gray
appearance--hence the term "gray matter." The cortex has a folded structure; each
fold is termed a gyrus, while each groove between the folds is termed a sulcus.
• Below the cortex are axons, which are long fibers that emanate from and connect
neurons. Axons are insulated by myelin, which increases the speed of conduction.
Myelin is what gives the white appearance to these fibers of the brain--hence the
term "white matter."
6. Cont.…
• Limbic system:
• The limbic system is a grouping of cortical and subcortical structures
involved in memory formation and emotional responses. The limbic system
allows for complex interactions between the cortex, the thalamus, the
hypothalamus, and the brainstem. The limbic system is not defined by strict
anatomic boundaries but incorporates several important structures. The
limbic structures conventionally include the amygdala, the hippocampus, the
fornix, the mammillary bodies, the cingulate gyrus, and the parahippocampal
gyrus.
7. Cont.…
• Basal nuclei (ganglia):
• The primary input to the basal nuclei is from the primary motor cortex and
premotor cortex (Brodmann areas 4 and 6) and consists primarily of the pyramidal
cells in cortical layer V. These excitatory projections lead primarily to the striatum.
The striatum also receives input from the dopaminergic cells of the substantia nigra.
In turn, the striatum sends inhibitory projections to the globus pallidus externa and
interna. The globus pallidus externa sends inhibitory projections to the subthalamic
nucleus, which sends excitatory projections to the globus pallidus interna. The
globus pallidus interna in turn projects to the ventral anterior and ventral lateral
nuclei of the thalamus.
8. Cont.…
• Thalamus:
• Positioned between the brainstem and the telencephalon, the diencephalon is
composed of the thalamus, the epithalamus, the subthalamus, and the
hypothalamus. The thalamus serves as a relay station for ascending input to the
cortex and receives information from each of the cardinal senses (except smell). It is
hypothesized that the thalamus serves a gating function in filtering information. The
anterior thalamic nuclei are functionally associated with the limbic system and share
reciprocal connections with the cingulate gyrus and the mammillary bodies. The
medial nuclei project to the frontal association cortex and premotor cortex, with
reciprocal connectivity.
9. Cont.…
• Epithalamus:
• The epithalamus is made up of the habenula, the habenular commissure, the posterior commissure,
and the pineal gland.
• Subthalamus:
• Located between the midbrain and the thalamus, the subthalamus contains the subthalamic nucleus, the red
nucleus, and the substantia nigra. Subthalamic structures are closely integrated with the basal nuclei and play
a role in modulation of movement.
• Hypothalamus:
• Thy hypothalamic nuclei lie in the walls of the third ventricle anteriorly. The hypothalamus is involved in
mediating endocrine, autonomic, visceral, and homeostatic functions. It can roughly be divided into anterior,
posterior, and middle groups of nuclei.
10. Cont.…
• Brainstem and Cranial Nerves:
• Evolutionarily, the brainstem is the most ancient part of the brain. Structurally, it
can be divided into the medulla oblongata, pons, and midbrain.
• Medulla oblongata:
• The medulla oblongata, or simply medulla, is continuous with and superior to the
cervical spinal cord. There are several external anatomic features of the medulla that
can be visible grossly. Ventrally, the pyramids and pyramidal decussation is visualized
just below the pons. These are the descending corticospinal tracts. Just lateral to the
pyramids, the rootlets of the hypoglossal nerve can be seen as they exit the
brainstem.
11. Cont.…
• Pons
• Superior to the medulla lies the pons, the ventral surface of which has a
characteristic band of horizontal fibers. These fibers are the pontocerebellar fibers
that are in turn projections from the corticopontine fibers. They cross to enter the
contralateral middle cerebellar peduncle and thus enter the cerebellum.
• Midbrain:
• The midbrain, also termed the mesencephalon, is the superior most aspect of the
brainstem. Ventrally, the midbrain appears as 2 bundles that diverge rostrally as the
cerebral peduncles. Between the cerebral peduncles, the third cranial nerve
(oculomotor) can be seen exiting.
12. Necropsy Findings:
• Removal of Brain:
• Remove the major muscle masses from inside the area of dorsal side of forehead.
• Hold the head with your thumb in the eye socket, and your index finger on top of the blade of
the saw.
• One cut is transverse through the frontal bone, caudal to the zygomatic process of frontal bone.
• Place the head on its right side. Another cut is sagittal, just medial to left occipital condyle.
• Place the head on its left side for one cut. The cranial part of the head is towards you, your
thumb in the eye socket, and your fingers around the mandible.
• Pry up the skull cap.
13. Cont.…
• Use a stronger prying instrument than a knife if the bone was not sawn free.
• Remove Sinuses, nasal cavities, and cranial vault should be examined now.
• Check to see that the tentorium cer- ebelli is removed as well as other limiting dura.
The arrow points to its location.
• With the head in upright position, tap it lightly on the table to loosen the brain.
• Cut the olfactory peduncles, internal carotid arteries, and cranial nerves as the brain
is removed. Tilt the head so that the brain will rest on the table.
• If the brain is not to be kept, cut 1 cm transverse sections for inspection
14.
15. Cont.…
• Clinical Findings:
• Pia-arachnoid Fibrosis:
• This is the common opaque white deposit of soft fibrous connective tissue present in the
meninges of old animals, especially dogs. It is concentrated deep in the sulci, primarily over
the cerebral cortex and the ventral surface of the brain.
• Nodules of connective tissue may be found in the cerebellar meninges of horses. The cause
is considered to be the normal wear and tear of the CNS.
• Meningeal Congestion:
• It is common to see congested meninges due to body position and gravity after death. It is
rarely diagnostic, unless quite distinctly localized.
16. Cont.…
• Meningeal Congestion:
• It is common to see congested meninges due to body position and gravity
after death. It is rarely diagnostic, unless quite distinctly localized.
• Prolapsed Cerebellum:
• This is a common finding at the foramen magnum in many CNS disease
cases, even in chickens.
17. Cont.…
• Pandv’s Reagent and CNS Disease:
• The normal cerebrospinal fluid has only a small amount of protein present but with
most CNS infections and some brain destructive processes, as parasite migration or
trauma, the protein levels can increase significantly.
• In the postmortem room, it is often wanted to have a rapid answer to the question,
“Were the nervous signs seen in this animal the result of an infection, or possibly
due to the often common effect of a metabolic disease, as with fever or grass
tetany,” by which this simple test for excess protein would be helpful differentially.
18. Cont.…
• The Pandy’s reagent is made by boiling pure phenol crystals in sterile water.
The phenol crystals will dissolve and when allowed to cool, the upper layer
of clear fluid will be supersaturated phenol test solution, while the darker
fluid at the bottom is the liquefied phenol itself. The supersaturated phenol is
decanted off for use in the test.
• Rabies and listeria will always be positive and should be considered if it is
positive.
•