Adipose tissue, also known as body fat, is composed of adipocytes and serves important functions. There are two main types: white adipose tissue specializes in long-term fat storage and is found throughout the body, while brown adipose tissue contains many mitochondria and generates heat through non-shivering thermogenesis, especially in newborns and around vital organs. A third type, beige adipose tissue, shares characteristics of both white and brown fat.
A complete lecture of the Histology of Muscle Tissues, taught at First Moscow State Medical University, Moscow, in the Histology department, for the first year English medium foreign medical students.
A complete lecture of the Histology of Muscle Tissues, taught at First Moscow State Medical University, Moscow, in the Histology department, for the first year English medium foreign medical students.
Metabolism of fat involves catabolic and anabolic processes.
catabolic processes that generate energy.
anabolic processes that create biologically important molecules (cholestrol, triglycerides, phospholipids, and ketone bodies, lipoproteins).
Fat usually means any ester of fatty acids or mixture of such compounds most commonly those that occur in living beings or in food. Fat is used as the fatty components of foods and diet. Fats are best known members of a chemical group called the lipids.
Content
Classification
Functions
Sources
Digestion
Absorption
Deficiency and disorders of lipids
Essential fatty acid
Role of omega-3 & omega 6 fatty acids in physiological disorders
References
Lipid metabolism entails the oxidation of fatty acids to either generate energy or synthesize new lipids from smaller constituent molecules. Lipid metabolism is associated with carbohydrate metabolism, as products of glucose (such as acetyl CoA) can be converted into lipids.
General surgery; aneurysm and abdominal aortic aneurysm.
An aneurysm is a bulge in a blood vessel caused by a weakness in the blood vessel wall, usually where it branches. As blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.
What is extracranial/intracranial vascular disease? Extracranial vascular disease refers to carotid or vertebral stenosis outside the skull. Intracranial vascular disease involves the arteries within the skull or at the base of the skull.
Hyperaldosteronism is a disorder in which the adrenal gland releases too much of the hormone aldosterone into the blood. Hyperaldosteronism can be primary or secondary.
Acute coronary syndrome is a term used to describe a range of conditions associated with sudden, reduced blood flow to the heart.
One such condition is a heart attack (myocardial infarction) — when cell death results in damaged or destroyed heart tissue. Even when acute coronary syndrome causes no cell death, the reduced blood flow changes how your heart works and is a sign of a high risk of heart attack.
Acute coronary syndrome often causes severe chest pain or discomfort. It is a medical emergency that requires prompt diagnosis and care. The goals of treatment include improving blood flow, treating complications and preventing future problems.
Abnormal uterine bleeding (AUB) is bleeding from the uterus that is longer than usual or that occurs at an irregular time. Bleeding may be heavier or lighter than usual and occur often or randomly. AUB can occur: As spotting or bleeding between your periods.
Cervical cancer is usually a squamous cell carcinoma; less often, it is an adenocarcinoma. The cause of most cervical cancers is human papillomavirus infection. Cervical neoplasia is often asymptomatic; the first symptom of cervical cancer is usually irregular, often postcoital vaginal bleeding. Diagnosis is by a cervical Papanicolaou test and biopsy. Staging is clinical, combined with imaging and pathology results when available. Treatment usually involves surgical resection for early-stage disease or radiation therapy plus chemotherapy for locally advanced disease. If the cancer has widely metastasized, chemotherapy is often used alone.
Problem solving is the process of working through the details of a problem, to arrive at a solution that may involve mathematical or systematic operations and can be a measure of an individual's critical thinking skills.
Colorectal cancer is extremely common. Symptoms include blood in the stool and change in bowel habits. Screening using one of several methods is recommended for appropriate populations. Diagnosis is by colonoscopy. Treatment is surgical resection and chemotherapy for nodal involvement.
Chronic kidney disease, also called chronic kidney failure, involves a gradual loss of kidney function. Your kidneys filter wastes and excess fluids from your blood, which are then removed in your urine. Advanced chronic kidney disease can cause dangerous levels of fluid, electrolytes and wastes to build up in your body.
Psycho-neuro-immunology (PNI) is the Inter-relationship of Mental Health and the Immune System.
Psychoneuroimmunology is a new area of research looking into: 1) how mental health (stress, depression, etc.) impacts the immune system, and 2) how changes in the immune system (due to sickness) can impact mental health and lead to depression.
Mental health professions
Mental health providers are professionals who diagnose mental health conditions and provide treatment. Most have at least a master's degree or more-advanced education, training and credentials.
what you can do to prevent Alzheimer’s?
Hello, I am Mohammad Seder from Hebron in Palestine, I’m going to talk about what you can do to prevent Alzheimer’s. This scary disease, despite decades of research, scientists still have no cure of this disease. Firstly, let’s begin by looking at what the scientists currently understand about the neuroscience of Alzheimer's, and we will then talk about how to prevent it.
Here’s a picture of two neurons connecting, the point of connection the space circled in red is called the synapse. The synapses where neurotransmitters are released, this where signals are transmitted or communication happens, this is where we think, feel, see, desire, and remember. But in the synapses where the Alzheimer happen, during the business of communicating information, Neurons released small peptide called amyloid-beta. And most scientists believe that, the disease begins when amyloid-beta begins to accumulate, and when this happens it binds to itself forming sticky aggregates called amyloid-beta plaques.
Scientists think it takes at least 15 to 20 years of amyloid plaque accumulation before it causes the clinical symptoms of Alzheimer.
High blood pressure, diabetes, obesity, smoking have all been shown to increase our risk of developing Alzheimer's. In deep sleep, spinal fluid throughout our brains clearing away metabolic waste that accumulated in our synapses while we were awake.
Aerobic exercises has been many studies to decrease amyloid-beta.
But there's one more thing you can do to protect yourself from experiencing the symptoms of Alzheimer's. Remember the experience of having Alzheimer's is due to a result of losing synapses. Let's imagine a simplified example, let's say you only know one thing about a subject, let's say it's about me, you know that, Mohmmad studies at PPU, and that's the only thing you know about me. You have that single neural connection that one synapse. now imagine you have Alzheimer's plaques. you can't remember because you forgotten me forever.
But what if you have learned more about me, let’s say you also know that’ I am study medicine, I live in Hebron, I am study at PPU, and I am a neuroscientist for example. Alzheimer's in three of these synapses are damaged, but you still have a way to bypass the remain information, so you can still remember my name.
So, in short, we can be resistant to the presence of Alzheimer's pathology through the employment of undamaged pathways. You want to pave new neural roads building. So, in my opinion Alzheimer's resistant brain means keeping your brain learning and learning about new experiences , such as learning to speak a new language, meeting new friends, or reading a book or deeply thinking in the Holy Qur'an.
And THANK YOU
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
3. Introduction
3
Adipose tissue, or fat, is an
anatomical term for loose or
dense irregular connective
tissue composed of adipocytes.
Its main role is to store energy
in the form of fat, although it
also cushions and insulates the
body.
5. Adipocytes
Also known as lipocytes and fat cells.
Adipocytes are the cells that primarily compose
adipose tissue, specialized in storing energy as
fat.
Adipocytes are derived from mesenchymal stem
cells which give rise to adipocytes through
adipogenesis.
5
7. Adipocytes are active cells metabolically,
responding to both nervous and hormonal stimuli.
They release hormones and various other
important substances and adipose tissue is now
recognized as an endocrine organ at the center of
nutritional homeostasis.
Adipocytes can be found:
- Isolated
- In small groups within the connective tissue.
- But most are found in large aggregates
7
8. 8
Adipose tissue found in many organs and body
regions, and normally represents 15%-20% of the
body weight in men, 20%-25% of the body weight
in women.
Besides serving as storage depots for neutral fats,
chiefly triglycerides (long-chain fatty acyl esters of
glycerol), adipocytes function as key regulators of
the body’s overall energy metabolism.
9. Triglyceride
Insoluble in water
The caloric density of triglycerides (9.3 kcal/g) is
twice that of proteins or carbohydrates, including
glycogen, making these simple lipids the most
efficient means of storing calories.
9
10. Adipose tissue fills spaces between other tissues,
helping to keep some organs in place.
Subcutaneous layers of adipose tissue help shape
the body surface, and cushion regions subject to
repeated mechanical stress such as the palms,
heels, and toe pads.
10
12. Adipose tissue expands by hypertrophy and
hyperplasia.
12
Hypertrophy is the increase in the volume of an organ or
tissue due to the enlargement of its component cells.
Hperplasia, in which the cells remain approximately the same
size but increase in number.
13. Functions of Adipose tissue
Is the largest repository of energy in the body
(Triglycerides /9.3 Kcal/g).
Subcutaneous layers help to shape the surface of
the body.
Deposits in the form of pads act as shock
absorbers.
Fills spaces between structures (protects).
Contributes to thermal insulation.
Secretes various types of molecules.
13
15. Types of Adipose tissue
There are two major types of adipose tissue with
different locations, structures, colors, and
functions.
White adipose tissue
Brown adipose tissue
15
16. White adipose tissue, the more common type
specialized for fat storage, consists of cells each
containing one large cytoplasmic droplet of
whitish-yellow fat.
Brown adipose tissue contains cells with multiple
lipid droplets interspersed among abundant
mitochondria, which helps give this tissue a darker
appearance.
Brown adipocytes release heat and function to
warm the blood.
16
19. Both types of adipose tissue have a rich blood
supply and the adipocytes.
Unlike other cells of connective tissue proper, are
individually surrounded by a thin external lamina
containing type IV collagen.
19
21. White adipose tissue
White adipocytes are also called unilocular.
White adipose tissue is found in many organs
throughout the body, typically forming about
20% of the body weight in adults.
Adipocytes of white fat are typically very large
cells, ranging in diameter from 50 to 150 μm.
21
22. White adipose tissue specialized for relatively
long-term energy storage.
Adipocytes of white adipose tissue are spherical
when isolated but are polyhedral when closely
packed in situ.
When completely developed, a white adipocyte
Contains a single huge droplet of lipid filling
almost the entire cell. With the single large
droplets of triglycerides
22
25. Most cytoplasmic organelles in a white adipocyte
are near the peripheral nucleus, including
mitochondria, a small Golgi apparatus, a few
cisternae of RER, and free polyribosomes. The
thin, submembranous layer of cytoplasm
surrounding the lipid droplet contains cisternae of
smooth ER (SER) and pinocytotic vesicles.
25
26. 26
Storage & Mobilization of Lipids
White adipocytes can store triglycerides derived from
three sources:
Dietary fats brought to the cells via the circulation as
chylomicrons.
Lipids synthesized in the liver and transported in
blood with very low-density lipoproteins (VLDLs).
Free fatty acids and glycerol synthesized by the
adipocytes.
27. 27
Chylomicrons
Chylomicrons are small, microscopic, lipoprotein
(molecule made up of proteins and lipids).
Have variable size, up to 1200 nm in diameter.
Formed from ingested lipids in epithelial cells.
Lining the small intestine and transported in the
blood and lymph.
They consist of a core containing mainly
triglycerides, surrounded by a stabilizing
monolayer of phospholipids, cholesterol, and
several apolipoproteins.
30. 30
Very low-density lipoproteins (VLDLs)
VLDLs are smaller complexes (30-80 nm,
providing a greater surface-to-volume ratio), of
similar lipid and protein composition to
chylomicrons.
Synthesized from lipids in liver cells and released
into the bloodstream.
The VLDL particles mainly carry triglycerides
(fat), to your tissues
31. 31
VLDL Chylomicrons
Synthesized in liver Synthesized in intestinal
epithelial cells
Smaller Larger
More lipid in their surface
layer
Less lipid in their surface
layer
Contain a higher proportion
of cholestrol ester to
triglycerides
Contain a lowerproportion
of cholestrol ester to
triglycerides
32. In adipose tissue both chylomicrons and VLDLs are
hydrolyzed at the luminal surfaces of blood capillaries by
lipoprotein lipase, an enzyme synthesized by the
adipocytes and transferred to the capillary cell membrane.
Free fatty acids then enter the adipocytes by both active
transport and diffusion.
Within the adipocytes, the fatty acids combine with
glycerol phosphate, supplied by glucose metabolism, to
again form triglycerides, which are then deposited in the
growing lipid droplet.
Insulin stimulates glucose uptake by adipocytes and
accelerates its conversion into triglycerides, and the
production of lipoprotein lipase
32
34. 34
Histogenesis of White Adipose Tissue
Adipocytes develop from mesenchymal stem cells.
Adipose development first produces preadipocytes,
which look rather like larger fibroblasts with
cytoplasmic lipid droplets.
Initially, the droplets of white adipocytes are
isolated from one another but soon fuse to form the
single large drople.
37. Brown adipose tissue
Brown adipose tissue constitutes 2%-5% of the
newborn body weight, located mainly in the
back, neck, and shoulders, but it is greatly
reduced during childhood and adolescence.
In adults it is found only in scattered areas,
especially around the kidneys, adrenal glands,
aorta, and mediastinum.
37
39. The color of brown fat is due to both the very
abundant mitochondria (containing cytochrome
pigment) scattered among the lipid droplets of the
fat cells and the large number of blood capillaries
in this tissue.
Brown adipocytes contain many small lipid
inclusions and are therefore called multilocular.
The small lipid droplets, abundant mitochondria,
and rich vasculature all help mediate this tissue’s
principal function of heat production and
warming the blood.
39
41. Function of Brown Adipocytes
The main function of these multilocular adipose
cells is to produce heat by nonshivering
thermogenesis.
Thermogenesis is the process of heat production
in organisms.
As in white fat, this neurotransmitter activates the
hormone-sensitive lipase of adipocytes, promoting
hydrolysis of triglycerides to fatty acids and
glycerol.
41