Eustachian tube dysfunction diagnosis and treatmentShruti Baruah
Anatomy of Eustachian tube
Physiology of Eustachian tube function
ET function under special circumstances
ET Dysfunction- pathophysiology, assessment, treatment.
Eustachian tube dysfunction diagnosis and treatmentShruti Baruah
Anatomy of Eustachian tube
Physiology of Eustachian tube function
ET function under special circumstances
ET Dysfunction- pathophysiology, assessment, treatment.
Myringoplasty is the closure of the perforation of pars tensa of the tympanic membrane. When myringoplasty is combined with ossicular reconstruction, it is called tympanoplasty. The operation is performed with the patient supine and face turned to one side.
Anatomy of external and middle ear by dr. faisal rahmanFaisalRahman153
This includes anatomy of external and middle ear with their clinical co relations. Embryology is also discussed here. Pinna, External auditory canal, Tympanic membrane, Middle ear Cleft, Mastoid and Auditory tube topics are included.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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
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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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
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
2. INTRODUCTION
Hearing is a primitive sense and is
essential in all animals
Well developed and well protected
It needs a sound source, conducting
mechanism, end organ and a central
processor
12. PINNAPINNA
Single piece of yellow
elastic cartilage
covered with
Perichondrium and
skin(except lobule and
outer part of external
auditory canal)
Attached to the side of
skull by ligaments and
muscles (supplied by
facial nerve),muscles
are not well developed
in human
14. NERVE SUPPLY - PINNANERVE SUPPLY - PINNA
Greater auricular nerve
Lower 1/3rd
of medial and
lateral surface
Lesser occipital N
upper 2/3rd
of medial
surface
Auriculo temporal N
Upper 2/3rd
of lateral
surface.
15. Auricular branch of Vagus (Arnold’s Nerve)
Root of the auricle
Facial nerve Branches
Auricular muscles
NERVE SUPPLY – PINNA Contd
19. CARTILAGINOUS PARTCARTILAGINOUS PART
Outer 1/3rd
& 8mm canal
Continuation of cartilage which forms the
frame work of pinna
Fissures of Santorini
through them parotid or superficial mastoid
infection can appear in the canal or vice versa
20. Skin covering the cartilaginous canal is thick and contains
appendages like
1.CERUMINOUS GLANDS(modified sweat gland),which
secrets cerumen (wax)
2.PILO-SEBACEOUS GLANDS
3. HAIR is only confined to the outer canal & therefore
furuncles are seen only in the outer 1/3rd
of canal
21. BONY PARTBONY PART
Inner 2/3rd
& 16mm
Skin lining the bony canal in thin & continuous
over the tympanic membrane
Devoid of skin appendages (Hair and
ceremonious Glands)
About 6mm lateral to tympanic membrane ,
bony meatus presents as narrowing called
ISTHMUS
Foreign body lodged medial to isthmus, get
impacted & are difficulty to remove
22. BONY PART(cont…)BONY PART(cont…)
Anteroinferior part of deep meatus, beyond the
isthmus, presents a recess - Anterior recess
which acts as a cesspool for discharge & debris
Antero inferior part of bony canal may present
a deficiency in children up to age of 4 or
sometimes in adults permitting infection to &
from parotid (Foramen of Huschke)
25. TYMPANIC MEMBRANETYMPANIC MEMBRANE
Medial end of EAC-Forms
partition between EAC &
middle ear
Thin, translucent and oval
in shape
Obliquely set – 55 deg
with floor of EAC
9-10 mm tall
8-9 mm wide
0.1 mm thick
28. PARS TENSAPARS TENSA
Forms most of Tympanic Membrane and is
tightly stretched, therefore called as PARS
TENSA
Divided into 4 Quadrants
Periphery is thickened to form a fibro
cartilaginous ring – ANNULUS TYMPANICUS,
which fits in tympanic sulcus
Central part of pars tensa is tented inwards at
the level of tip of malleus – UMBO
Bright CONE OF LIGHT– seen radiating from the
tip of malleus to periphery in anterioinferior
quadrant
29. PARS FLACCIDAPARS FLACCIDA
Situated above lateral process of malleus
between two malleolar folds
Appear slightly Pinkish
It is more liable to rupture than Pars
Tensa as the membrane is loosely
present.
30. LAYERS OF TYMPANIC MEMBRANELAYERS OF TYMPANIC MEMBRANE
Outer Epithelial layer
continuous with skin lining the meatus
Inner mucosal layer
continuous with mucosa of middle ear
Middle fibrous layer
encloses the handle of malleus
3 types of fibres
Radial
Circular
Parobolic
Pars flaccida – not organized(Fibrous Layers)
31. NERVE SUPPLY - TMNERVE SUPPLY - TM
AURICULO TEMPORAL NERVE (V3)
Anterior half of lateral surface
AURICULAR BRANCH OF VAGUS (X)
Posterior half of lateral surface
TYMPANIC BRANCH OF
GLOSSOPHARYNGEAL NERVE (JACOBSON
NERVE)
Medial surface
32. BLOOD SUPPLY
Lateral Surface Deep Auricular
Branch of Maxillary Artery
Medial Surface Anterior Tympanic
branch of Maxillary Artery and
Posterior Tympanic branch of
Posterior Auricular Artery.
33. VENOUS DRAINAGE
Lateral surface into External Jugular
Vein.
Medial surface into Transverse sinus
and venous plexus.
LYMPHATICS
Pre-auricular LN
Retro-pharyngeal LN
34. APPLIED ANATOMY
1. Small pieces of skin from the lobule of pinna
are commonly used for demonstration of
lepra bacilli to confirm the diagnosis of
leprosy.
Relatively less subcutaneous tissue makes
the pinna more sensitive to frost bite
Incisura terminalis is used for end-aural
incision during surgery in Ear.
Referred otalgia
Important donor of cartilage and fat
Isthmus holds the Foreign Body
