The skin has three layers - the epidermis, dermis, and subcutaneous tissue. The epidermis is made of stratified squamous epithelium and contains keratinocytes that produce keratin, and melanocytes that produce melanin pigment. The dermis lies below the epidermis and contains collagen, elastic fibers, and sensory receptors. The deepest layer, the subcutaneous tissue, contains fat and connective tissue. Skin has appendages like hair follicles, sebaceous glands, sweat glands, and nails. The skin acts as a barrier and regulates body temperature, and contains sensory receptors for touch, pressure, and temperature.
The power point is just to help learners to have basic understanding on the anatomy and physiology of the skin (integumentary system).
The two major classes of the skin has been briefly stated as well as the major layers of the skin.
The skin is the largest organ of the body, with a total area of about 20 square feet. ... Skin has three layers: The epidermis, the outermost layer of skin, provides a waterproof barrier and creates our skin tone. The dermis, beneath the epidermis, contains tough connective tissue, hair follicles, and sweat glands.
The power point is just to help learners to have basic understanding on the anatomy and physiology of the skin (integumentary system).
The two major classes of the skin has been briefly stated as well as the major layers of the skin.
The skin is the largest organ of the body, with a total area of about 20 square feet. ... Skin has three layers: The epidermis, the outermost layer of skin, provides a waterproof barrier and creates our skin tone. The dermis, beneath the epidermis, contains tough connective tissue, hair follicles, and sweat glands.
basics of skin, review of skin, Integumentary system, the structure of the skin, Functions of skin, skin appendages, Hair, sweat glands, sebaceous glands, Nails, dermis, epidermis,
subcutaneous tissue. anatomy and physiology
INTEGUMENTARY SYSTEM
THE INTEGUMENT
PROTECTION
First line of defense against
Bacteria
Viruses
Protects underlying structures from
Ultraviolet (UV) radiation
Dehydration
BODY TEMPERATURE REGULATION
If too hot
Dermal blood vessels dilate
Vessels carry more blood to surface so heat can escape
If too cold
Dermal blood vessels constrict
Prevents heat from escaping
EXCRETION
Small amounts of waste products are lost through perspiration
VITAMIN D PRODUCTION
Needed for calcium absorption
STRUCTURE OF SKIN
SKIN STRUCTURE : EPIDERMIS
Structures of the Epidermis
The five strata of keratinocytes in thick skin
From basal lamina to free surface
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Second major layer of the skin
Provides mechanical strength, flexibility, and protection for underlying tissues
Highly vascular and contains a variety of sensory receptors that provide information about the external environment
Has two layers
The papillary layer
The reticular layer
Flexure lines - creases on palms
The Hypodermis (Subcutaneous Layer)
Lies below the integument
Stabilizes the skin
Allows separate movement
Made of elastic areolar and adipose tissues
Connected to the reticular layer of integument by connective tissue fibers
Deposits of Subcutaneous Fat
Distribution patterns determined by hormones
Reduced by cosmetic liposuction (lipoplasty)
STRUCTURE OF HAIR
The haIR FOLLICLE
Hair follicles are the organs that form the hairs.
Located deep in dermis.
Produces nonliving hairs.
Wrapped in a dense connective tissue sheath.
Base is surrounded by sensory nerves (root hair plexus).
Control bacteria
ACCESSORY STRUCTURES OF HAIR
Arrector pili
Involuntary smooth muscle
Causes hairs to stand up
Produces “goose bumps”
Sebaceous glands
Lubricate the hair
REGIONS OF HAIR
Hair root
Lower part of the hair
Attached to the integument
Hair shaft
Upper part of the hair
Not attached to the integument
HAIR FUNCTION
STRUCTURE AND FUNCTION OF NAIL
Structure and function of nail
Nails
Protect fingers and toes
Made of dead cells packed with keratin
Metabolic disorders can change nail structure
Nail Production
Occurs in a deep epidermal fold near the bone called the nail root
Structure and function of nail
basics of skin, review of skin, Integumentary system, the structure of the skin, Functions of skin, skin appendages, Hair, sweat glands, sebaceous glands, Nails, dermis, epidermis,
subcutaneous tissue. anatomy and physiology
INTEGUMENTARY SYSTEM
THE INTEGUMENT
PROTECTION
First line of defense against
Bacteria
Viruses
Protects underlying structures from
Ultraviolet (UV) radiation
Dehydration
BODY TEMPERATURE REGULATION
If too hot
Dermal blood vessels dilate
Vessels carry more blood to surface so heat can escape
If too cold
Dermal blood vessels constrict
Prevents heat from escaping
EXCRETION
Small amounts of waste products are lost through perspiration
VITAMIN D PRODUCTION
Needed for calcium absorption
STRUCTURE OF SKIN
SKIN STRUCTURE : EPIDERMIS
Structures of the Epidermis
The five strata of keratinocytes in thick skin
From basal lamina to free surface
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum
Stratum corneum
Second major layer of the skin
Provides mechanical strength, flexibility, and protection for underlying tissues
Highly vascular and contains a variety of sensory receptors that provide information about the external environment
Has two layers
The papillary layer
The reticular layer
Flexure lines - creases on palms
The Hypodermis (Subcutaneous Layer)
Lies below the integument
Stabilizes the skin
Allows separate movement
Made of elastic areolar and adipose tissues
Connected to the reticular layer of integument by connective tissue fibers
Deposits of Subcutaneous Fat
Distribution patterns determined by hormones
Reduced by cosmetic liposuction (lipoplasty)
STRUCTURE OF HAIR
The haIR FOLLICLE
Hair follicles are the organs that form the hairs.
Located deep in dermis.
Produces nonliving hairs.
Wrapped in a dense connective tissue sheath.
Base is surrounded by sensory nerves (root hair plexus).
Control bacteria
ACCESSORY STRUCTURES OF HAIR
Arrector pili
Involuntary smooth muscle
Causes hairs to stand up
Produces “goose bumps”
Sebaceous glands
Lubricate the hair
REGIONS OF HAIR
Hair root
Lower part of the hair
Attached to the integument
Hair shaft
Upper part of the hair
Not attached to the integument
HAIR FUNCTION
STRUCTURE AND FUNCTION OF NAIL
Structure and function of nail
Nails
Protect fingers and toes
Made of dead cells packed with keratin
Metabolic disorders can change nail structure
Nail Production
Occurs in a deep epidermal fold near the bone called the nail root
Structure and function of nail
The branch of science concerned with the bodily structure of humans, animals, and other living organisms, especially as revealed by dissection and the separation of parts.
The integumentary system is an organ system consisting of the skin, hair, nails, and exocrine glands. The skin is only a few millimeters thick yet is by far the largest organ in the body. The average person's skin weighs 10 pounds and has a surface area of almost 20 square feet.
Introduction:
Understanding pharmacology related to skin and mucous membrane health is crucial for nursing students in providing comprehensive care to patients with dermatological and mucosal conditions. This guide offers essential knowledge on pharmacological interventions, including medications, treatments, and nursing considerations, to promote skin and mucous membrane wellness and manage various dermatological and mucosal disorders effectively.
Title: Exploring Respiratory System Pharmacology: A Comprehensive Guide for Students
Introduction:
The respiratory system plays a vital role in maintaining homeostasis by facilitating gas exchange and regulating oxygen and carbon dioxide levels in the body. Understanding the pharmacology of respiratory medications is essential for healthcare students to effectively manage respiratory conditions and optimize patient outcomes. This guide provides a comprehensive overview of respiratory system pharmacology, covering key medications, mechanisms of action, indications, side effects, and clinical considerations.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
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Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
2. The skin is also known as cutaneous membrane
or in tegument, covers the external surface of the
body
It is a sensory organ which is a largest organ of
the body in both surface area and weight
Integumentary system is composed of skin, hair,
nails, glands pH - 4 to 5.6
4. Epidermis; - Superficial layer of
the skin - composed of epithelial
tissue
Dermis; - The deeper layer of the
skin - primarily composed of
connective tissue
Subcutaneous tissue Deep to the
dermis is the subcutaneous layer
or hypodermis - It consists of
areolar and adipose tissue
THREE LAYERS OF SKIN
5.
6.
7. Epidermis
The epidermis, the thin
avascular superficial layer
of the skin, is made up of
an outer dead cornified
portion that serves as a
protective barrier and a
deeper, living portion that
folds into the dermis.
Together these layers
measure 0.05 to 0.1 mm in
thickness.
The epidermis regenerates
with new cells every 28
days.
8. Stratum corneum =
many layers of flat,
dead, scale like cells
full of keratin
Stratum lucidum =
one or two layers of
dying cells
Stratum
Granulosum = Three
or four layers of skin;
actively synthesizing
protein keratin
Stratum spinosum =
three or four layers of
cells with some cell
division
Stratum Basale =
Single row of dividing
cells (columnar cells)
Epidermis
9.
10. 1. The two major types of epidermal cells are
melanocytes (5%) and keratinocytes (90%).
2. Melanocytes are contained in the deep, basal
layer (stratum germinativum) of the epidermis.
3. They contain melanin, a pigment that gives
color to the skin and hair and protects the
body from damaging ultraviolet (UV) sunlight.
Cells of Epidermis:
11. • Keratin cutes which produce a large
amount of protein keratin Other cell
types ;
• Melanocytes produce pigment melanin &
transfer it to keratinocytes Langerhans
cells(immune cells) protect against
pathogens and toxins
12. 1. Sunlight and hormones stimulate
the melanosome (within the
melanocyte) to increase the
production of melanin.
2. The wide range of skin color is
caused by the amount of
melanin produced; more melanin
results in darker skin color.
13. 1. Keratinocytes are synthesized from
epidermal cells in the basal layer.
2. As they mature (keratinize), they move
to the surface, where they flatten and die
to form the outer skin layer (stratum
corneum).
3. Keratinocytes produce a fibrous protein,
keratin, which is vital to the skin’s
protective barrier function.
14.
15. Dense irregular connective tissue Separated
from epidermis (stratified squamous
epithelium) by basement membrane
Highly vascular
Highly innervated
Two layers ; Papillary layer just below
epidermis Reticular layer forms deep 80 %
DERMIS
16. Contains many types of sensory receptors for touch , pressure,
vibration, pain , temperature etc .
Papillary layer is folded into ridges which extend into upper
epidermal layer.
The exposed ridges form congenital patterns called finger prints
and foot prints
Reticular layer contains collagen Elastic and reticular fibers
Dermis
17.
18. Lies below the dermis and is not part of skin.
It attaches the skin to underlying tissue such as muscle and bone.
The subcutaneous tissue contains loose fat cells, that provide insulation.
The anatomic distribution of subcutaneous tissue varies according to
gender, hereditary, age, nutritional status.
Thus, layer also stores lipids, regulates temperature, and provides shock
absorption.
SUBCUTANEOUS TISSUE
20. Hair is composed primarily of keratin.
The dead keratinocytes fuse together to form the hair. At the base of the
follicle is the bulb, which contains cells that give rise to the keratinocytes that
make up the hair, as well as blood vessels that nourish the growing hair.
Lengthening fibers of keratin-filled dead cells, grouped around the semi
hollow medulla, make up the cortex.
HAIR FOLLICLE AND HAIR
21. A living structure called the bulb (visible as a white
lump at the end of a plucked hair) surrounds and
feeds the root, which lies in a pocket of the
epidermis called the follicle.
Each hair follicle also contains the arrector pili, a
muscle that contracts in response to cold, fright, and
other emotions. When the muscle contracts, it pulls
the hair in the follicle into a vertical position.
22. - The color of hair is due to melanin.
- Dark hair contains true melanin like that found in
the skin.
- Blond and red hair result from types of melanin
that contain sulfur and iron.
- Hair goes gray when melanocytes age and lose
the enzyme necessary to produce melanin. White
hair occurs when air bubbles become incorporated
into the growing hair.
23. 1. An adult human has between 1.6 to 4 million
sudoriferous glands, or sweat glands.
2. Most are of a type known as eccrine sweat
glands, which are found almost all over the
surface of the body and are most numerous on
the palms and soles.
3. Eccrine sweat glands begin deep in the dermis
and connect to the surface of the skin by a
coiled duct.
4. In addition, nerve fibers that encircle the
sweat glands stimulate the glands in response
to fear, excitement, or anxiety.
Sweat and Sebaceous Gland
24. 1. Nails on the fingers and toes are made of hard, keratin-
filled epidermal cells.
2. They protect the ends of the digits from injury, help us
grasp small objects, and enable us to scratch.
3. The part of the nail that is visible is called the nail
body or nail plate, and the portion of the nail body that
extends past the end of the digit is called the free edge.
4. The nail groove is the fold on the side and the
eponychium is the skin that holds the nail root.
Nails on fingers and toes
25.
26. Most of the nail body appears pink because of blood flowing in the
tissue underneath.
The pale, semicircular area called the lunula appears white due to an
underlying thick layer of epidermis that does not contain blood
vessels.
The part of the nail that is buried under the skin is called the root.
Nails grow as epidermal cells below the nail root and transform into
hard nail cells that accumulate at the base of the nail, pushing the rest
of the nail forward.
27. Other sweat glands, known as apocrine
sweat glands, are much less numerous
than eccrine sweat glands.
They are also anchored deep in the
dermis, but open into hair follicles
rather than onto the surface of the skin.
28. Apocrine sweat glands are located mainly in the armpit, genital
area, and around the nipples of the breasts.
Oil, or sebaceous, glands are found all over the body except on
the palms, the soles, and the top of the feet.
They are most numerous on the face and scalp. Most sebaceous
glands open into hair follicles, but the glands also occur in some
hairless areas, such as the lips and inside the mouth.
29. Glands of this type produce an oily substance
called sebum, which keeps the skin and hair from
drying out and inhibits the growth of certain
harmful bacteria.
Wax, or ceruminous, glands are located in the ear
canal. They secrete a waxy substance that helps
prevent foreign particles from entering the ear.
Ceruminous glands are modified sweat glands.
30. Skin controls heat
regulation by
responding to changes
in temperature with
vasoconstriction and
vasodilatation
Helps to maintain
homeostasis through
fluid and electrolyte
balance
Sebum and Sweat are
secreted by skin and
lubricate skin surface
Endogenous synthesis
of vit-D, which is critical
to calcium and
potassium balance,
occurs in epidermis
Functions of skin
31. Vit -D synthesized by action of UV lights in vit -D precursor in
epidermal cells
The aesthetic function of skin include the expression of various
emotions such as anger or embarrassment, as well as displaying the
individual identity of a person
Skin with its nerve endings and special receptor provide s sensory
perception for environmental stimuli.
These highly specialized nerve endings supply information to brain
related to pain, heat and cold, touch, pressure, vibration. .