The cornea consists of 5 layers:
1. Epithelium - acts as a barrier and is regenerated every 7 days through cell migration.
2. Bowman's layer - acellular layer that provides strength.
3. Stroma - thick collagenous layer that gives the cornea its strength and transparency.
4. Descemet's membrane - basement membrane secreted by the endothelium that increases in thickness with age.
5. Endothelium - single cell layer that regulates hydration of the stroma and maintains corneal transparency.
these slide are modified or upgraded from the slid belonging to this website.i had added some of the content.hope that it will be more helpful to you all.
Vitreous humour
1. Vitreous Humour
2. General features Vitreous humour is an inert ,transparent , colourless, jellylike, hydrophilic gel that serves the optical functions and also acts as important supporting structures for the eyeball. The vitreous cavity is bounded by anteriorly by the lens and ciliary body and posteriorly by the retina Its weighs nearly 4g Vitreous is an extacellular material composed of approximately 99 per cent water
3. Structure The vitreous body is the largest and simplest connective tissue present as a single piece in the human body Divided into three parts- 1. The hyaloid layer or membrane 2. The cortical vitreous and 3. The medullary vitreous
these slide are modified or upgraded from the slid belonging to this website.i had added some of the content.hope that it will be more helpful to you all.
Vitreous humour
1. Vitreous Humour
2. General features Vitreous humour is an inert ,transparent , colourless, jellylike, hydrophilic gel that serves the optical functions and also acts as important supporting structures for the eyeball. The vitreous cavity is bounded by anteriorly by the lens and ciliary body and posteriorly by the retina Its weighs nearly 4g Vitreous is an extacellular material composed of approximately 99 per cent water
3. Structure The vitreous body is the largest and simplest connective tissue present as a single piece in the human body Divided into three parts- 1. The hyaloid layer or membrane 2. The cortical vitreous and 3. The medullary vitreous
This lecture includes anatomy, Physiology of Sclera, if u like it kindly share it with colleagues and like it. I will share more lectures related to eye anatomy and optometry.
Thank You.
This lecture includes anatomy, Physiology of Sclera, if u like it kindly share it with colleagues and like it. I will share more lectures related to eye anatomy and optometry.
Thank You.
Everything you should know about corneal tomography. A summary of all top books about the issue.
For online presentations see my YouTube channel - Eye - Dr. Tuti
Corneal Cross Linking: Protocols and Literature Review
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Acanthamoeba Keratitis: The Pathogenesis, the Clinical manifestation and the Medical/Surgical therapy
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Fungal Keratitis: The Pathogenesis, the Clinical manifestation and the therapy
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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.
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
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stockrebeccabio
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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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. The cornea is a
transparent,
nonvascular tissue
which forms the
anterior surface of
the eye.
3. Light enters the eye
through the major
refractive structure
of the eye,
focusing light onto
the retina
The cornea
protects the fragile
intraocular
contents by its
tough, yet pliable
collagen structure.
4. Horizontally 11 – 12 mm
Vertically 10 – 11 mm
Radius of curvature 7.8mm
(6.7 - 9.4 )
Power 43.25 D
5. It helps to shield the rest of the eye from
germs, dust, and other harmful matter. The
cornea shares this protective task with the
eyelids, the eye socket, tears, and the sclera.
The cornea acts as the eye’s outermost
lens.
8. Basal cells
Wing cells
Apical cells
These cells finally
degenerate and
are sloughed from
the corneal
surface
This process results
In turnover of the entire
Epithelium every
7 days
9. There’s no cell
devision.
Polygonal cells:
• Small light cells
(young cells)
reached the surface of the
cornea
• Dark cells (mature
cells)
will be sloughed
10. The surface cells are
covered with a dense
coat of microplicae, and
dark cells have fewer
microplicae than do
light cells. The darker
cells have fewer
microvilli and
microplicae near the cell
margins. Adhering to
this microvilli is a
glycocalyx.
11. Apical membrane of the
surface epithelium and
intercellular junctions along
the lateral membranes.
Glycocalyx emerging from
the surface microvilli.A tight
junction and densely
staining desmosomes are
seen along the lateral
membranes. Glycogen is
evident as well as
numerous vesicles point to
microvilli from two adjacent
surface cells.
12. There’s no cell division.
A prominent
characteristic of these
cells is an
abundance of
intracellular keratin
tonofilaments. Wing
cells are distinguished
by a variety of
polygonal shapes and
by their large ovoid
nuclei.
13. The corneal
epithelium is refered to
as a nonkeratinized
epithelium because it
normally does not
express the cornified
cytoskeleton typical of
epidermal cells.
The situation changes
in Vit A deficiency when
the corneal epithelium
express keratins
normally found in the
cornified epithelium, or
epidermis, of the skin.
14. A single layer of cuboidal cells
Originate from the stem cells in the
basal layer of the limbal epithelium,
which is peripheral to the cornea. They
also contain glycogen.
Major keratin pair
K3 &
K12
Minor keratin pair
K14 & K5
The basal cell are distinguished from limbal stem cells
by the expression of major Keratin pair
15. Basement membrane is secreted extracellularly by the epithelial cells and forms
one of several structural components associated with cell adhesion to Bawman’s
Layer or stroma. Made up primarily of type IV, VII, XII collagen, laminin,
Fibronectin and heparan sulfat proteoglycan.
• Lamina Lucida (anteriorly, 23nm)
• Lamina densa (apposed to Bawmen’s layer)
• Reticular lamina (within to Bawmen’s layer)
16. Basal cells and entire
epithelium adhere to the
basement membrane and
stroma via hemidesmosomes
(integral plazma membrane
protein)
The basal,wing, and
superficial cells are linked to
one another by desmosomes,
which are more numerous
among superficial cells than
between basal cells.
18. Junctional complexes of the cornea
Gap junction Tight junction
More numerous in the more basal
Layers than in the superficial cells.
This junction is between basal and
wing cells
Gap junction forms a functional
Syncytium, which may be important
In coordinating functions such as
cell differentiation and migration.
Only between superficial cells!!!!
Tight junction or zonula occludens
(ZO), which form a highly effective
Semipermeable membrane on the
surface of the cornea.
Tight junction is important to the
barrier function.
19. Y YX
X + Y = Z
Z
X - proliferation of
basal cells
Y - centripetal movement of
cells
Z - cell loss from the surface.
X, Y, Z Hypothesis of corneal
epithelial maintenance.
20. II. Bowman’s layer
Bowman' s layer appears as a
feltlike, composite of randomly
oriented, striated collagen fibrils
dispersed throughout an amorphous
matrix . In the adult this layer is
approximately 8 to 12μm thick,
being slightly thicker in the corneal
periphery. Bowman's layer is
acellular, except for nerve axons
coursing toward the epithelium. The
lack of keratocyte (fibroblast) cells
within Bowman's layer may indicate
its inability to regenerate after injury,
or it may imply that keratocytes
cannot migrate into Bowman's layer.
21. III. Stroma
Stroma, a fibrous tissue layer
approximately 450μm thick in the
central cornea. There are type I
collagen with types III, V, and VI.
The stroma is a predominantly an
ECM comprised of a lamellar
arrrangement of collagen fibrils
running parallel to the corneal
surface, with the individual
collagen fibrils separated by a
matrix of proteoglycans. The
collagen fibrils and ECM are
maintained by cells called
keratocytes . That lie between the
collagen lamellas.
23. The extrafibrillar material sometimes called the Ground
Substance of the stroma, is largely made up of
proteoglycans
CD/DS
Decorin (type IV) is the only
CD/DS proteoglycan in the cornea. More
abundant in the anterior cornea than
in the posterior.
KS
More abundant in the posterior stroma.
lumican
keratocan
mimecan
All in
keratotocytes
synthesize
collagen.
CD/DS - chondroitin sulfat/dermatan sulfat
KS - keratan sulfat
24. Lumican,keratocan, and mimecan are also found
in other tissues. Only in the cornea they are
present in a highly sulfated form.
This sulfation of the cornea chains increases the
wateretentive properties of the proteoglycans,
which affects hydration of the stroma and hence
corneal transparency
25. IV. Descemet’s layer
The cornel endothelium rests on a
basement membrane, known as a
descemet’s membrane, which in the
adult eye 10-15 micron thick. This
membrane is secreted by endothelial
cells and increases in thickness
throughout life.
26. The basement membrane components :
Type IV collagen
Laminin
Fibronectin (functions in adhesion
endothelial cells to the
membrane)
Descemet’s membrane may remain intact in
cases of severe corneal ulceration, forming
a descemetocele after destruction of the
epithelium and stroma.
this shows that the membrane is highly
resistant to proteolytic enzymes.
27. V. Endothelium
Single layer of cells covers the
posterior surface of the cornea .
Polygonal cells most of which are
hexagonal (d- 20µm, thick – 4-6µm)
Newborns – 5500 cells/mm2
Adults -- 2500-3000 cells/mm2
Min level -- 400-700 cells/mm2
28. Endothelial cells are
interconnected by tight and
gap junction . The endothelium
forming a “leaky” barrier
between the aqueous humor &
the stroma (by tight junction).
The gap junction do not
contribute to the endothelial
barrier, but the funtion in
intercellular communication
29. Polymegathizm – the abnormal size of the
endothelial cells.
Polymorphizm – a decrease in hexagons with a
concomitant increase in number of
cells
Polymegatizm and pleomorphizm
are increasing with aging.
30. Cornea’s innervation.
nerves In the middle third
of the stroma
cornea
anteriorly
forward
radially
Toward the central
area
Giving branch and
innervate
Anterior stroma
Plexus subepithelial
Bowman’s layer
Subbasal
epithelial
nerve plexus
Basal epithelial cell layer
And terminating
Superficial epithelial layers.