The anterior abdominal muscles include the external oblique, internal oblique, transversus abdominis, and rectus abdominis. These muscles flex and rotate the trunk, protect the abdominal organs, and increase intra-abdominal pressure during activities like coughing. The inguinal canal transmits structures like the spermatic cord in males or round ligament in females. Inguinal hernias occur when abdominal contents protrude through the inguinal rings. Gilmore's groin involves pain from tears in the abdominal wall muscles or conjoint tendon and is treated surgically.
rectus sheath, the sheath covering rectus muscle of anterior abdominal wall, formation of the sheath, the muscles involved in ts formation, and the contents the sheath is covering
Over the past few decades, medical science and its multiple domains have taken a quantum leap with the help of the latest technologies. The same applies for biometrics, that can be defined as a technology that helps in identification of individuals based on their physical and behavioral traits.
rectus sheath, the sheath covering rectus muscle of anterior abdominal wall, formation of the sheath, the muscles involved in ts formation, and the contents the sheath is covering
Over the past few decades, medical science and its multiple domains have taken a quantum leap with the help of the latest technologies. The same applies for biometrics, that can be defined as a technology that helps in identification of individuals based on their physical and behavioral traits.
tranSMART Community Meeting 5-7 Nov 13 - Session 3: transmart’s application t...David Peyruc
tranSMART Community Meeting 5-7 Nov 13 - Session 3: tranSMART’s Application to Clinical Biomarker Discovery Studies in Sanofi
Sherry Cao, Sanofi
This presentation will discuss challenges we are encountering in clinical biomarker discovery
study and how we are using tranSMART to help to address them.
About the Webinar
In Part 1 of this two-part webinar, speakers will address a variety of licensing issues. A key component to the discussion will be a focus on the critical pieces of a license, including privacy, accessibility, preservation, migration, and the negotiation process between a library and a vendor.
For the second half of this two-part series, speakers will focus on staffing issues at different types of libraries and how staff manages integration of e-resources into workflows, as well as a discussion about whether or not to execute a reorganization.
Preparing your organization to negotiate license agreements
Tracy L. Thompson, Executive Director, NELLCO Law Library Consortium
Licenses and Reuse: What Does it Mean for Authors?
Stacy V. Sieck, Library Communications Manager, Americas Region, Taylor & Francis Group
A Relatively Short Guide to License Agreements
Abbie Brown, Head, Consortial Services, Library Systems, University of Missouri University Libraries
X-TREPAN : A Multi Class Regression and Adapted Extraction of Comprehensible ...csandit
In this work, the TREPAN algorithm is enhanced and extended for extracting decision trees
from neural networks. We empirically evaluated the performance of the algorithm on a set of
databases from real world events. This benchmark enhancement was achieved by adapting
Single-test TREPAN and C4.5 decision tree induction algorithms to analyze the datasets. The
models are then compared with X-TREPAN for comprehensibility and classification accuracy.
Furthermore, we validate the experimentations by applying statistical methods. Finally, the
modified algorithm is extended to work with multi-class regression problems and the ability to
comprehend generalized feed forward networks is achieved.
저는 어린 시절 장래희망을 모두 이루었습니다. 아주 어릴 때에는 시인이 되고 싶었고, 조금 더 자란 후에는 뮤지션이 되고 싶었습니다. 시인이 되고 싶었던 이유도, 뮤지션이 되고 싶었던 이유도 아주 사소한 것들이었습니다. 선생님이 내 준 일기 쓰기 숙제가 귀찮아서 시를 썼고, 여자 애들에게 인기가 많았으면 해서 음악을 시작했습니다. 이러한 작고 사소한 계기들이 쌓여 지금을 살아가고 있는 저를 이루었습니다. 세상은 자꾸 우리에게 꿈을 꾸라고 이야기합니다. 하지만 모두가 원대한 꿈을 가지고 위대한 사람이 될 수는 없는 일입니다. 나는 그저 내 작은 욕망들에 귀를 기울이고, 내 주변의 소소한 이야기들을 노래하는 예술가가 되고 싶습니다. 세상을 바꾸는 시간, 15분 동안 들려드릴 이야기는 바로 그 사소함에 대한 이야기입니다.
This PPT is mainly oriented towards Bailey & Love - Topic on Skin & Sub-cutaneous tissue. Few common diseases has been added. Very useful to Final yr. MBBS Students
Muscles Of Anterolateral Abdominal Wall.pptxaqsaaroob1
I described about the whole anatomy of anterolateral abdominal wall. Muscles, ligaments attach directly to anterolateral abdominal wall. Also add the topic of inguinal canal complete.
Here is the powerpoint on relevent anatomy of multiple differentials for Inguinoscrtal swelling special for surgical diagnosis with very reliable References.
Abdominal anatomical and symptoms and symptoms and Marasmus of the fetus first and symptoms to the signs on a verification dsujŝkkkllllllllljnvvvhĵjbvvghhjjĵkķkkkkkkkkkkkllķ
This presentation provides an overview of the gross anatomy of the inguinal canal, a passage in the lower abdomen that allows the spermatic cord (in males) or round ligament (in females) to pass from the abdomen to the scrotum (in males) or labia majora (in females). The presentation includes images and diagrams to help explain the anatomy of the inguinal canal
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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.
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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.
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
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. Anterior Abdominal Wall
• The muscles of the anterior
abdominal wall play a major role in
movements of the trunk
• Protecting the abdominal organs
• Increase the intra-abdominal
pressure, aid in expiration and all
straining activities such as
micturition, coughing and vomiting
• Supplied by lower five intercostal
and subcostal nerves
3. Anterior Abdominal Muscles
• Strong abdominals are important in
helping to stabilise the trunk
• Support the spine
• They flex and rotate the trunk
• Acting with the adductors and
abductors of the hip
• They help to stabilise the pelvis during
walking and running
4. Anterior Abdominal Wall
• Superficial fatty layer
• Membranous layer of superficial
fascia
• Below umbilicus
• Continuous with Colles’ fascia in
the perineum
5. Skin of Anterior Abdominal
Wall
• Lower five intercostal nerves
• Subcostal nerve T12
• 10th
intercostal nerve is at the
level of the umbilicus
• Iliohypogastric nerve L1
• Ilioinguinal nerve L1
6. Blood Supply and
Lymphatics
• Intercostal vessels
• Skin above umbilicus
superficial veins and
lymphatics drain to axilla
• Skin below umbilicus
superficial veins and
lymphatics drain to long
saphenous vein
• Superficial inguinal glands
7. Inguinal Glands
• Proximal group parallel to
inguinal ligament
• Enlarged tender inguinal
glands
• Part of a generalised
lymphadenopathy
• Secondaries
8. Inguinal Glands
• Proximal group
• Lesions in local structures
• Skin of lower anterior abdominal
wall
• Gluteal region
• Skin of scrotum or labia
Distal superficial glands
• Skin of leg area drained by long
saphenous vein
• All drain to deep inguinal glands
along femoral vein
9. Abdominal Muscles
• External oblique
• Internal oblique
• Transversus
• Rectus abdominus
• Pyramidalis
• Nerves and vessels
• Lie between internal oblique and
transversus
10. External Oblique
• Origin
• Outer surfaces lower borders
lower eight ribs
• Interdigitating with serratus
anterior and latissimus dorsi
• Fibres pass medially and
inferiorly
11. External Oblique Insertion
• Inserted into anterior half of
anterior two thirds outer lip of
iliac crest
• Aponeurosis in the inguinal
region passes anterior to
rectus muscle
• Forms the inguinal ligament
• Lacunar ligament
• Reflected portion of inguinal
ligament
12. Inguinal and Lacunar
Ligaments
• Inguinal ligament
aponeurosis is folded
back from anterior
superior iliac spine to
pubic tubercle to form
inguinal ligament
• Lacunar ligament
triangular, attached to
pectineal line. lateral
free border medial
margin of femoral ring
13. Insertion External Oblique
• Pubic crest
• Gap for superficial
inguinal ring
• Pubic bone
• Linea alba
• Anterior wall of the
rectus sheath
• Zyphoid process
14. External Oblique
• Acting separately
• The external oblique flexes the
vertebral column laterally and
rotates it to the opposite side
• If the thorax is fixed by contracting
both external obliques, you can tilt
the symphysis pubis superiorly and
flex the trunk, posterior pelvic tilt
• Movement of the iliac crests
determines the direction of the tilt
15. Internal Oblique
• Muscular origin lateral two
thirds of inguinal ligament
• Anterior two thirds
intermediate lip of iliac crest
• Lumbar fascia
• Muscular fibres arch over
contents of inguinal canal
anterior to rectus muscle
• Fibres pass medially and
superiorly
16. Insertion Internal Oblique
• Into coastal margin, upper three as
fleshy fibres
• Next three as aponeurotic
• Inserted into linea alba
• Between zyphoid and half way
between umbilicus and pubic
symphysis aponeurosis splits
• Anterior layer fuses with external
oblique
• Posterior layer fuses with
transversus
17. Internal Oblique Conjoint
Tendon
• Half way between umbilicus
and pubic symphysis
• Aponeurosis of the internal
oblique and transversus fuse
to form conjoint tendon
• Anterior portion of rectus
sheath
• Inserted into pectineal line
behind superficial inguinal ring
18. Internal Oblique
• The right side of the muscle twists
to the right and the left side twists
to the left
• The lower six intercostals nerve
• Subcostal nerve
• Iliohypogastric nerves
19. Transversus Abdominus
• Origin
• Lateral one third of inguinal
ligament
• Anterior two thirds of inner lip of
iliac crest
• Lumbar fascia
• Lower border and inner surfaces
lower six ribs interdigitating with
diaphragm
20. Insertion Transversus
Abdominus
• Into zyphoid, linea alba
• Half way between umbilicus and
pubic symphysis
• Fuses with posterior lamella of
internal oblique
• Below forms conjoint tendon
• Inserted into pectineal line behind
superficial inguinal ring
21. Transversus Abdominus
• The transversus abdominus helps
to support the abdominal viscera
• Maintain intra-abdominal pressure
• Stabilises the lumbar spine
• It is supplied by the lower six
intercostals nerves
• Subcostal nerves
• Iliohypogastric nerves
22. Rectus Abdominus
• Segmental muscle
• Two heads
• Anterior pubic symphysis
• Pubic crest
• Inserted anterior aspect of 5, 6, 7th
costal
cartilages
• Adhesions anterior surface
• Segmental blood and nerve
supply from Intercostals
• The rectus abdominus flexes the trunk
23. Rectus Abdominus
• The rectus muscles (recti)
are the most powerful
flexors of the vertebral
column
• When raising the head from
a supine position
• A movement often used to
strengthen the abdominals
• It is the recti that contract first
• When the shoulders start to rise upwards, the obliques
start to contract
MOB TCD
24. Rectus Sheath
• Above zyphoid
• Anterior wall is the external
oblique
• Posterior, costal cartilages
• From ziphoid and half way
between umbilicus and pubic
symphysis
• Anterior is external oblique and
anterior lamella of internal oblique
• Posterior lamella internal oblique
and transversus
25. Rectus Sheath
• Below half way between
umbilicus and pubic symphysis
• The aponeurosis of the
external oblique, internal
oblique and transversus
(conjoint tendon) pass anterior
to the rectus
• Posterior lies the transversalis
fascia
26. Rectus Sheath
• Contents
• Rectus muscle
• Pyramidalis
• Superior and inferior epigastric
vessels
• Lower five intercostal vessels and
nerves
27. Transversalis Fascia
• Lines deep aspect of
transversus abdominus
• Fuses with inguinal ligament
• Continuous with iliac fascia
• Except in the region of the
femoral vessels
• Forms anterior wall of femoral
sheath
28. Extraperitoneal Tissue
• Extraperitoneal connective
tissue
• If fatty, it separates the
transversalis fascia from
the peritoneum
• If thin, they are in close contact
with one another
29. Peritoneal Pouches
• Peritoneal pouches are
found in the region of the
deep inguinal ring
• Medial portion of the
posterior wall
Posterior aspect anterior
abdominal wall
30. Inguinal Canal
• Intra muscular canal
• Lower portion of anterior
abdominal wall
From
• Deep inguinal ring
• Superficial inguinal ring
• Transmits spermatic cord in
male
• Round ligament in female
31. Superficial Inguinal Ring
• Triangular opening in
aponeurosis of external
oblique
• Base, pubic crest
• Superior crus attached to
the pubic crest
• Inferior attached to pubic
tubercle
• External spermatic fascia
arises from its margins
32. Deep Inguinal Ring
• Oval opening 2.5 cm
• Above the middle of inguinal
ligament
• Inferior epigastric artery passes
medial to the deep ring
33. Interfoveolar Ligament
• The interfoveolar ligament is
an inconstant band
• Medial to deep inguinal ring
• Anterior to inferior epigastric
vessels
• From lower margin of
transversus abdominus
• To pectineal line
McVay & Anson, 1949
34. Inguinal Canal
• Anterior Wall
• External oblique forms
• Whole anterior wall
• Internal oblique forms
• Lateral half only
35. Inguinal Canal
• Posterior Wall
• Transversalis fascia
• Whole of wall
• Medial half conjoint tendon
• Medial quarter reflected portion
of inguinal ligament
36. Roof of Inguinal Canal
• Roof
• Arching fibres of internal oblique
• Transversus as they both arise
from the inguinal ligament
37. Floor of Inguinal Canal
• Floor
• Inguinal ligament
forms whole of floor
• Medial half by the
lacunar ligament
• Reflected part of
inguinal ligament
forms medial quarter
38. Passing Through Deep Ring
Male
• Vas Deferens
• Testicular artery
• Pampiniform plexus of veins
• Remains of processus vaginalis
• Genital branch of genitofemoral
nerve
• Lymphatics from testes
• Cremaster artery
39. Passing through
Superficial Ring Male
• Everything that went through deep
ring
• Plus
• Ilioinguinal nerve
• Internal spermatic fascia from
margins of the deep ring
• Cremaster muscle and fascia
40. Passing through
Deep Ring Female
• Round ligament of uterus
• Remains of processus vaginalis
• Genital branch of genitofemoral
nerve
• Lymphatics from uterus, region of
cornu
42. Inguinal Canal
• Contraction of the
abdominal muscles
increases the obliquity of
the inguinal canal
• Protecting the two rings
Lytle, 1945
43. Increase in Intra-Abdominal
Pressure
• Pain aggravated by an
increase in intra- abdominal
pressure
• Hernia
• Inguinal or femoral hernia
• Entrapment of the
ilioinguinal nerve
44. Hernia
• Chronic pain in the groin in an
athlete may be due to a hernia or
a potential hernia
45. Inguinal Hernia
• Sudden severe pain in
lower abdomen
• Associated with lifting a
heavy object
• Common history of a direct
inguinal hernia
46. Indirect Inguinal Hernia
• Passes through
• Deep inguinal ring
• May extend to pass through
the superficial ring into the
scrotum
• Congenital or acquired
• Congenital inside the tunica
vaginalis (serous
membrane, covers part
of testes)
• Acquired outside
47. Direct Inguinal Hernia
• Enters through posterior wall of
the inguinal canal
• Leaves through superficial
inguinal ring
• Above and medial to the pubic
tubercle
49. Inguinal Versus Femoral Hernia
• Inguinal hernia above and
medial to pubic tubercle
• Femoral hernia below and
lateral to the tubercle
• More common in females
and more likely to
strangulate
53. Saphenous Varix
• Swelling is soft and
diffuse
• Empties on minimal
pressure
• Refills on release
• Cough impulse is
present
54. Gilmore’s Groin
• Common cause of chronic groin
pain in field sports
• Particularly soccer players
• Pain on any sudden change of
movement, sneezing, coughing
55. Gilmore’s Groin
• Trying to sprint
• Will increase the pain
• Pain is worse getting out of bed
• The day after a match or a
training session
56. Gilmore’s Groin
• Pain is increased by
external rotation
• Or hyperextension of hip
• Pain is localised to lower
anterior abdominal wall
• Adductor or perineal region
57. Gilmore’s Groin
• Torn external oblique
aponeurosis
• Torn conjoint tendon
• A dehiscence between conjoint
tendon and the inguinal ligament
• The absence of a hernial sac
• Superficial inguinal ring on the
affected side is dilated and
tender
• Cough impulse
58. Gilmore’s Groin Surgery
• Treatment is surgical
• 90% return to sport
• Strengthen lower abdominal
muscles
1.Plication of the transversalis
fascia in “Shouldice hernia
repair”
2.Repair of torn conjoint tendon
59. Gilmore’s Groin Surgery
3. Approximation of conjoint
tendon to the inguinal
ligament
4. Repair of the external oblique
5. Reconstitution of the
superficial inguinal ring