The document provides information on the central nervous system including:
1) It describes the basic components and function of neurons including synapses and neurotransmitters.
2) It discusses reflexes and the reflex arc as the simplest neural pathway.
3) It provides details on the main parts of the brain - cerebrum, cerebellum, and brainstem - and their functions.
Anatomy of Human Brain Presented by Dr Arman MD (Resident) Physical Medicine & Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh. reference taken from latest book & journal.
This slide talks about neuroplasticity, the central nervous system, the brain and its structure, the spinal cord, autonomic nervous system, its functions, nervous system and learning, neurotransmitters, working of neurotransmitters, classification, types of neurotransmitters, neurotransmitters in learning and limbic system in learning.
THE SPINAL CORD
White Matter of the Spinal Cord
Gray Matter of the Spinal Cord and Spinal Roots
THE BRAIN
Basic Parts and Organizationof the Brain
Parietal Lobe
Occipital Lobe
Cerebellum
Brain Stem
The Brain stem
Medulla Oblongata
Midbrain
Pons
Anatomy of Human Brain Presented by Dr Arman MD (Resident) Physical Medicine & Rehabilitation, Dhaka Medical College, Dhaka, Bangladesh. reference taken from latest book & journal.
This slide talks about neuroplasticity, the central nervous system, the brain and its structure, the spinal cord, autonomic nervous system, its functions, nervous system and learning, neurotransmitters, working of neurotransmitters, classification, types of neurotransmitters, neurotransmitters in learning and limbic system in learning.
THE SPINAL CORD
White Matter of the Spinal Cord
Gray Matter of the Spinal Cord and Spinal Roots
THE BRAIN
Basic Parts and Organizationof the Brain
Parietal Lobe
Occipital Lobe
Cerebellum
Brain Stem
The Brain stem
Medulla Oblongata
Midbrain
Pons
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
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.
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.
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
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Drug Discovery and Development .....NEHA GUPTA
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.
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
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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.
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
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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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.
Maxilla, Mandible & Hyoid Bone & Clinical Correlations by Dr. RIG.pptx
Basic Anatomy CNS
1. DR MUSADDIQ KHAN DURRANI
M B B S , M C P S ®
Central Nervous System
2.
3.
4. A stimulus is a change in the environment with
sufficient strength to initiate a response.
Synapse - Junction where one neuron interacts with
another neuron or effector organ.
Neurotransmitters – Chemicals in the junction
which allow impulses to be started in the second
neuron
5. Reflexes :
Involuntary reactions in response to a stimulus
that’s applied to a sensory organ and transmitted to the motor
organ
Reflex Arc – simplest neural pathway by which a reflex
occurs – basic functional unit/smallest and simplest pathway
capable of receiving a stimulus and yielding a response –
consists of 5 components
a) Sensory receptor – initial stimulation happens here →
b) Sensory neuron – transports message →
c) Interneuron – located in the CNS (usually the spinal cord)
not part of all reflexes
d) Motor neuron – transports response message →
e) Effector organ
6.
7. Brain one of largest organs in body:
Average 1,600 g (3.5 lbs)
Size is proportional to body size not intelligence
consumes 20% of our oxygen need at rest
>4 min w/o oxygen leads to permanent damage
besides O2 must get continuous supply of glucose
very little in reserve
Decrease in glucose:
1. Dizziness
2. convulsions
3. unconsciousness
8. The brain is housed inside the bony covering called the
cranium(Skull)
Between the skull and brain is the meninges, which
consist of three layers of tissue that cover and protect the
brain and spinal cord. From the outermost layer inward
they are:
Dura mater
(Sub Dural Space)
Arachnoid mater
(Sub Arachnoid Space , Contains CSF)
Pia mater.
9.
10.
11.
12.
13. The brain has three main parts: the cerebrum, cerebellum and
brainstem.
Cerebrum: is the largest part of the brain and is composed of
right and left hemispheres. It performs higher functions like
interpreting touch, vision and hearing, as well as speech,
reasoning, emotions, learning, and fine control of movement.
Cerebellum: is located under the cerebrum. Its function is to
coordinate muscle movements, maintain posture, and
balance.
Brainstem: acts as a relay center connecting the cerebrum
and cerebellum to the spinal cord.
It performs many automatic functions such as breathing, heart
rate, body temperature, wake and sleep cycles, digestion,
sneezing, coughing, vomiting, and swallowing.
18. The Cerebrum
The cerebrum (front of brain) comprises gray matter (the
cerebral cortex) and white matter at its center.
The cerebral cortex is divided into two halves, or hemispheres.
It is covered with ridges (gyri) and folds (sulci).
The two halves join at a large, deep sulcus( medial
longitudinal fissure) that runs from the front of the head to
the back.
The right hemisphere controls the left side of the body, and
the left half controls the right side of the body.
The two halves communicate with one another through a
large, C-shaped structure of white matter and nerve pathways
called the corpus callosum. The corpus callosum is in the
center of the cerebrum.
19. In general, the left hemisphere controls speech,
comprehension, arithmetic, and writing.
The right hemisphere controls creativity, spatial
ability, artistic, and musical skills.
The left hemisphere is dominant in hand use and
language in about 92% of people.
22. Frontal lobe
located beneath the frontal bone
most anterior region of the cerebrum
separated from the parietal lobe posteriorly by
the central sulcus and from the temporal lobe
inferoposteriorly by the lateral sulcus.
Personality, behavior, emotions
Judgment, planning, problem solving
Speech: speaking and writing (Broca’s area)
Body movement (motor strip)
Intelligence, concentration, self awareness
23. Parietal Lobe
found below the parietal bone
between the frontal lobe anteriorly and the occipital
lobe posteriorly, from which it is separated by the
central sulcus and parieto-occipital sulcus
language and calculation on the dominant
hemisphere side, and visuospatial functions
Interprets language, words Wernickes Area
Sense of touch, pain, temperature (sensory strip)
Interprets signals from vision, hearing, motor, sensory and memory
Spatial and visual perception
24. Temporal Lobe
Beneath Temporal Bone
primary auditory cortex.’
Understanding language
Memory
Hearing
Sequencing and organization
25. Occipital Lobe
The most posterior part of the cerebrum
primary visual cortex
26.
27. Aphasia is a disturbance of language affecting speech production,
comprehension, reading or writing, due to brain injury – most
commonly from stroke or trauma. The type of aphasia depends on
the brain area damaged.
Broca’s area: If this area is damaged, one may have difficulty
moving the tongue or facial muscles to produce the sounds of
speech. The person can still read and understand spoken language
but has difficulty in speaking and writing (i.e. forming letters and
words, doesn't write within lines) – called Broca's aphasia.
Wernicke's area: Damage to this area causes Wernicke's aphasia.
The individual may speak in long sentences that have no meaning,
add unnecessary words, and even create new words. They can make
speech sounds, however they have difficulty understanding speech
and are therefore unaware of their mistakes.
28.
29.
30. Cerebellum
Cerebellum, which stands for “little brain”, is a structure of the central
nervous system. It has an important role in motor control, with
cerebellar dysfunction often presenting with motor signs.
Fine movement coordination
Balance and equilibrium
Muscle tone
Sense of body position
The cerebellum processes information from the brain and PNS for
balance and body control.
32. Deep Structures
Hypothalamus: is located in the floor of the third ventricle and is
the master control of the autonomic system. It plays a role in
controlling behaviors such as hunger, thirst, sleep, and sexual
response. It also regulates body temperature, blood pressure,
emotions, and secretion of hormones.
Pituitary gland: The pituitary gland is connected to the
hypothalamus of the brain by the pituitary stalk. Known as the
“master gland,” it controls other endocrine glands in the body. It
secretes hormones that control sexual development, promote bone
and muscle growth, and respond to stress.
Pineal gland: is located behind the third ventricle. It helps
regulate the body’s internal clock and circadian rhythms by
secreting melatonin. It has some role in sexual development.
Thalamus: serves as a relay station for almost all information that
comes and goes to the cortex. It plays a role in pain sensation,
attention, alertness and memory.
33. CIRCLE OF WILLIS
The circle of Willis is a ring of vessels connecting the
anterior and posterior circulations of the brain.
provide collateral blood flow between the anterior
and posterior circulations of the brain, protecting
against ischemia in the event of vessel disease or
damage in one or more areas.
34. Two arteries, called the carotid arteries, supply blood to the brain.
They run along either side of the neck and lead directly to the circle
of Willis.
Each carotid artery branches into an internal and external carotid
artery. The internal carotid artery then branches into the cerebral
arteries. This structure allows all of the blood from the two internal
carotid arteries to pass through the circle of Willis.
The structure of the circle of Willis includes:
left and right internal carotid arteries
left and right anterior cerebral arteries
left and right posterior cerebral arteries
left and right posterior communicating arteries
basilar artery
anterior communicating artery
38. CVA/Stroke
A cerebrovascular accident (also known as a stroke)
is defined clinically as “an abrupt loss of focal brain
function lasting more than 24 hours due to either
spontaneous haemorrhage into brain substance or
inadequate blood supply to part of the brain i.e.
ischaemia (thrombosis, embolism)“.