This document summarizes the structure and function of cartilage and bone. It describes the main types of cartilage, including hyaline cartilage, elastic cartilage, and fibrocartilage. It also discusses the cells, matrix, and growth of cartilage. Regarding bone, it outlines the organic and inorganic components of bone matrix, and the cells involved in bone formation and resorption, including osteoblasts, osteocytes, and osteoclasts. It also summarizes the different types of bone and bone growth processes.
Cartilage is a resilient and smooth elastic connective tissue, a rubber-like padding that covers and protects the ends of long bones at the joints, and is a structural component of the rib cage, the ear, the nose, the bronchial tubes, the intervertebral discs, and many other body components.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
Cartilage is a resilient and smooth elastic connective tissue, a rubber-like padding that covers and protects the ends of long bones at the joints, and is a structural component of the rib cage, the ear, the nose, the bronchial tubes, the intervertebral discs, and many other body components.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
• Osseous tissue, a specialised form of dense connective tissue consisting of bone cells (osteocytes)• Embedded in a matrix of calcified intercelluarsubstance• Bone matrix contains collagen fibres and the minerals calcium phosphate and calcium carbonate
10.08.08: Histology - Cartilage/Mature Bone Open.Michigan
Slideshow is from the University of Michigan Medical School's M1 Musculoskeletal Sequence
View additional course materials from Open.Michigan:
openmi.ch/med-M1Muscu
CONTENTS
FORMATION OF BONE
CLASSIFICATION OF BONES
STRUCTURE OF BONE
BLOOD SUPPLY
COMPOSITION OF BONE
FRACTURE HEALING
CARTILAGE
TYPES OF CARTILAGE
BONE (syn – Os; Osteon)
Osseous tissue, a specialised form of dense connective
tissue consisting of bone cells (osteocytes)
Embedded in a matrix of calcified intercelluar
substance
Bone matrix contains collagen fibres and the minerals
calcium phosphate and calcium carbonate
Bone tissue is the major structural and supportive connective tissue of the body. Osseous tissue forms the rigid part of the bones that make up the skeletal system.
• Osseous tissue, a specialised form of dense connective tissue consisting of bone cells (osteocytes)• Embedded in a matrix of calcified intercelluarsubstance• Bone matrix contains collagen fibres and the minerals calcium phosphate and calcium carbonate
10.08.08: Histology - Cartilage/Mature Bone Open.Michigan
Slideshow is from the University of Michigan Medical School's M1 Musculoskeletal Sequence
View additional course materials from Open.Michigan:
openmi.ch/med-M1Muscu
CONTENTS
FORMATION OF BONE
CLASSIFICATION OF BONES
STRUCTURE OF BONE
BLOOD SUPPLY
COMPOSITION OF BONE
FRACTURE HEALING
CARTILAGE
TYPES OF CARTILAGE
BONE (syn – Os; Osteon)
Osseous tissue, a specialised form of dense connective
tissue consisting of bone cells (osteocytes)
Embedded in a matrix of calcified intercelluar
substance
Bone matrix contains collagen fibres and the minerals
calcium phosphate and calcium carbonate
Bone tissue is the major structural and supportive connective tissue of the body. Osseous tissue forms the rigid part of the bones that make up the skeletal system.
The bone of the skeleton is a mineralized vascular type of connective tissue with a solid matrix. The alveolar process is the bony extension of the mandible and maxilla that provides the necessary support for the teeth and serves as a site of attachment for the periodontal ligament fibers. By its resorption and deposition, it also compensates for tooth movement.
Cartilage is a connective tissue structure that is composed of a collagen and proteoglycan-rich matrix and a single cell type: the chondrocyte. Cartilage is unique among connective tissues in that it lacks blood vessels and nerves and receives its nutrition solely by diffusion
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.
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
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.
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.
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Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
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.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
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
3. FUNCTIONS :
Soft tissue support
The initiation of long bone growth before or
after birth.
Provides areas for joints that facilitate bone
movement based on their smooth surface.
4. GENERAL STRUCTURES
Interseluler : matrix
Pores : lacuna contains chondrocytes
NATURES PROPERTIES :
Avasculer : receive nutrients through :
Diffusion through connective tissues
capillary
Synovial fluid of the joint cavity
No innervations
No lymph vessels
7. The most common type of cartilage in adults
Localisations :
Tip of ribs ventral
Larynx,trachea, bronchus
Surface of the joints
Epiphyseal plate on fetal or children
8. MICROSCOPIC
MATRIX :
Amorphous gel contains glycosaminoglycan that form
complex protein such as proteoglycan.
glycosaminoglycan consist of hyaluronate acid, sulfate
chondroitin 4, sulfate chondroitin 6, sulfate bond.
9. THE GELS :
Type 2 soft tissue collagen fibers, very thin
diameter 10 -100 nm.
On routine histology preparation the soft tissue
collagen fibers indistinguishable with
amorphous substance because:
Very thin size
Refractive index same with interceluler
amorphous substance
Collagen in the matrix 40-70%
50% organic in the gel contains of
proteoglycan thick hydrophilic
10. Type II collagen & proteoglycan produced by the
chondrocytes
Matrix protein:
Type II collagen
Chondronectin
Chondrocalsin
HE STAINING :
Matrix : pale blue ( barely stained)
Area around chondrocyte looks darker= “ territorial
matrix” = “capsular”, characteristics :
strong basophilic
Metachromatic
Positive PAS reaction
11. Interteritorial Matrix
Tissue Fluids: 65-80%
No blood and lymph
vessels
CHONDROCYTES
Located in primary
lacuna
If the chondrocytes
divide several times, the
daughter cells (2-4 cells)
formed a group of cells
in the primary lakuna =
isogenic cells = cell
nests
12. Chondrocytes secrete intercellular substances to
form thin barriers between cells so that they are
located in secondary lacuna.
Secondary lacuna of the nest cell present in the
primary lacuna.
Cell size / shape: varies
Immature chondrocytes: rather flat
Mature chondrocytes: large & round
CHONDROCYTES
13. Chondrocytes
Round nucleous: 1-2 nucleoli
Cytoplasm: glycogen & fat in large chondrocytes
Perichondrium
Consists of 2 layers:
Inner layer = Chondrogenic layer cells in this
layer produce new condroblasts
CHONDROCYTES
14. Outer layer = Fibrous Layer
Cells differentiate into fibroblasts
Produces collagen so that the cartilage is wrapped in
irregular connective tissue
CARTILAGE GROWTH
Interstitial growth: mitosis
Apositional growth: differentiation
CHONDROCYTES
15. Distribution :
earlobe, external acoustic
meatus wall, eustachian
auditory tube, epiglottis,
part of the larynx
MATRIX : type II
collagen fibers, elastic
fibers>>>
It has perichondrium
16. Distribution :
Annulus fibrosus of the
intervertebral discs, the
pubic symphysis, insertion
of tendons to the cartilage.
MICROSCOPIC :
Coarse collagen fibers in
regular pattern
Less cellular
Chondrocyte cells are spread
infrequently
Basophilic matrix, ≠
perichondrium
19. BONE MATRIX
ORGANIC
SUBSTANCES
90% type I collagen
fibers, << type V
HE pink red
10% amorphous
element
Sulfat Chondroitin
Hyaluronic Acid
Glicoprotein
Non collagenous protein :
Osteonectin & Osteocalsin
ANORGANIC SUBSTANCES :
Mineral :
Ca & P >>
hydroxiapatite
Bicarbonate, citrate, Mg,
K, Na
20. Bone Cells
1. Osteoblast :
Organic matrix element
Nucleated bone mineral
Shape of the cells
Active : Active: relatively large,
round polygonal, eccentric
nucleus, cytoplasm : very
basophilic (many GER)
Non Active : squamous, cytoplasm :
less basophilic
21. 2. Osteocyte
Maintenance of the matrix and release Calcium
Position: lacuna within the matrix
Connected by canaliculi
Shape of the cells : < osteoblast
Motility (+)
Many cytoplasmic branch
cytoplasm : less basophilic
Electrone Microscope: contain GER, less golgi app, less,
chromatin, dense nucleous, lysosome
22. 3. Osteoclast
Inti banyak, dekat permukaan tulang
Sistem fagosit mononuklear
Mengatur kadar serum kalsium ( parathormon &
kalsitonin )
Sitopl. : asidofilik, eosin (gelap), mengandung
mitokondria, badan golgi, lisosom,GER.
Meresopsi tulang LACUNA HOWSHIP
23. 3. Osteoclast
Many nuclei, near the bone surface
Mononuclear phagocyte system
Regulates serum calcium levels (parathormone &
calcitonin)
Cytoplasm: acidophilic, eosin (dark), containing
mitochondria, golgi bodies, lysosomes, GER.
bone resorption cavities LACUNA HOWSHIP
24.
25. TYPES OF BONES
1. A. Cancellous : cavity (+) spongiosa
B. Compact : solid
2. A. Immature = primary
B. Mature = secondary
3. A. Lamellar immature
B. Woven
C. Fibrous secondary
26.
27. IMMATURE = PRIMARY BONES VS
Osteocyte >>, mineral <<
Consist of : woven and lamellar
Matrix : basophylic
Surrounded by mature bones
Temporary mature bones
Can also be formed:
During fracture healing
Bone tumors
MATURE BONE =
SECONDARY BONE
= regular sample of bone,
each lamel is 4-12 µm in
size
Acidophil matrix
Osteocytes <<, spread
evenly, contained in
squashed lakuna
28. Osteocyte >>, mineral <<
Consist of : woven and lamellar
Matrix : basophylic
Surrounded by mature bones
Temporary mature bones
Can also be formed:
During fracture healing
Bone tumors
regular lamellar bone, each
lamel is 4-12 µm in size
Acidophilic matrix
Osteocytes <<, spread evenly,
contained in lacuna
IMMATURE = PRIMARY BONES MATURE BONE = SECONDARY BONE
29. THE LAMELLAE
Small lacuna & net anastomose (canaliculi)
Living osteocytes occupy the lacunae
Smooth branch of osteocyte filling the canaliculi
30. LAMELLAE IN COMPACT
BONE
1. Outer circumferential
Lamellae
2. Inner circumferential
Lamellae
3. Haversian System (=
Osteon)
4. Interstitiel System
LAMELLAE IN
SPONGIOUS BONE
Less lamellae, not
forming the Haversian
System
31. Surrounded by concentric lamel
May contain: blood, nerves & tissue
Can be related to:
- Bone marrow cavity
- Periosteum
- Another Haversi channel through the volkman canal
1. Haversian Canals
2. Volkman Canals
32. PERIOSTEUM
Vascular connective tissue membrane
Cover the outer surface of the bone
Consists of :
Relatively thick outer layer = fibrous
Inner layer = osteogenic osteogenic cells
Sharpey Fiber
ENDOSTEUM
Structure = periosteum only:
Thinner
Does not show 2 layers
Bone surface wrapped in 2 membranes:
Periosteum outer
Endosteum inner
33. 1. INTRAMEMBRANOSA
OSIFICATION
- Occurs in vascular
mesenchyme tissue
- It starts towards the end of
the 2nd month of pregnancy
- In the flat bones cranial,
mandible, clavicle
- The beginning of
ossification: primary
ossification center
Uncalcified bone tissue Osteoid = premature bone
34. ENCHONDRAL OSSIFICATION
Occurred in section of hyalin cartilage as a model
Responsible for the formation of short and long bone
Consists of 2 processes:
1. Hypertrophy & destruction of chondrocyte cartilage
models to lacuna
2. Osteogenic buds, consisting of : osteogenic precursors &
blood capillaries, penetrate into the space left behind by
degenerated chondrocytes
35. LONG BONE GROWTH
1. Bone tissue was first formed by intramembranous ossification in
the perichondrium surrounding the diaphyse. Center of ossification
that occurs in diaphyse = Primary Osification Center.
Growth is longitudinally, extending toward epiphyse.
2. Secondary Ossification Center occurs at each epiphyse
- Radial growth
- Mostly occur after birth
- If bone tissue originating in the center of the secondary ossification
occupies epiphyses then cartilage remains in:
Articular cartilage
Epiphyse plate = epiphyseal cartilage
36. Microscopically divided 4
zones from epiphyse
to diaphyse:
I. Resting Zone = Resting
Cartilage
Closest to epiphyseal bone
tissue
Chondrocytes are not
actively involved in
bone growth
37. II. Cartilage Proliferation Zone = chondrocyte proliferation zone
Contains chondrocytes that continue to divide & produce new
chondrocytes
Elongated columns formed, like piles of coins
Mitotic features appear
III. Cartilage Maturation Zone = Cartilage Hypertrophy Zone
Chondrocytes are still arranged (long column)
Cells have hypertrophy & contain glycogen & lipids
Cells appear large & pale
Cells produce a lot of phosphatase
38. IV. Cartilage Calcification Zone = Temporary Calcification Zone
The cartilage matrix is deposited with bone mineral
The shape of the chondrocytes remains intact
The matrix between the lacuna starts to show signs of damage
There are capillaries with osteogenic cells
41. DIARTROSIS = joint cartilage
Has great mobility
Joints that connect long bones
Joint surface:
Coated hyaline cartilage
Does not have pericondrium
Having a fluid-filled spaces: the articular cavity
42. Consists of :
Layer of synovial cells
Contains synovial fluid formed by synovial coating:
thick, colorless / transparent, rich in hyaluronic acid
Wrapped in fibrous tissue capsules = capsule
diarthrosis
Consists of 2 layers
1. Outer: fibrous solid supporting tissue
2. Inner : synovial
43. - squamous / cuboid cells
- solid / loose connective tissue
- Adipose tissue
- EM consists of 2 types of cells:
a.Macrophag = M cell
contains: golgi app which is large, many
lysosome, less GER
b. Fibroblast = cell F
GER is developing well
M & F cells are phagocytic
M cells are more active