classification of joints. example of different types of joints. different types of joints on the basis of axis of movements. clinical aspects of joints. different between arthritis.
The topic includes:
definition and function bone
classification of bone according to shape, development, region and structure
gross structure of long bone
parts of a bone (epiphysis, diaphysis, metaphysis and epiphysial plate of cartilage)
blood supply of bone
growth of a long bone
classification of joints. example of different types of joints. different types of joints on the basis of axis of movements. clinical aspects of joints. different between arthritis.
The topic includes:
definition and function bone
classification of bone according to shape, development, region and structure
gross structure of long bone
parts of a bone (epiphysis, diaphysis, metaphysis and epiphysial plate of cartilage)
blood supply of bone
growth of a long bone
Osteology, derived from the from Greek ὀστέον (ostéon) 'bones', and λόγος (logos) 'study', is the scientific study of bones, practised by osteologists. A subdiscipline of anatomy, anthropology, and paleontology, osteology is the detailed study of the structure of bones, skeletal elements, teeth, microbone morphology, function, disease, pathology, the process of ossification (from cartilaginous molds), and the resistance and hardness of bones (biophysics).[1]
Osteologists frequently work in the public and private sector as consultants for museums, scientists for research laboratories, scientists for medical investigations and/or for companies producing osteological reproductions in an academic context.
Osteology and osteologists should not be confused with osteopathy and its practitioners, osteopaths.
A detail account of Bones, their histological features, classification, composition, Formation, blood and nerve supply, functions, plus some interesting facts about bones.
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
all the stages of bone formation described in easiest way possible for better understanding including graphical representation for better understanding. description of each and very thing.
Osteology, derived from the from Greek ὀστέον (ostéon) 'bones', and λόγος (logos) 'study', is the scientific study of bones, practised by osteologists. A subdiscipline of anatomy, anthropology, and paleontology, osteology is the detailed study of the structure of bones, skeletal elements, teeth, microbone morphology, function, disease, pathology, the process of ossification (from cartilaginous molds), and the resistance and hardness of bones (biophysics).[1]
Osteologists frequently work in the public and private sector as consultants for museums, scientists for research laboratories, scientists for medical investigations and/or for companies producing osteological reproductions in an academic context.
Osteology and osteologists should not be confused with osteopathy and its practitioners, osteopaths.
A detail account of Bones, their histological features, classification, composition, Formation, blood and nerve supply, functions, plus some interesting facts about bones.
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
all the stages of bone formation described in easiest way possible for better understanding including graphical representation for better understanding. description of each and very thing.
10.13.08: Histology - Bone Formation and Remodeling 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
Lecture notes and diagrams to help high school anatomy and physiology students learn the general functions of the nervous system and types of glial support nerve cells, types of neurons and anatomy of typical neurons.
in this pdf you will know about one of the most important structure in the human body its bone we will know about its origin , types , function and other things
The human skeleton is the internal framework of the human body. It is composed of around 270 bones at birth – this total decreases to around 206 bones by adulthood after some bones get fused together. The bone mass in the skeleton makes up about 14% of the total body weight and reaches maximum density around age 21
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
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R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
2. What is Bone:
Bone is the basic unit of skeletal system
which provides-
Framework of the body
Protection to vital organs
Mechanical movement
3. Classification of Bone
Based on location: 2
Types
Axial skeleton.
* Central axis of skeleton
* 28 skull bone
* 26 vertebrae
* 25 ribs
* 1 hyoid bone
4. Appendicular skeleton.
* Non-axial bones of skeleton
* 64 in upper extremities
* 62 in lower extremities
Classification of Bone (cont.)
5. Based on shape:
Flat bone: skull, vertebrae, ribs
Tubular bone: bones in hands and feets
Irregular bone: face and vertebral column
Sesamoid bone: patella
Accessory bone: bones that develop in other
ossification centre
Classification of Bone (cont.)
6. Based on size:
Long bone: tubular in shape with a hollow
shaft.
Classification of Bone (cont.)
Short bone: cuboidal in shape, located
in hands and feet.
7. Gross structure of bone:
Epiphysis: Ends of a bone
Diaphysis: Shaft of a bone
Metaphysis: Joining of Epiphysis and
Diaphysis. This is the most vascular part of a
bone. Because most of the supplying arteries
and veins enters through this area.
Periosteum: Outer covering of bone. This
area is pain sensitive.
Endosteum: thin layer lining the medulary
cavity.
8.
9. Blood and nerve supply of
Bone:
Blood: Bone has a rich vascular supply,
receiving 10-20% of total CO. major
contributing arteries are-
* Diaphyseal Nutrient artery
* Metaphyseal and Epiphysial arteries
* Periosteal arterioles
Nerves: Rich in articular extremities,
vertabrae, and flat bones. Most of the
cases nerves accompany with arteries.
10. Microscopic structure of bone:
1. Bone cell:
Osteoprogenitor cell:
◦ Osteo = bone, pro = precursor, gen = to
produce
◦ Unspecialized cells
◦ Undergo mitosis and develop into
osteoblasts
◦ Found in: inner periosteum, endosteum,
and in canals
11. Osteoblast:
Cells that form bone
Lost ability to divide
Secretes collagen which helps build
bones
Found on surface of bones
Microscopic structure of bone
(cont.):
12. Osteoclast:
◦ Develop from circulating monocytes (WBC)
◦ Settles on surface of bone
◦ Function is bone resorption (destroying
matrix)
Microscopic structure of bone
(cont.):
13. Osteocyte:
◦ Mature bone cells from osteoblasts
◦ Principal cells of bone tissue
◦ Can’t divide
◦ Maintains cellular activity
Exchange of nutrients and waste with blood
Calcium absorption
Microscopic structure of bone
(cont.):
14. 2. Bone matrix: Bone matrix consist of
both organic and inorganic materials.
The major constituent of matrix are-
Type-1 collagen
Glycos-aminoglycan
Bi-carbonate
Citrate
Mg, K, P, Na
Microscopic structure of bone
(cont.):
15. 3. Haversian system: primary structural
unit of a compact bone is the
haversian system. This is usually a
few milimiteres long and 0.2mm in
diameter. This system contains-
Haversian canal
Volkmans canal
blood vessel
Bone cells
Microscopic structure of bone
(cont.):
18. Joints:
Synostosis joint: Nonmovable
Synchondrosis: joint with limited movement,
ie. Costochondral joints
Syndesmosis: bones are joint with interrosias
membrane, ie. Tibio-fibular joint.
Diarthrosis: joint with great mobility, ie. Knee,
shoulder etc.
Connective structure of bone:
19. Periosteum:
Outer covering of bone
Carries a dense network of blood, lymphatic
vessels and sensory nerve.
Due to presence of sensory nerve
periosteum is pain sensitive.
Connective structure of bone
(cont.):
20. Endosteum:
composed of osteoprogenitor cell
covering of the surface of medullary cavity
and haversian canal.
Connective structure of bone
(cont.):
21. Synovium:
Synovial membrane: smooth and
villous connective tissue.
Consists of phagocytic and fibroblast
like cells, elastic fibers, nerve, adipose
tissue.
Meniscus
Intervertebral disc
Connective structure of bone
(cont.):