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Relative prevalence of brain tumors in children. Metastases, anaplastic astrocytoma, and glioblastoma multiforme are rare. Pilocytic astrocytoma and PNETs are more common compared to adults
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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
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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
4. Secondary tumors I
Originate from malignant tumors located
primarily in other organs
Lung
Skin - Malignant melanoma
Kidney - hypernephroma
Breast – breast carcinoma
Colon – colon carcinoma
These tumors cells reach the brain via the blood-
stream
6. Secondary brain tumors II - MTS
25% of all brain tumors
MTS – not only to brain
tissue, also to meninges -
meningeal carcinomatosis ,
malignant cell in CSF
7. Tumors of childhood
20% of all tumors – tumors of childhood
More frequently malignant than in adults
The most frequent localisation - infratentorial
(brainstem, cerebellum)
8. Benign vs malignant?
According histological structure
biopsy - (cell atypia, mitotic actibity,
abnormal mitosis)
Localisation !!!
Benign tumors in brainstem or deep
structures – bad prognosis
9. Brain tumors classification
Neuroepitelial tumors
1. Astrocytoma
Astrocytoma
I, II benign
III (anaplastic astrocytoma) - malignant
IV (gliobastoma multiforme)
2. Oligodendroglial tumors
Oligodendroglioma
3. Ependymal tumors
Ependymoma
10. Brain tumors classification
4. Mixed gliomas
5. Neuroepitelial tumors – unknown
etiology
6. Chorioidal plexus tumors
Papiloma, papilocarcinoma
7. Neuronal and mixed neuronalglial tumors
8. Pineal parenchymal tumors
9. Tumors with neuroblastic or glioblastic elements
(embryonal tumors)
Meduloblastoma
11. Brain tumors classification
Other CNS tumors
1. Tumors of sellar region
1. Pituitar adenoma
2. Pituitar karcinoma
3. Kraniofaryngeoma
2. Hemopoetic tumors
1. Primary malignant lymfoma
2. Plazmocytoma
13. Brain tumors classification
6. Tumors of cranial and spinal cord nerves
Neurinoma (Schwannoma)
Neurofibroma
7. Local tumors
Chondrosarkoma
Chondrocarcinoma
8. Metastatic tumors
9. Nonclassified tumors
10. Cysts
14. Clinical feature I.
1. General symptoms
Intracranial hypertension syndrome
Headache, vomiting, dizziness, blurred vision
Papilledema (prominent optic disc at the
fundoscopis examination)
Dilatation of the pupil on the side of the lesion
(anisocoria)
New onset of epilepsy
Focal, GM
Altered state of consciousness
Somnolence, coma
Psychological changes (behavioral problems)
16. I. Neuroepitelial tumors
Astrocytoma
4 grades of malignity
I, II benign
III (anaplastic astrocytoma) – malignant
IV (gliobastoma multiforme)
Adults
Frontal and temporal lobe
Rarely in childhood – pons
19. Gliobastoma multiforme
The most malignant tumor of CNS
Rapid progression
5. a 6. decade , men 2x more often
Deep part of hemispheres (bazal ganglia,
talamus, white matter)
Spreading by CSF, infiltration of corpus
callosum, spreadin on the other side, infiltration
of meninges)
MTS also outside of CNS
CT scan – cystic, necrosis, heamorrhages
24. I. Neuroepitelial tumors
Oligodendroglial tumors
Adults
Frequently with calcifications
Frontal lobe
5% of CNS tumors
Low % is histological malignant
25. I. Neuroepitelial tumors
3. Ependymal cells tumors
4% of CNS tumors
Adults, children
IV. Ventricle – obstructive hydrocefalus
Spreading by CSF
MTS in CNS
29. I. Neuroepitelial tumors
5. Neuroectodermal tumors
Childhood
High grade of malignity
MEDULOBLASTOMA
23% of CNS tumors in childhood
Vermis, cerebellar hemispheres
Rapid progression, compression of CSF athways,
intracranial hypertension
MTS in brain and outside of CNS – bones,
lymphatic nodes
35. Meningioma
Near sphenoidal bone wings
Epileptic seazures, lesion of cranial nerves
– process near fissura orbitalis superior
Pontocerebellar angle
Loss of hearing, dizziness, Bells palsy
44. Diagnosis
Slowly progressive focal neurological signs and signs
of intracranial hypertension, epilepsy in a patient with
negative history of epilepsy
Optic fundus (oedema)
Imaging
CT
MRI
Skull X-ray
Angiography
EEG, Histological examination of brain tumor tissue
samples obtained either by means of brain biopsy or
open surgery – definitive diagnosis
45. Therapy
Surgery
Classical
Gamma knife
Conservative
Radiotherapy
Chemotherapy
Therapy of ICH and symptomatic therapy
47. Leksell gamma knife
Súčasti: radiačná jednotka s operačným lôžkom a
kolimátorovými helmicami, stereotaktický koordinačný rám a
Gamma Plan - computerizovaný systém pre plánovanie a
optimalizáciu radiochirurgickej liečby.
48. Pseudotumor cerebri
Idiopatic intracranial hypertension
Intracranial hypertension syndrome without
tumor
Papilledema (prominent optic disc at the
fundoscopic examination)
Women of middle age – more often
After head injury
Therapy – kortikosteroids, antidiuretics?
49. Paraneoplastic syndromes
Disease or symptom that is the consequence
of the presence of cancer in the body, but is
not due to the local presence of cancer cells
These phenomena are mediated by humoral
factors (by hormones or cytokines) excreted
by tumor cells or by an immune response
against the tumor
Middle aged to older patients
The most commonly - cancers of the lung,
breast, ovaries or lymphatic system (a
lymphoma), also stomach, ovaria, prostata
50. Paraneoplastic syndromes
Sometimes the symptoms of
paraneoplastic syndromes are present
even before the diagnosis of a
malignancy
6,6% - 10% patients with tumors
Antibodies against neuronal structures
(anti Yo, anti Hu, anti Ri)