- Connective tissue provides structure and support throughout the body by binding other tissues together. It is composed of cells and an extracellular matrix of fibers and ground substance.
- The main cell types are fibroblasts, which produce the extracellular matrix, and also adipocytes, macrophages, mast cells, plasma cells, and leukocytes.
- The extracellular matrix contains collagen fibers, elastic fibers, reticular fibers, and ground substance. Collagen provides strength, elastic fibers allow stretch, and reticular fibers form networks to support cells.
- Connective tissue is found in every organ, where it provides structure in the stroma while other tissue types perform specialized functions in the parenchyma. It develops from mesenchyme and
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
Skin is the largest organ in the body. It is made of epidermis and dermis. It contains fatty fascia as layer called hypodermal. Integumentary system consists of SKIN and various APPENDAGES. The red and yellow colouration of human skin are due to haemoglobin in the red blood cells, passing through network of capillaries into epidermis.
. Definition of Tissues Biological tissue is a collection of interconnected cells that perform a similar function within an organism. In other words, it is a group of cells working together mainly inside an organ.
3. Classification of Tissues Human body is composed of 4 basic types of tissue: •Epithelial tissue •Connective tissue •Muscular tissue •Nervous tissue
4. Origin of Tissue A fertilized egg divides to produce 3 primary germ cell layers. These layers differentiate to form the tissues of the body.
5. Epithelial Tissue Epithelial cells cover or line all body surfaces, cavities and tubes. So, These are called covering epithelia. Epithelial cells form the functional units of secretory glands. So, These are called glandular epithelia.
1. Connective tissue is one of the four tissue types found throughout the body. Connective tissue is the most abundant and widely distributed tissue in the body.
2. Connective tissue develop from mesoderm during embryonic development. While some connective tissues are specialized ( bone , blood), all organs have some amount of connective tissue in them which hold their parenchyma together.
Bone tissue also called (osseous tissue) is a type of specialized dense connective tissue.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
Connective tissue is the tissue that connects or separates, and supports all the other types of tissues in the body. Like all tissue types, it consists of cells surrounded by a compartment of fluid called the extracellular matrix (ECM). However connective tissue differs from other types in that its cells are loosely, rather than tightly, packed within the ECM.
Skin is the largest organ in the body. It is made of epidermis and dermis. It contains fatty fascia as layer called hypodermal. Integumentary system consists of SKIN and various APPENDAGES. The red and yellow colouration of human skin are due to haemoglobin in the red blood cells, passing through network of capillaries into epidermis.
. Definition of Tissues Biological tissue is a collection of interconnected cells that perform a similar function within an organism. In other words, it is a group of cells working together mainly inside an organ.
3. Classification of Tissues Human body is composed of 4 basic types of tissue: •Epithelial tissue •Connective tissue •Muscular tissue •Nervous tissue
4. Origin of Tissue A fertilized egg divides to produce 3 primary germ cell layers. These layers differentiate to form the tissues of the body.
5. Epithelial Tissue Epithelial cells cover or line all body surfaces, cavities and tubes. So, These are called covering epithelia. Epithelial cells form the functional units of secretory glands. So, These are called glandular epithelia.
1. Connective tissue is one of the four tissue types found throughout the body. Connective tissue is the most abundant and widely distributed tissue in the body.
2. Connective tissue develop from mesoderm during embryonic development. While some connective tissues are specialized ( bone , blood), all organs have some amount of connective tissue in them which hold their parenchyma together.
Bone tissue also called (osseous tissue) is a type of specialized dense connective tissue.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
Connective tissue is the tissue that connects or separates, and supports all the other types of tissues in the body. Like all tissue types, it consists of cells surrounded by a compartment of fluid called the extracellular matrix (ECM). However connective tissue differs from other types in that its cells are loosely, rather than tightly, packed within the ECM.
CONNECTIVE TISSUE
● The different types of connective tissue maintain the form of organs throughout the body.
● They provide a matrix that supports and physically connects other cells together in organs.
● The interstitial fluid of connective tissue gives metabolic support to cells as the medium for diffusion of nutrients and waste products.
● In contrast to other tissue types which consist mainly of cells, the major constituent of connective tissue is the extracellular matrix (EMC).
● Extracellular matrices consist of different combinations of protein (collagen and elastic fibers) and ground substances.
● Ground substance is a complex of anionic, hydrophilic proteoglycans, glycosaminoglycans (GAGs), and multiadhesive proteins (laminin, fibronectin, and others).
● The hydrated nature of connective tissue ground substance provides the medium for exchange of nutrients and metabolic wastes between cells and the blood supply.
● The variety of CT types in the body reflects differences in composition and amount of cells, fibers, and ground substance which together are responsible for the remarkable structural, functional, and pathological diversity of CT.
● Connective tissue originates from embryonic mesenchyme, a tissue developing mainly from the middle layer of the embryo, the mesoderm.
● Mesenchymal cells are undifferentiated and have large nuclei, with prominent nucleoli and fine chromatin. They are often said to be spindle-shaped with their scant cytoplasm extended as two or more thin cytoplasmic processes.
CELLS OF THE CONNECTIVE TISSUE
● Fibroblasts (originate from mesenchymal cells)
- the most common cells in the connective tissue
- produce and maintain most of the tissues’ extracellular components
- these cells synthesize and secrete collagen (the most abundant protein of the body) and elastin which form large fibers
- fibroblasts are also targets of many families of proteins called growth factors that influence cell growth and differentiation
- fibroblast wound healing- myofibroblasts
● Adipocytes
- are found in CT of many organs
- are large, mesenchymal derived cells are specialized for cytoplasmic storage of lipid as neutral fats, or less commonly for the production of heat
- large deposits of fat in the cells of adipose connective tissue also serve to cushion and insulate the skin and other organs.
● Macrophages and the Mononuclear Phagocytic System
- Macrophages are characterized by their well-developed phagocytic ability and specialized turnover of protein fibers and removal of dead cells, tissue debris, or other particulate material.
- Are present in the connective tissue of most organs and are often referred to by pathologists as “histiocytes¬”.
- macrophages derive from BM precursor cells that divide, producing monocytes that circulate in the blood. These cells cross the epithelial wall of venules to penetrate CT, where they differentiate further, mature, and acquire the morphologic features of phagocytic cells.
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
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
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1. Connective tissue
Asst Prof Ender Deniz Asmaz
Dept.of Histology&Embryology
Learning Objectives
• Classification of connective
tissue defines the composition
and organization of its cellular
and extracellular components and
basic features of tissue function.
• Tells the structure of embryonic
connective tissue.
• Classifies the main connective
tissue types and defines their
functional properties.
• Counts the connective tissue
threads, defines the molecular
and microscopic properties of the
threads.
• Counts the components of the
Extracellular Matrix and explains
its basic structure.
• Counts the connective tissue
cells, defines the microscopic and
functional properties of the cells.
2. Connective tissue is one of the four tissues found
in the human body.
Connective tissue provides a matrix that supports
and physically connects other tissues and cells
together to form the organs of the body.
Connective tissue is found in between other
tissues everywhere in the body, including the
nervous system.
2
3. Organ Components:
3
Most organs can be divided into:
The parenchyma, which is composed of the
cells responsible for the organ’s specialized
functions.
The stroma, the cells of which have a
supporting role in the organ. Except in the
brain and spinal cord, the stroma is always
connective tissue.
5. 5
Connective tissue originates from the
mesenchyme.
Atissue developing mainly from the middle layer of
the embryo, the mesoderm.
.
Embryonic mesenchyme producing all types of connective
tissue proper and the specialized connective tissues bone and
cartilage, they also include stem cells for other tissues such as
blood, the vascular endothelium, and muscle.
9. 9
Connective tissue is composed of cells and an
extracellular matrix that binds the cells and
organs, integrating all parts of the body.
Connective tissue is the most widespread tissue of
the body and can be found in every organ.
Avariety of cell types are found in connective
tissues.
12. Connective tissue vs Epithelium:
Unlike the other tissue types (epithelium,
muscle, and nerve), which consist mainly of
cells, the main component of connective tissue
is the extracellular matrix (ECM).
12
14. Connective tissue that connects, supports, binds, or
separates other tissues or organs, typically having
relatively few cells embedded in an amorphous
matrix, often with or other fibres, and
including cartilaginous, fatty, and elastic tissues.
The variety of connective tissue types in the body
reflects differences in composition and amount of
the cells, fibers, and ground substance which
together are responsible for the remarkable
structural, functional, and pathologic diversity of
connective tissue.
14
19. Fibroblasts
Adipocytes
Macrophages & the Mononuclear Phagocyte System
Mast Cells
Plasma Cells
Leukocytes
19
Fixed
(permanent
residents)
1. Fibroblasts
2. Adipose (fat) cells
3. Tissue Macrophages**
4. Mast cells**
5. Lymphocytes & Plasma Cells
(differentiated B-cells) **
6. “Leukocytes”**
Free
(transient
residents)
** ( derived from hematopoietic stem cells and involved in immune function and
inflammation. Specifically, neutrophils, eosinophils, & basophils)
20. 20
Fibroblasts are the key cells in connective tissue
proper. Fibroblasts originate locally from
mesenchymal cells and are permanent residents of
connective tissue.
Other cells found here, such as macrophages,
plasma cells, and mast cells, originate from
hematopoietic stem cells in bone marrow, circulate
in the blood, and then move into connective tissue
where they function.
21. The most common cells in connective tissue
proper.
Produce and maintain most of the
tissue’s extracellular components.
Fibroblasts synthesize and secrete collagen (the
most abundant protein of the body) and elastin,
which both form large fibers, as well as the
GAGs, proteoglycans, and multiadhesive
glycoproteins that comprise the ground substance.
24
27. Active vs quiescent cells
27
The inactive form of fibroblasts is called fibrocyte.
28. Adipocytes, or fat cells, are found in the
connective tissue of many organs.
These large, mesenchymally derived cells are
specialized for cytoplasmic storage of lipid as
neutral fats, or less commonly for the production
of heat.
Tissue with a large population of adipocytes,
called adipose connective tissue, serves to
cushion and insulate the skin and other organs.
28
31. 31
Macrophages & the Mononuclear
Phagocyte System
Macrophages a large phagocytic cell found in
stationary form in the tissues or as a mobile white
blood cell, especially at sites of infection.
Size and shape vary considerably, corresponding
to their state of functional activity.
34. Macrophages arise from monocytes. Monocytes
originate in the bone marrow from where they are
released into the blood stream. They are actively
mobile and leave the blood stream to enter
connective tissues, where they differentiate into
macrophages.
34
37. 37
Mast Cells
Mast cells are oval or irregularly shaped cells of
connective tissue, between 7 and 20 μm in
diameter.
Mast cells filled with basophilic secretory
granules that often obscure the central nucleus.
Mast cells are components of loose connective
tissues, often located near small blood vessels.
41. Function of Mast cells
Localized release of many bioactive substances
important in the local inflammatory response,
innate immunity, and tissue repair.
A partial list of molecules released from these
cells’secretory granules includes the following:
Heparin
Histamine
Cytokines
Phospholipid
45
42. Like macrophages, mast cells originate from
progenitor cells in the bone marrow, which circulate
in the blood, cross the wall of small vessels called
venules, and enter connective tissues, where they
differentiate.
42
43. 43
Plasma Cells
Plasma cells are lymphocyte-derived, antibody-
producing cells. These relatively large, ovoid
cells have basophilic cytoplasm rich in RER and
a large Golgi apparatus near the nucleus that
may appear pale in routine histologic
preparations.
The nucleus of the plasma cell is generally
spherical but eccentrically placed.
Their average life span is only 10-20 days.
46. 46
Leukocytes
leukocyte is a colourless cell which circulates in
the blood and body fluids and is involved in
counteracting foreign substances and disease; a
white (blood) cell.
48. The fibrous components of connective tissue
are elongated structures formed from proteins
that polymerize after secretion from fibroblasts.
The three main types of fibers are:
Collagen
Reticular fibers
Elastic fibers
48
49. • is a type of fiber found in
connective tissue that provides
strength
Collagen
fiber
49
• is a type of fiber found in
connective tissue that has a netlike
formation and provides support
• is a type of fiber found in
connective tissue that can stretch
and recoil
Reticular
fiber
Elastic
fiber
50. Collagen and reticular fibers are both formed by
proteins of the collagen family, and elastic fibers
are composed mainly of the protein elastin.
50
54. 54
Collagen
The collagens can form various extracellular
fibers, sheets, and networks, all of which
extremely strong and resistant to normal
shearing and tearing forces.
Collagen is a key element of all connective
tissues, as well as epithelial basement
membranes and the external laminae of muscle
and nerve cells.
55. 55
Collagen is the most abundant protein in the
human body, representing 30% of its dry weight.
A family of 28 collagens exists in vertebrates,
numbered in the order they were identified.
They can be categorized according to the
structures formed by their interacting α-chains
subunits:
57. Type I is the most common - 90% of all
collagens are type I. This type is found in bone,
skin, tendon, ligaments, cornea etc.
Types I, II, III, V and IX are fibrillar, which
means that the protein chains assemble into
fibrils, 10-300nm in diameter.
Types V & VI form networks in the basal
lamina.
Type VI helps to anchor basal lamina of skin to
underlying connective tissue. 64
58. C: type I collagen fibrils
arrows: fibroblast
Type I collagen
fibrils
58
64. 64
Reticular fibers
Reticular fibers found in delicate connective
tissue of many organs, notably in the immune
system.
Reticular fibers consist mainly of collagen type
III, which forms an extensive network
(reticulum) of thin fibers (diameter 0.5-2 μm)
for the support of many different cells.
65. Reticular fibers are rarely visible in hematoxylin
and eosin (H&E) preparations but are
characteristically stained black after impregnation
with silver salts and are thus termed argyrophilic.
72
66. 66
Reticular fibers produced by fibroblasts.
Reticular fibers occur in the reticular lamina of
basement membranes and typically also
surround adipocytes, smooth muscle and
nerve fibers, and small blood vessels.
70. Elastic fibers
Elastin An elastic fiber
Elastic fibers (or yellow fibers) are bundles of
proteins (elastin) found in extracellular matrix of
connective tissue.
Elastic fibers produced by fibroblasts and smooth
muscle cells in arteries.
70
71. Elastic fibers are thinner than the type I collagen
fibers and form rare networks interspersed with
collagen bundles in many organs, particularly
those subject to regular stretching or bending.
Elastic fibers can stretch up to 1.5 times their
length, and snap back to their original length when
relaxed (e.g. the stroma of the lungs) 78
79. Ground substance is an amorphous gel-like
substance in the extracellular space.
The ground substance of the ECM is a highly
hydrated (with much bound water), transparent,
complex mixture of three major kinds of
macromolecules:
Glycosaminoglycans (GAGs)
Proteoglycans
Multiadhesive glycoproteins 86
80. 80
Ground substance functions:
Ground substance filling the space between cells
and fibers in connective tissue.
Ground substance allows diffusion of small
molecules and, because it is viscous,
acts as both a lubricant and a barrier to the
penetration of invaders.
82. Glycosaminoglycans (GAGs)
GAGs (also called mucopolysaccharides) are
long polymers of repeating disaccharide units,
89
• binds a considerable amount of water
• it has an important role in allowing molecular
diffusion through connective tissue and in
lubricating various organs and joints.
90. 90
Loose connective tissue
Also called areolar tissue, is common, a layer
beneath the epithelial lining of many organs and
filling the spaces between fibers of muscle and
nerve.
The loose connective tissue typically contains
cells, fibers, and ground substance in
roughly equal parts.
91. 91
Charastaristics of Loose connective tissue:
Delicate, flexible, not very resistant to stress.
Well vascularized.
All types of connective tissue cells present.
(Majority are fibroblasts and macropahges)
Collagen, elastic, and reticular fibers present.
In certain organs (intestine) and in certain disease
conditions, numerous lymphocytes may be present.
96. Reticular tissue: a specialized loose connective
tissue with reticular cells that form a fine matrix
of reticular fibers. Provides a structural
framework for hematopoietic organs such as
bone marrow and spleen.
.
104
97. Reticular tissue is characterized by
abundant fibers of type III collagen
This collagen is also known as reticulin
and is produced by modified fibroblasts
called reticular cells.
Reticular tissues have a high cellular
content.
100. 100
Dense connective tissue
Dense connective tissue has similar components
as loose connective tissue, but with fewer cells,
mostly fibroblasts, and a clear predominance of
type I collagen fibers over ground substance.
Less flexible and more resistant to stress
When collagen bundles are present without
apparent orientation, called dense irregular
connective tissue.
When oriented in parallel arrays, called dense
regular connective tissue.
105. 105
The best examples of dense regular connective
tissue are the very strong and flexible tendons,
cords connecting muscles to bones and
ligaments, bands or sheets that hold together
components of the skeletal system.
.
106. Elastic connective tissue: is a modified dense
connective tissue that contains numerous elastic
fibers in addition to collagen fibers, which allows
the tissue to return to its original length after
stretching.
106
108. Loose Connective Tissue: The major function of
the loose connective tissue is to serve as a
supporting matrix for the blood vessels,
lymphatic vessels, nerves, muscle fibers,
organs, and the skin.
Dense Connective Tissue: Dense connective
tissue produces tendon and ligaments by forming
strong, rope-like structures.
108