This document discusses injuries around the elbow, including elbow dislocations, fractures of the radial head, olecranon fractures, and fractures of the neck of the radius. It covers the epidemiology, mechanisms of injury, clinical features, classifications, treatment principles and options, complications, and rehabilitation for each of these common elbow injuries. Surgical treatment may be indicated for unstable or displaced fractures to restore anatomy and stability, while simpler injuries can often be treated non-operatively with splinting and physical therapy.
Incision or transection of bone.
Uses:-
to correct deformity.
to change shape of bone.
to redirect load trajectories in a limb so as to influence joint function.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Incision or transection of bone.
Uses:-
to correct deformity.
to change shape of bone.
to redirect load trajectories in a limb so as to influence joint function.
Bicipital tendonitis is inflammation of long head of the biceps tendon under the bicipital groove.
In early stage, tendon becomes red and swollen, as tendonitis develops the tendon sheath can thicken.
In late stage, often become dark red in color due to inflammation.
Elbow joint is a complex multiarticular joint. Its stability is provided by multiple factors , however unstable elbow is not uncommon .
"Types of elbow instability, how to suspect , diagnose and how to treat" .
All these will be discussed at the lecture which will be presented by Dr. Ahmed Saleh (assistant Lecturer at Mansoura University Hospitals.
Monteggia fractures and neglected cases
A simple presentation to understand the fracture and its classifications and answer some coomonly asked questions regarding the neglected cases managment
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
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
- 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
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
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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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.
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Are There Any Natural Remedies To Treat Syphilis.pdf
Dr. pl srinivas ug class 1
1. INJURIES AROUND THE
ELBOW
BY
M.S. ORTHO
ASST. PROF. OF ORTHOPAEDICS
O.M.C/O.G.H. HYDERABAD
MEMBER OF IORA
Orthopaedic Rheumatologist and
Interventional pain specialist
3. EPIDEMIOLOGY
Accounts for 11% to 28% of injuries to the elbow.
Posterior dislocation is most common.
Simple dislocations are those without fracture.
Complex dislocations are those that occur with
an associated fracture and represent just under
50% of elbow dislocations.
Highest incidence in the 10- to 20-year old age
group associated with sports injuries
4. MECHANISM OF INJURY
Anterior dislocation: A direct force strikes the
posterior forearm with the elbow in a flexed
position.
Posterir dislocation:combination of elbow
hyperextension,valgus stress and forearm
supination
Capsuloligamentous structures of elbow may be
injured which progress from medial to lateral
5. CLINICAL FEATURES
• pain
• gross swelling
• deformity-s shaped
• tenderness
• abnormal mobility
• decreased range of motion
6. CLINICAL EVALUATION
• Elbow joint shows gross swelling and
instability
• 3 point bony relationship is lost
• Neurovascular examination especially vascular
compromise should be looked for before and
after manipulation or reduction
7. ASSOCIATED INJURIES
• Associated fractures of the radial head or the
coronoid process of the ulna may be present
• Uncomonly the ulnar nerve and anterior
interroseus branch of the median nerve may
be involved
9. CLASSIFICATION
Simple versus complex (associated with fracture)
According to the direction of displacement of the
ulna relative to the humerus :
Posterior
Posterolateral
Posteromedial
Lateral
Medial
Anterior
10. TREATMENT PRINCIPLES
Restorationof inherent bony stability of the
elbow joint
trochlear notch(coronoid and olecranon )
radial head
lateral collateral ligament more imp than MCL
the elbow should not redislocate before
reaching 45 degrees of flexion from a fully flexed
position
the elbow should be able to go to 30 degrees
before substantial subluxation or dislocation
11. TREATMENT
Simple Elbow Dislocation
Nonoperative
Under sedation and adequate analgesia correction of medial or
lateral displacement followed by longitudinal traction and flexion is
usually successful for posterior dislocations (parvins method
/meynquigleys method
Check neurovascular status and range of motion
Postreduction radiographs are essential.
Postreduction management should consist of a posterior splint at
90 degrees and elevation.
A hinged elbow brace through a stable arc of motion may be
indicated in cases of instability without associated fracture.
Recovery of motion and strength may require 3 to 6 months
12. Operative
Unstable elbow
The elbow cannot be held in a concentrically reduced
position
redislocates before postreduction radiography
Dislocates later in spite of splint immobilization
We can do
(1) open reduction and repair of soft tissues back to
the distal humerus
(2) hinged external fixation
(3) cross-pinning of the joint.
13. COMPLICATIONS
Loss of motion (extension): This is associated
with prolonged immobilization.
Neurologic compromise:
Exploration is recommended if no recovery is seen
after 3 months following electromyography.
Vascular injury: The brachial artery is most
commonly disrupted during injury.
If, after reduction, perfusion is not reestablished,
angiography is indicated to identify the lesion, with
arterial reconstruction when indicated.
14. COMPLICATIONS
Compartment syndrome(volkman contracture)
Myositis ossificans
Due to excessive manipulation and soft tissue
injury
Indomethacin and local radiation therapy
prophylactically
Instability associated with terrible triad of
elbow
16. INTRODUCTION
• COMMON IN ATHLETS
• SIDE SWIPE INJURIES
• DIRECT BLOW ON THE ELBOW WHEN
FALL OFF SKATE BOARD
• HIGH ENERGY TRAUMA OCCURS IN
MOTOR CYCLE COLLISION
• ANY OTHER DIRECT INJURY TO
ELBOW, HAND, WRIST, OR SHOULDER
CAN AFFECT THE ELBOW TOO
17. SYMPTOMS
• HISTORY OF TRAUMA
• PAIN
• SWELLING
• MOVEMENTS OF THE JOINT PAINFUL,
DECREASED
• WRIST PAIN (ESSEX-LOPRESTI INJURY
18. MASON CLASSIFICATION
• Type I: Non-displaced fractures
• Type II: Marginal fractures with displacement
(impaction, depression, angulation)
• Type III: Comminuted fractures involving the
entire head
• Type IV: Associated with dislocation of the
elbow (Johnston)
20. TREATMENT GOALS
• Correction of any block to forearm rotation
• Early range of elbow and forearm motion
• Stability of the forearm and elbow
• Limitation of the potential for ulnohumeral
and radiocapitellar arthrosis, although the
latter seems uncommon
21. TREATMENT
Nonoperative
• Most isolated fractures of the radial head can be
treated non-operatively.
• Symptomatic management consists of a sling
and early range of motion, 24 to 48 hours after
injury, as pain subsides.
• Aspiration of the radiocapitellar joint with or
without injection of local anesthesia has been
advocated by some authors for pain relief.
22. OPERATIVE
• Except Mason type I
• ORIF with screw
• KOCHER’S Approach for radial head #
• Excision of radial head
• MAC LAUGHLIN’S CRITERIA for immediate
excision:
1. Angulation >30°
2. Depression>3mm
3. Involvement of head >1/3 rd
23.
24. Type III:
• Radial head excision is indicated with in first 24
hrs.
• Excised head is replaced with prosthesis
Type IV:
• Prompt reduction of the dislocation is must
• Assess status of the head. If it meets the Mac
Laughlin’s criteria for excision, do it within 24 hrs.
29. OLECRANON FRACTURE
• Uncommon in children
• Comparable to # patella
• Mechanism of injury:
DIRECT: Fall on the point of elbow
INDIRECT: Forcible triceps contraction
32. MAYO CLASSIFICATION
Type I:
Fractures are nondisplaced or minimally
displaced and are subclassified as either
noncomminuted (type 1A) or comminuted
(type 1B). Treatment is nonoperative.
33. Type II:
Fractures have displacement of the proximal
fragment without elbow instability; these
fractures require operative treatment.
– Type IIA fractures, which are noncomminuted,
can be treated by tension band wire fixation.
– Type IIB fractures are comminuted and require
plate fixation
39. COMPLICATIONS
• Hardware failure occurs in 1% to 5%.
• Infection occurs in 0% to 6%.
• Pin migration occurs in 15%.
• Ulnar neuritis occurs in 2% to 12%.
• Heterotopic ossification occurs in 2% to 13%.
• Nonunion occurs in 5%.
• Decreased range of motion: This may
complicate up to 50% of cases
40. Fracture neck of radius
• Constitutes 5-10% of all elbow #s
• Mech of injury
fall on outstretched hand with elbow
extended and forearm supinated.
• Associated with
post dislocastion of elbow
prox radial physis (salter haris type II)