The oblique fissure of lung follows the 6th rib.
The embryonic germ layer that gives rise to the inner lining of the respiratory tract is endoderm.
Trachea is made up of hyaline cartilage.
The part of lung aerated by respiratory bronchioles is called the pulmonary unit.
Surfactant is produced by type 2 alveolar cells.
The most anterior structure in the root of the lung is the bronchus.
The thorax refers to the region which forms a major part of the appendicular skeleton. Knowledge of its surface anatomy is essential for surgical techniques, to say the least.
In this presentation there is the complete basic anatomy of the Heart. in this presentation there is complete description of heart including anatomy, external feature, relations of the heart, layers of heart, structure and functions of heart, circulation of heart, blood supply and nerve supply of the heart is explained in the simplest form which is very useful for the students who are appearing for the various medical entrance exams like medical, dental, physiotherapy, ayurved, pharmacy, nursing and also beneficial for the students who are doing preparation for NEET and other medical entrance
05.26.09(b): Development of the Respiratory System and DiaphragmOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
The thorax refers to the region which forms a major part of the appendicular skeleton. Knowledge of its surface anatomy is essential for surgical techniques, to say the least.
In this presentation there is the complete basic anatomy of the Heart. in this presentation there is complete description of heart including anatomy, external feature, relations of the heart, layers of heart, structure and functions of heart, circulation of heart, blood supply and nerve supply of the heart is explained in the simplest form which is very useful for the students who are appearing for the various medical entrance exams like medical, dental, physiotherapy, ayurved, pharmacy, nursing and also beneficial for the students who are doing preparation for NEET and other medical entrance
05.26.09(b): Development of the Respiratory System and DiaphragmOpen.Michigan
Slideshow is from the University of Michigan Medical
School's M1 Embryology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Embryology
this presentation gives the overview of the Gastrointestinal system with detail description of the stomach.
some clinical aspects, like peptic ulcer disease, Virchow's lymph node, gastrostomy are also included.
it describes the microanatomy of skin and its appendages in a concise format. it will give the overview of the integumentary system of our body and largest organ of our body.
describes the muscles, nerves and vessels of arm region. it gives an overview to understand to basic anatomical aspect of arm region including cubital fossa.
this presentation describes the detail anatomy of Temporo-mandibular joint with respect to its articulating surfaces, ligaments, muscles and blood and nerve supply.
well describes the development of nervous system from basic to advanced concept including neural tube defects. the concepts are presented in graphical form for easy understanding of concepts.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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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
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
- 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
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.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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.
2. Try these……
• The oblique fissure of lung follows…………rib.
a. 5th b. 6th c. 7th d. 8th
• Which of the following embryonic germ layer
give rise to the inner lining of the respiratory
tract??
a. Ectoderm b. mesoderm c. endoderm d.
neural crest cells
3. • Trachea is made up of ….cartilage
a. Hyaline b. elastic c. fibro cartilage d. all
• Part of lung aerated by respiratory
bronchioles is called as….
a. Pulmonary unit b. broncho pulmonary unit
4. • Surfactant is produced by which alveolar
cells??
a. type1 b. type 2 c. both d. none
• Most anterior structure in root of the lung
is..
a. Pulmonary vein b. pulmonary artery
c. Bronchus d. bronchial artery
5. • Consists of respiratory and conducting zones
• Respiratory zone
– Site of gas exchange
– Consists of bronchioles, alveolar ducts, and alveoli
• Conducting zone
– Provides rigid conduits for air to reach the sites of
gas exchange
– Includes all other respiratory structures
(e.g., nose, nasal cavity, pharynx, trachea)
6. Trachea
• Also called as wind-pipe.
• Extend from end of larynx(C6) to the point of
bifurcation ( T4).
• Its about 15cm in length.
• The trachea has 15 to 20 C-shaped bars of
hyaline cartilage that prevent it from
collapsing.
7.
8. • The carina is the upward-directed ridge seen
internally at the bifurcation and is a landmark
during bronchoscopy.
• The trachea is supplied mainly by the inferior
thyroid arteries. Its smooth muscle is supplied
by parasympathetic and sympathetic
fibers, and pain fibers are carried by the vagi.
9.
10. Main bronchus
• Trachea divide into two main bronchus- right
and left.
• The right main bronchus is shorter, wider, and
more vertical than the left.
• Because it is in almost a direct line with the
trachea, foreign objects traversing the trachea
are more likely to enter the right main
bronchus.
11.
12. Bronchial tree
• Main bronchi- lobar bronchi- segmental
bronchi- terminal bronchioles- respiratory
bronchioles ( duct- atrium-saccules- alveoli)
• The bronchioles are very narrow and have a
diameter of 1mm or less. Respiratory
brochioles bronchioles eventually lead into
small sac-like structures called the alveoli.
13.
14. • Pulmonary unit
Each respiratory bronchiole aerates a small part of
the lung known as a pulmonary unit. The respiratory
bronchiole ends in microscopic passages like-
alveolar ducts, atria, air saccules and pulmonary
alveoli.
• The alveolus is the basic structural unit of gas
exchange in the lung.
• New alveoli continue to develop until the age of 8
yrs, by which there are about 300 million alveoli.
15. Pleura
• The pleura is a thin, glistening, slippery serous
membrane, inflammation of which is called
pleurisy.
• The pleura lines the thoracic wall and
diaphragm, where it is known as the parietal
pleura. It is reflected onto the lung, where it is
called the visceral pleura.
• Both are derivatives of mesoderm germ layer
16. • The pleural cavity, which is the potential space
between the two layers, contains only a thin
film of fluid.
• Air in the pleural cavity (pneumothorax)
results in collapse of the lung.
• Irritation of the parietal pleura causes pain
referred to the thoraco-abdominal wall to the
shoulder (phrenic nerve).
• Visceral pleura is pain insensitive.
17. • The parietal pleura has
costal, mediastinal, diaphragmatic parts and
a cupola.
• the cupola of the pleura and the apex of the
lung project upward into the neck, hence may
be injured in wounds of the neck.
• Their highest point is 2 to 3 cm above the level
of the medial third of the clavicle. The
sympathetic trunks and first thoracic nerves
are found posterior to the cupola.
18.
19. Lungs
• The lungs are the essential organs of
respiration.
• The Latin word pulmo, lung, gives rise to the
adjective pulmonary.
• Each lung is attached by its root and
pulmonary ligament to the heart and trachea
but is otherwise free in the thoracic cavity.
20. • The main bronchus enters the hilum and
subdivides within the substance of the lung to
form the "bronchial tree.“
• The right lung, is heavier, shorter (the right
dome of the diaphragm being higher) and wider
(the heart bulging more to the left) than the left.
22. • Each lung has an apex, three surfaces
(costal, medial, and diaphragmatic), and three
borders (anterior, inferior, and posterior).
• The right lung is divided into
upper, middle, and lower lobes by oblique and
horizontal fissures
• The left lung has usually only upper and lower
lobes, separated by an oblique fissure.
23. • The bronchi and pulmonary vessels, which
extend from the trachea and
heart, respectively, collectively form the root
of the lung.
• The part of the medial surface where these
structures enter the lung is known as the
hilum of lung.
25. • The inferior limit of the lung crosses rib 6 in
the midclavicular line and rib 8 in the
midaxillary line and then proceeds toward the
10th thoracic vertebra.
• Inferior limit of pleura is rib 8 in MCL, rib 10 in
MAL and 12th thoracic vertebra along para-
vertebral line.
26. • The oblique fissure follows approximately the
line of rib 6 as far as the inferior border of the
lung.
• The horizontal fissure begins at the oblique
fissure near the midaxillary line (of the right
side), at about the level of rib 6.
• Important for localization of particular lobe
during chest injury.
29. Bronchopulmonary segment
• A bronchopulmonary segment is the area of lung
supplied by a segmental bronchus and its
accompanying pulmonary artery branch.
• Tributaries of the pulmonary vein tend to pass
intersegmentally between and around the
margins of segments.
• A bronchopulmonary segment is the
smallest, functionally independent region of a
lung and the smallest area of lung that can be
isolated and removed without affecting adjacent
regions.
30.
31.
32. Clinical importance
• The normal respiratory rate is 12 - 20 breaths
per minute. A faster breathing rate is called
tachypnoea. Tachypnoea is an important sign
of respiratory disease.
• If the breathing rate is increased for a long
period of time, dehydration can occur. So it is
important to give fluids to patients with
respiratory disease or tachypnoea from other
causes.
33. • Types of respirations
Abdominal type of respiration
Thoracic type of respiration
• Bronchogenic carcinoma
Begins by involving the glands around the
large bronchi.
May cause hoarseness in voice.
34. • Chronic obstructive pulmonary disease
(COPD): Damage to the lungs results in
difficulty blowing air out, causing shortness of
breath. Smoking is by far the most common
cause of COPD.
• Pleural effusion: Fluid builds up in the pleural
space. If large, pleural effusions can cause
problems with breathing.
• Pneumothorax: Air in the pleural space .
35. Development of respiratory system
Formation of lung bud ( respiratory
diverticulum).
• Its an outgrowth from the ventral aspect of
foregut ( endodermal tube ).
• This give rise to the larynx, trachea, bronchi
and lungs.
• Hence epithelium of the internal lining of the
larynx, trachea, and bronchi, as well as that of
the lungs, is entirely of endodermal origin.
36. • cartilaginous, muscular, and connective tissue
components of the trachea and lungs are derived
from splanchnic mesoderm surrounding the
foregut.
• When the diverticulum expands two longitudinal
ridges, the tracheoesophageal ridges, separate it
from the foregut. when these ridges fuse to
form the tracheoesophageal Septum, the
foregut is divided into a dorsal portion, the
esophagus, and a ventral Portion, the trachea
and lung buds.
37. Abnormalities in partitioning of oesophagus and
trachea by tracheoesophageal septum results in
esophageal atresia and tracheoesophageal
fistula.
38.
39. • During separation from foregut, lung bud forms
trachea and two lateral out pocketing, bronchial
buds.
• Each of these buds enlarges to form right and left
main bronchi. Later right one divide into 3 and
left into 2 secondary bronchi.
• During further development, secondary bronchi
divide repeatedly forming tertiary (segmental)
bronchi, creating the bronchopulmonary
Segments Of The adult lung.
40.
41. Growth of the lungs after birth is primarily due to an
increase in the number of respiratory bronchioles
and alveoli and not to an increase in the size of the
alveoli. New alveoli are formed during the first 10
years of postnatal life.
42. • After a pseudoglandular and canalicular
phase, cells of the respiratory bronchioles
change into thin, flat cells, type I alveolar
epithelial cells, intimately associated with
capillaries. In the seventh month, gas
exchange between the blood and air in the
primitive alveoli is possible.
43. • Before birth, the lungs are filled with fluid
with surfactant, which is produced by type II
alveolar epithelial cells which forms a
phospholipid coat on the alveolar membranes.
At the beginning of respiration, the lung fluid
is reabsorbed except for the surfactant
coat, which prevents the collapse of the
alveoli during expiration by reducing the
surface tension at the air– blood capillary
interface.
45. Try these……
• The oblique fissure of lung follows…………rib.
a. 5th b. 6th c. 7th d. 8th
• Which of the following embryonic germ layer
give rise to the inner lining of the respiratory
tract??
a. Ectoderm b. mesoderm c. endoderm d.
neural crest cells
46. • Trachea is made up of ….cartilage
a. Hyaline b. elastic c. fibro cartilage d. all
• Part of lung aerated by respiratory
bronchioles is called as….
a. Pulmonary unit b. broncho pulmonary unit
47. • Surfactant is produced by which alveolar
cells??
a. type1 b. type 2 c. both d. none
• Most anterior structure in root of the lung
is..
a. Pulmonary vein b. pulmonary artery
c. Bronchus d. bronchial artery