This document summarizes the anatomy of the hand and wrist joint. It describes the extensor retinaculum which attaches laterally to the radius and medially to the triquetral and pisiform bones. Tendons pass through 6 compartments in the extensor retinaculum. The palmar aponeurosis covers the palm and attaches to the hypothenar and thenar muscles. The flexor retinaculum forms the carpal tunnel and attaches medially to the pisiform and hamate, laterally splitting to attach to the scaphoid and trapezium. Structures like nerves, vessels and tendons pass deep and superficial to the retinaculum. The wrist is
this is a presentation on atlanto-axial and atlanto-occipital joints. after reading this, most of you will know about atlas and axis, joint type, anatomy of joint, movements allowed by joint and its clinical considerations.
This is a BASIC powerpoint focusing on the structures of the hand. Videos and pictures have been included. I trust it assists anyone who uses it. Blessings!
this is a presentation on atlanto-axial and atlanto-occipital joints. after reading this, most of you will know about atlas and axis, joint type, anatomy of joint, movements allowed by joint and its clinical considerations.
This is a BASIC powerpoint focusing on the structures of the hand. Videos and pictures have been included. I trust it assists anyone who uses it. Blessings!
hey this is Vedika Agrawal and this presentation is TO EXPLAIN AND HELP YOU UNDERSTAND ANATOMY OF FOREARM.
The topic is usually mixed with hand making it difficult to understand and so i seperated it to make it easy for you.
Hey this is Vedika Agrawal and my presentation explains about anatomy of forearm which covers almost every diagram and key point required to understand this topic.
This topic is usually mixed with antaomy of hand and so I separated to keep it easy for you.
reference: BD Chaurasia
Detailed Hand surgical anatomy by mohamed abdelhadyMohamed Abdelhady
Detailed Hand surgical anatomy including bones , blood and nerve supply and special structures eg flexor retiniculum , extensor compartments and anatomical snaff box
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
- 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
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
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.
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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.
7. Synovial Sheath of Extensor tendon
All tendon has its own synovial Sheath except extensor digitorum and
extensor indices has common sheath
They begIn just above the retinaculum down to the insertion
Except that of Extensor Digitorum, Extendor Indices and extensor digiti
minimi which end in the middle of the dorsam of hand.
10. Palmer Aponeurosis: is triangular thickening of the deep fascia that covers
the centre part of the palm.
The medial and lateral borders of palmer aponeurosis are continuous with
thin deep fascia covering the hypothenar and thenar muscles
FUNCTION:The palmer aponeurosis is to give firm attachment to the
overlying skin and so improve the grip and to protect the underlying structure
11. FLEXOR RETINACULUM AND CARPEL TUNNEL
Flexor Retinaculum Attachment:
Medially to the Pisiform and hook of hamate
Laterally split into to be attached to the tubercle of Scaphoid and to the
margines of the groove on the trapezium
Lateral split divides the carpel Tunnel into two compartments – a smaller
lateral and larger medial.
12. Structure passing in front of flexor Retinaculum
Ulnar nerve
Ulnar artery
Palmer cutaneous branch of ulnar nerve
Tendon of Palmaris Longus
Palmer cutaneous branch of median nerve
13. Structure passing deep to the flexor Retinaculum
(CARPEL TUNNEL)
Tendon of flexor carpi radialis and it’s synovial Sheath
Tendon of flexor digitorum superficialis
Tendon of flexor digitorum profundus
Tendon of flexor Pollices Longus
Median nerve
Synovial sheath of Tendon of flexor Pollices Longus
Common flexor sheath
CARPEL TUNNAL SYNDROME
Carpal tunnel syndrome (CTS) is a medical condition due to compression of
the median nerve as it travels through the wrist at the carpal tunnel.
14. Signs and symptoms
. People with CTS experience numbness, tingling, or burning
sensations in the thumb and fingers, in particular the index
and middle fingers and radial half of the ring finger, because
these receive their sensory and motor function (muscle
control) from the median nerve.
17. LIGAMENTS
Palmar radiocarpal:It is found on the palmar (anterior) side of the hand. It
passes from the radius to both rows of carpal bones. Its function, apart from
increasing stability, is to ensure that the hand follows the forearm during
supination.
Dorsal radiocarpal : It is found on the dorsum (posterior) side of the
hand. It passes from the radius to both rows of carpal bones. It
contributes to the stability of the wrist, but also ensures that the hand
follows the forearm during pronation.
Ulnar collateral :Runs from the ulnar styloid process to the triquetrum
and pisiform. Works in union with the other collateral ligament to
prevent excessive lateral joint displacement.
Radial collateral :Runs from the radial styloid process to the scaphoid
and trapezium. Works in union with the other collateral ligament to
prevent excessive lateral joint displacement.
18.
19. Relations
Anteriorly: Tendon of
. Flexor digitorum superficialis
Flexor digitorum profundus
Flexor Pollices Longus
Flexor carpi radialis
Flexor carpi ulnaris
. Medical and ulnar nerve
Laterally:Radial artery
21. Blood and Nerve Supply
Blood supply: Anterior and posterior carpel arches formed by
branches of radial and ulnar artery.
Nerve supply: anterior and posterior introsseous Nerves
