There are two main cell types in nervous tissue: neurons and neuroglia. Neurons are excitable cells that transmit electrical signals down axons and dendrites. They have a cell body containing organelles and long processes. Neuroglia, also called glial cells, support and protect neurons. The four main types of neuroglia in the central nervous system are astrocytes, microglia, ependymal cells, and oligodendrocytes. Astrocytes connect neurons to blood vessels and regulate the neuronal environment. Microglia monitor neuronal health and act as phagocytes. Ependymal cells line cavities and circulate cerebrospinal fluid. Oligodendrocytes wrap myelin
Nervous System is a uniquely designed organ system of our body. This presentation is highlighting over the cellular configuration of this system. Neurons & Neuroglia are the two main players of the system. Neuron is the structural & functional unit of the system, while, Neuroglia are the supporting elements. At the end of this presentation, the young learner would be able to recognize different cell types of the Nervous system & their exclusive function.
Epithelial tissue, also known as the epithelium, is one of the four tissues found in the human body. It exists in various parts of the body, such as our digestive system, outer surfaces of organs and blood vessels throughout the body, as well as the inner surfaces of cavities in many internal organs.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
Nervous System is a uniquely designed organ system of our body. This presentation is highlighting over the cellular configuration of this system. Neurons & Neuroglia are the two main players of the system. Neuron is the structural & functional unit of the system, while, Neuroglia are the supporting elements. At the end of this presentation, the young learner would be able to recognize different cell types of the Nervous system & their exclusive function.
Epithelial tissue, also known as the epithelium, is one of the four tissues found in the human body. It exists in various parts of the body, such as our digestive system, outer surfaces of organs and blood vessels throughout the body, as well as the inner surfaces of cavities in many internal organs.
Histology
Junqueira’s Basic Histology Text and Atlas, 15th Ed
It is a brief account on neurons. Neurons are simply brain cells. They have the ability to process and transmit information as electrical and chemical signals.These signals between neurons occur via synapses.
Coordinates voluntary and involuntary actions of the body and transmits signals between different parts of the body.
Together with endocrine system controls and integrates activities of the body.
Nervous system allows us to perceive, understand, and respond to our environment.
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
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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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.
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
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
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.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
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.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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.
2. Cell types
Despite the complexity of organization, there
are only two functional cell types
A) neurons - excitable nerve cells that transmit
electrical signals
B) neuroglia (glial) cells - support cells
3. A) Neurons
responsible for conduction, propagation, and
reception of nervous impulses. Processes called
axons or dendrites extend from these cells.
extreme longevity – neurons live and function
normally for a lifetime
amitotic
once mature, neurons lose the ability to divide
damaged nervous tissue cannot regenerate
high metabolic rate
need a large, constant supply of oxygen and glucose
can survive only a few minutes without oxygen
5. Neuron Structure
a)Cell body
Contains the usual cellular organelles
Receptive: membrane receptors initiate and
transmit graded potentials (not action potentials)
in response to incoming stimuli
nerve cell body contains
1)nucleus
large, central in most, large amount of euchromatin
(intense synthetic activity), and nucleolus..
6. Neuron cell body
2) Rough endoplasmic reticulum (RER)
lots of RER for synthesis of structural and transport
proteins, Nissl bodies/substance are condensations
of this RER and free ribosomes
3) Golgi apparatus
found near nucleus.
Expected, since intense synthetic activity of
neurotransmitters and/or neuro hormones that must
be packaged in vesicles.
4) Mitochondria
abundant for high energy requirements
7. a) Cell body
5) Neurofilaments
• intermediate filaments
6) Microtubules
important in transport
of materials.
9. b) dendrites
b) Dendrites
• cell process extending away from the perikaryon
conduct impulses toward the cell body
forms receptive area for synaptic contacts from
other neurons
has tiny rough projectons or spines called gemmules
or dendritic spines that are points of synaptic
contact
• Cytoplasm in these processes similar to that of
perikaryon, but no golgi bodies or nucleus.
11. c) Axons
c) Axons
one long thin cell process extending away from
perikaryon
conduct impulses away from the cell body
• ends of branches form synapses with other
neurons or muscle cells
• may be unmylenated or may be myelinated by
either oligodendroglia in CNS or Schwann cells in
PNS
12. b)Axon structre
1) axon hillock
• pyramid shaped region associated with
perikaryon) - where axon begins
• cytoplasm in this region lacks ribosomes and
organelles; however, neurofilaments and
microtubles are present.
2) initial segment
unmyelinated intitial portion of axon) between
axon hillock and beginning of myelination
3)remainder of axon
(may be myelinated, may be branched
13. 4) axonal terminals
Axonal terminals contain small sacs with
neurotransmitters (chemicals)
Axonal terminals are separated from the next
neuron by a gap (they never really touch)
Synaptic cleft — gap (space) between adjacent
neurons
Synapse — junction between nerves
15. Myelin sheath — whitish, fatty material
covering axons
protects/insulates the cells and increases the
transmission rate of nerve impulses
Schwann cells — produce myelin
Nodes of Ranvier — gaps in myelin sheath
along the axon
16. Neurons classification
Structural:
Multipolar - three or more processes
Bipolar - two processes (axon and dendrite)
Unipolar - single process diverges into 2 conductive
regions
Functional:
Sensory (afferent) — transmit impulses toward the CNS
Motor (efferent) — carry impulses away from the CNS
Interneurons (association neurons) — shuttle signals
through CNS pathways
20. B) Neuroglia(supporting cells)
Support cells in the Central Nervous System
(CNS) are grouped together as neuroglia
Neuroglia literally means “nerve glue” cells
associated with neurons. No axons or
dendrites.
The function of neuroglia is to support,
insulate, and protect the delicate neurons of
the brain.
21. B) Supporting cells
Supporting cells re of the following types
Astrocytes
Microglial cells
Ependymal cells
Oligodentrocytes
Schwann cells
Satellite cells
22. 4 types in the C NS
astrocytes
star shaped with many
processes
connect to neurons;
help anchor them to
nearby blood capillaries
control the chemical
environment of the neurons
23. microglia
oval with thorny projections
monitor the health of neurons
if infection occurs, they
change into macrophages
(eating viruses, bacteria and
damaged cells ie act as
phagocytes (WBC)
24. B)Neuroglia
3) ependymal cells
• shape is squamous
to columnar ciliated
Lines the cavities of
the brain and spinal cord
Circulate cerebrospinal
fluid by beating their cilia
Cerebrospinal fluid fills
the space the brain does not
take up and forms a protective
cushion around the brain
and spinal chord
25. oligodendrocytes
• have few processes
• line up along neurons
and wrap themselves
around axons
• form the myelin
sheath – an insulating
Membrane
• Myelin is a fatty,
insulation covering
the nerve cells;
allows for the electrical
signal to transmit
faster (like wire coating)