The Pacinian corpuscle functions as a mechanoreceptor that is sensitive to pressure and deep touch. It is located in the dermis, especially in areas like the palms and soles that need sensitivity to deep pressure. The Pacinian corpuscle has concentric layers of connective tissue separated by a gel-like substance, surrounding an unmyelinated nerve ending enclosed in a capsule. This structure allows it to respond to and detect deep pressure or mechanical stimuli on the skin.
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.
Definition, development, function & Site-specific of Melanocyte Definition, formation & function of Melanosomes, Definition & function of Melanin
Melanogenesis
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.
Definition, development, function & Site-specific of Melanocyte Definition, formation & function of Melanosomes, Definition & function of Melanin
Melanogenesis
Structure of Skin | Layers of Skin |Function of Skin
https://www.youtube.com/watch?v=IytTVigBQrI&t=172s
Dr. Nagendra Kr Meena
PG Resident
Hindu Rao Hospital,New Delhi
Structurally, the skin consists of two layers which differ in function, histological appearance and their embryological origin. The outer layer or epidermis is formed by an epithelium and is of ectodermal origin. ... The skin and its appendages together are called the integumentary system. - [Source: Blue Histology - Integumentary System]
Structure of Skin | Layers of Skin |Function of Skin
https://www.youtube.com/watch?v=IytTVigBQrI&t=172s
Dr. Nagendra Kr Meena
PG Resident
Hindu Rao Hospital,New Delhi
Structurally, the skin consists of two layers which differ in function, histological appearance and their embryological origin. The outer layer or epidermis is formed by an epithelium and is of ectodermal origin. ... The skin and its appendages together are called the integumentary system. - [Source: Blue Histology - Integumentary System]
Skin = integument
Skin+ accessory organs = integumentary system.
The integumentary system comprises the skin and its appendages acting to protect the body from various kinds of damage, such as loss of water or damages from outside.
It includes hair, glands and nails.
It has a variety of additional functions; it may serve to waterproof, and protect the deeper tissues, excrete wastes, and regulate body temperature, and is the attachment site for sensory receptors to detect pain, sensation, pressure, and temperature,vitamin D synthesis.
skin and its layuer
Epidermis
Dermis
Hypodermis ( subcutaneous layer)
Epidermis
Most superficial layer of the skin
Approx 10 to 30 cells thick ( epithelial)
Cell types
Keratinocytes -90%
Melanocytes
Merkel cells 10%
Langerhens
stratum basale
Stratum germinativum
Deepest epidermal layer
Attaches to basal lamina
Cells bond to dermis via collagen fibres
Finger like projection called dermal papillae in dermis
Helps in stronger connection
Cells- cuboidal shaped keratinocytes
Grows constantly ,mitosis
Pushed up old cells
Applied aspects
Cells – merkel cell – function as receptor- stimulating sensory nerve fibres
Found in hairless skin.
Abundant on surface of hand and feet.
Melanocytes- produces pigment melanin
- gives hair and skin its color
-protect from u rays
Note: skin color influenced by ,melanin and carotene – carrot, oxygenated haemoglobin
Fingerprints-epidermal ridges
Stratum spinosum
Spiny in appearance
Desmosomsis protruding cell
Interlock between cells
Composed of 8to 10 layers of keratinocytes
Applied aspects
Langerhans cell –as a macrophage by engulfing bacteria and foreign body and damaged cell.
Keratinocytes synthesise keratin and prevent water loss
Stratum granulosam
Has a grainy appearance
Cells become flattened,and cell membrane thicken, and generate large amount of protein keratin and keratohyalin
After cell dies , keratin ,keratohyalin and cell membrane forms stratum lucidum
And accessory structures of hair and nail
Stratum lucidum
Smooth translucent layer
It is found only in thick skin of palms ,soles,digits
Cells are densely packed with eleidin , a clear protein rich in lipids,
Transparent appearance
Stratum corneam
Most superficial layer of epidermis
The increased keratinization of cell
It has 15 to 30 layers of cells
Water is lost from skin in 2 ways
Insensible perspiration
water diffuses from stratum corneum and evaporates from skin
-500 ml per day
Sensible perspiration
Water excreted by sweat glands.
clinical application
Some medications are toxic if swallowed, but safe if used topically (applied to surface of skin)
• Certain topical antibiotics are fairly toxic if taken by mouth, butcan be applied to skin with minimal risk of systemic absorption;they are polar molecules that cannot pass through epidermis toreach blood vessels in dermis; allows for local effect only
• Nonpolar substances cross epidermis much more easily;provides a c
Integumentary system
-The organs of the integumentary system include the skin and its accessory structures including hair, nails, and glands, as well as blood vessels, muscles and nerves.
-Dermatology is the medical specialty for the diagnosis and treatment of disorders of the integumentary system.
Structure Of The Skin
The skin (cutaneous membrane) covers the body and is the largest organ of the body by surface area and weight.
Its area is about 2 square meters (22 square feet) and weighs 4.5-5kg (10-11 lb), about 7% of body weight.
It is 0.5 – 4 mm thick, thinnest on the eyelids, thickest on the heels, the average thickness is 1 – 2 mm.
It consists of two major layers:
Outer, thinner layer called the epidermis, consists of epithelial tissue. Inner, thicker layer called the dermis.
Beneath the dermis is a subcutaneous layer (also called hypodermis) which attaches the skin to the underlying tissues and organs.
1. EPIDERMIS
-Covers, protects and waterproofs.
Contains five main layers:
- Stratum Basale
- Stratum Spinosum
- Stratum Granulosum
- Stratum lucidum
- Stratum corneum
The epidermis has a number of important characteristics:
The epidermis is composed of keratinized stratified squamous epithelium.
-It contains four major types of cells:
Keratinocytes (90% of the cells): It produce keratin which is a tough fibrous protein that provides protection.
-Melanocytes: which produce the pigment melanin that protects against damage by ultraviolet radiation.
-Langerhans cells: involved in immune responses, arise from red bone marrow.
-Merkel cells: which function in the sensation of touch along with the adjacent tactile discs.
2. DERMIS
-It is a deeper layer of skin, composed of connective tissue containing collagen and elastic fibers.
-It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands.
-The epidermis is avascular and cells of this layer get their oxygen and nutrients from capillaries in the dermis.
-The dermis can be divided into papillary layer and reticular layer.
Hypodermis :
- The hypodermis (also called the subcutaneous layer) is a layer directly below the dermis and serves to connect the skin to the underlying fascia (fibrous tissue) of the bones and muscles.
--Two types of glands are present in the skin over most of the body
These are sweat glands and sebaceous glands.
--Function Of Skin
Protection:
Sensation:
Heat regulation:
Storage and synthesis:
Synthesis of vitamin D:
Excretion and homeostasis:
Secretion:
Absorption:
Water resistance:
Colour :
Healing of wounds:
Aids in the diagnosis:
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.
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.
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.
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
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.
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
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.
1. Your God is only Allah, than Whom there is no other
God. He embraceth all things in His knowledge. TAHA, 98
عِسَو َۚوُه ََّلِإ َهٰـَلِإ ٓ ََل ىِذَّلٱ ُ َّٱَّلل ُمُكُهٰـَلِإ ٓاَمَّنِإََ
ا ً۬مۡلِع ٍء َۡىش َّلُڪ
3. INTEGUMENTARY SYSTEM
• SKIN
• Outer Body covering
heaviest organ
• Accessory structures:
• hair
• nails
• glands
• hooves
• claws
4. Functions of skin
Protection
Synthesizes vitamin D
with UV
Regulates body heat
Prevents unnecessary
water loss
Sensory reception
(nerve endings)
Temperature sensor
SECRETION & EXCRETION
12. STRATUM BASALE
• Deepest layer of the epidermis
• The single row of cells nearest the dermal boundary
• Germinal layer
– Source of KERATINO-CYTES
– A reserve layer in constant mitosis
– desmosomes.
– hemidesmosomes
• EM—keratin filaments abundant in the cytoplasm, also have
many free ribosomes.
15. STRATUM SPINOSUM
•Irregularly polyhedral cells.
•Cells still alive and can divide if
necessary.
•Layer is 2-10 cells deep; varies
from place to place
•“Prickle cell” appearance results
from attachments at desmosome.
16. Stratum Spinosum-EM
– EM—increase in number of desmosomes with
increased cytoplasmic bundles (tonofibrils)
• Membrane coating granules (MCG)/Lamellar Granules
appear in the cytoplasm of keratinocytes in upper
layers of stratum spinosum.
– First appear near the golgi Apparatus
19. STRATUM
GRANULOSUM
• LM structure:
• Third layer.
• Large Basophilic cells
• Several layers of flattened cells.
• EM sructure:
• Non-membrane bounded Keratohyalin granules.
• profilaggrin
• Filaggrin Keratinization
• Lamellar granules(coating plasma lemma)
20. EM- St.Granulosum
– EM—KHGs are large, irregularly shaped not
bounded by cell membrane, MCGs more
numerous, migrate to periphery.
• So have both keratohyalin granules AND MCGs.
• Lipids and Hydrolytic Enzymes.
22. Stratum lucidum
Clear Layer:
– LM—nuclei not evident in flattened cells with
pale if any staining
– EM—organization of keratin filaments more
regular.
23. STRATUM LUCIDUM
• Not always present
• Thick skin.
• Hairless regions.
• Clear lucent band
24. STRATUM CORNEUM
• From Latin, cornus = “horn”
• Cells can no longer divide.
• LM_
• cells flattened and scale like.
EM-
Filling with keratin fibers and “keratohyaline granules”
– -Appear clear
– No nucleus No cytoplasmic organelles.
• Stratum Disjunctum
• No of layers varies among species and body regions.
25.
26. • The outermost layer of the
stratum corneum
• Sloughing and desquamating
dead cells
• Large animals may lose up to 1
kg per day of skin cells
• “Dandruff” is produced here!
“STRATUM DISJUNCTUM”
30. MELANOCYTES
• Source of MELANIN
• Of neural crest origin
• Location:
_ have spherical nucleus and Typical organelles.
NOT part of keratinizing system
– Less than 10% of the stratum basale.
– Two types of melanin_ Eumelanin & Pheomelanin.
– Contains unique pathway with TYROSINASE.
– Tyrosine DOPA dopaquinone
Melanin
33. Melanocytes
• Where do they originate from?
• How do they deliver melanosomes? What is
the process called?
• What are melanosomes?
34. Langerhans Cells
• Macrophage of the skin
• Most frequent in the stratum spinosum
• Langerhans cells (LC) are dendritic,
antigenpresenting cells (APC), function as the
“outermost arm” of the immune system.
• .
35. Langerhans cell
constitute 2-8%
History:
•Paul Langerhans in 1868.
•In 1961,ultra-structural characteristics - Birbeck.et.al.
•The Birbeck„s granule serves as element for
morphological identification of the LCs.
39. Merkel cell/Tactile Epitheliod cell
folded nucleus, a clear, organelle-rich cytoplasm with
peripheral protrusions among the epithelial cells, few
desmosomal attachments
found in basal and spinous layer of epithelium.
History:
In 1875, Friedrich Sigmund Merkel, in base
of the epidermis of
skin called -touch cells.
40.
41. Merkel cells (contd.)
• MCs differ from other non-keratinocytes – not
dendritic.
• High numbers in the lip, anterior hard palate
and gingiva.
• In oral mucosa in recognition of particle size
and texture during mastication.
45. • Tactile corpuscles (or Meissner's corpuscles)
are a type of mechanoreceptor.
• They are a type of nerve ending in
the skin that is responsible for sensitivity to
light touch.
• They are distributed on various areas of
the skin, but concentrated in areas especially
sensitive to light touch, such as
the fingers and lips.
46.
47. The Pacinian corpuscle.
Located in the dermis of the skin, especially in the palm
of the hands, fingers and the underside of the feet; also
found in joints and tendons and the external genitalia.
Called a mechanoreceptor responding to mechanical
stimuli; sensitive to pressure i.e. something pushing hard
on the skin.
Example of a
simple receptor
48. Concentric layers of connective
tissue separated by a viscous gel
surround the un-myelinated end of
the dendron of a sensory neurone
enclosed in a capsule (in section it
looks like a section through an
onion bulb). Normally round in
section when at rest.
Structure of a Pacinian corpuscle
Read the article.
Summarise how the Pacinian corpsucle functions as a
sensory receptor.
49.
50.
51.
52. • Arrector pili muscle: consists of smooth
muscle. Contraction leads to erection of hair
shaft and can cause "gooseflesh".
• Lower portion: hair bulb - papilla and matrix.
Melanocytes located in the matrix produce
hair color.
53. • The dermal papilla consists of a specialized
group of fibroblasts and has an inductive
action on the epidermis promoting
proliferation and differentiation.