A complete lecture of Secondary Sentiment Sense Organs: The Ear, taught at First Moscow State Medical University, Moscow, in the Histology department, for the first year English medium foreign medical students.
skin and fascia description for medical students from clinical anatomy by richard s. snell .you get everything you want follow me back and tell anything which is in your heart :) <3
slides by our kind hearted teacher MAM AMMARAH :)
skin and fascia description for medical students from clinical anatomy by richard s. snell .you get everything you want follow me back and tell anything which is in your heart :) <3
slides by our kind hearted teacher MAM AMMARAH :)
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This is the second lecture on the brainstem discussing the external features, levels of section and internal structures of both the pons and midbrain. Also discusses the important clinical syndromes affecting pons and midbrain.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This is the second lecture on the brainstem discussing the external features, levels of section and internal structures of both the pons and midbrain. Also discusses the important clinical syndromes affecting pons and midbrain.
Mechanism of balance & vestibular function test Dr Utkal MishraDr Utkal Mishra
This powerpoint elaborates the mechanism of balance & anatomy of vestibular apparutus. It also depicts the anatomy & physiology of haircells in detail. I also explained the vestibular function tests used for diagnosis of various vestibular disorders.
The concept is built up on basic transport mechanisms across the biological membranes including transcapillary or paracapillary transport. Attempt has been made to distinguish between the blood brain barrier and blood-CSF barrier. Cartoons were profusely used.
This presentation explains the working of the ear... It is best for medical students.. It includes all the key points necessary for an exam too... So this presentation can also be used as a notes for your exams...
Cochlear Fluid is the one of the most important fluid not only for hearing sensation but also for the balance of human body. It is very important to know the embryology, anatomy, and physiology of cochlear fluid mechanism to know the various pathological conditions of inner ear.
Definition:
Also known as Hypoplastic Right Heart Syndrome (HRHS)
It is a rare congenital cardiac lesion characterized by heterogeneous right ventricular development, an imperforate pulmonary valve, and possible extensive ventriculocoronary connections.
It is a type of congenital cyanotic heart disease, a severe form of Tetralogy of Fallot (TOF)
Newborn patients present cyanotic with high desaturation and pulmonary blood flow that depend on patent ductus arteriosus
Definition
A group of malignant diseases in which genetic abnormalities in a hematopoietic cell give rise to an unregulated clonal proliferation of cells
The progeny of these cells have a growth advantage over normal cellular elements, with an increased rate of proliferation & a decreased rate of spontaneous apoptosis
Disruption of normal marrow function, leading to marrow failure
Hypertrophic Cardiomyopathy - Dr. Julius King KwedhiDr. Julius Kwedhi
Case:
Anamnesis:
Patient was diagnosed with pneumonia in 2016
Patient has been examined by infectious diseases specialist
Was diagnosed with sarcoidosis in 2017 after radiologic exam last month
Previous lung auscultation revealed crepitation
He was treated with corticosteroids, which helped eliminate crepitation
He was treated with prednisolon 30-35 mg
Hemolytic Anemia - Dr. Julius King Kwedhi - PediatricsDr. Julius Kwedhi
Definition:
Premature Destruction of Red Blood Cells, either intramuscularly or extravascularly, leading to a shortened red cell survival time.
Causes:
Premature Destruction of Red Blood Cells, either intramuscularly or extravascularly, leading to a shortened red cell survival time.
Introduction
Lead to tubal rupture;
massive intra-abdominal hemorrhage —> death;
Tubal damage —> poor reproductive outcome;
It is the leading pregnancy-related cause of death in the first trimester.
With reliable serum pregnancy tests and vaginal ultrasound, early detection and treatment of an ectopic pregnancy is possible.
Personalized medicine in Familial HypercholesterolaemiaDr. Julius Kwedhi
Familial hypercholesterolemia (FH) is an autosomal-dominant genetic disease present in all racial and ethnic groups and has long been recognized as a cause of premature atherosclerotic coronary heart disease.1–3 Heterozygous FH has the highest prevalence of genetic defects that cause significant premature mortality (≈1:200 to 1:500 or higher in founder populations).
The genetic basis of the disorder, impaired functioning of the low-density lipoprotein (LDL) receptor, was first recognized by Goldstein and Brown4 in their Nobel Prize–winning work.
Studies of LDL receptor function have identified additional mechanisms for the pathogenesis of FH (defects in apolipoprotein [apo] B impairing binding with the LDL receptor and gain-of-function mutations in proprotein convertase subtulisin/kexin type 9 [PCSK9] that enhance LDL receptor degradation).
FH leads to elevated LDL concentrations, with levels in heterozygous FH generally in untreated adults >190 mg/dL LDL cholesterol (LDL-C) and in untreated children or adolescents >160 mg/dL LDL-C. Long-term exposure to elevated plasma concentrations of LDL-C begins in utero, leading in heterozygotes to premature ischemic heart disease in mid adulthood and in homozygotes to ischemic heart disease in childhood or early adulthood.
Eczema - A Case Presentation (by Dr. Julius King Kwedhi)Dr. Julius Kwedhi
Eczema: Come from the Greek name for boiling, a reference to the tiny vesicles (bubbles) that are commonly seen in the early acute stage of the disease
An immune-mediated inflammation of the skin arising from an interaction between genetic (e.g. epidermal barrier function, immune system) and environmental factors (foods, airborne allergens, Staphylococcus aureus colonization on skin due to deficiencies in endogenous antimicrobial peptides, topical products)
The eczemas are a disparate group of diseases, but unified by the presence of itch and, in the acute stages, of oedema (spongiosis) in the epidermis
Etiology of Leprosy:
A chronic infection caused by Mycobacterium leprae
Acid-fast, rod shaped
Main route of infection:
nasal droplets,
Eating armadillos (south america)
Not very contagious, but close relatives are at high risk of infection
Vestibular and Cerebellar Ataxia - Julius King KwedhiDr. Julius Kwedhi
The word "ataxia", comes from the Greek word, "a taxis" meaning "without order or incoordination". The word ataxia means without coordination. (http://www.ataxia.org/learn/ataxia-diagnosis.aspx)
Inability to coordinate voluntary muscle movements; unsteady movements and staggering gait. (WordWeb Dictionary)
1. Structure of mortality. The main causes of population deaths.
2. Methodology, model and principles of health promotion.
3. Types of prevention. Federal Program in Russia.
Introduction. History of Department for Public
Health and Health Care I. Sechenov`s FMSMU
Part I CONCEPT OF HEALTH.
Determinants of Health. Globalization and Health.
Model of Disease causation theories.
Part II PUBLIC HEALTH. History of public health.
Definition of public health. Major disciplines in
public health.
Part III HEALTH AND DEVELOPMENT
What does the right to health entail?
When we talk about the right to health we are not just talking about the physical or mental well-being of a person. The right to health involves many other things without which you cannot enjoy good health. The most authoritative interpretation of the right to health is outlined in Article 12 of the International Covenant on Economic, Social & Cultural Rights (ICESCR) and has been ratified by Namibia and many other countries.
Provided and made available by the Legal Assistance Centre of Namibia
For many decades the vast majority of the South African population has experienced either a denial or violation of fundamental human rights, including rights to health care services. To ensure the realisation of the right of access to health care services as guaranteed in the Constitution of the Republic of South Africa (Act No 108 of 1996), the Department of Health is committed to upholding,
promoting and protecting this right and therefore proclaims this PATIENTS' RIGHTS CHARTER as a common standard for achieving the realisation of this right.
This Charter is subject to the provisions of any law operating within the Republic of South Africa and to the financial means of the country.
http://www.doh.gov.za/docs/legislation/patientsright/chartere.html
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.
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
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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
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
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
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.
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.
4. Organ of hearing
receptor field is the spiral organ or organ of Corti
is housed in the cochlea of the inner ear
Cochlea ⇒
5. Inner ear is the bony labyrinth in the temporal bone
Cochlea
Vestibule
saccule
utricle
Semicircular canals (3)
⇓
⇑
the temporal bone petrous portion
6. Bony labyrinth houses the membranous labyrinth
bony labyrinth is filled with perilymph
membranous labyrinth is filled with endolymph
⇑
perilymph and endolymph communicate with CSF in the meningeal spaces
7. Inner ear receptor fields
hearing and equilibrium receptor fields
⇒
reside in the membranous labyrinth
are bathed by endolymph
⇐
8. Cochlea
has a broad base and apex
is a bony tube that spirals 2.5 times around
⇓ the modiolus ⇒
9. Modiolus
is osseous cochlea axis
contains nerve fibers
projects laterally into the spiral lamina
⇑
n. vestibulocochlearis (VIII)
10. Spiral lamina
consists of two lips
upper lip periosteum thickens to form
the spiral limbus
contains the spiral ganglion
limbus
⇐ spiral ganglion
upper lip
⇓
lower lip
11. Cochlea passages
Scala vestibuli
Scala tympani
contain perilymph
Scala media (cochlear duct)
contains endolymph
SG
Sv
St
Sm
13. Scala vestibuli and scala tympani
associate with the middle ear
Scala vestibuli
ends at the oval window
is closed by the stapes ⇒
stapes transmits vibrations to perilymph
Scala tympani
• ends at the round window
• is closed by connective tissue membrane
auditory ossicles
14. Scala media is the cochlear membranous labyrinth
Scala media walls
vestibular membrane
stria vascularis
basilar membrane
15. Vestibular membrane
extends between the spiral limbus and the cochlear wall
separates the scala media from the scala vestibuli
consists of two layers of endothelial cells
vestibular membrane
16. Stria vascularis
consists of a pseudostratified epithelium
is vascularized by capillaries ⇒
secretes endolymph and creates its high positive potential
rests on the spiral ligament – thickened periosteum of the cochlear bone
stria vascularis
spiral ligament
⇐
⇐
⇐
17. Basilar membrane
separates the cochlear duct from the scala tympani
includes keratin-like fibrils – hearing cords
⇑
basilar membrane
• upper surface contains
the spiral organ
• low surface is lined with
endothelium
18. Basilar membrane fibrils vibrate with perilymph
are slender and long near the cochlea apex
vibrate in resonance with low-frequency sounds
are thick and short near the cochlea base
vibrate in resonance with high-frequency sounds
19. Spiral organ lies upon the basilar membrane
Phalangeal cells (supporting)
Hair cells (neuroepithelial)
stereocilia (hair) are on the apical surface
stereocilia are embeded in the tectorial membrane
Pillar cells (supporting)
enclose the tunnel filled with endolymph
20. Tunnel divides the spiral organ in the two cell groups
⇑
Outer group is organized in three or more rows
outer phalangeal cells
outer hair cells
Inner group is organized in a single row
⇐ inner phalangeal cells
inner hair cells
inner hair cell
21. Spiral organ inner group cells
Inner phalangeal cells
completely surround the hair cells
Inner hair cells
are bulbous in shape
have stereocilia arranged in a straight line
⇓
22. Spiral organ outer phalangeal cells
surround only the basal portion of hair cells
phalangeal processes form the cuticular plate ⇒
23. Spiral organ outer hair cells
are columnar in shape
have stereocilia arranged in a V-formation ⇒
26. Spiral organ innervation
Sensory bipolar neurons are
in the spiral ganglion ⇒
Afferent fibers
are sensory neuron dendrites
pass in the tunnel
form light synapses on the hair cells
Efferent fibers
are the brain neuron axons
pass in the tunnel
form dark synapses on the hair cells
27. Spiral ganglion sensory neuron axons
⇑
form the cochlear division of
n. vestibulocochlearis (VIII)
pass in the modiolus
⇓
30. Hair cell differentiation
Hair cells perceive
in the cochlea base – high-frequency sounds
in the cochlea apex – low-frequency sounds
outer hair cells – high intensity sounds
inner hair cells – low intensity sounds
31. Organ of equilibrium or vestibular apparatus
receptor fields are the maculae and the cristae
are housed in the vestibule and canals of the inner ear
⇐ vestibule and
semicircular canals
32. Equilibrium receptor field localization
maculae (2) are in the saccule and utricle
cristae (3) are in the ampullae of the semicircular canals
⇓
33. Vestibular macula and crista ampullaris
crista in the semicircular
canal ampulla ⇒
macula in the saccule
⇐
36. Equilibrium neuroepithelial hair cells
are innervated by afferent
and efferent fibers ⇒
apical surface contains
50-100 stereocilia and
a single kinocilium ⇒
37. Equilibrium hair cell types
Type I cells
are bulbar in shape
basal portion surrounded by
a cap-shaped nerve ending
Type II cells
are columnar in shape
basal portion has bouton nerve ending
⇐
⇒
38. Vestibular apparatus innervation
sensory neuron bodies are housed
in the vestibular ganglion ⇓
their dendrites innervate hair cells of
maculae and cristae
their axons form vestibular division of
n. vestibulocochlearis (VIII)
⇐
⇑
39. Equilibrium hair cells are mechanoreceptors
nerve impulse generation results from stereocilia inclination
dendrites
microenvironment – endolymph
cupula
otolithic membrane with otoliths
dendrites
dendrite
°°°°
40. Equilibrium hair cell stereocilium inclination
⇑ ⇓
towards the kinocilium away from the kinocilium
cells become excited cells become inhibited
41. Equilibrium hair cell differentiation
Maculae are sensors of
linear accelerations
gravity
vibrations
Cristae are sensors of
angular accelerations
⇐
⇒
42. Organ of taste
receptor field consists of the taste bauds
taste buds are located on the lateral surface
of lingual papilae
⇐
tongue ⇒
dorsal surface
43. Lingual papillae are projections of the mucosa
on the tongue dorsal surface
Papilla structure:
stratified squamous partially keratinized epithelium
a central core (primary papilla) – LCT
taste buds occupy the epithelium of the lateral papilla surface
⇓
⇑
taste bud is an ovoid
intraepithelial structure
44. Lingual papilla types
filiform papillae are covered by keratinized epithelium
and lack the taste buds ⇒
45. Taste buds are epithelial structures
epithelial cells are arranged around the taste pit
taste pore leads to the taste pit
taste pore
⇓
48. Taste bud neuroepithelial cells are chemoreceptors
Apical cell surface possesses microvilli
pass through the taste pore
are bathed by saliva
contain membrane chemoreceptors for taste molecules
microenvironment - saliva
⇓
49. Taste bud innervation
Neuroepithelial cell basal portion synapses with
afferent and efferent nerve fibres
⇒
• chorda tympani of n. facialis (VII)
⇐
• n. glossopharyngeus (IX)
⇐
• from taste buds of the epiglotis
n. loryngeus superior of n. vagus (X)
50. Sensory neurons of the taste analyzer
are in sensory ganglia associated
with the cranial nerves:
• n. facialis
• n. glossopharyngeus
• n. vagus
51. Taste bud neuroepithelial cell differentiation
Perception of the taste sensations
bitter ⇒
sour (acid) ⇒
salt ⇒
sweet ⇒