It is a well known fact that metal ions have a profound effect on cellular processes
The importance or the role that ions play in cellular activity can be gauged by the fact that most cells maintain a very critical Na+ & k+ balance between the extracellular and the intracellular spaces.
Any distribution in this critical balance is to the cellular metabolism through a drastic change in the osmotic pressure resulting in cellular swelling.
An ideal I.S.E. consists of a thin membrane across which only the
intended ion can be transported.
The transport of ions from a high conc. to a low one through a selective binding with some sites within the membrane creates a
An ideal I.S.E. consists of a thin membrane across which only the
intended ion can be transported.
The transport of ions from a high conc. to a low one through a selective binding with some sites within the membrane creates a
Potentiometry is an electrochemical method of Analysis deals with the measurement of electric potential or emf of an electrolyte solution under the condition of constant current.
Potentiometry is the measurement of electrical potential of an electrolyte solution to determine its concentration.
The principle is based on the fact that the potential of the given sample is directly proportional to the concentration of its electro active ions or its activity (pH)
When the pair of electrodes is placed in the sample solution it shows the potential difference by the addition of the titrant or by the change in the concentration of the ions.
The theory of potentiometry is based on the nernst equation.It gives the basic relationship between the potential generated by an electrochemical cell and the concentration of the ions.
The potential E ( Half cell potential) of any electrode is given by nernst equation
Coulometry: Definition, principle, coulometers, current efficiency, background current, various types of coulometric analysis, detection of end-points , advantages, applications and chronopotentiometry.
ESTIMATION OF THE RATE OF REACTION WILL BE DONE BASED ON THE POTENTIAL DIFFERENCE BETWEEN REFERENCE AND INDICATOR ELECTRODE. THE POTENTIAL OF THE REFERENCE ELECTRODE IS STABLE WHERE AS THE POTENTIAL OF THE INDICATOR ELECTRODE VARIES WITH THE POTENTIAL OF THE SOLUTION IN WHICH IT IS PLACED
It is a well known fact that metal ions have a profound effect on cellular processes
The importance or the role that ions play in cellular activity can be gauged by the fact that most cells maintain a very critical Na+ & k+ balance between the extracellular and the intracellular spaces.
Any distribution in this critical balance is to the cellular metabolism through a drastic change in the osmotic pressure resulting in cellular swelling.
An ISE operates an exactly the same principles as a PH electrode
In fact, a PH electrode is a type of ion selective electrode sensitive to hydrogen ion.
Just like a PH electrode, the electrode body contains a reference solution and an metal reference electrode
Potentiometry is an electrochemical method of Analysis deals with the measurement of electric potential or emf of an electrolyte solution under the condition of constant current.
Potentiometry is the measurement of electrical potential of an electrolyte solution to determine its concentration.
The principle is based on the fact that the potential of the given sample is directly proportional to the concentration of its electro active ions or its activity (pH)
When the pair of electrodes is placed in the sample solution it shows the potential difference by the addition of the titrant or by the change in the concentration of the ions.
The theory of potentiometry is based on the nernst equation.It gives the basic relationship between the potential generated by an electrochemical cell and the concentration of the ions.
The potential E ( Half cell potential) of any electrode is given by nernst equation
Coulometry: Definition, principle, coulometers, current efficiency, background current, various types of coulometric analysis, detection of end-points , advantages, applications and chronopotentiometry.
ESTIMATION OF THE RATE OF REACTION WILL BE DONE BASED ON THE POTENTIAL DIFFERENCE BETWEEN REFERENCE AND INDICATOR ELECTRODE. THE POTENTIAL OF THE REFERENCE ELECTRODE IS STABLE WHERE AS THE POTENTIAL OF THE INDICATOR ELECTRODE VARIES WITH THE POTENTIAL OF THE SOLUTION IN WHICH IT IS PLACED
It is a well known fact that metal ions have a profound effect on cellular processes
The importance or the role that ions play in cellular activity can be gauged by the fact that most cells maintain a very critical Na+ & k+ balance between the extracellular and the intracellular spaces.
Any distribution in this critical balance is to the cellular metabolism through a drastic change in the osmotic pressure resulting in cellular swelling.
An ISE operates an exactly the same principles as a PH electrode
In fact, a PH electrode is a type of ion selective electrode sensitive to hydrogen ion.
Just like a PH electrode, the electrode body contains a reference solution and an metal reference electrode
In this presentation we learn basics of how the lithium-ion works and reacts with the environment to produce a unique source of energy storage device called battery.
In this presentation we will deal with:
Introducing Lithium-Ion Battery
It’s Construction
It’s Working
It’s Cell Reactions
It’s Advantages & Disadvantages
It’s Application, etc.
Ion Selective Electrodes (ISE) are membrane electrodes that respond .pdfinfo54093
Ion Selective Electrodes (ISE) are membrane electrodes that respond selectively to ions in the
presence of others. These include probes that measure specific ions and gases in solution. The
most commonly used ISE is the pH probe.
An ion-selective electrode (ISE), also known as a specific ion electrode (SIE), is a transducer (or
sensor) that converts the activity of a specific ion dissolved in a solution into an electrical
potential, which can be measured by a voltmeter or pH meter.
Other ions that can be measured include fluoride, bromide, cadmium, and gases in solution such
as ammonia, carbon dioxide, and nitrogen oxide.
The use of Ion Selective Electrodes in environmental analysis offer several advantages over
other methods of analysis. First, the cost of initial setup to make analysis is relatively low. The
basic ISE setup includes a meter (capable of reading millivolts), a probe (selective for each
analyte of interest), and various consumables used for pH or ionic strength adjustments.
Glass Ion-Selective Electrodes
The first commercial glass electrodes were manufactured using Corning 015, a glass with a
composition that is approximately 22% Na2O, 6% CaO and 72% SiO2. When immersed in an
aqueous solution for several hours, the outer approximately 10 nm of the membrane’s surface
becomes hydrated, resulting in the formation of negatively charged sites, —SiO–. Sodium ions,
Na+, serve as counter ions.
Solid-State Ion-Selective Electrodes
A solid-state ion-selective electrode uses a membrane consisting of either a polycrystalline
inorganic salt or a single crystal of an inorganic salt. We can fashion a polycrystalline solid-state
ion-selective electrode by sealing a 1–2 mm thick pellet of Ag2S—or a mixture of Ag2S and a
second silver salt or another metal sulfide—into the end of a nonconducting plastic cylinder,
filling the cylinder with an internal solution containing the analyte, and placing a reference
electrode into the internal solution.
Liquid-Based Ion-Selective Electrodes
Another class of ion-selective electrodes uses a hydrophobic membrane containing a liquid
organic complexing agent that reacts selectively with the analyte. Three types of organic
complexing agents have been used: cation exchangers, anion exchangers, and neutral ionophores.
A membrane potential exists if the analyte’s activity is different on the two sides of the
membrane. Current is carried through the membrane by the analyte.
Solution
Ion Selective Electrodes (ISE) are membrane electrodes that respond selectively to ions in the
presence of others. These include probes that measure specific ions and gases in solution. The
most commonly used ISE is the pH probe.
An ion-selective electrode (ISE), also known as a specific ion electrode (SIE), is a transducer (or
sensor) that converts the activity of a specific ion dissolved in a solution into an electrical
potential, which can be measured by a voltmeter or pH meter.
Other ions that can be measured include fluoride, brom.
Essential Textbook of Biochemistry For Nursing (B.Sc.Nursing & PBN)Tapeshwar Yadav
I have relished teaching Biochemistry during my more than Ten years teaching experience in a medical, dental, nursing and health science colleges. It was because of constant inspiration from my students that I could come up with Essentials Textbook of Biochemistry for Nursing book, which hopefully would meet the inadequacies the students face in other books. In this age when the concepts in this subject are constantly changing, this book attempts to summarise the fundamentals and current state of knowledge in Biochemistry.
Biochemistry has been primarily written for the students of B.Sc. Nursing & Post Basic of Nursing (PBN) in such a way that it will also be suitable for General Medicine, Radiography, Physiotherapy, Ayurveda, Optometry, Dental and Nursing. This book can also be used as Reference for B.Sc. MLT, Bachelor of Pharmacy (B. PHARMA), Bachelor of Public Health (BPH), Bachelor of Physiotherapy (BPT), B. Ophthalmology, Bachelor of Radiography (BRT) and Biomedical Engineering students of Tribhuvan University, Purbanchal University, Kathmandu University and Pokhara University. Similarly, it will be equally useful for all the teachers, academic writers and those who are involved directly or indirectly in teaching and practising Health Sciences.
This is a basic book on Essential Textbook of Biochemistry for Nursing. The book thoroughly discusses some of the major concepts of Biochemistry and provides adequate information to help the students understand its implications in various areas of the subject. Furthermore, the book aims at equipping the students with practical cum theoretical skills. The book covers almost all the topics which have been prescribed in the Syllabus.
This is an introductory course to Biochemistry and is about medical biochemistry including the biochemical processes of - digestion & absorption of foods, metabolism of different kinds of foods & their disturbance effects in our body together with the physiological roles of different kinds of vitamins & enzymes.
The book consists of Theory as well as Practical portion. The author has tried his best to make all the concepts of each unit as lucid and simple as required for the students with supportive examples, samples, diagrams, clinical disorders and practical works. The ultimate purpose of this book is to equip the reader with comprehensive knowledge in Biochemistry with reference to basic as well as clinical aspects.
At last, I have made every effort to make the book error free, I am under no illusion. I expect constructive comments and suggestions from learners and teachers who use this book which will obviously help me in improving the future edition of the book.
Amino acids are a group of organic compounds containing two functional groups amino and carboxyl. The amino group (-NH2) is basic while the carboxyl group (-COOH) is acidic in nature.
The plasma in the liquid medium of blood (55%) in which the cell components namely Erythrocytes, Leucocytes and Platelets are suspended.
If anticoagulated blood is centrifuged, the plasma separates out as a supernatant while the cells remain at the bottom.
Plasma consists of water electrolytes metabolites nutrients proteins and hormones.
Most of the plasma proteins are synthesized in the liver.
Plasma proteins are separated by electrophoresis.
The word protein is derived from the Greek word ‘Proteios’ which means holding the first place. Berzelius (Swedish chemist) suggested the name proteins to the group of organic compounds that are important to life.
Proteins are the most abundant organic molecules of the living system.
They occur in every part of the cell and constitute about 50% of the cellular dry weight.
Proteins form the fundamental basis of structure and function of life.
Out of the total dry body weight, 3/4th are made up of proteins.
Proteins are used for body building; all the major structural and functional aspects of the body are carried out by protein molecules.
Proteins are high molecular weight polypeptides containing α-amino acids joined together by peptide linkage (-CO-NH).
The endocrine system consists of a network of ductless glands that secrete chemicals (called hormones) that affect the function of specific organs within the body, thus regulating many of the intricate functions of the body itself.
These ductless glands secrete their hormones directly into the bloodstream, as opposed to releasing them externally through ducts (as do the sweat glands and the oil glands).
The field of medicine that deals with the study of the endocrine system and the treatment of the diseases and disorders of the endocrine system is known as endocrinology.
The physician who specializes in the medical practice of endocrinology
is known as an endocrinologist.
Carbohydrates are the most abundant organic molecules in nature.
They are commonly known as saccharides or sugars.
They are primarily composed of the elements carbon, hydrogen and oxygen.
The name carbohydrate literally means “hydrates of carbon”.
Carbohydrates are widely distributed in nature in plants and animals.
The most important carbohydrate found in plants is starch.
It occurs abundantly in roots, tubers, vegetables and grains. The carbohydrate found in animals is glycogen.
It is a storage form of carbohydrate present in liver and muscles, which serves as important sources of energy for vital activities.
This field combines biology as well as chemistry to study the chemical structure of a living organism
Biochemistry is a basic science which deals with chemical nature and chemical behaviour of living matter and with the reactions and processes they undergo.
“The branch of science dealing with the study of all the life processes such as control and coordination within a living organism is called Biochemistry”
Medical parasitology : study of parasites that infect human, diseases caused by them, clinical picture, their diagnosis, treatment and prevention as well as controls.
It involves drug development, epidemiological studies and study of zoonoses.
To know various terms related to parasitology.
To know about general parasites and parasitic infections.
To get knowledge about laboratory diagnosis and its importance.
To gain idea about general epidemiological aspects of parasites that affect human.
Apply basic methods of specimen collection , preservation and processing in lab.
To prevent ourselves from these infections and apply control measures.
Microbiology is the study of
living organisms of microscopic
size which includes bacteria ,
Fungi , Algae , Protozoa and Viruses. It is concerned with the forms, structure , reproduction , physiology , metabolism and classification.
Principle Of Microbiology
Medical microbiology deals with the causative agent of the infectious disease of the human , the ways in which they produce disease in the body and essential information for diagnosis and treatment.
Hematology is the branch of medicine, that is concerned with the study of blood, blood forming organs and blood diseases. It includes study of etiology, diagnosis, treatment, prognosis and prevention of blood diseases .
After the completion of this presentation we will know about:
What is hematology and its purpose.
hematology laboratory.
Blood and its compositions and collections
Hematology lab equipment's
Some hematological tests , disease and hazards too.
Biochemistry is the study of the structure and function of biological molecules such as proteins, nucleic acids, carbohydrates and lipids.
Biochemistry is the study of the chemistry of living things. This includes organic molecules and their chemical reactions.
Biochemistry deals with body substance like enzymes, carbohydrates, amino acids, fats, proteins, hormones, DNA, RNA, pigments etc.
The major objective of biochemistry is the complete understanding of all chemical processes associated with living cells at the molecular level. Some of the objectives can be listed as follows:
1. Isolation, structural elucidation and the determination of mode of action of biomolecules.
2. Identification of disease mechanisms.
3. Study of in born errors of metabolism.
4. Study of oncogenes in cancer cells.
5. The relationship of biochemistry with the genetics, physiology, immunology, pharmacology, toxicology etc.
Biochemistry is related to almost all the life sciences and without biochemistry background and knowledge, a through understanding of health and well-being is not possible.
Safety cabinets are intended to protect a laboratory worker from aerosols and airborne particles.
They will not protect the person from spillages and the consequences of mishandling and poor technique.
Aerosol particles of less than 5 µm in diameter and small droplets of 5–100 µm in diameter are not visible to the naked eye.
The laboratory worker is generally not aware that such particles are being generated and may be inhaled or may cross contaminate work surface materials.
BSCs, when properly used, have been shown to be highly effective in reducing laboratory-acquired infections and cross-contaminations of cultures due to aerosol exposures. BSCs also protect the environment.
Most BSCs use high efficiency particulate air (HEPA) filters in the exhaust and supply systems.
The exception is a Class I BSC, which does not have HEPA filtered supply air.
The application of knowledge, techniques and equipment to prevent a personal laboratory and environmental exposure to potentially infectious agents or biohazard is known as biosafety.
Biosafety defines the containment conditions under which infectious agents can be safely manipulated.
The objective of containment is to confine biohazard and to reduce the potential exposure of the laboratory worker, persons outside of the laboratory, and the environment to potentially infectious agents.
A pipette (also called a point or a pipettor) is a laboratory instrument used to transfer a measured volume of liquid.
Pipettes are commonly used in chemistry and molecular biology research as well as clinical biochemistry tests.
Pipettes come in several designs for various purposes with different levels of accuracy and precision, from single piece flexible plastic transfer pipettes to more complex adjustable or electronic pipettes.
A pipette works by creating a vacuum above the liquid-holding chamber and selectively releasing this vacuum to draw and dispense liquid.
Safe Use and Storage of Chemicals and ReagentsTapeshwar Yadav
Even in the smallest laboratory, dangerous chemicals are used directly or incorporated into stains and reagents.
Hence the correct handling and storage of hazardous chemicals is essential to prevent injury and damage.
In addition to this, to reduce accidents caused by chemicals, labeling is very important.
Laboratory Hazards, Accidents and Safety RulesTapeshwar Yadav
Injury, damage and loss by fire can be minimized when laboratory staff:
Understand how fires are caused and spread;
Reduce the risk of fire by following fire safety regulations at all times;
Know what to do if there is a fire in their laboratory;
Know how to use fire fighting equipment;
Know how to apply emergency First Aid, for burns.
Revised Curriculum of Certificate in Medical Laboratory Technology(CMLT) by C...Tapeshwar Yadav
This curriculum of 3 years Certificate in Medical Laboratory Technology is designed to produce middle level skilled laboratory personnel equipped with knowledge, skills and attitudes of medical laboratory with a view to provide diagnostic, curative, preventive and promotive laboratory services to the community. Such technicians collect specimens, process, and perform tests to analyze body fluids, tissue, and other substances. The graduates perform lab procedures and maintain instruments. The graduates are expected to perform tests that help other healthcare professionals such as physicians to detect, diagnose, and treat diseases.
The program extends over three academic years. The first year course focuses on basic science and foundational subjects, the second year course focuses on theory and practical parts of basic medical laboratory subjects. Simultaneously the third year is given to the application of learned skills and knowledge in the comprehensive practical settings, in hospitals and medical laboratory. The graduates will have career opportunities in hospitals, diagnostic laboratories, clinics, industry and physicians' offices, research centers, blood bank, crime investigating laboratories etc. It is based on the code of conduct of Nepal Health professional Council.
Clinical Pathology is the application of laboratory techniques to find out the cause of disease. Clinical pathology laboratory involves all aspect of the medicine ranging from the field of biochemistry, microbiology, Parasitology, haematology, immunology and cytogenetics etc. Clinical pathology laboratory perform qualitative and quantitative analysis of body fluid such as urine, blood, CSF, sputum, other body fluid such as synovial fluid, peritoneal fluid, pericardial fluid and plural fluid. These determinations are useful in diagnosing various clinical conditions such as diabetes mellitus, jaundice, gout, hyperlipidemia, pancreatitis, rickets, etc. The clinical pathological tests are very useful in determining the severity of diseases of many organs such as liver, stomach, heart, kidneys, brain as well as the endocrine disorders and related status of acid-base balance of the body. The clinical pathology tests, in relation to the various clinical conditions can be applicable for:-
1) Reveal the causes of the diseases
2) Screen easy diagnosis
3) Suggest effective treatment
4) Assist in monitoring progress of a pathological condition and
5) Help in assessing response to therapy
Modern medicine says that: Your practice of medicine will be as good as your understanding of pathology.
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.
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
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
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
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
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
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.
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
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.
2. Ion Selective Electrodes
• It is a well known fact that metal ions have a
profound effect on cellular processes
• The importance or the role that ions play in cellular
activity can be gauged by the fact that most cells
maintain a very critical Na+ & k+ balance between
the extracellular and the intracellular spaces.
• Any distribution in this critical balance is to the
cellular metabolism through a drastic change in the
osmotic pressure resulting in cellular swelling.
3. ISE
• Another metal ions, Ca2+
is known to act as a
minatory intracellular message stimulating
such diverse process as
Insulin secretion
Chemotaxis
Endocytosis
Cellular proliferation
4. Basic principles
• An ISE operates an exactly the same principles
as a PH electrode
In fact, a PH electrode is a type of ion
selective electrode sensitive to hydrogen ion.
Just like a PH electrode, the electrode body
contains a reference solution and an metal
reference electrode
5. Contd…
On to this electrode body is sealed an ion
selective membrane which act as the ion
sensor
Four different types of ion selective
membranes are in use
They are:-
1.Specially formulated glass
2.An ion exchanger dispersed in an innert matrix
6. Contd…
3. A crystal
4. A liquid ion exchanger
The external reference electrode is either a
calomel or a Ag/Agcl electrode
The potential developed a cross the ion
selective electrode can be measured on a milli
volt scale available in a PH meter.
7. Contd…
This is proportional to the activity of ion in the
sample
More sophisticated instruments employ
specific ion meters (high impedance mill volt
meters) which have readout scales directly
calibrated in concentration.
8. Types of ISE
1. Glass membrane electrodes
2. Solid-state ion exchanger electrodes
3. Solid-state crystal electrodes
4. Liquid-membrane electrodes
9. 1. Glass membrane electrodes
• Glass electrode consists of a stem of non-cation
responsive, high resistance glass on which is fused a thin
walled bulb of cation responsive glass.
• Selectivity of a glass electrode is a function of the comp.
of the glass.
• 3 subtypes:
i. Type : pH
ii. Type : Cation sensitive
iii.Type : Sodium sensitive
Note: 2nd
two subtypes are in general responsive to monovalent
cations and are more or less unresponsive to anions.
10. Contd…
• Appropriate adjustments of glass composition
change the degree of electrode selectivity.
• Thus, glass can be made more responsive to
cations by adding to it elements which have co-
ordination numbers greater than oxidation
numbers to alkali metal-silicate glasses (20%
Na2O – 10% CaO – 70% SiO2).
• It usually imparts an excessive negative change to
the glass making it suitable to attract cations
having a proper charge-size ratio.
11. Contd…
• Glasses with a composition of 27% Na2O – 15%
Al2O3– 68% SiO2 show a general cation response.
• If the above composition is modified to 11%
Na2O – 18% Al2O3– 71% SiO2 , the glass
becomes highly sodium selective as compared
to other alkali metal ions.
12.
13. Applications of Glass electrodes:
Measurement of sodium, lithium, or silver
ions because of their high specificity for these
ions.
Due to its relative inertness it can be used in
non-aqueous media, organic solvents & also in
the presence of lipid soluble or surface active
molecules.
14. 2. Solid-State Ion Exchange
Electrodes
• In these electrodes, the glass membrane is
replaced with a solid-state ionically
conducting membrane.
• Ion responsive material is an insoluble or
sparingly soluble salt dispersed in an inert
matrix.
• Often used inert matrices include silicon
rubber, polyvinyl chloride & other polymeric
materials.
15. Contd…
• Membrane have good mechanical properties and
give reproducible potentials.
• The membrane so prepared is then cemented to a
glass or epoxy resin electrode body.
• The body holds an internal-reference solution and
a reference electrode .
• Sometimes, the back of an ion responsive
membrane is coated with mercury and platinum
wire is connected to it which works as the
reference electrode.
16. Contd…
Solid-state ion exchanger electrodes have 2
drawbacks:
1.Relatively short working life.
2.Concerns itself with the extremely high
resistance of silicone robber & other matrices.
17.
18. 3. Solid-State Crystal Electrodes:
• Crystal of an insoluble salt can act as ion sensitive
elements operating in much the same way as the salt
dispersed in an inert matrix.
• Crystal should not have high resistance.
• Eg.
Lanthanum fluoride electrode:- measures fluoride
Silver chloride electrode:- measures chloride
These electrodes have a life of about 1-2 years.
However, if used at high temp., their life gets shortened
considerably 1-3 months
19.
20. 4. Liquid-Membrane Electrodes:
• Sensing element of these electrodes is a layer of
organic solvent in which an ion exchanger is
dissolved.
• Most available electrodes use a porous diaphragm
(glass or ceramic disc) which separates the inner ion
exchanger sol. From the test sol.
• Ion exchange sol. Keeps the disc always saturated.
• This type of electrodes are used for the measurement
of calcium, nitrate, perchlorate & other ions.
21.
22. Interferences
2 main types of interferences are
encountered by ISEs. They are-
1.Method interference
2.Electrode interference
23. 1. Method interference:
It can occur when either or all of such factors at the pH,
ionic strength or temp. of the sample being tested are not
properly mixed.
Thus, while measuring fluoride ions, a low pH might
give very low values for the activity of this ion.
This is so since fluoride ions form complexes with the
hydrogen ions and consequently lose their measurable
activity.
The method interference can therefore be done away
with by fixing the measurement conditions diligently.
24. 2. Electrode interference:
These are mostly due to the passage of an interfering
ion into the membrane, being measured.
Thus, high barium ion conc. In a sample being
measured for calcium can be detrimental to the
experiment as barium ions can compete with calcium
ions for passage into the membrane.
Another type of electrode interference occurs chiefly
with crystal electrodes.
Crystal electrodes consequently loses its sensitivity
to the desired ion.
25. Applications of ISE
Activity measurements are valuable because
the activities of ions determine rates of
reactions and chemical equilibria.
Ion electrodes have been used for predicting
corrosion rates, extent of precipitation,
degree of acidity , formation of complexes,
solution conductivities and effectiveness of
electroplating bath solutions.
26. Contd…
It can have many diagnostic application in
biology. For e.g., the chloride electrode is
being used to assay chloride ion activity in the
sweat of babies as a diagnostic test for cystic
fibrosis.
It is used to study the control of ion transport
by tissues and cells
27. Contd…
• Stimulating biological application of ion
selective electrodes is that they can be
converted into enzyme electrodes.
• These electrodes can be measure the activity
of an enzyme in a given sample
• For e.g., the ammonium ion electrode can be
converted into an enzyme electrode
measuring the activity of ureas.
28. Advanteages
- Exhibit wide response
- Exhibit wide linear range
- Low cost
- Color or turbidity of analyte does not affect results
- Come in different shapes and sizes
ION-SELECTIVE ELECTRODES (ISE)
29. - Made from an ion-conducting membrane
(ion-exchange material that allows ions of one electrical
sign to pass through)
- Reference electrode is inbuilt
- Internal solution (solution inside electrode) contains ion of
interest with constant activity
- Ion of interest is also mixed with membrane
- Membrane is nonporous and water insoluble
ION-SELECTIVE ELECTRODES (ISE)
30. - Selective (preferential) ion is C+
- Membrane is made of poly(vinyl chloride) (PVC)
- Membrane is impregnated with nonpolar liquid
- Membrane contains ligand L (ion-selective ionophore)
- Membrane contains the complex LC+
- Membrane contains hydrophobic anion R-
(ion exchanger)
ION-SELECTIVE ELECTRODES (ISE)
31. - Responds preferentially to one species in solution
Internal reference
electrode
Ion-selective membrane
Internal (filling)
solution
ION-SELECTIVE ELECTRODES (ISE)