1. The document discusses different types of joints in the body, including their classification based on structure and function. It describes fibrous joints like sutures and syndesmoses, cartilaginous joints like primary and secondary joints, and synovial joints.
2. Synovial joints are the most evolved and freely movable joints. They have a fluid-filled cavity and permit a variety of movements. Examples of different synovial joints are given based on the shape of the articular surfaces.
3. The document provides examples and descriptions of various joints like hinge, pivot, ball and socket joints. It also discusses the classification of synovial joints and movements they allow.
Classification and Applied Aspects of JointsMathew Joseph
The structural classification divides joints into fibrous, cartilaginous, and synovial joints depending on the material composing the joint and the presence or absence of a cavity in the joint. The functional classification divides joints into three categories: synarthroses, amphiarthroses, and diarthroses
Classification and Applied Aspects of JointsMathew Joseph
The structural classification divides joints into fibrous, cartilaginous, and synovial joints depending on the material composing the joint and the presence or absence of a cavity in the joint. The functional classification divides joints into three categories: synarthroses, amphiarthroses, and diarthroses
A joint is the site at which any two or more bones articulate or come together, meaning the ends or edges of the bones are held together by connective tissues.
It may allow flexibility and movement of the skeleton.
With the exception of the Hyoid bone, every bone in the body is connected to or form joints.
There are total 230 joints in the body.
Structural Classification of joints:
FIBROUS JOINT/ FIXED JOINT
CARTILAGENOUS JOINTS
SYNOVIAL JOINTS
The functional classification of joints is determined by the amount of mobility found between the adjacent bones.
Joints are thus functionally classified as a
Synarthrosis or immobile joint,
Amphiarthrosis or slightly moveable joint,
Diarthrosis, which is a freely moveable joint
A joint is an articulation between two bones in the body and are broadly classified by the tissue which connects the bones. The three main types of joints are: synovial, cartilaginous and fibrous.
This is a presentation on the elements of arthrology. The presentation provides an introduction to arthrology. The objectives of this presentation are to briefly provide an overview of the types of joints, joint stability and clinical correlates.
For further reading please refer to 7th ed Keith Moore - Clinically Oriented Anatomy and 9th ed Snell's Clinical Anatomy by Regions.
A joint is the site at which any two or more bones articulate or come together, meaning the ends or edges of the bones are held together by connective tissues.
It may allow flexibility and movement of the skeleton.
With the exception of the Hyoid bone, every bone in the body is connected to or form joints.
There are total 230 joints in the body.
Structural Classification of joints:
FIBROUS JOINT/ FIXED JOINT
CARTILAGENOUS JOINTS
SYNOVIAL JOINTS
The functional classification of joints is determined by the amount of mobility found between the adjacent bones.
Joints are thus functionally classified as a
Synarthrosis or immobile joint,
Amphiarthrosis or slightly moveable joint,
Diarthrosis, which is a freely moveable joint
A joint is an articulation between two bones in the body and are broadly classified by the tissue which connects the bones. The three main types of joints are: synovial, cartilaginous and fibrous.
This is a presentation on the elements of arthrology. The presentation provides an introduction to arthrology. The objectives of this presentation are to briefly provide an overview of the types of joints, joint stability and clinical correlates.
For further reading please refer to 7th ed Keith Moore - Clinically Oriented Anatomy and 9th ed Snell's Clinical Anatomy by Regions.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
2. Introduction
• Arthrology: Study of joints
• Synonyms: Articulation (Latin)
Arthron (Greek)
• Joint: a junction between two or more bones
or cartilages.
• A device to permit movements
3. Classification of joints
Joints are classified according to structure and function-
(A) Functional (based on degree of mobility):
1.Synarthroses: immovable joints (cranial sutures in
adults, primary cartilaginous joints in
growing children).
2.Amphiarthroses: slightly movable joints (joints
between adjacent laminae of vertebrae).
3.Diarthroses: freely movable joints (synovial joints).
5. (B) Structural classification
Based on type of connecting tissue and presence or absence of
joint cavity:
1. Fibrous: composed of intervening fibrous tissue with no joint
cavity. Immovable or slightly movable.
2. Cartilaginous: articulating bones are united by cartilage
(hyaline or fibrocartilage) with no joint cavity.
3. Synovial: articulating bones are separated by a fluid-filled joint
cavity.
7. Fibrous joints
1. Sutures: articular surfaces are connected by a thin layer of
connective tissue. They are confined to the skull and
are immovable.
2. Syndesmoses: bones are connected by a considerably greater
amount of connective tissue than in sutures in
the form of interosseous ligaments and
membranes. Slight movement is permitted.
e.g. interosseous tibiofibular joints,
interroseous radioulnar joints.
3. Gomphoses (peg and socket joint): articulation of teeth in
alveolar sockets of mandible and maxilla by
periodontal ligament.
11. Synovial joints
• Most evolved and freely movable joints
• Have a joint cavity filled with synovial fluid
• Often termed as diarthrodial joints
• Components:
1. Fibrous capsule
2. Synovial membrane
3. Ligaments
4. Articular cartilage
5. Articular disc or meniscus
6. Bursae
7. Fat pads (Haversian glands)
12. Classification of Synovial joints
(A) According to shape of articular surfaces:
1. Plane
2. Hinge
3. Pivot
4. Condylar
5. Ellipsoid
6. Saddle
7. Ball and socket
13. Plane joints
• Articular surfaces are
nearly flat.
• Allow gliding
movements.
• e.g. intercarpal and
intertarsal joints.
14. Hinge joints (Ginglymus)
• Articular surfaces are
pulley shaped.
• Movements are
permitted only in one
plane (transverse
axis).
• Most common
joints.
• e.g. elbow, knee, ankle
and interphalangeal
joints.
15. Pivot joints (Trochoid joints)
• Rounded end of one bone
fits into
the concavity of another
bone.
• The rounded
part is surrounded by a
ligament.
• Limited rotation
around a central axis.
• e.g. superior radio-ulnar
and median atlanto-axial
joints.
16. Condylar joints
• Round articular surface
of one bone fits into a
socket-type articular
surface of another bone.
• Permit movements in
two directions.
• e.g. knee and temporo-
mandibular joints.
17. Ellipsoid joints
• Elliptical convex surface of
one bone articulates with
elliptical concave surface
of another.
• Permit movements in two
directions.
• Combination of
movements cause
circumduction.
• e.g. wrist and atlanto-
occipital joints.
18. Saddle (sellar) joints
• Articular surfaces are
reciprocally saddle
shaped i.e. concavo-
convex.
• Allows a
wide range of movement.
• e.g. first
carpo-metacarpal, sterno-
clavicular,
incudo-malleolar joints.
19. Ball and socket (spheroidal) joints
• Rounded convex surface
of one bone fits into the
cup-like socket of another
bone.
• Permits greatest range
of movements.
• e.g. shoulder, hip and
incudo-stapedial joints.
20. (B) According to plane of movements
• Uniaxial: Hinge and Pivot
• Biaxial: Condylar, ellipsoid, saddle
• Multiaxial: Ball and socket
Uniaxial Biaxial Multiaxial
21. (C) According to number of articulating bones
• Simple (2 bones)
• Compound (more than 2 bones)
23. Special movements:
1. Inversion: movement of the foot medially
2. Eversion: movement of the foot laterally
3. Protraction: movement of the mandible forward
4. Retraction: movement of the protracted part back
to its starting position
5. Elevation: lifting a body part superiorly
6. Depression: moving the elevated part inferiorly
7. Opposition: touching the thumb to the tips of
other fingers
24. REFERENCES
1. Cunningham’s Manual of Practical Anatomy, Vol.1.
2. Grant’s Method of Anatomy, 11th Edition.
3. Vishram Singh. General Anatomy, 1st Edition.
25. MCQs
1. All of the following are examples of the
fibrous joint except:
a) Suture
b) Syndesmosis
c) Symphysis
d) Gomphosis
26. MCQs
2. All of the following are examples of the
synovial joint except:
a) Pivot
b) Saddle
c) Syndesmosis
d)Ellipsoid
27. MCQs
3. Subtype gomphosis is classified under:
a) Biaxial synovial joint
b) Symphysis
c) Fibrous joint
d) Synchondrosis
28. MCQs
4. All of the following are characteristic features
of a synovial joint except:
a)Articular surfaces are covered by a articular
cartilage
b) Have a joint cavity filled with synovial fluid
c)Mostly are freely movable joints
d) Articular cartilage are covered by synovial
membrane
29. MCQs
5. All of the following secondary cartilaginous
joints belong to axial skeleton except:
a)Manubriosternal joint
b) Intervertebral discs
c) Symphysis pubis
d) Symphysis menti
