The three membranes that surround the brain and spinal cord are the dura mater, arachnoid mater, and pia mater. The dura mater forms partitions that divide the cranial cavity and dural venous sinuses. The arachnoid mater separates the subdural space from the subarachnoid space filled with cerebrospinal fluid (CSF). The pia mater closely invests the brain and spinal cord. CSF is produced by the choroid plexus and absorbed through arachnoid villi into venous sinuses, with the CSF circulating through the ventricles and subarachnoid space.
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Description :
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
Review of Nervous System, Unconsciousness, and CVA. The Nursing Core FunctionsAyinla Kazeem
This presentation was made at several sessions of Mandatory Continuing Professional Development Programme for Nigerian Nurses in Kwara State, and have undergone series of editing till date. While still working on the final editing to totally conform with global standard of practice, I deemed it necessary to share it in this forum.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Similar to Meninges, Brain’s cavities, and Cerebrospinal fluid_dr. Djoko P. oK.ppt
Description :
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
Review of Nervous System, Unconsciousness, and CVA. The Nursing Core FunctionsAyinla Kazeem
This presentation was made at several sessions of Mandatory Continuing Professional Development Programme for Nigerian Nurses in Kwara State, and have undergone series of editing till date. While still working on the final editing to totally conform with global standard of practice, I deemed it necessary to share it in this forum.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
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STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
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Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
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1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
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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/
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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)
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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
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Meninges, Brain’s cavities, and Cerebrospinal fluid_dr. Djoko P. oK.ppt
1. Meninges, Brain’s cavities, and
Cerebrospinal fluid
Djoko Prakosa
Dept. of Anatomy, Embryology &
Anthropology
2. Meninges
Three layers of membranes that surround
the brain as well as the spinal cord
1. Dura mater
2. Arachnoid mater
3. Pia mater
3. Dura mater
It consists of:
1. Endosteal layer
2. Meningeal layer
The two layers are closely united except along
certain lines, where they separate to form
venous sinuses.
Giving rise to the formation of:
- Dural partitions
- Dural venous sinuses
4. Dural Partitions
Septa form by meningeal layer divide
cranial cavity into freely communicating
spaces lodging subdivisions of the brain
1. Falx Cerebri
2. Tentorium cerebelli
3. Falx cerebelli
4. Diaphragma sellae
11. Blood supply & innervation
Blood Supply
anterior, middle & posterior meningeal arteries
Innervation
meningeal branches of the ophthalmic, maxillary,
mandibular, vagus nerves and from the 1st, 2nd & 3rd
cervical
- sensitive to stretching headache
- referred pain: depend on the stimulus location
12.
13. Arachnoid mater
Delicate, impermeable
Separated from dura by subdural space
Separated from pia by subarachnoid space &
cisternae filled with csf
Project into sinuses arachnoid villi &
granulations
Arteries, veins, nerves pass through it.
Forms a sheath for n. II & fuses with the sclera
15. Pia mater
Vascular membrane, closely invests the brain
Extends over cranial nerves and fuses with
epineurium
Arteries when enter the brain carry a sheath of
pia mater
19. Cerebral Ventricles
The wall:
- lined with:
- a layer of ependymal cells
- subependymal layer of glial fibers & cells
Exchange between ventricular fluid and
subependymal extracellular fluid occurs.
Content:
- Cerebrospinal fluid = Ventricular fluid
20. Fluid compartments & fluid balance in
the CNS
Extracellular fluid in the CNS :
1. CSF
2. Interstitial fluid (15 - 20% brain volume)
- connected and derived from the blood.
- differ in functions & drainage
21.
22. CSF secretion
CSF is produced mainly by the choroid plexus of the
lateral,
third and & fourth ventricles.
Some 11% of CSF comes from extrachoroidal source
The rate of CSF formation in man 0.35 ml/minute.
Intracranial CSF volume + 123 ml
- 25 ml in the ventricles
- 98 ml in the subarachnoid space
50% of CSF is replaced in 5 - 6 hours
CSF is produced by ultrafiltration and by active transport
mechanisms.
23. CSF Composition
The CSF is a watery, clear and colorless fluid.
csf protein < blood plasma
electrolyte content differ from blood plasma
Plasma is 93% water, CSF 99%
vitamins, nucleosides, purines, glucose and amino acids
essential for brain development and metabolism transported
into CSF, whereas toxic metabolites are cleared from CSF
to plasma.
neuroendocrine substances & neurotransmitters
Osmolality CSF = plasma
cells (mostly lymphocytes, 0 - 3 cells/μl)
24. Absorption
In the equilibrium state the rate of absorption of CSF
equals its rate of formation. The arachnoid villi are the major
place for CSF absorption. The mechanism for the bulk flow
reabsorption into the venous system depends upon the
hydrostatic pressure within the subarachnoidal space.
Other sites are the choroid plexus, diffusion into brain and
capillaries, veins and lymphatics placed around spinal nerve
roots.
26. CSF Function
The CSF has several functions:
physical support, excretory function, intracerebral transport
and control of the chemical environment of the central
nervous system (CNS).
The CSF helps in the protection of the brain from
acute blood pressure changes and, therefore, in the
regulation of intracranial pressure.
Since the CSF is considered to be an intracerebral transport
medium, the fluid is also useful for clinical research.
27. CSF Tap
In clinics the CSF is analyzed for its cellular and chemical
constituents.
CSF is obtained by cisternal puncture or lumbar
puncture
Cerebrospinal fluid pressure in the subarachnoid space can
be measured after the puncture. Values of both the
cervical and lumbar spines are affected by changes in body
position.
28. Intracranial Pressure (ICP)
Three components important for intracranial pressure:
Brain, CSF, and blood.
Blood and CSF volumes vary reciprocally --> maintain
intracranial pressure within normal limits.
Causes for an elevated CSF pressure:
space-occupying lesions (e.g., tumors)
cerebral edema (usually associated with brain injury,
hydrocephalus and inflammatory lesions)
29. Hydrocephalus
Non-Communicating:
Obstruction to CSF flow within ventricular system or
at outlet foramina.
Sites of narrowing are commonly obstructed, e.g.
aqueductal stenosis, Tumor of pineal gland
Communicating:
Obstruction to CSF flow in the subarachnoid
space after exit from fourth ventricle.
Causes include leptomeningitis (fibrosis seals
subarachnoid space and obstructs CSF flow) and
subarachnoid hemorrhage.