The midbrain is the upper and shortest part of the brainstem that connects the hindbrain to the forebrain. It contains several structural components and performs important functions. The midbrain has superior and inferior colliculi that are involved in visual and auditory reflexes. It also contains the substantia nigra, which regulates activity in the basal ganglia, and nuclei for the oculomotor and trochlear nerves. The midbrain consists of tectum containing the four colliculi posteriorly and cerebral peduncles anteriorly. Each peduncle contains the tegmentum, substantia nigra, and crus cerebri. The substantia nigra synthesizes dopamine which is carried to the
4 th ventricle- Anatomical and surgical perspectivesuresh Bishokarma
4th ventricle connects the entire ventricular system of brain. Its connection with cisterns magna and cerebella pontine cistern via foramen of magenta and Luschka. CSF absorbs into the arachnoid granulation.
You can watch the video on my you tube channel: https://youtu.be/I0FaX-iQfa0
Medulla oblongata or more simply medulla is part of brain stem which forms base of the brain stem. It contains pyramid, olive and above pyramidal structure, there is decussation of pyramids which explains why each part of brain controls opposite part of body. Adding to that medulla also has several nuclei which controls activity of cardiovascular system and respiratory system. Medulla also has nuclei for controlling reflexes of vomiting, swallowing, hiccuping, coughing and sneezing. It has also nuclei for test, hearing and balance. Medulla also contains nuclei of cranial nerve number VIII, IX, X, XI and XII.
Lateral ventricle of Brain. By Dr.N.Mugunthan.M.Smgmcri1234
Lateral ventricle of brain. Lecture by Dr.N.Mugunthan.
Associate Professor,
Mahatma Gandhi Medical College & Research Institute,
Sri Balaji Vidyapeeth, Pondicherry.
4 th ventricle- Anatomical and surgical perspectivesuresh Bishokarma
4th ventricle connects the entire ventricular system of brain. Its connection with cisterns magna and cerebella pontine cistern via foramen of magenta and Luschka. CSF absorbs into the arachnoid granulation.
You can watch the video on my you tube channel: https://youtu.be/I0FaX-iQfa0
Medulla oblongata or more simply medulla is part of brain stem which forms base of the brain stem. It contains pyramid, olive and above pyramidal structure, there is decussation of pyramids which explains why each part of brain controls opposite part of body. Adding to that medulla also has several nuclei which controls activity of cardiovascular system and respiratory system. Medulla also has nuclei for controlling reflexes of vomiting, swallowing, hiccuping, coughing and sneezing. It has also nuclei for test, hearing and balance. Medulla also contains nuclei of cranial nerve number VIII, IX, X, XI and XII.
Lateral ventricle of Brain. By Dr.N.Mugunthan.M.Smgmcri1234
Lateral ventricle of brain. Lecture by Dr.N.Mugunthan.
Associate Professor,
Mahatma Gandhi Medical College & Research Institute,
Sri Balaji Vidyapeeth, Pondicherry.
gross Anatomy of Mid Brain.location an relation of midbrain. external an internal features of mid brain. cross section at the level of superior and inferior colliculus. Anterior and posterior view of midbrain.
clinical correlation of midbrain.
gross Anatomy of Mid Brain.location an relation of midbrain. external an internal features of mid brain. cross section at the level of superior and inferior colliculus. Anterior and posterior view of midbrain.
clinical correlation of midbrain.
EXTERNAL FEATURES OF MIDBRAIN, ANATOMY OF INTERNAL FEATURES OF MIDBRAIN, CRUS CEREBRI, SUBSTANTIA NIGRA, CEREBRAL PEDUNCLE,INFERIOR COLLICULUS,LEMNISCI
1.Anatomy of the Medulla
2. Introduction to Brainstem Anatomy of the brainstem includes ( midbrain-pons-medulla ) is very complicated !! •It connects spinal cord to the cerebrum. • The mid brain pons, and medulla are connected to cerebellum posteriorly. •1 - ascending an descending tracts that connect brain to spinal cord. •2 - cranial nerves nuclei and their connections •3 - Reticular formation •4 - others e.g (olivarynucleus in MO tapizusbody in pons and red nucleus in MB )
3. Medulla oblongata •The medulla oblongata is the part of the brainstem between the pons and spinal cord •It extends through the foramen magnum to the level of the atlas. •Medulla is vital for our function, without medulla we die. •Above the foramen magnum it is embraced dorsally by the cerebellar hemispheres. 1.The lower end which contains the upward continuation of the central canal of the spinal cord is the ‘closed part of the medulla’, 2.The upper end, where the canal comes to the surface as the lower part of the floor of the fourth ventricle, is the ‘open part’.
4. Medulla contd….. MO is lowest 3 cm of the brainstem •it extend from the ponto- medullary junction until plane below foramina magnum for about 0.5 cm. •Medulla spinalis have a central canal which prolonged into its lower half to open in the fourth ventricle at its upper half. •CSF is encircle the MO from outside ( subarachnoid space ) and inside ( central canal ). •MO is between the two lobes of cerebellum ( anterior cerebellar notch )
5. EXTERNAL FEATURES AND RELATIONS • 3Cm long. • Located at the caudal portion of brainstem • Upper limit is cerebello-pontine angle • Transverse plane that above C1 (suboccipital) intersects upper border of atlas dorsally and centre of dens ventrally marks lower limit
6. VENTRAL SURFACE • Ventral median fissure extends from foramen coecum to caudal end of pyramid decussation • Lateral to median fissure is pyramid • Lat to pyramid is the ventrolateral sulcus (VLS) • Hypoglossal nerve rootlets emerge from VLS • Lat to VLS is olive which contains inf olivary nucleus • Inferior cerebellar peduncle connects medulla with cerebellum and forms side wall of caudal half of fourth ventricle
7. Ventral Surface Pyramid: Swelling on each side of anterior median fissure. • Composed of bundles of nerve fibers, (corticospinal fibers) originate from the precentral gyrus of the cerebral cortex. • The pyramids taper inferiorly and majority of the descending fibers decussate to the opposite side. Olive: • Olives are the anterolateral oval elevations produced by the underlying inferior olivary nuclei. • From the groove between the pyramid and the olive, the rootlets of the hypoglossal nerve emerge
8. LATERAL ASPECT • Roots of glossopharyngeal , vagus and cranial division of accessory nerves are attached to the medulla dorsal to olive.
9. Dorsal surface At dorsal surface of closed part of medulla, gracile and cuneate fasciculi continue from the spinal
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
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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
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
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
2. Introduction
• Upper and shortest part of the brain-stem.
• 2.5 cm long and 2.5 cm wide.
• Connects the hindbrain with the forebrain.
• Its cavity, the cerebral aqueduct (aqueduct of
Sylvius) connects the third ventricle with the
fourth ventricle.
• Passes through the tentorial notch.
3.
4.
5. Relation
• On each side - optic tract, Parahippocampal
gyrus, Posterior cerebral artery, Basal vein;
• Anteriorly -interpeduncular structures, viz.
mammillary bodies,tuber cinereum, etc.;
• Posteriorly - splenium of corpus callosum,
great cerebral vein, pineal body and posterior
ends of right and left thalami.
7. Structural components and functions
of the midbrain
• Superior colliculi -Reflex centres for visual
reflexes
• Inferior colliculi - Lower auditory centres,
probably concerned with reflexes involving
auditory stimuli
• Red nuclei - Involuntary control of muscle
tone and posture
8. Structural components and functions
of the midbrain
• Substantia nigra - Regulate the activity of basal
nuclei
• Nuclei of oculomotor and trochlear nerves -Give
motor fibres to these nerves which are concerned
with the activities of both intrinsic and extrinsic
muscles of the eyeball
White matter
• Cerebral peduncles containing number of
ascending and descending tracts-Provides
passage to the fibres of motor and sensory tracts
9. External Features -Ventral surface
2 Crura cerebri –
• Emerges from the cerebral hemispheres
• Converge downwards to enter the pons
• Forming the posterolateral boundaries of the
interpeduncular fossa.
• Crossed transversely from above downwards by
optic tract,posterior cerebral artery, superior
cerebellar artery and taenia pontis (while ridge).
10. Ventral surface
Oculomotor nerve –
• Emerges from a groove on the medial side of the
crus cerebri.
Trochlear nerve -
• Emerges on the dorsal aspect of the midbrain
• curls around the lateral aspect of the cerebral
peduncle to appear on the ventral aspect of the
midbrain lateral to the oculomotor nerve.
• 2 nerves run forward between the posterior
cerebral and the superior cerebellar arteries.
11. Dorsal surface
• Presents four rounded elevations:
• 2 superior & 2 inferior colliculi (corpora
quadrigemina).
• Colliculi are separated from each other by a
cruciform sulcus.
• Vertical limb of sulcus when traced above forms
a surface depression which lodges the pineal
body and when traced below, it becomes
continuous with the frenulum veli (a median
ridge on the dorsal surface of the superior
medullary velum).
12. Dorsal surface
• Trochlear nerves emerges one on each side of
the upper part of frenulum veli decussation in
the superior medullary velum.
• Thick ridges of white mater extending from
lateral side of each colliculus constitute their
brachia
15. Brachium
• Superior brachium - connect the superior
colliculus to the lateral geniculate body and the
optic tract, and is made up of optic tract fibres.
• Inferior brachium -connect the inferior colliculus
to the medial geniculate body, and is made up of
auditory fibres.
• Superior and inferior colliculi are concerned with
reflex activities triggered by auditory and visual
impulses respectively.
17. Internal structure
• Small posterior part is called tectum and
consists of four colliculi.
• Large anterior part is divided into two equal
right and left halves by a vertical plane, the
cerebral peduncle.
• Each cerebral peduncle is further subdivided
into three parts, from dorsal to ventral these
are: (a) teg-mentum, (b) substantia nigra, and
(c) crus cerebri.
18. Crus cerebri (Basis pedunculi)
• Part of cerebral peduncle situated
anterolateral to the substantia nigra.
• Contains important descending tracts which
connect the cerebral cortex to the anterior
horn cells of the spinal cord, cranial nerve
nuclei, and pontine nuclei.
19.
20. Cerebral Peduncles - Tract
• Corticospinal and corticonuclear fibres
(pyramidal tract) occupy the middle two-
thirds of the crus.
• Frontopontine fibres occupy the medial one-
sixth of the crus. The temporopontine,
parietopontine, and occipitopontine fibres
occupy the lateral one-sixth of the crus
21. Substantia nigra
• Curved (crescent-shaped) pigmented band of
grey mater (thicker medially than laterally)
situated between tegmentum and crus cerebri
• Large motor nucleus that extends throughout the
length of midbrain
• Divided into two parts:
(a) Dorsal part (pars compacta) containing
medium sized cells and
(b) Ventral part (pars reticularis) containing fewer
cells. The pars reticularis is intermingled with the
fibres of crus cerebri.
22. Substantia nigra
• Made up of deeply pigmented nerve cells
which contain melanin (a polymerized form of
dopamine) and iron.
• Cells synthesize dopamine which is carried
through their axons (nigrostriatal fibres) to
the corpus striatum.