1) Neoplasia refers to abnormal and uncontrolled cell growth, which can be benign (non-cancerous) or malignant (cancerous). The study of tumors is called oncology.
2) Tumors have two components - tumor parenchyma consisting of neoplastic cells, and reactive stroma made of connective tissue. The characteristics of the parenchymal cells determine if a tumor is benign or malignant.
3) Benign tumors are self-limited, do not invade or metastasize. Malignant tumors can invade surrounding tissues and spread to other parts of the body.
Neoplasia
Overview
Characteristics of neoplasms compared to normal tissues
Types of neoplasms
Benign vs malignant
Cellular differentiation
Genetic basis for neoplasia
What is a “neoplasm”?
Lay term of “tumor” conveys usual connotations – ie a new growth or mass
Definition revolves around these features:
Monoclonal proliferation of cells with specific mutations
Excessive and unregulated growth of these cells, often at the expense of surrounding normal tissue
Terms to know about when discussing neoplasia
Metastasis - spread of a malignant tumor from one site to another via blood or lymph
Benign – typically refers to those tumors incapable of metastasis and having a good clinical outcome (prognosis)
Malignant – those tumors capable of invasive growth and/or metastasis, often fatal if not treated effectively
Parenchyma – these are the tumor cells themselves, usually referring to epithelial cells in organs.
Stroma – connective tissue cells that support the parenchymal cells – not actually tumor cells, but are stimulated to grow by the tumor via growth factors, eg angiogenesis
Cellular differentiation
Tumors are often “graded” as to how closely they resemble the normal parent tissue that they are derived from.
Well-differentiated means the cells are very similar in appearance and architectural arrangement to normal tissue of that organ
Differentiation
“Poorly-differentiated” refers to tumors that show only minimal resemblance to the normal parent tissue they are derived from.
“Anaplastic” means the tumor shows no obvious similarity to it’s parent tissue, usually associated with aggressive behavior
So what??????
Differentiation often provides clues as to the clinical aggressiveness of the tumor
Tumors often lose differentiation features over time as they become more “malignant” and as they acquire more cumulative genetic mutations
Differentiation often predicts responsiveness to certain therapies, eg estrogen receptors and Tamoxifen in breast cancers
Benign
– circumscribed, often encapsulated, pushes normal tissue aside
Malignant
– infiltrative growth, no capsule, destructive of normal tissues
Classification of neoplasms
Epithelial tumors
Benign forms – adenoma , papilloma
Malignant forms – carcinoma, eg adenocarcinoma, squamous cell carcinoma
Mesenchymal tumors
Benign forms – fibroma, leiomyoma,
Malignant forms – sarcoma, eg fibrosarcoma, leiomyosarcoma
Classification continued
Tumors of lymphocytes are always malignant – called lymphoma
Tumors of melanocytes
Benign – nevus
Malignant - melanoma
Precursors of neoplasia
Hyperplasia
Metaplasia
Chronic inflammation
dysplasia
Metaplasia, dysplasia, neoplasia
Oncology - For nursing students - tumors classification, cancer, differences between benign and malignant neoplasm,spread of cancer, pathophysiology with cancer cells, carcinogenesis, etiology, cancer screening, cancer prevention, management of cancer, radiation therapy, chemotherapy, bone marrow transplantation, oncologic emergencies
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.
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
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
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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.
2. DEFINITION
• Neoplasia means “new growth”
• But every new growth is not neoplasia
• So, normal cells are transforming into neoplastic cells
• The study of neoplasms or tumors is called as ONCOLOGY
• All tumors have two basic components: 1) tumor parenchyma
• 2) reactive stroma
• Tumor parenchyma constitutes neoplastic cells
• Reactive stroma made up of connective tissue, blood vessels, and
cells of innate and adaptive immunity
3. • Tumor parenchyma play important role in nomenclature of tumors
and biological behavior of tumor
• Tumor will be benign or malignant depending on parenchymal cells
• Parenchymal cells produce growth factors that leads to production of
excess collagen and is called as DESMOPLASIA
• The tumors with high parenchymal content and lo stromal content
are SOFT and FLESHY
• In some tumors, severe desmoplasia is seen and is called as
SCIRRHOUS TUMORS which are stony hard ( e.g. female breast)
4. • Neoplastic tissue has some special growth characteristics:
• 1) excessive manner
• 2) unco-ordinated growth
• 3) persistent and progressive
• 4) autonomous growth
• Factors for normal cells transforming into neoplastic cells:
• 1) DNA damage
• 2) radiation
• 3) chemical carcinogens
• 4) genetic defect
5. Genetic Make-Up
• There are certain genes in cells, if stimulated starts proliferation of
cells and are called as PROTO-ONCO GENES
• Another type of genes, whose products stops proliferation of cells
and are called as TUMOR SUPPRESOR GENES
• Group of genes, whose products determine survival of cells and are
called as ANTI-APOPTOTIC GENES
• Another group of genes, whose products leads to apoptosis of cells
and are called as PRO-APOPTOTIC GENES
6. • Any abnormality or damage that stimulates proto-oncogenes, causes
NEOPLASIA
• If any damage to proto-oncogenes and anti-apoptotic genes, cells
over proliferates and over survive that automatically leads to
neoplasia
• Actually to develop neoplasia, several series of mutations must be
given and these mutations are called as SECONDARY MUTATIONS
• Neoplastic growth is does not perform any beneficial function to the
body and called as PURPOSELESS GROWTH
7. Classification of tumors
• BENIGN: tumor is said to be benign when the tumor is localized and show
no metastasis
• This type of tumors can be surgically removed
• Nomenclature of benign tumors is by attaching suffix-oma to name of cell
type from which tumor originates
• MALIGNANT: tumor is said to be malignant if the neoplastic cells can
invade other tissues and destroy adjacent structures and show metastasis
• These type are collectively referred as CANCERS
• Nomenclature of malignant tumors follows the same schema used for
benign conditions
8.
9. BENIGN TUMORS
• Connective tissue and derivatives: 1) fibroma
• 2) lipoma
• 3) chondroma
• 4) osteoma
• Tumor of blood vessel: Hemangioma
• Tumor of lymph vessel: Lymphangioma
• Tumor of mesothelium: Benign fibrous tumor
• Tumor of brain coverings: Meningioma
• Tumor of smooth muscle: Leiomyoma
• Tumor of striated muscle: Rhabdomyoma
• Tumor of stratified squamous epithelium: Squamous Cell Papilloma
10. • Tumors of epithelial lining of glands or ducts: 1) Adenoma
• 2) papilloma
• 3) cystadenoma
• Tumor of respiratory passages: Bronchial Adenoma
• Tumor of renal epithelium: Renal Tubular Adenoma
• Tumor of liver cells: Hepatic Adenoma
• Tumor of transitional epithelium: Transitional Cell Papilloma
• Tumor of placental epithelium: Hydatiform Mole
• Tumor of melanocytes: Nevus
46. Mixed Tumors
• Benign tumor of salivary glands is called as Pleomorphic adenoma
• Malignant tumor of salivary glands is called as Malignant mixed tumor
of salivary glands origin
