The central nervous system consists of the brain and spinal cord. The brain is divided into the forebrain, midbrain, and hindbrain. The forebrain includes the cerebral hemispheres which are divided into lobes that control motor, sensory, auditory, visual, and higher cognitive functions. The basal ganglia help control movement. Lesions in specific areas of the brain can cause deficits like weakness, sensory loss, or language problems depending on the area affected. The spinal cord has segments that innervate parts of the body and carry motor and sensory information between the brain and body.
The brain stem is a critical part of the human brain that connects the brain to the spinal cord.
It plays a vital role in basic life functions and serves as a bridge between the higher brain centers (such as the cerebral cortex) and the rest of the body.
The brain stem is responsible for essential functions such as breathing, heart rate, blood pressure, and basic reflexes.
The brain stem is a critical part of the human brain that connects the brain to the spinal cord.
It plays a vital role in basic life functions and serves as a bridge between the higher brain centers (such as the cerebral cortex) and the rest of the body.
The brain stem is responsible for essential functions such as breathing, heart rate, blood pressure, and basic reflexes.
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1.Organization of the Nervous System.pptxSana67616
CNS physiology general description and introduction
Brain and spinal cord
Brain is covered by meninges, CSF is fluid present in subarachnoid space
It has a protective function
Peripheral nervous system consists of cranial nerves and spinal nerves
There are 12 pairs of cranial and 31 pairs of spinal nerves Spinal cord is present in the vertebral canal of vertebral column, surrounded by the meninges and there is CSF present in subarachnoid space.
- It is almost cylindrical but in cervical and lower thoracic and lumbar regions it contains fusiform shaped enlargements called cervical enlargements and lumbar enlargements.
In the cervical segments there is more gray matter and also there is more gray matter in the lower thoracic and lumbar region. Cervical segments supply the upper limb i.e. it supplies more muscles, so more gray matter is present. Similarly the lumbar region supplies the lower limb so more gray matter is present in this region.
Just below the lumbar enlargements, spinal cord abruptly tapers, this tapering part is called conus medularis, and it gives attachment to a fibrous thread called filum terminale, which is attached to the back of coccvx.
In the spinal cord on the anterior surface there is anterior median fissure and on the posterior surface is posterior median sulcus. Fissure is much deeper than the sulcus.
Spinal nerves arise from the spinal cord and each spinal nerve has two roots.
1. Ventral (anterior root); which is motor and it contains both somatic and autonomic fibers.
2. Dorsal (Posterior root); is sensory and in the dorsal root there is dorsal root ganglia. It contains sensory neurons which give rise to cell fibers.
the all the content in this profile is completed by the teachers, students as well as other health care peoples.
thank you, all the respected peoples, for giving the information to complete this presentation.
this information is free to use by anyone.
1.Organization of the Nervous System.pptxSana67616
CNS physiology general description and introduction
Brain and spinal cord
Brain is covered by meninges, CSF is fluid present in subarachnoid space
It has a protective function
Peripheral nervous system consists of cranial nerves and spinal nerves
There are 12 pairs of cranial and 31 pairs of spinal nerves Spinal cord is present in the vertebral canal of vertebral column, surrounded by the meninges and there is CSF present in subarachnoid space.
- It is almost cylindrical but in cervical and lower thoracic and lumbar regions it contains fusiform shaped enlargements called cervical enlargements and lumbar enlargements.
In the cervical segments there is more gray matter and also there is more gray matter in the lower thoracic and lumbar region. Cervical segments supply the upper limb i.e. it supplies more muscles, so more gray matter is present. Similarly the lumbar region supplies the lower limb so more gray matter is present in this region.
Just below the lumbar enlargements, spinal cord abruptly tapers, this tapering part is called conus medularis, and it gives attachment to a fibrous thread called filum terminale, which is attached to the back of coccvx.
In the spinal cord on the anterior surface there is anterior median fissure and on the posterior surface is posterior median sulcus. Fissure is much deeper than the sulcus.
Spinal nerves arise from the spinal cord and each spinal nerve has two roots.
1. Ventral (anterior root); which is motor and it contains both somatic and autonomic fibers.
2. Dorsal (Posterior root); is sensory and in the dorsal root there is dorsal root ganglia. It contains sensory neurons which give rise to cell fibers.
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
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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.
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
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.
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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.
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2. Nervous system
The nervous system is divided into central nervous system (CNS) and peripheral nervous system (PNS).
The Central Nervous System (CNS)
Def.
is the part of the nervous system lying within bony cavities. It includes the brain (within the skull) and the spinal cord (within the spinal
canal of the vertebral column).
Function
receives sensation, integrate them and send the motor orders to the peripheral nervous system then to the muscles or glands.
Peripheral Nervous System (PNS)
Def.
• is classified according to its function or its site of origin from the nervous system into:
• 1. Cranial nerves: emerge from the brain stem except olfactory and optic nerves.
• 2.The spinal nerves: originate from the spinal cord
Function
transmits the sensation to the CNS and carries the motor orders to muscles or glands.
3.
4. Brain
Def.
is enclosed within the cranial cavity of the skull, and surrounded by
three protective membranes (meninges).
Subdivisions
1. Forebrain: this includes:
a. Telencephalon: it is the two symmetric cerebral hemispheres
which include the cerebral cortex (gray matter), subcortical
white and the basal ganglia.
b. Diencephalon: it includes the thalami.
2. Midbrain (mesencephalon).
3. Hindbrain: it includes:
a. Medulla oblongata.
b. Pons.
c. Cerebellum.
5. Cerebrum
Def‘.:-It’s the upper and largest part of the brain.
It’s divided incompletely into two hemispheres; Rt.&Lt. cerebral hemispheres by the median
longitudinal cerebral fissure.
At the floor of this fissure a mass of white matter called the corpus callosum unites the 2 cerebral
hemispheres together
• The Cerebral hemispheres occupies the ant., middle and upper part of the post. Cranial fossa
• Covering meningies
The central nervous system is covered by three coverings called meninges. These from inward to outward are pia matter, arachnoid matter and
dura matter.
1.The pia matter fits on very closely to the brain and dips into all sulci.
2.The arachnoid matter is a very thin and delicate membrane and doesn't enter the sulci of the brain. Pia and arachnoid are separated by a
narrow space named the “subarachnoid space" within which the blood vessels of the brain lie.
3. Dura matter is a tough membrane and separated from skull bones by epidural space and from arachnoid matter by subdural space.
6.
7. Areas of cerebral cortex
• The lobes are separated from each other by sulci (fissures):
The central sulcus separates the frontal from the parietal lobe.
The parieto-occipital sulcus separates the parietal from the occipital
lobe.
The lateral sulcus (sylvian fissure) separates the frontal and parietal
lobes from the temporal lobe.
8. frontal lobe
comprises the following important areas:
• "Area 4": is the primary motor area. This area controls the voluntary
movements of the skeletal muscles on the opposite side of the body.
• "Area 6": is the premotor area. It takes part in the control of
extrapyramidal system and gives some fibers to the pyramidal tract.
• "Area 8": is concerned with eye movements and papillary changes.
• ''Areas 44 and 45'' (Broca's area) is an important area for speech.
• "Area 9,10,11,12": are the frontal association areas and are concerned
with higher mental function.
9. Irritative lesion of the frontal lobe leads to:
1-convulsive seizures on the opposite side of the body (focal convulsions).
2-Attacks of conjugate eye deviation to the opposite side of the lesion.
Destructive lesion of the frontal lobe leads to:
1-Contralateral paralysis, contralateral hypertonia of muscles.
2-Paralysis of conjugate eye movement to the opposite side of lesion.
3-Motor aphasia and Agraphia.
4-Mentality, personality and behavioural changes.
5-Incontinence urine and faeces.
10. parietal lobe
comprises the following important areas:
• "Areas 3,1,2”: are considered the primary sensory areas.
• "Area 5 and 7": are the sensory association areas. They are concerned
with steriognosis and graphoesthesia.
Irritative lesion of the parietal lobe leads to:
1. Contralateral sensory Jaksonian fit.
Destructive lesion of the parietal lobe leads to:
1. Contralateral cortical sensory loss.
2. ALexia, Garone's aphasia (word salad and apraxia.
3. Asteriognosis.
11. temporal lobe
comprises the following important areas:
• "Area 41and 42": these are the primary auditory areas.
• "Area 22": is the auditory association area and is responsible for knowing the meaning of
sounds.
Irritative lesion of the temporal lobe lead to:
- Auditory hallucination.
Destructive lesion of the temporal lobe lead to:
1-Slight hearing impairment.
2-Auditory agnosia.
3-Temporal seizures.
4-Anterograde amnesia.
5- Perceptive aphasia (in ability of the patient to know the meaning of heard sounds.
12. occipital lobe
comprises the following important areas:
• "Area 17": it is the primary cortical visual area.
• "Area 18 and 19": are visual association areas and are responsible for
knowledge the meaning of the pictures or words seen.
Irritative lesion of the occipital lobe lead to:
-Visual hallucination sparks, lines, flashes
Destructive lesion of the occipital lobe lead to:
1-Homonymous hemianopia.
2-Visual agnosia.
3-Paralysis of reflex conjugate eye movement.
13. THE BASAL GANGLIA
• The basal ganglia are
masses of grey matter
situated deeply within the
cerebral hemispheres.
• They are formed of 4
nuclei: caudate, lentiform
(putamen and globus
pallidus), amygdaloid and
claustrum nuclei.
• Caudate and lentiform
nuclei are the main part of
the extrapyramidal system.
• Amygdaloid nucleus is
concerned with smell and
emotion.
14. THE BASAL GANGLIA
Basal ganglia dysfunction: Defects in function of the basal ganglia
(sometimes termed extrapyramidal lesions) produce movement
disorders in the form of:
Akinesia or bradykinesia e.g. parkinson’s disease and parkinonism.
Hyperkinesia or dyskinesia e.g. chorea.
Dystonias and tics
15. DIENCEPHALON
The diencephalons includes: thalamus,
subthalamus, hypothalamus and
epithalamus.
• Thalamus is considered to be the
subcortical station for all types of
sensation (especially pain) except
olfaction.
• Lesions of the thalamus produce thalamic
syndrome which is caused mainly by
vascular aetiology.
• Subthalamus: leis between the midbrain
and the thalamus and it is mainly
connected to the extrapyramidal system.
• Epithalamus: concerned with olfaction.
• Hypothalamus: it leis below the thalamus
and has wide varieties functions, among
these functions are: temperature control,
autonomic nervous system control,
endocrine control, emotional stress
reaction, etc.
16. Brain stem
• THE BRAIN STEM consists of the midbrain (mesencephalon), pons,
and medulla oblongata.
• It contains the nuclei of the cranial nerves (the exceptions are the first
two cranial nerve nuclei),
17. Brain stem
Midbrain: is the short portion of the
brain stem between the pons (below) and
deincephalon (above).
•The midbrain can be divided into three
main parts:
1.The tectum (quadrigeminal plate).
2. The tegmentum, which is a
continuation of the pons tegmentum.
3.The very large crus cerebri, which
contains the corticofugal fibers.
• The midbrain contains two cranial
nerve nuclei, the oculomotor and
trochlear nuclei and two cerebral
peduncles.
•The most prominent nuclear mass in
the midbrain is the substantia nigra,
18. Brain stem
• Pons: it leis between the
medulla (below) and mid
brain (above) and in front
of the cerebellum.
• It includes, transverse
pontine fibers and pontine
nuclei, and the trigeminal,
abducent, facial and
vestibule-cochler nerve
nuclei.
19. Brain stem
• Medulla oblongata: connects the
pons superiorly with the spinal
cord inferiorly.
• The medulla can be divided into
a caudal (closed) portion and a
rostral (open) portion. The
division is based on the absence
or presence of the lower fourth
ventricle.
• It includes: pyramids, olive,
gracile, decussation of pyramids,
cuneate tubercle and cranial
nerve nuclei of the
glossopharyngeal, vagus,
accessory and hypoglossal
nerves.
20. CEREBELLUM
• The cerebellum is located in
the posterior fossa of the skull
behind the pons and upper
medulla and is separated from
the overlying cerebrum by an
extension of the dura matter
named “tentorium cerebelli”
• It is composed of vermis and
two lateral masses “cerebellar
hemispheres”.
• Lesion of cerebellum produce
trunkal ataxia, swaing,
staggering gait, hypotania,
dysmetria, intention tremors
and inability to perform rapid
alternating movements
(Adiadochokinesia).
21. VENTRICLES
There are 4 ventricles in the
brain: the two lateral
ventricles, the third ventricle
and the forth ventricle.
• The lateral ventricle is the
cavity of each cerebral
hemisphere.
• The third ventricle is the
cavity of the diencephalon
(between the two thalami).
• The fourth ventricle is the
cavity of the hind brain
(pons, medulla and
cerebellum).
22. VENTRICLES
• The lateral ventricles are connected
with the third ventricle by the “foramen
of Monro” (interventricular foramen)
and the third ventricle is connected with
the forth ventricle by the “Aqueduct of
sylvius’’ (Aqueduct of the midbrain).
• The fourth ventricle is connected to the
subarachnoid space by the foramena of
magendi and Lushka.
• Obstruction any where within the
ventricular system produces
hydrocephalus and this type of
hydrocephalus is named “internal or
obstructive or non-communicating
hydrocephalus”.
23. CRANIAL NERVES
There are ‘12’ pairs of cranial nerves
• I- Olfactory: modulates smell.
• II- Optic: modulates vision.
• III- Oculomotor, IV- Ttochlear and VI-
Abducent concerned with ocular
movements and papillary reactions.
• V- Trigemenal: sensory to the face and
anterior 2/3 of the scalp and motor to
the muscles of masticationز
• VII-Facial nerve: modulates motor to
muscles of expression, frontalis,
orbicularis oculi, buccinator, orbicularis
oris, retractor angularis and stapedius
muscles.
-Secretory: to salivary glands and the
lacrimal gland
-Taste sensation: anterior 2/3 of the
tongue
- Sensory: External auditory meatus.
24. CRANIAL NERVES
• VIII- Vestibullocochlear nerve:
-Vestibular division: modulates
equilibrium.
-Cochlear division: modulates hearing.
• IX- Glossopharyngeal, X- Vagus and
- Accessory (cranial part) supply palatal,
pharyngeal and laryngeal muscles.
- Spinal part of accessory: supplies
sternomasoid and trapezius muscles.
• XII- Hypoglossal supplies extrinsic and
intrinsic muscles of the tongue except
palatoglossus.
• There are 12 cranial nerves classified
according to the type of the fibers they
contain.
1- Purely sensory nerves:1,2 and 8.
2- Purely motor nerves:3,4,6,11,12.
3-Mixed (sensory and motor) nerves:
5,7,9,10.
25. SPINAL CORD
• Spinal cord is the part of the CNS
contained within the spinal canal of
the vertebral column. It is
composed of ‘31’ segments
arranged as follow: ‘8’ cervical,
‘12’ thoracic, ‘5’ lumbar,
‘5’sacral and ‘1’ coccygeal.
• The spinal cord ends at the lower
border of the first lumbar vertebra.
Thus, each segment of the spinal
cord does not correspond to the
same vertebra.
• The spinal cord segment consists of
central gray matter and peripheral
white matter which is classified
into columns (posterior, anterior
and lateral) where tracts ascend or
descend.
26. SPINAL CORD
• The end of the spinal cord has special
characters and contains the following
regions: conus medullaris (sacral
segments number 3,4 and 5) and
epiconus ( lumbar segments 4 and 5
and sacral segments 1 and 2).
• Cauda equine: are the roots that fill the
spinal canal after the end of the spinal
cord.
• Spinal cord disorders lead to weakness
in a upper motor neuron (UMN) pattern
below the lesion, and weakness in a
nerve root pattern at the level of the
lesion. There are may be sensory loss
below the level of the lesion due to
interruption of ascending tracts.
27. SPINAL NERVES
There are '31' pairs of spinal
nerves corresponding to the spinal
segments. These nerves have short
trunks formed by combination of
the dorsal root (sensory) and
ventral root (motor) in the
intervertebral foramen of the
corresponding vertebrae. These
spinal nerves divide immediately
after emerging from the
intervertebral foramen into two
unequal divisions, large medial
division and small lateral division.
Each of these divisions contains
both motor sensory fibers which
supply all skeletal muscles of the
body and convey all modalities of
sensation to the ascending tracts
of spinal cord.