The Middle Third Of The Facial Skeleton Is Defined As An Area Bounded,
Superiorly –Line Drawn Across The skull from the Zygomatico frontal Suture across the Frontonasal & Frontomaxillary sutures to the Zygomaticofrontal suture on the opposite side
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
It is made up of the following bones:
1. Two maxillae
2. Tw o palatine bones
3. Two zygomatic bones and their temporal processes
4. Two zygomatic processes of the temporal bone
5. Two nasal bones
this presentation describes about each bone individually and its applied anatomy
The Middle Third Of The Facial Skeleton Is Defined As An Area Bounded,
Superiorly –Line Drawn Across The skull from the Zygomatico frontal Suture across the Frontonasal & Frontomaxillary sutures to the Zygomaticofrontal suture on the opposite side
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
Inferiorly –by the occlusal plane of the upper teeth./upper alveolar ridge.
Posteriorly-The region is demarcated by the sphenoethmoidal junction but includes the free margin of the pterygoid laminae of the sphenoid bone inferiorly.
It is made up of the following bones:
1. Two maxillae
2. Tw o palatine bones
3. Two zygomatic bones and their temporal processes
4. Two zygomatic processes of the temporal bone
5. Two nasal bones
this presentation describes about each bone individually and its applied anatomy
Lateral skull base anatomy and applied science by Dr, bomkar bamBomkar Bam
the lateral skull base is complex anatomy that is usually students finds difficult to understand. here concise literature is made to understand the skull base more easily.
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
It contains following subheadings:
-maxilla and mandible anatomy
-TMJ(Temporo mandibular joint)
-Muscles of mastication
By:
Dr. Syed Irfan Qadeer
Prof. and HOD Department of Anatomy
SPIDMS,Lucknow
Anatomy of Orbit and its clinical importanceAshish Gupta
It's a presentation of Anatomy of Bony Orbit and its applied aspects. It's been made by compiling images from many sources and includes almost all the information needed for a postgraduate .
Base of orbit is closed partly by globe , extraocular muscles
& their fascial expansions.
- These fascial expansions & sup and inferior oblique muscles
bound 5 orifices between them & orbital margins .
-These are the communications between orbital cavity & deep
portion of eyelid.
- Through them blood & pus passes out of orbit . Further
spread in lid is prevented by orbital septum.
Clinical significance:
* A sharp object injury through upper lid penetrates the roof &
may damage frontal lobe.
* Orbital roof anamolies or fractures can lead to pulsatile
exophthalmos.
* Since roof is neither perforated by major nerves nor vessels , it
can be easily nibbed away in transfrontal orbitotomy
Lateral skull base anatomy and applied science by Dr, bomkar bamBomkar Bam
the lateral skull base is complex anatomy that is usually students finds difficult to understand. here concise literature is made to understand the skull base more easily.
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
It contains following subheadings:
-maxilla and mandible anatomy
-TMJ(Temporo mandibular joint)
-Muscles of mastication
By:
Dr. Syed Irfan Qadeer
Prof. and HOD Department of Anatomy
SPIDMS,Lucknow
Anatomy of Orbit and its clinical importanceAshish Gupta
It's a presentation of Anatomy of Bony Orbit and its applied aspects. It's been made by compiling images from many sources and includes almost all the information needed for a postgraduate .
Base of orbit is closed partly by globe , extraocular muscles
& their fascial expansions.
- These fascial expansions & sup and inferior oblique muscles
bound 5 orifices between them & orbital margins .
-These are the communications between orbital cavity & deep
portion of eyelid.
- Through them blood & pus passes out of orbit . Further
spread in lid is prevented by orbital septum.
Clinical significance:
* A sharp object injury through upper lid penetrates the roof &
may damage frontal lobe.
* Orbital roof anamolies or fractures can lead to pulsatile
exophthalmos.
* Since roof is neither perforated by major nerves nor vessels , it
can be easily nibbed away in transfrontal orbitotomy
presentation ...................
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Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
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.
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
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
5. Boundaries:
Superior
- top of the skull
Inferior
- orbits and root of
the nose
- frontal process of
the maxillae
Laterally
- frontal process of the
zygomatic bone.
11. Lateral wall
- Zygomatic process
of the frontal bone
- Orbital plate of the
zygomatic bone
- Orbital plate of the greater
wings of sphenoid.
12. Medial Wall
- Frontal process of
the maxilla
- Lacrimal bone
- Orbital plate of
ethmoid bone
- Body of sphenoid.
13. Floor
- Orbital plate of the maxilla
- Orbital plate of the
zygomatic bone
- Orbital process of
the palatine bone.
14. Base
Superiorly – frontal bone
Medially - frontal process
of the maxilla
Laterally - frontal process of
the zygomatic
bone
Inferiorly - Maxilla medially
- zygomatic bone
laterally.
17. Opening Location Structure
Orbital opening 5/6 of the eyeball
Supraorbital notch
/ foramen
Superior margin Supraorbital
nerves/vessels
Infraorbital
groove and canal
Floor/orbital
plate of maxilla
Infraorbital nerve
and blood vessels
Nasolacrimal
canal
Medial wall Nasolacrimal duct
18. Opening Location Structure
Inferior Orbital
Fissure
Between maxilla and
greater wing of
sphenoid
1. Maxillary nerve
and its
zygomatic
branch
2. Inferior
Opthalmic vein
3. Sympathetic
nerves
19. Opening Location Structure
Superior Orbital
Fissure
Between greater and
lesser wings of
sphenoid
1. Lacrimal N.
2. Frontal N.
3. Trochlear N.
4. Occulomotor N.
(upper and lower
divisions)
5. Abducent N.
6. Superior
Opthalmic Vein
20. Opening Location Structure
Anterior Ethmoidal
Foramen
Frontal Bone 1. Nasociliary N.
2. Anterior
Ethmoidal V. A.
and N.
Posterior
Ethmoidal Foramen
Frontal Bone 1. Posterior
Ethmoidal V., A.
and N.
Optic Canal Lesser Wing of
Sphenoid
1. Optic N.
2. Opthalmic N.
22. Bones involved
1. Nasal Bone
2. Frontal Bone
3. Ethmoid Bone
4. Sphenoid Bone
5. Vomer
6. Maxilla
7. Palatine Bone
8. Lacrimal Bone
9. Inferior nasal Concha.
25. Superior Wall
1. Anterior
– nasal bone
-nasal process of the
frontal bone
2. Middle
- cribriform plate of ethmoid
bone
3. Posterior
- body of the sphenoid
27. Lateral Wall
1. Contain turbinates or conchae which are bony
elevations made up of:
a. Superior and middle conchae of
the ethmoid bone
b. Inferior nasal conchae or
turbinates
2. Bounded by the posterior nares
3. Contain meatuses between nasal conchaes.
28. The Paranasal Sinuses
These are pneumatic bones surrounding the
nasal cavity.
Functions:
1. Lighten the bone of the skull
2. Resonating chambers.
29. Meatuses and Sinus Drainage of the Lateral
Wall of the Nasal Cavity
Meatus Sinus Drainage
Supreme or highest nasal
meatus or spheno-
ethmoidal recess
Sphenoidal sinus
Superior Nasal Meatus Posterior ethmoidal sinus
30. Meatuses and Sinus Drainage of the Lateral
Wall of the Nasal Cavity
Meatus Sinus Drainage
Middle nasal meatus Anterior and middle
ethmoidal sinus; frontal
sinus; and maxillary sinus
Inferior nasal meatus Nasolacrimal duct
32. - forms the prominence of a cheek, contributes to the
lateral orbital wall and floor, parts of the walls of
temporal and infratemporal fossae and completes
the zygomatic arch.
- roughly quadrangular with anteromedial and frontal
processes.
- It can be described as having three surfaces, five
borders and two processes.
33. Lateral View of the Zygomatic Bone
The Three Processes of
the Zygomatic Bone:
1. Temporal process
2. Frontal process
3. Maxillary process
35. 1. Anterolateral Surface
-is convex and pierced near its
orbital border by the
zygomaticofacial foramen (for
the zygomaticofacial nerve and
vessels); below this zygomaticus
minor and, posteriorly,
zygomaticus major are
attached.
36. 2. Posteromedial Temporal Surface
- has a rough anterior
area for articulation
with the maxilla and a
smooth, concave
posterior area
extending up
posteriorly on its
frontal process as the
anterior aspect of the
temporal fossa.
37. 3. Orbital Surface
- smooth and concave, is the
anterolateral part of the
orbital floor and
adjoining lateral wall,
extending up on the
medial aspect of its
frontal process.
41. Foramen Location Structure
Zycomatico-facial
foramen
Below the lateral
part of the lower
margin of the
orbit
1. zygomatigo-
facial branch
of the
Zygomatic N.
2. Lacrimal A.
Zygomatico-
temporal foramen
Temporal process
of the zygomatic
bone
Zygomatico-
temporal N. and
blood vessels
48. - Involves the mandible which is the strongest
bone of the face
- Houses the lower teeth
- Develops in 2 symmetrical halves which fuse
and ossify in the first year of life.
49. Characteristic Features of the Mandible
1. Symphisis menti
2. Mental protruberance
3. Alveolar processes
4. Mental foramen.
51. r
Opening Location Structure
Mental foramen Between the apices of
the mandibular
premolars
Mental nerve
Alveolar processes Upper border of the
mandible
Roots of mandibular
teeth
Mandibular foramen Lingual side of the
ramus of the mandible
Mandibular N.