1. Bone formation occurs through two processes: intramembranous ossification where bone forms within mesenchymal tissue without a cartilage model, and endochondral ossification where a cartilage model is replaced by bone through the development of primary and secondary ossification centers.
2. In endochondral ossification, chondrocytes in the cartilage model undergo hypertrophy and are replaced by bone, forming the primary ossification center in the diaphysis. Secondary centers later form in the epiphyses.
3. Growth of long bones occurs through the epiphyseal plate where columns of proliferating chondrocytes are replaced by bone through invasion of blood vessels and osteoblast
SKELETAL SYSTEM PART 1 IS AN INTRODUCTION CLASS ABOUT BONE ANATOMY , DEVELOPMENT & OSSIFICATION PROCESS. BONE & CARTILAGE NORMAL HISTOLOGY & OSSIFICATION PROCESS ARE DISCUSSED IN DETAIL. HREST OF THE BONE PATHOLOGY WILL BE DISCUSSED IN OTHER SECTIONS.
CHONDROBLAST:Progenitor of chondrocytes
Lines border between perichondrium and matrix
Secretes type II collagen and other ECM components
CHONDROCYTE: Mature cartilage cell
Reside in a space called the lacuna
Clear areas = Golgi and lipid droplets,RER
PERICHONDRIUM:Dense irregularly arranged connective tissue
Ensheaths the cartilage
Houses the blood vessels that nourish chondrocytes
CARTILAGE GROWTH:Appositional
Increasing in WIDTH; chondroblasts deposit matrix on surface of pre-existing cartilage
Interstitial
Increasing in LENGTH; chondrocytes divide and secrete matrix from w/in lacunae
• Osseous tissue, a specialised form of dense connective tissue consisting of bone cells (osteocytes)• Embedded in a matrix of calcified intercelluarsubstance• Bone matrix contains collagen fibres and the minerals calcium phosphate and calcium carbonate
SKELETAL SYSTEM PART 1 IS AN INTRODUCTION CLASS ABOUT BONE ANATOMY , DEVELOPMENT & OSSIFICATION PROCESS. BONE & CARTILAGE NORMAL HISTOLOGY & OSSIFICATION PROCESS ARE DISCUSSED IN DETAIL. HREST OF THE BONE PATHOLOGY WILL BE DISCUSSED IN OTHER SECTIONS.
CHONDROBLAST:Progenitor of chondrocytes
Lines border between perichondrium and matrix
Secretes type II collagen and other ECM components
CHONDROCYTE: Mature cartilage cell
Reside in a space called the lacuna
Clear areas = Golgi and lipid droplets,RER
PERICHONDRIUM:Dense irregularly arranged connective tissue
Ensheaths the cartilage
Houses the blood vessels that nourish chondrocytes
CARTILAGE GROWTH:Appositional
Increasing in WIDTH; chondroblasts deposit matrix on surface of pre-existing cartilage
Interstitial
Increasing in LENGTH; chondrocytes divide and secrete matrix from w/in lacunae
• Osseous tissue, a specialised form of dense connective tissue consisting of bone cells (osteocytes)• Embedded in a matrix of calcified intercelluarsubstance• Bone matrix contains collagen fibres and the minerals calcium phosphate and calcium carbonate
La osificación es el proceso y el resultado de osificar, un verbo que refiere al proceso que lleva a un elemento orgánico a transformarse en un hueso o a obtener una apariencia similar a él. A través de la osificación, por lo tanto, puede crearse un nuevo componente óseo.
Bone tissue is the major structural and supportive connective tissue of the body. Osseous tissue forms the rigid part of the bones that make up the skeletal system.
Structure of bone By M Thiru murugan.pptxthiru murugan
Structure of Bone
By,M. Thiru murugan
Structure of bone:
The basic structure of bones is bone matrix, which makes up the underlying rigid framework of bones, composed of both compact bone and spongy bone.
The bone matrix consists of tough protein fibers, mainly collagen, that become hard and rigid due to mineralization with calcium crystals.
Bone matrix is crossed by blood vessels and nerves and also contains specialized bone cells that are actively involved in metabolic processes.
Bone matrix provides bones with their basic structure. Notice the spongy bone in the middle, and the compact bone towards the outer region. The osteon is the functional unit of compact bone.
The microscopic structural unit of compact bone is called an osteon, or Haversian system.
Each osteon is composed of concentric rings of calcified matrix called lamellae (singular = lamella).
Running down the center of each osteon is the central canal, or Haversian canal, which contains blood vessels, nerves, and lymphatic vessels.
These vessels and nerves branch off at right angles through a perforating canal, also known as Volkmann’s canals, to extend to the periosteum and endosteum
Bone Cells: Bones are made of four main kinds of cells:
Osteoblasts
Osteocytes
Osteoclasts
Lining cells.
Osteoblasts: are responsible for making new bone as your body grows.
They also rebuild existing bones when they are broken. To make new bone, many osteoblasts come together in one spot then begin making a flexible material called osteoid.
Minerals are then added to osteoid, making it strong and hard. When osteoblasts are finished making bone, they become either lining cells or osteocytes.
Osteocytes: Mature bone cells are called osteocytes
Osteoclasts: Bone-destroying cells & Break down bone matrix for remodelling and release of calcium
Lining cells: are very flat bone cells.
These cover the outside surface of all bones and are also formed from osteoblasts that have finished creating bone material.
These cells play an important role in controlling the movement of molecules in and out of the bone
Bone Tissues:
Bones consist of different types of tissue, including periosteum, compact bone, spongy bone, and bone marrow.
Periosteum.
Cortical, or Compact Bone.
Cancellous, or Spongy Bone.
Bone Marrow.
1.Periosteum: The periosteum is a tough membrane that covers and protects the outside of the bone.
2.Compact bone: Below the periosteum, compact bone is white, hard, and smooth. It provides structural support and protection.
3.Spongy bone: The core, inner layer of the bone is softer than compact bone. It has small holes called pores to store marrow
4. Bone Marrow: The inside bones are filled with a soft tissue called marrow.
There are 2 types of bone marrow: red and yellow.
Red bone marrow is where all new RBC, WBC, and platelets are produced.
Red bone marrow is found in the center of flat bones such as your scapula and ribs.
Yellow marrow is made mostly of fat and is found in th
La osificación es el proceso y el resultado de osificar, un verbo que refiere al proceso que lleva a un elemento orgánico a transformarse en un hueso o a obtener una apariencia similar a él. A través de la osificación, por lo tanto, puede crearse un nuevo componente óseo.
Bone tissue is the major structural and supportive connective tissue of the body. Osseous tissue forms the rigid part of the bones that make up the skeletal system.
Structure of bone By M Thiru murugan.pptxthiru murugan
Structure of Bone
By,M. Thiru murugan
Structure of bone:
The basic structure of bones is bone matrix, which makes up the underlying rigid framework of bones, composed of both compact bone and spongy bone.
The bone matrix consists of tough protein fibers, mainly collagen, that become hard and rigid due to mineralization with calcium crystals.
Bone matrix is crossed by blood vessels and nerves and also contains specialized bone cells that are actively involved in metabolic processes.
Bone matrix provides bones with their basic structure. Notice the spongy bone in the middle, and the compact bone towards the outer region. The osteon is the functional unit of compact bone.
The microscopic structural unit of compact bone is called an osteon, or Haversian system.
Each osteon is composed of concentric rings of calcified matrix called lamellae (singular = lamella).
Running down the center of each osteon is the central canal, or Haversian canal, which contains blood vessels, nerves, and lymphatic vessels.
These vessels and nerves branch off at right angles through a perforating canal, also known as Volkmann’s canals, to extend to the periosteum and endosteum
Bone Cells: Bones are made of four main kinds of cells:
Osteoblasts
Osteocytes
Osteoclasts
Lining cells.
Osteoblasts: are responsible for making new bone as your body grows.
They also rebuild existing bones when they are broken. To make new bone, many osteoblasts come together in one spot then begin making a flexible material called osteoid.
Minerals are then added to osteoid, making it strong and hard. When osteoblasts are finished making bone, they become either lining cells or osteocytes.
Osteocytes: Mature bone cells are called osteocytes
Osteoclasts: Bone-destroying cells & Break down bone matrix for remodelling and release of calcium
Lining cells: are very flat bone cells.
These cover the outside surface of all bones and are also formed from osteoblasts that have finished creating bone material.
These cells play an important role in controlling the movement of molecules in and out of the bone
Bone Tissues:
Bones consist of different types of tissue, including periosteum, compact bone, spongy bone, and bone marrow.
Periosteum.
Cortical, or Compact Bone.
Cancellous, or Spongy Bone.
Bone Marrow.
1.Periosteum: The periosteum is a tough membrane that covers and protects the outside of the bone.
2.Compact bone: Below the periosteum, compact bone is white, hard, and smooth. It provides structural support and protection.
3.Spongy bone: The core, inner layer of the bone is softer than compact bone. It has small holes called pores to store marrow
4. Bone Marrow: The inside bones are filled with a soft tissue called marrow.
There are 2 types of bone marrow: red and yellow.
Red bone marrow is where all new RBC, WBC, and platelets are produced.
Red bone marrow is found in the center of flat bones such as your scapula and ribs.
Yellow marrow is made mostly of fat and is found in th
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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!
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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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.
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
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/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
4. 1
.
Intra-membranous ossification
`
• occurs in flat bones of skull, face and clavicle.
•with no cartilage template
• It takes place within the center of mesenchymal tissue, where a
primary center of ossification appears in which the mesenchymal
cells differentiate into osteogenic cells and the blood vessels are
increased.
•The osteogenic cells divide to form osteoblasts which form bone
matrix.
• The osteoblasts that are surrounded by bone matrix are now
called osteocytes.
• The new bone extends from the center of ossification outwards
in radial manner forming a net of interlacing trabeculae. Thus the
mesenchymal membrane is changed into spongy bone.
5. • The vascular tissue that fills the spaces between the
trabeculae of spongy bone forms the bone marrow and the
osteogenic cells form the endosteum. The osteogenic cells
in the tissue covering the bone plate form the periosteum.
• The osteoblasts present in the periosteum deposit bone in
regular layers forming parallel lamellae of compact bone.
8. 2
.
Endochondral ossification
• Occurs in long bones in which a temporary
cartilaginous model of the future bone is first
formed.
• The cartilage is then removed and its place is
taken by new bone.
• This process involves the development of primary
and secondary centers of ossification.
9. Primary center of ossification
It occurs in the diaphysis of the cartilaginous model during the late
embryonic and early fetal life:
1. Chondrocytes within the core of the cartilage model undergo
hypertrophy and calcium salts are deposited around their
lacunae.
2. Chondrocytes degenerate due to prevention of diffusion from
the matrix, leaving empty spaces.
3. The perichondrium becomes highly vascular causing the
transformation of the chondrogenic cells to osteogenic cells
which differentiate into osteoblasts. The perichondrium is now
called the periosteum.
4. The osteoblasts start to lay down a collar of compact bone
around the shaft called periosteal collar.
5. The osteoclasts form perforations in the bone collar that permits
the periosteal bud to enter the newly formed spaces in the
cartilaginous model. The periosteal bud consists of blood
vessels and osteoblasts.
10. 6. The thin walls of the empty lacunae are broken down
forming the primary marrow spaces which will be filled by
primary red marrow derived from the vascular bud.
7. The subperiosteal bone collar becomes thicker and
elongates toward the epiphysis.
8. Osteoblasts that have accompanied the vascular bud
start to lay down bone on the walls of the spaces.
9. Gradually, as a result of bone resorption by the
osteoclasts and bone deposition by osteoblasts, spongy
bone is formed in the center of the shaft, surrounded by
compact bone.
10. Later, a large marrow cavity occupied by red marrow
appears in the center of the bone.
11.
12. Secondary center of ossification
The secondary center of ossification develops at the
epiphysis after birth in a sequence similar to the
described for the primary center.
The chondrocytes in the center of epiphysis hypertrophy.
The matrix becomes calcified thus the chondrocytes
degenerate leaving empty spaces.
Blood vessels and osteogenic cells invade these spaces and
the osteoblasts lay down bone matrix on the
disintegrating cartilage. Thus, the cartilage in the middle
of the epiphysis is replaced by cancellous bone.
When the epiphyses are filled with bone tissue, cartilage
remains in two areas; the articular surface and the
epiphyseal plates.
13.
14. The epiphyseal plate:
During growth of long bone the following zones are found in the
epiphyseal plate from epiphysis to diaphysis.
• Resting zone: It is present next to the epiphyseal cartilage. It is
a layer of hyaline cartilage. The covering perichondrium of this
cartilage is very rich in osteogenic cells and blood vessels.
• Proliferative zone: chondrocytes divide rapidly and form
columns parallel to the long axis of the bone.
• Hypertrophic zone: chondrocytes accumulate glycogen and
increase in size, while the matrix between them is reduced. They
produce alkaline phosphatase, which is concerned with the
calcification of intercellular matrix.
• Calcification zone: the thin septa of cartilage matrix become
calcified by the deposition of hydroxyapatite. Calcification
prevents the nutrients from diffusion through the matrix leading
to degeneration of chondrocytes.
• Invasion & Ossification zone: blood capillaries & osteogenic
cells invade the cavities left by chondrocytes. Osteogenic cells
differentiate into osteoblasts, which deposit bone matrix over the
calcified cartilage.
21. Bone growth and remodeling
• Bone growth is generally associated with partial
resorption of bone tissue and simultaneous lying down of
new bone. The growth of long bones is a complex
process. The diaphyseal shaft increases in length as a
result of osteogenic activity of the epiphyseal plate, and
increases in width as a result of formation of new bone by
the periosteum on the external surface. At the same time,
bone is removed from the internal surface causing the
bone marrow cavity to increase in diameter.
• When the cartilage of the epiphyseal plate stops growing,
it is replaced by bone tissue around age 20.
22. Repair of bone fractures (breaks
(
•
Simple and compound fractures
•
Closed and open reduction
24. Factors regulating bone growth
Vitamin D: increases calcium from gut
Parathyroid hormone (PTH(: increases
blood calcium (some of this comes out of
bone(
Calcitonin: decreases blood calcium
(opposes PTH(
Growth hormone & thyroid hormone:
modulate bone growth
Sex hormones: growth spurt at adolescense
and closure of epiphyses