1. The olfactory membrane lies in the superior part of each nostril and contains olfactory cells that are receptor cells for smell. These cells have cilia that project into nasal mucus and react to odors in the air.
2. When an odorant binds to receptor proteins in the cilia, it stimulates the olfactory cells. This causes sodium ions to enter the cells, generating an electrical signal that is transmitted to the olfactory cortex via the olfactory bulb and tract.
3. The olfactory system adapts rapidly to smells. It has a high sensitivity, detecting some odors in concentrations of trillionths of grams. Pathways transmit smell signals to areas involved in basic behaviors and conscious
Olfaction is one the major sense. In the following presentation, a brief description of the olfactory system is given. In this following topics are discussed: olfactory membrane, olfactory bulb, odor pathway, anosmia, directional smelling and plasticity. By the end of it, you will be able to describe the olfactory pathway of the nervous system.
Anatomy 1-The anatomy and physiology of human earFatima Aftab
how human ear enables us to produce sound waves and how we actually interpret them.I got a grade hope students will be clarifying their basic concepts related to anatomy of the human ear.
Olfaction is one the major sense. In the following presentation, a brief description of the olfactory system is given. In this following topics are discussed: olfactory membrane, olfactory bulb, odor pathway, anosmia, directional smelling and plasticity. By the end of it, you will be able to describe the olfactory pathway of the nervous system.
Anatomy 1-The anatomy and physiology of human earFatima Aftab
how human ear enables us to produce sound waves and how we actually interpret them.I got a grade hope students will be clarifying their basic concepts related to anatomy of the human ear.
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
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.
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.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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
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
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
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
1. Sense of smell
Dr. Sai Sailesh Kumar G
Associate Professor
Department of Physiology
NRIIMS
Email: dr.goothy@gmail.com
Phone: 7799585858
2. Introduction
Smell is the least understood sense
Why?
Smell is a subjective phenomenon
Can not be studied with ease in lower animals
Smell is poorly developed in human beings when compared with
lower animals
3. Olfactory membrane
Lies in the superior part of each nostril
Each nostril it has surface area of 2.4 square cm
Olfactory cells are the receptor cells of smell sensation
4. Olfactory cells
Bipolar nerve cells
100 million of these cells are present in olfactory epithelium
Mucosal end of the olfactory cell forms a knob from which 4-25
olfactory hairs / olfactory cilia arise
These cilia project into mucus that coats the inner surface of
nasal cavity
5.
6. Olfactory cells
Olfactory cilia form dense mat in the mucus
It is the cilia that react to the odour in the air
Then it stimulates the olfactory cells
Small bowman glands are present between the olfactory cells
Bowman glands secrete mucus
7. Stimulation of olfactory cells
1. The portion of olfactory cells that respond to olfactory chemical
stimuli is olfactory cilia
2. Odorant substance comes in contact with olfactory membrane
surface
3. Diffuses into the mucus that covers the cilia
4. Binds with receptor proteins in the membrane of cilium
8. Stimulation of olfactory cells
Receptor protein is long molecule
It threads its way through the membrane about seven times
Odorant binds with the portion of the receptor protein that folds
to outside
Inside of folding protein is coupled to G protein
G protein is combination of 3 sub units
9. Stimulation of olfactory cells
Upon activation of receptor protein
Alpha sub unit breaks away from the G protein
Activates adenylyl cyclase
Converts ATP to CAMP
CAMP activates sodium ion channel
Opens its gate
Allows large number of sodium ions into receptor cytoplasm
10. Stimulation of olfactory cells
Electrical potential moves towards positive direction
Inside the cell membrane
Excites olfactory neuron
Transmits the action potentials to olfactory cortex
11.
12. Special features
This mechanism multiplies the excitatory effect even the weakest odorant
Only volatile substances that can be sniffed into the nostrils can be smelled
Stimulating substance must be at least water soluble so that it can pass
through the mucus to reach the cilia
The substance should also be lipid soluble (slightly)
Lipid constituents of the cilium are weak barriers to non-lipid soluble
odorants
13. Membrane potentials
Membrane potentials inside unstimulated olfactory cells is -55mv
Most odorants reduce the potential to -30mv
Changes voltage to a positive direction
The number of action potentials increases
14. Rapid adaptation of olfactory sensation
Adapt 50 % in the first second
There after they adapt very little and very slowly
Smell sensation adapt within a minute after entering strong
odorous atmosphere
Psychological adaptation is far greater than degree of adaptation
of receptors
15. Rapid adaptation of olfactory sensation
Large number of centrifugal nerve fibers pass from olfactory
regions of the brain backward
Along the olfactory tract
and terminates on special inhibitory cells in the olfactory bulb
Feedback inhibition
Suppress the relay of smell signals
17. Primary smell sensations
However, this list does not represent true primary sensations of
smell
Studies suggest the existence of at least 100 primary sensations
of smell
Some studies reported that there are at least 1000 types of
odorant receptors
18. Affective nature of smell
Smell sensation has an affective quality
Pleasantness or unpleasantness
Smell is more imp than taste, especially in the selection of food
A person who has previously eaten food and disagreed with him
Often nauseated by the smell of the same food a second time
Perfume of the right quantity can be powerful stimulation of human
emotions
19. Threshold for smell
Methyl mercaptan –can be smelled when only one 25 trillionth of a
gram is present in each ml of air
Very low threshold
This substance is mixed with the natural gas to give the gas an odour
That can be detected when even small amounts of gas leak from the
pipeline
20. Pathway of smell
Olfactory portions of the brain were the first portions developed
in primitive animals
The olfactory nerve fibers leading backward from the bulb are
called cranial nerve I or olfactory tract
Both the tract and bulb are the anterior overgrowth of the brain
tissue from the base of the brain
21. Pathway of smell
Olfactory bulb lies over the cribriform plate
Short axons from olfactory cells terminates in multiple globular
structures with in the olfactory bulb – glomeruli
Each bulb has several thousands of such glomeruli
Around 25,000 axons terminates in one glomeruli
Mitral cells and tufted cells dendrites also terminates in glomeruli
22.
23. Pathway of smell
These dendrites receive synapse from olfactory neurons
Mitral and tufted cells send axons through the olfactory tract
Transmit olfactory signals to higher levels in CNS
Some research has suggested that different glomeruli respond to
different odours
24. Primitive and newer olfactory pathway
Olfactory tract enters the brain at the anterior junction between the
mesencephalon and cerebrum
There the tract divides into two pathways
One passing to medial olfactory area of brain stem
Other passing to lateral olfactory area
Medial olfactory area- primitive olfactory system
Lateral olfactory area – less old and newer system
25. Medial olfactory area
Consists of group of nuclei located immediately anterior to
hypothalamus
Septal nucleus
Concerned with basic behavior
26. Lateral olfactory area
Prepyriform and pyriform cortex
Cortical portions of amgydala
From these areas signals pass to all portions of limbic system
Esoecially hippocampus
Important to learn to like or dislike certain foods
Help to develop aversion to certain foods that have caused nausea and
vomiting
27. Lateral olfactory area
Some signals also pass to paleo cortex
Anteromedial portion of temporal lobe
This is the only area in the cortes where sensory signals pass
directly to cortex with out passing through thalamus
28. Newer pathway
Newer pathway pass through thalamus
Passing through dorsomedial thalamic nucleus
Then to latero-posterior quadrant of orbitofrontal cortex
Conscious analysis of odor
29. Disorders
Anosmia – loss of ability to smell
Hyposmia – reduced ability to smell
Dysosmia or parosmia – distorted sense of smell
30. Vomeronasal organ
In addition to the olfactory mucosa, the nose contains another
sense organ, the vomeronasal organ (VNO),
which is common in mammals but until recently was thought nonexistent in
humans
The VNO is located about half an inch inside the human nose next to the vomer
bone, hence its name.
It detects pheromones, nonvolatile chemical signals passed subconsciously
between individuals of the same species