The postmortem interval (PMI), also known as time since death, refers to the time between death and the examination of the body. There are several methods that can provide an estimated PMI range, including algor mortis (cooling of the body), rigor mortis, hypostasis, insect activity, and biochemical changes. No single method can precisely determine time of death, but considering circumstances and multiple lines of evidence can offer an educated PMI range, with shorter intervals providing a narrower range than longer intervals after death. The document outlines various signs and their timelines that may indicate PMI.
Thanatology
Types of transplants
Cause, Mechanism of Death
Manner of death
Anoxia
Signs of Death
Immediate Changes (Somatic Death)
Early Changes (Molecular Death)
Algor Mortis ......
Reference
Forensic science PowerPoint presentation on Injury and it's medico-legal importance.
The slide is made for medical students. Mainly for BAMS students. It covers maximum points.
The slide is full of example with pictures which make it easy to understand the concept. It contains post-mortem findings as well as medico-legal importance of the each type of injury.
Thanatology
Types of transplants
Cause, Mechanism of Death
Manner of death
Anoxia
Signs of Death
Immediate Changes (Somatic Death)
Early Changes (Molecular Death)
Algor Mortis ......
Reference
Forensic science PowerPoint presentation on Injury and it's medico-legal importance.
The slide is made for medical students. Mainly for BAMS students. It covers maximum points.
The slide is full of example with pictures which make it easy to understand the concept. It contains post-mortem findings as well as medico-legal importance of the each type of injury.
Forensic Medicine (Medico-legal Aspects of Physical Injuries)knip xin
This power point presentation is about Forensic Science that include topics about kinds of death, Medico-legal aspects of physical injuries, types of wounds, and medico-legal aspects of sex crimes.
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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
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
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
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.
2. The interval between death and the time of examination of
a body is known as postmortem interval (PMI).
Also known as Time Since Death (TSD)
2
3. Methods for estimating the postmortem interval first done
by the ancient Greeks and Egyptians during the fourth and
third centuries. They understood that dead bodies cooled
and became stiff over a period of time after death.
a) Warm and not stiff: Dead not more than couple of hours
b) Warm and stiff: Dead between a couple of hours and a
half day.
c) Cold and stiff: Dead between a half day and two days
d) Cold and not stiff: Dead more than two days
3
4. It is an important component of medicolegal investigations.
It helps in both civil and criminal cases.
In civil cases, the time of death might determine who
inherits property or whether an insurance policy was in
force.
4
5. In criminal cases,
1. To know when the crime was committed.
2. It gives the police a starting point for their inquiries,
and allows them to deal with the information available
more efficiently.
3. It might enable to exclude some suspects and the
search for the likely culprits started earlier
4. To confirm or disprove an alibi
5. To check on a suspect’s statements.
5
6. First, all available history should be taken, and then local
physical or environmental factors at the scene of crime,
such as presence of fires and domestic heating, open
windows, atmospheric temperature, etc. must be noted.
The range of time provided is at best an educated guess,
based on knowledge and experience and subject to error.
6
7. Change in the eye
Algor mortis
Hypostasis
Rigor Mortis
Putrefaction
Adipocere
Mummification
Skeletonization
Insect activity
Stomach & Intestinal
Contents
Contents of urinary
bladder
Bone marrow Changes
Biochemical changes
Circumstantial evidence
7
8. When a dead body is still warm, not rigid, without any
permanent haziness of cornea, the death of person
possibly has occurred
1 hour in summer &
Within last 2 hour in winter.
8
9. Cooling of dead body.
The most useful single indicator of the PMI during the first
24 hour after death.
Under ideal conditions, the body will have no drop in
temperature for 60-90 minutes after death followed by
cooling at the rate of 0.5 OC per hour.
The body attains environmental temperature in about 16-20
hour after death.
9
10. Measurement of body temperature by- Thanatometer
Inserted 8-10 cm in rectum and left for 2-3 mins
Other sites auditory meatus, nostrils or under liver.
Calculated by: Thumb Rule
PMI = 98.6 OF – rectal temperaure(F) / 1.5
10
11. The extent of appearance and its fixation give some idea
about the time which has passed after death.
Begins immediately after death but
visible after ½ to 1 hours
well developed 4-5 hours
maximum 6-12 hours
11
12. Appearance, distribution or its passing away are the most
imp physical changes which are taken into account for
estimation of PMI.
In tropical countries,
begins 1-2 h
develop from head to toe 9-12 h
In temperate countries,
begins 3-4 h
fully established 8-12 h 12
13. Among the delayed changes after death (& after rigor
mortis), this change is the single best one for the purpose of
estimation of PMI.
1. Greenish discoloration
In summer 12-18 h
In winter 24-48 h
2) Marbled appearance 24-36 h
3) Formation of foul smelling gases 18-36 h
13
14. Shortest recorded
period in winter is
3 days 22hrs and
in summer 3
weeks
Whole body gets
converted to
adipocere in 1
year.
14
16. Uncoffined bodies
1 year
16
This skeleton is of an adult man who had been
missing for 1.5 months during the late fall in the
southeastern united states. He was found in a
wooded area. Although the skeleton was mostly
intact, gnaw marks were evident on several ribs.
17. Flies lay eggs 18-36 hrs
of death
Maggots or larva appear 48-72 hrs
of death
Pupae develop 4-6 days
Adult flies develop 6-10 days
17
18. Average meal last for 2-3 hrs
Vegetable meal 4-6 hrs
Farinaceous meal 6-7 hrs
If the stomach is full and contains undigested food, it can
be said that death occurred within 2-4 hours of eating of
the last meal and if the food is digested(indistinguishable),
then >4 hrs.
18
19. The amount of urine in the bladder may give some
indication of the time of death in some cases.
If a body is found in the morning with the bladder full, then
inference may be drawn that he might have died before the
usual time of leaving his bed, since the first activity in the
morning after leaving the bed is evacuating the bladder.
19
20. nuclei of the neutrophils in marrow start swelling
within 1 hr
Round nuclei 4-5hrs
outline of the neturophils lost 10-12 hrs
20
21. a. Cerebrospinal fluid(CSF)
Amount of potassium increases at a constant rate in relation to
temperature of the body during the first 20 hours.
b. Blood
• There is progressive rise in lactic acid level by 50-75 fold in 12
to 24 hours
• Amino acid nitrogen is less than 14mg/dL upto 10 hours but rises
to 30mg/dL by 48 hours
• Acid phosphatase increases 20 times by 48 hours
• Amylase increases 3-4 times on second day
c. Vitreous Humor:
Potassium concentration at the time of death is 5-8mmol and
rises at 0.17-0.238mmol/1 hour. 21
22. 1. Facial Hair
Rate of growth of hair after shaving is 0.4mm/day.
Hair does not grow after death.
If the time of his last shave is known, then the time since
death can be calculated.
2. Nails
Rate of growth of nails is 0.1mm/day
22
23. Pocket articles like letters, diary, cinema-show ticket, etc
may indicate in some way the date and time upto which the
person survived.
Degree of coagulation of milk, staleness of food on a table
and when the neighbor saw the person etc. may be
valuable.
The dress should be noted as regards to whether the person
is fully dressed or in the night dress.
23
24. In some cases, the wrist watch may stop and thus may
indicate the date and exact time of death.
Some idea about the earliest period of death can be made
from the newspaper present by the side of the dead body.
If a body is lying on the grass, it becomes pale due to non-
exposure to sun for about 5 days.
24
25. The exact time of death cannot be fixed by any method,
but only an approximate range of time of death can be
given, because there are considerable biological variations
in individual cases. So Never give a single estimate of the
time since death.
The longer the postmortem interval, the wider is the range
of estimate, i.e. the less accurate the estimate of the
interval.
25