The sacrum is a triangular bone formed by the fusion of 5 vertebrae. It is positioned at the base of the spine between the two hip bones. The sacrum has four surfaces - pelvic, dorsal, and two lateral surfaces. It articulates superiorly with L5 and inferiorly with the coccyx. The sacrum contains the sacral canal which houses the cauda equina and filum terminale. Sexual dimorphism exists between male and female sacrums in features such as length, curvature, and auricular surface morphology. Congenital anomalies like sacralisation and lumbarisation can affect the number of sacral foramina.
Bones of the Foot: Tarsals, Metatarsals and Phalanges · The Femur · The Patella · The Tibia · The Fibula.
The femur is the only bone in the thigh and the longest bone in the body.
It acts as the site of origin and attachment of many muscles and ligaments, and can be divided into three parts; proximal, shaft and distal.
ANATOMY OF KNEE JOINT
In this presentation of " Anatomy of Knee Joint" you will know about structures present in Knee Joint.
Bones, Joints, Ligaments, Muscles, Mechanism of movements of Knee Joint, Nerve and Blodd supply of Knee Joint.
Bones of the Foot: Tarsals, Metatarsals and Phalanges · The Femur · The Patella · The Tibia · The Fibula.
The femur is the only bone in the thigh and the longest bone in the body.
It acts as the site of origin and attachment of many muscles and ligaments, and can be divided into three parts; proximal, shaft and distal.
ANATOMY OF KNEE JOINT
In this presentation of " Anatomy of Knee Joint" you will know about structures present in Knee Joint.
Bones, Joints, Ligaments, Muscles, Mechanism of movements of Knee Joint, Nerve and Blodd supply of Knee Joint.
features and characteristics of the typical and the A typical cervical vertebrae, typical and A typical cervical vertebrae, attachments of cervical vetebrae, atlas and axis features
to download this presentation from this link.
https://mohmmed-ink.blogspot.com/2020/12/joints-of-upper-limb.html
anatomy of the upper limb joints. shoulder, elbow, wrist hand
Seven cervical vertebrae
Identified by the presence of foramen in their transverse processes called foramen transversarium
3rd to 6th are typically have common features
1st, 2nd,and 7th are atypical
Ring-shaped and has no body and no spine
Consists of:
Right and left lateral masses
Short anterior arch and a long curved posterior arch
(c) Right and left transverse processes
Carpal Bone Anatomy Details PPT
Part-4 (UL Bone)
Carpal Bone names, attachments, clinical anatomy, General and specific points.
Carpal bones: 8
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Thank you
Vertibrae By M Thiru murugan MSc Nursingthiru murugan
Vertebral Column
By,M. Thiru murugan
Vertebral column:
The vertebral column encloses the spinal cord and the fluid surrounding the spinal cord. Also called backbone, spinal column, and spine.
Each vertebra is separated by a disc called intervertebral disc
The vertebrae surround and protect the spinal cord. The spinal cord is divided into segments, each containing a pair of spinal nerves that send messages between the brain and the rest of the body.
Many spinal nerves extend beyond the conus medullaris (the end of the spinal cord) to form a bundle of nerves called the cauda equina.
The vertebral column is made up 26
Cervical vertebrae: These 7 bones are found in the head and neck.
Thoracic vertebrae: These 12 bones are found in the upper back.
Lumbar vertebrae: These 5 bones are found in the lower back.
The sacrum (5) and coccyx (4) are both made up of several fused vertebrae. They help support the weight of the body while sitting.
Parts of the vertebrae:
The vertebrae of the cervical, thoracic, and lumbar spines are independent bones and generally quite similar.
The vertebrae of the sacrum & coccyx are usually fused and unable to move independently.
2 special vertebrae are the atlas (cervical 1) and axis (cervical 2), on which the head rests.
A typical vertebra consists of 2 parts: the vertebral body and the vertebral arch.
Vertebral body: Vertebral body is the thick oval segment of bone forming the front of the vertebra also called the centrum. The cavity of the vertebral body consists of cancellous bone tissue and is encircled by a protective layer of compact bone.
The vertebral arch is posterior, meaning it faces the back of a person.
Together, these enclose the vertebral foramen, which contains the spinal cord.
Because the spinal cord ends in the lumbar spine, and the sacrum and coccyx are fused, they do not contain a central foramen.
The vertebral arch is formed by a pair of pedicles & a pair of laminae, and supports 7 processes (4 articular, 2 transverse, and 1 spinous)
4 articular process: 2 articular process for above vertebrae & 2 articular process for ribs.
2 transverse processes and 1spinous process are posterior to (behind) the vertebral body.
The spinous process comes out the back, The spinous processes of the cervical and lumbar regions can be felt through the skin.
1 transverse process comes out the left, and 1 on the right.
Above & below each vertebra are joints called facet joints. These restrict the range of movement possible
In between each pair of vertebrae are 2 small holes called intervertebral foramina. The spinal nerves leave the spinal cord through these holes.
Cervical spine:
The cervical spine located in the neck area, consists of seven bones (C1 to C7)
The first two cervical spine are unique in shape and function.
first vertebra (C1), also called the atlas, The atlas holds head upright.
The second vertebra (C2), also called the axis, allows the atlas to rotation of head.
Functions:
Protecting spin
features and characteristics of the typical and the A typical cervical vertebrae, typical and A typical cervical vertebrae, attachments of cervical vetebrae, atlas and axis features
to download this presentation from this link.
https://mohmmed-ink.blogspot.com/2020/12/joints-of-upper-limb.html
anatomy of the upper limb joints. shoulder, elbow, wrist hand
Seven cervical vertebrae
Identified by the presence of foramen in their transverse processes called foramen transversarium
3rd to 6th are typically have common features
1st, 2nd,and 7th are atypical
Ring-shaped and has no body and no spine
Consists of:
Right and left lateral masses
Short anterior arch and a long curved posterior arch
(c) Right and left transverse processes
Carpal Bone Anatomy Details PPT
Part-4 (UL Bone)
Carpal Bone names, attachments, clinical anatomy, General and specific points.
Carpal bones: 8
Like, share and comment.
Thank you
Vertibrae By M Thiru murugan MSc Nursingthiru murugan
Vertebral Column
By,M. Thiru murugan
Vertebral column:
The vertebral column encloses the spinal cord and the fluid surrounding the spinal cord. Also called backbone, spinal column, and spine.
Each vertebra is separated by a disc called intervertebral disc
The vertebrae surround and protect the spinal cord. The spinal cord is divided into segments, each containing a pair of spinal nerves that send messages between the brain and the rest of the body.
Many spinal nerves extend beyond the conus medullaris (the end of the spinal cord) to form a bundle of nerves called the cauda equina.
The vertebral column is made up 26
Cervical vertebrae: These 7 bones are found in the head and neck.
Thoracic vertebrae: These 12 bones are found in the upper back.
Lumbar vertebrae: These 5 bones are found in the lower back.
The sacrum (5) and coccyx (4) are both made up of several fused vertebrae. They help support the weight of the body while sitting.
Parts of the vertebrae:
The vertebrae of the cervical, thoracic, and lumbar spines are independent bones and generally quite similar.
The vertebrae of the sacrum & coccyx are usually fused and unable to move independently.
2 special vertebrae are the atlas (cervical 1) and axis (cervical 2), on which the head rests.
A typical vertebra consists of 2 parts: the vertebral body and the vertebral arch.
Vertebral body: Vertebral body is the thick oval segment of bone forming the front of the vertebra also called the centrum. The cavity of the vertebral body consists of cancellous bone tissue and is encircled by a protective layer of compact bone.
The vertebral arch is posterior, meaning it faces the back of a person.
Together, these enclose the vertebral foramen, which contains the spinal cord.
Because the spinal cord ends in the lumbar spine, and the sacrum and coccyx are fused, they do not contain a central foramen.
The vertebral arch is formed by a pair of pedicles & a pair of laminae, and supports 7 processes (4 articular, 2 transverse, and 1 spinous)
4 articular process: 2 articular process for above vertebrae & 2 articular process for ribs.
2 transverse processes and 1spinous process are posterior to (behind) the vertebral body.
The spinous process comes out the back, The spinous processes of the cervical and lumbar regions can be felt through the skin.
1 transverse process comes out the left, and 1 on the right.
Above & below each vertebra are joints called facet joints. These restrict the range of movement possible
In between each pair of vertebrae are 2 small holes called intervertebral foramina. The spinal nerves leave the spinal cord through these holes.
Cervical spine:
The cervical spine located in the neck area, consists of seven bones (C1 to C7)
The first two cervical spine are unique in shape and function.
first vertebra (C1), also called the atlas, The atlas holds head upright.
The second vertebra (C2), also called the axis, allows the atlas to rotation of head.
Functions:
Protecting spin
deals with the anatomy of LS spine coccyx and sacrum. The sacrum and coccyx are two anatomical structures located near the bottom of your vertebral spinal column, below the fifth lumbar vertebra (L5).Below the sacrum is the coccyx, commonly known as the tailbone. The sacrum and coccyx are weight-bearing spinal structures.
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
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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.
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
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
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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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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
3. Introduction
• Wedge shaped.
• Triangular fusion of five vertebrae.
• Posterosuperior wall of pelvic cavity.
• Wedged between two hip bones.
• Base : Superior(Articulates with L5 at
lumbosacral angle)
• Apex: Inferior(Articulates with coccyx)
• Surfaces: Anterior/Pelvic
Posterior/Dorsal
2 Lateral
4. Anatomical Position
1. Sacrum is a midline bone plced between hip bones(on
each side), 5th Lumbar vertebra (Superiorly) and Coccyx
(Inferiorly).
2. Superior surface of the body of 1st sacral vertebra slopes
forward at an angle of 30 degree.
3. Anterior surface of sacrum faces downwards and
forwards.
4. The upper end of sacral canal is directed upwards.
5. General Features
Sacrum consists of:
1. Base
2. Apex
3. Four Surfaces : a) Pelvic
b) Dorsal
c) Right Lateral
d) Left Lateral
4. Sacral Canal
14. Sacral Canal
Contents:
1. Lower part of cauda
equina.
2. Filum terminale.
3. Spinal meninges.
4. Lateral sacral
vessels.
** Dura and arachnoid
extents up S2.
15. Sexual Dimorphism in Sacrum
Features Male sacrum Female sacrum
1. Length More Less
2. Ratio between the transverse
width of body of 1st sacral
vertebra and the entire width of
sacral base.
More than 1/3rd. Less thn 1/3rd.
3. Auricular surface Relatively longer, upper three
segments.
Smaller, occupies only upper two
segments of sacrum.
4. Anterior surface of sacrum Shallower Deeper
5. Sacral Index
[Breadth of the base X 100]
Length
Lesser Greater
6. Width Relatively narrower Wider
7. Curvature Uniformly curved Flattened in the upper part but
sharply curved in the lower part.
16.
17. Ossification
• Chondrification is initiated in
the 5th gestational week and
results in a cartilaginous
vertebral column.
• Primary or enchondral
ossification occurs in three
primary ossification centers
(central, neural, and costal)
and forms the axial skeleton.
• In the sacrum, the costal
ossification centers form a
portion of the lateral mass.
• A total of six centers produce
the sacral alae .
18. • Bilateral neural ossification centers
contribute to the neural arch and
the posterolateral vertebral body.
• The central ossification center
forms the midportion of the
vertebral body.
• With secondary ossification, two
epiphyseal plates provide accessory
ossification to the superior and
inferior portions of each sacral
vertebral body.
• Disks separate the sacral vertebrae
during childhood .
• The S3-4 and S4-5 disks fuse in late
adolescence, and the remaining
levels fuse during the 3rd decade of
life.
19. Clinical Correlation
Sacralisation:
• Congenital anomaly.
• Incorporation of the fifth lumbar (L5) or first
coccygeal vertebra (C1) in the sacrum.
• Number of sacral foramina is increased
unilaterally or bilaterally.
20. Lumbarisation:
• First sacral vertebra (S1) is separated from the
sacrum and fused with the fifth lumbar vertebra
(L5).
• Number of sacral foramina reduced to 3.