The document discusses the structure and functions of the skin and its layers. The skin consists of three main layers - the epidermis, dermis and subcutaneous layer. The epidermis is the outermost layer and provides protection against water loss and microorganisms. Below the epidermis lies the dermis, which contains hair follicles, sweat and sebaceous glands, nerves and blood vessels. The innermost layer, the subcutaneous layer, consists of adipose tissue and insulates the body.
understanding spinal cord, its bransches, lesions, functions and anatomy.
hope to give you better knowledge of spinal cord by the end of it.
plese review ans comment for my future updates and corrections that iw ill be needing in this.
gross Anatomy of Mid Brain.location an relation of midbrain. external an internal features of mid brain. cross section at the level of superior and inferior colliculus. Anterior and posterior view of midbrain.
clinical correlation of midbrain.
understanding spinal cord, its bransches, lesions, functions and anatomy.
hope to give you better knowledge of spinal cord by the end of it.
plese review ans comment for my future updates and corrections that iw ill be needing in this.
gross Anatomy of Mid Brain.location an relation of midbrain. external an internal features of mid brain. cross section at the level of superior and inferior colliculus. Anterior and posterior view of midbrain.
clinical correlation of midbrain.
skin anatomy and physiology. also known as a integumentary system, largest sense organ. contains different layers any and different types of cells in each layer.
Skin = integument
Skin+ accessory organs = integumentary system.
The integumentary system comprises the skin and its appendages acting to protect the body from various kinds of damage, such as loss of water or damages from outside.
It includes hair, glands and nails.
It has a variety of additional functions; it may serve to waterproof, and protect the deeper tissues, excrete wastes, and regulate body temperature, and is the attachment site for sensory receptors to detect pain, sensation, pressure, and temperature,vitamin D synthesis.
skin and its layuer
Epidermis
Dermis
Hypodermis ( subcutaneous layer)
Epidermis
Most superficial layer of the skin
Approx 10 to 30 cells thick ( epithelial)
Cell types
Keratinocytes -90%
Melanocytes
Merkel cells 10%
Langerhens
stratum basale
Stratum germinativum
Deepest epidermal layer
Attaches to basal lamina
Cells bond to dermis via collagen fibres
Finger like projection called dermal papillae in dermis
Helps in stronger connection
Cells- cuboidal shaped keratinocytes
Grows constantly ,mitosis
Pushed up old cells
Applied aspects
Cells – merkel cell – function as receptor- stimulating sensory nerve fibres
Found in hairless skin.
Abundant on surface of hand and feet.
Melanocytes- produces pigment melanin
- gives hair and skin its color
-protect from u rays
Note: skin color influenced by ,melanin and carotene – carrot, oxygenated haemoglobin
Fingerprints-epidermal ridges
Stratum spinosum
Spiny in appearance
Desmosomsis protruding cell
Interlock between cells
Composed of 8to 10 layers of keratinocytes
Applied aspects
Langerhans cell –as a macrophage by engulfing bacteria and foreign body and damaged cell.
Keratinocytes synthesise keratin and prevent water loss
Stratum granulosam
Has a grainy appearance
Cells become flattened,and cell membrane thicken, and generate large amount of protein keratin and keratohyalin
After cell dies , keratin ,keratohyalin and cell membrane forms stratum lucidum
And accessory structures of hair and nail
Stratum lucidum
Smooth translucent layer
It is found only in thick skin of palms ,soles,digits
Cells are densely packed with eleidin , a clear protein rich in lipids,
Transparent appearance
Stratum corneam
Most superficial layer of epidermis
The increased keratinization of cell
It has 15 to 30 layers of cells
Water is lost from skin in 2 ways
Insensible perspiration
water diffuses from stratum corneum and evaporates from skin
-500 ml per day
Sensible perspiration
Water excreted by sweat glands.
clinical application
Some medications are toxic if swallowed, but safe if used topically (applied to surface of skin)
• Certain topical antibiotics are fairly toxic if taken by mouth, butcan be applied to skin with minimal risk of systemic absorption;they are polar molecules that cannot pass through epidermis toreach blood vessels in dermis; allows for local effect only
• Nonpolar substances cross epidermis much more easily;provides a c
The branch of science concerned with the bodily structure of humans, animals, and other living organisms, especially as revealed by dissection and the separation of parts.
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
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.
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
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.
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
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
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!
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 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
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.
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
- 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
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Skin and temperature
1.
2.
3.
4. Skin and Its Tissues Skin Functions 1. Protection - Physical barrier a. from water loss b. from injury c. from chemicals and microorganisms - Chemical barrier a. pH or 5-6 b. prevents microorganism growth - Biological barrier a. Langerhan’s cells (epidermis) b. Macrophages and mast cells (dermis) 2. Excretion (minimal, most through kidneys!) - urea - uric acid 3. Regulation of body temperature -
5. Skin and Its Tissues Skin Functions 4. Cutaneous Sensation - Light touch detection = Meissner's Corpuscle's a. egg-shaped; b. located in dermal papillae; c. populate areas in the fingertips, palms, soles, eyelids, tip of tongue, nipples, clitoris, tip of penis. - Pressure detection = Pacinian Corpuscle's a. onion-shaped; b. located in deep dermis and subcutaneous regions - Free nerve endings a. respond to temperature changes or to factors that can damage tissues b. extend into epidermis
6. Skin and Its Tissues Skin Functions 5. Vitamin D Synthesis - UV rays in sunlight activate its synthesis; - Vitamin D is required for bone homeostasis. 6. Blood Reservoir - The dermis houses about 10% of the body's blood vessels. - Skin only requires 1-2% of the body’s blood 7. Immunity - Langerhan’s cells (macrophages); - interact with T-helper cells in immune responses.
9. Skin and Its Tissues Hair Follicles 1. Epidermal cells that form a tube-like structure that extends into the dermis 2. Three parts: 1. Hair shaft 2. Hair root 3. Hair papilla 3. Cells that move upward and away from the nutrient supply ( papilla ) become keratinized and die 3. Pigments include: eumelanin – brownish- black pheomelanin – reddish- yellow 4. Arrector Pili Muscle = a bundle of smooth muscle associated with every hair follicle. a. causes hair to stand on end ("goose bumps") when frightened or cold.
10. Skin and Its Tissues Nails 1. Epithelium undergoing keratinization 2. Three parts: 1. Nail plate 2. Nail bed 3. Lunula 3. Functions: a. manipulation; b. protection of digit ends.
11. Skin and Its Tissues Sebaceous Glands 1. holocrine gland (simple cuboidal epithelium) 2. associated with every hair follicle 3. Secretion = sebum (oil) a. fat b. cellular material 4. Sebum is secreted into hair follicle 5. Function: Sebum keeps skin & hair soft, pliable and virtually waterproof. .
12. Skin and Its Tissues Sweat Glands 1. Two types (based on glandular secretion) A. Eccrine glands - Structure: 1. coil in deep dermis 2. duct in dermis 3. pore at surface - Characteristics: 1. respond to elevated temperature / exercise 2. no odor in secretion 3. function throughout life 4. not associated with hair follicles 5. Location: forehead neck back - Secretion (merocrine) = water plus 1. salts and 2. wastes (urea and uric acid)
14. Skin and Its Tissues Sweat Glands or Sudoriferous Glands B. Apocrine glands - Structure: ducts terminate into hair follicles - Characteristics: 1. respond to stress / emotions 2. odor in secretion 3. begin to function at puberty & continue through life 4. associated with hair follicles 5. Location: axillary regions and groin - Secretion (apocrine) = water above plus 1. oil and 2. cellular debris 3. Modified Sweet Glands 1. Ceruminous glands = external ear; secretion = earwax; 2. Mammary glands = breasts; milk.
15. Skin and Its Tissues Subcutaneous Layer (hypodermis) 1. beneath skin 2. Structure = adipose tissue & blood vessels 3. Function = insulation
27. Hypothermia – low body temperature a. very dangerous if core body temperature drops below 94 F b. limbs can withstand about 65 F because they contain no vital organs