Introduction to Toxicology and Forensic Toxilogical Examination and it's sign...Dr Raghu Khimani
This lecture includes Introduction to Toxicology and Related Terms are explained well in the easy language. Also, Concepts of Forensic Toxilogical Examination and it's significance is included in this lecture.
what is toxicology? what is the difference between poison and toxin? what is toxicity? what are different routes of toxicity? what is meant by dose-response curve?
Introduction to Toxicology and Forensic Toxilogical Examination and it's sign...Dr Raghu Khimani
This lecture includes Introduction to Toxicology and Related Terms are explained well in the easy language. Also, Concepts of Forensic Toxilogical Examination and it's significance is included in this lecture.
what is toxicology? what is the difference between poison and toxin? what is toxicity? what are different routes of toxicity? what is meant by dose-response curve?
Chloromethanes namely methyl chloride (CH3Cl), methylene chloride (CH2Cl2), Chloroform (CHCl3) and Carbon Tetrachloride (CCl4) are produced by direct chlorination of Cl2 in a gas phase reaction without any catalyst.
Respiratory stimulants: types, complete discussion on indications, contraindications, assessment, patient notes and examples of stimulants both central and respiratory
Expectorants and Antitussives: types, complete discussion on indications, contraindications, assessment, patient notes and examples of expectorants and antitussives
Complete pharmacology of Non steroidal Anti inflammatory Drugs, classification, Mechanism of action, Pharmacological actions, Indications, Contraindications, Adverse effects
Pharmacology laboratory experiment, both invivo and invitro includes interpolation, matching , bracketing, three point, four point bioassays with a note on hypoglycemic activity, acute skin irritation, acute eye irritaiton, pyrogen test, gastrointestinal motility test, physiological salt solutions
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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.
- 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
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.
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.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
2. The term solvent refers to a class of liquid organic chemicals of variable
lipophilicity and volatility, small molecular size, and lack of charge.
Absorption of inhaled volatile organic compounds occurs in the alveoli, with
almost instantaneous equilibration with blood in the pulmonary capillaries.
Solvents are readily absorbed from the gastrointestinal tract and across the
skin.
Most solvents produce some degree of CNS depression.
3. Solvents undergo ready absorption across the lung, skin, and
gastrointestinal (GI) tract.
In general, the lipophilicity of solvents increases with increasing
molecular weight, while volatility decreases. Solvents are frequently
used to dissolve, dilute, or disperse materials that are insoluble in water.
Most solvents are refined from petroleum. Many, such as naphthas and
gasoline, are complex mixtures consisting of hundreds of compounds.
4. Solvents are classified largely according to molecular structure or functional
group.
Classes of solvents include aliphatic hydrocarbons, many of which are
1. Chlorinated (i.e., Halocarbons),
2. Aromatic hydrocarbons,
3. Alcohols,
4. Ethers, esters/acetates,
5. Amides/amines,
6. Aldehydes, ketones, and
7. Complex mixtures that defy classification.
5. The main determinants of a solvent's inherent toxicity are:
1. Its number of carbon atoms;
2. Whether it is saturated or has double or triple bonds between adjacent
carbon atoms;
3. Its configuration (i.e., Straight chain, branched chain, or cyclic)
4. The presence of functional groups. Subtle differences in chemical
structure can translate into dramatic differences in solvent toxicity.
6. Nearly everyone is exposed to solvents during normal daily activities.
Environmental exposures to solvents in air and groundwater use multiple
exposure pathways.
Household use of solvent-contaminated water may result in solvent intake
from inhalation, and dermal and oral absorption.
In many cases, environmental risk assessment requires that risks be
determined for physiologically diverse individuals who are exposed to several
7.
8. Important properties
1. Flash point lowest temp at which solvent gives off sufficient vapours to form an ignitable mixture
with air near its surface
2. Evaporation rate this is the rate at which a material will vaporize from liquid/solid when compared
to other material (slow fast medium)
3. TLV(threshold limit value) exposure concentration below which a defined effect will not occur
4. Odor threshold (ppm) level at which most people tested detect the odor, which shows the higher
concentration.
9. Halogenated Aliphatic Hydrocarbons
These agents once found wide use as industrial solvents, degreasing agents, and
cleaning agents.
The substances include carbon tetrachloride, chloroform, trichloroethylene,
Tetrachloroethylene and 1,1,1-trichloroethane (methyl chloroform).
Halogenated aliphatic hydrocarbons are carcinogenic to humans, carbon
tetrachloride and trichloroethylene Have largely been removed from the
workplace.
Perchloroethylene and trichloroethane are still in use for dry cleaning and solvent
degreasing, but it is likely that their use will be very limited in the future.
10. Dry cleaning as an occupation is listed as a class 2B carcinogenic activity
by the International Agency for Research Against Cancer (IARC).
Fluorinated aliphatics such as the freons and closely related compounds
have also been used in the workplace and in consumer goods
The common halogenated aliphatic solvents Also create serious problems
as persistent water pollutants. They are widely found in both groundwater
and drinking water as a result of poor disposal practices.
11.
12. A. MOA and Clinical Effects
In laboratory animals, the halogenated hydrocarbons cause central nervous system
depression, liver injury, kidney injury, and some degree of cardio toxicity.
Several are also carcinogenic in animals , Trichloroethylene and tetrachloroethylene
are listed as reasonably anticipated to be a human carcinogen.
These substances Are depressants of the central nervous system in humans;
chloroform is the most potent.
Chronic Exposure to tetrachloroethylene and possibly 1,1,1-trichloroethane can
cause impaired memory and peripheral neuropathy.
13. Hepatotoxicity is also a common toxic effect that can occur in humans after
acute or chronic exposures; carbon tetrachloride is the most potent of the
series.
Nephrotoxicity can occur in humans exposed to carbon
tetrachloride,chloroform,and trichloroethylene.
Carcinogenicity has been observed With chloroform, carbontetrachloride,
trichloroethylene, and tetrachloroethylene, in lifetime exposure studies
performed In rats / mice & human
occupational exposure to halogenated aliphatic hydrocarbon Solvents
including trichloroethylene and tetrachloroethylene have Found renal,
prostate,and testicular cancer.
Miscarriage to observed in occupational exposure
14. B. Treatment
There is no specific treatment for acute intoxication resulting from
exposure to halogenated hydrocarbons. Management depends on the
organ system involved.
15. Aromatic Hydrocarbons
Benzene is used for its solvent properties and as an intermediate in the
synthesis of other chemicals.
Benzene remains an important component of gasoline and may be found in
premium gasolines at concentrations as high as 2%.
In cold climates such as Alaska, benzene Concentrations in gasoline may
reach 5%.
The National Institute for Occupational Safety and Health (NIOSH) and
others have recommended that the exposure limits for benzene be further
reduced to 0.1 ppm because excess blood cancers occur at the current .
16. The acute toxic effect of benzene is depression of the central nervous
system.
Exposure to 7500 ppm for 30 minutes can be fatal.
Exposure to concentrations larger than 3000 ppm may cause euphoria,
nausea, locomotors problems, and coma;
vertigo, drowsiness, headache, and nausea may occur at concentrations
ranging from 250 to 500 ppm.
No specific treatment exists for the acute toxic effect of benzene.
17. Chronic exposure to benzene can result in very serious toxic effects, the
most significant of which is bone marrow injury.
Aplastic anemia, leukopenia, pancytopenia, and thrombocytopenia occur at
higher levels of exposure, as does leukemia.
Chronic exposure to much lower levels has been associated with leukemia
of several types as well as lymphomas, myeloma, and myelodysplastic
syndrome.
Recent studies have shown the occurrence of leukemia Following exposures
as low as 2 ppm-years.
The pluri-potent bone marrow stem cells appear to be a target of benzene
18. Toluene (methylbenzene)
Does not possess the myelotoxic properties of benzene, nor has it been
associated with leukemia.
It is, however, a central nervous system depressant and a skin and eye
irritant.
It is also fetotoxic.
Exposure to 800 ppm can lead to severe fatigue and ataxia
0,000 ppm can produce rapid loss of consciousness.
Chronic effects of long-term toluene exposure are unclear because human
studies indicating behavioral effects usually concern exposures to several
solvents.
Less refined grades of toluene Contain benzene.
19. Xylene (dimethylbenzene)
Substituted for benzene in many solvent degreasing operations.
Like toluene, the three xylenes do not possess the myelotoxic properties of
benzene, nor have they been associated with leukemia.
Xylene is a central nervous system depressant and a skin irritant.
Less refined grades of xylene contain benzene.
Estimated TLV-TWA and TLV-STEL are 100 and 150 ppm, respectively.