Cellular Composition and Differentiation Signaling in Chicken
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Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix
2018 Park City AP Update Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix Sanjay Kakar, MD University of California, San Francisco Appendiceal tumors Low grade appendiceal mucinous neoplasm • Peritoneal spread, chemotherapy • But not called ‘adenocarcinoma’ Goblet cell carcinoid • Not a neuroendocrine tumor • Staged and treated like adenocarcinoma • But called ‘carcinoid’ Outline • Appendiceal LAMN • Peritoneal involvement by mucinous neoplasms • Goblet cell carcinoid -Terminology -Grading and staging -Important elements for reporting LAMN WHO 2010: Low grade carcinoma • Low grade • ‘Pushing invasion’ LAMN vs. adenoma LAMN Appendiceal adenoma Low grade cytologic atypia Low grade cytologic atypia At minimum, muscularis Muscularis mucosa is mucosa is obliterated intact Can extend through the Confined to lumen wall Appendiceal adenoma: intact muscularis mucosa LAMN: Pushing invasion, obliteration of m mucosa LAMN vs adenocarcinoma LAMN Mucinous adenocarcinoma Low grade High grade Pushing invasion Destructive invasion -No desmoplasia or -Complex growth pattern destructive invasion -Angulated infiltrative glands or single cells -Desmoplasia -Tumor cells floating in mucin WHO 2010 Davison, Mod Pathol 2014 Carr, AJSP 2016 Complex growth pattern Complex growth pattern Angulated infiltrative glands, desmoplasia Tumor cells in extracellular mucin Few floating cells common in LAMN Few floating cells common in LAMN Implications of diagnosis LAMN Mucinous adenocarcinoma LN metastasis Rare Common Hematogenous Rare Can occur spread -
Te2, Part Iii
TERMINOLOGIA EMBRYOLOGICA Second Edition International Embryological Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TE2, PART III Contents Caput V: Organogenesis Chapter 5: Organogenesis (continued) Systema respiratorium Respiratory system Systema urinarium Urinary system Systemata genitalia Genital systems Coeloma Coelom Glandulae endocrinae Endocrine glands Systema cardiovasculare Cardiovascular system Systema lymphoideum Lymphoid system Bibliographic Reference Citation: FIPAT. Terminologia Embryologica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, February 2017 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Embryologica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: ORGANOGENESIS Chapter 5: ORGANOGENESIS -
Coffee and Its Effect on Digestion
Expert report Coffee and its effect on digestion By Dr. Carlo La Vecchia, Professor of Medical Statistics and Epidemiology, Dept. of Clinical Sciences and Community Health, Università degli Studi di Milano, Italy. Contents 1 Overview 2 2 Coffee, a diet staple for millions 3 3 What effect can coffee have on the stomach? 4 4 Can coffee trigger heartburn or GORD? 5 5 Is coffee associated with the development of gastric or duodenal ulcers? 6 6 Can coffee help gallbladder or pancreatic function? 7 7 Does coffee consumption have an impact on the lower digestive tract? 8 8 Coffee and gut microbiota — an emerging area of research 9 9 About ISIC 10 10 References 11 www.coffeeandhealth.org May 2020 1 Expert report Coffee and its effect on digestion Overview There have been a number of studies published on coffee and its effect on different areas of digestion; some reporting favourable effects, while other studies report fewer positive effects. This report provides an overview of this body of research, highlighting a number of interesting findings that have emerged to date. Digestion is the breakdown of food and drink, which occurs through the synchronised function of several organs. It is coordinated by the nervous system and a number of different hormones, and can be impacted by a number of external factors. Coffee has been suggested as a trigger for some common digestive complaints from stomach ache and heartburn, through to bowel problems. Research suggests that coffee consumption can stimulate gastric, bile and pancreatic secretions, all of which play important roles in the overall process of digestion1–6. -
A Comparative Study of the Ultrastructure of Microvilli in the Epithelium of Small and Large Intestine of Mice
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central A COMPARATIVE STUDY OF THE ULTRASTRUCTURE OF MICROVILLI IN THE EPITHELIUM OF SMALL AND LARGE INTESTINE OF MICE T. M. MUKHERJEE and A. WYNN WILLIAMS From the Electron Microscope Laboratory, the Departlnent of Pathology, the University of Otago Medical School, Dunedin, New Zealand ABSTRACT A comparative analysis of the fine structure of the microvilli on jejunal and colonic epi- thelial cells of the mouse intestine has been made. The microvilli in these two locations demonstrate a remarkably similar fine structure with respect to the thickness of the plasma membrane, the extent of the filament-free zone, and the characteristics of the microfila- ments situated within the microvillous core. Some of the core microfilaments appear to continue across the plasma membrane limiting the tip of the microvillus. The main differ- ence between the microvilli of small intestine and colon is in the extent and organization of the surface coat. In the small intestine, in addition to the commonly observed thin surface "fuzz," occasional areas of the jejunal villus show a more conspicuous surface coat covering the tips of the microvilli. Evidence has been put forward which indicates that the surface coat is an integral part of the epithelial cells. In contrast to the jejunal epithelium, the colonic epithelium is endowed with a thicker surface coat. Variations in the organization of the surface coat at different levels of the colonic crypts have also been noted. The func- tional significance of these variations in the surface coat is discussed. -
The Herbivore Digestive System Buffalo Zebra
The Herbivore Digestive System Name__________________________ Buffalo Ruminant: The purpose of the digestion system is to ______________________________ _____________________________. Bacteria help because they can digest __________________, a sugar found in the cell walls of________________. Zebra Non- Ruminant: What is the name for the largest section of Organ Color Key a ruminant’s Mouth stomach? Esophagus __________ Stomach Small Intestine Cecum Large Intestine Background Information for the Teacher Two Strategies of Digestion in Hoofed Mammals Ruminant Non‐ruminant Representative species Buffalo, cows, sheep, goats, antelope, camels, Zebra, pigs, horses, asses, hippopotamus, rhinoceros giraffes, deer Does the animal Yes, regurgitation No regurgitation regurgitate its cud to Grass is better prepared for digestion, as grinding Bacteria can not completely digest cell walls as chew material again? motion forms small particles fit for bacteria. material passes quickly through, so stool is fibrous. Where in the system do At the beginning, in the rumen Near the end, in the cecum you find the bacteria This first chamber of its four‐part stomach is In this sac between the two intestines, bacteria digest that digest cellulose? large, and serves to store food between plant material, the products of which pass to the rumination and as site of digestion by bacteria. bloodstream. How would you Higher Nutrition Lower Nutrition compare the nutrition Reaps benefits of immediately absorbing the The digestive products made by the bacteria are obtained via digestion? products of bacterial digestion, such as sugars produced nearer the end of the line, after the small and vitamins, via the small intestine. intestine, the classic organ of nutrient absorption. -
Gastrointestinal Stem Cells in Health and Disease: from Flies to Humans Hongjie Li1,2 and Heinrich Jasper1,*
© 2016. Published by The Company of Biologists Ltd | Disease Models & Mechanisms (2016) 9, 487-499 doi:10.1242/dmm.024232 REVIEW SUBJECT COLLECTION: TRANSLATIONAL IMPACT OF DROSOPHILA Gastrointestinal stem cells in health and disease: from flies to humans Hongjie Li1,2 and Heinrich Jasper1,* ABSTRACT is Barrett’s metaplasia (see Box 1), in which the esophageal The gastrointestinal tract of complex metazoans is highly squamous epithelium acquires properties that are reminiscent of the compartmentalized. It is lined by a series of specialized epithelia gastric or intestinal columnar epithelium. This transformation has that are regenerated by specific populations of stem cells. To maintain been associated with acid reflux disease and is believed to be a cause tissue homeostasis, the proliferative activity of stem and/or progenitor of esophageal adenocarcinomas (Falk, 2002; Hvid-Jensen et al., cells has to be carefully controlled and coordinated with regionally 2011). Dysplasia (see Box 1), another type of epithelial lesion that distinct programs of differentiation. Metaplasias and dysplasias, commonly affects the human GI tract, is characterized by aberrant precancerous lesions that commonly occur in the human cell proliferation and differentiation. Dysplastic changes are often gastrointestinal tract, are often associated with the aberrant found at later stages during epithelial carcinogenesis than are proliferation and differentiation of stem and/or progenitor cells. The metaplasias, and eventually lead to invasive carcinoma (see Box 1) increasingly sophisticated characterization of stem cells in the (Correa and Houghton, 2007; Ullman et al., 2009). Much remains to gastrointestinal tract of mammals and of the fruit fly Drosophila has be learnt about intestinal metaplasias and dysplasias, not least provided important new insights into these processes and into the because of their clinical significance, such as the exact cellular mechanisms that drive epithelial dysfunction. -
The Baseline Structure of the Enteric Nervous System and Its Role in Parkinson’S Disease
life Review The Baseline Structure of the Enteric Nervous System and Its Role in Parkinson’s Disease Gianfranco Natale 1,2,* , Larisa Ryskalin 1 , Gabriele Morucci 1 , Gloria Lazzeri 1, Alessandro Frati 3,4 and Francesco Fornai 1,4 1 Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56126 Pisa, Italy; [email protected] (L.R.); [email protected] (G.M.); [email protected] (G.L.); [email protected] (F.F.) 2 Museum of Human Anatomy “Filippo Civinini”, University of Pisa, 56126 Pisa, Italy 3 Neurosurgery Division, Human Neurosciences Department, Sapienza University of Rome, 00135 Rome, Italy; [email protected] 4 Istituto di Ricovero e Cura a Carattere Scientifico (I.R.C.C.S.) Neuromed, 86077 Pozzilli, Italy * Correspondence: [email protected] Abstract: The gastrointestinal (GI) tract is provided with a peculiar nervous network, known as the enteric nervous system (ENS), which is dedicated to the fine control of digestive functions. This forms a complex network, which includes several types of neurons, as well as glial cells. Despite extensive studies, a comprehensive classification of these neurons is still lacking. The complexity of ENS is magnified by a multiple control of the central nervous system, and bidirectional communication between various central nervous areas and the gut occurs. This lends substance to the complexity of the microbiota–gut–brain axis, which represents the network governing homeostasis through nervous, endocrine, immune, and metabolic pathways. The present manuscript is dedicated to Citation: Natale, G.; Ryskalin, L.; identifying various neuronal cytotypes belonging to ENS in baseline conditions. -
Mouth Esophagus Stomach Rectum and Anus Large Intestine Small
1 Liver The liver produces bile, which aids in digestion of fats through a dissolving process known as emulsification. In this process, bile secreted into the small intestine 4 combines with large drops of liquid fat to form Healthy tiny molecular-sized spheres. Within these spheres (micelles), pancreatic enzymes can break down fat (triglycerides) into free fatty acids. Pancreas Digestion The pancreas not only regulates blood glucose 2 levels through production of insulin, but it also manufactures enzymes necessary to break complex The digestive system consists of a long tube (alimen- 5 carbohydrates down into simple sugars (sucrases), tary canal) that varies in shape and purpose as it winds proteins into individual amino acids (proteases), and its way through the body from the mouth to the anus fats into free fatty acids (lipase). These enzymes are (see diagram). The size and shape of the digestive tract secreted into the small intestine. varies in each individual (e.g., age, size, gender, and disease state). The upper part of the GI tract includes the mouth, throat (pharynx), esophagus, and stomach. The lower Gallbladder part includes the small intestine, large intestine, The gallbladder stores bile produced in the liver appendix, and rectum. While not part of the alimentary 6 and releases it into the duodenum in varying canal, the liver, pancreas, and gallbladder are all organs concentrations. that are vital to healthy digestion. 3 Small Intestine Mouth Within the small intestine, millions of tiny finger-like When food enters the mouth, chewing breaks it 4 protrusions called villi, which are covered in hair-like down and mixes it with saliva, thus beginning the first 5 protrusions called microvilli, aid in absorption of of many steps in the digestive process. -
Study of Mucin Turnover in the Small Intestine by in Vivo Labeling Hannah Schneider, Thaher Pelaseyed, Frida Svensson & Malin E
www.nature.com/scientificreports OPEN Study of mucin turnover in the small intestine by in vivo labeling Hannah Schneider, Thaher Pelaseyed, Frida Svensson & Malin E. V. Johansson Mucins are highly glycosylated proteins which protect the epithelium. In the small intestine, the goblet Received: 23 January 2018 cell-secreted Muc2 mucin constitutes the main component of the loose mucus layer that traps luminal Accepted: 26 March 2018 material. The transmembrane mucin Muc17 forms part of the carbohydrate-rich glycocalyx covering Published: xx xx xxxx intestinal epithelial cells. Our study aimed at investigating the turnover of these mucins in the small intestine by using in vivo labeling of O-glycans with N-azidoacetylgalactosamine. Mice were injected intraperitoneally and sacrifced every hour up to 12 hours and at 24 hours. Samples were fxed with preservation of the mucus layer and stained for Muc2 and Muc17. Turnover of Muc2 was slower in goblet cells of the crypts compared to goblet cells along the villi. Muc17 showed stable expression over time at the plasma membrane on villi tips, in crypts and at crypt openings. In conclusion, we have identifed diferent subtypes of goblet cells based on their rate of mucin biosynthesis and secretion. In order to protect the intestinal epithelium from chemical and bacterial hazards, fast and frequent renewal of the secreted mucus layer in the villi area is combined with massive secretion of stored Muc2 from goblet cells in the upper crypt. Te small intestinal epithelium is constantly aiming to balance efective nutritional uptake with minimal damage due to exposure to ingested, secreted and resident agents. -
Associated Lymphoid Tissue in Chickens and Turkeys Andrew Stephen Fix Iowa State University
Iowa State University Capstones, Theses and Retrospective Theses and Dissertations Dissertations 1990 The trs ucture and function of conjunctiva- associated lymphoid tissue in chickens and turkeys Andrew Stephen Fix Iowa State University Follow this and additional works at: https://lib.dr.iastate.edu/rtd Part of the Animal Sciences Commons, and the Veterinary Medicine Commons Recommended Citation Fix, Andrew Stephen, "The trs ucture and function of conjunctiva-associated lymphoid tissue in chickens and turkeys " (1990). Retrospective Theses and Dissertations. 9496. https://lib.dr.iastate.edu/rtd/9496 This Dissertation is brought to you for free and open access by the Iowa State University Capstones, Theses and Dissertations at Iowa State University Digital Repository. It has been accepted for inclusion in Retrospective Theses and Dissertations by an authorized administrator of Iowa State University Digital Repository. For more information, please contact [email protected]. INFORMATION TO USERS The most advanced technology has been used to photograph and reproduce this manuscript from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of computer printer. Hie quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
The Role of Lactic Acid in Gastric Digestion
[Reprinted from The Medical News, December 30, 1893.] THE ROLE OF LACTIC ACID IN GASTRIC DIGESTIOA ALLEN A. JONES, M.D., CLINICAL INSTRUCTOR IN MEDICINE AND INSTRUCTOR IN PRACTICE, MEDICAL DEPARTMENT, UNIVERSITY OF BUFFALO. Lactic acid is present in the stomach under nor- mal conditions from thirty to forty minutes after a test-meal composed of a roll and water or of chopped lean beef, dry bread, and water. At the expiration of that time lactic acid should entirely disappear from the stomach-contentsand free hydro- chloric acid alone should prevail. During the first thirty or forty minutes after meals the digestion of starches and albuminoids progresses quite rapidly, as may be proved by finding the middle-products and end-products of gastric digestion present, so that the presence of free lactic acid does not pro- hibit digestion. As soon as food enters the healthy stomach the secretion of hydrochloric acid is excited and it increases in amount until the production of lactic acid is checked. The exact origin of lactic acid in the healthy stomach is still a matter of debate. It may arise wholly from fermentation, or from the combination of some food-product with a secretion 1 Read before the Buffalo Academy of Medicine, November x 4) 1893. 2 from the gastric glandules, or from the gastric mucosa as a distinct secretion, although electric stimulation of the gastric glandules excites the se- cretion of hydrochloric acid and not of lactic acid. I think it arises largely from fermentation of the food, as its amount is usually proportionate to the amount of starchy, saccharine, and milk foods taken.