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ANATOMY of EAR Basic Ear Anatomy
ANATOMY OF EAR Basic Ear Anatomy • Expected outcomes • To understand the hearing mechanism • To be able to identify the structures of the ear Development of Ear 1. Pinna develops from 1st & 2nd Branchial arch (Hillocks of His). Starts at 6 Weeks & is complete by 20 weeks. 2. E.A.M. develops from dorsal end of 1st branchial arch starting at 6-8 weeks and is complete by 28 weeks. 3. Middle Ear development —Malleus & Incus develop between 6-8 weeks from 1st & 2nd branchial arch. Branchial arches & Development of Ear Dev. contd---- • T.M at 28 weeks from all 3 germinal layers . • Foot plate of stapes develops from otic capsule b/w 6- 8 weeks. • Inner ear develops from otic capsule starting at 5 weeks & is complete by 25 weeks. • Development of external/middle/inner ear is independent of each other. Development of ear External Ear • It consists of - Pinna and External auditory meatus. Pinna • It is made up of fibro elastic cartilage covered by skin and connected to the surrounding parts by ligaments and muscles. • Various landmarks on the pinna are helix, antihelix, lobule, tragus, concha, scaphoid fossa and triangular fossa • Pinna has two surfaces i.e. medial or cranial surface and a lateral surface . • Cymba concha lies between crus helix and crus antihelix. It is an important landmark for mastoid antrum. Anatomy of external ear • Landmarks of pinna Anatomy of external ear • Bat-Ear is the most common congenital anomaly of pinna in which antihelix has not developed and excessive conchal cartilage is present. • Corrections of Pinna defects are done at 6 years of age. -
Eustachian Tube Catheterization. J Otolaryngol ENT Res
Journal of Otolaryngology-ENT Research Editorial Open Access Eustachian tube catheterization Volume 3 Issue 2 - 2015 Hee-Young Kim Introduction Otorhinolaryngology, Kim ENT clinic, Republic of Korea Although Eustachian tube obstruction (ETO) as one of the principal Correspondence: Hee-Young Kim, Otorhinolaryngology, Kim causes of ‘hearing loss’, and/or ‘ear fullness’, and/or ‘tinnitus’, and/ ENT Clinic, 2nd fl. 119, Jangseungbaegi-ro, Dongjak-gu, Seoul, 06935, Republic of Korea, Tel +82-02-855-7541, or ‘headache (including otalgia)’, and/or ‘vertigo’, has already been Email recognized by many well-respected senior doctors for a long time, it has still received only scant attention both in the literature and in Received: September 02, 2015 | Published: September 14, practice.1,2 2015 Pressure differences between the middle ear and the atmosphere cause temporary conductive hearing loss by decreased motion of the tympanic membrane and ossicles of the ear.3 This point includes clue for explaining the mechanism of tinnitus due to Eustachian tube obstruction.1 Improvement of tinnitus after Eustachian tube catheterization, can mean that the tinnitus is from the hypersensitivity of cochlear nucleus following decrease of afferent nerve stimuli owing to air-bone gap.1,4 The middle ear is very much like a specialized paranasal sinus, with normal balance as maintained by the labyrinthine mechanism.7 called the tympanic cavity; it, like the paranasal sinuses, is a hollow There are many other conditions which may cause vertigo, but since mucosa-lined cavity in the skull that is ventilated through the nose.5 Eustachian tube obstruction is one of the most obvious, and also the Tympanic cavity and mastoid cavity are named on the basis of most easily corrected, every patient with symptoms of vertigo, and/or anatomy. -
17-2021 CAMI Pilot Vision Brochure
Visual Scanning with regular eye examinations and post surgically with phoria results. A pilot who has such a condition could progress considered for medical certification through special issuance with Some images used from The Federal Aviation Administration. monofocal lenses when they meet vision standards without to seeing double (tropia) should they be exposed to hypoxia or a satisfactory adaption period, complete evaluation by an eye Helicopter Flying Handbook. Oklahoma City, Ok: US Department The probability of spotting a potential collision threat complications. Multifocal lenses require a brief waiting certain medications. specialist, satisfactory visual acuity corrected to 20/20 or better by of Transportation; 2012; 13-1. Publication FAA-H-8083. Available increases with the time spent looking outside, but certain period. The visual effects of cataracts can be successfully lenses of no greater power than ±3.5 diopters spherical equivalent, at: https://www.faa.gov/regulations_policies/handbooks_manuals/ techniques may be used to increase the effectiveness of treated with a 90% improvement in visual function for most One prism diopter of hyperphoria, six prism diopters of and by passing an FAA medical flight test (MFT). aviation/helicopter_flying_handbook/. Accessed September 28, 2017. the scan time. Effective scanning is accomplished with a patients. Regardless of vision correction to 20/20, cataracts esophoria, and six prism diopters of exophoria represent series of short, regularly-spaced eye movements that bring pose a significant risk to flight safety. FAA phoria (deviation of the eye) standards that may not be A Word about Contact Lenses successive areas of the sky into the central visual field. Each exceeded. -
Reproductions Supplied by EDRS Are the Best That Can Be Made from the Original Document
DOCUMENT RESUME ED 466 081 EC 309 051 AUTHOR Holt, George TITLE Minnesota Deafblind Technical Assistance Project. Final Report: October 1, 1995 to September 30, 2000. INSTITUTION Minnesota State Dept. of Education, St. Paul. SPONS AGENCY Special Education Programs (ED/OSERS), Washington, DC. PUB DATE 2000-00-00 NOTE 209p. CONTRACT H025A50011 PUB TYPE Reports Descriptive (141) EDRS PRICE MF01/PC09 Plus Postage. DESCRIPTORS Adults; *Agency Cooperation; American Indians; Child Advocacy; Databases; *Deaf Blind; *Early Identification; *Education Work Relationship; Elementary Secondary Education; Family Involvement; Inclusive Schools; Infants; Information Dissemination; Inservice Teacher Education; Interdisciplinary Approach; *Parent Education; Parent Participation; Teacher Education Programs; *Technical Assistance; Toddlers; Transitional Programs ABSTRACT This final report describes activities of the 4-year federally-funded Minnesota DeafBlind Assistance Project in meeting the following objectives:(1) provide technical assistance throughout the state; (2) deliver training to improve transitions from school to adult life for youth with deaf-blindness;(3) develop and implement procedures to locate and track individuals with deaf-blindness, with intense focus on early intervention and intervention for infants and toddlers;(4) facilitate family involvement and expansion of the family support program, with a focus on student advocacy;(5) provide educational training in current issues for individualized program development and inclusion of children -
Some Peculiarities of the Plagiostome Ear
Proceedings of the Iowa Academy of Science Volume 37 Annual Issue Article 104 1930 Some Peculiarities of the Plagiostome Ear H. W. Norris Let us know how access to this document benefits ouy Copyright ©1930 Iowa Academy of Science, Inc. Follow this and additional works at: https://scholarworks.uni.edu/pias Recommended Citation Norris, H. W. (1930) "Some Peculiarities of the Plagiostome Ear," Proceedings of the Iowa Academy of Science, 37(1), 381-383. Available at: https://scholarworks.uni.edu/pias/vol37/iss1/104 This Research is brought to you for free and open access by the Iowa Academy of Science at UNI ScholarWorks. It has been accepted for inclusion in Proceedings of the Iowa Academy of Science by an authorized editor of UNI ScholarWorks. For more information, please contact [email protected]. Norris: Some Peculiarities of the Plagiostome Ear SOME PECULIARITIES OF THE PLAGIOSTOME EAR H. w. NORRIS SUMMARY: 1. External pore (leading to labyrinth. Willughby ( ?) , 1686. 2. Endolymphatic pouch (doubtfully homologous to endolym- phatic sac) lying in the parietal fossa. Monro, 1785. 3. Muscle of parietal fossa (inserted on endolymphatic pouch). Weber, 1820. 4. Utriculus divided into anterior and posterior sections, not di rectly connected with each other. Retzius, 1878, 1881. 5. Otoconia instead of otoliths. Breschet, 1838. These peculiarities were discovered many decades ago; most oi them are in general ignored by present clay comparative anatomists and writers of laboratory manuals. The external pore by which the membranous labyrinth com municates directly with the exterior was discovered, in the opinion of Hunter (1782), by Willughby (1686). But a careful perusal of the latter's treatise indicates that he saw a spiracle rather than an acoustic pore. -
Causes of Color Blindness: Function and Failure of the Genes That Detect Color
A REVIEW ON COLOR BLINDNESS 1 Causes of Color Blindness: Function and Failure of the Genes that Detect Color Dylan Taylor A Senior Thesis submitted in partial fulfillment of the requirements for graduation in the Honors Program Liberty University Fall 2020 A REVIEW ON COLOR BLINDNESS 2 Acceptance of Senior Honors Thesis This Senior Honors Thesis is accepted in partial fulfillment of the requirements for graduation from the Honors Program of Liberty University. ______________________________ Gary D. Isaacs Jr., Ph.D. Thesis Chair ______________________________ Michael S. Price, Ph.D. Committee Member _____________________________ James H. Nutter, D.A. Honors Director ______________________________ Date A REVIEW ON COLOR BLINDNESS 3 Abstract Color blindness affects nearly 10% of the entire population, with multiple types of color blindness from various genetic mutations. In the following sections, the nature of light and how the human eye perceives light will be discussed. Afterward, the major forms of color blindness and their genetic causes will be considered. Once these genetic causes have been established, the current method for diagnosing color blindness will be investigated, followed by a discussion of the current treatments available to those with color blindness. Finally, a brief discussion will address possible future work for color blindness with the hope of finding better treatments and a future prevention. A REVIEW ON COLOR BLINDNESS 4 Causes of Color Blindness: Function and Failure of the Genes that Detect Color Introduction Without the human eye’s ability to detect color, the world would appear as dull as a black and white movie. However, despite our ability to detect color, not all humans perceive the same colors as one another. -
The Visual Ecology of Avian Photoreceptors Nathan S
PII: S1350-9462(01)00009-X The Visual Ecology of Avian Photoreceptors Nathan S. Hart* Vision, Touch and Hearing Research Centre, Department of Physiology and Pharmacology, The University of Queensland, Brisbane 4072, Australia CONTENTS Abstract . 676 1. Introduction . 676 1.1. The avian visual system . 676 1.2. Microspectrophotometry and the study ofavian vision . 676 2. Avian retinal photoreceptors . 681 2.1. Visual pigments . 681 2.2. Cone oil droplets . 684 3. UVS/VS cones . 685 3.1. Microspectrophotometric data . 685 3.2. Spectral tuning and phylogeny . 685 3.3. Evolution ofSWS1 opsin-based visual pigments in birds . 686 3.4. The short wavelength limit ofphotoreception . 686 4. SWS single cones. 687 4.1. Microspectrophotometric data . 687 4.2. Dependence upon UVS/VS single cone spectral sensitivity . 688 4.3. Spectral tuning . 688 5. Rods and MWS single cones . 688 5.1. Comparison ofavian RH1 and RH2 opsins . 688 5.2. The duplex retina . 689 5.3. Factors influencing rod visual pigment kmax ........................ 689 6. LWS single and double cones . 691 6.1. Microspectrophotometric data . 691 6.2. Spectral tuning . 691 6.3. Effect ofoil droplet transmittance on spectral sensitivity . 692 6.4. Double cones and the interspecific variation in LWS visual pigment kmax ........ 692 6.5. Spectral filtering by double cone oil droplets . 694 7. Variations in the relative proportions ofdifferent cone types . 695 7.1. Interspecific variations . 695 7.2. Intraretinal variations . 696 7.3. Bilateral asymmetry . 697 8. Conclusions . 697 9. Future directions . 698 Acknowledgements . 698 References . 698 *Tel.: +61-7-3365-1867; fax: +61-7-3365-4522; e-mail: [email protected]. -
Visual Cycle
Retinal photoreceptor cells ◼ Contain photoreceptor molecules that respond to particular wavelengths of light ◼ Generate impulses that are sent to the brain through the optic nerve ◼ Vary in their sensitivity to light depending on type and also on the intensity of light they are exposed to Retinal photoreceptors ◼ Two kinds: rods and cones ◼ Rods are responsible for low intensity, (black and white or scotopic) vision ◼ Cones are responsible for high intensity (colour or photopic) vision ◼ There are 100 million rods and 3 million cones in each retina The eye Retinal cells ◼ . The rod cell ◼ . THE ROD CELL ◼ The outer segments of rods and cones have stacks of discs which contain the photoreceptors molecules whiles the inner segments contains numerous large mitochondria. The stacks of discs are formed by the invagination of the plasma membrane. ◼ The photoreceptor molecule for cones is iodopsin whiles that of rods is rhodopsin. The photoreceptor molecules (visual pigments) consist of an opsin (protein moiety) and 11-cis- retinal (chromophore). That is: rhodopsin = scotopsin (opsin) + 11-cis-retinal ◼ iodopsin= photopsin (opsin) + 11-cis-retinal . ◼ . Retinal ◼ . ◼ The protonated Schiff base is the visual pigment. Sources of vitamin A ◼ Fish liver ◼ Mammalian & chicken livers ◼ Eggs ◼ Whole milk ◼ Carotene from plants ◼ Yellow vegetables ◼ Sweet potatoes Metabolism of vitamin A ◼ . ◼ Retinol (alcohol) is formed from retinal (aldehyde). Retinal can be obtained in two ways: ◼ *from β-carotene through oxidative cleavage catalyzed by the enzyme β-carotene dioxygenase. ◼ *from retinyl esters in the intestinal lumen. ◼ Retinol is then formed from retinal by the enzyme alcohol dehydrogenase by the addition of 2H ions in the form of NADH2 . -
Introduction to Pharmacodynamics Reza Karimi 6
CHAPTER Introduction to Pharmacodynamics Reza Karimi 6 1. Understand the physiology behind the gastrointestinal tract and the route of oral drug administration and VES physiological influences on pharmacodynamics. I 2. Understand the dynamics and functions of the major signal transduction systems and their different biomedi- cal and biological responses in regard to receptor–ligand interactions. 3. Learn about the dynamics and mathematical expressions behind receptor–ligand interactions. OBJECT 4. Understand dose–response relationships and factors that affect a pharmacological response. 5. Learn about agonistic, antagonistic, and partial agonistic binding of drugs to receptors. 6. Learn about different concepts such as addition, synergism, and potentiation that lead to an enhancement effect of drugs. 7. List a few regulatory mechanisms for receptors. 8. Implement a series of Learning Bridge assignments at your experiential sites to bridge your didactic learning with your experiential experiences. 1. cAMP: cyclic adenosine 3' ,5''-monophosphate; a second messenger that plays an important role in signal NS transduction. IO T 2. cGMP: cyclic guanosine 3' ,5''monophosphate; a second messenger that plays an important role in signal I N transduction. I 3. Dose–response relationship: when an endogenous or exogenous ligand binds to a receptor and produces a EF D pharmacological effect. The effect can approach a maximum value (also called Emax) in which a further increase in the ligand concentration does not produce any higher response. 4. Efficacy: the ability of a drug to produce a pharmacological response when it interacts with its receptor. 5. First-pass metabolism: a type of metabolism in which drugs that are absorbed by the gastrointestinal tract go through the portal vein to the liver and are metabolized there before they are distributed to the general ERMS AND AND ERMS circulation. -
Rhodopsin Regeneration Define Nyctalopia, Dark and Light Adaptation
9/16/2014 LECTURE 3 PHOTO TRANSDUCTION IN LIGHT AND DARK DR SYED SHAHID HABIB MBBS DSDM PGDCR FCPS Professor Dept. of Physiology College of Medicine & KKUH OBJECTIVES At the end of this lecture you should be able to: Explain functional properties of rods and cones in scotopic and photopic vision Know the convergence and its value Describe phototransduction process for rods and cones in light and dark and the ionic basis of these responses Enumarate Synaptic mediators at retina Describe Rhodopsin regeneration Define nyctalopia, dark and light adaptation 1 9/16/2014 Low convergenc in cones: cones synapse with →one bipolar cell →one ganglion cell It increases visual acuity & decreases sensitivity to light High convergence of rods: 300:1- It decreases visual acuity & increases sensitivity to light 2 9/16/2014 9 Layers of retina Schematic drawing of the functional parts of the rods and cones Light path 3 9/16/2014 Receptors of vision (Rods&cones) • Outer segment (modified cilia) has disks full of photosensitive pigment (rhodopsin) react with light to initiate action potential • -In cones is conical , small and contain 3 types of rhodopsin • - in rods it is big, rode like and contain one type of rhodopsin • -There are Na channels in the outer segment • Inner segment full of mitochondria ( source of energy for Na-K pump), it is thick in cones • There is Na-K pump in inner segment Comparison of Rods and Cones Rods Cones •Abundant in the •Abundant in fovea periphery of the •About 6 million retina •Contain Photopsin (3Types) •About 120 million -
A Case of Acute Vestibular Neuritis with Periodic Alternating Nystagmus
Case Report Korean J Otorhinolaryngol-Head Neck Surg 2018;61(3):151-5 / pISSN 2092-5859 / eISSN 2092-6529 https://doi.org/10.3342/kjorl-hns.2016.17013 A Case of Acute Vestibular Neuritis with Periodic Alternating Nystagmus Se Won Jeong1, Jeon Mi Lee2, Sung Huhn Kim2, and Jung Hyun Chang1 1Department of Otorhinolaryngology-Head and Neck Surgery, National Health Insurance Service Ilsan Hospital, Goyang; and 2Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, Korea 주기성 교대 안진을 동반한 전정 신경염 1예 정세원1 ·이전미2 ·김성헌2 ·장정현1 국민건강보험 일산병원 이비인후과,1 연세대학교 의과대학 이비인후과학교실2 Detection of nystagmus is an important diagnostic clue in patients with acute vertigo. Patients Received August 13, 2016 with peripheral disorders exhibit nystagmus with a constant direction whereas those with cen- Revised October 13, 2016 tral disorders exhibit nystagmus with changes in direction with or without gaze fixation. Peri- Accepted November 3, 2016 odic alternating nystagmus (PAN) is a horizontal or horizontal-rotary jerk-type nystagmus that Address for correspondence reverses its direction with time. PAN is typically observed in patients with central disorders, Jung Hyun Chang, MD, PhD such as cerebellar or pontomedullary lesions, but it is also observed in patients with peripheral Department of Otorhinolaryngology- disorders, albeit rarely. Here we report a rare case of a 58-year-old patient with vertigo with Head and Neck Surgery, PAN, which was initially suspected as a central disorder, but eventually diagnosed as a periph- National Health Insurance eral vestibular disorder. We investigated the characteristics and mechanisms of peripheral PAN Service Ilsan Hospital, in this case. The absence of central disorder symptoms, visual suppression of PAN, normal oc- 100 Ilsan-ro, Ilsandong-gu, ulomotor findings, and transient persistence are important diagnostic clues for differentiating Goyang 10444, Korea Korean J Otorhinolaryngol-Head Neck Surg 2018;61(3):151-5 Tel +82-31-900-0972 peripheral from central PAN. -
Neurological Assessment Student Handbook
Neurological NEURO Assessment STUDENT HANDBOOK NEURO Neurological Assessment Student Handbook DAN Medical Information Line: +919-684-2948 ext. 6222 Divers Alert Network +1 919-684-2948 DAN Emergency Hotline: +1-919-684-9111 Authors: Nicolas Brd, MD. MMS Contributors and Reviewers: Jim Chimiak, M.D.; Petar Denoble, M.D., D.Sc.; Matias Nochetto, M.D.; Patty Seery, MHS, DMT This program meets the current recommendations from the October 2015 Guidelines Update for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care issued by the International Liaison Council on Resuscitation (ILCOR)/American Heart Association (AHA). 3rd Edition, January 2016 © 2016 Divers Alert Network All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, or otherwise, without prior written permission of Divers Alert Network, 6 West Colony Place, Durham, NC 27705. First edition published October 2006. Second edition published January 2012. Neurological Assessment TABLE OF CONTENTS Chapter 1: Course Overview ......................................................................................... 2 Chapter 2: Nervous System Overview .......................................................................... 4 Review Questions .......................................................................................................... 6 Chapter 3: Stroke .........................................................................................................