I. Introduction II
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The Structure and Function of Breathing
CHAPTERCONTENTS The structure-function continuum 1 Multiple Influences: biomechanical, biochemical and psychological 1 The structure and Homeostasis and heterostasis 2 OBJECTIVE AND METHODS 4 function of breathing NORMAL BREATHING 5 Respiratory benefits 5 Leon Chaitow The upper airway 5 Dinah Bradley Thenose 5 The oropharynx 13 The larynx 13 Pathological states affecting the airways 13 Normal posture and other structural THE STRUCTURE-FUNCTION considerations 14 Further structural considerations 15 CONTINUUM Kapandji's model 16 Nowhere in the body is the axiom of structure Structural features of breathing 16 governing function more apparent than in its Lung volumes and capacities 19 relation to respiration. This is also a region in Fascla and resplrstory function 20 which prolonged modifications of function - Thoracic spine and ribs 21 Discs 22 such as the inappropriate breathing pattern dis- Structural features of the ribs 22 played during hyperventilation - inevitably intercostal musculature 23 induce structural changes, for example involving Structural features of the sternum 23 Posterior thorax 23 accessory breathing muscles as well as the tho- Palpation landmarks 23 racic articulations. Ultimately, the self-perpetuat- NEURAL REGULATION OF BREATHING 24 ing cycle of functional change creating structural Chemical control of breathing 25 modification leading to reinforced dysfunctional Voluntary control of breathing 25 tendencies can become complete, from The autonomic nervous system 26 whichever direction dysfunction arrives, for Sympathetic division 27 Parasympathetic division 27 example: structural adaptations can prevent NANC system 28 normal breathing function, and abnormal breath- THE MUSCLES OF RESPIRATION 30 ing function ensures continued structural adap- Additional soft tissue influences and tational stresses leading to decompensation. -
Series 1100TDM Tandem MEGALUG Mechanical Joint Restraint
Series 1100TDM Tandem MEGALUG® Mechanical Joint Restraint High Pressure Restraint for Ductile Iron Pipe Features and Applications: • For use on Ductile Iron Pipe 4 inch through 54 inch • High Pressure Restraint • Torque Limiting Twist-Off Nuts • Mechanical Joint follower gland incorporated into the restraint • MEGA-BOND® Coating System For more information on MEGA- BOND, visit our web site at www. ebaa.com • Minimum 2 to 1 Safety Factor Series 1112TDM restraining a mechanical joint fitting. • Constructed of A536 Ductile Iron Post Pressure Rating • EBAA-Seal™ Mechanical Nominal Pipe Shipping Assembly (PSI) Joint Gaskets are provided Size Weights* Deflection with all 1100TDM MEGALUG 4 21.6 3° 700 restraints. These are required 6 33.0 3° 700 to accommodate the pressure ratings and safety factors 8 40.0 3° 700 shown. 10 60.2 3° 700 12 75.0 3° 700 • New: High strength heavy hex 14 112.7 2° 700 machine bolts with T-nuts are 16 131.6 2° 700 provided to facilitate easier assembly due to the fittings 18 145.2 1½° 500 radius area prohibiting the use 20 166.6 1½° 500 longer T-bolts. 24 290.2 1½° 500 30 457.9 1° 500 • T-Nuts constructed of High 36 553.63 1° 500 Tensile Ductile Iron with Fluropolymer Coating. 42 1,074.8 1° 500 48 1,283.1 1° 500 For use on water or wastewater 54 1,445.32 ½° 400 pipelines subject to hydrostatic NOTE: For applications or pressures other than those shown please pressure and tested in accordance contact EBAA for assistance. -
The Proximal Interphalangeal Joint: Arthritis and Deformity
4.1800EOR0010.1302/2058-5241.4.180042 research-article2019 EOR | volume 4 | June 2019 DOI: 10.1302/2058-5241.4.180042 Instructional Lecture: Hand & Wrist www.efortopenreviews.org The proximal interphalangeal joint: arthritis and deformity Daniel Herren Finger joints are of the most common site of osteoarthritis Most authors, especially in the rheumatology and arthritis and include the DIP, PIP and the thumb saddle joint. literature, use a modification of the Kellgren and Lawrence 1 Joint arthroplasty provides the best functional outcome scale, initially described for patellofemoral arthritis, for for painful destroyed PIP joints, including the index finger. radiographic classification: Adequate bone stock and functional tendons are required for a successful PIP joint replacement Grade 1: doubtful narrowing of joint space and pos- sible osteophytic lipping Fixed swan-neck and boutonnière deformity are better served with PIP arthrodesis rather than arthroplasty. Grade 2: definite osteophytes, definite narrowing of joint space Silicone implants are the gold standard in terms of implant choice. Newer two-component joints may have potential Grade 3: moderate multiple osteophytes, definite nar- to correct lateral deformities and improve lateral stability. rowing of joint space, some sclerosis and possible deformation of bone contour Different surgical approaches are used for PIP joint implant arthroplasty according to the needs and the experience of Grade 4: large osteophytes, marked narrowing of joint the surgeon. space, severe sclerosis and definite deformation of bone contour Post-operative rehabilitation is as critical as the surgical procedure. Early protected motion is a treatment goal. Revision and exchange PIP arthroplasty may successfully Treatment be used to treat chronic pain, but will not correct defor- mity. -
Synovial Joints Permit Movements of the Skeleton
8 Joints Lecture Presentation by Lori Garrett © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes 8.1 Contrast the major categories of joints, and explain the relationship between structure and function for each category. 8.2 Describe the basic structure of a synovial joint, and describe common accessory structures and their functions. 8.3 Describe how the anatomical and functional properties of synovial joints permit movements of the skeleton. © 2018 Pearson Education, Inc. Section 1: Joint Structure and Movement Learning Outcomes (continued) 8.4 Describe flexion/extension, abduction/ adduction, and circumduction movements of the skeleton. 8.5 Describe rotational and special movements of the skeleton. © 2018 Pearson Education, Inc. Module 8.1: Joints are classified according to structure and movement Joints, or articulations . Locations where two or more bones meet . Only points at which movements of bones can occur • Joints allow mobility while preserving bone strength • Amount of movement allowed is determined by anatomical structure . Categorized • Functionally by amount of motion allowed, or range of motion (ROM) • Structurally by anatomical organization © 2018 Pearson Education, Inc. Module 8.1: Joint classification Functional classification of joints . Synarthrosis (syn-, together + arthrosis, joint) • No movement allowed • Extremely strong . Amphiarthrosis (amphi-, on both sides) • Little movement allowed (more than synarthrosis) • Much stronger than diarthrosis • Articulating bones connected by collagen fibers or cartilage . Diarthrosis (dia-, through) • Freely movable © 2018 Pearson Education, Inc. Module 8.1: Joint classification Structural classification of joints . Fibrous • Suture (sutura, a sewing together) – Synarthrotic joint connected by dense fibrous connective tissue – Located between bones of the skull • Gomphosis (gomphos, bolt) – Synarthrotic joint binding teeth to bony sockets in maxillae and mandible © 2018 Pearson Education, Inc. -
Isaac Newton Academy Revision Booklet- Exam 1
Isaac Newton Academy Revision Booklet- Exam 1 Component 01: Physical factors affecting performance 1.1 Applied anatomy and physiology 1.2 Physical training. Functions of the skeleton Location of Major Bones Bone stores crucial nutrients, minerals, and lipids and produces blood cells that nourish the body and play a vital role in protecting the body against infection. Bones have many functions, including the following: Support: Bones provide a framework for the attachment of muscles and other tissues. Bone Location Arm - humerus, radius and ulna. Hand - Carpals, Metacarpals and Phalanges. Sternum and Ribs. Femur – the thigh bone. Patella – the knee cap. Tibia – the shin bone, the larger of the two leg bones located below the knee cap. Fibula – the smaller of the two leg bones located below the knee cap. The OCR Spec expects us to know the following regarding synovial joints: The definition of a synovial joint, Articulating bones of the knee and elbow hinge joints and also the articulating bones of the shoulder and hip Ball and socket joints Hinge Joint- A hinge joint is found at the knee and the elbow, Synovial Joint- This is a freely moveable joint in thich the bones’ surfaces are covered Articulating bones of the elbow by cartilage and connected by joint are the Humerus radius fibrous connective tissue and Ulna . Articulating bones of capsule lines with synovial the knee are the Femur and fluid Tibia. Ball and socket joint- Allows a wide range of movement, they can be Articulating bones- These found at the hip and shoulder. are bones that move within a joint Articulating bones of the shoulder are Humerus and Scapula. -
Lecture Notes on Human Anatomy. Part One, Fourth Edition. PUB DATE Sep 89 NOTE 79P.; for Related Documents, See SE 051 219-221
DOCUMENT RESUME ED 315 320 SE 051 218 AUTHOR Conrey, Kathleen TITLE Lecture Notes on Human Anatomy. Part One, Fourth Edition. PUB DATE Sep 89 NOTE 79p.; For related documents, see SE 051 219-221. Black and white illustrations will not reproduce clearly. AVAILABLE FROM Aramaki Design and Publications, 12077 Jefferson Blvd., Culver City, CA 90506 ($7.75). PUB TYPE Guides - Classroom Use - Materials (For Learner) (051) EDRS PRICE MF01 Plus Postage. PC Not Available from EDRS. DESCRIPTORS *Anatomy; *Biological Sciences; *College Science; Higher Education; *Human Body; *Lecture Method; Science Education; Secondary Education; Secondary School Science; Teaching Guides; Teaching Methods ABSTRACT During the process of studying the specific course content of human anatomy, students are being educated to expand their vocabulary, deal successfully with complex tasks, anduse a specific way of thinking. This is the first volume in a set of notes which are designed to accompany a lecture series in human anatomy. This volume Includes discussions of anatomical planes and positions, body cavities, and architecture; studies of the skeleton including bones and joints; studies of the musculature of the body; and studiesof the nervous system including the central, autonomic, motor and sensory systems. (CW) *****1.**k07********Y*******t1.****+***********,****A*******r****** % Reproductions supplied by EDRS are the best that can be made from the original document. **************************************************************A**t***** "PERMISSION TO REPRODUCE -
Medial Collateral Ligament (MCL) Sprain
INFORMATION FOR PATIENTS Medial collateral ligament (MCL) sprain This leaflet intends to educate you on Knee ligament sprains are graded in the immediate management of your severity from one to three: knee injury. It also contains exercises to prevent stiffening of your knee, Grade one: Mild sprain with ligaments whilst your ligament heals. stretched but not torn. Grade two: Moderate sprain with some What is an MCL injury? ligaments torn. Grade three: Severe sprain with There are two collateral ligaments, one complete tear of ligaments. either side of the knee, which act to stop side to side movement of the knee. The Symptoms you may experience medial collateral ligament (MCL) is most commonly injured. It lies on the inner side Pain in the knee, especially on the of your knee joint, connecting your thigh inside, particularly with twisting bone (femur) to your shin bone (tibia) and movements. provides stability to the knee. Tenderness along the ligament on the inside. Injuries to this ligament tend to occur Stiffness. when a person is bearing weight and the Swelling and some bruising. knee is forced inwards, such as slipping depending on the grade of the injury. on ice or playing sports, e.g. skiing, You may have the feeling the knee will football and rugby. In older people, this give way or some unstable feeling can be injured during a fall. An MCL injury can be a partial or complete tear, or overstretching of the ligament. Knee ligament injuries are also referred to as sprains. It’s common to injure one of your cruciate ligaments (the two ligaments that cross in the middle of your knee which help to stabilise), or your meniscus (cartilage discs that help provide a cushion between your thigh and shin bone), at the same time as your MCL. -
Research Review Fibrocartilage
J. Anat. (1990), 171, pp. 1-15 1 Printed in Great Britain Research Review Fibrocartilage M. BENJAMIN AND E. J. EVANS Department of Anatomy, University of Wales College of Cardiff, PO Box 900, Cardif CF1 3 YF, Wales Fibrocartilage has long been a neglected tissue that is too often viewed as a poor relation of hyaline cartilage. It failed to achieve the status of a tissue with the early histologists, but it is beginning to come of age, for modem techniques are revealing some exciting secrets about fibrocartilage in knee joint menisci and intervertebral discs in particular. Yet there has never been any general review on fibrocartilage, and workers concerned with the tissue in one organ rarely consider it in another. Consequently, we lack any global picture that would encourage the spread of interest in the tissue and the effective exchange of ideas. Our review deals largely with the white fibrocartilage of standard texts and for reasons of space excludes yellow elastic cartilage. We have concentrated on fibrocartilage as a tissue rather than fibrocartilages as organs. HISTORICAL CONSIDERATIONS The most important work on cartilage in the older literature is that of Schaffer (1930). His monograph is a thorough, comparative account of cartilage and related tissues throughout the animal kingdom. The reader interested in fibrocartilage must also study Schaffer's account of chondroid tissue, for some tissues that would now be regarded as fibrocartilage were viewed by Schaffer as hyaline-cell chondroid tissue. He had a narrow vision of 'true' cartilage and called tissues where the cells were not shrunken in lacunae, 'chondroid'. -
Module 6 : Anatomy of the Joints
Module 6 : Anatomy of the Joints In this module you will learn: About the classification of joints What synovial joints are and how they work Where the hinge joints are located and their functions Examples of gliding joints and how they work About the saddle joint and its function 6.1 Introduction The body has a need for strength and movement, which is why we are rigid. If our bodies were not made this way, then movement would be impossible. We are designed to grow with bones, tendons, ligaments, and joints that all play a part in natural movements known as articulations – these strong connections join up bones, teeth, and cartilage. Each joint in our body makes these links possible and each joint performs a specific job – many of them differ in shape and structure, but all control a range of motion between the body parts that they connect. 6.2 Classifying Joints Joints that do not allow movement are known as synarthrosis joints. Examples of synarthroses are sutures of the skull, and the gomphoses which connect our teeth to the skull. Amphiarthrosis joints allow a small range of movement, an example of this is your intervertebral discs attached to the spine. Another example is the pubic symphysis in your hip region. The freely moving joints are classified as diarthrosis joints. These have a higher range of motion than any other type of joint, they include knees, elbows, shoulders, and wrists. Joints can also be classified depending on the kind of material each one is structurally made up of. A fibrous joint is made up of tough collagen fiber, examples of this are previously mentioned sutures of the skull or the syndesmosis joint, which holds the ulna and radius of your forearm in place. -
Autologous Matrix-Induced Chondrogenesis and Generational Development of Autologous Chondrocyte Implantation
Autologous Matrix-Induced Chondrogenesis and Generational Development of Autologous Chondrocyte Implantation Hajo Thermann, MD, PhD,* Christoph Becher, MD,† Francesca Vannini, MD, PhD,‡ and Sandro Giannini, MD‡ The treatment of osteochondral defects of the talus is still controversial. Matrix-guided treatment options for covering of the defect with a scaffold have gained increasing popularity. Cellular-based autologous chondrocyte implantation (ACI) has undergone a generational development overcoming the surgical drawbacks related to the use of the periosteal flap over time. As ACI is associated with high costs and limited in availability, autologous matrix-induced chondrogenesis, a single-step procedure combining microfracturing of the subchondral bone to release bone marrow mesenchymal stem cells in combination with the coverage of an acellular matrix, has gained increasing popularity. The purposes of this report are to present the arthroscopic approach of the matrix-guided autologous matrix-induced chondrogenesis technique and generational development of ACI in the treatment of chondral and osteochon- dral defects of the talus. Oper Tech Orthop 24:210-215 C 2014 Elsevier Inc. All rights reserved. KEYWORDS cartilage, defect, ankle, talus, AMIC, ACI Introduction Cartilage repair may be obtained by cartilage replacement: (OATS, mosaicplasty) or with techniques aimed to generate a hondral and osteochondral lesions are defects of the newly formed cartilage such as microfracture or autologous Ccartilaginous surface and underlying subchondral bone of chondrocyte implantation (ACI).9-17 the talar dome. These defects are often caused by a single or Arthroscopic debridement and bone marrow stimulation multiple traumatic events, mostly inversion or eversion ankle using the microfracture technique has proven to be an 1,2 sprains in young, active patients. -
Chapter 14. Anthropometry and Biomechanics
Table of contents 14 Anthropometry and biomechanics........................................................................................ 14-1 14.1 General application of anthropometric and biomechanic data .....................................14-2 14.1.1 User population......................................................................................................14-2 14.1.2 Using design limits ................................................................................................14-4 14.1.3 Avoiding pitfalls in applying anthropometric data ................................................14-6 14.1.4 Solving a complex sequence of design problems ..................................................14-7 14.1.5 Use of distribution and correlation data...............................................................14-11 14.2 Anthropometric variability factors..............................................................................14-13 14.3 Anthropometric and biomechanics data......................................................................14-13 14.3.1 Data usage............................................................................................................14-13 14.3.2 Static body characteristics....................................................................................14-14 14.3.3 Dynamic (mobile) body characteristics ...............................................................14-28 14.3.3.1 Range of whole body motion........................................................................14-28 -
Medical Terminology Abbreviations Medical Terminology Abbreviations
34 MEDICAL TERMINOLOGY ABBREVIATIONS MEDICAL TERMINOLOGY ABBREVIATIONS The following list contains some of the most common abbreviations found in medical records. Please note that in medical terminology, the capitalization of letters bears significance as to the meaning of certain terms, and is often used to distinguish terms with similar acronyms. @—at A & P—anatomy and physiology ab—abortion abd—abdominal ABG—arterial blood gas a.c.—before meals ac & cl—acetest and clinitest ACLS—advanced cardiac life support AD—right ear ADL—activities of daily living ad lib—as desired adm—admission afeb—afebrile, no fever AFB—acid-fast bacillus AKA—above the knee alb—albumin alt dieb—alternate days (every other day) am—morning AMA—against medical advice amal—amalgam amb—ambulate, walk AMI—acute myocardial infarction amt—amount ANS—automatic nervous system ant—anterior AOx3—alert and oriented to person, time, and place Ap—apical AP—apical pulse approx—approximately aq—aqueous ARDS—acute respiratory distress syndrome AS—left ear ASA—aspirin asap (ASAP)—as soon as possible as tol—as tolerated ATD—admission, transfer, discharge AU—both ears Ax—axillary BE—barium enema bid—twice a day bil, bilateral—both sides BK—below knee BKA—below the knee amputation bl—blood bl wk—blood work BLS—basic life support BM—bowel movement BOW—bag of waters B/P—blood pressure bpm—beats per minute BR—bed rest MEDICAL TERMINOLOGY ABBREVIATIONS 35 BRP—bathroom privileges BS—breath sounds BSI—body substance isolation BSO—bilateral salpingo-oophorectomy BUN—blood, urea, nitrogen