Friday, 29 November 2013

But wait, aren’t we firmly in the grip of the 21st century? I do believe so… One might think that we’d’ve gotten our own anatomy down pat. I guess not! Ha! Sigh.
This is especially intriguing since this new part is a ligament in the knee. There are, after all, quite a lot of knee surgeries on the books.
Although having said that, it would appear that a French fellow got suspicious back in 1879 and put forth the idea that this ligament existed. Didn’t go on to prove it, though.
new ligament!
An image of a right knee after a full dissection of the anterolateral ligament (ALL). (Credit: University Hospitals Leuven)
S1 – What’s that gross-looking thing in the picture up there? Oh, just a newly discovered part of the human body, no big deal. Two surgeons at University Hospitals Leuven in Belgium have found and named a new ligament in the knee, which they dubbed the anterolateral ligament, or ALL.
S2 – Despite successful ACL repair surgery and rehabilitation, some patients with ACL-repaired knees continue to experience so-called ‘pivot shift’, or episodes where the knee ‘gives way’ during activity. For the last four years, orthopaedic surgeons Dr Steven Claes and Professor Dr Johan Bellemans have been conducting research into serious ACL injuries in an effort to find out why. Their starting point: an 1879 article by a French surgeon that postulated the existence of an additional ligament located on the anterior of the human knee.
As has been noted here by Rewey in a forum thread about this find, the part seems to have been illustrated in textbooks for a good long while now. It‘s just been simply falsely classed as being a part of a ligament it appears to connect to. No one noticed that it doesn’t really do that. Except that French guy. Now that is odd.
In Rewey’s reply he says:
lateral collateral ligaments… when I look at this image below, it refers to the lateral collateral ligaments - as in plural. It seems to show the LCL as reaching down in two separate strands, hence why maybe it’s referred to in plural form. This seems like exactly what is shown as the ‘new’ tendon in the photos in the OP.
In the pic below, one strand of the LCL joins to the outer top edge of the tibia, and one to the outer top edge of the fibula. I think the photo in the OP shows the same thing – it’s just that the tibia and fibula in the photo are still joined by tissue and cartilage, and therefore maybe it isn’t as clear?
I think this seems less a matter of discovering a NEW ligament, and more along the lines of realising that it performs a slightly different function to what we assumed, and therefore have given it another name?

the newly discoverd part of human body

But wait, aren’t we firmly in the grip of the 21st century? I do believe so… One might think that we’d’ve gotten our own anatomy down pat. I guess not! Ha! Sigh.
This is especially intriguing since this new part is a ligament in the knee. There are, after all, quite a lot of knee surgeries on the books.
Although having said that, it would appear that a French fellow got suspicious back in 1879 and put forth the idea that this ligament existed. Didn’t go on to prove it, though.
new ligament!
An image of a right knee after a full dissection of the anterolateral ligament (ALL). (Credit: University Hospitals Leuven)
S1 – What’s that gross-looking thing in the picture up there? Oh, just a newly discovered part of the human body, no big deal. Two surgeons at University Hospitals Leuven in Belgium have found and named a new ligament in the knee, which they dubbed the anterolateral ligament, or ALL.
S2 – Despite successful ACL repair surgery and rehabilitation, some patients with ACL-repaired knees continue to experience so-called ‘pivot shift’, or episodes where the knee ‘gives way’ during activity. For the last four years, orthopaedic surgeons Dr Steven Claes and Professor Dr Johan Bellemans have been conducting research into serious ACL injuries in an effort to find out why. Their starting point: an 1879 article by a French surgeon that postulated the existence of an additional ligament located on the anterior of the human knee.
As has been noted here by Rewey in a forum thread about this find, the part seems to have been illustrated in textbooks for a good long while now. It‘s just been simply falsely classed as being a part of a ligament it appears to connect to. No one noticed that it doesn’t really do that. Except that French guy. Now that is odd.
In Rewey’s reply he says:
lateral collateral ligaments… when I look at this image below, it refers to the lateral collateral ligaments - as in plural. It seems to show the LCL as reaching down in two separate strands, hence why maybe it’s referred to in plural form. This seems like exactly what is shown as the ‘new’ tendon in the photos in the OP.
In the pic below, one strand of the LCL joins to the outer top edge of the tibia, and one to the outer top edge of the fibula. I think the photo in the OP shows the same thing – it’s just that the tibia and fibula in the photo are still joined by tissue and cartilage, and therefore maybe it isn’t as clear?
I think this seems less a matter of discovering a NEW ligament, and more along the lines of realising that it performs a slightly different function to what we assumed, and therefore have given it another name?

Effect of marathon on the huma body

So what does a marathon do to your body?

This weekend, Pamela Anderson and thousands more will trek those 26.2 miles through the five boroughs of New York City and when they cross the finish line, they will have more in common with each other than sore muscles, chafed armpits, and a sense of accomplishment. Their bodies will desperately be trying to restore a physiological equilibrium that they've thrown into chaos during the race. During a marathon, the body undergoes significant changes to cope with the metabolic and physiological demands of running for such a long time. These include increases in the rate and depth of breathing, increasing the amount of blood that's pumped by the heart, redistribution of blood flow away from internal organs and toward muscle tissue, and changes to the circulating concentrations of various hormones. Crucial electrolytes—potassium, magnesium—may be severely disturbed during the event and in some cases, the abnormalities will be considered life-threatening.
Marathon runners routinely release molecules from the liver, heart, and skeletal muscles into the bloodstream that are usually only seen in patients with diseased organs2; from a biochemical perspective, many of the participants will resemble a corpse.
Perhaps the most alarming molecule that slips into the bloodstream during a race is something called the cardiac troponin enzyme3. The troponin molecule should be found in the blood in very low levels; any elevation can initially be cause for concern, and may herald the onset of a heart attack4. The tricky part is knowing when the troponin is just a transient finding, one that will go away with some rest and stuffing your face with Key Lime Pie and Doritos.

Can it give you a heart attack?

This Sunday, up to three-quarters of the marathon runners will have an abnormal elevation of troponin in their bloodstream5. The troponin molecule itself isn't doing harm; rather, it's a marker that the heart has sustained trauma. For the overwhelming majority of runners, however, it's important to know that these changes are transient and full recovery occurs within days, without any apparent long-term adverse consequences. Some runners, however, aren't so lucky. We've heard stories of people dropping dead during a marathon, and in many cases the patients are relatively young (mid-40s) and physically fit6. It wasn't always clear, however, if these marathon-related heart attacks were a common phenomenon or an exceedingly rare event that gets blown out of proportion because of the jarring imagery.
To examine this question, a large study searched for sudden death due to a heart problem (known as sudden cardiac death, or SCD) in 215,413 marathon runners who participated in a Marine Corps or a civilian marathon over a 19-year period7. As it turns out, sudden cardiac death occurred in only four individuals during or immediately following the marathon, an incidence of approximately one in 50,000, which is substantially lower than the annual risk of premature death in the general population. (Of the four who died suddenly, none had prior cardiac symptoms and two had completed several prior marathons.) Thankfully, and perhaps somewhat surprisingly, the incidence of SCD in marathon runners remains relatively low, possibly because so many are in such good shape to begin with.

What about losing too much salt?

The concern over the troponin enzyme seems rather straightforward; it should be in the heart, not in the blood stream. But other molecular abnormalities are more subtle yet potentially even more dangerous. The alarming scenario med students have drilled into their heads has to do with the hypothetical marathon runner who becomes increasingly delirious after a race. Young doctors are taught to assume that the runner has a profound disturbance of sodium, which actually doesn't come from consuming or losing too much sodium through perspiration; rather it comes from consuming an inappropriate quantity of water8. The fluid imbalance throws the sodium concentration out of whack, and through a complex mechanism can cause the brain to shrink or swell, particularly if too much water is consumed9.
The issue of sodium concentration in long-distance runners is potentially lethal and we've recently gotten a better sense of just how common it is. At the 2002 Boston Marathon, a sample of 488 runners approached randomly at race registration completed a survey prior to the race and, at the finish line, provided a blood sample, and completed a questionnaire detailing their fluid consumption and urine output during the race. Of these runners, 13 percent had abnormally low sodium concentrations (a condition known as hyponatremia) and three runners had what was considered critical hyponatremia, a condition that can land someone in the ICU. Extrapolating this to the 15,000 runners who finished that race, nearly 2,000 would have some degree of hyponatremia and nearly 100 would have critical hyponatremia. Sodium alteration is presumably why I felt so disoriented after the race.

What about the blood-pissing?

About that classmate of mine who said he peed blood after the marathon: It turns out he's not alone. The condition is called myoglobinuria and it develops as a consequence of muscle degradation brought on by extreme exertion. When muscle tissue is injured, it releases myoglobin into the bloodstream, much in the way that cardiac tissue released troponin. Myoglobin is eventually filtered through the kidneys and its presence in urine makes the liquid resemble tea. Depending on the temperature, up to 10 percent of marathon participants will be at risk for this condition.
Thousands will spend this Sunday throwing their internal organs into disarray. Thankfully, medical personnel will be on hand and most of the physical changes will fade. The psychological impact, however, will be much more permanent. Many will remember the race—and the charity they supported—for the rest of their lives. Others, like me, will never forget how grueling the experience was. I'm never doing it again. But I hope Ms. Anderson does. I'll be in Central Park on Sunday, cheering them all on.

Sunday, 15 September 2013

What is the respiratory system?
     
Your
respiratory system is made up of the organs in your body that help you to breathe. Remember, that Respiration = Breathing. The goal of breathing is to deliver oxygen to the body and to take away carbon dioxide.
Parts of the respiratory system
Lungs
     The
lungs are the main organs of the respiratory system. In the lungs oxygen is taken into the body and carbon dioxide is breathed out. The red blood cells are responsible for picking up the oxygen in the lungs and carrying the oxygen to all the body cells that need it. The red blood cells drop off the oxygen to the body cells, then pick up the carbon dioxide which is a waste gas product produced by our cells. The red blood cells transport the carbon dioxide back to the lungs and we breathe it out when we exhale.
Contents
Trachea
     The
trachea (TRAY-kee-uh} is sometimes called the windpipe. The trachea filters the air we breathe and branches into the bronchi.
Contents Bronchi
     The
bronchi (BRAHN-ky) are two air tubes that branch off of the trachea and carry air directly into the lungs.
Contents
Diaphragm
     Breathing starts with a dome-shaped muscle at the bottom of the lungs called the
diaphragm (DY-uh-fram). When you breathe in, the diaphragm contracts. When it contracts it flattens out and pulls downward. This movement enlarges the space that the lungs are in. This larger space pulls air into the lungs. When you breathe out, the diaphragm expands reducing the amount of space for the lungs and forcing air out. The diaphragm is the main muscle used in breathing.
Contents

Monday, 5 August 2013

Internal Organs

Though we may not give them much thought unless they’re bothering us, our internal organs are what allow us to go on eating, breathing and walking around. Here are some things to consider the next time you hear your stomach growl.
The largest internal organ is the small intestine. Despite being called the smaller of the two intestines, your small intestine is actually four times as long as the average adult is tall. If it weren’t looped back and forth upon itself it wouldn’t fit inside the abdominal cavity.
The human heart creates enough pressure to squirt blood 30 feet. No wonder you can feel your heartbeat so easily. Pumping blood through your body quickly and efficiently takes quite a bit of pressure resulting in the strong contractions of the heart and the thick walls of the ventricles which push blood to the body.
The acid in your stomach is strong enough to dissolve razorblades. While you certainly shouldn’t test the fortitude of your stomach by eating a razorblade or any other metal object for that matter, the acids that digest the food you eat aren’t to be taken lightly. Hydrochloric acid, the type found in your stomach, is not only good at dissolving the pizza you had for dinner but can also eat through many types of metal.
The human body is estimated to have 60,000 miles of blood vessels. To put that in perspective, the distance around the earth is about 25,000 miles, making the distance your blood vessels could travel if laid end to end more than two times around the earth.
You get a new stomach lining every three to four days. The mucus-like cells lining the walls of the stomach would soon dissolve due to the strong digestive acids in your stomach if they weren’t constantly replaced. Those with ulcers know how painful it can be when stomach acid takes its toll on the lining of your stomach.
The surface area of a human lung is equal to a tennis court. In order to more efficiently oxygenate the blood, the lungs are filled with thousands of branching bronchi and tiny, grape-like alveoli. These are filled with microscopic capillaries which oxygen and carbon dioxide. The large amount of surface area makes it easier for this exchange to take place, and makes sure you stay properly oxygenated at all times.
Women’s hearts beat faster than men’s.The main reason for this is simply that on average women tend to be smaller than men and have less mass to pump blood to. But women’s and men’s hearts can actually act quite differently, especially when experiencing trauma like a heart attack, and many treatments that work for men must be adjusted or changed entirely to work for women.
Scientists have counted over 500 different liver functions. You may not think much about your liver except after a long night of drinking, but the liver is one of the body’s hardest working, largest and busiest organs. Some of the functions your liver performs are: production of bile, decomposition of red blood cells, plasma protein synthesis, and detoxification.
The aorta is nearly the diameter of a garden hose. The average adult heart is about the size of two fists, making the size of the aorta quite impressive. The artery needs to be so large as it is the main supplier of rich, oxygenated blood to the rest of the body.
Your left lung is smaller than your right lung to make room for your heart. For most people, if they were asked to draw a picture of what the lungs look like they would draw both looking roughly the same size. While the lungs are fairly similar in size, the human heart, though located fairly centrally, is tilted slightly to the left making it take up more room on that side of the body and crowding out that poor left lung.
You could remove a large part of your internal organs and survive. The human body may appear fragile but it’s possible to survive even with the removal of the stomach, the spleen, 75 percent of the liver, 80 percent of the intestines, one kidney, one lung, and virtually every organ from the pelvic and groin area. You might not feel too great, but the missing organs wouldn’t kill you.
The adrenal glands change size throughout life. The adrenal glands, lying right above the kidneys, are responsible for releasing stress hormones like cortisol and adrenaline. In the seventh month of a fetus’ development, the glands are roughly the same size as the kidneys. At birth, the glands have shrunk slightly and will continue to do so throughout life. In fact, by the time a person reaches old age, the glands are so small they can hardly be seen.
Hair and Nails
  The next time you’re heading in for a haircut or manicure, think of these facts.
Facial hair grows faster than any other hair on the body. If you’ve ever had a covering of stubble on your face as you’re clocking out at 5 o’clock you’re probably pretty familiar with this. In fact, if the average man never shaved his beard it would grow to over 30 feet during his lifetime, longer than a killer whale.
Every day the average person loses 60-100 strands of hair. Unless you’re already bald, chances are good that you’re shedding pretty heavily on a daily basis. Your hair loss will vary in accordance with the season, pregnancy, illness, diet and age.
Women’s hair is about half the diameter of men’s hair. While it might sound strange, it shouldn’t come as too much of a surprise that men’s hair should be coarser than that of women. Hair diameter also varies on average between races, making hair plugs on some men look especially obvious.
One human hair can support 3.5 ounces. That’s about the weight of two full size candy bars, and with hundreds of thousands of hairs on the human head, makes the tale of Rapunzel much more plausible.
The fastest growing nail is on the middle finger. And the nail on the middle finger of your dominant hand will grow the fastest of all. Why is not entirely known, but nail growth is related to the length of the finger, with the longest fingers growing nails the fastest and shortest the slowest.
There are as many hairs per square inch on your body as a chimpanzee. Humans are not quite the naked apes that we’re made out to be. We have lots of hair, but on most of us it’s not obvious as a majority of the hairs are too fine or light to be seen.
Blondes have more hair. They’re said to have more fun, and they definitely have more hair. Hair color determines how dense the hair on your head is. The average human has 100,000 hair follicles, each of which is capable of producing 20 individual hairs during a person’s lifetime. Blondes average 146,000 follicles while people with black hair tend to have about 110,000 follicles. Those with brown hair fit the average with 100,000 follicles and redheads have the least dense hair, with about 86,000 follicles.
Fingernails grow nearly 4 times faster than toenails. If you notice that you’re trimming your fingernails much more frequently than your toenails you’re not just imagining it. The nails that get the most exposure and are used most frequently grow the fastest. On average, nails on both the toes and fingers grow about one-tenth of an inch each month.
The lifespan of a human hair is 3 to 7 years on average. While you quite a few hairs each day, your hairs actually have a pretty long life providing they aren’t subject to any trauma. Your hairs will likely get to see several different haircuts, styles, and even possibly decades before they fall out on their own.
You must lose over 50% of your scalp hairs before it is apparent to anyone. You lose hundreds of hairs a day but you’ll have to lose a lot more before you or anyone else will notice. Half of the hairs on your pretty little head will have to disappear before your impending baldness will become obvious to all those around you.
Human hair is virtually indestructible. Aside from it’s flammability, human hair decays at such a slow rate that it is practically non-disintegrative. If you’ve ever wondered how your how clogs up your pipes so quick consider this: hair cannot be destroyed by cold, change of climate, water, or other natural forces and it is resistant to many kinds of acids and corrosive chemicals.
Hair and Nails
 
Facial hair grows faster than any other hair on the body. If you’ve ever had a covering of stubble on your face as you’re clocking out at 5 o’clock you’re probably pretty familiar with this. In fact, if the average man never shaved his beard it would grow to over 30 feet during his lifetime, longer than a killer whale.
Every day the average person loses 60-100 strands of hair. Unless you’re already bald, chances are good that you’re shedding pretty heavily on a daily basis. Your hair loss will vary in accordance with the season, pregnancy, illness, diet and age.
Women’s hair is about half the diameter of men’s hair. While it might sound strange, it shouldn’t come as too much of a surprise that men’s hair should be coarser than that of women. Hair diameter also varies on average between races, making hair plugs on some men look especially obvious.
One human hair can support 3.5 ounces. That’s about the weight of two full size candy bars, and with hundreds of thousands of hairs on the human head, makes the tale of Rapunzel much more plausible.
The fastest growing nail is on the middle finger. And the nail on the middle finger of your dominant hand will grow the fastest of all. Why is not entirely known, but nail growth is related to the length of the finger, with the longest fingers growing nails the fastest and shortest the slowest.
There are as many hairs per square inch on your body as a chimpanzee. Humans are not quite the naked apes that we’re made out to be. We have lots of hair, but on most of us it’s not obvious as a majority of the hairs are too fine or light to be seen.
Blondes have more hair. They’re said to have more fun, and they definitely have more hair. Hair color determines how dense the hair on your head is. The average human has 100,000 hair follicles, each of which is capable of producing 20 individual hairs during a person’s lifetime. Blondes average 146,000 follicles while people with black hair tend to have about 110,000 follicles. Those with brown hair fit the average with 100,000 follicles and redheads have the least dense hair, with about 86,000 follicles.
Fingernails grow nearly 4 times faster than toenails. If you notice that you’re trimming your fingernails much more frequently than your toenails you’re not just imagining it. The nails that get the most exposure and are used most frequently grow the fastest. On average, nails on both the toes and fingers grow about one-tenth of an inch each month.
The lifespan of a human hair is 3 to 7 years on average. While you quite a few hairs each day, your hairs actually have a pretty long life providing they aren’t subject to any trauma. Your hairs will likely get to see several different haircuts, styles, and even possibly decades before they fall out on their own.
You must lose over 50% of your scalp hairs before it is apparent to anyone. You lose hundreds of hairs a day but you’ll have to lose a lot more before you or anyone else will notice. Half of the hairs on your pretty little head will have to disappear before your impending baldness will become obvious to all those around you.
Human hair is virtually indestructible. Aside from it’s flammability, human hair decays at such a slow rate that it is practically non-disintegrative. If you’ve ever wondered how your how clogs up your pipes so quick consider this: hair cannot be destroyed by cold, change of climate, water, or other natural forces and it is resistant to many kinds of acids and corrosive chemicals.