Anatomy of the nail unit and the nail biopsy

The nail unit is the largest and a rather complex skin appendage. It is located on the dorsal aspect of the tips of fingers and toes and has important protective and sensory functions. Development begins in utero between weeks 7 and 8 and is fully formed at birth. For its correct development, a great number of signals are necessary. Anatomically, it consists of 4 epithelial components: the matrix that forms the nail plate; the nail bed that firmly attaches the plate to the distal phalanx; the hyponychium that forms a natural barrier at the physiological point of separation of the nail from the bed; and the eponychium that represents the undersurface of the proximal nail fold which is responsible for the formation of the cuticle. The connective tissue components of the matrix and nail bed dermis are located between the corresponding epithelia and the bone of the distal phalanx. Characteristics of the connective tissue include: a morphogenetic potency for the regeneration of their epithelia; the lateral and proximal nail folds form a distally open frame for the growing nail; and the tip of the digit has rich sensible and sensory innervation. The blood supply is provided by the paired volar and dorsal digital arteries. Veins and lymphatic vessels are less well defined. The microscopic anatomy varies from nail subregion to subregion. Several different biopsy techniques are available for the histopathological evaluation of nail alterations.

Diffusion-weighted imaging in musculoskeletal radiology-clinical applications and future directions

Diffusion-weighted imaging (DWI) is an established diagnostic tool with regards to the central nervous system (CNS) and research into its application in the musculoskeletal system has been growing. It has been shown that DWI has utility in differentiating vertebral compression fractures from malignant ones, assessing partial and complete tears of the anterior cruciate ligament (ACL), monitoring tumor response to therapy, and characterization of soft-tissue and bone tumors. DWI is however less useful in differentiating malignant vs. infectious processes. As of yet, no definitive qualitative or quantitative properties have been established due to reasons ranging from variability in acquisition protocols to overlapping imaging characteristics. Even with these limitations, DWI can still provide clinically useful information, increasing diagnostic accuracy and improving patient management when magnetic resonance imaging (MRI) findings are inconclusive. The purpose of this article is to summarize recent research into DWI applications in the musculoskeletal system.

Women, Medicine, and Power at the Albert Schweitzer's hospital of Lambarene

Paper presented at the French Colonial Historical Society annual Conference, Binghampton, University, NY on May 8, 2015

Complementary and Alternative Medicine and Pain Management

Over the past several years, there has been a growing interest in CAM therapies at UCHC. There are doctors, nurses, researchers and students all actively learning about, researching and using CAM modalities. Among them is Dr. Mitch Kennedy, the first Naturopathic Physician to treat patients at the University of Connecticut Health Center.

“La asistencia al enfermo mental” de Luis Valenciano: la profesionalización del cuidado al enfermo mental durante la Segunda República Española

La reforma de la asistencia psiquiátrica, impulsada a través de los cambios legislativos implantados durante la Segunda República Española, planteó mejoras en la profesionalización de los cuidadores de los establecimientos psiquiátricos. A través del Decreto de 16 de mayo de 1932 se organizó el personal subalterno en Practicantes en Medicina y Cirugía con el diploma de enfermeros psiquiátricos y Enfermeros y Enfermeras Psiquiátricos; y se reguló la obtención del Diploma de Enfermero Psiquiátrico. En el Decreto de 17 de mayo de 1932 se publicó el programa oficial de estudios para obtener dicha titulación y, el 5 de Julio de 1932, las bases de un concurso para una obra que se ajustara al temario. El Consejo Superior Psiquiátrico eligió y recomendó “La asistencia al enfermo mental”(1933) de Luis Valenciano Gayá. El objetivo de este trabajo es analizar el contenido del libro, que incluía los cuidados que precisaban los enfermos mentales, así como las condiciones físicas y actitudinales requeridas para ser “enfermero psiquiátrico”. Asimismo se pretende valorar la importancia del manual que, si bien no fue el primero publicado en español, si presentó una difusión nacional y se convirtió en la obra de referencia para los enfermeros psiquiátricos en los años treinta.

Birth and mortality statistics of the Virgin Islands of the United States. 1901-1919.

On t.-p., seal of Department of the navy, Bureau of medicine & surgery.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

Women's participation in first-professional degree programs in medicine, dentristry, veterinary medicine, and law, , 1969-70 through 1974-75 /

On cover: Higher education.

The Edinburgh practice of physic, surgery, and midwifery : preceded by an abstract of the theory of medicine, and the nosology of Dr. Cullen : and including upwards of six hundred authentic formulae from the books of St. Bartholomew's, St. George's, St. Thomas's, Guy's, and other hospitals in London, and from the lectures and writings of the most eminent public teachers.

Mode of access: Internet.

The London medical dictionary : including under distinct heads every branch of medicine viz. anatomy, physiology, and pathology, the practice of physic and surgery, therapeutics and materia medica; with whatever relates to medicine in natural philosophy, chemistry, and natural history /

Mode of access: Internet.

Minimum standards, rules and regulations for classification and licensure of skilled nursing facilities and intermediate care facilities.

Loose-leaf for updating.

Minimum standards, rules and regulations for classification and licensure of skilled nursing facilities and intermediate care facilities.

"Effective July 28, 1980; codified September 28, 1984."

The London lancet. A journal of British and foreign medicine, physiology, surgery, chemistry, criticism, literature and news.

Subtitle varies slightly.

Nursing home care needs of veterans in 1990 : a quantitative and social assessment.

Mode of access: Internet.