Wednesday, September 3, 2014

Presentasi ini disampaikan pada kuliah studium generale Program Studi Fisioterapi Fakultas Kedokteran Universitas Udayana pada tanggal 5 September 2014. Materi ini penting bagi semua mahasiswa baru karena cara belajar di Universitas sangat berbeda dari cara belajar di sekolah.

Cara belajar di Universitas menganut metode belajar mandiri (independent learning), pada metode ini lebih menekankan pada BELAJAR bukan MENGAJAR. Dosen lebih berperan sebagi fasilitator dan menciptakan suasana belajar, dan mahasiswa dituntuk untuk mencari ilmu secara mandiri. 

Belajar mandiri memberikan banyak keuntungan bagi mahasiswa baik dalam proses pembelajaran maupun dalam menjalami profesinya. 

Pada presentasi ini akan dijelaskan  tentang definisi belajar mandiri/Independent Learning, karakteristik belajar mandiri, peran guru/dosen dalam belajar mandiri, bagaimana cara menjadi independent learner (pelajar yang mandiri), peran pelajar/mahasiswa dan guru/dosen dalam belajar mandiri, dan peran study Guide dalam independent learning tentang difinisi 
Selamat menyimak, semoga bermanfaat...

Sunday, July 14, 2013

Kepada mahasiswa Fakultas Kedokteran Universitas Udayana semester VI yang sedang mengikuti Blok The Reproductive System and Disorders diharapkan untuk membaca pengantar praktikum histology sebelum mengikuti praktikum pada hari Jumat tanggal 19 Juli 2013.

Pengantar praktikum histology bisa dibaca pada alamat/ link ini :

JIka Anda ingin versi PDF bisa didownload di alamat ini :

Diharapkan juga untuk kembali membaca teks book histologi, sebelum praktikum agar pemahaman tentang struktur histologis male and female reproductive system menjadi lebih baik.

Monday, April 29, 2013

Animasi ini menjelaskan tentang fungsi cerebrospinal fluid (CSF), tempat produksi CSF, Aliran CSF dari ventrikel sampai ke subarachnoid space, ke central canal medulla spinalis dan akhirnya diabsorbsi kembali ke vena. Animasi ini sangat membantu untuk memahami produksi dan fungsi CSF.

Sunday, April 28, 2013

Blood-Brain Barrier Animation

Pada video/animasi ini ditampilkan struktur Blood-Brain Barrier yang terutama disusun oleh tight-junction dari endothel, dan dukung oleh Astrosit. Dijelaskan juga beberapa masalah yang dihadapi jika ingin memasukan obat kedalam jaringan otak. Dan saat ini para ahli sedang mengembangkan metode untuk dapat memasukan obat kedalam jaringan otak. Semoga video ini bisa membantu Anda dalam memahami Blood-Brain Barrier. Selamat Belajar

Saturday, April 27, 2013

Mammalian neurons usually do not divide, and their degeneration represents a permanent loss. Peripheral nerve fibers can regenerate if their perikaryons are not destroyed.

In contrast to nerve cells, neuroglia of the central nervous system—and Schwann cells and ganglionic satellite cells of the peripheral nervous system—are able to divide by mitosis. Spaces in the central nervous system left by nerve cells lost by disease or injury are invaded by neuroglia.

Because nerves are widely distributed throughout the body, they are often injured. When a nerve axon is transected, degenerative changes take place, followed by a reparative phase.

In a wounded nerve fiber, it is important to distinguish the changes occurring in the proximal segment from those in the distal segment. The proximal segment maintains its continuity with the trophic center (perikaryon) and frequently regenerates. The distal segment, separated from the nerve cell body, degenerates.

Axonal injury causes several changes in the perikaryon: chromatolysis, ie, dissolution of Nissl substances with a consequent decrease in cytoplasmic basophilia; an increase in the volume of the perikaryon; and migration of the nucleus to a peripheral position in the perikaryon.

In the nerve stub distal to the injury, both the axon and the myelin sheath degenerate completely, and their remnants, excluding their connective tissue and perineurial sheaths, are removed by macrophages. While these regressive changes take place, Schwann cells proliferate within the remaining connective tissue sleeve, giving rise to solid cellular columns. These rows of Schwann cells serve as guides to the sprouting axons formed during the reparative phase.

After the regressive changes, the proximal segment of the axon grows and branches, forming several filaments that progress in the direction of the columns of Schwann cells. Only fibers that penetrate these Schwann cell columns will continue to grow and reach an effector organ.

The choroid plexus consists of invaginated folds of pia mater, rich in dilated fenestrated capillaries, that penetrate the interior of the brain ventricles. It is found in the roofs of the third and fourth ventricles and in part in the walls of the lateral ventricles.

The choroid plexus is composed of loose connective tissue of the pia mater, covered by a simple cuboidal or low columnar epithelium made of ion-transporting cells .

The main function of the choroid plexus is to elaborate cerebrospinal fluid, which contains only a small amount of solids and completely fills the ventricles, central canal of the spinal cord, subarachnoid space, and perivascular space. Cerebrospinal fluid is important for the metabolism of the central nervous system and acts as a protective device against mechanical shocks.

Cerebrospinal fluid is clear, has a low density (1.004–1.008 g/ mL), and is very low in protein content. A few desquamated cells and two to five lymphocytes per milliliter are also present. Cerebrospinal fluid is continuously produced and circulates through the ventricles, from which it passes into the subarachnoid space. There, arachnoid villi provide the main pathway for absorption of cerebrospinal fluid into the venous circulation.

The blood–brain barrier is a functional barrier that prevents the passage of some substances, such as antibiotics and chemical and bacterial toxic matter, from the blood to nerve tissue.

The blood–brain barrier results from the reduced permeability that is characteristic of blood capillaries of nerve tissue. Occluding junctions, which provide continuity between the endothelial cells of these capillaries, represent the main structural component of the barrier. The cytoplasm of these endothelial cells does not have the fenestrations found in many other locations, and very few pinocytotic vesicles are observed. The expansions of neuroglial cell processes that envelop the capillaries (astrocytes) are partly responsible for their low permeability.

Meninges-Histology of Nervous System

The skull and the vertebral column protect the central nervous system. It is also encased in membranes of connective tissue called the meninges . Starting with the outermost layer, the meninges are the dura mater, arachnoid, and pia mater. The arachnoid and the pia mater are linked together and are often considered a single membrane called the pia-arachnoid.

Dura Mater

The dura mater is the external layer and is composed of dense connective tissue continuous with the periosteum of the skull. The dura mater that envelops the spinal cord is separated from the periosteum of the vertebrae by the epidural space, which contains thin-walled veins, loose connective tissue, and adipose tissue. The dura mater is always separated from the arachnoid by the thin subdural space.


The arachnoid has two components: a layer in contact with the dura mater and a system of trabeculae connecting the layer with the pia mater. The cavities between the trabeculae form the subarachnoid space, which is filled with cerebrospinal fluid and is completely separated from the subdural space. This space forms a hydraulic cushion that protects the central nervous system from trauma. The subarachnoid space communicates with the ventricles of the brain. The arachnoid is composed of connective tissue devoid of blood vessels. In some areas, the arachnoid perforates the dura mater, forming protrusions that terminate in venous sinuses in the dura mater. These protrusions, which are covered by endothelial cells of the veins, are called arachnoid villi. Their function is to reabsorb cerebrospinal fluid into the blood of the venous sinuses.

Pia Mater

The pia mater is a loose connective tissue containing many blood vessels. Although it is located quite close to the nerve tissue, it is not in contact with nerve cells or fibers. Between the pia mater and the neural elements is a thin layer of neuroglial processes, adhering firmly to the pia mater and forming a physical barrier at the periphery of the central nervous system. This barrier separates the central nervous system from the cerebrospinal fluid. The pia mater follows all the irregularities of the surface of the central nervous system and penetrates it to some extent along with the blood vessels. Squamous cells of mesenchymal origin cover pia mater. Blood vessels penetrate the central nervous system through tunnels covered by pia mater—the perivascular spaces. The pia mater disappears before the blood vessels are transformed into capillaries. In the central nervous system, the blood capillaries are completely covered by expansions of the neuroglial cell processes.

The Ganglia-Histology of Nervous System

Ganglia are ovoid structures containing neuronal cell bodies and glial cells supported by connective tissue. Because they serve as relay stations to transmit nerve impulses, one nerve enters and another exits from each ganglion. The direction of the nerve impulse determines whether the ganglion will be a sensory or an autonomic ganglion.

Sensory Ganglia

Sensory ganglia receive afferent impulses that go to the central nervous system. Two types of sensory ganglia exist. Some are associated with cranial nerves (cranial ganglia); others are associated with the dorsal root of the spinal nerves and are called spinal ganglia. A connective tissue framework and capsule support the ganglion cells. The neurons of these ganglia are pseudounipolar and relay information from the ganglion's nerve endings to the gray matter of the spinal cord via synapses with local neurons.


Autonomic Ganglia

Autonomic ganglia appear as bulbous dilatations in autonomic nerves. Some are located within certain organs, especially in the walls of the digestive tract, where they constitute the intramural ganglia. These ganglia are devoid of connective tissue capsules, and their cells are supported by the stroma of the organ in which they are found. Autonomic ganglia usually have multipolar neurons. As with craniospinal ganglia, autonomic ganglia have neuronal perikaryons with fine Nissl bodies.A layer of satellite cells frequently envelops the neurons of autonomic ganglia. In intramural ganglia, only a few satellite cells are seen around each neuron.

The Nerves-Histology of Nervous System

In the peripheral nervous system, the nerve fibers are grouped in bundles to form the nerves. Except for a few very thin nerves made up of unmyelinated fibers, nerves have a whitish, homogeneous, glistening appearance because of their myelin and collagen content.

Nerves have an external fibrous coat of dense connective tissue called epineurium, which also fills the space between the bundles of nerve fibers. Each bundle is surrounded by the perineurium, a sleeve formed by layers of flattened epitheliumlike cells. The cells of each layer of the perineurial sleeve are joined at their edges by tight junctions, an arrangement that makes the perineurium a barrier to the passage of most macromolecules and has the important function of protecting the nerve fibers from aggression. Within the perineurial sheath run the Schwann cell-sheathed axons and their enveloping connective tissue, the endoneurium. The endoneurium consists of a thin layer of reticular fibers, produced by Schwann cells.

The nerves establish communication between brain and spinal cord centers and the sense organs and effectors (muscles, glands, etc). They possess afferent and efferent fibers to and from the central nervous system. Afferent fibers carry the information obtained from the interior of the body and the environment to the central nervous system. Efferent fibers carry impulses from the central nervous system to the effector organs commanded by these centers. Nerves possessing only sensory fibers are called sensory nerves; those composed only of fibers carrying impulses to the effectors are called motor nerves. Most nerves have both sensory and motor fibers and are called mixed nerves; these nerves have both myelinated and unmyelinated axons .

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