Foundations Lecture - Introduction to Human Development: Difference between revisions
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{{Header}} | {{Header}} | ||
==Introduction== | ==Introduction== | ||
[[File:Foundsmall.jpg|left]] [[Image:Mark_Hill.jpg|thumb|Dr Mark Hill]] | [[File:Foundsmall.jpg|left|link=Medicine#Foundations]] [[Image:Mark_Hill.jpg|thumb|150px|Dr Mark Hill]] | ||
Human development is one of the most exciting topics to study not only as a medical student, but also for our fundamental understanding of the human body. Of all health issues in Medicine, fertility and reproduction is a topic that will affect everyone. This lecture is going to take you briefly through key biological concepts in human development, these will later be explored in more detail through the BGD course. I will be using simplified terms in the lecture slides (with developmental term in brackets). | Human development is one of the most exciting topics to study not only as a medical student, but also for our fundamental understanding of the human body. Of all health issues in Medicine, fertility and reproduction is a topic that will affect everyone. This lecture is going to take you briefly through key biological concepts in human development, these will later be explored in more detail through the BGD course. I will be using simplified terms in the lecture slides (with developmental term in brackets). | ||
[[File:Human_fertilization_01.gif|link=Human_Fertilization_Movie]] | |||
[[Media:2019 Foundations Lecture - Introduction to Human Development.pdf|2019 PDF]] | |||
<br> | |||
{{Australian Population Clock}} | |||
<br> | |||
{| class="wikitable collapsible collapsed" | |||
! Other Foundations links | The lecture will be followed by a practical class introducing online resources for independent study and working through basic embryology concepts. | ||
:'''Links:''' [https://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=334610 2018] | [[Media:2018 Foundations Lecture - Introduction to Human Development.pdf|2018 PDF]] | [https://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=282720 2017] | [[:File:2017 Foundations Lecture - Introduction to Human Development - Embryology.pdf|2017 PDF]] | [http://php.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&printable=yes Printable Lecture Page] | [https://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=269990 2016] | [https://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&printable=yes 2015] | [https://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=164816 2014] | [http://embryology.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=125526 2013] | [http://php.med.unsw.edu.au/embryology/index.php?title=Foundations_Lecture_-_Introduction_to_Human_Development&oldid=117829 2012] | |||
{| class="wikitable mw-collapsible mw-collapsed" | |||
! Other Foundations links | |||
|- | |- | ||
| [[File:Foundsmall.jpg|left]] The following lecture, practical and practical support pages for Foundations can be found on this current site. | | [[File:Foundsmall.jpg|left]] The following lecture, practical and practical support pages for Foundations can be found on this current site. | ||
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===Aims=== | ===Aims=== | ||
{| | |||
| | |||
# Purpose of learning embryology | # Purpose of learning embryology | ||
# Basic facts about early human development | # Basic facts about early human development | ||
# Appreciate differences between the conceptus, embryo and fetus | # Appreciate differences between the conceptus, embryo and fetus | ||
# General understanding of the term “critical periods” of development | # General understanding of the term “critical periods” of development | ||
'''Lecture Concepts:''' Embryology Education Support, Human Reproductive Cycle, First Trimester, Second and Third Trimester, Postnatal Development, Abnormal Development | '''Lecture Concepts:''' Embryology Education Support, Human Reproductive Cycle, First Trimester, Second and Third Trimester, Postnatal Development, Abnormal Development | ||
{| class="wikitable collapsible collapsed" | {| class="wikitable mw-collapsible mw-collapsed" | ||
! Lecture Content | ! Lecture Content | ||
|- | |- | ||
| | | | ||
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# '''Human Reproductive Cycle''' - Female. Male, Ovary, Ovulation, Trimesters | # '''Human Reproductive Cycle''' - Female. Male, Ovary, Ovulation, Trimesters | ||
# '''First Trimester''' - Fertilization, Week 1, Week 2, Abnormal Implantation, Normal Implantation, Detect Pregnancy, Week 3, Gastrulation, Ectoderm, Endoderm, Mesoderm, Somitogenesis, Neuralation, Week 4, Week 4-8, Placenta | # '''First Trimester''' - Fertilization, Week 1, Week 2, Abnormal Implantation, Normal Implantation, Detect Pregnancy, Week 3, Gastrulation, Ectoderm, Endoderm, Mesoderm, Somitogenesis, Neuralation, Week 4, Week 4-8, Placenta | ||
# '''Second and Third Trimester''' - Fetal | # '''Second and Third Trimester''' - Fetal, growth - weight and length | ||
# '''Postnatal Development''' - Birth, Maternal Birth Stages, Neonatal, Childhood | # '''Postnatal Development''' - Birth, Maternal Birth Stages, Neonatal, Childhood | ||
# '''Abnormal Development''' - Critical Periods of Development, Diagnosis | # '''Abnormal Development''' - Critical Periods of Development, Diagnosis | ||
:'''Links:''' | :'''Links:''' [[Embryology Textbooks]] | [[Foundations_Practical_-_Introduction_to_Human_Development|Practical]] | ||
|} | |||
|<html5media height="260" width="320">File:1 Min Embryo - Find Embryology.mp4</html5media> | |||
|} | |} | ||
===Four Basic Tissue Types=== | ===Four Basic Tissue Types=== | ||
[[File:Stomach_histology_001.jpg|thumb|Stomach Wall containing all 4 basic tissues.]] | [[File:Stomach_histology_001.jpg|thumb|200px|Stomach Wall containing all 4 basic tissues.]] | ||
In histology you have heard that tissues and organs of the body consist of combinations of 4 basic tissue organisations: | |||
{| | |||
| width=350px| | |||
# Epithelial | # Epithelial | ||
# Connective | # Connective | ||
# Muscular | # Muscular | ||
# Nervous | # Nervous | ||
| width=350px valign=top| | |||
* What is the origin of these tissues? | |||
* How do they develop? | |||
* What are their relationships with each other? | |||
* What health issues relate to their normal/abnormal development? | |||
|} | |||
===Human Development Timeline=== | ===Human Development Timeline=== | ||
[[File:Human development timeline graph 02.jpg]] | [[File:Human development timeline graph 02.jpg|600px]] | ||
[[Media:Human_development_timeline_01.mp4|concepts animation]] | |||
{| class="wikitable collapsible collapsed" | {| class="wikitable mw-collapsible mw-collapsed" | ||
! Last Menstrual Period (LMP) today -> Birth Date - January | ! Last Menstrual Period ({{LMP}}) first day was today -> Birth Date - January 6, 2020 | ||
|- | |- | ||
| Gestation Calculation | | Gestation Calculation (based upon a normal 28 day cycle) | ||
* Historic - Franz Carl Naegele (1777-1851), first rule for estimating pregnancy length | * Historic - Franz Carl Naegele (1777-1851), first rule for estimating pregnancy length | ||
* Current - Ultrasound, the most accurate staging method | * Current - Ultrasound, the most accurate staging method | ||
* First pregnancy (primipara) 274 days, just over 39 weeks | * First pregnancy (primipara) 274 days, just over 39 weeks | ||
* Subsequent pregnancies (multipara) 269 days, 38.4 weeks | * Subsequent pregnancies (multipara) 269 days, 38.4 weeks | ||
* {{GA}} - gestational age | |||
|} | |} | ||
==Embryology Education Support== | ==Embryology Education Support== | ||
===UNSW Embryology Online=== | ===UNSW Embryology Online=== | ||
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[[ | [[File:Front-page-image.jpg|120px|link=https://embryology.med.unsw.edu.au]] | ||
| | | width=380px|<html5media height="384" width="352">File:Human development 001.mp4</html5media> | ||
| {{Human development movie 1}} | | {{Human development movie 1}} | ||
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===Glossary Links=== | ===Glossary Links=== | ||
:[[A|A]] | [[B|B]] | [[C|C]] | [[D|D]] | [[E|E]] | [[F|F]] | [[G|G]] | [[H|H]] | [[I|I]] | [[J|J]] | [[K|K]] | [[L|L]] | [[M|M]] | [[N|N]] | [[O|O]] | [[P|P]] | [[Q|Q]] | [[R|R]] | [[S|S]] | [[T|T]] | [[U|U]] | [[V|V]] | [[W|W]] | [[X|X]] | [[Y|Y]] | [[Z|Z]] | [[Numbers|Numbers]] | [[Symbols|Symbols]] | :[[A|A]] | [[B|B]] | [[C|C]] | [[D|D]] | [[E|E]] | [[F|F]] | [[G|G]] | [[H|H]] | [[I|I]] | [[J|J]] | [[K|K]] | [[L|L]] | [[M|M]] | [[N|N]] | [[O|O]] | [[P|P]] | [[Q|Q]] | [[R|R]] | [[S|S]] | [[T|T]] | [[U|U]] | [[V|V]] | [[W|W]] | [[X|X]] | [[Y|Y]] | [[Z|Z]] | [[Numbers|Numbers]] | [[Symbols|Symbols]] | ||
'''Practical pages''' general have a list of brief definitions of terms that appear on the current page, or more complete collapsed tables of terms. | |||
[[Term Link|Terms]] - highlighted text terms link to other content pages that relate to that specific term. Note that these linked pages do not generally form part of your examinable content, and are provided to aid your understanding of the concepts. | |||
===Textbooks=== | |||
* There are many different excellent embryology textbooks. | |||
* I have included below embryology textbooks accessible online through the UNSW Library that cover the clinical topics as well. | |||
* As an introduction try the chapter in The Developing Human - [http://ebookcentral.proquest.com.wwwproxy1.library.unsw.edu.au/lib/unsw/reader.action?docID=2074364&ppg=23 Introduction to the Developing Human] | |||
{{UNSW textbook - The Developing Human}} | |||
{{UNSW textbook - Larsen's Human Embryology}} | |||
{{Ebook - Kyoto Collection}} | |||
:'''Links:''' [[Embryology Textbooks - UNSW]] | [[Embryology_Textbooks|More Embryology Textbooks]] | |||
:'''Links:''' [[Embryology_Textbooks|More Embryology Textbooks]] | |||
==Human Reproductive Cycle== | ==Human Reproductive Cycle== | ||
* Meiosis in gonad produces haploid gametes | * Meiosis in gonad produces haploid gametes | ||
** testis the sperm (spermatozoa) | ** testis the sperm ({{spermatozoa}}) | ||
** ovary the egg (oocyte) | ** ovary the egg ({{oocyte}}) | ||
* there are | * there are '''key differences''' in when and how gametes are formed in the male and female gonad. | ||
===Female=== | ===Female=== | ||
* | * {{Menstrual cycle}} a regular cycle of reproduction (28 days) | ||
* begins at puberty | * begins at {{puberty}} | ||
* all oocytes produced before birth | |||
* release of 1 egg (oocyte) every cycle | * release of 1 egg (oocyte) every cycle | ||
* Endocrine controlled (HPG axis) | * Endocrine controlled axis: Hypothalamus - Pituitary - Gonad (HPG axis) | ||
[[File:XXhpgaxis.jpg|300px]] [[File:Menstrual_cycle.png|500px]] | [[File:XXhpgaxis.jpg|300px]] [[File:Menstrual_cycle.png|500px]] | ||
===Male=== | ===Male=== | ||
* begins at puberty | * begins at {{puberty}} | ||
* continuous production of sperm (spermatozoa, human male 2,000/second) | * continuous production of sperm (spermatozoa, human male 2,000/second) | ||
* release millions of spermatozoa (require activation, capacitation) | * release millions of spermatozoa (require activation, capacitation) | ||
{| | |||
|- | |||
! Testis Pre-Puberty | |||
! Testis Post-Puberty | |||
|- | |||
| [[File:Testis histology 006.jpg|200px]] | |||
| [[File:Testis histology 007.jpg|200px]] | |||
|- | |||
|} | |||
===Ovary=== | ===Ovary=== | ||
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===Trimesters=== | ===Trimesters=== | ||
{| | |||
| | |||
* Divide the pregnancy into 3 "blocks" of about 3 months (trimesters) | * Divide the pregnancy into 3 "blocks" of about 3 months (trimesters) | ||
* First Trimester - embryonic period (organogenesis) | * First Trimester - embryonic period (organogenesis) | ||
* Second and Trimester - fetal period (growth) | * Second and Trimester - fetal period (growth) | ||
| [[File:Human development timeline graph 02.jpg|300px|Trimesters]] | |||
|} | |||
==First Trimester== | ==First Trimester== | ||
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[[File:Embryo stages 002 icon.jpg|120px|link=Embryonic Development]] | [[File:Embryo stages 002 icon.jpg|120px|link=Embryonic Development]] | ||
===Fertilization=== | ===Fertilization=== | ||
* the process of the 2 | * the process of the 2 haploid gametes (egg and sperm) fusing and combining their genetic material. | ||
* '''conceptus''' - the entire product of | * '''conceptus''' - the entire product of fertilisation. | ||
[[File: | [[File:Human fertilization movie 2 frame 01.jpg|200px|link=Human Fertilization Detail Movie]] [[File:Fertilization 002 icon.jpg|150px|link=Fertilization_Movie]] | ||
[[File:Fertilization 002 icon.jpg|150px|link=Fertilization_Movie]] | |||
[[File:Early_zygote.jpg]] | [[File:Early_zygote.jpg|200px|link=File:Early_zygote_labelled.jpg]] | ||
===Week 1=== | ===Week 1=== | ||
[[File:Human fertilization movie 1 frame 05.jpg|200px|link=Human Fertilization Movie]] | |||
[[File:Week1 001 icon.jpg|90px|link=Week 1 Movie]] | [[File:Week1 001 icon.jpg|90px|link=Week 1 Movie]] | ||
* ({{GA}} week 3) | |||
* occurs freely floating in uterus | |||
* occurs during [[Week_1|week 1]] following fertilization | * occurs during [[Week_1|week 1]] following fertilization | ||
* last menstrual period (LMP) week 3 | * last menstrual period (LMP) week 3 | ||
* mitosis to form solid ball of cells (morula), then hollow ball (blastocyst) | * mitosis to form solid ball of cells ({{morula}}), then hollow ball ({{blastocyst}}) | ||
[[File:Human_blastocyst_day_1-6.jpg|link=Blastocyst Day 3-6 Movie]] | [[File:Human_blastocyst_day_1-6.jpg|link=Blastocyst Day 3-6 Movie]] | ||
[[File:Week1_summary.jpg]] | [[File:Week1_summary.jpg]] | ||
===Week 2=== | ===Week 2=== | ||
* | ({{GA}} week 4) | ||
* {{implantation}} - initial attachment to uterine wall, and then invasion of the uterine wall. Note - this is where the {{placenta}} will form. | |||
[[File:Week2_001 icon.jpg|120px|link=Implantation Movie]] | [[File:Week2_001 icon.jpg|120px|link=Implantation Movie]] | ||
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====Detect Pregnancy==== | ====Detect Pregnancy==== | ||
* Clinically can be detected following implantation (week 2) | * Clinically can be detected following implantation (week 2) | ||
* Last Menstrual Period (LMP) - today ? ....... Birth Date - January | * Last Menstrual Period (LMP) - today ? ....... Birth Date - [https://en.wikipedia.org/wiki/January_6 January 6], 2020 | ||
{| | |||
| [[File:Pregnancy_test.gif|300px]] | |||
| [[File:Ovary_corpus_luteum.jpg|300px]] | |||
|- | |||
| Pregnancy test (maternal urine) | |||
| Ovary - corpus luteum secretes hormone ({{hCG}}) to support pregnancy | |||
|} | |||
===Week 3=== | ===Week 3=== | ||
[[File:Stage7-sem4.jpg|right|300px]] | [[File:Stage7-sem4.jpg|right|300px]] | ||
* | * ({{GA}} week 5) | ||
* 4 Key processes commence | |||
====1. Gastrulation==== | ====1. Gastrulation==== | ||
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* the formation of the 3 layer embryo (trilaminar embryo) | * the formation of the 3 layer embryo (trilaminar embryo) | ||
** All tissues of the body are formed from these 3 embryonic tissue layers (germ layers) | ** All tissues of the body are formed from these 3 embryonic tissue layers (germ layers) | ||
# '''Ectoderm''' (epithelium) - forms the central and peripheral nervous system and epithelium of the skin | # '''{{Ectoderm}}''' (epithelium) - forms the central and peripheral nervous system and epithelium of the skin | ||
# '''Mesoderm''' (connective tissue) - forms the body connective tissues: blood, bone, muscle, connective tissue skin, gastrointestinal and respiratory tracts | # '''{{Mesoderm}}''' (connective tissue) - forms the body connective tissues: blood, bone, muscle, connective tissue skin, gastrointestinal and respiratory tracts | ||
# '''Endoderm''' (epithelium) - forms | # '''{{Endoderm}}''' (epithelium) - forms epithelium of the gastrointestinal and respiratory tracts, gastrointestinal tract and endocrine organs | ||
{| | {| | ||
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[[File:Week3_folding icon.jpg|90px|link=Week 3 Development Movie]] | [[File:Week3_folding icon.jpg|90px|link=Week 3 Development Movie]] | ||
====4. Folding==== | |||
* folding of the whole embryonic disc | |||
* all edges of the disc fold ventrally | |||
** left and right of the disc come together to form a "tube" of the 3 layers | |||
** top and bottom of the disc bend to form a "C" shaped embryo. | |||
===Week 4=== | ===Week 4=== | ||
* heart formation (cardiogenesis) | {| | ||
| {{SlideStage13bf04}} | |||
| | |||
* heart formation (cardiogenesis) first functioning organ | |||
* extra-embryonic cavities develop | |||
[[File:Amnion 001 icon.jpg|120px|link=Amniotic Cavity Development Movie]] | [[File:Amnion 001 icon.jpg|120px|link=Amniotic Cavity Development Movie]] | ||
[[File:Chick_Heart_001-icon.jpg|120px|link=Movie_-_Normal Chick Heart]] | [[File:Chick_Heart_001-icon.jpg|120px|link=Movie_-_Normal Chick Heart]] | ||
|} | |||
{| | |||
===Week | | valign="bottom"|{{Stage 13 MRI movie 3}} | ||
| valign="bottom"|{{Stage 13 MRI movie 2}} | |||
| valign="bottom"|{{Stage 13 MRI movie 1}} | |||
|} | |||
===Week 5 to 8=== | |||
* early development of the other organs, tissues and limbs | * early development of the other organs, tissues and limbs | ||
{| | {| | ||
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| valign=bottom|{{SlideStage14bf18}} | | valign=bottom|{{SlideStage14bf18}} | ||
| valign=bottom|{{SlideStage21bf11}} | | valign=bottom|{{SlideStage21bf11}} | ||
| valign="bottom"|{{Stage 23 MRI movie 5}} | |||
| valign="bottom"|{{Stage 23 MRI movie 6}} | |||
| valign="bottom"|{{Stage 23 MRI movie 2}} | |||
|} | |} | ||
===Placenta=== | ===Placenta=== | ||
* Materno/fetal organ | * Materno/fetal organ | ||
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==Postnatal Development== | ==Postnatal Development== | ||
===Birth=== | ===Birth=== | ||
[[File:Galletti1770_birth.jpg|thumb|Historic teaching model of birth]] | [[File:Galletti1770_birth.jpg|thumb|Historic teaching model of birth]] | ||
[[File:Birth-_Magnetic_Resonance_Imaging_02.jpg|thumb|MRI Birth]] | [[File:Birth-_Magnetic_Resonance_Imaging_02.jpg|thumb|MRI Birth]] | ||
* birth (parturition) is a complex physiological process between the fetus and mother | * {{birth}} (parturition) is a complex physiological process between the fetus and mother | ||
* thought to be initiated by the fetus | * thought to be initiated by the fetus | ||
===Maternal Birth Stages=== | ===Maternal Birth Stages=== | ||
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===Newborn=== | ===Newborn=== | ||
[[File:Newborn.jpg|thumb|Newborn infant (perinatal period)]] | [[File:Newborn.jpg|thumb|Newborn infant (perinatal period)]] | ||
Newborn ( | Newborn (perinatal) needs to activate many systems and establish independent regulation (homeostasis) | ||
* '''Lung function''' - Fluid drainage, Gas exchange, muscular activity | |||
* '''Lung function''' - Fluid drainage, Gas exchange, muscular activity, continued development | |||
* '''Circulatory changes''' - Closure of 3 vascular shunts | * '''Circulatory changes''' - Closure of 3 vascular shunts | ||
* '''Thermoregulation''' - metabolic rate, fat metabolism | * '''Thermoregulation''' - metabolic rate, fat metabolism | ||
* '''Nutrition''' - gastrointestinal tract function, peristalsis | * '''Nutrition''' - gastrointestinal tract function, peristalsis, continued development | ||
* '''Waste''' - kidney function | * '''Waste''' - kidney function, continued development | ||
* '''Endocrine function''' - loss of placenta, maternal hormones | * '''Endocrine function''' - loss of placenta, maternal hormones, continued development | ||
==Abnormal Development== | ==Abnormal Development== | ||
===Critical Periods of Development=== | ===Critical Periods of Development=== | ||
Three main causes: | Three main causes: | ||
# Genetic | # Genetic | ||
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* First trimester most critical | * First trimester most critical | ||
* Different effect depending on time of insult (teratogen) | * Different effect depending on time of insult (teratogen) | ||
<br> | |||
[[File:Human-critical periods of development.jpg]] | [[File:Human-critical periods of development.jpg]] | ||
===Diagnosis=== | ===Diagnosis=== | ||
* Maternal diagnosis - often pregnancy will expose maternal health problems | |||
* Prenatal diagnosis - number of different techniques (non-invasive, invasive) for determining normal development | * Prenatal diagnosis - number of different techniques (non-invasive, invasive) for determining normal development | ||
* Neonatal diagnosis ( | * Neonatal diagnosis - ({{Apgar test}}, {{Guthrie test}}), {{Hearing test}} | ||
<gallery> | <gallery caption="Prenatal Diagnosis"> | ||
File:Amniocentesis.jpg|Amniocentesis | File:Amniocentesis.jpg|link=Amniocentesis|Amniocentesis | ||
File:Cvs.jpg|Chorionic Villus Sampling | File:Cvs.jpg|link=Chorionic Villus Sampling|Chorionic Villus Sampling | ||
File:Ultrasound12wk_3D.jpg|Ultrasound | File:Ultrasound12wk_3D.jpg|link=Ultrasound|Ultrasound | ||
File:Apgar.jpg|Apgar scoresheet | </gallery> | ||
File: | <gallery caption="Postnatal Diagnosis"> | ||
File:Congenital dislocation hip.jpg|Xray congenital dislocation hip | File:Apgar.jpg|link=Apgar test|Apgar scoresheet | ||
File:Newborn hearing test.jpg|Newborn hearing test | File:Guthrie test icon.jpg|Gutherie test|Gutherie card | ||
File:Congenital dislocation hip.jpg|link=X-ray|Xray congenital dislocation hip | |||
File:Newborn hearing test.jpg|link=Hearing_test|Newborn hearing test | |||
</gallery> | </gallery> | ||
[[:Media:Dancing_baby. | [[:Media:Dancing_baby.mp4|Finished! Now lets get ready for the Foundations Practical!]] | ||
==Additional Information== | ==Additional Information== | ||
{{Med Prac additional Information}} | {{Med Prac additional Information}} | ||
===Revision Notes=== | ===Revision Notes=== | ||
[[File:Human_development_timeline_graph_01.jpg|thumb|400px|Human development timeline]] | [[File:Human_development_timeline_graph_01.jpg|thumb|400px|Human development timeline]] | ||
* You don't need to know everything today, this is an introduction. | * You don't need to know everything today, this is an introduction. | ||
* Use the glossary to help understand new terms. | * Use the glossary to help understand new terms. | ||
* Don't confuse "germ cell layers" (ectoderm, mesoderm, endoderm) with "germ cells" ( | * Don't confuse "germ cell layers" ({{ectoderm}}, {{mesoderm}}, {{endoderm}}) with the "germ cells" (oocyte, spermatazoa). | ||
* Remember the difference between "clinical weeks" (last menstral period) and "embryonic weeks" (from ovulation/fertilisation, 2 weeks later). | * Remember the difference between "clinical weeks" (last menstral period) and "embryonic weeks" (from ovulation/fertilisation, 2 weeks later). | ||
* With abnormalities | * With abnormalities | ||
** think about the types of prenatal dianostic techniques that are now available | ** think about the types of prenatal dianostic techniques that are now available | ||
** the 2 major types (genetic and environmental) | ** the 2 major types (genetic and environmental) and the unknown?? | ||
** the effect of maternal age/health/lifestyle. | ** the effect of maternal age/health/lifestyle. | ||
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|- | |- | ||
| [[File:Logo.png|80px]] | | [[File:Logo.png|80px]] | ||
| | | {{Embryo citation}} | ||
* | * {{Menstrual cycle}} | {{Oocyte}} | {{Spermatozoa]] | {{Meiosis}} | {{Mitosis}} | ||
* | * {{Fertilization}} | {{Zygote}} | {{Morula}} | {{Blastocyst}} | {{Implantation}} | ||
* [[Week 1]] | [[Week 2]] | [[Week 3]] | * [[Week 1]] | [[Week 2]] | [[Week 3]] | ||
* Science [[Lecture - Fertilization]] | [[Lecture_-_Week_1_and_2_Development|Lecture - Week 1 and 2]] | * Science [[Lecture - Fertilization]] | [[Lecture_-_Week_1_and_2_Development|Lecture - Week 1 and 2]] | ||
* [[Australian Statistics]] | |||
|- | |- | ||
| [[File:The Developing Human, | | [[File:The Developing Human, 10th edn.jpg|80px]] | ||
| | | '''Citation:''' {{MPT2015APAcitation}} | ||
UNSW Students have online access to the current 10th edn. through the [http://www.unsw.eblib.com.wwwproxy0.library.unsw.edu.au/patron/FullRecord.aspx?p=2074364 UNSW Library subscription]. | |||
Links: [http://www.unsw.eblib.com.wwwproxy0.library.unsw.edu.au/patron/FullRecord.aspx?p=2074364 UNSW Library] | [http://www.ncbi.nlm.nih.gov/nlmcatalog/101649439 NLM ID: 101649439] | |||
Chapter 1 - Introduction to the Developing Human | |||
|- | |- | ||
| [[File:Larsen's human embryology | | [[File:Larsen's human embryology 5th ed.jpg|80px]] | ||
| | | {{SBBF2015APAcitation}} | ||
UNSW students have full access to this textbook edition through [http://er.library.unsw.edu.au/er/cgi-bin/eraccess.cgi?url=http://www.unsw.eblib.com.wwwproxy0.library.unsw.edu.au/patron/FullRecord.aspx?p=2074524 UNSW Library subscription] (with student Zpass log-in). | |||
Read the introduction before Chapter 1. | |||
|} | |} | ||
[[File:Foundsmall.jpg|40px]] [[Foundations Practical - Introduction to Human Development]] | [[File:Foundsmall.jpg|40px]] [[Foundations Practical - Introduction to Human Development]] | ||
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{{Footer}} | {{Footer}} | ||
[[Category:Medicine]] [[Category:Foundations]] [[Category:2019]] | |||
[[Category:Medicine]] [[Category:Foundations]] |
Latest revision as of 07:49, 1 April 2019
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Introduction
Human development is one of the most exciting topics to study not only as a medical student, but also for our fundamental understanding of the human body. Of all health issues in Medicine, fertility and reproduction is a topic that will affect everyone. This lecture is going to take you briefly through key biological concepts in human development, these will later be explored in more detail through the BGD course. I will be using simplified terms in the lecture slides (with developmental term in brackets).
Australian Population Clock - 25,278,727 |
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On 5 March 2019 at 10:36:24 AM (Canberra time), the resident population of Australia is projected to be:
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Australia and the World (2010)
Population Growth Rate | Fertility Rate | AUS, CHN, IND, IDN, USA | World Growth |
The lecture will be followed by a practical class introducing online resources for independent study and working through basic embryology concepts.
- Links: 2018 | 2018 PDF | 2017 | 2017 PDF | Printable Lecture Page | 2016 | 2015 | 2014 | 2013 | 2012
Other Foundations links |
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The following lecture, practical and practical support pages for Foundations can be found on this current site.
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Aims
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<html5media height="260" width="320">File:1 Min Embryo - Find Embryology.mp4</html5media> |
Four Basic Tissue Types
In histology you have heard that tissues and organs of the body consist of combinations of 4 basic tissue organisations:
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Human Development Timeline
Last Menstrual Period (LMP) first day was today -> Birth Date - January 6, 2020 |
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Gestation Calculation (based upon a normal 28 day cycle)
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Embryology Education Support
UNSW Embryology Online
<html5media height="384" width="352">File:Human development 001.mp4</html5media> |
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Using these resources (online navigation, organization and printing) will be covered in the introduction to the associated Practical class.
Glossary Links
- A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | Numbers | Symbols
Practical pages general have a list of brief definitions of terms that appear on the current page, or more complete collapsed tables of terms.
Terms - highlighted text terms link to other content pages that relate to that specific term. Note that these linked pages do not generally form part of your examinable content, and are provided to aid your understanding of the concepts.
Textbooks
- There are many different excellent embryology textbooks.
- I have included below embryology textbooks accessible online through the UNSW Library that cover the clinical topics as well.
- As an introduction try the chapter in The Developing Human - Introduction to the Developing Human
The Developing Human: Clinically Oriented Embryology (10th edn) |
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UNSW Students have online access to the current 10th edn. through the UNSW Library subscription (with student Zpass log-in).
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Ebook - Kyoto Collection (1st edn) | |
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UNSW students can download this free iBook that describes embryos from the first 8 weeks of development showing whole embryos, histological features, movies and high resolution 3D scans. The iBook also contains a linked glossary with descriptions of embryology terminology, and related terms.
Note - Only available for the Apple iPhone, iPad and laptop and desktop computers. No PC version currently available.
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Human Reproductive Cycle
- Meiosis in gonad produces haploid gametes
- testis the sperm (spermatozoa)
- ovary the egg (oocyte)
- there are key differences in when and how gametes are formed in the male and female gonad.
Female
- menstrual cycle a regular cycle of reproduction (28 days)
- begins at puberty
- all oocytes produced before birth
- release of 1 egg (oocyte) every cycle
- Endocrine controlled axis: Hypothalamus - Pituitary - Gonad (HPG axis)
Male
- begins at puberty
- continuous production of sperm (spermatozoa, human male 2,000/second)
- release millions of spermatozoa (require activation, capacitation)
Testis Pre-Puberty | Testis Post-Puberty |
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Ovary
- Paired organs
- lying in the peritoneal cavity
Ovulation
- ovulation is the release of the egg (oocyte) at about the middle of the menstrual cycle
Human ovulation
Trimesters
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First Trimester
- Embryonic Period - Week 1 to 8 (first trimester)
- Establish the basic structure of organs and tissues (Organogenesis)
- development and growth of the placenta (Placentation)
Fertilization
- the process of the 2 haploid gametes (egg and sperm) fusing and combining their genetic material.
- conceptus - the entire product of fertilisation.
Week 1
- (GA week 3)
- occurs freely floating in uterus
- occurs during week 1 following fertilization
- last menstrual period (LMP) week 3
- mitosis to form solid ball of cells (morula), then hollow ball (blastocyst)
Week 2
(GA week 4)
- implantation - initial attachment to uterine wall, and then invasion of the uterine wall. Note - this is where the placenta will form.
Normal Implantation
- Uterine body
- posterior, anterior, superior, lateral (most common posterior)
- inferior implantation - placenta overlies internal os of uterus Placenta Previa
Abnormal Implantation
- Ectopic Sites
- external surface of uterus, ovary, bowel, gastrointestinal tract, mesentery, peritoneal wall
- If not spontaneous then, embryo has to be removed surgically
- Uterine - tubal pregnancy (most common ectopic)
Detect Pregnancy
- Clinically can be detected following implantation (week 2)
- Last Menstrual Period (LMP) - today ? ....... Birth Date - January 6, 2020
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Pregnancy test (maternal urine) | Ovary - corpus luteum secretes hormone (hCG) to support pregnancy |
Week 3
- (GA week 5)
- 4 Key processes commence
1. Gastrulation
- the formation of the 3 layer embryo (trilaminar embryo)
- All tissues of the body are formed from these 3 embryonic tissue layers (germ layers)
- ectoderm (epithelium) - forms the central and peripheral nervous system and epithelium of the skin
- mesoderm (connective tissue) - forms the body connective tissues: blood, bone, muscle, connective tissue skin, gastrointestinal and respiratory tracts
- endoderm (epithelium) - forms epithelium of the gastrointestinal and respiratory tracts, gastrointestinal tract and endocrine organs
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2. Somitogenesis
- segmentation of the mesoderm into somites
- forms the axial body plan
3. Neuralation
- segmentation of the ectoderm
- separates the neural tissue from the skin (epidermis)
4. Folding
- folding of the whole embryonic disc
- all edges of the disc fold ventrally
- left and right of the disc come together to form a "tube" of the 3 layers
- top and bottom of the disc bend to form a "C" shaped embryo.
Week 4
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Week 5 to 8
- early development of the other organs, tissues and limbs
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Placenta
- Materno/fetal organ
- No exchange of blood
- Many different roles
- can be "sampled" as part of a prenatal diagnostic test
- interaction between implanting conceptus and uterine wall (endometrium)
- The uterine lining following implantation (Decidua)
- forms 3 distinct regions, at approx 3 weeks
- Decidua Basalis - implantation site
- Decidua Capsularis - enclosing the conceptus
- Decidua Parietalis - remainder of uterus
- uterine cavity is lost by 12 weeks
Second and Third Trimester
- Week 9 to 37 - Fetal Development
- Continuing growth and differentiation of organs formed in embryonic period
- some organs have a later development - neural, genital, respiratory, bones
- some continue to develop after birth - neural, genital, respiratory, bones
- growth in size, length (Second Trimester)
- growth in weight (Third Trimester)
Postnatal Development
Birth
- birth (parturition) is a complex physiological process between the fetus and mother
- thought to be initiated by the fetus
Maternal Birth Stages
- Dilatation
- Expulsion
- Placental
- Recovery
Australian Birth Rate 1998-2007
Newborn
Newborn (perinatal) needs to activate many systems and establish independent regulation (homeostasis)
- Lung function - Fluid drainage, Gas exchange, muscular activity, continued development
- Circulatory changes - Closure of 3 vascular shunts
- Thermoregulation - metabolic rate, fat metabolism
- Nutrition - gastrointestinal tract function, peristalsis, continued development
- Waste - kidney function, continued development
- Endocrine function - loss of placenta, maternal hormones, continued development
Abnormal Development
Critical Periods of Development
Three main causes:
- Genetic
- Environmental
- Unknown
- First trimester most critical
- Different effect depending on time of insult (teratogen)
Diagnosis
- Maternal diagnosis - often pregnancy will expose maternal health problems
- Prenatal diagnosis - number of different techniques (non-invasive, invasive) for determining normal development
- Neonatal diagnosis - (Apgar test, Guthrie test), hearing test
- Prenatal Diagnosis
- Postnatal Diagnosis
Finished! Now lets get ready for the Foundations Practical!
Additional Information
Additional Information - Content shown under this heading is not part of the material covered in this class. It is provided for those students who would like to know about some concepts or current research in topics related to the current class page. |
Revision Notes
- You don't need to know everything today, this is an introduction.
- Use the glossary to help understand new terms.
- Don't confuse "germ cell layers" (ectoderm, mesoderm, endoderm) with the "germ cells" (oocyte, spermatazoa).
- Remember the difference between "clinical weeks" (last menstral period) and "embryonic weeks" (from ovulation/fertilisation, 2 weeks later).
- With abnormalities
- think about the types of prenatal dianostic techniques that are now available
- the 2 major types (genetic and environmental) and the unknown??
- the effect of maternal age/health/lifestyle.
Textbooks
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Hill, M.A. (2020). UNSW Embryology (20th ed.) Retrieved May 29, 2024, from https://embryology.med.unsw.edu.au
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Citation: Moore, K.L., Persaud, T.V.N. & Torchia, M.G. (2015). The developing human: clinically oriented embryology (10th ed.). Philadelphia: Saunders.
UNSW Students have online access to the current 10th edn. through the UNSW Library subscription. Links: UNSW Library | NLM ID: 101649439 Chapter 1 - Introduction to the Developing Human |
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Schoenwolf, G.C., Bleyl, S.B., Brauer, P.R., Francis-West, P.H. & Philippa H. (2015). Larsen's human embryology (5th ed.). New York; Edinburgh: Churchill Livingstone.
UNSW students have full access to this textbook edition through UNSW Library subscription (with student Zpass log-in). Read the introduction before Chapter 1. |
Foundations Practical - Introduction to Human Development
Glossary Links
- Glossary: A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | Numbers | Symbols | Term Link
Cite this page: Hill, M.A. (2024, May 29) Embryology Foundations Lecture - Introduction to Human Development. Retrieved from https://embryology.med.unsw.edu.au/embryology/index.php/Foundations_Lecture_-_Introduction_to_Human_Development
- © Dr Mark Hill 2024, UNSW Embryology ISBN: 978 0 7334 2609 4 - UNSW CRICOS Provider Code No. 00098G