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Hyperthyroidism
Gist
Hyperthyroidism is caused by an overactive thyroid gland producing excessive thyroid hormones (T3 and T4), commonly driven by Graves' disease (an autoimmune disorder), toxic thyroid nodules, or thyroid inflammation (thyroiditis). Other causes include high iodine intake, overmedication for hypothyroidism, and rarely, pituitary tumors.
Hyperthyroidism, or overactive thyroid, happens when your thyroid gland makes more thyroid hormones than your body needs.
Your thyroid is a small, butterfly-shaped gland in the front of your neck. It makes hormones that control the way the body uses energy. These hormones affect nearly every organ in your body and control many of your body's most important functions. For example, they affect your breathing, heart rate, weight, digestion, and moods. If not treated, hyperthyroidism can cause serious problems with your heart, bones, muscles, menstrual cycle, and fertility. But there are treatments that can help.
Summary
Hyperthyroidism means that your thyroid gland is making too much thyroid hormone. You may also hear the term thyrotoxicosis. This also means there is too much thyroid hormone in your body.
What are the symptoms Hyperthyroidism?
If there is too much thyroid hormone, your body speeds up and this can cause symptoms such as:
* increased sweating and feeling hot
* feeling like your heart is racing or is beating irregularly
* hand tremors
* anxiety, nervousness, and irritability
* weight loss despite normal or even increased appetite
* frequent bowel movements or diarrhea
* difficulty sleeping
* hair loss
* changes in menstrual periods, often lighter and/or less frequent
* trouble swallowing or fullness in the neck
* increased or decreased energy level
* pain behind the eyes and/or swelling or bulging of eyes (for autoimmune thyroid dysfunction only)
Everyone is different and you may not have all the symptoms. Symptoms can start suddenly or come on slowly over time.
Hyperthyroidism can be caused by an autoimmune condition (Graves’ disease), inflammation of the thyroid (thyroiditis), or due to thyroid nodules making too much thyroid hormone (hot nodule or toxic multinodular goiter). We will briefly describe each of these but be sure to check out our other resource links.
Graves' Disease:
Graves’ disease is the most common cause of hyperthyroidism. It is an autoimmune thyroid condition caused by antibodies that stimulate all the cells in the thyroid gland to make too much thyroid hormone.
Details
Hyperthyroidism, also called overactive thyroid, happens when your thyroid makes and releases high levels of thyroid hormone. It speeds up several bodily functions, causing symptoms like rapid heart rate, weight loss, increased appetite and anxiety. Hyperthyroidism is treatable — typically with medications.
Overview:
What is hyperthyroidism?
Hyperthyroidism, also called overactive thyroid, is a condition where your thyroid makes and releases high levels of thyroid hormone. It has multiple possible causes. The main thyroid hormones are triiodothyronine (T3), thyroxine (T4) and thyroid stimulating hormone (TSH).
Hyperthyroidism speeds up your metabolism, which can affect several aspects of your health. The condition can throw your whole well-being off balance. You may not feel like yourself or even feel out of control of your body. It’s important to get medical treatment if you develop signs of hyperthyroidism so you can get back to feeling like yourself.
How common is hyperthyroidism?
Hyperthyroidism is relatively rare. Approximately 1.3% of people in the United States have it.
Symptoms and Causes
What are the symptoms of hyperthyroidism?
Hyperthyroidism can impact your entire body, so there are many symptoms. You may experience some of these symptoms and not others, or many of them at the same time. Symptoms of hyperthyroidism can include:
* Rapid heart rate (tachycardia) and/or heart palpitations.
* Increased blood pressure.
* Shakiness, like hand tremors.
* Feeling anxious, nervous and/or irritable.
* Weight loss despite a regular or increased appetite.
* Diarrhea or more frequent pooping.
* Increased sweating and sensitivity to warm temperatures.
* Hair loss or brittle hair.
* Difficulty sleeping (insomnia).
* Menstrual period changes, like lighter or missed periods.
* Swelling and enlargement of your neck (goiter).
* Swelling or bulging of your eyes (thyroid eye disease).
These symptoms can start suddenly or develop slowly over time. It’s important to see your healthcare provider if you develop hyperthyroidism symptoms.
What causes hyperthyroidism?
Medical conditions and situations that can cause hyperthyroidism include:
* Graves’ disease: This is an autoimmune condition that makes your thyroid overactive. Graves’ disease is the most common cause of hyperthyroidism. Your chances of developing it increase if you have a biological family history of thyroid disease and/or another autoimmune condition.
* Thyroid nodules: These are lumps or growths of cells in your thyroid gland. They can sometimes produce excess thyroid hormone. Healthcare providers may call this toxic multinodular goiter (TMNG). Thyroid nodules are rarely cancerous.
* Thyroiditis: Thyroiditis is inflammation of your thyroid gland. It can cause hyperthyroidism temporarily. After this phase — the thyrotoxic phase — it may cause hypothyroidism (underactive thyroid). When the inflammation goes away, your hormone levels may stabilize.
* Consuming excess iodine: Consuming too much iodine (through foods or medications) can cause your thyroid to produce more thyroid hormone. Iodine is a mineral that your thyroid uses to create thyroid hormone. Receiving IV iodinated contrast (iodine “dye”) or taking amiodarone (a medication) may cause hyperthyroidism.
* TSH-releasing pituitary adenoma (thyrotropinoma): This is a growth in your pituitary gland that releases excess thyroid-stimulating hormone (TSH). Your pituitary gland normally releases TSH to trigger your thyroid to release thyroid hormone. Excess TSH can lead to excess thyroid hormone. This is a very rare cause of hyperthyroidism.
What are the risk factors for hyperthyroidism?
Factors that increase your risk of developing hyperthyroidism include:
* Biological family history of thyroid disease and/or autoimmune conditions.
* Smoking.
* Pregnancy (for postpartum thyroiditis).
Diagnosis and Tests:
How is hyperthyroidism diagnosed?
The diagnostic process for hyperthyroidism may involve multiple steps, including:
* A physical exam: To start, your healthcare provider will do a physical exam to check for signs of hyperthyroidism, like an enlarged thyroid, rapid heart rate and warm, moist skin.
* Thyroid blood tests: Blood tests can check your thyroid hormone levels. When you have hyperthyroidism, levels of the thyroid hormones T3 and T4 are above normal and thyroid-stimulating hormone (TSH) is often (but not always) lower than normal.
* Thyroid antibody blood test: This test can check if Graves’ disease is the cause.
* Imaging tests: Various imaging tests of your thyroid can help diagnose hyperthyroidism and its cause. They include a radioactive iodine uptake (RAIU) test and scan and a thyroid ultrasound. Your provider will go over the options and processes with you and recommend the test they think is best.
Management and Treatment:
What is the treatment for hyperthyroidism?
There are many treatment options for hyperthyroidism. Depending on the cause, some options may be better for you than others. Your healthcare provider will discuss each option with you and help you determine the best treatment plan.
Antithyroid medications
Methimazole (Tapazole®) and propylthiouracil (PTU) block the ability of your thyroid to make hormones. These medications are the most common treatment for hyperthyroidism. They can usually control thyroid function within two to three months. Your symptoms may get better within days to weeks.
Radioactive iodine (RAI) therapy
RAI therapy involves taking radioactive iodine by mouth in a single capsule or liquid dose. The radioactive iodine targets your thyroid cells specifically and destroys them. RAI usually leads to permanent destruction of your thyroid, which will cure hyperthyroidism. Most people who receive this treatment must take thyroid hormone medication (levothyroxine) for the rest of their lives to maintain normal thyroid hormone levels.
Surgery
A surgeon may remove all or part of your thyroid gland through surgery (thyroidectomy). This will correct hyperthyroidism but will usually cause hypothyroidism, requiring lifelong thyroid hormone medication.
Beta-blockers
Beta-blockers are medications that can help manage hyperthyroidism symptoms like rapid heartbeat, nervousness and shakiness. But they don’t change the level of hormones in your blood. Your provider may recommend beta-blockers alongside another treatment.
Each of these treatments has specific side effects and risks. Your provider will go over them with you. Don’t hesitate to ask questions.
Outlook / Prognosis:
What is the prognosis for someone with hyperthyroidism?
Hyperthyroidism is a treatable condition. Most people do well with treatment. While some forms of treatment require you to take medication for the rest of your life, this will help keep your thyroid hormone levels in a healthy range.
Untreated hyperthyroidism caused by Graves’ disease may get worse over time and cause complications, like Graves’ eye disease (Graves’ ophthalmopathy). If you have Graves’ disease, ask your healthcare provider how you can best manage the condition.
What happens if hyperthyroidism is left untreated?
Complications from untreated or undertreated hyperthyroidism include:
* Atrial fibrillation (Afib).
* Congestive heart failure.
* Infertility.
* Ischemic stroke.
* Osteoporosis.
A rare and life-threatening complication of hyperthyroidism is thyroid storm (thyroid crisis or thyrotoxic crisis). It happens when your thyroid makes and releases a large amount of thyroid hormone in a short amount of time. It’s an emergency that requires immediate medical attention.
Untreated or inadequately treated hyperthyroidism can cause thyroid storm. Stressors like infection, injury or surgery may trigger it.
Living With:
When should I see my healthcare provider?
* If you’re experiencing signs and symptoms of hyperthyroidism, it’s important to see your healthcare provider so they can assess your condition and recommend treatment.
* If you already have a diagnosis, you’ll likely need to see your provider regularly to make sure your treatment is working.
* If you’re experiencing signs of thyroid storm, like a high fever and very fast heart rate, get to the nearest hospital as soon as possible.
Additional Common Questions:
Does hyperthyroidism cause weight gain?
Hyperthyroidism doesn’t typically cause weight gain. In fact, some people experience weight loss — even with an increased appetite. This is because hyperthyroidism speeds up your metabolic rate, causing your body to use more calories for energy than usual.
Hypothyroidism (underactive thyroid) slows down your metabolism, which may lead to weight gain.
Can I develop hyperthyroidism during pregnancy?
During early pregnancy, your body needs to produce more thyroid hormones than normal to help the developing fetus. Having thyroid hormone levels that are a little higher than normal is OK, but if your levels increase dramatically, your healthcare provider may need to form a treatment plan. High levels of thyroid hormones can impact not only you but also the fetus.
It can be difficult to diagnose hyperthyroidism during pregnancy because your thyroid hormone levels naturally increase and the other symptoms of pregnancy can mask signs of the condition.
What foods should I avoid with hyperthyroidism?
Eating too many iodine-rich or iodine-fortified foods may cause hyperthyroidism or make it worse in some cases.
If you have hyperthyroidism, your healthcare provider may recommend certain changes to your diet. Always consult your provider or a registered dietitian before making drastic changes to your diet. Know that diet changes alone often can’t fix hyperthyroidism. You’ll likely need medical treatment.
If your provider recommends a low-iodine diet, try to avoid the following foods:
* Fish.
* Seaweed and kelp.
* Crab and lobster.
* Sushi.
* Prawns.
* Algae and alginate
* Milk and dairy products, like cheese.
* Egg yolks.
* Iodized salt.
Additional Information
Hyperthyroidism happens when the thyroid gland makes too much thyroid hormone. This condition also is called overactive thyroid. Hyperthyroidism speeds up the body's metabolism. That can cause many symptoms, such as weight loss, hand tremors, and rapid or irregular heartbeat.
Several treatments are available for hyperthyroidism. Anti-thyroid medicines and radioiodine can be used to slow the amount of hormones the thyroid gland makes. Sometimes, hyperthyroidism treatment includes surgery to remove all or part of the thyroid gland. In some cases, depending on what's causing it, hyperthyroidism may improve without medication or other treatment.
Symptoms
Hyperthyroidism sometimes looks like other health problems. That can make it hard to diagnose. It can cause many symptoms, including:
* Losing weight without trying.
* Fast heartbeat, a condition called tachycardia.
* Irregular heartbeat, also called arrhythmia.
* Pounding of the heart, sometimes called heart palpitations.
* Increased hunger.
* Nervousness, anxiety and irritability.
* Tremor, usually a small trembling in the hands and fingers.
* Sweating.
* Changes in menstrual cycles.
* Increased sensitivity to heat.
* Changes in bowel patterns, especially more-frequent bowel movements.
* Enlarged thyroid gland, sometimes called a goiter, which may appear as a swelling at the base of the neck.
* Tiredness.
* Muscle weakness.
* Sleep problems.
* Warm, moist skin.
* Thinning skin.
* Fine, brittle hair.
Older adults are more likely to have symptoms that are hard to notice. These symptoms may include an irregular heartbeat, weight loss, depression, and feeling weak or tired during ordinary activities.
When to see a doctor
If you lose weight without trying, or if you notice a rapid heartbeat, unusual sweating, swelling at the base of your neck or other symptoms of hyperthyroidism, make an appointment with your health care provider. Tell your provider about all the symptoms you've noticed even if they are minor.
After a diagnosis of hyperthyroidism, most people need regular follow-up visits with their health care provider to monitor the condition.
Causes
Hyperthyroidism can be caused by several medical conditions that affect the thyroid gland. The thyroid is a small, butterfly-shaped gland at the base of the neck. It has a big impact on the body. Every part of metabolism is controlled by hormones that the thyroid gland makes.
The thyroid gland produces two main hormones: thyroxine (T-4) and triiodothyronine (T-3). These hormones affect every cell in the body. They support the rate at which the body uses fats and carbohydrates. They help control body temperature. They have an effect on heart rate. And they help control how much protein the body makes.
Hyperthyroidism happens when the thyroid gland puts too much of those thyroid hormones into the bloodstream. Conditions that can lead to hyperthyroidism include:
* Graves' disease. Graves' disease is an autoimmune disorder that causes the immune system to attack the thyroid gland. That prompts the thyroid to make too much thyroid hormone. Graves' disease is the most common cause of hyperthyroidism.
* Overactive thyroid nodules. This condition also is called toxic adenoma, toxic multinodular goiter and Plummer disease. This form of hyperthyroidism happens when a thyroid adenoma makes too much thyroid hormone. An adenoma is a part of the gland that is walled off from the rest of the gland. It forms noncancerous lumps that can make the thyroid bigger than usual.
* Thyroiditis. This condition happens when the thyroid gland becomes inflamed. In some cases, it's due to an autoimmune disorder. In others, the reason for it is unclear. The inflammation can cause extra thyroid hormone stored in the thyroid gland to leak into the bloodstream and cause symptoms of hyperthyroidism.
Risk factors
Risk factors for hyperthyroidism include:
* A family history of thyroid disease, particularly Graves' disease.
* A personal history of certain chronic illnesses, including pernicious anemia and primary adrenal insufficiency.
* A recent pregnancy, which raises the risk of developing thyroiditis. This can lead to hyperthyroidism.
Complications
Hyperthyroidism can lead to the following complications.
* Heart problems
Some of the most serious complications of hyperthyroidism involve the heart, including:
* A heart rhythm disorder called atrial fibrillation that increases the risk of stroke.
* Congestive heart failure, a condition in which the heart can't circulate enough blood to meet the body's needs.
* Brittle bones
* Untreated hyperthyroidism can lead to weak, brittle bones. This condition is called osteoporosis. The strength of bones depends, in part, on the amount of calcium and other minerals in them. Too much thyroid hormone makes it hard for the body to get calcium into bones.
Vision problems
Some people with hyperthyroidism develop a problem called thyroid eye disease. It's more common in people who smoke. This disorder affects the muscles and other tissues around the eyes.
Symptoms of thyroid eye disease include:
* Bulging eyes.
* Gritty sensation in the eyes.
* Pressure or pain in the eyes.
* Puffy or retracted eyelids.
* Reddened or inflamed eyes.
* Light sensitivity.
* Double vision.
* Eye problems that go untreated may cause vision loss.
Discolored, swollen skin
In rare cases, people with Graves' disease develop Graves' dermopathy. This causes the skin to change colors and swell, often on the shins and feet.
Thyrotoxic crisis
This rare condition also is called thyroid storm. Hyperthyroidism raises the risk of thyrotoxic crisis. It causes severe, sometimes life-threatening symptoms. It requires emergency medical care. Symptoms may include:
* Fever.
* Fast heartbeat.
* Nausea.
* Vomiting.
* Diarrhea.
* Dehydration.
* Confusion.
* Delirium.

2532) Barium Hydroxide
Barium Hydroxide
Gist
Barium hydroxide, with the chemical formula (Ba(OH)2), is a strong base that appears as a white solid and is highly soluble in water. It is primarily used in industry as a component in lubricants, corrosion inhibitors, and as a stabilizer for plastics, as well as in analytical chemistry for titrating weak acids.
Barium hydroxide (Ba(OH)2) is a strong, caustic alkali primarily used in industry as a precursor to other barium compounds, a sulfate removal agent in water treatment, and a stabilizer for plastics. It is also used in lubricating grease manufacturing, ceramic/glass production, and as an analytical laboratory reagent for titrating weak acids.
Summary
Barium hydroxide is a chemical compound with the chemical formula Ba(OH)2. The monohydrate (x = 1), known as baryta or baryta-water, is one of the principal compounds of barium. This white granular monohydrate is the usual commercial form.
Preparation and structure
Barium hydroxide can be prepared by dissolving barium oxide (BaO) in water:
BaO + H2O → Ba(OH)2
It crystallises as the octahydrate, which converts to the monohydrate upon heating in air. At 100 °C in a vacuum, the monohydrate will yield BaO and water. The monohydrate adopts a layered structure. The Ba2+ centers adopt a square antiprismatic geometry. Each Ba2+ center is bound by two water ligands and six hydroxide ligands, which are respectively doubly and triply bridging to neighboring Ba2+ centre sites. In the octahydrate, the individual Ba2+ centers are again eight coordinate but do not share ligands.
Uses
Industrially, barium hydroxide is used as the precursor to other barium compounds. The monohydrate is used to dehydrate and remove sulfate from various products. This application exploits the very low solubility of barium sulfate. This industrial application is also applied to laboratory uses.
Laboratory uses
Barium hydroxide is used in analytical chemistry for the titration of weak acids, particularly organic acids. Its aqueous solution, if clear, is guaranteed to be free of carbonate, unlike those of sodium hydroxide and potassium hydroxide, as barium carbonate is insoluble in water. This allows the use of indicators such as phenolphthalein or thymolphthalein (with alkaline colour changes) without the risk of titration errors due to the presence of carbonate ions, which are much less basic.
Barium hydroxide is occasionally used in organic synthesis as a strong base, for example for the hydrolysis of esters and nitriles, and as a base in aldol condensations.
There are several uses for barium hydroxide such as to hydrolyse one of the two equivalent ester groups in dimethyl hendecanedioate.
Details
Barium hydroxide is also called as baryta with the formula (Ba(OH)2). It is a clear white powder with no odour. It is poisonous in nature. It is ionic in nature for example, Ba(OH)2 (barium hydroxide) in aqueous solution can provide two hydroxide ions per molecule. Barium hydroxide is the only reagent described for metalizing carboxamidesBarium hydroxide was less degradative as compared to barium oxide.
Physical Properties of Barium hydroxide – (Ba(OH)2)
Odour : Odourless
Appearance : White solid
Covalently-Bonded Unit : 3
Vapour Pressure : 0.48 kPa at 17.6 deg C
pH : 11.27
Solubility : Slightly soluble in cold water.
Uses of Barium hydroxide – (Ba(OH)2)
* Barium hydroxide forms a strong caustic base in aqueous solution. It has many uses, e.g., as a test for sulphides; in pesticides; in the manufacture of alkali and glass.
* Use of barium hydroxide lime rather than soda lime, high sevoflurane concentration, high absorbent temperature, and fresh absorbent use.
* Used in the manufacture of alkalis, glass, oil and grease additives, barium soaps, and other barium compounds.
Health Hazard
* Inhalation of barium dusts can cause irritation of the nose and upper respiratory tract and may produce benign pneumoconiosis known as baritosis.
* Barium ions are toxic to muscles especially heart, producing stimulation and then paralysis.
* It is extremely dangerous neurotoxin. Adverse effect may result like effects on the heart and the function of the central nervous system (CNS).
Frequently Asked Questions - FAQs:
What are the uses of barium hydroxide?
Industrially, barium hydroxide is used as a precursor to several other barium compounds. The monohydrate of this compound is widely used to dehydrate and extract sulfate from different products. The very low solubility of barium sulfate is utilized in this application.
How is barium hydroxide prepared?
Barium hydroxide is usually prepared by dissolving barium oxide (chemical formula: BaO) in water. The chemical equation for this reaction is provided below.
BaO + 9 H2O → Ba(OH)2·8H2O
It can be noted that this compound crystallizes into the octahydrate form, which is then converted into a monohydrate by heating it in air.
What happens when barium hydroxide is heated?
When heated to 800° C, barium hydroxide decomposes to yield barium oxide. Barium carbonate is provided by reaction with carbon dioxide. The strongly alkaline, aqueous solution undergoes neutralization reactions with acids.
Additional Information:
Key Properties
Appearance: White powder or crystals.
Forms: Exists as anhydrous, monohydrate, and octahydrate.
Solubility: Dissolves in water, forming a basic solution.
Basicity: A strong base that dissociates completely in water.
Melting Point: Varies by hydration, from 78 degrees centigrade for octahydrate 107 degrees centigrade.
Common Applications for anhydrous.
* Industrial: Used in barium grease manufacturing, as a heat stabilizer for PVC, and in the production of plastics, pigments, and synthetic materials.
* Chemical/Laboratory: Used to remove carbonate from water, in the titration of organic acids, and for catalyzing organic reactions.
* Processing: Employed in the refining of animal and vegetable oils and in sugar production.
Barium hydroxide is a salt-like compound from the group of alkaline earth metal hydroxides, which is an important laboratory chemical, and is used in the chemical industry as an intermediate for the production of other barium compounds and for various technical applications. To produce the substance, the compounds barium sulfide and barium oxide obtained from heavy spar are mixed with water, with the resulting barium hydroxide precipitating as a crystalline solid.
Barium hydroxide serves, among other things, as a precursor for the use of other barium compounds. In ceramic and glass production, the substance is also used as a substitute for barium carbonate. Because of its ability to form different crystalline structures at different temperatures, barium hydroxide can be used to store thermal energy. In analytical chemistry, the substance is also used as a detection agent for carbonates and carbon dioxide, while in industrial applications it is used to remove sulfates from materials and products.
2469) Philip Showalter Hench
Gist:
Work
Situated atop the kidneys are two small glands, the adrenal glands. Their function was unknown for a long time, but if they were injured, deficiency diseases ensued that ended in death. In the mid-1930s Edward Kendall and Tadeus Reichstein succeeded in isolating and analyzing the composition of a number of similar hormones derived from the adrenal cortex. These became the basis for cortisone preparations that, with input from Kendall and Philip Hench, were used at the end of the 1940s to treat rheumatoid arthritis and other inflammations.
Summary
Philip Showalter Hench (born Feb. 28, 1896, Pittsburgh, Pa., U.S.—died March 30, 1965, Ocho Rios, Jam.) was an American physician who with Edward C. Kendall in 1948 successfully applied an adrenal hormone (later known as cortisone) in the treatment of rheumatoid arthritis. With Kendall and Tadeus Reichstein of Switzerland, Hench received the Nobel Prize for Physiology or Medicine in 1950 for discoveries concerning hormones of the adrenal cortex, their structure and biological effects.
Hench received his medical degree from the University of Pittsburgh in 1920 and spent almost his entire career at the Mayo Clinic in Rochester, Minn. For many years he sought a method of treating the painful and crippling disease of rheumatoid arthritis. Working at the Mayo Clinic, he noticed that during pregnancy and in the presence of jaundice the severe pain of arthritis may decrease and even disappear. This led him to suspect that arthritis is caused by a biochemical disturbance, perhaps one involving glandular hormones, rather than by a bacterial infection. In search of a treatment he and Kendall studied endocrinologic factors in rheumatic diseases. In the mid-1940s Kendall synthesized the steroid hormone cortisone, and in 1948 he and Hench tried the drug on arthritic patients. They showed a remarkable improvement, and cortisone became a key drug in the treatment of rheumatoid arthritis. Cortisone and similar steroids are still useful in treating a number of diseases, but the claims that greeted their early employment were excessive.
Details
Philip Showalter Hench (February 28, 1896 – March 30, 1965) was an American physician. Hench, along with his Mayo Clinic co-worker Edward Calvin Kendall and Swiss chemist Tadeus Reichstein was awarded the Nobel Prize for Physiology or Medicine in 1950 for the discovery of the hormone cortisone, and its application for the treatment of rheumatoid arthritis. The Nobel Committee bestowed the award for the trio's "discoveries relating to the hormones of the adrenal cortex, their structure and biological effects."
Hench received his undergraduate education at Lafayette College in Easton, Pennsylvania, and received his medical training at the United States Army Medical Corps and the University of Pittsburgh. He began working at Mayo Clinic in 1923, later serving as the head of the Department of Rheumatology. In addition to the Nobel Prize, Hench received many other awards and honors throughout his career. He also had a lifelong interest in the history and discovery of yellow fever.
Early life
He attended Lafayette College in Easton, Pennsylvania, where he obtained his Bachelor of Arts in 1916. After serving in the Medical Corps of the U.S. Army and the reserve corps to finish his medical training, he was awarded a doctorate in medicine from the University of Pittsburgh in 1920. Immediately after finishing his medical degree, Hench spent a year as an intern at St. Francis Hospital in Pittsburgh, and then he subsequently became a Fellow of the Mayo Foundation.
In 1928 and 1929, Hench furthered his education at Freiburg University and the von Müller Clinic in Munich.
Medical career
Hench started his career at Mayo Clinic in 1923, working in the Department of Rheumatic Diseases. In 1926, he became the head of the department. While at Mayo Clinic, Hench focused his work on arthritic diseases, where his observations led him to hypothesize that steroids alleviated pain associated with the disease. During this same time, biochemist Edward Calvin Kendall has isolated several steroids from the adrenal gland cortex. After several years of work, the duo decided to try one of these steroids (dubbed Compound E at the time, later to become known as cortisone) on patients afflicted by rheumatoid arthritis. Testing of the hypothesis was delayed because the synthesis of Compound E was costly and time-consuming, and Hench served in the military during World War II. The tests were conducted successfully in 1948 and 1949.
Hench, Kendall, and Swiss chemist Tadeus Reichstein were awarded the 1950 Nobel Prize in Physiology or Medicine "for their discoveries relating to the hormones of the adrenal cortex, their structure and biological effects." As of the 2010 prizes, Hench and Kendall are the only two Nobel laureates affiliated with Mayo Clinic. Hench's Nobel Lecture was directly related to the research he was honored for, and titled "The Reversibility of Certain Rheumatic and Non-Rheumatic Conditions by the Use of Cortisone Or of the Pituitary Adrenocorticotropic Hormone". His speech at the banquet during the award ceremony acknowledged the connections between the study of medicine and chemistry, saying of his co-winners "Perhaps the ratio of one physician to two chemists is symbolic, since medicine is so firmly linked to chemistry by a double bond."
During his career, Hench was one of the founding members of the American Rheumatism Association, and served as its president in 1940 and 1941. In addition to the Nobel Prize, Hench has been awarded the Heberdeen Medal (1942), the Lasker Award (1949), the Passano Foundation Award (1950), and the Criss Award. Lafayette College, Washington and Jefferson College, Western Reserve University, the National University of Ireland and the University of Pittsburgh awarded Hench honorary doctorates.
In addition to his work with cortisone, Hench had a career long interest in yellow fever. Starting in 1937, Hench began to document the history behind the discovery of yellow fever. His collection of documents on this subject are at the University of Virginia in the Philip S. Hench Walter Reed Yellow Fever Collection. His wife donated the collection to the university after his death.
Family
Hench married Mary Kahler (1905–1982) in 1927. His father-in-law, John Henry Kahler, was a friend of Mayo Clinic founder William J. Mayo. Hench and his wife had four children, two daughters and two sons. His son, Philip Kahler Hench also studied rheumatology. Hench died of pneumonia while on vacation in Ocho Rios, Jamaica in 1965.

Comfortable Quotes - V
1. The reality is I have a closet full of shoes that I don't wear because they are not comfortable, and I am not going to be hobbling between meetings. There's nothing that ruins an entrance like somebody who's uncomfortable in their shoes. - Ivanka Trump
2. I have a little spa at home. I put together a room where I get massages, pedicures, manicures. It's comfortable in my own home, and it's very private. It's very relaxing. - Melania Trump
3. If it's the right chair, it doesn't take too long to get comfortable in it. - Robert De Niro
4. The world in general doesn't know what to make of originality; it is startled out of its comfortable habits of thought, and its first reaction is one of anger. - W. Somerset Maugham
5. People can judge me for what I've done. And I think when somebody's out in the public eye, that's what they do. So I'm fully comfortable with who I am, what I stand for, and what I've always stood for. - Hillary Clinton
6. You can never guarantee the wins but you can guarantee that you give it 100%. That way you can always look back and feel comfortable, as a player or a coach. - Ivan Lendl
7. I started out as a stand-up comedian. And that's what I'm most comfortable doing. - Eddie Murphy
8. In all life one should comfort the afflicted, but verily, also, one should afflict the comfortable, and especially when they are comfortably, contentedly, even happily wrong. - John Kenneth Galbraith.
Q: What water yields the most beautiful organic vegetables?
A: Perspiration!
* * *
Q: How many grams of protein are in an organic apple pie?
A: 3.14159265
* * *
Q: Why are organic bananas never lonely?
A: Because they hang around in bunches.
* * *
Q: What do you call a comedy club that sells organic food?
A: Trader Jokes.
** *
Q: Why did Snow white eat the apple?
A: Because the old lady said it was organic.
* * *
Potassium Permanganate
Gist
Potassium permanganate (KMnO4) is a powerful oxidizing agent widely used as an antiseptic, disinfectant, and water treatment chemical. Its primary applications include treating skin infections (eczema, athlete’s foot), purifying water by removing iron and manganese, sanitizing produce, and preserving fruit by absorbing ethylene.
Potassium permanganate appears as a purplish colored crystalline solid. Noncombustible but accelerates the burning of combustible material. If the combustible material is finely divided the mixture may be explosive. Contact with liquid combustible materials may result in spontaneous ignition. Contact with sulfuric acid may cause fire or explosion. Used to make other chemicals and as a disinfectant.
Summary
Potassium permanganate is an inorganic compound with the chemical formula KMnO4. It is a purplish-black crystalline salt to give an intensely pink to purple solution.
Potassium permanganate is widely used in the chemical industry and laboratories as a strong oxidizing agent, and also traditionally as a medication for dermatitis, for cleaning wounds, and general disinfection. It is on the World Health Organization's List of Essential Medicines. It has a great variety of niche uses such as biocide for water treatment purposes and for tanning and dyeing cloth. In 2000, worldwide production was estimated at 30,000 tons.
It is also referred to as chameleon mineral, Condy's crystals, permanganate of potash, hypermangan, purple potion powder, permanganic acid (potassium salt), and purple salt.
Details
Potassium permanganate is a common chemical compound that combines manganese oxide ore with potassium hydroxide. It’s used to treat fungal infections of the skin like infected eczema and athlete’s foot.
First developed as a disinfectant in 1857, potassium permanganate is a combination of manganese oxide ore and potassium hydroxide and is widely used to treat a variety of skin conditions, including fungal infections. In many countries, including the United States, you’ll need a prescription from your doctor to receive potassium permanganate.
What does it treat?
When applied to your skin, potassium permanganate kills germs by releasing oxygen when it meets compounds in your skin. It also acts as an astringent, which is a drying agent.
Some of the conditions that potassium permanganate can help treat include:
* Infected eczema. If you have eczema with blisters, potassium permanganate can help to dry them out.
* Open and blistering wounds. Potassium permanganate is used as a wet dressing for wounds on your skin’s surface that are blistered or oozing pus.
* Athlete’s foot and impetigo. Potassium permanganate can help to treat both bacterial and fungal skin infections such as athlete’s foot and impetigo.
How do I use it?
Before applying potassium permanganate to your skin, it’s important to dilute it with water. Most medical uses require a dilution of 1 part to 10 when using a 0.1% potassium permanganate solution.
To achieve an appropriate dilution using potassium permanganate 0.1% solution, combine 1 part potassium permanganate with 10 parts hot water. Undiluted potassium permanganate has a striking purple color, but a diluted solution should be pink.
Potassium permanganate must be diluted since an undiluted solution may cause burns. Even with dilution, it may irritate the skin, and with repeated use may still cause burns.
Potassium permanganate also comes in 400-milligram (mg) tablets. To utilize the tablets in a bath soak, dissolve 1 tablet in 4 liters of hot water before pouring into the bath. The bath soak may be repeated twice daily for two days.
Here are some guidelines on how to use potassium permanganate for specific conditions:
* Infected eczema. Use or create a dilution of 1 part in 10,000. Add it to a basin or bath tub and soak the affected part of your body.
* Superficial wounds. Apply a dilution of 1 part in 10,000 to a bandage and apply it over your wound. Change the bandage two to three times a day.
* Athlete’s foot. For severe infections, soak your foot in a 1 part in 10,000 dilution of potassium permanganate every eight hours. Depending on how severe your infection is, your doctor might prescribe a stronger solution.
* Impetigo. Gently rub a dilution of 1 part in 10,000 on the affected skin to removed loose bits of skin.
Depending on your condition, your doctor might instruct you to create a stronger solution with a dilution of 1 part in 7,000. To achieve this, mix 1 part potassium permanganate with 7 parts hot water. This will create a slightly darker pink liquid.
Are there any side effects?
Potassium permanganate is generally safe, but it may leave a brown stain on your skin and nails, which should fade after a day or two. It might also leave a stain in your bathtub that’s hard to remove, which is why many people prefer to use it in a smaller basin.
Adverse side effects include skin irritation, redness, or burns.
Is it safe?
Potassium permanganate is a powerful solution that must be diluted before applying it to your skin. If it’s not diluted, it can damage your skin as well as the mucus membranes of your nose, eyes, throat etc.
Avoid using it near your eyes, and make sure you don’t swallow any, even in its diluted form.
For added safety, make sure you wear gloves when you’re preparing a dilution. If you’re using potassium permanganate tablets or crystals, make sure they’re fully dissolved in water before using the solution. Using hot (not boiling) water will help them dissolve.
If it irritates your skin or causes redness, stop using it immediately and contact your doctor.
The bottom line
A 1 in 10,000 dilution of potassium permanganate can be a cheap and effective treatment for infected eczema, impetigo, and other skin ailments. Carefully follow the prescribed dilutions, and consult your doctor if you experience any irritation.
Additional Information
Potassium permanganate appears as a purplish colored crystalline solid. Noncombustible but accelerates the burning of combustible material. If the combustible material is finely divided the mixture may be explosive. Contact with liquid combustible materials may result in spontaneous ignition. Contact with sulfuric acid may cause fire or explosion. Used to make other chemicals and as a disinfectant.
Potassium permanganate is a chemical compound of manganese prepared from manganese dioxide. It is a powerful oxidizing agent and used a fixative, disinfectant, and as a reagent in organic synthesis. Manganese is a naturally occurring metal with the symbol Mn and the atomic number 25. It does not occur naturally in its pure form, but is found in many types of rocks in combination with other substances such as oxygen, sulfur, or chlorine. Manganese occurs naturally in most foods and small amounts are needed to stay healthy, as manganese ions act as cofactors for a number of enzymes.
Permanganic acid (HMnO4), potassium salt. A highly oxidative, water-soluble compound with purple crystals, and a sweet taste.

Ankylosing Spondylitis
Gist
Spondylitis is a form of chronic, inflammatory arthritis primarily affecting the spine and sacroiliac joints, which can cause vertebra fusion and severe stiffness. Symptoms include chronic lower back/neck pain, stiffness that improves with activity, and fatigue. Treatment combines medications (NSAIDs, biologics), physical therapy, and exercise.
Spondylitis is primarily caused by an autoimmune response, where the body's immune system attacks healthy spine joints, strongly influenced by the HLA-B27 genetic marker. While the exact trigger is unknown, this chronic inflammation leads to stiffness and potential spinal fusion, often appearing in young adulthood.
Ankylosing spondylitis (AS) is a type of arthritis that causes inflammation in certain parts of the spine. Ankylosing means stiff or rigid. Spondyl means spine. Itis refers to inflammation. The disease causes inflammation of the spine and large joints, resulting in stiffness and pain. The disease may damage the joint between the spine and the hipbone. This is called the sacroiliac joint. It may also cause bony bridges to form between vertebrae in the spine, fusing those bones. Bones in the chest may also fuse.
Summary
Spondylitis is an inflammation of the vertebrae. It is a form of spondylopathy. In many cases, spondylitis involves one or more vertebral joints, as well, which itself is called spondylarthritis.
Types
Pott disease is a tuberculous disease of the vertebrae marked by stiffness of the vertebral column, pain on motion, tenderness on pressure, prominence of certain vertebral spines, and occasionally abdominal pain, abscess formation, and paralysis.
Ankylosing spondylitis (AS) is a form of arthritis that primarily affects the spine, although other joints can become involved. It causes inflammation of the spinal joints (vertebrae) that can lead to severe, chronic pain and discomfort. In more advanced cases this inflammation can lead to ankylosis—new bone formation in the spine causing sections of the spine to fuse in a fixed, immobile position.
A combination of spondylitis and inflammation of the intervertebral disc space is termed a spondylodiscitis.
Details
Ankylosing spondylitis (AS) is a type of arthritis that affects the joints in your spine. It usually develops in your sacroiliac joints (where the bottom of your spine joins your pelvis). It causes typical arthritis symptoms like pain and stiffness, but it can also cause digestive symptoms, rashes and weight loss.
Overview:
What is ankylosing spondylitis?
Ankylosing spondylitis is a type of arthritis that affects joints in your spine. Healthcare providers sometimes call it axial spondylarthritis.
Ankylosing spondylitis (AS) also affects the joints where the base of your spine meets your pelvis (your sacroiliac joints). Your sacroiliac joints are the connection between your spine and pelvis. Specifically, they’re the place where the sacrum (the triangle-shaped last section of your spine) meets the ilium (the top and back part of your pelvis).
The sacroiliac joints are some of the biggest joints in your body, and you use them every time you move or shift your hips.
It’s less common, but ankylosing spondylitis can affect other joints, including your:
* Shoulders.
* Hips.
* Knees.
Ankylosing spondylitis causes pain, stiffness and gastrointestinal (GI) symptoms. Visit a healthcare provider if you’re experiencing lower back pain, especially if it’s getting worse or making it hard to do all your usual daily activities.
Symptoms and Causes:
What are ankylosing spondylitis symptoms?
Everyone with ankylosing spondylitis experiences a unique combination of symptoms. Lower back pain due to sacroiliitis (painful inflammation in your sacroiliac joints) is the most common AS symptom.
The pain can spread (radiate). You might experience other types of pain, including:
* Hip pain.
* Pain in your butt (buttocks).
* Neck pain.
* Abdominal (stomach) pain.
Other ankylosing spondylitis symptoms can include:
* Stiffness or trouble moving your hips and lower back (especially first thing in the morning or after you’ve been resting in one position for a long time).
* Fatigue (feeling tired all the time).
* Shortness of breath (dyspnea).
* Losing your appetite or having unexplained weight loss.
* Diarrhea.
* Skin rashes.
* Vision problems.
What causes ankylosing spondylitis?
Ankylosing spondylitis is an autoimmune disease. Autoimmune diseases happen when your immune system attacks your body instead of protecting it.
Experts aren’t certain what causes ankylosing spondylitis. Studies have found that specific genetic mutations are closely linked to having AS. Genetic mutations are changes to your DNA sequence that happen when your cells divide to make copies of themselves.
There are more than 60 mutated genes that might cause AS. One example is the human leukocyte antigen-B (HLA-B27) gene. More than 90% of white people who have AS also have a mutated HLA-B27 gene.
What are the risk factors?
Anyone can develop ankylosing spondylitis, but certain groups of people are more likely to have it, including:
* People younger than 40 (more than 80% of people with AS are diagnosed when they’re around 30).
* Males.
* People who have a close biological relative with AS (especially a biological parent).
People with certain health conditions are more likely to have ankylosing spondylitis, including:
* Crohn’s disease.
* Ulcerative colitis.
* Psoriasis.
What are the complications of ankylosing spondylitis?
People with ankylosing spondylitis have a higher risk of spinal fractures (broken bones in your spine).
Other complications can include:
* Fused vertebrae (bones in your spine joining together).
* Kyphosis (a forward curve in your spine).
* Osteoporosis.
* Eye and vision issues like uveitis or light sensitivity.
* Heart issues, including aortitis, arrhythmia and cardiomyopathy.
* Nerve damage.
Diagnosis and Tests:
How do providers diagnose ankylosing spondylitis?
A healthcare provider will diagnose ankylosing spondylitis with a physical exam. They’ll examine your body and discuss your symptoms. Tell your provider when you first noticed pain or other symptoms, including if any time of day or activity makes them worse.
You might need to visit a rheumatologist, a healthcare provider who specializes in treating arthritis and similar conditions.
What tests do healthcare providers use to diagnose ankylosing spondylitis?
There’s no one test that can confirm you have AS. Your provider might use a few tests to help diagnose it, including:
* Sacroiliac joint and spine X-rays to check for signs of arthritis.
* Magnetic resonance imaging (MRI), which can show more details than X-rays.
* Blood tests to check for the mutated HLA-B27 gene.
Management and Treatment:
How is ankylosing spondylitis treated?
Your healthcare provider will suggest treatments to manage your symptoms and reduce how much they affect your daily routine.
Common treatments for ankylosing spondylitis include:
* Exercise: Regular physical activity can reduce stiffness and stop AS from getting worse. Many people experience more severe pain when they’re inactive. A physical therapist can suggest specific stretches and exercises to help strengthen the muscles that support your back and spine.
* Nonsteroidal anti-inflammatory drugs (NSAIDs): Over-the-counter (OTC) NSAIDs, including ibuprofen and naproxen ease pain and inflammation. Talk to your provider before taking NSAIDs for more than 10 days in a row
* Biologic disease-modifying anti-rheumatic drugs (DMARDs): Biologic DMARDs are prescription medications that reduce inflammation and pain. They might also stop AS from getting worse.
* Corticosteroids: Corticosteroids are prescription anti-inflammatory medications. You might need cortisone shots (an injection of corticosteroids directly into your affected joints).
* Surgery: It’s rare to need surgery to treat AS. Your provider will usually only suggest it if you have severe symptoms that don’t get better after trying other treatments.
How soon will I feel better?
You should start feeling better soon after starting treatment. Your symptoms might not completely go away, but they should improve as you find treatments that work for you. Ask your provider when to expect improvements. Exercise and physical therapy are a gradual process, and medications take different amounts of time to take effect.
Outlook / Prognosis:
What can I expect if I have ankylosing spondylitis?
Ankylosing spondylitis is a chronic (long-term) condition. You should expect to manage your symptoms for a long time (maybe the rest of your life). Some people with AS have periods of remission where they have fewer, or milder, symptoms. Even if it’s been a while since you experienced symptoms, there’s always a chance they can come back.
There’s no cure for AS (or any other type of arthritis), but that doesn’t mean you have to live in pain. Talk to your provider about what you’re feeling. Tell them how much your symptoms impact your ability to do your favorite activities.
Living With:
How do I take care of myself?
In addition to following your AS treatment regimen, there are some steps you can take to reduce inflammation in your body and stress on your joints:
* Follow a diet and exercise plan that’s healthy for you.
* Limit how much alcohol you drink.
* Quit smoking.
When should I see my healthcare provider?
Visit your healthcare provider if you notice new symptoms, or if your symptoms get worse. Talk to your provider if it feels like your treatments aren’t managing your symptoms as well as they used to.
See a healthcare provider if you experience any of the following symptoms:
* Chest pain.
* Difficulty breathing.
* Vision problems.
* Severe back pain or other joint pain.
* Your spine feels unusually stiff or rigid.
* Unexplained weight loss.
What questions should I ask my healthcare provider?
Questions to ask your provider include:
* Do I have ankylosing spondylitis or another type of arthritis?
* Will I need genetic testing?
* Which treatments will manage my symptoms?
* Will I need physical therapy?
Additional Information:
Overview
Ankylosing spondylitis, also called axial spondyloarthritis, is a type of inflammatory disease that mainly affects the spine. Over time, the inflammation can cause some of the bones in the spine, called vertebrae, to fuse together. This fusing makes the spine less flexible and can lead to a hunched posture. If the joints in the chest are affected, it may become harder to take deep breaths.
Axial spondyloarthritis has two types. When the condition is found on X-ray, it is called ankylosing spondylitis, also known as axial spondyloarthritis. When the condition cannot be seen on X-ray but is found based on symptoms, blood tests and other imaging tests, such as an MRI, it is called nonradiographic axial spondyloarthritis.
Symptoms often begin in early adulthood. The condition also can cause inflammation in other parts of the body. This happens most often in the eyes, called uveitis.
There is no cure for ankylosing spondylitis, but treatments can lessen symptoms, manage pain and possibly slow down the progression of the disease.
Ankylosing spondylitis
As ankylosing spondylitis progresses, the body forms new bone in an effort to heal inflamed areas. The new bone gradually bridges the gaps between vertebrae and eventually fuses sections of vertebrae together. Fused vertebrae can flatten the natural curves of the spine, which leads to stiffness and a hunched posture.
Symptoms
Early symptoms of ankylosing spondylitis might include back pain and stiffness, especially in the lower back and hips. These symptoms may be worse in the morning or after periods of inactivity. Neck pain and fatigue also are common. Other symptoms include vision changes or eye pain, skin rashes and stomach pain.
Symptoms can come and go over time. Some people have periods of increased pain and stiffness, followed by times when symptoms improve or go away for a while.
The most commonly affected areas are:
* The joints between the base of the spine and the pelvis, called sacroiliac joints.
* The vertebrae in the lower back.
* The places where tendons and ligaments attach to bones, mainly in the spine or along the back of the heel.
* The cartilage between the ribs and the breastbone.
* The hip and shoulder joints.
When to see a doctor
See a healthcare professional if you have low back or buttock pain that comes on slowly. Also see a healthcare professional if the pain feels worse in the morning or awakens you from your sleep at night, especially if this pain improves with exercise and worsens with rest. You also should seek care from an eye specialist right away if you develop a red, painful eye, light sensitivity or blurry vision since these can be signs of inflammation in the eye.
Causes
The exact cause of ankylosing spondylitis isn't known, but genetic factors seem to be involved. People who have a gene called HLA-B27 are at a greatly increased risk of developing ankylosing spondylitis. However, only some people with the gene develop the condition and not everyone with ankylosing spondylitis has this gene.
Risk factors
Risk factors for ankylosing spondylitis include:
* Younger age. The disease usually starts in late adolescence or early adulthood.
* Genetics. Most people who have ankylosing spondylitis have the HLA-B27 gene. But many people who have this gene never develop ankylosing spondylitis.
Complications
In serious cases of ankylosing spondylitis, the body tries to heal the long-term inflammation by forming new bone. Over time, this new bone bridges the gaps between vertebrae and causes them to fuse together. The fused parts of the spine become stiff and less flexible. If the joints in the chest around the rib cage also become stiff, the stiffness can limit how much the lungs can expand and make deep breathing more difficult.
Other possible complications include:
* Eye inflammation, called uveitis. Uveitis is one of the most common complications of ankylosing spondylitis. It can cause sudden eye pain, redness, light sensitivity and blurry vision. See your healthcare professional right away if you develop these symptoms.
* Compression fractures. When the bones in the spine weaken, they can press together and make a hunched posture worse. Vertebral fractures also can press on and possibly damage the spinal cord and nerves.
* Heart issues. Ankylosing spondylitis can cause issues with the aorta. The aorta is the largest artery in the body. When the aorta gets inflamed, it can swell and change the shape of the aortic valve in the heart. This makes the valve leak, and it can't work as well. This is called aortic regurgitation. This inflammation also increases the overall risk of heart disease.

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Periodic Table
Gist
The periodic table, also known as the periodic table of the elements, is an ordered arrangement of the chemical elements into rows ("periods") and columns ("groups"). An icon of chemistry, the periodic table is widely used in physics and other sciences.
The periodic table consists of 118 officially recognized elements, organized by atomic number, name, and symbol. Elements are ordered by increasing proton count, with symbols often matching the English name (e.g., Helium, He) or Latin roots (e.g., Gold, Au). Key groupings include metals, non-metals, halogens, and noble gases.
Summary
The periodic table of elements is widely used in the field of Chemistry to look up chemical elements as they are arranged in a manner that displays periodic trends in the chemical properties of the elements. However, the Periodic table generally displays only the symbol of the element and not its entire name.
Most of the symbols are similar to the name of the element but some symbols of elements have Latin roots. An example for this is silver which is denoted by Ag from its Latin name “Argentum”. Another such example would be the symbol ‘Fe’ which is used to denote Iron and can be traced to the Latin word for iron, “Ferrum”. It could prove difficult for a beginner in chemistry to learn the names of all the elements in the periodic table because these symbols do not always correspond to the English names of the elements.
Frequently Asked Questions – FAQs
Q1: What is the atomic number?
A1: The atomic number of an atom is equivalent to the total number of electrons present in a neutral atom or the total number of protons present in the nucleus of an atom.
Q2: What is an element?
A2. An element is a substance that can not be decomposed into simpler substances by ordinary chemical processes. It is the fundamental unit of the matter.
Q3: How many elements are there in the modern periodic table?
A3: There is a total of 118 elements present in the modern periodic table.
Q4: What is a chemical symbol?
A cA4: hemical symbol is a notation of one or two letters denoting a chemical element.
Example: The symbol of chlorine is Cl.
Q5: What are the rules for chemical symbols?
A5. The first letter is always capitalised for writing the chemical symbol of an element, while the second letter is small.
Q6: What is the significance of chemical symbols?
A6: Chemical symbols play a crucial role in easing the writing. It is universal, i.e. identical throughout the world.
Q7: What is the chemical symbol of a sodium metal?
A7: The chemical symbol of sodium metal is Na.
Q8: Name the smallest and the largest atom.
A8: Helium is the smallest atom with a radius of 31 pm, while the caesium is the largest atom with a radius of 298 pm.
Q9: Can atoms exist without neutrons?
A9: Yes, there is an isotope of the hydrogen atom, protium, which has no neutron.
Q10: What is the chemical symbol of a gold metal?
A10: The chemical symbol of gold metal is Au.
Details
The periodic table, also known as the periodic table of the elements, is an ordered arrangement of the chemical elements into rows ("periods") and columns ("groups"). An icon of chemistry, the periodic table is widely used in physics and other sciences. It is a depiction of the periodic law, which states that when the elements are arranged in order of their atomic numbers an approximate recurrence of their properties is evident. The table is divided into four roughly rectangular areas called blocks. Elements in the same group tend to show similar chemical characteristics.
Vertical, horizontal and diagonal trends characterize the periodic table. Metallic character increases going down a group and from right to left across a period. Nonmetallic character increases going from the bottom left of the periodic table to the top right.
The first periodic table to become generally accepted was that of the Russian chemist Dmitri Mendeleev in 1869; he formulated the periodic law as a dependence of chemical properties on atomic mass. As not all elements were then known, there were gaps in his periodic table, and Mendeleev successfully used the periodic law to predict some properties of some of the missing elements. The periodic law was recognized as a fundamental discovery in the late 19th century. It was explained early in the 20th century, with the discovery of atomic numbers and associated pioneering work in quantum mechanics, both ideas serving to illuminate the internal structure of the atom. A recognisably modern form of the table was reached in 1945 with Glenn T. Seaborg's discovery that the actinides were in fact f-block rather than d-block elements. The periodic table and law have become a central and indispensable part of modern chemistry.
The periodic table continues to evolve with the progress of science. In nature, only elements up to atomic number 94 exist; elements beyond that can only be synthesized in the laboratory. By 2010, the first 118 elements were known, thereby completing the first seven rows of the table; however, chemical characterization is still needed for the heaviest elements to confirm that their properties match their positions. New discoveries will extend the table beyond these seven rows, though it is not yet known how many more elements are possible; moreover, theoretical calculations suggest that this unknown region will not follow the patterns of the known part of the table. Some scientific discussion also continues regarding whether some elements are correctly positioned in the table. Many alternative representations of the periodic law exist, and there is some discussion as to whether there is an optimal form of the periodic table.
Each chemical element has a unique atomic number (Z— for "Zahl", German for "number") representing the number of protons in its nucleus. Each distinct atomic number therefore corresponds to a class of atom: these classes are called the chemical elements. The chemical elements are what the periodic table classifies and organizes. Hydrogen is the element with atomic number 1; helium, atomic number 2; lithium, atomic number 3; and so on. Each of these names can be further abbreviated by a one- or two-letter chemical symbol; those for hydrogen, helium, and lithium are respectively H, He, and Li. Neutrons do not affect the atom's chemical identity, but do affect its weight. Atoms with the same number of protons but different numbers of neutrons are called isotopes of the same chemical element. Naturally occurring elements usually occur as mixes of different isotopes; since each isotope usually occurs with a characteristic abundance, naturally occurring elements have well-defined atomic weights, defined as the average mass of a naturally occurring atom of that element. All elements have multiple isotopes, variants with the same number of protons but different numbers of neutrons. For example, carbon has three naturally occurring isotopes: all of its atoms have six protons and most have six neutrons as well, but about one per cent have seven neutrons, and a very small fraction have eight neutrons. Isotopes are never separated in the periodic table; they are always grouped together under a single element. When atomic mass is shown, it is usually the weighted average of naturally occurring isotopes; but if no isotopes occur naturally in significant quantities, the mass of the most stable isotope usually appears, often in parentheses.
In the standard periodic table, the elements are listed in order of increasing atomic number. A new row (period) is started when a new electron shell has its first electron. Columns (groups) are determined by the electron configuration of the atom; elements with the same number of electrons in a particular subshell fall into the same columns (e.g. oxygen, sulfur, and selenium are in the same column because they all have four electrons in the outermost p-subshell). Elements with similar chemical properties generally fall into the same group in the periodic table, although in the f-block, and to some respect in the d-block, the elements in the same period tend to have similar properties, as well. Thus, it is relatively easy to predict the chemical properties of an element if one knows the properties of the elements around it.
Today, 118 elements are known, the first 94 of which are known to occur naturally on Earth. The remaining 24, americium to oganesson (95–118), occur only when synthesized in laboratories. Of the 94 naturally occurring elements, 83 are primordial and 11 occur only in decay chains of primordial elements. A few of the latter are so rare that they were not discovered in nature, but were synthesized in the laboratory before it was determined that they exist in nature: technetium (element 43), promethium (element 61), astatine (element 85), neptunium (element 93), and plutonium (element 94). No element heavier than einsteinium (element 99) has ever been observed in macroscopic quantities in its pure form, nor has astatine; francium (element 87) has been only photographed in the form of light emitted from microscopic quantities. Of the 94 natural elements, eighty have a stable isotope and one more (bismuth) has an almost-stable isotope (with a half-life of 2.01×{10}^{19} years, over a billion times the age of the universe). Two more, thorium and uranium, have isotopes undergoing radioactive decay with a half-life comparable to the age of the Earth. The stable elements plus bismuth, thorium, and uranium make up the 83 primordial elements that survived from the Earth's formation. The remaining eleven natural elements decay quickly enough that their continued trace occurrence rests primarily on being constantly regenerated as intermediate products of the decay of thorium and uranium.[d] All 24 known artificial elements are radioactive.
Group names and numbers
Under an international naming convention, the groups are numbered numerically from 1 to 18 from the leftmost column (the alkali metals) to the rightmost column (the noble gases). The f-block groups are ignored in this numbering. Groups can also be named by their first element, e.g. the "scandium group" for group 3. Previously, groups were known by Roman numerals. In the United States, the Roman numerals were followed by either an "A" (if the group was in the s- or p-block) or a "B" (if the group was in the d-block). The Roman numerals used correspond to the last digit of today's naming convention (e.g., the group 4 elements were group IVB, and the group 14 elements were group IVA). In Europe, "A" was used for groups 1 through 7, and "B" was used for groups 11 through 17. In addition, groups 8, 9, and 10 used to be treated as one triple-sized group, known collectively in both notations as group VIII. In 1988, the new IUPAC (International Union of Pure and Applied Chemistry) naming system (1–18) was put into use, and the old group names (I–VIII) were deprecated.
Additional Information
Periodic table, in chemistry, is the organized array of all the chemical elements in order of increasing atomic number—i.e., the total number of protons in the atomic nucleus. When the chemical elements are thus arranged, there is a recurring pattern called the “periodic law” in their properties, in which elements in the same column (group) have similar properties. The initial discovery of this pattern by Dmitri I. Mendeleev in the mid-19th century has been of inestimable value in the development of chemistry.
It was not recognized until the 1910s that the order of elements in the periodic system is that of their atomic numbers, which are equal to the positive electrical charges of the atomic nuclei expressed in electronic units. In subsequent years great progress was made in explaining the periodic law in terms of the electronic structure of atoms and molecules. This clarification has increased the value of the law, which is used as much today as it was at the beginning of the 20th century, when it expressed the only known relationship among the elements.
The periodic table
The periodic table of the elements contains all of the chemical elements that have been discovered or made; they are arranged, in the order of their atomic numbers, in seven horizontal periods, with the lanthanoids (lanthanum, 57, to lutetium, 71) and the actinoids (actinium, 89, to lawrencium, 103) indicated separately below. The periods are of varying lengths. First there is the hydrogen period, consisting of the two elements hydrogen, 1, and helium, 2. Then there are two periods of eight elements each: the first short period, from lithium, 3, to neon, 10, and the second short period, from sodium, 11, to argon, 18. There follow two periods of 18 elements each: the first long period, from potassium, 19, to krypton, 36, and the second long period, from rubidium, 37, to xenon, 54. The first very long period of 32 elements, from cesium, 55, to radon, 86, is condensed into 18 columns by the omission of the lanthanoids (which are indicated separately below), permitting the remaining 18 elements, which are closely similar in their properties to corresponding elements of the first and second long periods, to be placed directly below these elements. The second very long period, from francium, 87, to oganesson, 118, is likewise condensed into 18 columns by the omission of the actinoids.
Groups
The six noble gases—helium, neon, argon, krypton, xenon, and radon—occur at the ends of the six completed periods and constitute the Group 18 (0) group of the periodic system. It is customary to refer to horizontal series of elements in the table as periods and vertical series as groups. The seven elements lithium to fluorine and the seven corresponding elements sodium to chlorine are placed in the seven groups, 1 (Ia), 2 (IIa), 13 (IIIa), 14 (IVa), 15 (Va), 16 (VIa), and 17 (VIIa), respectively. The 17 elements of the fourth period, from potassium, 19, to bromine, 35, are distinct in their properties and are considered to constitute Groups 1–17 (Ia–VIIa) of the periodic system.
The first group, the alkali metals, thereby includes, in addition to lithium and sodium, the metals from potassium down the table to francium but not the much less similar metals of Group 11 (Ib; copper, etc.). Also the second group, the alkaline-earth metals, is considered to include beryllium, magnesium, calcium, strontium, barium, and radium but not the elements of Group 12 (IIb). The boron group includes those elements in Group 13 (IIIa). The other four groups are as follows: The carbon group, 14 (IVa), consists of carbon, silicon, germanium, tin, lead, and flerovium; the nitrogen group, 15 (Va), includes nitrogen, phosphorus, math, antimony, bismuth, and moscovium; the oxygen group, 16 (VIa), includes oxygen, sulfur, selenium, tellurium, polonium, and livermorium; and the halogen group, 17 (VIIa), includes fluorine, chlorine, bromine, iodine, astatine, and tennessine.
Although hydrogen is included in Group 1 (Ia), it is not closely similar to either the alkali metals or the halogens in its chemical properties. It is, however, assigned the oxidation number +1 in compounds such as hydrogen fluoride, HF, and −1 in compounds such as lithium hydride, LiH; and it may hence be considered as being similar to a Group 1 (Ia) element and to a Group 17 (VIIa) element, respectively, in compounds of these two types, taking the place first of Li and then of F in lithium fluoride, LiF. Hydrogen is, in fact, the most individualistic of the elements: No other element resembles it in the way that sodium resembles lithium, chlorine resembles fluorine, and neon resembles helium. It is a unique element, the only element that cannot conveniently be considered a member of a group.
A number of the elements of each long period are called the transition metals. These are usually taken to be scandium, 21, to zinc, 30 (the iron-group transition metals); yttrium, 39, to cadmium, 48 (the palladium-group transition metals); and hafnium, 72, to mercury, 80 (the platinum-group transition metals). By this definition, the transition metals include Groups 3 to 12 (IIIb to VIIIb, and Ib and IIb).
Periodic trends in properties
The periodicity in properties of the elements arranged in order of atomic number is strikingly shown by the consideration of the physical state of the elementary substances and such related properties as the melting point, density, and hardness. The elements of Group 18 (0) are gases that are difficult to condense. The alkali metals, in Group 1 (Ia), are soft metallic solids with low melting points. The alkaline-earth metals, in Group 2 (IIa), are harder and have higher melting points than the adjacent alkali metals. The hardness and melting point continue to increase through Groups 13 (IIIa) and 14 (IVa) and then decrease through Groups 15 (Va), 16 (VIa), and 17 (VIIa). The elements of the long periods show a gradual increase in hardness and melting point from the beginning alkali metals to near the center of the period and then at Group 16 (VIa) an irregular decrease to the halogens and noble gases.
The valence of the elements (that is, the number of bonds formed with a standard element) is closely correlated with position in the periodic table, the elements in the main groups having maximum positive valence, or oxidation number, equal to the group number and maximum negative valence equal to the difference between eight and the group number.
Metallic elements in the periodic table
The general chemical properties described as metallic or base forming, metalloid or amphoteric, and nonmetallic or acid forming are correlated with the periodic table in a simple way: The most metallic elements are to the left and to the bottom of the periodic table and the most nonmetallic elements are to the right and to the top (ignoring the noble gases). The metalloids are adjacent to a diagonal line from boron to polonium.
A closely related property is electronegativity, the tendency of atoms to retain their electrons and to attract additional electrons. The degree of electronegativity of an element is shown by ionization potential, electron affinity, oxidation-reduction potential, the energy of formation of chemical bonds, and other properties. It is shown to depend upon the element’s position in the periodic table in the same way that nonmetallic character does, fluorine being the most electronegative element and cesium (or francium) the least electronegative (most electropositive) element.
The sizes of atoms of elements vary regularly throughout the periodic system. Thus, the effective bonding radius (or one-half the distance between adjacent atoms) in the elementary substances in their crystalline or molecular forms decreases through the first short period from 1.52 Å for lithium to 0.73 Å for fluorine; at the beginning of the second period, the bonding radius rises abruptly to 1.86 Å for sodium and gradually decreases to 0.99 Å for chlorine. The behavior through the long periods is more complex: The bonding radius decreases gradually from 2.31 Å for potassium to a minimum of 1.25 Å for cobalt and nickel, then rises slightly, and finally falls to 1.14 Å for bromine. The sizes of atoms are of importance in the determination of coordination number (that is, the number of groups attached to the central atom in a compound) and hence in the composition of compounds.
The increase in atomic size from the upper right corner of the periodic table to the lower left corner is reflected in the formulas of the oxygen acids of the elements in their highest states of oxidation. The smallest atoms group only three oxygen atoms about themselves; the next larger atoms, which coordinate a tetrahedron of four oxygen atoms, are in a diagonal belt; and the still larger atoms, which form octahedral oxygen complexes (stannic acid, antimonic acid, telluric acid, paraperiodic acid), lie below and to the left of this belt. Only the chemical and physical properties of the elements are determined by the extranuclear electronic structure; these properties show the periodicity described in the periodic law. The properties of the atomic nuclei themselves, such as the magnitude of the packing fraction and the power of entering into nuclear reactions, are, although dependent upon the atomic number, not dependent in the same periodic way.
The basis of the periodic system:
Electronic Structure
The noble gases—helium, neon, argon, krypton, xenon, radon, and oganesson—have the striking chemical property of forming few chemical compounds. This property would depend upon their possessing especially stable electronic structures (that is, structures so firmly knit that they would not yield to accommodate ordinary chemical bonds). During the development of modern atomic physics and the theory of quantum mechanics, a precise and detailed understanding was obtained of the electronic structure of the noble gases and other atoms that explains the periodic law in a thoroughly satisfactory manner.
The Pauli exclusion principle states that no more than two electrons can occupy the same orbit—or, in quantum-mechanical language, orbital—in an atom and that two electrons in the same orbital must be paired (that is, must have their spins opposed, with one spin up and one spin down). The orbitals in an atom may be described by a principal quantum number, n, which may assume the values 1, 2, 3,…, and by an azimuthal quantum number, l, which may assume the values 0, 1, 2,…, n − 1. There are 2l + 1 distinct orbitals for each set of values of n and l.
The most stable orbitals, which bring the electron closest to the nucleus, are those with the smallest values of n and l. The electrons that occupy the orbital with n = 1 (and l = 0) are said to be in the K shell of electrons; the L, M, N,… shells correspond respectively to n = 2, 3, 4,…. Each shell except the K shell is divided into subshells corresponding to the values 0, 1, 2, 3,… of the orbital quantum number l; these subshells are called the s, p, d, and f subshells, and they can accommodate a maximum of 2, 6, 10, and 14 electrons, respectively. (There is no special significance to the letter designations of the quantum numbers or of the shells and subshells.)
The approximate order of stability of the successive subshells in an atom is indicated in the chart below. The number of electrons in the atoms of the elements increases with increasing atomic number, and the added electrons go, of necessity, into successively less stable shells. The most stable shell, the K shell, is completed with helium, which has two electrons. The L shell is then completely filled at neon, with atomic number 10. The atoms of the heavier noble gases do not, however, have a completed outer shell but instead have s and p subshells only. The outer shell of eight electrons is called traditionally an octet. The d subshells and f subshells subsequently are also filled with electrons after the initially less stable orbitals are occupied, an inversion of stability having occurred with increasing atomic number.
The numbers 2, 8, 18, and 32 correspond to filling the s; s and p; s, p, and d; and s, p, d, and f subshells, respectively. The elements in groups 13 through 18 (with the exception of helium) are called p-block elements because in those elements, the p subshells are being filled across the periods.
The first period of the periodic table is complete at helium, when the K shell is filled with two electrons. The first and second short periods represent the filling of the 2s and 2p subshells (completing the L shell at neon) and the 3s and 3p subshells (at argon), leaving the M shell incomplete. The first long period begins with the introduction of electrons into the 4s orbital. Then, at scandium, the five 3d orbitals of the inner M shell begin to be occupied. It is the successive occupancy of these five 3d orbitals by their complement of ten electrons that characterizes the ten elements of the iron-group transition series. At krypton the M shell is complete and there is an octet in the N shell. The second long period, of 18 elements, similarly represents the completion of an outer octet and the next inner subshell of ten 4d electrons.
The very long period of 32 elements results from the completion of the 4f subshell of 14 electrons, the 5d subshell of 10 electrons, and the 6s, 6p octet. The filling of the 4f orbitals corresponds to the sequence of 14 lanthanoids and that of the 5d orbitals to the 10 platinum-group transition metals.
The next period involves the 5f subshell of 14 electrons, the 6d subshell of 10 electrons, and the 7s, 7p octet. The filling of the 5f orbitals corresponds to the actinoids, the elements beginning with thorium, atomic number 90.
There are advantages to replacing the K, L, M,… shells by a different grouping of the subshells, in which those with nearly the same energy are grouped together, in close correlation with the periodic system.
The periodicity of properties of the elements is caused by the periodicity in electronic structure. The noble gases are chemically unreactive, or nearly so, because their electronic structures are stable—their atoms hold their quota of electrons strongly, have no affinity for more electrons, and have little tendency to share electrons with other atoms. An element close to a noble gas in the periodic system, on the other hand, is reactive chemically because of the possibility of assuming the stable electronic configuration of the noble gas, by losing one or more electrons to another atom, by gaining one or more electrons from another atom, or by sharing electrons. The alkali metals, in Group 1 (Ia), can assume the noble-gas configuration by losing one electron, which is loosely held in the outermost (valence) shell, to another element with greater electron affinity, thus producing the stable singly charged positive ions. Similarly the alkaline-earth metals can form doubly charged positive ions with the noble-gas electronic configuration by losing the two loosely held electrons of the valence shell; the positive ionic valences of the elements of the first groups are hence equal to the group numbers. The elements just preceding the noble gases can form negative ions with the noble-gas configuration by gaining electrons; the negative ionic valences of these elements are equal to the difference between eight and their group numbers. The covalence (or number of shared electron pairs) of an atom is determined by its electron number and the stable orbitals available to it. An atom such as fluorine, with seven electrons in its outer shell, can combine with a similar atom by sharing a pair of electrons with it; each atom thus achieves the noble-gas configuration by having three unshared pairs and one shared electron pair in its valence shell.
The properties of elements in the same group of the periodic system are, although similar, not identical. The trend in properties from the lighter to the heavier elements may be attributed to changes in the strength of binding of the outer electrons and especially to the increasing size of the atoms.

2531) Manganese Dioxide
Gist
Manganese dioxide (MnO2) is a black or brown inorganic compound occurring naturally as the mineral pyrolusite, which is the main ore of manganese. It is primarily used as a cathodic depolarizer in dry-cell batteries, a catalyst for oxygen production, and as a pigment in ceramics and glass. It is a strong oxidizing agent.
Manganese dioxide (MnO2) is a versatile inorganic compound primarily used as a depolarizer in dry cell (alkaline) batteries, a powerful oxidant in chemical synthesis, and a catalyst for producing oxygen. It is widely used in ceramics, glass decolorization, water purification, and as a raw material for producing manganese steel.
Summary:
Manganese dioxide (Mn02) is a highly versatile compound that is used for water treatment, water softening, iron removal, and other industrial manufacturing processes. Manganese dioxide is an indispensable organic compound for diverse applications across different sectors.
What is Manganese Dioxide?
Manganese Dioxide Chemical Formula: Mn02 : Manganese dioxide is an inorganic compound with the chemical formula Mn02. It is a black or brown-coloured material that naturally occurs as mineral pyrolusite. It is extensively used in different industries for its unique physical and chemical properties. Manganese dioxide is primarily used in groundwater applications. It effectively removes hydrogen sulfide, manganese radium, and iron from water.
What are the Uses of Managese Dioxide?
It finds application in different industries for its excellent chemical and physical properties. The following are the main uses of manganese dioxide.
Application of Manganese Dioxide
* Oxidizing Agent: One of the main uses of manganese dioxide is oxidizing agent. It oxidizes different chemicals and compounds that are essential in the production of batteries. Manganese dioxide is used as a depolarizer in dry-cell batteries to convert gas into water and generate energy.
* Catalyst: It is one of the most powerful catalysts for water treatment. It acts as a filtration agent for water. The catalyst reaction by manganese dioxide during the chemical oxidation reduction process helps to remove math, iron, and radium.
* Production of Ceramic Materials: They are used as a colouring agent to add brown and black pigments to ceramic glazes. They are also used in manufacturing clay to enhance strength and durability.
* Decolouring Agent:Manganese dioxide is used as the decolouring agent in glass production and an oxidizing agent in a chemical agent.
* Steel Production:It is used in the production of steel and other alloys. Mn02 is added to iron during the manufacturing process to remove impurities and improve the quality of the end product.
* Medical Research: Manganese dioxide nanomaterials are explored for drug delivery in cancer therapy.
Details:
What is Manganese dioxide?
* Manganese dioxide is a black-brown solid that occurs naturally with the formula MnO2.
* Manganese dioxide (MnO2), known as pyrolusite when found in nature, is the most plentiful of all the manganese compounds.
* The principal ore of manganese dioxide is pyrolusite which was known to the ancients as a pigment.
Impure manganese can be made by reducing manganese dioxide with carbon. It is the only important compound of quadripositive manganese.
When MnO2 is fused with KOH
When blackish coloured compound MnO2 is fused with KOH in presence of air, it produces a dark green coloured compound potassium manganate.
Uses of Manganese dioxide – MnO2
* Used in Ceramic Industries for making glass, practically all the raw materials used in glass contain some iron, usually in the form of ferric oxide.
* Ores of manganese are not ‘active’ for direct use in dry cell manufacture and many of them need to be activated by physical or chemical treatment.
* Used in glassmaking to remove the green tint caused by iron impurities.
* Used as an important component in batteries. In the Leclanche cell, the positive electrode carbon, is surrounded by manganese dioxide and carbon.
Frequently Asked Questions – FAQs
Q1: What are the uses of manganese dioxide?
A1: MnO2 is primarily used as a part of dry cell batteries: alkaline batteries and the so-called Leclanché cell, or zinc–carbon batteries. For this application, large quantity are consumed annually. Many industrial uses include the use of MnO2 in ceramics and glass-making as an inorganic pigment.
Q2: Is MnO2 a catalyst?
A2: Manganese dioxide, a compound with the formula MnO2, is used as a catalyst for rapid oxidation of dissolved iron and manganese, present in the form of ferrous and manganese powder, in contact filters. These salts are oxidised by dissolved oxygen to an insoluble ferric and manganic acid.
Q3: How is manganese dioxide formed?
A3: By oxidation of the elemental manganese: elemental manganese reacts with oxygen in the environment to form MnO2. Because of this reaction, elemental manganese does not exist in nature – it is usually found as manganese dioxide in nature.
Q4: Is manganese dioxide harmful to humans?
A4: Harmful if inhaled or swallowed. It may cause eye, skin, and respiratory tract irritation. May cause central nervous system effects. Inhalation of fumes may cause metal-fume fever.
Q5: What are the symptoms of manganese toxicity?
A5: Manganese toxicity can result in a permanent neurological disorder known as manganism with symptoms that include tremors, difficulty walking, and facial muscle spasms. These symptoms are often preceded by other lesser symptoms, including irritability, aggressiveness, and hallucinations.
Additional Information
Manganese dioxide is the inorganic compound with the formula MnO2. This blackish or brown solid occurs naturally as the mineral pyrolusite, which is the main ore of manganese and a component of manganese nodules. The principal use for MnO2 is for dry-cell batteries, such as the alkaline battery and the zinc–carbon battery, although it is also used for other battery chemistries such as aqueous zinc-ion batteries. MnO2 is also used as a pigment and as a precursor to other manganese compounds, such as potassium permanganate (KMnO4). It is used as a reagent in organic synthesis, for example, for the oxidation of allylic alcohols. MnO2 has an α-polymorph that can incorporate a variety of atoms (as well as water molecules) in the "tunnels" or "channels" between the manganese oxide octahedra.
Key uses of manganese dioxide include:
Battery Manufacturing: It is a key ingredient (depolarizer) in Zinc-carbon (Leclanché) and alkaline batteries.
Water Treatment: Used for removing iron, manganese, and hydrogen sulfide from water supplies.
Catalyst: Functions as a catalyst in chemical processes, such as the decomposition of hydrogen peroxide and in producing oxygen.
Ceramics and Glass: Used as a colorant to create black or brown pigments and to remove the green tint from glass caused by iron impurities.
Chemical Synthesis: Acts as an oxidizing agent for producing aromatic chemicals and in various organic syntheses.
Other Applications: Employed in the production of fireworks, agricultural fungicides/pesticides, and in paints as a drying agent.

2468) Otto Diels
Gist:
Work
The element carbon is the component in a large and varied family of chemical compounds—organic compounds. Diens are compounds of carbon and hydrogen that contain two double bonds, i.e., where two carbon atoms share two pairs of paired electrons. In 1928 Otto Diels and Kurt Alder discovered a reaction in which one dien was changed into a ring-shaped molecule with six carbon atoms. The reaction became very significant within the chemical industry. For example, it served as a link in the production of plastic and synthetic rubber.
Summary
Otto Paul Hermann Diels (born Jan. 23, 1876, Hamburg, Ger.—died March 7, 1954, Kiel, W.Ger.) was a German organic chemist who, with Kurt Alder, was awarded the Nobel Prize for Chemistry in 1950 for their joint work in developing a method of preparing cyclic organic compounds.
Diels studied chemistry at the University of Berlin under Emil Fischer and after various appointments was made professor of chemistry at the University of Kiel (1916). He became emeritus in 1945.
In 1906 Diels discovered a highly reactive substance, carbon suboxide (the acid anhydride of malonic acid), and determined its properties and chemical composition. He also devised an easily controlled method of removing some of the hydrogen atoms from certain organic molecules by the use of metallic selenium.
His most important work concerned the diene synthesis, in which organic compounds with two carbon-to-carbon double bonds were used to effect syntheses of many cyclic organic substances under conditions that threw light on the molecular structure of the products obtained. This method was developed (1928) in collaboration with Kurt Alder, his student, and is known as the Diels-Alder reaction. Their work proved especially important in the production of synthetic rubber and plastics.
Details
Otto Paul Hermann Diels (23 January 1876 – 7 March 1954) was a German chemist. His most notable work was done with Kurt Alder on the Diels–Alder reaction, a method for cyclohexene synthesis. The pair was awarded the Nobel Prize in Chemistry in 1950 for their work. Their method of synthesizing cyclic organic compounds proved valuable for the manufacture of synthetic rubber and plastic. He completed his education at the University of Berlin, where he later worked. Diels was employed at the University of Kiel when he completed his Nobel Prize-winning work, and remained there until he retired in 1945. Diels was married, with five children. He died in 1954. He was survived by all five of his children and his wife.
Early life
Diels was born on 23 January 1876 in Hamburg, Germany, and moved with his family to Berlin when he was two years old. He studied in Berlin at Joachimsthalsches Gymnasium before attending the University of Berlin starting in 1895. While at university, Diels studied chemistry under Emil Fischer, eventually graduating in 1899.
Professional career
Immediately after graduating from the University of Berlin, he was offered a position with the Institute of Chemistry at the school. He advanced quickly through the ranks at the school, eventually ending up as Department Head in 1913. He remained at the University of Berlin until 1915, when he accepted a position at the University of Kiel, where he remained until his retirement in 1945. It was during his time at Kiel, where he worked with Kurt Alder developing the Diels–Alder reaction, for which they were awarded the Nobel Prize in Chemistry in 1950. His work with Alder developed a synthetic method which allows the synthesis of unsaturated cyclic compounds. This work was important in the production of synthetic rubber and plastic compounds.
Personal life
Diels married Paula Geyer in 1909. The couple had five children together, three sons and two daughters. Two of his sons were killed in action during World War II. In his free time, Diels enjoyed reading, music and traveling. He died on 7 March 1954.

Comfortable Quotes - IV
1. I've always been at war with myself, for right or wrong. I don't know how to explain it more. It's universal. Some people are better at dealing with it, and they sleep with no pain - not pain, arguments. I've grown quite comfortable with being at war. - Brad Pitt
2. I just knew that there was a gap in the market for easy, comfortable garments that are neither luxury nor pret, but somewhere in between. - Masaba Gupta
3. When you're comfortable with someone you love, the silence is the best. And, that's how me and J. are. When we're in a room together, we don't have to say anything. It's for real. - Britney Spears
4. It does not seem to me that the steps which would be needed to make Britain - and others - more comfortable in their relationship in the European Union are inherently so outlandish or unreasonable. - David Cameron
5. I'm learning that you can be comfortable and still look beautiful. - Selena Gomez
6. I like a good pair of jeans, but I also like putting on a nice tux. I'd rather go around in a good pair of jeans that you don't wash every day, because they get more and more comfortable. - Matthew McConaughey
7. A broken heart is a very pleasant complaint for a man in London if he has a comfortable income. - George Bernard Shaw
8. This game can be brutal. As soon as you get comfortable, it bites you. You have to stay on it all the time. - Joe Root.
Q: Why did the fruit bat eat the orange?
A: Because it had appeal.
* * *
Q: What do you call a fruit riding a motorcycle?
A: An Orange County Chopper.
* * *
Q: Why did the man lose his job at the orange juice factory?
A: He couldn't concentrate!
* * *
I thought I was drowning in Crush soda, but it was only a Fanta sea.
* * *
Knock Knock!
Who's there?
Orange.
Orange who?
Orange you going to answer the door?
* * *
Cardiopulmonary Resuscitation (CPR)
Gist
Cardiopulmonary Resuscitation (CPR) is an emergency procedure for someone who is unresponsive and not breathing normally. It involves 30 chest compressions (100-120 per minute) followed by 2 rescue breaths (or continuous "hands-only" compressions) to keep blood flowing to vital organs until professional help arrives.
The 7 steps of CPR (Cardiopulmonary Resuscitation) involve ensuring scene safety, checking responsiveness, calling emergency services, opening the airway, checking for breathing, performing 30 chest compressions, and delivering 2 rescue breaths. These steps are repeated until medical help arrives or the patient wakes up.
Summary
Cardiopulmonary resuscitation (CPR) is an emergency procedure used during cardiac or respiratory arrest that involves chest compressions, often combined with artificial ventilation, to preserve brain function and maintain circulation until spontaneous breathing and heartbeat can be restored. It is recommended for those who are unresponsive with no breathing or abnormal breathing, for example, agonal respirations.
CPR involves chest compressions for adults between 5 cm (2.0 in) and 6 cm (2.4 in) deep and at a rate of at least 100 to 120 per minute. The rescuer may also provide artificial ventilation by either exhaling air into the subject's mouth or nose (mouth-to-mouth resuscitation) or using a device that pushes air into the subject's lungs (mechanical ventilation). Current recommendations emphasize early and high-quality chest compressions over artificial ventilation; a simplified CPR method involving only chest compressions is recommended for untrained rescuers. With children, however, 2015 American Heart Association guidelines indicate that doing only compressions may result in worse outcomes, because such problems in children normally arise from respiratory issues rather than from cardiac ones, given their young age. Chest compression to breathing ratios are set at 30 to 2 in adults.
CPR alone is unlikely to restart the heart. Its main purpose is to restore the partial flow of oxygenated blood to the brain and heart. The objective is to delay tissue death and to extend the brief window of opportunity for a successful resuscitation without permanent brain damage. Administration of an electric shock to the subject's heart, termed defibrillation, is usually needed to restore a viable, or "perfusing", heart rhythm. Defibrillation is effective only for certain heart rhythms, namely ventricular fibrillation or pulseless ventricular tachycardia, rather than asystole or pulseless electrical activity, which usually requires the treatment of underlying conditions to restore cardiac function. Early shock, when appropriate, is recommended. CPR may succeed in inducing a heart rhythm that may be shockable. In general, CPR is continued until the person has a return of spontaneous circulation (ROSC) or is declared dead.
Medical uses
CPR is indicated for any person unresponsive with no breathing or breathing only in occasional agonal gasps, as it is most likely that they are in cardiac arrest. If a person still has a pulse but is not breathing (respiratory arrest), artificial ventilations may be more appropriate, but due to the difficulty people have in accurately assessing the presence or absence of a pulse, CPR guidelines recommend that lay persons should not be instructed to check the pulse while giving healthcare professionals the option to check a pulse. In those with cardiac arrest due to trauma, CPR is considered futile but still recommended. Correcting the underlying cause such as a tension pneumothorax or pericardial tamponade may help.
Details
CPR (cardiopulmonary resuscitation) is an emergency procedure for someone who’s in cardiac arrest. CPR with breaths and hands-only CPR are the two types. Even if you’re not CPR-certified, you can do hands-only CPR. This involves doing 100 to 120 chest compressions per minute. Start CPR immediately to give the person the best chance of survival.
What Is CPR?
CPR stands for cardiopulmonary resuscitation. It’s an emergency procedure that can save your life if you’re in cardiac arrest. This means your heart stops beating and can’t pump blood out to your body. The key part of CPR is chest compressions (pushing hard and fast in the center of the chest). This keeps some blood flowing to vital organs. CPR may also involve mouth-to-mouth breaths, which give you oxygen.
Healthcare providers, like doctors, nurses and paramedics, routinely perform CPR both in and out of hospitals. Others, called lay rescuers, can also perform CPR wherever it’s needed, like at homes, gyms and shopping malls.
If you’re reading this and aren’t a healthcare provider, you have the opportunity to be a lay rescuer. This means you can save someone’s life, no matter who you are. Lay rescuers include people with CPR certification (you take classes and get an official certificate), as well as those without it. You’ll do the type of CPR that reflects your training and comfort level.
Types of CPR
There are two main types of CPR:
* CPR with breaths (conventional CPR): You use chest compressions and mouth-to-mouth breaths. You need CPR certification to do this type.
* Hands-only CPR: You only use chest compressions (no breaths). You don’t need CPR certification to do this type. You can learn on your own.
Both types are effective and can be lifesaving within the first few minutes of cardiac arrest in adults. However, CPR with breaths is more helpful in situations where CPR must go on for longer than a few minutes. This is because the person’s blood needs more oxygen at that point to prevent damage to vital organs like the brain.
How to recognize when someone needs CPR
A person needs CPR if they’re unconscious and have absent or abnormal breathing. Here’s what that means:
* Unconscious: This is also called being “unresponsive.” It means the person doesn’t respond if you shout, say their name or tap them on the shoulder.
* Absent or abnormal breathing: This means the person either isn’t breathing, or they’re breathing in ways that don’t sound normal. It may sound like they’re gasping for air.
These are signs that the person is in cardiac arrest.
What not to do
When someone’s in cardiac arrest, do NOT delay CPR in order to:
* Check for a pulse: The latest guidelines say that lay rescuers should NOT check for a pulse (this is true even if you’re CPR certified). This can waste valuable time. If the person is unresponsive and not breathing right, start CPR right away.
* Check their airways for an object that’s stuck: The guidelines do NOT recommend routine inspection of the mouth or throat when a person is in cardiac arrest. Also, never do a “blind finger sweep,” looking for an object. This can push any object deeper into the airway.
The only time to check the airways for a lodged object is if you witness someone collapse while choking. In that case, quickly look in their mouth. Don’t feel around for an object. But if you can clearly see an object and it’s easily removed, you can remove it. Otherwise, start CPR right away.
Procedure Details
Before starting CPR, quickly ask someone to:
* Call your local emergency services number): Ideally, someone nearby can make the call so you can immediately start CPR. But if you’re alone, call for emergency help and put the phone on speaker while you get started.
8 Get an automated external defibrillator (AED): An AED is a device that can restart the heart. AEDs are available in many public places. You can use them even if you don’t have training. The device will give you instructions aloud.
It may take some minutes for emergency services to arrive and for someone to find an AED. Don’t wait. Start CPR immediately.
CPR steps for adults and teens
1. Make sure the person is on a firm, flat surface. They should be lying on their back. Gently position the person as needed.
2. Kneel down. You should be next to the person, with your knees about shoulder width apart.
3. Place your hands on their chest. Put the heel of one hand in the middle of their chest, with your fingers lifted upward and spread out. Put your other hand on top and interlace your fingers. Your fingers should be slightly lifted up off their chest, with the lower heel pressing down.
4. Position your body. Your shoulders should be directly over your hands. Your arms should extend straight downward, with your elbows locked (not bent). This helps you use your body weight to push down forcefully enough.
5. Start chest compressions. Push down on the middle of the person’s chest with hard, fast movements. Their chest should go down by at least 2 inches (5 centimeters) each time, but not more than 2.4 inches (6 centimeters). Their chest should rise up before you push again.
6. Keep a steady pace. Do chest compressions at a rate of 100 to 120 per minute. This follows the beat of “Stayin’ Alive,” by the Bee Gees, and “Crazy in Love,” by Beyoncé and Jay-Z. Make sure you allow the person’s chest to come all the way back up between compressions.
7. Give breaths (IF TRAINED). For hands-only CPR, simply continue doing chest compressions. But if you’re CPR certified and willing to give breaths, you should do so. Follow the guidance you learned in your training. You should generally give two breaths after every 30 compressions.
Continue doing CPR until any of the following happen:
* The person starts breathing normally again.
* First responders arrive and take over the care.
* An AED is available to use (if this happens, stop CPR and start using the AED right away).
If at any point, you feel too tired to continue, let someone else who’s ready step in. Make the switch as quickly as possible so there aren’t long breaks in between compressions. Generally, it’s advised to switch personnel every two minutes.
CPR steps for children and babies
There are some key differences when you’re doing CPR for anyone 12 or younger. Here’s what to know:
* CPR with breaths is best for children and babies. This means, ideally, someone who’s CPR certified will step in. But if no one with training is available, it’s OK to do hands-only CPR.
* For infants, don’t use both hands for chest compressions. Instead, use modified techniques that are more appropriate for an infant’s small size. These are described farther below. The infant’s chest should go down by about 1.5 inches (4 centimeters).
* For children, use either one or two hands for chest compressions. It depends on the size of the child. For children 1 to 8 years old, using one hand may be OK as long as you can keep the proper form. The child’s chest should go down by about 2 inches (5 centimeters).
When performing CPR on an infant (1 to 12 months old), use one of the following techniques for chest compressions:
* The “two thumb-encircling hands” technique: You wrap both hands around the infant’s upper body. Your thumbs should meet at the center of their chest, forming an upside-down V. Push down with both thumbs. This is better than doing two-finger compressions (an older method).
* The “heel-of-one-hand” technique: If you can’t wrap both hands around the infant, then use the heel of one hand (not both) to do chest compressions.
What are the potential benefits and risks of CPR?
CPR can save your life if you receive it right after going into cardiac arrest. CPR keeps blood moving through your body. This may prevent organ damage, like cerebral hypoxia.
Some people with certain preexisting health conditions might not experience the same benefits from CPR. It depends on how sick you are before you go into cardiac arrest. Consider speaking with a healthcare provider you trust about what your recovery or outlook might look like if you needed CPR.
Possible risks of CPR include broken ribs and injury to organs in your chest. This is because chest compressions must be forceful to keep blood circulating and keep you alive.
Recovery and Outlook:
What happens immediately after CPR?
If you’re a lay rescuer, you’ll step back when first responders arrive. They’ll take over and begin providing medical care. They’ll transport the person to a hospital as soon as possible. If the person survives, healthcare providers will check for any organ damage from a lack of oxygen. They’ll also determine the cause of cardiac arrest and provide any needed treatment.
If a cardiac arrest occurs at home and an individual wakes up after CPR from a non-trained family member, they should be evaluated immediately by a healthcare team. This is true even if they look well.
Additional Information
CPR stands for cardiopulmonary resuscitation. It can help save a life during cardiac arrest, when the heart stops beating or beats too ineffectively to circulate blood to the brain and other vital organs.
What Is the Purpose of CPR?
With a half-million cardiac arrests each year, CPR increases the likelihood of surviving cardiac arrest, when the heart stops beating or beats too ineffectively to circulate blood to the brain and other vital organs. It’s not just for healthcare workers and emergency responders. CPR can double or triple the chance of survival when bystanders take action. The Red Cross helps train you safely, effectively and confidently so you’re prepared for the moments that matter.
Why is CPR Important?
CPR should be used when you see someone who is unresponsive and is not breathing or only gasping. Having more bystanders trained in this simple skill can help save lives by putting more cardiac arrest victims within a few steps of lifesaving assistance.
What Are the Types of CPR?
* Hands-Only CPR: Hands-only CPR is an easy-to-learn skill that could save a life. It involves calling 9-1-1, sending someone for the AED if available and then giving continuous chest compressions. It only takes minutes to learn.
* Full CPR With Rescue Breaths: While Hands-only CPR can be lifesaving, learning full CPR is still very important. Getting trained in full CPR – combinations of chest compressions and rescue breaths – will increase your confidence and may enable you to help in other types of emergencies. Full CPR is ideal for all ages, and especially for people who are more likely to experience respiratory emergencies such as children and infants.
Why Learn CPR?
Learning how to perform CPR properly takes just a few short hours, but it can change a life forever. Red Cross CPR training classes give you the information and the skills you need to help adults, children and infants during cardiac emergencies. Whether you choose 100% in-person or blended learning CPR classes, our world-class instructors deliver the most up-to-date information that's engaging and effective, preparing you for the moments that matter.
Benefits to Being CPR Certified
* An Emergency Can Happen When You Least Expect It. No one ever expects emergencies to occur as they go about their day, which is why it is important to learn CPR ahead of time. Cardiac arrest can happen at home, at school, at the gym, on an airplane, in the workplace or anywhere in the community. CPR is a critical skill that can help save a life when a person's breathing or heart stops.
* Every Second Counts. You may be wondering, "why learn CPR when I can just call 9-1-1?" While you should always call 9-1-1 first in the event of an emergency, it still takes rescuers some time to arrive at the scene. For every minute without intervention, the chance of survival drops for a person experiencing sudden cardiac arrest. CPR can significantly improve someone’s chance of surviving when bystanders take prompt action.
* CPR Also Prevents Brain Death. Even if someone survives cardiac arrest, they may suffer permanent brain damage when they don't receive enough blood flow and oxygen to the brain. CPR certification can help prevent brain damage and death by keeping oxygenated blood moving throughout the body.
* Anyone Can Learn It. Another benefit of CPR is that this lifesaving training is for everyone. It only takes a few hours, and it can give you the skills and confidence to act in an emergency and help save a life. You'll find classes that are designed for the way you live and learn, with options available on weekdays and weekends in a variety of formats.
* You'll Have the Confidence to Act when Needed. CPR instruction will give you the skills and confidence to perform this life-saving procedure when it's needed the most. Plus, to keep your skills fresh, online refresher materials are available that can help you retain the knowledge you've gained. In addition, you'll also have access to a printable list of the basic steps for performing CPR. This way, you can keep the information you need right at your fingertips.
Cardiac Arrest Chain of Survival
Cardiac arrest can happen anytime and anywhere. In these emergencies, the heart stops beating or beats too ineffectively to circulate blood to the brain and other vital organs. The cardiac arrest out-of-hospital chain of survival shows the steps necessary to take in order to improve chances of survival from cardiac arrest.
The 6 links in the adult out-of-hospital Chain of Survival are:
* Recognition of cardiac arrest and activation of the emergency response system (such as calling 9-1-1)
* Early CPR with an emphasis on chest compressions
* Rapid defibrillation
* Advanced resuscitation by Emergency Medical Services (EMS) and other healthcare providers
* Post-cardiac arrest care in the hospital
* Recovery (such as additional treatment, rehabilitation, and psychological support)
CPR/AED Classes
At the Red Cross, you can choose the type of class for your schedule – and the way you learn best. For those who want to become certified in CPR/AED, you can choose from three types of courses:
* In-person: Designed for those who learn best in a traditional classroom setting, our in-person courses combine lecture with hands-on skills sessions. This way, you can not only learn what CPR is, but you will be able to practice your skills with a certified instructor. If the course is completed with a passing grade, you'll receive a two-year certification.
* Online: Perfect for those who want the freedom to take self-paced courses, our online classes can help you learn what CPR is and how to perform the different types of CPR. However, online safety training courses do not allow you to demonstrate your skill proficiency to a certified instructor, and therefore your certification may not meet the requirements for workplace safety.
* Blended Learning: Our blended learning programs combine self-paced, interactive instruction and in-person skills sessions. That way, you can learn what CPR is, why CPR is important and how to perform it in theory and in practice. Additionally, because this option allows you to demonstrate your skills to a certified instructor, you can receive full certification with a passing score.

Duodenum
Gist
The duodenum is the first, shortest (approx. 25–30 cm), and most fixed "C"-shaped section of the small intestine, connecting the stomach to the jejunum. It neutralizes acidic chyme and breaks down fats, proteins, and carbohydrates using bile and pancreatic enzymes, playing a critical role in nutrient absorption.
What is the main function of the duodenum?
The first part of the small intestine. It connects to the stomach. The duodenum helps to further digest food coming from the stomach. It absorbs nutrients (vitamins, minerals, carbohydrates, fats, proteins) and water from food so they can be used by the body.
Summary
The duodenum is the first section of the small intestine in most vertebrates, including mammals, reptiles, and birds. In mammals, it may be the principal site for iron absorption. The duodenum precedes the jejunum and ileum and is the shortest part of the small intestine.
In humans, the duodenum is a hollow jointed tube about 25–38 centimetres (10–15 inches) long connecting the stomach to the jejunum, the middle part of the small intestine. It begins with the duodenal bulb, and ends at the duodenojejunal flexure marked by the suspensory muscle of duodenum. The duodenum can be divided into four parts: the first (superior), the second (descending), the third (transverse) and the fourth (ascending) parts.
Overview
The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In fish, the divisions of the small intestine are not as clear, and the terms anterior intestine or proximal intestine may be used instead of duodenum. In mammals the duodenum may be the principal site for iron absorption.
In humans, the duodenum is a C-shaped hollow jointed tube, 25–38 centimetres (10–15 inches) in length, lying adjacent to the stomach (and connecting it to the small intestine). It is divided anatomically into four sections. The first part lies within the peritoneum but its other parts are retroperitoneal.
Details
The duodenum is the first part of your small intestine. Its main job is to transform the partially digested food it receives from your stomach into nutrients your body can use. Digestive juices from your liver, gallbladder and pancreas empty into your duodenum, helping with digestion and absorption.
Overview:
What is the duodenum?
The duodenum is the first part of your small intestine. Despite what the name suggests, your “small” intestine is the longest part of your digestive tract and plays a big role in your digestive system. Inside its many coils, digestive juices transform food into the nutrients (like proteins, fats, vitamins and water) that power your body.
The duodenum is a short, “C”-shaped chute. It’s the first stop food makes as it travels from your stomach to your small intestine. The other parts of your small intestine are your jejunum (the middle part) and ileum (the last part).
Function:
What is the function of the duodenum?
The duodenum continues the process of digestion (breakdown of food into nutrients) that starts in other parts of your gastrointestinal (GI) tract, like your mouth and stomach. It also begins the absorption process (moving the nutrients into your bloodstream). Think of it this way: Before reaching your duodenum, saliva and stomach acid have transformed food into food slush. Inside your duodenum, the slush becomes nutrients your body can use.
Your duodenum:
* Makes food traveling from your stomach less acidic. The partially digested food that travels from your stomach to your duodenum is called chyme. Chyme is highly acidic, thanks to stomach juices that break down food. Your duodenum releases a hormone (secretin) that triggers the release of an enzyme called bicarbonate that makes chyme less acidic. The breakdown of acid helps your digestive system absorb nutrients. It prevents the acid from damaging your small intestine.
* Transforms chyme into nutrients. Your duodenum releases a hormone (cholecystokinin) that triggers your pancreas, gallbladder and liver to release substances that help turn chyme into nutrients. Your liver and gallbladder release bile, which breaks down fats. Your pancreas releases lipase, which also breaks down fats, amylase to break down carbohydrates and protease to break down proteins. Your bloodstream absorbs these nutrients.
* Moves food molecules along. The duodenum pushes food molecules that don’t get absorbed into the next section of your small intestine, the jejunum. The duodenum squeezes and relaxes, creating a wave-like forward motion called peristalsis.
Anatomy:
How big is the duodenum?
It’s the shortest section of your small intestine, approximately 10 inches long — just 2 inches shy of a foot. “Duodenum,” translated from Latin, means “12 fingers,” a reference to its size. The length of your duodenum is approximately the width of 12 fingers placed side by side.
To put this in perspective, your entire small intestine is 22 feet long. If you stretched it out, it would be the length of a tennis court. Your duodenum wouldn’t be a single foot of the total length. Yet, important nutrient absorption happens in these 10 inches of your small intestine.
Where is the duodenum located?
Your duodenum starts just below your stomach. It curves to the right and back, down and then to the left in a “C” or horseshoe shape. It slants upward slightly before joining with the next part of your small intestine, your jejunum. The head of your pancreas (the widest part) sits inside the “C.”
What are the parts of the duodenum?
There are four basic parts. They get their name from their location and shape.
* Superior segment
The superior segment is the top part of the duodenum that connects with your stomach. It’s about 2 inches long. The part of the superior segment that connects directly with your pylorus (the stomach valve that opens to allow food to travel to your small intestine) is called the duodenal bulb. Most ulcers in your small intestine form here, where stomach acid is most likely to come into contact with your duodenum.
* Descending segment
As the name suggests, the descending segment is the part of the “C” shape that goes downward. It passes in front of your right kidney and is about 4 inches long.
This part of your small intestine connects to your pancreas (via the pancreatic duct) and your gallbladder and liver (via the common bile duct). “Ducts” are like tiny canals that allow substances to travel from one organ (like your liver) to another organ (like your small intestine). These organs produce substances that empty into the descending segment, breaking down fats, proteins and carbohydrates.
* Horizontal (inferior) segment
The horizontal segment is about 4 inches long. It extends from right to left and passes over essential blood vessels, including your aorta and inferior vena cava.
* Ascending segment
This is the smallest part of your duodenum, at just under an inch. It extends slightly upward and is located to the left of your aorta. It connects to your jejunum.
What is the duodenum made of?
The duodenum has four layers. Its cell makeup is the same as other organs in your GI tract. From the innermost layer to the outermost layer, the duodenum consists of the:
* Mucosa: It contains glands and fingerlike projections called microvilli. The microvilli increase the surface area of your duodenum, allowing it to absorb more nutrients than if it were flat.
* Submucosa: This layer consists of blood vessels and connective tissue. The submucosa contains Brunner’s glands. Brunner’s glands release a substance that makes chyme less acidic.
* Muscularis: This layer is mostly smooth muscle. Its job is mixing and moving. As it contracts, it blends the enzymes and bile that break down chyme. It also moves the chyme along the length of your duodenum, so it reaches your jejunum.
* Serosa: This layer consists of squamous epithelial cells that serve as your duodenum’s protective barrier.
Conditions and Disorders:
What problems can occur in the duodenum?
As the part of your small intestine closest to your stomach, your duodenum is especially susceptible to injury if you have excess stomach acid. The acid can lead to open stores in your stomach (peptic ulcers) and in your duodenum. The most common causes of these ulcers are H. pylori infection and overusing medicines called NSAIDs (nonsteroidal anti-inflammatory drugs). NSAIDs, like aspirin and ibuprofen, can ease symptoms like aches and pains but can cause ulcers if you use them too much.
If an untreated ulcer breaks down too much of your duodenum’s protective barrier, its contents can leak out and damage the gastroduodenal artery behind it. This can cause severe bleeding that requires emergency care.
Many of the same conditions that affect your small intestine, in general, can affect your duodenum specifically. Conditions that can affect your duodenum include:
* Brunner’s gland adenomas: Benign (noncancerous) growths that start in Brunner’s glands.
* Crohn’s disease: A type of irritable bowel disease (IBD) that causes irritation and inflammation.
* Celiac disease: A disorder that causes problems in your digestive system when you eat gluten.
* Duodenal atresia: A condition that causes a baby to be born with a closed duodenum.
* Duodenal stenosis: A condition that causes a baby to be born with a narrowed (but not completely closed) duodenum.
* Duodenal cancer: Cancer that starts in your duodenum.
* Duodenal diverticulum: A small, pouch-like structure that pushes outside the wall of your duodenum. Diverticula (plural of diverticulum) usually don’t cause issues or require treatment unless they become infected and inflamed (diverticulitis).
* Duodenitis: Inflammation in your duodenum.
* Small bowel obstruction: A medical emergency that happens when part of your small intestine (including your duodenum) is entirely or partially blocked.
Common signs or symptoms of issues with the duodenum
Symptoms depend on the specific condition. In general, symptoms of a condition affecting your duodenum are similar to problems with your GI tract. Signs and symptoms include:
* Abdominal pain.
* Bloating and gas.
* Constipation.
* Diarrhea.
* Nausea and vomiting.
* Indigestion (stomach discomfort after you eat).
* Bloody vomit or poop (a sign of a bleeding ulcer).
Common tests to check the health of the duodenum.
Common tests include:
* Breath test to check for H. pylori infections.
* Imaging procedures — like ultrasounds, X-rays, CT scans (computed tomography scans) and MRIs (magnetic resonance imaging) — that look for growths and inflammation inside your duodenum.
* Procedures that use a scope to see inside your duodenum, including enteroscopy and upper endoscopy.
* Biopsies to check abnormal growths, including cancer.
What are common treatments for conditions affecting the duodenum?
Common treatments include:
* Antibiotics to treat infections (like H. pylori).
* Corticosteroids to reduce severe inflammation.
* Medicines to reduce the amount or acidity level of stomach acid, like proton pump inhibitors (PPIs), histamine receptor blockers (H2 blockers) and antacids.
* Surgery to correct structural issues or treat cancer, including the Whipple procedure.
Care:
How can I keep my duodenum healthy?
Putting healthy habits into place to prevent irritating or overworking your digestive system is good for your entire GI tract, including your duodenum.
Choose a diet that keeps your digestive system running smoothly. Eating lots of fiber and drinking lots of water can help you have regular bowel movements so things don’t get backed up in your small intestine. Eating lots of vegetables and nonacidic foods can help you maintain a healthy acidity level in your gut.
Avoid substances that can irritate your gut. Smoking and drinking too much alcohol can irritate organs in your digestive system, including your small intestine. Taking too many NSAIDs (Nonsteroidal anti-inflammatory drugs) can lead to painful ulcers that require treatment.
Don’t ignore signs of digestive system issues. Changes in your bowel habits and unpleasant symptoms, like an upset stomach or indigestion, can be temporary. Or they can sound the alarm bells that you need to change your lifestyle or see a provider. Don’t delay getting help if you’ve got unpleasant digestive symptoms that aren’t improving.
Additional Information
Duodenum is the first part of the small intestine, which receives partially digested food from the stomach and begins the absorption of nutrients. The duodenum is the shortest segment of the intestine and is about 23 to 28 cm (9 to 11 inches) long. It is roughly horseshoe-shaped, with the open end up and to the left, and it lies behind the liver. On anatomic and functional grounds, the duodenum can be divided into four segments: the superior (duodenal bulb), descending, horizontal, and ascending duodenum.
A liquid mixture of food and gastric secretions enters the superior duodenum from the pylorus of the stomach, triggering the release of pancreas-stimulating hormones (e.g., secretin) from glands (crypts of Lieberkühn) in the duodenal wall. So-called Brunner glands in the superior segment provide additional secretions that help to lubricate and protect the mucosal layer of the small intestine. Ducts from the pancreas and gallbladder enter at the major duodenal papilla (papilla of Vater) in the descending duodenum, bringing bicarbonate to neutralize the acid in the gastric secretions, pancreatic enzymes to further digestion, and bile salts to emulsify fat. A separate minor duodenal papilla, also in the descending segment, may receive pancreatic secretions in small amounts. The mucous lining of the last two segments of the duodenum begins the absorption of nutrients, in particular iron and calcium, before the food contents enter the next part of the small intestine, the jejunum.
Inflammation of the duodenum is known as duodenitis, which has various causes, prominent among them infection by the bacterium Helicobacter pylori. H. pylori increases the susceptibility of the duodenal mucosa to damage from unneutralized digestive acids and is a major cause of peptic ulcers, the most common health problem affecting the duodenum. Other conditions that may be associated with duodenitis include celiac disease, Crohn disease, and Whipple disease. The horizontal duodenum, because of its location between the liver, pancreas, and major blood vessels, can become compressed by those structures in people who are severely thin, requiring surgical release to eliminate painful duodenal dilatation, nausea, and vomiting.

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