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The didactic value of educational and methodical complex to improve the quality of education on the subject of human physiology 教育的教学价值和教学方法的复杂性提高了人体生理学学科的教育质量
Pub Date : 2018-06-14 DOI: 10.15406/MOJAP.2018.05.00197
A. Roman, A. Nadezhda
At the same time, with the updating of the structure of the educational standard, the organization of work on the content of the educational programs, the conditions of their provision and the results of development have to ensure the transition to the new standard, a systematic update of the content of textbooks and manuals, the development and implementation of methodological support for the teachers. The modern system of higher education (bachelor’s and master’s degrees) requires fundamentally new didactic means to enable students to assign information and improve their professional level in a computerized environment. Competitiveness in the modern labor market depends largely on how much a person is able to acquire and develop skills, competences that can be used or transformed in relation to professional activity.
与此同时,随着教育标准结构的更新,教育计划内容的组织工作、提供条件和发展结果必须保证向新标准的过渡,教材和手册内容的系统更新,对教师的方法支持的开发和实施。现代高等教育体系(学士学位和硕士学位)要求从根本上采用新的教学手段,使学生能够在计算机化的环境中分配信息并提高他们的专业水平。现代劳动力市场的竞争力在很大程度上取决于一个人能够在多大程度上获得和发展可用于或转化为专业活动的技能和能力。
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引用次数: 1
Anatomy (real anatomy) of the aortic valve replacement: when we can actually see it 解剖(真实解剖)主动脉瓣置换术:当我们能看到它的时候
Pub Date : 2018-06-14 DOI: 10.15406/mojap.2018.05.00196
G. Abuin, P. Nicolas, Almendras Isadora, Depetris Gustavo
Ross procedure,1 aortic valve sparing operations, homograft placement, Bentall procedures and even standard aortic valve replacement can damage the atrioventricular bundle, the membranous septum or the blood supply of the atrioventricular node.2 For instance: the first “dogma” instructed to a resident in aortic valve replacement is: “Do not put any stitches under the annulus: if you do this, the patient can develop atrioventricular block”. The fact of the matter is that there is no aortic annulus, and when a stentless valve has to be placed in the “annulus” the sutures HAVE to be placed in an annular fashion. So, what is the truth? Where are the atrioventricular node and the His Bundle?
Ross手术、保留主动脉瓣手术、同种移植物置换术、Bentall手术,甚至标准的主动脉瓣置换术都会损害房室束、隔膜膜或房室结的血液供应例如:在主动脉瓣置换术中,给住院医生的第一条“准则”是:“不要在主动脉环下缝合,否则病人可能会出现房室传导阻滞。”事实是,没有主动脉环,当一个无支架瓣膜必须放置在“环”中时,缝合线必须以环形的方式放置。那么,真相是什么呢?房室结和His束在哪里?
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引用次数: 0
Beneficial effects of vestibular stimulation on learning and memory: an overview 前庭刺激对学习和记忆的有益影响:综述
Pub Date : 2018-06-07 DOI: 10.15406/MOJAP.2018.05.00194
K. Sailesh, R. Manyam, Jinu Kv, A. R
The vestibular system is considered the entryway to the brain and is said to have the most important influence for everyday functioning. Recent studies underlines the function of vestibular system is not just maintaining balance and equilibrium or reflexes but beneficial in advanced functions like improving cognition, improving diabetic condition, reducing stress etc. As the vestibular system remains enigmatic among the human senses it is fast becoming one of the most thoroughly and broadly researching topic.1 Stimulating vestibular system in a controlled way has shown many benefits like decreased self-stimulation, decreased hypersensitivity, increased postural security, increased concentration and attentiveness, increased balance, increased body awareness, calming effects, reduction of abnormal muscle tone.2 Although cradles, which apply a basic form of
前庭系统被认为是通往大脑的入口,据说对日常功能有最重要的影响。近年来的研究强调,前庭系统的功能不仅仅是维持平衡、平衡或反射,它还具有改善认知、改善糖尿病、减轻压力等高级功能。由于前庭系统在人类感官中仍然是一个谜,它正迅速成为最彻底和最广泛的研究课题之一以可控的方式刺激前庭系统有很多好处,比如减少自我刺激,减少超敏反应,增加姿势安全,增加注意力和注意力,增加平衡,增加身体意识,镇静效果,减少异常肌肉张力虽然摇篮,其中适用的基本形式
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引用次数: 1
Medical documentation in a busy UK teaching hospital eye casualty-is there room for improvement? 在繁忙的英国教学医院的医疗文件眼伤亡-有改进的空间吗?
Pub Date : 2018-06-06 DOI: 10.15406/MOJAP.2018.05.00193
E. Ridyard
When adverse events occur, documentation surrounding the incident is one of the first things to be reviewed. As a result, the UK NHS Litigation Authority [1] (NHS LA) and National Institute for Health Care and Excellence [1] (NICE) produced a set of guidelines for the expected standard of Medical Documentation. As part of the Ophthalmology team we set out to assess the quality of Medical Documentation in our Eye Casualty. This is something that has been audited in the department previously. Following on from the audit there has been a big push to increase awareness of the need for robust documentation, which has taken place at the induction of new junior doctors and Consultants as well as at Grand Round teaching.
当不良事件发生时,首先要审查的是有关该事件的文件。因此,英国国民保健服务诉讼管理局[1](NHS LA)和国家卫生保健和卓越研究所[1](NICE)制定了一套医疗文件预期标准的指导方针。作为眼科团队的一员,我们开始评估我们眼科伤员医疗文件的质量。这是部门以前审计过的。在审计之后,大力推动提高对需要强有力文件的认识,这已在新初级医生和顾问的入职以及大门诊教学中进行。
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引用次数: 0
Surgical management of cervical mucocele associated with ranula in a dog 犬颈黏液囊肿伴牛痘的外科治疗
Pub Date : 2018-06-04 DOI: 10.15406/MOJAP.2018.05.00191
S. Shivaraju, S. K. Maiti, Kalaiselvan, D. Mohan, D. S. Surendra, Ramith Kr, P. Sangeetha, Raghuvanshi Pds, Bindhuja Bv, Naveen Kumar
Although salivary glands diseases are rare in canines, however, the occurrence of mucocele has been reported as less than 20 in 400 dogs.1 Salivary mucoceles are formed by the extravasation and accumulation of saliva in the subcutaneous tissue adjacent to ruptured salivary gland or duct system and are surrounded by granulation tissue induced by saliva. Dogs are more commonly affected than cats; however, all breeds are susceptible. Poodles, German Shepherds, Dachshunds, and Australian silky terriers are frequently affected.2–4 The sublingual and mandibular salivary glands are most commonly affected.2–5 This condition can occur at any age.
虽然唾液腺疾病在犬类中很少见,但据报道,在400只狗中,粘液囊肿的发生率不到20唾液黏液囊肿是唾液在破裂的唾液腺或导管系统附近的皮下组织外渗、积聚而形成的,并被唾液诱导的肉芽组织包围。狗比猫更容易受到影响;然而,所有品种都易受感染。贵宾犬、德国牧羊犬、腊肠犬和澳大利亚丝梗经常受到影响。2-4舌下和下颌唾液腺最常受影响。这种情况可发生在任何年龄。
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引用次数: 3
Diurnal variation of leukocytosis and its prognostic significance in head trauma in local population 局部人群头部外伤白细胞的日变化及其预后意义
Pub Date : 2018-05-22 DOI: 10.15406/MOJAP.2018.5.00190
R. Mangi, A. Soomro, Abdul Khalique Doudpota
Objectives: A. To study the predictive value of diurnal variation of leukocytosis in minor, moderate and severe head trauma. B. To study the relationship between leukocytosis with Glass Coma Scor (GCS). C. To study the relationship between leukocytosis and computed tomography scan. Study design: Prospective and analytical study. Place and duration of study: Department of Physiology, Basic Medical Science Institute (B.M.S.I) in Accident and Emergency, ICU of Neurosurgery Department(ward-16) Jinnah Post graduation Medical College (JPMC) Karachi Pakistan from August 2009 to August 2010. Methodology: 90 patients of head trauma were included, after taking complete history from the conscious patients and from the attendants of unconscious patients. Glass Coma Score were observed immediately and blood sample was taken for laboratory findings and manual observations especially for white cell count with hemocytometer (Neubaur chamber), peripheral smear were prepared at the spot for differential leukocyte count within the time. Results: 90 patients of head trauma of age 16 to 70 years were included of either sex. Statistically the mean leukocyte count revealed that significantly higher in severe head trauma as compared to minor and moderate (P<0.001) and significantly higher as compared moderate to minor (P<0.001). Correlation of total leukocyte count with GCS that show highly significant correlation between two (P<0.01). The significant correlation between differential leukocyte count with GCS with P<0.05. Significant correlation of TLC with (CT) scan with P<0.01. 90 Patients divided into age groups age of 21-30 year, 24 (26.7%) followed by 31-40 year (22.2%) age 39.8+6.5 male were 75 (83%) and female (17%). Conclusion: On admission, white blood cells (WBC) count exceeding 19000/mm3 has a predictive as well as prognostic value for poor Glasgow coma scale (GCS) and serves as a significant parameter of severity of injury and predicator neurological out coma in patients with severe head injury in local population.
目的:A.探讨白细胞日变化对轻、中、重度颅脑外伤的预测价值。B.研究白细胞增多与玻璃昏迷评分(GCS)的关系。C.探讨白细胞增多与计算机断层扫描的关系。研究设计:前瞻性和分析性研究。学习地点和时间:2009年8月至2010年8月,巴基斯坦卡拉奇真纳毕业后医学院(JPMC)基础医学研究所(B.M.S.I)急症室神经外科ICU(病房-16)生理学系。方法:选取90例头部外伤患者,从清醒患者和昏迷患者的护理人员处获取完整的病史。立即观察玻璃昏迷评分,并采血进行实验室检查和人工观察,特别是用血细胞计(Neubaur室)观察白细胞计数,在现场做外周涂片,观察时间内白细胞的差异计数。结果:90例16 ~ 70岁的头部外伤患者,男女不限。统计上,平均白细胞计数显示,重度颅脑损伤患者明显高于轻度和中度颅脑损伤患者(P<0.001),中度颅脑损伤患者明显高于轻度颅脑损伤患者(P<0.001)。白细胞总数与GCS呈极显著相关(P<0.01)。白细胞计数差异与GCS有显著相关性,P<0.05。TLC与(CT)扫描有显著相关性,P<0.01。90例患者分为年龄21 ~ 30岁、24例(26.7%)、31 ~ 40岁(22.2%)、年龄39.8+6.5例,男性75例(83%)、女性17例(17%)。结论:入院时白细胞(WBC)计数超过19000/mm3对不良格拉斯哥昏迷量表(GCS)具有预测和预后价值,可作为当地人群重型颅脑损伤患者损伤严重程度的重要参数和神经外昏迷的预测指标。
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引用次数: 0
Influence of the reproductive behavior of Neoneura sylvatica (Odonata: Protoneuridae) on spermatic morphology 森林新神经科原神经科生殖行为对精子形态的影响
Pub Date : 2018-05-18 DOI: 10.15406/mojap.2018.05.00189
Millena Vieira Barbosa Neto, Olávio Campos Júnior, G. Rodrigues
The present study aimed to verify the behavioral effects on the spermatic morphology of Neoneura sylvatica Hagen in Selys, 1886. For this, males were analyzed behaviorally for intra-sexual competition and for morphology of spermatozoa. With the observation of the five labelled individuals it was possible to observe agonistic relationships between resident males and intruders. When an intruding male attempted to invade the territory of the resident male, there were aggressive contacts. In the reproductive behavior it was possible to observe mating and oviposition with guard after copula in all the couples and attempts of interruption of oviposition by the male intruder. Through the histological analysis individual spermatozoa were observed and not founds in bundles. Spermatozoa dimorphism was found for N. sylvatica being the first record for Odonata. This dimorphism is presented as follows: morphotype 1 has a total length of 99μm, undifferentiated head of the flagellum, spiral body. Morphotype 2 has a total length of 118μm, and it is possible to differentiate the head (31μm) from the flagellum (86μm). The head showed a shape of hook and ripples in the flagellum. We conclude that the behavioral attributes of male intra-sexual competition of N. sylvatica can influence the morphological characteristics of spermatozoa generating dimorphism.
本研究旨在验证行为对sylvatica Hagen在Selys, 1886年的精子形态的影响。为此,对雄性进行了性内竞争和精子形态的行为分析。通过对五个被标记个体的观察,可以观察到常驻雄性和入侵者之间的竞争关系。当一只入侵的雄性试图入侵常驻雄性的领地时,就会发生攻击性接触。在生殖行为上,可以观察到所有雌蝶的交配和产卵,在交配后都有警戒,雄蝶试图中断产卵。通过组织学分析,观察到单个精子,未发现成束精子。结果表明,该物种具有精子二态性,是齿形目的首次记录。二态性表现为:形态1全长99μm,鞭毛头部未分化,体呈螺旋状;形态2全长118μm,可以区分出头(31μm)和鞭毛(86μm)。头部呈钩状,鞭毛上有波纹。结果表明,雌雄间竞争的行为属性会影响雌雄同体精子的形态特征。
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引用次数: 0
Management of a complicated triathlete’s bilateral iliac artery endofibrosis 复杂铁人三项运动员双侧髂动脉内纤维化的治疗
Pub Date : 2018-05-17 DOI: 10.15406/mojap.2018.05.00188
Joan Fité, J. Dilme, J. Villalba, O. Peypoch, Luis Til, J. Escudero, F. Drobnic
Introduction:Iliac artery endofibrosis (IAE) is an uncommon disease, poorly studied pathology with devastating effects and different therapeutic approaches affecting young people who practise intensive sports, especially cyclists. The evolution of the process not only depends on the diagnosis and therapeutic action, but also on the acceptance and attitude of the patient and subsequent professional guidance. Case description:This is the case description of a professional triathlon athlete that had one previous iliac surgical revascularization for an IAE Iliac and was admitted in our department five times with subacute lower limb ischemia affecting both legs between 2013 and 2016. Clinical findings and image tests are reported, as well as medical procedures performed. Indications based on clinical, functional and imaging ratings were clear, but his professional activity was not completely abandoned. Finally, after four endovascular procedures with good immediate results, he was warned of the seriousness of the process since the etiopathogenic reason. At the present moment patient is asymptomatic, under routine controls, working as successful triathlon coach. Discussion and conclusion:The fact that an external mechanical stress is the reason of repeated iliac artery injury suggests that an open surgical approach correcting the external muscular compression or arterial deformation should be a definitive but also aggressive solution according to literature. However, endovascular procedures and new endovascular devices are an increasingly promising option with a very low surgical risk. No matter the revascularization performed, the persistence of sports intensive practice carries a high risk of recurrence. Sport practise cessation is mandatory in some cases in order to assure revascularization long-term patency, but also a well conducted professional orientation is needed to complete the therapeutic action.
髂动脉内纤维化(IAE)是一种罕见的疾病,病理学研究很少,对从事高强度运动的年轻人,特别是骑自行车的年轻人有破坏性的影响和不同的治疗方法。过程的演变不仅取决于诊断和治疗行动,还取决于患者的接受和态度以及随后的专业指导。病例描述:本病例描述为一名专业铁人三项运动员,2013年至2016年间,曾因IAE髂髂手术重建术,并因影响双腿的亚急性下肢缺血在我科住院5次。报告临床结果和图像检查,以及进行的医疗程序。基于临床,功能和影像学评分的适应症是明确的,但他的专业活动并没有完全放弃。最后,在进行了四次血管内手术后,立即取得了良好的效果,由于发病原因,他被警告该过程的严重性。目前患者无症状,在常规控制下,作为成功的铁人三项教练工作。讨论与结论:外部机械应力是髂动脉反复损伤的原因,这一事实表明,根据文献,开放手术方法纠正外部肌肉压迫或动脉变形应该是一个明确但积极的解决方案。然而,血管内手术和新的血管内装置是一种越来越有前途的选择,手术风险非常低。无论进行何种血运重建术,持续的高强度运动都有很高的复发风险。在某些情况下,为了确保血运重建的长期通畅,停止运动练习是强制性的,但也需要一个良好的专业指导来完成治疗行动。
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引用次数: 0
Melancholic depression: between submission and voluntarism 忧郁抑郁:在顺从与自愿之间
Pub Date : 2018-05-15 DOI: 10.15406/MOJAP.2018.05.00187
Fernando Arce Hochkofler
From the obverse of this situation, we observe other elements not described by the psychoanalytic clinic of melancholy. And is that the melancholic patient, who is subjected and exploited, enters the relationship of couple with a secret weapon: He/she has the ability to separate sexual desire from love and, he/she can perfectly love his partner without wishing him or, stay in a relationship without love and with some desire, but giving commitment in exchange for affection and recognition. He/she will be unfaithful with the imaginary characters of your fantasy, when he/she access or propose a sexual relationship with the imaginary placed in another scene. Already in his youthful sexual life the depressed patient enters into relationships where, from the outset, the infeasibility of love is assured (by the existence of a third person, by the impossibility of consummating the relationship, by agreed-upon agreements of non-commitment, etc.) and where only desire has a place. In other words, enter into relationships without being in love, just thinking about preventing annulment.
从这种情况的反面,我们观察到精神分析诊所没有描述的忧郁的其他因素。受压迫和被剥削的忧郁症患者进入夫妻关系时,带着一个秘密武器:他/她有能力将性欲与爱分开,他/她可以在不希望他的情况下完美地爱他的伴侣,或者在没有爱和欲望的情况下保持一段关系,但给予承诺以换取爱和认可。当他/她与另一个场景中的想象人物发生性关系时,他/她会对你幻想中的虚构人物不忠。在他年轻的性生活中,抑郁症患者就已经进入了一种关系,在这种关系中,从一开始,爱的不可行性就得到了保证(通过第三者的存在,通过不可能完成关系,通过商定的不承诺协议,等等),只有欲望占有一席之地。换句话说,在没有恋爱的情况下开始一段关系,只是考虑防止婚姻无效。
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引用次数: 0
Aging of thymus gland and immune system 胸腺和免疫系统老化
Pub Date : 2018-05-10 DOI: 10.15406/MOJAP.2018.05.00186
Heshmat S W Haroun
Aging is an inevitable, progressive and irreversible process that is manifested with multiple organ dysfunction. Reactive oxygen species (ROS) is considered the main etiological factor of aging. The thymus gland is the primary site of T cell production and it represents a key organ of the immune system. It is endodermal in origin and lies in the anterior mediastinum behind the sternum. Thymic involution with aging results in less efficient T-cell development and decreased emigration of naive T cells to the periphery. Deterioration of the immune system with aging contributes to increased incidence of infection, autoimmunity, and cancer, thus increasing the rates of morbidity and mortality in elderly humans.
衰老是一个不可避免的、渐进的、不可逆的过程,表现为多器官功能障碍。活性氧(ROS)被认为是导致衰老的主要原因。胸腺是T细胞产生的主要部位,是免疫系统的关键器官。它起源于内胚层,位于胸骨后面的前纵隔。胸腺衰老导致T细胞发育效率降低,初始T细胞向外周的迁移减少。随着年龄的增长,免疫系统的退化会增加感染、自身免疫和癌症的发病率,从而增加老年人的发病率和死亡率。
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引用次数: 7
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MOJ Anatomy & Physiology
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