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The educational value, both past and present, of an ancient scientific collection: the collection of anatomical preparations illustrating the various phases of bone development, from the second month of intrauterine life to adulthood 古代科学收藏的教育价值,无论是过去还是现在:从子宫内生命的第二个月到成年,说明骨骼发育各个阶段的解剖准备的收藏
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-12920
M. Martini, M. Aglianó, D. Orsini
Italy’s museums possess an enormous patrimony of historical scientific artefacts. This raises important questions regarding the conservation and safeguard of such materials and prompts reflection as to the utility of current modalities of popularising science. The collections housed in scientific museums were created in order to promote scientific education by making science more accessible and more comprehensible. The authors ask whether this heritage can still be used for educational purposes today, and examine a collection of preparations on the ossification of human bones in the Anatomical Museum of the University of Siena. They conclude that such materials can still be of educational value if they are made part of exhibitions that meet the needs of the public and of students in training. Indeed, it is essential to bear witness to the long pathway of the development of scientific knowledge and, in particular, to the value of the research on which this knowledge is based. Through the implementation of ad hoc exhibitions, this precious historical scientific patrimony can continue to play an important role in presenting medical/healthcare issues of topical interest without losing sight of the relevance of past experience to basic teaching.
意大利的博物馆拥有大量的历史科学文物遗产。这就提出了有关保存和保护这些材料的重要问题,并促使人们对目前普及科学的方式的效用进行反思。科学博物馆的藏品是为了通过使科学更容易获得和更容易理解来促进科学教育。作者询问这些遗产今天是否仍然可以用于教育目的,并检查了锡耶纳大学解剖博物馆中关于人类骨骼骨化的准备工作。他们的结论是,如果将这些材料作为满足公众和受训学生需要的展览的一部分,它们仍然具有教育价值。事实上,见证科学知识发展的漫长道路,尤其是这些知识所基于的研究的价值,是至关重要的。通过实施特别展览,这一宝贵的历史科学遗产可以继续发挥重要作用,在展示热门的医疗/保健问题时,同时又不会忽视过去的经验与基础教学的相关性。
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引用次数: 0
Face-to-face vs distance learning in human anatomy education: a longitudinal study of students’ perspective and learning outcomes during COVID-19 pandemic 人体解剖学教育中的面对面与远程学习:COVID-19大流行期间学生观点和学习成果的纵向研究
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-12800
M. Relucenti, Francesca Alby, R. Heyn, Filomena Marino, Marilena Fatigante, S. Miglietta, P. Familiari, C. Zucchermaglio, G. Familiari, Eugenio Gaudio
On March 9, 2020 attendance classes in Italian universities were suspended due to Covid-19 Pandemic. Thanks to the fast actions put in place by Sapienza University Governance and to the efforts made by all components of the university, the face-to-face courses were turned into on-line courses in only one week. This sudden change has been an even more exciting challenge for the Faculties of Medicine, whose members were also involved in the frontline battle against the virus. Anatomy academics, recognizing the challenges as opportunities to innovate anatomy teaching, set up at the same time: a specific survey to investigate students’ perspective on educational preferences and their mood; a longitudinal quantitative study to compare, for the first time in the same student’s population, exam grades after face-to-face classes and after online classes. The students, although with different motivations, considered valid both modes of attendance. Exam grades statistical analysis showed that anatomy exam marks after the online course had a higher average value (statistically significant) and with an excellent correlation factor, compared to the marks obtained at the end of the face-to-face course. Considering our data as a whole, we can suggest that face-to-face classes and online classes, rather than being interchangeable education modes, should be considered as modes with different characteristics that offer different educational benefits. These advantages may have different relevance for individual students, depending on their specific needs and individual preferences. This suggests the opportunity to propose customizable courses, centered on the student’s needs.
3月9日,由于新冠肺炎大流行,意大利大学2020年的出勤课程暂停。由于萨皮恩扎大学管理部门采取的快速行动以及大学各部门的努力,面授课程仅用了一周就变成了在线课程。这一突然的变化对医学院来说是一个更令人兴奋的挑战,其成员也参与了抗击病毒的前线战斗。解剖学学者认识到挑战是创新解剖学教学的机会,同时设立了一项具体的调查,调查学生对教育偏好和情绪的看法;一项纵向定量研究,首次在同一学生群体中比较面授课和网课后的考试成绩。学生们虽然动机不同,但认为这两种出席方式都是有效的。考试成绩统计分析显示,与面授课程结束时的成绩相比,在线课程后的解剖学考试成绩具有更高的平均值(具有统计学意义),并且具有良好的相关性。考虑到我们的整体数据,我们可以建议,面授课和网课,而不是可互换的教育模式,应该被视为具有不同特征的模式,提供不同的教育效益。根据学生的具体需求和个人偏好,这些优势可能对他们个人有不同的相关性。这意味着有机会提出以学生需求为中心的可定制课程。
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引用次数: 0
Medical Embryology and its Importance in the 21st Century Curriculum: A mini review 医学胚胎学及其在21世纪课程中的重要性:一个小回顾
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-12966
Amr Maani, Alicja Forma, J. Baj, Ryszard Maciejewski
Embryology is an essential tool in clinical practice especially for managing various medical disorders. As a course in medical schools, it is neither easy nor straightforward to understand and teach in the 21st century curriculum, as such, it is easy to overlook. As a discipline, embryology has entered a phase of unparalleled transition in its understanding base. This translates to a phase of abundant modification in the medical curriculum. A main critical issue of learning embryology is how extensively newer molecular medical embryology can be paired with the traditional approach to developmental of anatomy. Another issue would be which venue to be considered most effective in embryology instruction. The medical curriculum in during 21st century have different objectives, as well as different educational approach. As a consequence, this paper outlines a variety of aspects in which embryology could be presented as well as how it may be incorporated within the medical curriculum.
胚胎学在临床实践中是一个重要的工具,特别是在管理各种医学疾病方面。作为医学院校的一门课程,在21世纪的课程中,它既不容易理解也不直接,因此很容易被忽视。作为一门学科,胚胎学在其理解基础上已经进入了一个前所未有的过渡阶段。这意味着医学课程将进入大量修改的阶段。学习胚胎学的一个主要关键问题是如何广泛地更新分子医学胚胎学可以与传统的方法配对解剖学的发展。另一个问题是,在胚胎学教学中,哪个场所被认为是最有效的。21世纪的医学课程设置有不同的目标,也有不同的教育方式。因此,本文概述了胚胎学可以呈现的各种方面,以及如何将其纳入医学课程。
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引用次数: 0
Study of hippocampal size and age 海马体大小和年龄的研究
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-11867
Luiz Gabriel Dias Duarte Machado, L. Mevorach, Victor De Oliveira Corrêa, Maria Eugênia Martins Publio Correa, Gabriel Phillip Sinibaldi Eagers, Guilherme Rodrigues Guidoni, A. Santoro, P. H. Pires de Aguiar
Objective (or background): The hippocampus is a thoroughly studied structure of the temporal lobe. In contrast to our current knowledge of hippocampal anatomy, neurophysiology and pathophysiology, scientific literature on the relationship between the hippocampal size and age is limited. Our study aims to further the understanding of this relationship. Methods: 16 hippocampi were anatomized, photographed, measured and analyzed in comparison to age and gender using Pearson and bootstrap analyses with IBM SPSS®. Results: The results for all three independent variables of size, age and gender were not statistically significant. Conclusions: We were unable to show a statistically significant result on the correlation between the size of the hippocampus and age due to small sample size.
目的(或背景):海马体是一个被深入研究的颞叶结构。与我们目前对海马体解剖学、神经生理学和病理生理学的了解相反,关于海马体大小与年龄之间关系的科学文献有限。我们的研究旨在进一步了解这种关系。方法:采用IBM SPSS®进行Pearson和bootstrap分析,对16个海马区进行解剖、拍照、测量和年龄、性别对比分析。结果:大小、年龄、性别三个自变量的结果均无统计学意义。结论:由于样本量小,我们无法证明海马体积与年龄之间的相关性有统计学意义。
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引用次数: 0
Lower limb posture and joint mobility in young Soccer players 年轻足球运动员的下肢姿势和关节活动能力
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-12105
Piergiorgio Francia, Carlo Ferri Marini, S. Toni, F. Lucertini, A. Federici, G. Iannone, F. Paternostro, B. Piccini
Soccer practice can induce marked changes in the lower limbs with dreaded short and long term consequences. We evaluated the possible effects of sport practice on lower limb posture and their relationships with ankle joint mobility (AJM). In 61 male Soccer players mean age 11.6±1.8 years, and in 50 Volleyball and Basketball players matched for age, sex and body mass index, lower limb posture and AJM in both plantar flexion and dorsiflexion were evaluated on the sagittal plane in supine position using, respectively, images analysis and an inclinometer. A multivariate analysis of variance was carried out to assess if the practice of different sports affects the leg posture (FP: angle between foot and leg) and foot posture (LP: angle between the foot and the line perpendicular to the ground). The sport practiced showed a significant multivariate effect on the lower limb posture. Soccer players showed a greater LP angle (169.2±4.3° vs 164.9±4.5°; p<0.001) and a lesser FP angle in both Basketball and Volleyball players (298.0±12.6° vs 305.6±10.9°; p<0.002). These differences were not present between the Basketball and Volleyball players. Soccer players showed a reduced AJM (127.6±15.7° vs. 138.8±21.6°; p<0.002) compared to the other subjects evaluated. The AJM was found directly correlated to the FP angle (p<0.005). The results of this study indicate that young Soccer players could show an altered posture of the leg and foot and a reduced AJM. The alterations of these parameters seem to be a consequence of the sport practice. 
足球训练会导致下肢发生明显变化,带来可怕的短期和长期后果。我们评估了运动练习对下肢姿势的可能影响及其与踝关节活动性(AJM)的关系。在61名平均年龄11.6±1.8岁的男性足球运动员和50名年龄、性别和体重指数匹配的排球和篮球运动员中,分别使用图像分析和测斜仪在仰卧位的矢状面上评估了跖屈和背屈的下肢姿势和AJM。进行了多变量方差分析,以评估不同运动的练习是否会影响腿的姿势(FP:脚和腿之间的角度)和脚的姿势(LP:脚和垂直于地面的线之间的角)。这项运动对下肢姿势有显著的多变量影响。足球运动员的LP角较大(169.2±4.3°vs 164.9±4.5°;p<0.001),篮球和排球运动员的FP角较小(298.0±12.6°vs 305.6±10.9°;p>0.002)。篮球和排球球员之间没有这些差异。与其他受试者相比,足球运动员的AJM降低(127.6±15.7°vs.138.8±21.6°;p<0.002)。AJM与FP角直接相关(p<0.005)。本研究结果表明,年轻足球运动员可以表现出腿部和脚部姿势的改变和AJM的减少。这些参数的改变似乎是运动实践的结果。
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引用次数: 1
Da Vinci’s Vitruvian Man, Golden Ratio and Anthropometrics 达芬奇的维特鲁威人,黄金比例和人体测量学
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-10743
Jihad A. M. Alzyoud, Khaldun Jacoub, Samya A. Omoush, A. A. Al-Shudiefat
Objectives: Divine golden ratio (Phi = 1.618) observed in several human body parts such as, heart, dentition and upper limb tends to present homeostasis in anatomy and physiology. This cross sectional survey study investigates the relationship of golden ratio with BMI, GPA, gender and blood serotypes in Jordan. Methods: Demographic features including GPA, body weight, lengths of some body parts and ABO/Rh blood groups were measured for 380 undergraduate students of matched age (19.14±0.76) and matched sex ratio. Navel-Foot/Height, Forearm-Hand/Armpit-hand and BMI were calculated. Golden ratio fitness was calculated based on phi and standard deviation of collected data. Results showed significant gender differences in the means for all body lengths measured, GPA, BMI, and calculated ratios. Golden ratio fitted bodies students were 40.5% (Females > males). The overall prevalence of overweight and obesity was 15% (females < males), while 80% (females > males) have normal weight. Among the overweight and obese students 77.2% (44/57, females less than males) lies outside the golden ratio. The overall prevalence of GPA grades above good were 51.3% (females > males) and among them 47.7% (93/195, females > males) fit golden ratio while 67.2% of the good or below GPA grades (121/180, females < males) did not fit golden ratio. No significant difference between ABO-Rh system related to gender or golden ratio fitness. Statistically, a significant association was found between golden ratio and the three parameters BMI, GPA and gender. Conclusions: Students who are golden ratio fitted bodies were more likely to have better BMI and GPA especially females.
目的:在心脏、牙列和上肢等人体多个部位观察到的神圣黄金比例(Phi=1.618)在解剖学和生理学上趋于稳态。这项横断面调查研究调查了约旦的黄金比例与BMI、GPA、性别和血液血清型的关系。方法:对380名年龄匹配(19.14±0.76)、性别匹配的大学生进行了GPA、体重、某些身体部位长度和ABO/Rh血型等人口学特征的测量。计算Navel Foot/Height、Forearm Hand/Armpit Hand和BMI。黄金比例适合度是根据phi和收集数据的标准差计算的。结果显示,所有测量的身体长度、平均成绩、BMI和计算的比率的平均值存在显著的性别差异。黄金比例适合身体的学生为40.5%(女性>男性)。超重和肥胖的总体患病率为15%(女性<男性),而80%(女性>男性)的体重正常。在超重和肥胖的学生中,77.2%(44/57,女性少于男性)处于黄金比例之外。GPA等级在良好以上的总体患病率为51.3%(女性>男性),其中47.7%(93/195,女性>雄性)符合黄金比例,而GPA等级良好或以下的67.2%(121/180,女性<雄性)不符合黄金比例。ABO-Rh系统与性别或黄金比例适合度无显著差异。从统计数据来看,黄金比例与BMI、GPA和性别三个参数之间存在显著关联。结论:黄金比例身材的学生更有可能拥有更好的BMI和GPA,尤其是女性。
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引用次数: 2
Variations in the arteries of the upper limb - a clinical apropos 上肢动脉的变异——一种临床方法
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-11980
S. Kore, N. Vishwakarma
Introduction: Blood supply to the arm and forearm is conveyed by the brachial artery and its branches, the radial and the ulnar artery. Variations in these arteries are being increasingly reported in many studies. Most of these variations observed are mostly in the course and branching pattern of these arteries and have been accounted to be due to developmental defect, from varied causes.  Materials and Methods: In the present study dissection was done on fifty seven upper limb specimens obtained from the college of Medicine and Health Sciences, Oman. Variations observed in the origin and course of the arteries in the arm and forearm, were noted and later photographed. Results:  Out of the fifty seven upper limb specimens studied variations were noted in four limbs. In one limb there was a superficial branch originating from the brachial artery, that later divided into superficial radial and ulnar arteries. In two limbs the brachial artery was superficial to the median nerve, in one of them the brachial artery coursing superficial to the median nerve had a tortuous course. Superficial course of ulnar artery in the forearm was noted in another limb. Conclusion: Surgical procedures are being increasingly done on the upper limb arteries, these procedures are either diagnostic or therapeutic interventions, such as arteriography, flap harvesting, creating arteriovenous fistulas etc. Knowledge of the variations in the upper limb arteries is essential before any surgical intervention is planned in the upper limb arteries in order to prevent unnecessary complications.
手臂和前臂的血液供应由肱动脉及其分支、桡动脉和尺动脉输送。在许多研究中越来越多地报道了这些动脉的变异。大多数观察到的这些变异主要是在这些动脉的路线和分支模式中,并且被认为是由于各种原因造成的发育缺陷。材料与方法:本研究对阿曼医学与健康科学学院提供的57例上肢标本进行解剖。在手臂和前臂动脉的起源和路线上观察到的变化被记录下来并随后拍照。结果:在57个上肢标本中,有4个上肢发生了变异。在一个肢体有一个浅分支起源于肱动脉,后来分为桡动脉和尺动脉浅分支。两肢的肱动脉在正中神经的浅部,其中一肢的肱动脉在正中神经浅部有一条曲折的路线。另一肢前臂尺动脉浅表走行。结论:上肢动脉的外科手术越来越多,这些手术要么是诊断性的,要么是治疗性的,如动脉造影术、皮瓣采集、建立动静脉瘘等。在计划对上肢动脉进行任何手术干预之前,了解上肢动脉的变化是必不可少的,以防止不必要的并发症。
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引用次数: 0
Elongated styloid process: literature review and morphometric data on a collection of dried skulls 细长茎突:文献综述和干燥颅骨的形态测量数据
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-11871
M. Guarna, P. Lorenzoni, N. Volpi, M. Aglianó
The styloid process is a subtle process of variable length that originates from the petrous part of temporal bone . From the process originate three muscles: the stylopharyngeus,the styloglossus, the stylohyoideus and two ligaments :stylohyoid and stylomandibular . The styled process of the temporal bone has a variable length as demonstrated for studies conducted in three-dimensional computed tomography or dental panoramic three-dimensional scanning,and in dried skulls The normal length of the styloid process is particularly important to establish for the relations of closeness with vascular and nervous structures and their possible compression by an elongated styloid process.Several studies have focused on the effects of changes in length and course of the styloid process, highlighting the relations of the carotid artery and the glossopharyngeal nerve to explain cerebrovascular symptoms or Eagle’s syndrome characterized by neck pain and dysphagia .However the association for the abnormal length of styloid process and Eagle’s syndrome is not always present and many cases are asymptomatic. In the present study we propose a review of the studies performed with different in vivo radiological techniques and on dried skull collections on the normal and pathological length of the stiloyd process and on its association with the Eagle’s syndrome. We also present a morphometric study carried out in dried skulls of our museum collection.The results are discussed in light of the possible variations in the muscular and ligamentous structures consequent to the elongation of the styloid process.
柄突是一个长度可变的细微突,起源于颞骨的岩部。从这个过程中产生三块肌肉:笔咽肌、笔舌肌、笔舌骨和两条韧带:笔舌骨韧带和笔下颌韧带。颞骨的造型过程具有可变的长度,如在三维计算机断层扫描或牙科全景三维扫描中进行的研究所证明的,以及在干燥的头骨中。柄突的正常长度对于建立与血管和神经结构的紧密关系以及它们可能被细长的柄突挤压的关系尤为重要。几项研究集中在柄突的长度和过程的变化的影响上,强调颈动脉和舌咽神经的关系,以解释以颈部疼痛和吞咽困难为特征的脑血管症状或Eagle综合征。然而,柄突长度异常与Eagle综合症的关联并不总是存在,许多病例是无症状的。在本研究中,我们建议对使用不同的体内放射学技术和干燥颅骨采集进行的研究进行综述,这些研究涉及stiloyd突的正常和病理长度及其与Eagle综合征的关系。我们还介绍了对博物馆收藏的干燥头骨进行的形态计量学研究。这些结果是根据柄突延长后肌肉和韧带结构可能发生的变化进行讨论的。
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引用次数: 0
The location of the mental foramen in relation to the biometrics of the lower dentition and mandibular arch: A cross-sectional study 颏孔的位置与下牙列和下颌弓生物特征的关系:一项横断面研究
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-13035
Yi Wen Key, Zi-Bin Ng, N. M. Al-Namnam, P. Nambiar, W. Ngeow, W. Chai, Zhi Yin Joan Lim
Purpose: To evaluate the position of the mental foramen among Malaysian Malays and Chinese based on the biometrics of the lower dentition and mandibular arch dimensions.  Materials and methods: The horizontal and vertical position of mental foramen in relation to the midline, roots of teeth, mesiodistal dimension of the anterior and posterior teeth, and the mandibular arch length and width were measured and evaluated in 65 Cone-Beam Computed Tomography scans.  Results: The location of mental foramen was predominantly located either between 1st and 2nd premolar or below 2nd premolar. There were no significant differences for all measurements of the mandible in relation to gender and ethnicities. There was a positive correlation of the mesiodistal diameter of the teeth with the mandibular arch length and width. However, mandibular arch length and width did not affect the location of the mental foramen.  Conclusions: As the size of the teeth increases, the mandibular arch length and the width increase concurrently. However, regardless of the changes in the biometrics of the mandibular dentition and the arch dimensions, the anatomical position of the mental foramen remains the same. The mental foramen was located at the ratio of 0.5 vertically and 0.27 horizontally in the mandible. The inter-foramina distance of 51.36 mm suggests that Malaysian Mongoloids had sufficient space to receive five implants rigidly joined with a bar.
目的:利用马来马来人与华人下牙列的生物特征及下颌弓的尺寸来评估颏孔的位置。材料与方法:采用锥形束计算机断层扫描(Cone-Beam Computed Tomography)测量下颌颏孔相对于中线、牙根的水平和垂直位置、前后牙的近远端尺寸、下颌弓的长度和宽度。结果:颏孔主要位于第一、第二前磨牙之间或第二前磨牙下方。下颌骨的所有测量值在性别和种族方面没有显著差异。下颌弓长、宽与中远端牙径呈正相关。然而,下颌弓的长度和宽度对颏孔的位置没有影响。结论:随着牙的增大,下颌弓的长度和宽度同时增大。然而,无论下颌牙列的生物特征和弓的尺寸如何变化,颏孔的解剖位置保持不变。颏孔在下颌骨的垂直比为0.5,水平比为0.27。51.36 mm的孔间距离表明马来西亚蒙古人有足够的空间接受5个用棒刚性连接的种植体。
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引用次数: 2
The teaching of anatomy during the Covid-19 pandemic 新冠肺炎大流行期间的解剖学教学
Q4 Medicine Pub Date : 2022-04-29 DOI: 10.36253/ijae-12560
M. S. Dadá, Abdul Habib Mahomed Dadá
A COVID 19 pandemic led to the closure of Mozambican schools. The government urged educational institutions to start the distance learning process during this period of sudden and unprecedented interruption. In Mozambique, 7.993.520 students at all levels were affected, with 213.9309 from higher education. This work aims to describe a teaching experience in anatomy at a private university in Mozambique.
2019冠状病毒病疫情导致莫桑比克学校关闭。政府敦促教育机构在这段突然而前所未有的中断时期启动远程学习进程。在莫桑比克,7.993.520名各级学生受到影响,其中213.9309名来自高等教育。这项工作旨在描述莫桑比克一所私立大学的解剖学教学经历。
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引用次数: 0
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Italian journal of anatomy and embryology
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