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The anatomical representation of the human body: From epistemological examples deriving from medical history to morphometric imaging performed with the laser scanner technique 人体的解剖表征:从医学历史的认识论例子到用激光扫描技术进行的形态测量成像
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25246
G. Gelati, F. Paternostro, A. Conti, G. Orlandini
The anatomical illustration of the human body is a topic rich in epistemological elements in the course of medical history. Since ancient times concerns about the real correspondence of the scientific and/or artistic representation of human anatomy with the original one arose. First of all, a static two-dimensional representation, the one typical of drawings, was not able to get the depth and complexity of dynamic three-dimensional anatomical morphology. In addition, the epistemic issue that a post-mortem illustration could not somehow correspond to living structures was present even in the past. For a long time the anatomical representation of the human body has been attracting the interest of medical doctors, artists, scholars and philosophers as a fact-finding technique of dissection of corpses preparatory to curative surgical practice in the living body. With regard to that, in the Western world the sixteenth century is often seen as the golden age of normal and macroscopic human anatomy. Major steps in the evolution of the anatomical discipline are the switch from the “normal” to the “pathological” area during the seventeenth century and the transition from the macroscopic to the microscopic level in the eighteenth century; that is true also from an illustrative and iconographic point of view. The tradition of setting up three-dimensional models for the study of the human body dates back to the eighteenth century too. Today’s research techniques in the field of anatomical images are so advanced that they allow the full conformity of human representation, the continuous availability of preserved images, the complete multi-dimensionality of the rendering and the complete dynamism of the whole view. In this context, laser scanner could be the ideal tool to create a new Atlas of Human Anatomy composed of models which are rotatable, observable from every perspective, absolutely faithful to reality, analysable as in a real dissection and carefully measurable.
人体解剖图解是医学史上一个充满认识论元素的课题。自古以来,人们就开始关注人体解剖的科学和/或艺术表现与原始解剖的真正对应关系。首先,一种典型的静态二维表示,无法获得动态三维解剖形态的深度和复杂性。此外,即使在过去,死亡后的插图也不能以某种方式与生活结构相对应的认知问题也存在。长期以来,人体解剖表现一直是医生、艺术家、学者和哲学家的兴趣,作为一种解剖尸体的事实发现技术,为在活体上进行治疗性外科实践做准备。因此,在西方世界,16世纪通常被视为正常和宏观人体解剖学的黄金时代。解剖学学科发展的主要步骤是17世纪从“正常”领域向“病理”领域的转变,以及18世纪从宏观层面向微观层面的转变;从图解和图像的角度来看也是如此。为人体研究建立三维模型的传统也可以追溯到18世纪。当今解剖图像领域的研究技术是如此先进,以至于它们可以完全符合人类的表现,保存图像的连续可用性,渲染的完全多维性和整个视图的完全动态性。在这种情况下,激光扫描仪可能是创建一个新的人体解剖学图谱的理想工具,该图谱由可旋转的模型组成,从各个角度观察,绝对忠实于现实,可像真实解剖一样分析并仔细测量。
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引用次数: 0
Aberrant innervation of the lateral abdominal muscles by direct branch of L4 nerve L4神经直接支对腹外侧肌的异常神经支配
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25465
Cameron K Schmidt, V. Voin, J. Iwanaga, M. Loukas, R. Oskouian, R. Tubbs
Surgical approache through the posterior abdominal wall used for nephrectomy or other access to contents of the retroperitoneal space requires to be cognizant of the regional nerve supply to the posterolateral abdominal wall muscles. We herein report a, to our knowledge, previously undescribed direct branch from the L4 spinal nerve that formed a plexus with regional nerves to then innervate the lateral abdominal wall musculature. Such a nerve variant should be considered by the surgeon who operates this region.
用于肾切除术或腹膜后间隙内容物的通过后腹壁的手术方法需要认识到后外侧腹壁肌肉的区域神经供应。据我们所知,我们在此报告了一个以前未描述的L4脊神经的直接分支,该分支与区域神经形成丛,然后支配腹壁外侧肌肉组织。这种神经变异应该由手术该区域的外科医生考虑。
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引用次数: 0
Relationships between seasonal (spring, summer, autumnal) thermal variations and cell proliferation in heterothermic vertebrates, as revealed by PCNA expression in the brain of adult Triturus carnifex 异温脊椎动物季节(春、夏、秋)温度变化与细胞增殖的关系——以肉肉黑麦成虫脑中的PCNA表达为例
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25468
V. Margotta, C. Chimenti
Inspired both by the literature reports and our previous findings on the question if a seasonal cycle alone, consisting of temperature and photoperiod variations, might impact on or activate natural proliferative fluctuations or unmask a latent spontaneous proliferative power in adult brain of poikilothermal Anamnia (fresh water, earth-dwelling) and Amniota (terrestrial), consequently allowing for encephalic reparative and even regenerative potentialities, an investigation has been carried on in normal adult brain of Triturus carnifex caught in nature in spring, summer, autumn. Cells immunostained for PCNA, i.e. cycling cells, were found scattered (“matrix cells”) in the olfactory territories, where they appeared scarce in spring, more frequent in summer, noticeable in autumn; also, immunostained cells were found clustered in “matrix areas”, also named zonae germinativae dorsales and ventrales, in the telencephalic hemispheres: few clusters in spring, an intermediate condition in summer, frequent cell groups in autumn. These results reveal an increasing trend in proliferation from spring, through summer, to autumn. This scenario was appreciable in the forebrain, mainly in the olfactory and telencephalic districts, which is the typical site of stem cells. Signs of potential proliferative activity are well appreciable in the urodele Amphibians, which are the best provided among vertebrates with reparative and regenerative power and possess the richest endowment of dormant cells susceptible to be recruited to proliferation.
受到文献报告和我们先前关于由温度和光周期变化组成的季节周期是否可能影响或激活自然增殖波动或揭示准温羊水动物(淡水,地球生活)和羊水动物(陆地)成人大脑中潜在的自发增殖能力的问题的启发,从而允许大脑修复甚至再生潜力,对春、夏、秋三季在野外捕获的正常肉糜虎成年脑进行了研究。PCNA免疫染色的细胞,即循环细胞,在嗅觉区域被发现分散(“基质细胞”),它们在春季很少,在夏季更频繁,在秋季明显;此外,免疫染色的细胞被发现聚集在远脑半球的“基质区”,也被称为发芽带的背侧和腹侧:春季很少聚集,夏季居中状态,秋季细胞群频繁。这些结果表明,从春季到夏季,再到秋季,繁殖呈增加趋势。这种情况在前脑中很明显,主要是在嗅觉区和远脑区,这是干细胞的典型部位。在尾纲两栖动物中,潜在的增殖活动的迹象是很明显的,它们是脊椎动物中最具修复和再生能力的,并且拥有最丰富的休眠细胞,容易被招募到增殖中。
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引用次数: 0
Median occipital fossa: is it really a sign of crime or simply an anatomical variant? 枕中窝:它真的是犯罪的标志还是仅仅是解剖学上的变异?
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25473
D. Chirchiglia, Pasquale Chirchiglia, R. Marotta
Anatomical variants are alterations of the form, thickness, length, width, position of organs and anatomic structures that can cause problems of a functional nature. They can be vascular, bony, muscular and more. They represent anomalies that may cause disturbances or do not cause changes in functions. The criminologist Cesare Lombroso had correlated the anatomical variations to the criminal tendency. The most emblematic case was that related to the alleged brigand Villella, on which Lombroso, performing the autopsy, found in the skull the so-called medial occipital fossa or a third dimple. He stated that the median occipital dimple was considered a sign of atavism, the expression of the criminal. In fact all the anatomical variants described by Lombroso are variations of normality. No one ever said that anatomical variants were a sign of crime. In conclusion, anatomical variants cannot be related to crime tendency, therefore the debated median occipital fossa is only and simply an anatomical variant.
解剖变异是指器官和解剖结构的形式、厚度、长度、宽度、位置的改变,这些改变会导致功能性问题。它们可以是血管、骨骼、肌肉等等。它们表示可能引起干扰或不引起功能变化的异常。犯罪学家切萨雷·隆布罗索(Cesare Lombroso)将解剖学上的差异与犯罪倾向联系起来。最具代表性的案例是与所谓的强盗维利拉有关的案件,龙勃罗索在对其进行尸检时,在头骨上发现了所谓的内侧枕窝或第三个酒窝。他说枕部中间的酒窝被认为是返祖现象的标志,是罪犯的表情。事实上,龙布罗梭所描述的所有解剖变异都是正常的变异。没人说过解剖变异是犯罪的标志。总之,解剖变异与犯罪倾向无关,因此有争议的枕中窝只是一个解剖变异。
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引用次数: 0
Ansa pancreatica. Review of the literature 胰腺癌。文献综述
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25472
Kympouris Sotirios, Filippou Dimitrios, S. Panagiotis
Ansa pancreatica is a reversed S-shaped pancreatic duct arising from the main pancreatic duct of Wirsung and ending at or near the minor duodenal papilla. Described for the first time in 1961, it is a rare anatomic variant of the pancreatic ducts system and is characterized by the absence of the accessory duct of Santorini. It probably serves as a counter measure after the accessory duct obliteration, in order to maintain sufficient pancreatic juice drainage. The literature concerning ansa pancreatica seems to be rather poor, compared to other anatomic variants and congenital anomalies of the pancreatic ducts. We tried to define the ansa pancreatica incidence among general population and highlight the possible differences between different populations, and to define its possible correlation with pancreatitis. The existing data correlate ansa pancreatica with recurrent acute pancreatitis and pancreatitis in alcoholics. Despite the lack of extended data, ansa pancreatica is a rare anatomic variant, proven to play an important role in certain clinical conditions.
胰管是一种反向S形胰管,起源于维尔松的主胰管,终止于十二指肠小乳头或其附近。1961年首次描述,它是胰腺导管系统的一种罕见解剖变体,其特征是圣托里尼岛没有副导管。它可能是副导管闭塞后的一种对策,以保持足够的胰液引流。与其他胰管解剖变异和先天性异常相比,关于胰管的文献似乎相当贫乏。我们试图确定普通人群中胰腺癌的发病率,强调不同人群之间可能存在的差异,并确定其与胰腺炎的可能相关性。现有的数据将胰腺癌与复发性急性胰腺炎和酗酒者胰腺炎联系起来。尽管缺乏扩展的数据,胰腺癌是一种罕见的解剖变异,已被证明在某些临床条件下发挥着重要作用。
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引用次数: 1
Penetrating chest injury in a case of situs inversus totalis 全倒位穿透性胸伤1例
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25470
N. Ajayi, L. Lazarus, K. Satyapal
Situs inversus totalis is a congenital condition characterized by the transposition of the thoracic and abdominal organs to the opposite side of the body. Situs inversus totalis is typically asymptomatic, however, these individuals are susceptible to certain defects and malformations such as vascular anomalies and mal-positioned viscera, which can result in a shortened lifespan. There are reports on penetrating abdominal injury in patients with situs inversus. In addition, the presence of pathology of thoracic and abdominal organs in situs inversus patients have been reported. However, from the literature reviewed, there is a paucity of reports on penetrating chest injuries in patients with situs inversus. Hence, we present a case of a patient who presented with a stab chest with situs inversus totalis and a brief discussion on the embryology of the condition.
全位倒置是一种先天性疾病,其特征是胸腹器官移位到身体的另一侧。完全性倒位通常是无症状的,然而,这些人容易受到某些缺陷和畸形的影响,如血管异常和脏器定位错误,这可能导致寿命缩短。有关于穿透性腹部损伤的报道。此外,有报道逆行部位患者存在胸腹脏器病变。然而,从文献回顾来看,关于倒位患者穿透性胸部损伤的报道很少。因此,我们提出了一个病例的病人谁提出了一个刺伤胸部与位置倒置和简要讨论胚胎学的条件。
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引用次数: 1
Aortic arch branching pattern variation: its incidence on a 20030 cases review 主动脉弓分支形态变异:20030例病例的回顾性分析
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25245
C. Recto, M. Boddi, J. Branca, G. Morucci, A. Pacini, M. Gulisano, F. Paternostro
Variations in the branching pattern of the aortic arch are clinically relevant because of the direct influence that their presence can have on the success of cardio-vascular procedures, neck or thorax surgery, trauma management or intensive care. In most cases these anatomical variations are asymptomatic and considered clinically benign, but some particular aortic branching patterns have been associated with surgical complications or with vascular diseases in non-surgical patients. The main objective of this work was to study the frequency of variation of the aortic arch branching pattern in a wide and varied population on the basis of literature reports. The aortic arch branching pattern of 20,030 cases reported by 40 anatomical or radiological studies were analyzed. 84,52% of the studied population had a three branches pattern and 14,65% had a two branches pattern. The four primary arteries were seen arising directly from the aortic arch in 0,81% of the cases and only 0,02% had them all arising from a common trunk.
主动脉弓分支模式的变化具有临床相关性,因为它们的存在会对心血管手术、颈部或胸部手术、创伤管理或重症监护的成功产生直接影响。在大多数情况下,这些解剖变异是无症状的,临床上被认为是良性的,但一些特定的主动脉分支模式与手术并发症或非手术患者的血管疾病有关。这项工作的主要目的是在文献报道的基础上,研究主动脉弓分支模式在广泛和不同人群中的变异频率。对40项解剖学或放射学研究报告的20030例主动脉弓分支模式进行了分析。84,52%的研究种群具有三分枝模式,14,65%的研究种群有两分枝模式。在0.81%的病例中,四条主动脉直接来自主动脉弓,只有0.02%的病例都来自同一主干。
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引用次数: 5
A comparative study of placental morphometry in diabetic and normal mothers in a tertiary care hospital of West Bengal 西孟加拉邦一家三级医院糖尿病母亲与正常母亲胎盘形态测定的比较研究
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25471
S. Chakraborty, S. Bhattacharya
Among the hundred cases ranging from 19-38 years, fifty placentae were from normal uncomplicated pregnancies and the rest from diabetic mothers. In case of normal pregnancies, the average (±standard deviation) placental weight, volume, thickness, diameter, area and circumference were 513.3 (±53.13) g; 437.4 (±59.8) cm3,1.79 (±0.24) cm, 17.5 (±1.52) cm, 242.19 (±40.21) cm2, 54.95 (±4.78) cm respectively. In case of diabetic mothers, the corresponding values were 579.2 (± 44.3) g, 503.9 (± 46.11) cm3, 2.45 (±0.49) cm, 17.56 (±1.57) cm, 243.96 (±41.41) cm2, 55.14 (±4.93) cm. The average birth weight of baby and foeto-placental ratio were 2.55 (±0.25) kg and 4.97(±0.5) respectively in normal cases and 3.42 ± 0.26 kg and 5.91 ± 0.33 respectively in cases of diabetic pregnancy. Among the different parameters the birth weight of baby was the best predictor of the placental morphometric parameters while body weight and age of mother were poor predictors.
100例患者年龄在19 ~ 38岁之间,其中50例为正常妊娠,其余为糖尿病孕妇。正常妊娠组胎盘重量、体积、厚度、直径、面积、围度平均值(±标准差)为513.3(±53.13)g;分别为437.4(±59.8)cm3、1.79(±0.24)cm、17.5(±1.52)cm、242.19(±40.21)cm2、54.95(±4.78)cm。糖尿病母亲的相应值分别为579.2(±44.3)g、503.9(±46.11)cm3、2.45(±0.49)cm、17.56(±1.57)cm、243.96(±41.41)cm2、55.14(±4.93)cm。正常妊娠平均出生体重为2.55(±0.25)kg,胎胎盘比为4.97(±0.5)kg,糖尿病妊娠平均出生体重为3.42±0.26 kg,胎胎盘比为5.91±0.33。在各参数中,婴儿出生体重对胎盘形态参数的预测效果最好,而母亲体重和年龄对胎盘形态参数的预测效果较差。
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引用次数: 1
Management of daily physical activity and diabetic foot prevention 日常身体活动管理与糖尿病足预防
Q4 Medicine Pub Date : 2019-05-31 DOI: 10.13128/IJAE-25247
Piergiorgio Francia, G. Iannone, F. Paternostro, Ugo Santosuosso, M. Gulisano
Even if physical activity plays a key role within diabetic foot treatment its use and the results obtained from this treatment seem to be still limited. Nowadays, new and even more advanced technologies for the long term daily physical activity monitoring are available and they are radically changing some aspects of physical activity such as its amount, features and monitoring. In spite of the past, the several electronic devices that are currently available can be integrated into routine care and provide essential information for management to both the healthcare providers and patients. In particular, since the end of the last century, an increasing number of studies have applied the movement monitoring to patients at risk or with history of ulceration. The questionnaires have been progressively replaced with modern technologies such as accelerometers or complex multisensory devices able to objectively measure the physical activity performed. The data collected through the use of such devices can allow a better assessment of patient’s condition and provide useful information for the definition of a more complete treatment protocol. Daily physical activity monitoring devices provide to the Diabetes Units information on the typology, quantity, distribution and intensity of the daily physical activity performed by each patient concurring to the prevention of foot ulcers that represent the most dreadful diabetes complications. The different functions and modes of operation of monitoring devices can be integrated to provide a more comprehensive and intelligent monitoring system that provide valuable information on patients’ ongoing health status and the physical activity performed during daily life. These devices can manage in real time or even in remote the physical activity performed in addition to calculate that to be performed in the following hours. As a result, they contribute to improve patients’ lifestyle and reduce the costs for the treatment of such complications. The aim of this review is to define and emphasize the role of a long term daily physical activity monitoring in the prevention of diabetic foot ulcers.
即使体育活动在糖尿病足治疗中发挥着关键作用,但其使用和从这种治疗中获得的结果似乎仍然有限。如今,用于长期日常体育活动监测的新技术甚至更先进的技术已经问世,它们正在从根本上改变体育活动的某些方面,如数量、特征和监测。尽管过去如此,目前可用的几种电子设备可以集成到日常护理中,并为医疗保健提供者和患者提供管理所需的基本信息。特别是,自上世纪末以来,越来越多的研究将运动监测应用于有溃疡风险或有溃疡病史的患者。问卷调查已逐渐被现代技术所取代,如加速度计或能够客观测量所进行的身体活动的复杂多传感器设备。通过使用这种设备收集的数据可以更好地评估患者的病情,并为定义更完整的治疗方案提供有用的信息。日常体力活动监测设备向糖尿病单位提供关于每位患者进行的日常体力活动的类型、数量、分布和强度的信息,以预防足部溃疡,足部溃疡是最可怕的糖尿病并发症。监测设备的不同功能和操作模式可以集成在一起,以提供更全面和智能的监测系统,该系统提供关于患者持续健康状态和日常生活中进行的身体活动的有价值的信息。这些设备可以实时甚至远程管理所进行的身体活动,还可以计算接下来几个小时内要进行的活动。因此,它们有助于改善患者的生活方式,降低此类并发症的治疗成本。这篇综述的目的是定义并强调长期日常体育活动监测在预防糖尿病足溃疡中的作用。
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引用次数: 0
Effects of static and dynamic stretching on upper limb explosive, isometric and endurance strength, in male volleyball players 静态和动态拉伸对男子排球运动员上肢爆发力、等距力和耐力力的影响
Q4 Medicine Pub Date : 2019-01-01 DOI: 10.13128/IJAE-25475
A. D. Cagno, G. Calcagno, Andrea Buonsenso, E. Iuliano, G. Innocenti, M. Piazza, G. Fiorilli
The purpose of this study was to investigate the acute effects of both static and dynamic stretching on upper limb strength and to assess whether a cross-over inhibitory effect occurred during the time in which this effect may appear. Eighteen male volleyball players (aged 21.50, standard deviation 3.12 years) underwent the experimental protocol organized in in two sessions, one of static and the other of dynamic stretching for upper body muscles. Participants performed three specific strength tests: Ball Throwing, Maximum Voluntary Isometric Contraction, and Push-Up, to assess explosive, isometric and endurance strength respectively, at baseline (T0) and 10, 20 and 60 minutes after the static stretching and dynamic stretching sessions. The Ball Throwing results showed significant differences between the two stretching protocols (F1,14 = 4.967; p = 0.043; ηp2 = 0.262), among the 5 time measures (F4,58 = 7.476; p < 0.001; ηp2 = 0.348), and for the interaction Protocol × Time (F4,58 = 8.258; p < 0.001; ηp2 = 0.371). Maximum Voluntary Isometric Ccontraction scores showed significant differences among the time measures (F4,58 = 4.015; p = 0.006; ηp2 = 0.223) and for the interaction Session × Time (F4,58 = 2.625; p = 0.044; ηp2 = 0.158). At the Push-Up test significant differences were found only among the time measures (F4,58 = 5.634; p = 0.001; ηp2 = 0.287). Static stretching may adversely affect upper limb endurance strength, whereas no changes in isometric and explosive strength were found. Dynamic stretching did not have a detrimental effect on upper limb endurance strength, whereas it may improve isometric and explosive strength.
本研究的目的是研究静态和动态拉伸对上肢力量的急性影响,并评估在这种影响可能出现的时间内是否发生交叉抑制效应。对18名男子排球运动员(年龄21.50岁,标准差3.12岁)进行了上肢肌肉静态拉伸和动态拉伸两组实验。参与者在基线(T0)和静态拉伸和动态拉伸后的10、20和60分钟分别进行了三种特定的力量测试:投球、最大自主等距收缩和俯卧撑,以评估爆发力、等距和耐力强度。两种拉伸方案的抛球结果有显著差异(F1,14 = 4.967;P = 0.043;ηp2 = 0.262), 5个时间措施中(F4,58 = 7.476;P < 0.001;ηp2 = 0.348),对于交互协议×时间(F4,58 = 8.258;P < 0.001;ηp2 = 0.371)。最大自主等距收缩得分在时间测量中存在显著差异(F4,58 = 4.015;P = 0.006;ηp2 = 0.223),对于交互作用Session × Time (F4,58 = 2.625;P = 0.044;ηp2 = 0.158)。在俯卧撑测试中,只有时间测量之间存在显著差异(F4,58 = 5.634;P = 0.001;ηp2 = 0.287)。静态拉伸可能会对上肢耐力产生不利影响,而在等长和爆炸强度方面没有发现变化。动态拉伸对上肢耐力没有不利影响,但可以提高等长和爆炸强度。
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引用次数: 0
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Italian journal of anatomy and embryology
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