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Issue Cover (July 2024) 封面(2024 年 7 月)
IF 2.4 3区 医学 Q1 Agricultural and Biological Sciences Pub Date : 2024-06-08 DOI: 10.1111/joa.14072

Front cover:

Cover image: see T. Maho et al., ‘Size and shape heterodonty in the early Permian synapsid Mesenosaurus efremovi’, this issue.

封面:封面图片:见 T. Maho 等人,"二叠纪早期合龙 Mesenosaurus efremovi 的大小和形状异形",本期。
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引用次数: 0
Anatomical insights into fish terrestrial locomotion: A study of barred mudskipper (Periophthalmus argentilineatus) fins based on μCT 3D reconstructions 对鱼类陆地运动的解剖学见解:基于μCT三维重建的弹涂鱼(Periophthalmus argentilineatus)鳍研究。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-06-06 DOI: 10.1111/joa.14071
Fabienne Ziadi-Künzli, Ken Maeda, Pavel Puchenkov, Mahesh M. Bandi

Mudskippers are a group of extant ray-finned fishes with an amphibious lifestyle and serve as exemplars for understanding the evolution of amphibious capabilities in teleosts. A comprehensive anatomical profile of both the soft and hard tissues within their propulsive fins is essential for advancing our understanding of terrestrial locomotor adaptations in fish. Despite the ecological significance of mudskippers, detailed data on their musculoskeletal anatomy remains limited. In the present research, we utilized contrast-enhanced high-resolution microcomputed tomography (μCT) imaging to investigate the barred mudskipper, Periophthalmus argentilineatus. This technique enabled detailed reconstruction and quantification of the morphological details of the pectoral, pelvic, and caudal fins of this terrestrial mudskipper, facilitating comparison with its aquatic relatives. Our findings reveal that P. argentilineatus has undergone complex musculoskeletal adaptations for terrestrial movement, including an increase in muscle complexity and muscle volume, as well as the development of specialized structures like aponeuroses for pectoral fin extension. Skeletal modifications are also evident, with features such as a reinforced shoulder-pelvic joint and thickened fin rays. These evolutionary modifications suggest biomechanically advanced fins capable of overcoming the gravitational challenges of terrestrial habitats, indicating a strong selective advantage for these features in land-based environments. The unique musculoskeletal modifications in the fins of mudskippers like P. argentilineatus, compared with their aquatic counterparts, mark a critical evolutionary shift toward terrestrial adaptations. This study not only sheds light on the specific anatomical changes facilitating this transition but also offers broader insights into the early evolutionary mechanisms of terrestrial locomotion, potentially mirroring the transformative journey from aquatic to terrestrial life in the lineage leading to tetrapods.

弹涂鱼是现存的一类生活方式为两栖的魟鳍鱼类,是了解长鳍鱼类两栖能力进化的典范。对其推进鳍内的软组织和硬组织进行全面的解剖剖析,对于加深我们对鱼类陆地运动适应性的了解至关重要。尽管弹涂鱼具有重要的生态意义,但有关其肌肉骨骼解剖的详细数据仍然有限。在本研究中,我们利用对比增强高分辨率微计算机断层扫描(μCT)成像技术研究了弹涂鱼。这项技术能够详细重建和量化这种陆生弹涂鱼的胸鳍、盆鳍和尾鳍的形态细节,便于与其水生近亲进行比较。我们的研究结果表明,阿根廷弹涂鱼经历了适应陆地运动的复杂肌肉骨骼适应过程,包括肌肉复杂性和肌肉体积的增加,以及用于胸鳍伸展的特化结构(如肌腱)的发育。骨骼的改变也很明显,如肩盆关节得到加强,鳍条变粗。这些进化改造表明,生物力学上先进的鳍能够克服陆地栖息地的重力挑战,表明这些特征在陆地环境中具有很强的选择优势。与水生同类相比,弹涂鱼(如 P. argentilineatus)鳍上独特的肌肉骨骼改造标志着向陆地适应性的关键性进化转变。这项研究不仅揭示了促进这一转变的特定解剖学变化,而且还为陆地运动的早期进化机制提供了更广泛的见解,这可能反映了四足动物的前身从水生生活到陆生生活的转变过程。
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引用次数: 0
Bygone binaries: Considering inclusion in anatomy education 逝去的二元对立:考虑解剖学教育中的包容性。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-06-05 DOI: 10.1111/joa.14059
Gabrielle M. Finn
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引用次数: 0
First description of the baubellum in the spectacled bear Tremarctos ornatus (Mammalia: Ursidae) 首次描述眼镜熊(Mammalia: Ursidae)的脐带。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-06-04 DOI: 10.1111/joa.14070
Tim De Ridder, Ellen Goossenaerts, Jonas Spruyt, Chris Van Ginneken, Peter Aerts, Jamie A. MacLaren

The baubellum (os clitoridis) is a bone found in the clitoris of many female eutherian mammals and is homologous to the baculum in males. In contrast to the baculum, the baubellum has received very little attention regarding its morphological or interspecific diversity, or on hypotheses for its function. The presence of the baubellum in bears (Ursidae) has only been established and mentioned in the literature for the Ursus genus, and not for the other genera of bears. Moreover, no scaled photographs are available for baubella of this clade, and the sizes reported vary between sources. We hereby present and describe the baubellum of a spectacled bear (Tremarctos ornatus), providing a detailed account of baubella in a basal ursid species. The baubellum of Tremarctos is slightly bowed dorsally, with two small prominences at the distal apex. The length of the Tremarctos baubellum in this study is comparable to that of Ursus americanus (American black bear). We infer the specific shape, with longitudinal ridges, of the baubellum in Tremarctos could indicate a discrete function during copulation or sexual arousal. However, future studies, especially regarding the associated soft tissues, will be required to confirm whether this is indeed the case. Our study expands the understanding of baubella within Ursidae, providing new data (including a three-dimensional model) that can be used to further explore the morphological diversity and function of this enigmatic extra-skeletal bone.

阴蒂骨(os clitoridis)是在许多雌性食肉哺乳动物阴蒂上发现的一块骨头,与雄性哺乳动物的阴茎头同源。与阴蒂骨相比,阴蒂骨在形态学、种间多样性或功能假设方面很少受到关注。熊(熊科)中存在的 baubellum 仅在熊属的文献中得到证实和提及,而在熊的其他属中则没有。此外,目前还没有该支系熊胆的缩放照片,而且不同来源报道的熊胆大小也不尽相同。在此,我们展示并描述了眼镜熊(Tremarctos ornatus)的背颊,详细介绍了基干熊科物种的背颊。眼镜熊的喙背略微弯曲,在远端顶点有两个小突起。本研究中 Tremarctos 背蹼的长度与美洲黑熊(Ursus americanus)的背蹼长度相当。我们推断,Tremarctos 冠突的特殊形状(带有纵脊)可能表明其在交配或性兴奋时具有独立的功能。然而,要证实这是否属实,还需要今后的研究,特别是对相关软组织的研究。我们的研究拓宽了对熊科动物baubella的认识,提供了新的数据(包括三维模型),可用于进一步探索这一神秘的骨骼外骨的形态多样性和功能。
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引用次数: 0
An inclusive anatomical network analysis of human craniocerebral topology. 人类颅脑拓扑的包容性解剖网络分析。
IF 2.4 3区 医学 Q1 Agricultural and Biological Sciences Pub Date : 2024-06-01 DOI: 10.1111/joa.14068
Tim Schuurman, Emiliano Bruner

The human brain's complex morphology is spatially constrained by numerous intrinsic and extrinsic physical interactions. Spatial constraints help to identify the source of morphological variability and can be investigated by employing anatomical network analysis. Here, a model of human craniocerebral topology is presented, based on the bony elements of the skull at birth and a previously designed model of the brain. The goal was to investigate the topological components fundamental to the craniocerebral geometric balance, to identify underlying phenotypic patterns of spatial arrangement, and to understand how these patterns might have influenced the evolution of human brain morphology. Analysis of the craniocerebral network model revealed that the combined structure of the body and lesser wings of the sphenoid bone, the parahippocampal gyrus, and the parietal and ethmoid bones are susceptible to sustain and apply major spatial constraints that are likely to limit or channel their morphological evolution. The results also showcase a high level of global integration and efficient diffusion of biomechanical forces across the craniocerebral system, a fundamental aspect of morphological variability in terms of plasticity. Finally, community detection in the craniocerebral system highlights the concurrence of a longitudinal and a vertical modular partition. The former reflects the distinct morphogenetic environments of the three endocranial fossae, while the latter corresponds to those of the basicranium and calvaria.

人脑的复杂形态在空间上受到众多内在和外在物理相互作用的制约。空间约束有助于确定形态变异的来源,并可通过解剖网络分析进行研究。本文介绍了一个人类颅脑拓扑模型,该模型基于出生时头骨的骨骼元素和先前设计的大脑模型。其目的是研究颅脑几何平衡的基本拓扑成分,确定空间排列的基本表型模式,并了解这些模式可能如何影响人脑形态的进化。对颅脑网络模型的分析表明,蝶骨的本体和小翼、海马旁回以及顶骨和乙蝶骨的组合结构易受主要空间约束的维持和应用的影响,而这些空间约束很可能限制或引导了它们的形态进化。研究结果还展示了生物机械力在整个颅脑系统中的高度整体性和有效扩散,这是形态变异可塑性的一个基本方面。最后,颅脑系统中的群落检测凸显了纵向和纵向模块分区的并存。前者反映了三个颅内窝不同的形态发生环境,而后者则与基底颅和颅盏的形态发生环境相对应。
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引用次数: 0
The pattern of the follicle cell diversification in ovarian follicles of the true fruit flies, Tephritidae 果蝇卵泡中卵泡细胞的多样化模式。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-05-30 DOI: 10.1111/joa.14065
Mariusz K. Jaglarz, Agata Kuziak, Wladyslawa Jankowska

In flies (Diptera), the ovary displays several distinct patterns of the follicular epithelium formation and diversification. Two main patterns have been identified in the true flies or Brachycera, namely the Rhagio type and the Drosophila type. These patterns align with the traditional division of Brachycera into Orthorrhapha and Cyclorrhapha. However, studies of the follicular epithelium morphogenesis in cyclorrhaphans other than Drosophila are scarce. We characterise the developmental changes associated with the emergence of follicle cell (FC) diversity in two cyclorrhaphans belonging to the family Tephritidae (Brachycera, Cyclorrhapha). Our analysis revealed that the diversification of FCs in these species shows characteristics of both the Rhagio and Drosophila types. First, a distinct cluster of FCs, consisting of polar cells and border-like cells, differentiates at the posterior pole of the ovarian follicle. This feature is unique to the Rhagio type and has only been reported in species representing the Orthorrhapha group. Second, morphological criteria have identified a significantly smaller number of subpopulations of FCs than in Drosophila. Furthermore, while the general pattern of FC migration is similar to that of Drosophila, the distinctive migration of the anterior-dorsal FCs is absent. In the studied tephritids, the migration of the anterior polar cell/border cell cluster towards the anterior pole of the oocyte is followed by the posterior migration of the main body cuboidal FCs to cover the expanding oocyte. Finally, during the onset of vitellogenesis, a distinct subset of FCs migrates towards the centre of the ovarian follicle to cover the oocyte's anterior pole. Our study also highlights specific actions of some FCs that accompany the migration process, which has not been previously documented in cyclorrhaphans. These results support the hypothesis that the posterior and centripetal migrations of morphologically unique FC subsets arose in the common ancestor of Cyclorrhapha. These events appear to have occurred fairly recently in the evolutionary timeline of Diptera.

在苍蝇(双翅目)中,卵巢的卵泡上皮细胞的形成和分化有几种不同的模式。在真蝇(Brachycera)中发现了两种主要模式,即 Rhagio 型和果蝇型。这些模式与传统上将 Brachycera 分为 Orthorrhapha 和 Cyclorrhapha 的观点一致。然而,除果蝇外,对环毛虫卵泡上皮细胞形态发生的研究还很少。我们描述了两种属于蝶形目(Brachycera,Cyclorrhapha)的环杓虫中与卵泡细胞(FC)多样性的出现相关的发育变化特征。我们的分析表明,这些物种的卵泡细胞多样化同时显示了Rhagio和果蝇类型的特征。首先,由极性细胞和边界样细胞组成的独特的FC群在卵泡后极分化。这一特征是Rhagio型所独有的,仅在代表Orthorrhapha组的物种中有所报道。其次,形态学标准确定的 FCs 亚群数量明显少于果蝇。此外,虽然FC迁移的一般模式与果蝇相似,但却没有独特的前背向FC迁移。在所研究的表皮细胞中,前极性细胞/边界细胞集群向卵母细胞前极迁移后,主体立方体FCs随之向后迁移,以覆盖不断扩大的卵母细胞。最后,在卵黄发生过程中,一个独特的FC亚群向卵泡中心迁移,以覆盖卵母细胞的前极。我们的研究还突显了一些伴随迁移过程的FCs的特殊作用,这在环膜动物中以前从未有过记录。这些结果支持了这样的假设,即形态上独特的FC亚群的后向和向心迁移产生于环斑蝶的共同祖先。在双翅目的进化过程中,这些事件似乎是最近发生的。
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引用次数: 0
Formation of tendinous intersections in the human fetal rectus abdominis 人类胎儿腹直肌腱交点的形成。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-05-29 DOI: 10.1111/joa.14064
Yui Iwasa, Toru Kanahashi, Jun Matsubayashi, Hirohiko Imai, Hiroki Otani, Shigehito Yamada, Tetsuya Takakuwa

Previous studies have poorly described the initial development process of the tendinous intersections of the rectus abdominis muscle (RAM). The present study aimed to observe the formation of tendinous intersections in the RAM during the early fetal period using diffusion tensor imaging (DTI). Fifteen human fetal specimens (crown-rump length [CRL]: 39.5–93.7 mm) were selected. Three-dimensional measurements revealed that Zone-4 (i.e., the zone between the pubic symphysis and the caudal base of the umbilical ring in the RAM) had a smaller width and was thicker than Zone-1 and Zone-2 (i.e., the zones between the costal arch and the cranial base of the umbilical ring) and Zone-3 (i.e., the zone at the umbilical ring). Characteristics of tendinous intersections in the RAM during the early fetal period were assessed according to number, size, type, laterality, and sex. The mean number of tendinous intersections on both sides was 3.1 (range: 2.0–4.0), and 21% of specimens had only two tendinous intersections, which was higher than that reported in previous adult studies. The present data suggest that the formation of tendinous intersections was still in progress in specimens with two tendinous intersections in the RAM and that the third tendinous intersection was formed in Zone-2. Ordinal logistic regression via generalized estimating equations revealed that the odds for a higher type of tendinous intersections in Zone-1 and Zone-2 were significantly higher than those in Zone-4 (adjusted odds ratio: 14.85, 8.84). The odds for the presence of incomplete types (tendinous intersections that could not completely transverse the RAM) in Zone-3 were significantly higher than those in Zone-1 (adjusted odds ratio: 7.4). The odds for missing tendinous intersections in Zone-4 were significantly higher than those in Zone-1 (adjusted odds ratio: 20.5). These zonal differences in the formation of tendinous intersections were consistent with those observed in previous adult studies. In this study, DTI detected tendinous intersections in a sample with a CRL of 45.8 mm (approximately 11 weeks of gestation), which is earlier than that in previous histological findings, indicating that the RAM does not have mature tendinous intersections until the 17th week of gestation. In conclusion, DTI could detect the premature differentiation of tendinous intersection formation. Our data may aid in elucidating the developmental processes of tendinous intersections in the RAM.

以往的研究对腹直肌腱交点的初始发育过程描述不详。本研究旨在利用弥散张量成像(DTI)观察胎儿早期腹直肌腱交点的形成过程。研究选取了 15 个人类胎儿标本(冠臀长 [CRL]:39.5-93.7 毫米)。三维测量结果显示,与Zone-1和Zone-2(即肋弓与脐环颅底之间的区域)以及Zone-3(即脐环处的区域)相比,Zone-4(即耻骨联合与RAM中脐环尾基部之间的区域)的宽度较小,厚度较大。根据腱交点的数量、大小、类型、侧位和性别,评估了胎儿早期 RAM 中腱交点的特征。两侧腱交点的平均数量为 3.1(范围:2.0-4.0),21% 的标本仅有两个腱交点,高于以往成人研究的报告。本数据表明,在 RAM 中有两个腱交点的标本中,腱交点的形成仍在进行中,第三个腱交点在 Zone-2 中形成。通过广义估计方程进行的顺序逻辑回归显示,1 区和 2 区出现较高类型腱交点的几率明显高于 4 区(调整后几率:14.85,8.84)。第三区出现不完整类型(不能完全横穿 RAM 的腱交点)的几率明显高于第一区(调整后的几率比:7.4)。4区缺失腱交点的几率明显高于1区(调整后的几率比:20.5)。这些腱交点形成的分区差异与以往成人研究中观察到的差异一致。在本研究中,DTI 在 CRL 为 45.8 毫米(约妊娠 11 周)的样本中检测到了腱交点,这比之前的组织学研究结果要早,表明 RAM 在妊娠 17 周之前没有成熟的腱交点。总之,DTI 可以检测到过早分化形成的腱交点。我们的数据可能有助于阐明 RAM 中腱交点的发育过程。
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引用次数: 0
Geometric growth of the normal human craniocervical junction from 0 to 18 years old. 0 至 18 岁正常人颅颈交界处的几何生长。
IF 2.4 3区 医学 Q1 Agricultural and Biological Sciences Pub Date : 2024-05-23 DOI: 10.1111/joa.14067
Juliette Raoul-Duval, Angèle Ganet, Sandro Benichi, Pauline Baixe, Clara Cornillon, Lou Eschapasse, Maya Geoffroy, Giovanna Paternoster, Syril James, Sébastien Laporte, Thomas Blauwblomme, Roman H Khonsari, Maxime Taverne

The craniocervical junction (CCJ) forms the bridge between the skull and the spine, a highly mobile group of joints that allows the mobility of the head in every direction. The CCJ plays a major role in protecting the inferior brainstem (bulb) and spinal cord, therefore also requiring some stability. Children are subjected to multiple constitutive or acquired diseases involving the CCJ: primary bone diseases such as in FGFR-related craniosynostoses or acquired conditions such as congenital torticollis, cervical spine luxation, and neurological disorders. To design efficient treatment plans, it is crucial to understand the relationship between abnormalities of the craniofacial region and abnormalities of the CCJ. This can be approached by the study of control and abnormal growth patterns. Here we report a model of normal skull base growth by compiling a collection of geometric models in control children. Focused analyses highlighted specific developmental patterns for each CCJ bone, emphasizing rapid growth during infancy, followed by varying rates of growth and maturation during childhood and adolescence until reaching stability by 18 years of age. The focus was on the closure patterns of synchondroses and sutures in the occipital bone, revealing distinct closure trajectories for the anterior intra-occipital synchondroses and the occipitomastoid suture. The findings, although based on a limited dataset, showcased specific age-related changes in width and closure percentages, providing valuable insights into growth dynamics within the first 2 years of life. Integration analyses revealed intricate relationships between skull and neck structures, emphasizing coordinated growth at different stages. Specific bone covariation patterns, as found between the first and second cervical vertebrae (C1 and C2), indicated synchronized morphological changes. Our results provide initial data for designing inclusive CCJ geometric models to predict normal and abnormal growth dynamics.

颅颈交界处(CCJ)是头骨和脊柱之间的桥梁,是一组高度活动的关节,可使头部向各个方向活动。CCJ 在保护下脑干(脑泡)和脊髓方面起着重要作用,因此也需要一定的稳定性。儿童患有多种涉及 CCJ 的先天性或后天性疾病:原发性骨病,如与表皮生长因子受体相关的颅骨发育不良;后天性疾病,如先天性扭转颈椎病、颈椎松弛症和神经系统疾病。要设计有效的治疗方案,了解颅面部异常与 CCJ 异常之间的关系至关重要。这可以通过研究控制和异常生长模式来实现。在此,我们通过收集对照组儿童的几何模型,报告了一个正常颅底生长模型。重点分析突出了每块 CCJ 骨的特定发育模式,强调婴儿期的快速生长,随后是儿童期和青春期的不同生长和成熟速度,直到 18 岁达到稳定。研究的重点是枕骨突和缝的闭合模式,揭示了枕骨前内突和枕乳突缝的独特闭合轨迹。这些发现虽然基于有限的数据集,但展示了宽度和闭合百分比与年龄相关的特定变化,为了解出生后头两年的生长动态提供了宝贵的信息。整合分析揭示了头骨和颈部结构之间错综复杂的关系,强调了不同阶段的协调生长。在第一和第二颈椎(C1 和 C2)之间发现的特定骨骼共变模式表明了同步的形态变化。我们的研究结果为设计包容性的 CCJ 几何模型提供了初步数据,以预测正常和异常的生长动态。
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引用次数: 0
Cardiac development demystified by use of the HDBR atlas 利用 HDBR 图集揭开心脏发育的神秘面纱。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-05-23 DOI: 10.1111/joa.14066
Robert H. Anderson, Janet Kerwin, Wouter H. Lamers, Jill P. J. M. Hikspoors, Timothy J. Mohun, Bill Chaudhry, Steven Lisgo, Deborah J. Henderson

Much has been learned over the last half century regarding the molecular and genetic changes that take place during cardiac development. As yet, however, these advances have not been translated into knowledge regarding the marked changes that take place in the anatomical arrangements of the different cardiac components. As such, therefore, many aspects of cardiac development are still described on the basis of speculation rather than evidence. In this review, we show how controversial aspects of development can readily be arbitrated by the interested spectator by taking advantage of the material now gathered together in the Human Developmental Biology Resource; HDBR. We use the material to demonstrate the changes taking place during the formation of the ventricular loop, the expansion of the atrioventricular canal, the incorporation of the systemic venous sinus, the formation of the pulmonary vein, the process of atrial septation, the remodelling of the pharyngeal arches, the major changes occurring during formation of the outflow tract, the closure of the embryonic interventricular communication, and the formation of the ventricular walls. We suggest that access to the resource makes it possible for the interested observer to arbitrate, for themselves, the ongoing controversies that continue to plague the understanding of cardiac development.

在过去的半个世纪中,人们对心脏发育过程中发生的分子和基因变化有了很多了解。然而,这些进展尚未转化为有关心脏不同组成部分解剖结构发生显著变化的知识。因此,心脏发育的许多方面仍然是基于推测而非证据来描述的。在这篇综述中,我们将展示如何利用人类发育生物学资料库(Human Developmental Biology Resource; HDBR)中汇集的资料,让感兴趣的旁观者对有争议的发育方面进行仲裁。我们利用这些资料展示了心室环形成过程中发生的变化、房室管的扩张、全身静脉窦的合并、肺静脉的形成、心房隔膜的形成过程、咽弓的重塑、流出道形成过程中发生的主要变化、胚胎室间隔的闭合以及心室壁的形成。我们建议,有兴趣的观察者可通过访问该资源,自行解决持续困扰人们对心脏发育认识的争议。
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引用次数: 0
The need for creation of new learning outcomes in core curricula publications on differences in sex development and transgender anatomy 需要在核心课程出版物中创建有关性别发展差异和变性解剖学的新学习成果。
IF 1.8 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2024-05-21 DOI: 10.1111/joa.14060
A. Venkatesh, Amy Georgia Morris

Despite recognition that sex is a spectrum there are no learning outcomes in the Anatomical Society's Core Curricula that effectively deal with the anatomy of differences in sex development or the anatomy of transgender individuals who have undergone gender affirming surgery. We believe this is a gap that needs to be plugged urgently. Particularly in relation to healthcare students the consequence of perpetuating the stereotype of sexual dimorphism as a norm could marginalise these communities of patients even further. We believe that action in the form of a Delphi process to create new outcomes can be a first step in creating change that will lead to a more inclusive anatomy education.

尽管认识到性别是一个范围,但解剖学会的核心课程中并没有有效处理性别发展差异的解剖学或接受性别肯定手术的变性人的解剖学的学习成果。我们认为这是一个急需填补的空白。尤其是对于医护专业的学生而言,将性畸形的陈规定型观念永久化的后果可能会使这些患者群体被进一步边缘化。我们相信,以德尔菲过程的形式创造新成果的行动可以成为创造变革的第一步,从而实现更具包容性的解剖学教育。
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引用次数: 0
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Journal of Anatomy
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