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Anatomical study and clinical significance of basivertebral foramen of S1 vertebra S1 椎体椎底孔的解剖学研究和临床意义
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-07-01 DOI: 10.4103/jasi.jasi_8_23
Roshni Sadashiv, Suresh Managutti, Anil Bargale, Pooja Nimbal, Preetam Patil
Background: Chronic low-back pain affects majority of the population worldwide. A paucity of data on the morphology of basivertebral foramen of S1 vertebra hampers the understanding of vertebrogenic cause of chronic low-back pain. The aim of the study was to investigate normal adult basivertebral foramen (S1) morphometry and discuss its clinical significance. Materials and Methods: One hundred sacra that consisted of dry bone and computed tomography scans were included in the study. All the morphometric analyses on dry sacra were performed using sliding caliper. Topographic location of the basivertebral foramen was studied based on its distance from the upper rim of the S1 body and the closest distance from the nearest point of origin of pedicles. Shape, number, height, and depth of the basivertebral foramen were noted. The data collected were subjected to statistical analysis was done using GraphPad Prism version 7 for Windows, (GraphPad Software, Boston, Massachusetts, USA). Results: The basivertebral foramina was found in the posterior aspect of the body of the S1 vertebra. The shape of the foramina varied from round, tear-shaped, slit-like, and comma-shaped. The mean depth of the foramen correlated with the anterior-posterior diameter of the body of the S1 vertebra. Conclusions: Detailed knowledge of these foramen could be important for medical education because they could cause changing operation techniques during surgeries and in the treatment of chronic low-back pain.
背景:慢性腰背痛影响着全球大多数人。有关 S1 椎体椎底孔形态的数据很少,这妨碍了对慢性腰背痛椎体成因的了解。本研究旨在调查正常成人椎弓根(S1)椎孔的形态,并探讨其临床意义。材料和方法:研究纳入了 100 个由干骨和计算机断层扫描组成的骶骨。所有干骨的形态分析均使用滑动卡尺进行。椎基底孔的地形位置是根据其与 S1 体上缘的距离以及与最近的椎弓根起源点的最近距离进行研究的。基底椎孔的形状、数量、高度和深度均被记录下来。使用 GraphPad Prism version 7 for Windows(GraphPad Software,波士顿,马萨诸塞州,美国)对收集的数据进行统计分析。结果椎基底孔位于 S1 椎体的后方。椎孔形状各异,有圆形、撕裂形、裂缝形和逗号形。椎孔的平均深度与 S1 椎体的前后直径相关。结论是对这些椎孔的详细了解对医学教育非常重要,因为它们可能会改变手术和治疗慢性腰背痛的操作技术。
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引用次数: 0
Evaluation of the relationship between critical shoulder angle and acromial index measurements with rotator cuff rupture on three-dimensional models 在三维模型上评估肩关节临界角和肩峰指数测量值与肩袖断裂之间的关系
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-07-01 DOI: 10.4103/jasi.jasi_20_23
Merve Ince, R. Gözil, U. Kanatlı, M. Bahcelioglu
Objective: The relationship between rotator cuff tears (RCTs) and morphological features of the shoulder joint has yet to be fully explained. The earlier studies were usually done with two-dimensional radiography images, but joint positions and bone formations could not be thoroughly evaluated in two-dimensional images. This study aims to assess the relationship between RCTs and critical shoulder angle (CSA) and acromial index (AI) values in three dimensions. Methods: In our study, computerized tomography of 24 RCTs (RCT group) and 20 Bankart lesions, and no RCTs (control group) were examined. CSA and AI were measured on three-dimensional (3D) glenohumeral joint models obtained by 3D reconstructions of computed tomography examinations. Results: The RCT group's CSA was significantly higher than the control group (P = 0.002). AI values did not differ significantly (P = 0.151) between the groups. In addition, there was a moderate positive correlation between the AI and CSA values and the age of patients with RCTs (r = 0.309, r = 0.367). Conclusion: This study differs from earlier studies in some significant respects, such as AI values were not found to be associated with RCTs. CSA values were associated with RCTs in parallel with earlier studies. This difference may be because we performed our study on 3D models. We anticipate that our results will guide clinicians in revealing the etiology of rotator cuff degeneration and determining the surgical method for treatment.
目的:肩袖撕裂(RCT)与肩关节形态特征之间的关系尚未得到充分说明。早期的研究通常采用二维X光图像,但关节位置和骨骼形态无法在二维图像中得到全面评估。本研究旨在评估 RCT 与三维临界肩角(CSA)和肩峰指数(AI)值之间的关系。研究方法在我们的研究中,对 24 例 RCT(RCT 组)和 20 例 Bankart 病变以及无 RCT(对照组)进行了计算机断层扫描检查。在通过计算机断层扫描三维重建获得的三维(3D)盂肱关节模型上测量 CSA 和 AI。结果显示RCT 组的 CSA 明显高于对照组(P = 0.002)。两组的 AI 值差异不大(P = 0.151)。此外,AI 值和 CSA 值与 RCT 患者的年龄呈中度正相关(r = 0.309,r = 0.367)。结论本研究在一些重要方面与之前的研究不同,如未发现 AI 值与 RCT 相关。CSA 值与 RCT 相关,这与之前的研究一致。这种差异可能是因为我们的研究是在三维模型上进行的。我们希望我们的研究结果能指导临床医生揭示肩袖退化的病因,并确定手术治疗方法。
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引用次数: 0
Technical xylene induces maternal toxicity associated with organ inflammation during preimplantation stage in pregnant sprague-dawley rats 工业二甲苯在怀孕的斯布拉格-道利大鼠胚胎植入前阶段诱发与器官炎症相关的母体毒性
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-07-01 DOI: 10.4103/jasi.jasi_26_23
N. Suaidi, M. Alshawsh, S. Hoe, Mohd Mokhtar, Siti Rosmani Md Zin
Introduction: Toxicity data that focus on the exposure within the range of allowable human limits of technical xylene (dimethylbenzene) on the female reproductive system and prenatal development are rarely updated. Therefore, this study aimed to investigate the outcomes of maternal exposure to technical xylene during the preimplantation period in pregnant rats. Materials and Methods: Timed-pregnant Sprague-Dawley rats (n = 36) were exposed to 0 (0 mg/kg), 100 (0.172 mg/kg), 500 (0.86 mg/kg), and 1000 (1.72 mg/kg) parts per million (ppm) of technical xylene via intraperitoneal injection from gestational day (GD) 1 to GD3. Clinical signs, maternal weight gain, and food intake were monitored daily. On GD5, the females were sacrificed to assess the early implantations and other reproductive parameters. Results: Technical xylene caused significant decreases in the number of implantation sites, maternal body weight gain, and food intake at a concentration of 1000 ppm. Significant increases in the serum total protein and potassium were also observed. Although there was no difference in the relative organ weights, increases in the uterus and liver weights were observed. Histological examination revealed systemic inflammatory changes in the uterus, liver, lungs, and kidney from all treated groups. Discussion and Conclusion: This study suggested that technical xylene causes maternal and prenatal toxicities associated with organ inflammation when exposed at the early gestational phase. Further studies of xylene toxicity at different stages of pregnancy are required to improve safety guidelines for technical xylene exposure.
简介:有关工业二甲苯(二甲苯)对雌性生殖系统和产前发育的影响的毒性数据很少更新。因此,本研究旨在调查妊娠大鼠植入前母体接触工业二甲苯的结果。材料与方法从妊娠第 1 天(GD)到妊娠第 3 天(GD3),通过腹腔注射将工业二甲苯分别暴露于 0(0 毫克/千克)、100(0.172 毫克/千克)、500(0.86 毫克/千克)和 1000(1.72 毫克/千克)百万分之一(ppm)的定时妊娠 Sprague-Dawley 大鼠(n = 36)。每天监测临床症状、母体体重增加和食物摄入量。妊娠第 5 天,雌鼠被处死,以评估早期植入情况和其他生殖参数。结果浓度为 1000 ppm 的工业二甲苯会导致着床点数量、母体体重增加和摄食量明显减少。血清总蛋白和血钾也明显增加。虽然相对器官重量没有差异,但观察到子宫和肝脏重量增加。组织学检查显示,所有处理组的子宫、肝脏、肺部和肾脏都出现了系统性炎症变化。讨论和结论:本研究表明,在妊娠早期接触工业二甲苯会导致与器官炎症相关的母体和产前毒性。需要进一步研究二甲苯在妊娠不同阶段的毒性,以完善接触工业二甲苯的安全指南。
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引用次数: 0
Morphologic and morphometric evaluation of nutrient foramina of tibia 胫骨营养孔的形态学和形态计量学评估
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-07-01 DOI: 10.4103/jasi.jasi_87_22
Mehmet Ulkir, Levend Karaçoban, Burcu Günes
Introduction: The aim of this study is to investigate the morphologic and morphometric characteristics of nutrient foramina on dry tibia bones, as well as the clinical implications. Materials and Methods: This study involved 63 tibiae (28 right and 35 left). The length of the tibia, number, direction, size, and location of nutrient foramina in relation to borders, surfaces, and soleal line, the distance between the nutrient foramina and proximal tibial end, the mediolateral, anteroposterior diameter of the tibial shaft at the level of the nutrient foramina, and the foraminal and cnemicus indexes were evaluated. The size of the nutrient foramina was classified using hypodermic needles of 14-16-18-20-22-24 gauge. Nutrient foramina with gauge sizes of 14–16, 18–20, and 22–24 were classified as large, medium, and small, respectively. Results: On the tibia, there is usually one nutrient foramina (92.06%), which may locate on the posterior surface (91.18%), lateral to the soleal line (95.17%), and in the upper 1/3 of the tibia (80.9%). The nutrient foramina was primarily 18–20 gauge (72.05%) and directed downward. Discussion and Conclusion: The morphological and morphometric features of nutrition foramina are vital to know, especially in surgical procedures and fractures of the upper 1/3 of the tibia. The sizes of NFs were evaluated detail in this study, and it was found that shorter tibiae had smaller NFs that were located more proximal than medium and large NFs. This morphological feature was described in the literature for the first time.
简介本研究旨在探讨干胫骨营养孔的形态学和形态计量学特征及其临床意义。材料和方法:本研究涉及 63 块胫骨(右侧 28 块,左侧 35 块)。对胫骨的长度,营养孔的数量、方向、大小和位置(与边界、表面和足底线的关系),营养孔与胫骨近端之间的距离,营养孔水平处胫骨轴的内外侧和前胸直径,以及营养孔指数和营养孔指数进行了评估。营养孔的大小使用 14-16-18-20-22-24 号皮下注射针进行分类。直径为 14-16、18-20 和 22-24 的营养孔分别被划分为大、中和小营养孔。结果:胫骨上通常有一个营养孔(92.06%),可能位于后表面(91.18%)、足底线外侧(95.17%)和胫骨上1/3处(80.9%)。营养孔主要为 18-20 号(72.05%),方向向下。讨论与结论:了解营养孔的形态和形态计量特征至关重要,尤其是在胫骨上1/3骨折的外科手术中。本研究对营养孔的大小进行了详细评估,发现较短胫骨的营养孔较小,且位于中型和大型营养孔的近端。这一形态特征在文献中尚属首次描述。
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引用次数: 0
Morphometric study of the third ventricle and thalamus by computerized tomography 通过计算机断层扫描对第三脑室和丘脑进行形态学研究
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-07-01 DOI: 10.4103/jasi.jasi_73_22
Manjula Sajeev, R. Shubha, K. Jose
Introduction: The third ventricle is a midline, slit-like cavity which is derived from the primitive forebrain vesicle, lying in the sagittal plane below the fornix and the corpus callosum. Much of the upper part of the lateral wall is occupied by the thalamus, that bulges convexly into the ventricle. The cerebral ventricular system acts as a marker of brain development and a predictor of neurodevelopmental outcomes. The thalamus is the gateway to the cerebral cortex. Virtually all sensory systems pass through the thalamus on their way to the cerebral cortex, and in turn, each part of the thalamus receives projections from the cortical area to which it projects. Materials and Methods: For the study, cranial computed tomography scans of 180 patients were studied. Anteroposterior diameter and transverse diameter of the third ventricle, thalamus, and intracranial cavity were measured and were compared with males and females of the studied population, and it was statistically analyzed. Results: The study showed an increase in the mean third ventricular anteroposterior and transverse diameter as age advances in the three age groups studied. There was no significant correlation in the anteroposterior or transverse diameter of the cranial cavity between the three age groups studied. Both anteroposterior and transverse diameters of the cranial cavity were larger in males when compared with females. Conclusion: The study in Indian adults is on morphometry of the third ventricle and thalamus by computerized tomography might help clinicians and radiologists to diagnose the pathologies ruling out the confronting effect of aging in third ventricular and thalamic dimensions. The study might also help in defining the age-specific third ventricular and thalamic diameters in the South Indian population.
简介第三脑室是一个中线狭缝状的腔隙,由原始的前脑泡衍生而来,位于穹窿和胼胝体下方的矢状面上。侧壁上部大部分被丘脑占据,丘脑凸入脑室。脑室系统是大脑发育的标志,也是神经发育结果的预测指标。丘脑是大脑皮层的门户。几乎所有的感觉系统在通往大脑皮层的途中都要经过丘脑,反过来,丘脑的每个部分都会接收来自其所投射的大脑皮层区域的投射。材料和方法:在研究中,对 180 名患者的头颅计算机断层扫描进行了研究。测量了第三脑室、丘脑和颅内腔的前后径和横径,并与研究人群中的男性和女性进行了比较和统计分析。结果显示研究显示,在所研究的三个年龄组中,随着年龄的增长,第三脑室的平均前后径和横径都在增加。所研究的三个年龄组的颅腔前后径和横径之间没有明显的相关性。与女性相比,男性颅腔的前后径和横径都更大。结论:通过计算机断层扫描对印度成年人第三脑室和丘脑的形态测量进行研究,可能有助于临床医生和放射科医生诊断病症,排除第三脑室和丘脑尺寸老化的影响。这项研究还有助于确定南印度人口中第三脑室和丘脑直径的年龄特异性。
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引用次数: 0
Shifting of research and teaching methodology training is a potential solution for Indian medical education 研究和教学方法培训的转变是印度医学教育的一个潜在解决方案
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-04-01 DOI: 10.4103/jasi.jasi_33_23
Himel Mondal
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引用次数: 0
Anatomical and morphological variations in the tendons constituting the pes anserinus of knee with its clinical significance: A human cadaveric study 膝关节鞍背肌腱的解剖学和形态学变化及其临床意义:一项人体尸体研究
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-04-01 DOI: 10.4103/jasi.jasi_41_22
Meghana Joshi, M. Ravat, V. Vaniya
Context: Pes anserinus (PA) includes conjoined tendinous insertion of the sartorius, gracilis, and semitendinosus muscles. Each tendon can have individual insertions attached nearly in a linear arrangement. The presence of accessory tendons, bands, and structures constituting in forming PA shows high variability and has been reported clinical importance in harvesting PA graft and tendon reconstruction procedure. Aim: The present study aimed to macroscopically observe anatomical and morphological variations in the structures constituting in the insertion of the PA tendon and establish its clinical significance. Subjects and Methods: A total of ninety cadaveric lower limbs including both sexes dissected to observe variations in the structures forming PA at the anteromedial surface of the upper part of the tibia. Statistical Analysis Used: The descriptive statistical analysis was done. Results: PA was constituted of sartorius, gracilis, and semitendinosus tendons in all the specimens. The most common pattern observed was monotendinous-sartorius, gracilis, and semitendinosus in 67 (74.44%) limbs. The semimembranosus and tibial collateral ligament participation was observed in 5 (5.55%) and 2 (2.22%) limbs, respectively. The accessory band of sartorius and semitendinosus was observed in 2 (2.22%) and 14 (15.55%) limbs, respectively. Conclusions: PA in the medial side of the knee is a common injury site. The presence of any accessory structures or bands within can handicap graft harvesting since the gracilis and semitendinosus tendons are routinely harvested for the reconstruction procedure. Furthermore, present anatomical knowledge can be helpful to surgeons for preoperative radiological examination and to avoid complications during transplant graft surgeries of the knee.
背景:鹅足(PA)包括缝匠肌、股薄肌和半腱肌的连体肌腱止点。每个肌腱可以有独立的插入,几乎以线性排列。形成PA的副肌腱、腱束和结构的存在表现出高度的可变性,并且已经报道了PA移植和肌腱重建手术的临床重要性。目的:从宏观上观察PA腱止点结构的解剖形态变化,探讨其临床意义。研究对象和方法:解剖90具男女下肢,观察胫骨上部前内侧表面形成PA的结构变化。统计分析方法:采用描述性统计分析。结果:所有标本均由缝匠肌、股薄肌和半腱肌肌腱组成。67条(74.44%)肢体以单腱缝缝肌、股薄肌和半腱肌为主。半膜韧带和胫副韧带受累5例(5.55%),2例(2.22%)。缝匠肌副带2例(2.22%),半腱肌14例(15.55%)。结论:膝关节内侧PA是常见的损伤部位。由于在重建过程中通常会切除股薄肌和半腱肌肌腱,因此任何附属结构或带的存在都会阻碍移植物的收获。此外,现有的解剖学知识可以帮助外科医生进行术前放射检查,并避免膝关节移植手术中的并发症。
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引用次数: 0
Role of vermal anteroposterior length and width in age determination of fetus 纵向前后长宽在胎儿年龄测定中的作用
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-04-01 DOI: 10.4103/jasi.jasi_89_22
N. Ahmad, Deepanjit Singh, S. Jethani
Background: Early differentiation of the cerebellum during fetal life makes it the center of interest in the field of obstetrics and gynecology. Moreover, the cerebellar vermis develops a little ahead of the hemispheres. Hence, the morphological parameters of the vermis can be a guide to ascertaining gestational age and assessing any anomalies related to posterior cranial fossa development. Aims and Objectives: The study was taken up with the objective of building up a timeline for the appearance of folia and important fissures. Moreover, establishing a correlation between the growing fetus and vermal parameters. Material and Methods: A total of 60 human fetal fixed cerebella were included in this observational and descriptive type of study. Fetuses affected with any congenital or neurological deficit were excluded. Grouping of the fetuses was done, based on their gestational age in weeks. The first group from 13-17 weeks, the second group from 18-22weeks, the third group from 23-27 weeks, and the fourth group from 28-32 weeks. Observation: Time of appearance of folia and fissures were noted. Vernier calipers were used to measure vermal width and anteroposterior length. Statistical tools like IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp. and one-way analysis of variance were applied to the data obtained. Conclusion: A posterolateral fissure appeared at 13 weeks of gestation while folia and other fissures appeared from the 18th week onwards. Both the parameters of vermis showed a linear correlation with gestational age. Such a timeline and correlation shall prove to be helpful in calculating fetal age in the field of forensic studies.
背景:胎儿时期小脑的早期分化使其成为妇产科领域的研究热点。此外,小脑蚓的发育略早于大脑半球。因此,蚓的形态参数可以作为确定胎龄和评估与后颅窝发育有关的任何异常的指导。目的和目的:本研究的目的是建立一个叶状叶和重要裂隙出现的时间表。此外,建立了胎儿生长与生理参数之间的相关性。材料和方法:这项观察性和描述性的研究共纳入了60例固定小脑胎儿。排除有任何先天性或神经缺陷的胎儿。根据胎龄(以周为单位)对胎儿进行分组。第一组为13-17周,第二组为18-22周,第三组为23-27周,第四组为28-32周。观察:记录叶裂出现时间。使用游标卡尺测量纵向宽度和前后长度。统计工具,如IBM SPSS统计Windows,版本20.0。阿蒙克,纽约:IBM公司和单向方差分析应用于获得的数据。结论:妊娠13周出现后外侧裂,妊娠18周后出现叶裂等后外侧裂。蚓部的两个参数均与胎龄呈线性相关。这种时间线和相关性将被证明有助于在法医研究领域计算胎儿年龄。
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引用次数: 0
Evaluating the Renal Toxicity Profile of Moringa oleifera Seed: Associating its Wide Consumption with Renal Failure – Subacute In vivo Study 评价辣木种子的肾毒性:将其广泛食用与肾衰竭联系起来——亚急性体内研究
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-04-01 DOI: 10.4103/jasi.jasi_22_22
U. Ezemagu, Chiagozie Okafor, C. Anibeze, C. Ojobo, G. Okechukwu, Eunice Ezemagu
Background: The alarming rate of kidney failure in Africa and Asia could be associated with wide levels of consumption of Moringa oleifera seed preparations in the continent. Objectives: The study aims to ascertain the phytochemicals in aqueous and ethanol extracts of M. oleifera seed and determine how its consumption affects the histopathology and function of the kidney. Materials and Methods: Albino rats (32) about 7 weeks old and weight, 120 g each, were divided into Groups 1–8, using nonprobability sampling technique. The rats in Groups 2–8 were fed daily, 100 mg, 200 mg, 400 mg, 800 mg, 1600 mg, 3200 mg, and 6400 mg/kg body weight of M. oleifera seed powder dissolved in 2 mL of distilled water, respectively, for 9 days, with the aid of a syringe and cannula. Group 1 (control) received 2 mL of distilled water daily. On the 8th day, two rats were randomly selected from Group 8 and fed with 15,000 mg/kg body weight (Group 9). Results: The seed has moderate alkaloids, saponins, glycosides, and terpenoids concentrations, and it is rich in carbohydrates, protein (aromatic amino acids), and oil. The renal tissues of rats in Groups 3–9 were distorted and necrosed. The rats in Groups 6–9 had an appreciable reduction in concentrations of blood creatinine and urea, and mortality was recorded in Groups 8 and 9. Discussion and Conclusion: Although subacute consumption of 100 mg/kg body weight daily of M. oleifera seed could not distort the renal architecture, blood electrolytes, creatinine, or urea concentration of the rats, relatively high-grade level of consumption could precipitate renal failure. An urgent need to standardize the consumption of the seed preparations of the “miracle plant” is required.
背景:非洲和亚洲惊人的肾衰竭率可能与非洲大陆对辣木籽制剂的广泛消费有关。目的:本研究旨在确定油籽水提取物和乙醇提取物中的植物化学物质,并确定其消耗量如何影响肾脏的组织病理学和功能。材料和方法:使用不可能性抽样技术,将约7周大、体重为120g的白化大鼠(32只)分为1-8组。第2–8组的大鼠在注射器和套管的帮助下,每天喂食100 mg、200 mg、400 mg、800 mg、1600 mg、3200 mg和6400 mg/kg体重的橄榄籽粉末,分别溶解在2 mL蒸馏水中,持续9天。第1组(对照组)每天接受2mL蒸馏水。第8天,从第8组中随机选择两只大鼠,并喂食15000mg/kg体重(第9组)。结果:该种子含有中等浓度的生物碱、皂苷、糖苷和萜类化合物,富含碳水化合物、蛋白质(芳香氨基酸)和油脂。第3组至第9组大鼠肾组织扭曲坏死。第6-9组的大鼠血肌酐和尿素浓度明显降低,第8组和第9组记录了死亡率。讨论与结论:亚急性每天食用100 mg/kg体重的油籽虽然不会改变大鼠的肾脏结构、血液电解质、肌酸酐或尿素浓度,但相对高水平的食用可能会导致肾衰竭。迫切需要规范“奇迹植物”种子制剂的消费。
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引用次数: 0
Ultrasonographic analysis of biparietal diameter as an indicator of gestational age in North Indian fetuses 北印度胎儿双顶叶直径作为胎龄指标的超声分析
IF 0.4 4区 医学 Q4 ANATOMY & MORPHOLOGY Pub Date : 2023-04-01 DOI: 10.4103/jasi.jasi_116_22
Archana Singh, Rakesh Gupta, Arun Singh
Background: Clinical data such as menstrual cycle or uterine size often are not reliable parameter for pregnancy dating. Sonographic measurements of the fetus provide information about gestational age, growth and expected date of delivery. Aims: To develop a reference chart to estimate gestational age by ultrasonographic measurement of fetal bi-parietal diameter (BPD) and to find out correlation between two variables. Material and Methods: Cross sectional study was conducted on among 750 pregnant women of gestational age of 14-40 weeks, attending the Obstetrics and Gynaecology out-Patient department during one year period. Each fetus was ultrasonographically measured for BPD, the mean was used in subsequent statistical analysis. Statistical Analysis: It was done by the software SPSS version 21.0. A p-value < 0.05 considered to be significant. The previously published nomograms were compared by using unpaired t-test. Correlation & regression analysis has been done for BPD and GA. Results: Out of total 750 participants, 97.6% females confirmed their pregnancy by urine pregnancy test, 22.9% had dating scan, mean height was 163.004 cm. On ultrasound examination 78% participants had vertex, 7.6% had breech and 14.4% had variable presentation of fetus.Mean BPD increases 3.07 mm per week from 14to30 weeks and 1.93 mm per week from 31 to 40 weeks. For establishing a relationship between two variables GA & BPD, the correlation & regression analysis has been done.Sigmoid regression equation was the best for this study. Conclusions: Data showing that North Indian fetuses are smaller than European fetuses after 22 weeks gestation.
背景:月经周期或子宫大小等临床数据往往不是确定妊娠日期的可靠参数。胎儿的超声测量提供有关胎龄、生长和预产期的信息。目的:建立超声测量胎儿双壁直径(BPD)估计胎龄的参考图表,并探讨两者之间的相关性。材料与方法:对1年内在妇产科门诊就诊的孕周14 ~ 40周孕妇750例进行横断面研究。每个胎儿超声测量BPD,取平均值进行统计分析。统计分析:采用SPSS 21.0版软件。p值< 0.05为显著性。采用非配对t检验比较前人发表的模态图。对BPD和GA进行了相关和回归分析。结果:750名参与者中,97.6%的女性通过尿妊娠试验确认怀孕,22.9%的女性进行了约会扫描,平均身高为163.004 cm。在超声检查中,78%的参与者有顶点,7.6%有臀位,14.4%有胎儿的可变表现。从14周到30周,平均BPD每周增加3.07毫米,从31周到40周,每周增加1.93毫米。为了建立GA和BPD两个变量之间的关系,进行了相关回归分析。s型回归方程最适合本研究。结论:数据显示,妊娠22周后,北印度胎儿比欧洲胎儿小。
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Journal of the Anatomical Society of India
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