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Equity, diversity and inclusivity (EDI) in anatomy: The guidelines of the International Federation of Associations of Anatomists (IFAA) 解剖学中的公平、多样性和包容性(EDI):国际解剖学家协会联合会(IFAA)的指导方针。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-06-01 Epub Date: 2026-03-05 DOI: 10.1016/j.aanat.2026.152821
Bernard Moxham , Odile Plaisant , Beverley Kramer , Diogo Pais
The principles underpinning Equity, Diversity and Inclusivity (EDI) are seen by many as being essential in contemporary society while others consider it disparaging and claim it can negatively affect meritocracy. In the USA, EDI is referred to as DEI (Diversity, Equity and Inclusivity) and appears to be under attack by the present governmental agencies. Indeed, multinational companies and other governments are responding in various ways, including partial compliance and outright resistance. Wherever one stands politically on the matter, the International Federation of Anatomical Associations (IFAA) has promulgated a strong statement of intent concerning the importance of EDI and the IFAA Executive, through its Federative International Committee for Equality and Diversity in Anatomy (FICEDA), has also provided guidelines for EDI based on the results of a survey of the IFAA’s member associations. The findings of that survey are presented in this article and show a clear recognition by virtually all member associations of the importance of EDI, while highlighting some areas lacking diversity and inclusivity.
许多人认为,支撑公平、多样性和包容性(EDI)的原则在当代社会至关重要,而另一些人则认为它是一种贬低,并声称它会对精英政治产生负面影响。在美国,EDI被称为DEI(多样性,公平和包容性),似乎受到了当前政府机构的攻击。事实上,跨国公司和其他国家的政府正在以各种方式回应,包括部分服从和直接抵制。无论人们在这个问题上的政治立场如何,国际解剖学协会联合会(IFAA)已经发布了一份关于EDI重要性的强烈意向声明,IFAA执行委员会通过其国际解剖学平等和多样性联合会委员会(FICEDA),也根据IFAA成员协会的调查结果,为EDI提供了指导方针。本文介绍了该调查的结果,表明几乎所有成员协会都清楚地认识到EDI的重要性,同时强调了一些缺乏多样性和包容性的领域。
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引用次数: 0
Formaldehyde use in the anatomy laboratory and the pregnant or breastfeeding student dissector navigating the challenges of toxicological uncertainty and institutional policy 甲醛在解剖实验室和怀孕或哺乳学生解剖导航毒理学不确定性和制度政策的挑战。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-06-01 Epub Date: 2026-02-26 DOI: 10.1016/j.aanat.2026.152813
Niels Hammer , Karl Stöger , Veronica Antipova

Introduction

Formaldehyde is essential for anatomical preservation but is associated with potential health risks. The evidence for reproductive toxicity at laboratory exposure levels remains uncertain, and institutional policies are characterized by inconsistency, creating a critical challenge for pregnant and breastfeeding medical students.

Methods

A systematic review was conducted to synthesize evidence on two key areas: 1) the strength of evidence for adverse effects from anatomy laboratory-level formaldehyde exposure (typically 0.1–2.0 ppm) on pregnant individuals, fetuses, and breastfed infants, and 2) the current landscape of institutional policies and alternative educational approaches.

Results

Formaldehyde levels in dissection facilities were confirmed to frequently exceed current public health precautionary limits (0.1 ppm; will partially be lowered to 0.05 ppm in near future), with irritant symptoms being widely reported. Developmental toxicity is demonstrated in animal studies, though at doses vastly higher and durations much longer than those encountered in the anatomy laboratory. Human epidemiological data are limited by confounding, though an increased risk for spontaneous abortion is suggested. Furthermore, institutional policies were found to be largely absent or fragmented, with the burden of risk assessment often being shifted onto students.

Discussion

It is concluded that a risk-management model is the optimal path forward. This model prioritizes engineering controls to reduce exposure for all, coupled with supportive accommodations for pregnant students, thereby mitigating both physical and psychosocial risks.
简介:甲醛对解剖保存是必不可少的,但与潜在的健康风险有关。实验室暴露水平下生殖毒性的证据仍然不确定,体制政策的特点是不一致,这对怀孕和哺乳的医学生构成了重大挑战。方法:对两个关键领域的证据进行了系统回顾,以综合证据:1)解剖实验室水平甲醛暴露(通常为0.1-2.0 ppm)对孕妇、胎儿和母乳喂养婴儿不利影响的证据强度,以及2)现行制度政策和替代教育方法。结果:解剖设施中的甲醛水平被证实经常超过目前的公共卫生预防限度(0.1 ppm;在不久的将来将部分降低到0.05 ppm),并广泛报道了刺激性症状。发育毒性已在动物实验中得到证实,尽管其剂量和持续时间远高于解剖实验室。人类流行病学数据受到混杂因素的限制,尽管提示自然流产风险增加。此外,发现机构政策基本上不存在或支离破碎,风险评估的负担往往转移到学生身上。讨论:结论是风险管理模型是最佳的前进路径。该模型优先考虑工程控制,以减少所有人的暴露,并为怀孕学生提供支持性住宿,从而减轻身体和心理风险。
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引用次数: 0
Sex-related differences in femorotibial cartilage thickness: A matched pair analysis 股骨胫软骨厚度的性别相关差异:配对分析。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI: 10.1016/j.aanat.2026.152824
Noël Spoelder , Tom D. Turmezei , Dimitri A. Kessler , James W. Mackay , Simon C. Mastbergen , Marcel Karperien , Mylène P. Jansen , Felix Eckstein

Background

Women are more frequently affected by knee osteoarthritis (OA) than men. Differences in knee cartilage thickness have been proposed as an explanation, but it remains unclear whether these differences reflect true sex-specific variation or differences in body size. Clarifying this may improve our understanding of sex-specific mechanisms in knee OA development. The objective of this study was to quantify and visualize cartilage thickness differences between men and women without radiographic knee OA matched for age and body size.

Methods

Subjects without radiographic signs of knee OA were selected from the Osteoarthritis Initiative (OAI). Male-female pairs were matched (1:1) for age (±5 years), BMI (±2 kg/m²), and height (±1 cm). Cartilage thickness was assessed from 3 T MRI data using compartmental analysis and whole-joint 3D cartilage surface mapping (CaSM). Paired t-tests (for compartmental analysis) and statistical parametric mapping (F-tests for CaSM) were applied to compare sexes.

Results

126 Subjects were included (age 57.7 ± 8.4 years; BMI 26.4 ± 3.7 kg/m²; height 169.5 ± 5.3 cm). Cartilage was thicker in men than in women in both the lateral (0.41 ± 0.56 mm) and medial (0.38 ± 0.62 mm) femorotibial compartment (both p < 0.001). CaSM identified five femorotibial regions with significant sex differences (p < 0.05), largest in the trochlea (16.1%; men: 2.83 ± 0.46 mm; women: 2.44 ± 0.36 mm).

Conclusions

Even when matched for age and body size, men display thicker femorotibial cartilage than women, with the greatest disparity in the trochlea. These inherent sex-related cartilage thickness differences may contribute to the higher prevalence of knee OA in women and highlight the importance of considering sex in OA research and treatment strategies.
背景:女性比男性更容易患膝骨关节炎(OA)。膝关节软骨厚度的差异被认为是一种解释,但尚不清楚这些差异是否反映了真正的性别特异性差异或体型差异。澄清这一点可以提高我们对膝关节OA发展中性别特异性机制的理解。本研究的目的是量化和可视化没有膝关节骨性关节炎的男性和女性与年龄和体型匹配的软骨厚度差异。方法:从骨关节炎倡议(OAI)中选择无膝关节OA影像学征象的受试者。男女按年龄(±5岁)、BMI(±2kg/m²)和身高(±1cm)按1:1配对。采用室室分析和全关节三维软骨表面成像(CaSM)从3T MRI数据评估软骨厚度。配对t检验(用于区隔分析)和统计参数映射(用于CaSM的f检验)用于比较性别。结果:纳入126例受试者(年龄57.7±8.4岁,BMI 26.4±3.7kg/m²,身高169.5±5.3cm)。男性股骨胫间室外侧(0.41±0.56mm)和内侧(0.38±0.62mm)的软骨均比女性厚。结论:即使在年龄和体型匹配的情况下,男性股骨胫软骨也比女性厚,其中滑车的差异最大。这些固有的与性别相关的软骨厚度差异可能导致女性膝关节OA患病率较高,并突出了在OA研究和治疗策略中考虑性别的重要性。
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引用次数: 0
Sex-based representation in anatomical atlases: An analysis of illustrations used in anatomy teaching in Poland 解剖地图集中基于性别的表现:波兰解剖学教学中插图的分析。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-06-01 Epub Date: 2026-03-06 DOI: 10.1016/j.aanat.2026.152825
Zygmunt Domagala , Bartosz Ros , Marcel Zuber , Marcin Banasiuk , Michał Gas , Oliwia Januszek , Oliwia Swigon , Marta Wanat , Mateusz Mazurek , Agnieszka Pinkowska , Slawomir Wozniak

Background

Despite increasing awareness of issues related to sex and gender representation in medical education, previous studies have shown that anatomical atlases often present the male body as the default anatomical model, with female bodies more frequently depicted in sex-specific contexts. However, little is known about how such global visual patterns are reflected in atlases officially recommended within national medical curricula. The aim of this study was to assess sex-based representation in anatomical illustrations contained in the most frequently recommended atlases used at Polish medical universities.

Methods

Based on publicly available syllabi, curricula, and mandatory reading lists from Polish medical faculties, the most commonly recommended atlases were identified. In total, 5293 illustrations from the three most frequently recommended atlases were analyzed. Each image depicting the human body or its parts was classified according to sex (where identifiable), type of illustration, viewing perspective, mode of presentation, and presence of sex-specific anatomical content. Classification was performed manually using a standardized coding sheet; in cases of uncertainty, decisions were made by consensus among three members of the research team.

Results

Images depicting male bodies were more frequent (13.5–25.3%) than those depicting female bodies (6.8–10.4%). In most cases (64.0–79.4%), sex could not be determined. Painted anatomical illustrations predominated across the atlases (81.6–95.1%), while sex-specific anatomical content accounted for only 6.4–11.2% of all images, with mammary gland anatomy representing less than 0.5%. Male bodies were more often shown in whole-body views, whereas female bodies were depicted predominantly in association with reproductive organs and mammary gland anatomy. The male-to-female ratio of sex-identifiable images ranged from 2.00 to 2.43.

Conclusions

The atlases most commonly used in Polish anatomical education demonstrate a persistent imbalance in sex-based visual representation. Male bodies are depicted more frequently in general anatomical contexts, whereas female bodies appear predominantly in sex-specific illustrations. Such patterns may limit students’ exposure to anatomical variability and contribute to the persistence of androcentric norms in medical education. These findings highlight the need for more balanced and context-aware visual resources in anatomy teaching.
背景:尽管人们越来越意识到医学教育中与性别和性别代表性相关的问题,但先前的研究表明,解剖学地图集通常将男性身体作为默认的解剖模型,而女性身体更多地出现在性别特定的背景下。然而,对于这些全球视觉模式如何反映在国家医学课程中正式推荐的地图集中,人们知之甚少。本研究的目的是评估波兰医科大学最常推荐的地图集中解剖插图的性别代表性。方法:基于可公开获得的教学大纲、课程和波兰医学院的强制阅读清单,确定了最常推荐的地图集。总共分析了来自三个最常被推荐的地图集的5293幅插图。每张描绘人体或其部分的图像都根据性别(在可识别的情况下)、插图类型、观看视角、呈现模式和性别特异性解剖内容的存在进行分类。使用标准化编码表手动进行分类;在不确定的情况下,决策由研究小组的三名成员达成共识。结果:描述男性身体的图像(13.5-25.3%)多于描述女性身体的图像(6.8-10.4%)。大多数病例(64.0-79.4%)无法确定性别。绘制的解剖插图在地图集中占主导地位(81.6-95.1%),而性别特异性解剖内容仅占所有图像的6.4-11.2%,其中乳腺解剖占不到0.5%。男性身体更多地出现在全身视图中,而女性身体的描绘主要与生殖器官和乳腺解剖有关。性别识别图像的男女比例在2.00到2.43之间。结论:波兰解剖学教育中最常用的地图集显示了基于性别的视觉表现的持续不平衡。男性身体在一般解剖学背景中被描绘得更频繁,而女性身体主要出现在性别特定的插图中。这种模式可能会限制学生接触到解剖学上的差异,并导致医学教育中持续存在以男性为中心的规范。这些发现强调了在解剖学教学中需要更多的平衡和上下文感知的视觉资源。
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引用次数: 0
Artificial intelligence in animal anatomy: Exploring the technologies, applications, benefits, and challenges 动物解剖学中的人工智能:探索技术、应用、利益和挑战
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aanat.2026.152796
Rekha Khandia , Somya Rajput , Pankaj Gurjar
<div><h3>Background</h3><div>Animal anatomy is revolutionised by use of digital techniques where it is implicated in research, education, and diagnostics. Modern computational tools assist in analysis and mimic human logic and reasoning to solve a problem. Digital technology might assist in handling various issues related to academics and research which encompass ethical issues, unavailability of specimens, and high costs linked with the manual laboratories.</div></div><div><h3>Methods</h3><div>This review encompasses the application of machine learning (ML) or deep learning (DL) in veterinary anatomical science with focus on computer vision and 3D modelling. ML algorithms are routinely employed to automate medical imaging tasks such as detection, segmentation and classification of structures from images, in a time-efficient and consistent manner compared to traditional methods. The range of applications for modern imaging and visualization tools spans from brain segmentation in preclinical studies to the minor importance of the assessment of highly complex anatomical traits across species. For instance, using micro-computed tomography and sophisticated image processing, researchers are already conducting evolutionary and comparative studies using quick and reliable analysis techniques. In the teaching environment, virtual environments and 3D interactive platforms or models have become useful aids, as students learn better when presented with more engaging and spatially contextualised content. Furthermore, it also addresses the issues and limitations of using cadavers in teaching.</div></div><div><h3>Results</h3><div>Artificial intelligence (AI) has transformed animal anatomy by improved imaging accuracy, analysis and diagnosis using various algorithms that helped decreasing human error and time. Deep learning-powered augmented reality tools and 3D modelling platforms, such as the Anatomage Table, which enable hands-on training on a digital cadaver, enhance learning with unlimited attempts. Moreover, educational AI models such as <em>Esp</em>INA and ZeBraInspector support volumetric analysis, anatomical reconstruction, and evolutionary research. The diagnosis of liver malignancies, tracheal collapse, and other veterinary conditions has also become more efficient, rapid, and accurate. However, challenges remain, including data scarcity, inconsistencies across species, and limited standardised veterinary datasets comparable to human dataset and frameworks.</div></div><div><h3>Conclusions</h3><div>AI-driven technologies have revolutionized animal anatomy across various areas including education, research, and diagnosis. They have played a pivotal role in enhancing efficiency, precision, and accessibility while bypassing many ethical hurdles and resource limitations. The combination of machine learning, deep learning, computer vision, virtual modelling, and language models has significantly improved anatomical visualization. Despite these benefits, c
数字技术在研究、教育和诊断方面的应用使动物解剖学发生了革命性的变化。现代计算工具协助分析和模仿人类的逻辑和推理来解决问题。数字技术可能有助于处理与学术和研究有关的各种问题,包括伦理问题、标本的不可获得以及与人工实验室相关的高成本。方法综述了机器学习(ML)或深度学习(DL)在兽医解剖科学中的应用,重点介绍了计算机视觉和3D建模。与传统方法相比,机器学习算法通常用于自动执行医学成像任务,例如从图像中检测、分割和分类结构,具有时间效率和一致性。现代成像和可视化工具的应用范围从临床前研究中的大脑分割到跨物种高度复杂解剖特征评估的次要重要性。例如,利用微型计算机断层扫描和复杂的图像处理,研究人员已经在使用快速可靠的分析技术进行进化和比较研究。在教学环境中,虚拟环境和3D互动平台或模型已经成为有用的辅助工具,因为当学生看到更具吸引力和空间情境化的内容时,他们会学得更好。此外,它还解决了在教学中使用尸体的问题和局限性。结果人工智能(AI)通过使用各种算法提高成像精度,分析和诊断,帮助减少人为错误和时间,从而改变了动物解剖学。深度学习支持的增强现实工具和3D建模平台,如Anatomage Table,可以在数字尸体上进行动手训练,通过无限的尝试来增强学习。此外,教育AI模型如EspINA和ZeBraInspector支持体积分析、解剖重建和进化研究。肝脏恶性肿瘤、气管塌陷和其他兽医疾病的诊断也变得更加高效、快速和准确。然而,挑战依然存在,包括数据稀缺、物种间不一致以及与人类数据集和框架相比,标准化兽医数据集有限。结论人工智能驱动的技术已经在包括教育、研究和诊断在内的各个领域彻底改变了动物解剖学。它们在提高效率、精度和可及性方面发挥了关键作用,同时绕过了许多道德障碍和资源限制。机器学习、深度学习、计算机视觉、虚拟建模和语言模型的结合显著改善了解剖可视化。尽管有这些好处,但在兽医解剖中使用人工智能仍然存在数据可用性、数据异质性和质量等挑战。人工智能算法的未来发展有望提高兽医解剖科学的精度、效率和影响。
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引用次数: 0
Variations and proximal branching types of the superficial branch of the radial nerve: A dissectional study 桡神经浅支的变异和近端分支类型:一项横断研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-24 DOI: 10.1016/j.aanat.2026.152800
Tomáš Herma , Anhelina Khadanovich , Ondřej Volný , Radek Kaiser , David Kachlík

Background

The superficial branch of the radial nerve (SBRN) innervates skin of dorsoradial aspect of hand, thumb, index finger and a half of middle finger. While the anatomical variations are of clinical relevance, several studies aimed to describe different branching types over the radial foveola. The aim of this study was to describe branching pattern as well as anatomical variations of the SBRN in a large sample of body donors’ limbs.

Material and methods

Two hundred and four formaldehyde fixed body donors’ upper limbs of Central European origin were dissected. The branching of the SBRN and adjacent structures was measured in relationship to the styloid process of the radius. Four branching types based on the number of SBRN branches and their course were described, the number of secondary and tertiary branches and the main branching points were measured.

Results

We have identified four types of the proximal SBRN branching. While there exists a high variability in the nerve branching, over 90 % of dissected limbs had one of the two most common patterns of branching (while 88 % had the most common branching type). We have observed connection with the lateral antebrachial cutaneous nerve in 19/204 cases (9.3 %).

Conclusion

Despite the high variability in the location of SBRN branching and number of secondary branches, the majority of cases represents a single type of proximal branching. With the sample exceeding 200 limbs, we were able to observe rare variations. The branching classification is easily understandable and could be further expanded by subsequent research.
背景:桡神经浅支(SBRN)支配手部背桡侧皮肤、拇指、食指和中指半侧。虽然解剖变异具有临床意义,但一些研究旨在描述桡骨中央凹上不同的分支类型。本研究的目的是描述大量供体肢体样本中SBRN的分支模式和解剖学变异。材料与方法:解剖中欧血统甲醛固定体供体244例上肢。测量SBRN和邻近结构的分支与桡骨茎突的关系。根据SBRN分支的数量及其过程描述了四种分支类型,测量了二级和三级分支的数量和主要分支点。结果:我们已经确定了近端SBRN分支的四种类型。虽然神经分支存在高度可变性,但超过90%的解剖肢体具有两种最常见的分支模式之一(而88%具有最常见的分支类型)。204例中有19例(9.3%)与臂前外侧皮神经相连。结论:尽管SBRN分支的位置和次级分支的数量具有很大的可变性,但大多数病例代表一种单一类型的近端分支。在超过200个肢体的样本中,我们能够观察到罕见的变化。分支分类简单易懂,可在后续研究中进一步扩展。
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引用次数: 0
Light as a feather: A novel approach for whole- feather microstructure imaging through tissue clearing and autofluorescence imaging 光如羽毛:一种通过组织清除和自身荧光成像的全羽毛微观结构成像新方法
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aanat.2026.152781
Marwa Moulzir, Doriane Hazart, Brigitte Delhomme, Martin Oheim , Clément Ricard
Feathers have long held a profound symbolic meaning for humanity across cultures and throughout history. Today, the growing scientific interest in feathers highlights their relevance in diverse fields, including avian biology, evolution and biomimetic applications. The development of new methods that can simplify and improve research on feathers is therefore of great importance. This study introduces a simple and effective pipeline for three-dimensional imaging of the internal and external structure of entire bird feathers. We report the clearing of feathers, rendering them entirely transparent — a process that, to the best of our knowledge, has never been achieved before. Our approach makes it possible to image the feather’s 3-D architecture on a standard confocal microscope available in most research labs or imaging core facilities. What is more, we performed label-free imaging by autofluorescence detection. Our technique permits high-resolution visualization of micro-structures with minimal preparation and no destructive processing.
纵观历史和文化,羽毛对人类有着深远的象征意义。今天,对羽毛日益增长的科学兴趣凸显了它们在不同领域的相关性,包括鸟类生物学、进化和仿生应用。因此,开发能够简化和改进羽毛研究的新方法是非常重要的。本研究介绍了一种简单有效的鸟类全羽毛内外结构三维成像管道。我们报告了羽毛的清理,使它们完全透明-据我们所知,这一过程以前从未实现过。我们的方法使得在大多数研究实验室或成像核心设施中可用的标准共聚焦显微镜上对羽毛的三维结构进行成像成为可能。更重要的是,我们通过自体荧光检测进行了无标记成像。我们的技术允许微观结构的高分辨率可视化,最少的准备和无破坏性的处理。
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引用次数: 0
Iodometry: A straightforward “tank side-test” to determine formaldehyde concentrations in anatomical tanks 碘量测定法:一种直接的“罐侧试验”,用于测定解剖罐中的甲醛浓度
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aanat.2026.152794
Michael Kohr , Carla L. Janko , Anne-Marie Schmidt , Armin A. Weber , Markus R. Meyer , Stefan Wagenpfeil , Carola Meier , Thomas Tschernig
In anatomical preservation, low formaldehyde concentrations are recommended because of the carcinogenic potential of formaldehyde. However, in big basins with a varying number of bodies inside it may be difficult to estimate the formaldehyde concentration. Here, a feasible titration method, i.e. iodometry, was described to measure formaldehyde concentrations in anatomical preservation tanks. This method was compared to head-space mass spectrometry-. Results of triplet measurements of the iodometry were coherent and fitted to nominal formaldehyde concentrations. The formaldehyde concentrations in the preservation tanks were found to be in the anticipated ranges between 2 % and 4 %. Therefore, an estimation of the formaldehyde concentration in preservation tanks is possible using the described quick and cost-effective method.
在解剖保存,建议低甲醛浓度,因为甲醛的致癌潜力。然而,在有不同数量的尸体的大盆地中,可能很难估计甲醛浓度。本文介绍了一种可行的滴定方法,即碘量法,用于测量解剖保存罐中甲醛浓度。该方法与头空质谱法进行了比较。碘量法的三重测量结果是一致的,并适合名义甲醛浓度。保存罐内甲醛浓度在2 % ~ 4 %的预期范围内。因此,使用所描述的快速和经济有效的方法估计保存罐中甲醛浓度是可能的。
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引用次数: 0
Infraoccluded primary molars: New findings from the last 10 years − A systematic review 下咬合的初级磨牙:近10年的新发现-系统回顾。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-17 DOI: 10.1016/j.aanat.2026.152784
Teresa Temming , Susanne Waldmann , Anahita Jablonski-Momeni , Heike Korbmacher-Steiner

Aim

This review summarises recent findings from the past decade on infraoccluded primary molars, focusing on diagnosis, aetiology, prevalence, associated findings and clinical consequences, and to compare these with earlier literature to support improved clinical management.

Methods

A systematic literature search was conducted according to PRISMA guidelines, evaluating MEDLINE (PubMed), Cochrane Library, Web of Science, and Embase from 2014 to 2025. Randomized controlled trials (RCT), non-randomized studies of interventions (NRSI), cohort studies, case-control studies and cross-sectional studies published in English and German were included. Case series, case reports, expert opinions and commentaries were excluded.

Results

Of 2816 publications identified, 30 met the inclusion criteria after screening and full-text review. These studies addressed prevalence (n = 17), retained molars (n = 4), retained molars without successors (n = 5), aetiology (n = 1), diagnosis (n = 1), mandibular growth impact (n = 1), and interventions (n = 1).

Conclusion

Current evidence provides new insights into the aetiology and clinical management of infraoccluded primary molars. Genetic factors, particularly those related to epithelial development and inflammatory signalling pathways, are increasingly recognised. Conservative treatment approaches have gained traction, emphasizing alveolar preservation over orthodontic considerations of craniofacial growth. Most cases are mild and occur unilaterally in mandibular first primary molars. Early-onset infraocclusion is linked to a less favourable prognosis. Root resorption shows age-related variability. However, conflicting evidence exists regarding the association of infraocclusion with root resorption, especially in cases of tooth agenesis, and its correlation with mandibular growth rotation. Additionally, prevalence data remain inconsistent due to heterogenous classification, underscoring the need for further research.
目的:本综述总结了近十年来关于下牙合磨牙的最新发现,重点是诊断、病因、患病率、相关发现和临床后果,并将其与早期文献进行比较,以支持改进临床管理。方法:根据PRISMA指南进行系统文献检索,对2014 - 2025年MEDLINE (PubMed)、Cochrane Library、Web of Science和Embase进行评价。包括随机对照试验(RCT)、非随机干预研究(NRSI)、队列研究、病例对照研究和以英语和德语发表的横断面研究。排除病例系列、病例报告、专家意见和评论。结果:在筛选出的2816篇文献中,经筛选和全文评审后,有30篇符合纳入标准。这些研究涉及患病率(n=17)、保留磨牙(n=4)、保留磨牙无继位(n=5)、病因(n=1)、诊断(n=1)、下颌生长影响(n=1)和干预(n=1)。结论:目前的证据为下牙合磨牙的病因和临床治疗提供了新的见解。遗传因素,特别是那些与上皮发育和炎症信号通路相关的遗传因素,越来越被认识到。保守的治疗方法已经获得了关注,强调牙槽保存而不是颅面生长的正畸考虑。大多数病例是轻微的,单侧发生在下颌第一磨牙。早发性下闭塞与预后较差有关。牙根吸收表现出年龄相关的变异性。然而,关于下牙合与牙根吸收的关系,特别是在牙齿发育不全的情况下,以及与下颌生长旋转的关系,存在相互矛盾的证据。此外,由于分类不均,患病率数据仍然不一致,强调需要进一步研究。
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引用次数: 0
Invisible women in anatomy: Medical students’ perceptions of sex representation in anatomical atlases 解剖学中看不见的女性:医学生对解剖学地图集性别表现的看法
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aanat.2026.152795
Zygmunt Domagala , Bartosz Ros , Katarzyna Siekaniec , Katarzyna Siwek , Emilia Kielczynska , Emiliya Abukhovich , Patrycja Tabaka , Mateusz Mazurek , Slawomir Wozniak

Background

Anatomical atlases remain a core resource in anatomy education, yet their visual content has long been criticised for imbalanced representation of female and male bodies. While numerous studies have analysed the content of atlases and textbooks, far less is known about how such representations are perceived by medical students themselves.

Material and methods

An anonymous survey was conducted among first- and second-year medical students from two academic centres in Poland. A structured, exploratory questionnaire included demographic items and eight Likert-scale statements addressing the educational role of anatomical atlases and perceptions of sex representation in anatomical imagery. A composite sex-representation awareness score was calculated from items Q2–Q8. Statistical analysis included descriptive statistics, non-parametric item-level comparisons, and model-based regression analysis to examine the association between students’ perceptions and sex, academic centre, and year of study.

Results

A total of 257 students participated in the study. No significant differences in the composite awareness score were observed between academic centres or years of study. In contrast, students’ sex emerged as a significant predictor: female students demonstrated higher awareness of insufficient female body representation in anatomical atlases compared with male students. Item-level analyses showed that female students more frequently recognised the predominance of male depictions and associated the lack of female representation with potential educational consequences, whereas male students more often accepted the existing visual dominance of male figures.

Conclusions

Medical students are aware of sex imbalance in anatomical atlases, with female students showing greater sensitivity to this issue. These findings highlight the importance of incorporating students’ perspectives into discussions of anatomical education and support the need for more balanced and inclusive visual representations in teaching materials.
解剖学地图集仍然是解剖学教育的核心资源,但其视觉内容长期以来因女性和男性身体的不平衡而受到批评。虽然有许多研究分析了地图册和教科书的内容,但对医学生自己如何理解这些表述知之甚少。材料和方法在波兰两个学术中心的一年级和二年级医科学生中进行了一项匿名调查。一份结构化的探索性问卷包括人口统计项目和八个李克特量表陈述,以解决解剖地图集的教育作用和解剖图像中性别代表的感知。从Q2-Q8项计算复合性别表征意识得分。统计分析包括描述性统计、非参数项目水平比较和基于模型的回归分析,以检验学生的感知与性别、学术中心和学习年份之间的关系。结果共有257名学生参与研究。在学术中心或学习年限之间,复合意识得分没有显著差异。相比之下,学生的性别成为一个重要的预测因素:与男生相比,女生对解剖图集中女性身体表现不足的意识更高。项目层面的分析表明,女学生更容易认识到男性形象的优势,并将女性形象的缺乏与潜在的教育后果联系起来,而男学生则更容易接受男性形象在视觉上的优势。结论医学生意识到解剖图谱性别失衡,女生对这一问题更敏感。这些发现强调了将学生的观点纳入解剖教育讨论的重要性,并支持在教材中需要更平衡和包容的视觉表现。
{"title":"Invisible women in anatomy: Medical students’ perceptions of sex representation in anatomical atlases","authors":"Zygmunt Domagala ,&nbsp;Bartosz Ros ,&nbsp;Katarzyna Siekaniec ,&nbsp;Katarzyna Siwek ,&nbsp;Emilia Kielczynska ,&nbsp;Emiliya Abukhovich ,&nbsp;Patrycja Tabaka ,&nbsp;Mateusz Mazurek ,&nbsp;Slawomir Wozniak","doi":"10.1016/j.aanat.2026.152795","DOIUrl":"10.1016/j.aanat.2026.152795","url":null,"abstract":"<div><h3>Background</h3><div>Anatomical atlases remain a core resource in anatomy education, yet their visual content has long been criticised for imbalanced representation of female and male bodies. While numerous studies have analysed the content of atlases and textbooks, far less is known about how such representations are perceived by medical students themselves.</div></div><div><h3>Material and methods</h3><div>An anonymous survey was conducted among first- and second-year medical students from two academic centres in Poland. A structured, exploratory questionnaire included demographic items and eight Likert-scale statements addressing the educational role of anatomical atlases and perceptions of sex representation in anatomical imagery. A composite sex-representation awareness score was calculated from items Q2–Q8. Statistical analysis included descriptive statistics, non-parametric item-level comparisons, and model-based regression analysis to examine the association between students’ perceptions and sex, academic centre, and year of study.</div></div><div><h3>Results</h3><div>A total of 257 students participated in the study. No significant differences in the composite awareness score were observed between academic centres or years of study. In contrast, students’ sex emerged as a significant predictor: female students demonstrated higher awareness of insufficient female body representation in anatomical atlases compared with male students. Item-level analyses showed that female students more frequently recognised the predominance of male depictions and associated the lack of female representation with potential educational consequences, whereas male students more often accepted the existing visual dominance of male figures.</div></div><div><h3>Conclusions</h3><div>Medical students are aware of sex imbalance in anatomical atlases, with female students showing greater sensitivity to this issue. These findings highlight the importance of incorporating students’ perspectives into discussions of anatomical education and support the need for more balanced and inclusive visual representations in teaching materials.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"265 ","pages":"Article 152795"},"PeriodicalIF":1.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146006654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Annals of Anatomy-Anatomischer Anzeiger
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