首页 > 最新文献

National Journal of Clinical Anatomy最新文献

英文 中文
Morphometric Analysis of Lumbar Dorsal Root Ganglia: A Cadaveric Study 腰椎背根神经节的形态计量学分析:尸体解剖研究
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_69_22
K. Rohini, K. Ashok, B. Komala
Background: As there is an increase need for less invasive techniques, especially in the spinal interventional procedures, detailed anatomical structures need to be defined for the better surgical outcome. After an intensive search of the literature, it was found that the available information regarding human lumbar dorsal root ganglia is limited. Therefore, the current study was aimed to analyze the morphometry and location of the dorsal root ganglia in lumbar region. Materials and Methods: One hundred intervertebral foramina from 10 formalin-fixed human cadavers examined from L1 to L5 level. The morphometry of dorsal root ganglia was noted and evaluated. The position of dorsal root ganglia was classified based on its relation to pedicle. Results: The mean length of the dorsal root ganglia was L1, 6.49 mm; L2, 9.63 mm; L3, 12.18 mm; L4, 13.43 mm; L5, 14.95 mm. The mean width was L1, 5.01 mm; L2, 5.96 mm; L3, 6.71 mm; L4, 6.8 mm; L5, 6.83 mm. The mean distance between the dorsal root ganglia and the nerve root was L1, 3.51 mm; L2, 4.03 mm; L3, 5.2 mm; L4, 7.24 mm; L5, 8.46 mm. Most of dorsal root ganglia were intraspinal in L1-L2 intervertebral foramen, intraforaminal in L2-L3 to L4-L5 level and extraforaminal at L5-S1. Conclusion: In-depth knowledge of position of dorsal root ganglia will be helpful in safely performing surgery in the lumbar spinal region.
背景:随着对微创技术需求的增加,特别是在脊柱介入手术中,为了获得更好的手术效果,需要明确详细的解剖结构。经过深入的文献检索,我们发现关于人类腰背根神经节的信息是有限的。因此,本研究旨在分析腰椎背根神经节的形态和位置。材料与方法:对10具经福尔马林固定的人体尸体进行L1至L5级100个椎间孔的检查。观察并评价背根神经节的形态学变化。根据背根神经节与椎弓根的关系对背根神经节的位置进行了分类。结果:背根神经节平均长度为L1, 6.49 mm;L2, 9.63 mm;L3, 12.18 mm;L4, 13.43 mm;L5, 14.95毫米。平均宽度L1, 5.01 mm;L2, 5.96 mm;L3, 6.71 mm;L4, 6.8 mm;L5, 6.83毫米。背根神经节与神经根的平均距离为L1, 3.51 mm;L2, 4.03 mm;L3, 5.2 mm;L4, 7.24 mm;L5, 8.46毫米。背根神经节主要分布在L1-L2椎间孔内、L2-L3至L4-L5椎间孔内和L5-S1椎间孔外。结论:深入了解背根神经节的位置,有助于安全进行腰椎区手术。
{"title":"Morphometric Analysis of Lumbar Dorsal Root Ganglia: A Cadaveric Study","authors":"K. Rohini, K. Ashok, B. Komala","doi":"10.4103/NJCA.NJCA_69_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_69_22","url":null,"abstract":"Background: As there is an increase need for less invasive techniques, especially in the spinal interventional procedures, detailed anatomical structures need to be defined for the better surgical outcome. After an intensive search of the literature, it was found that the available information regarding human lumbar dorsal root ganglia is limited. Therefore, the current study was aimed to analyze the morphometry and location of the dorsal root ganglia in lumbar region. Materials and Methods: One hundred intervertebral foramina from 10 formalin-fixed human cadavers examined from L1 to L5 level. The morphometry of dorsal root ganglia was noted and evaluated. The position of dorsal root ganglia was classified based on its relation to pedicle. Results: The mean length of the dorsal root ganglia was L1, 6.49 mm; L2, 9.63 mm; L3, 12.18 mm; L4, 13.43 mm; L5, 14.95 mm. The mean width was L1, 5.01 mm; L2, 5.96 mm; L3, 6.71 mm; L4, 6.8 mm; L5, 6.83 mm. The mean distance between the dorsal root ganglia and the nerve root was L1, 3.51 mm; L2, 4.03 mm; L3, 5.2 mm; L4, 7.24 mm; L5, 8.46 mm. Most of dorsal root ganglia were intraspinal in L1-L2 intervertebral foramen, intraforaminal in L2-L3 to L4-L5 level and extraforaminal at L5-S1. Conclusion: In-depth knowledge of position of dorsal root ganglia will be helpful in safely performing surgery in the lumbar spinal region.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44413276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perforators of the arm to provide anatomical basis to skin flaps: A cadaveric study 手臂穿孔器为皮瓣提供解剖学基础:尸体研究
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_89_22
Ritu Singh, Pooja Singh, Deepshikha Kori, N. Kumar, A. Pankaj, N. Gupta
Introduction: The upper extremity is commonly involved in severe soft tissue defects that can be challenging functionally and cosmetically. Anatomical studies on skin vascularization provide developmental base for the flap nourished by perforating arteries. Perforator flaps reduce donor site morbidity and recovery time. Therefore, in case of cosmetic surgery of soft tissue defect of the arm, it is mandatory for reconstructive surgeons to have beforehand knowledge of vascular anatomy of cutaneous perforators of the arm. Hence, a study was done to evaluate the total number of perforators, distribution from bony landmarks, and pedicle length from source vessels on the medial, lateral, and posterior aspects of the arm. Methodology: The study was undertaken at the Department of Anatomy, King George's Medical University, Lucknow, on 15 upper limbs of fresh cadavers of both the sexes of adult age group. Methylene blue dye was injected into the arterial system of the arm. After one hour, perforators were visualized by incising the margins of the stained arm skin. Results: We observed that maximum numbers of perforators were contributed by direct branch of the brachial artery (49.7%), followed by superior ulnar collateral artery. Numbers of perforators on the medial aspect of the arm were maximum (52.0%), followed by lateral aspect and posterior aspect of the upper arm. Perforators supplying the posterior and lateral aspects of the arm had the maximum mean length. Conclusion: Thus, a detail understanding of position, length, and numbers of perforators of the arm helps surgeons to predefine the appropriate perforator flaps for reconstructive surgeries.
简介:上肢通常涉及严重的软组织缺陷,这在功能和美容方面都具有挑战性。皮肤血管形成的解剖学研究为穿通动脉营养皮瓣的发育提供了基础。穿孔皮瓣可减少供区的发病率和恢复时间。因此,在手臂软组织缺损的美容手术中,重建外科医生必须事先了解手臂皮肤穿支的血管解剖。因此,进行了一项研究,以评估手臂内侧、外侧和后侧的穿支总数、骨标志的分布以及来源血管的椎弓根长度。方法:这项研究在勒克瑙乔治国王医科大学解剖学系进行,对15具成年男女新鲜尸体的上肢进行了研究。将亚甲蓝染料注射到手臂的动脉系统中。一小时后,通过切开染色的手臂皮肤的边缘,可以看到穿孔器。结果:我们观察到,穿支数量最多的是肱动脉的直接支(49.7%),其次是尺上副动脉。上臂内侧的穿支数量最多(52.0%),其次是上臂外侧和后侧。供应手臂后侧和外侧的穿孔器具有最大平均长度。结论:因此,详细了解手臂穿支的位置、长度和数量有助于外科医生为重建手术预先确定合适的穿支皮瓣。
{"title":"Perforators of the arm to provide anatomical basis to skin flaps: A cadaveric study","authors":"Ritu Singh, Pooja Singh, Deepshikha Kori, N. Kumar, A. Pankaj, N. Gupta","doi":"10.4103/NJCA.NJCA_89_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_89_22","url":null,"abstract":"Introduction: The upper extremity is commonly involved in severe soft tissue defects that can be challenging functionally and cosmetically. Anatomical studies on skin vascularization provide developmental base for the flap nourished by perforating arteries. Perforator flaps reduce donor site morbidity and recovery time. Therefore, in case of cosmetic surgery of soft tissue defect of the arm, it is mandatory for reconstructive surgeons to have beforehand knowledge of vascular anatomy of cutaneous perforators of the arm. Hence, a study was done to evaluate the total number of perforators, distribution from bony landmarks, and pedicle length from source vessels on the medial, lateral, and posterior aspects of the arm. Methodology: The study was undertaken at the Department of Anatomy, King George's Medical University, Lucknow, on 15 upper limbs of fresh cadavers of both the sexes of adult age group. Methylene blue dye was injected into the arterial system of the arm. After one hour, perforators were visualized by incising the margins of the stained arm skin. Results: We observed that maximum numbers of perforators were contributed by direct branch of the brachial artery (49.7%), followed by superior ulnar collateral artery. Numbers of perforators on the medial aspect of the arm were maximum (52.0%), followed by lateral aspect and posterior aspect of the upper arm. Perforators supplying the posterior and lateral aspects of the arm had the maximum mean length. Conclusion: Thus, a detail understanding of position, length, and numbers of perforators of the arm helps surgeons to predefine the appropriate perforator flaps for reconstructive surgeries.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46155191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Morphometric variations in lobes and fissures of the lung: A cadaveric study in Pune region of Maharashtra 肺叶和肺裂的形态学变化:马哈拉施特拉邦浦那地区的一项尸体研究
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_73_22
A. Shinde, Dinesh L. Patel
Background: Fissures are formed by the pleura covering the lungs. Right lung has horizontal and oblique fissures dividing the right lung into three lobes. Left lung has only oblique fissure dividing it into two lobes. Variations such as accessory, incomplete, and absence of fissure are documented in the literature. Methodology: This is a descriptive cadaveric study undertaken to determine the incidence of variation of fissures and lobes of the lung in the Pune region of Maharashtra. Results: Variations in fissures such as accessory fissure, incomplete fissure, and horizontal fissure in the left lung are seen. A rare finding of horizontal T-shaped pattern in the middle lobe was reported in two lungs. Five-, four-, three-, two-, and single-lobed lung are found. Conclusion: Variations in the number of lobes of the lung and fissures are pivotal for pulmonologists and cardiothoracic surgeons. Clinical misinterpretation in cases of air leaks and planned lobectomy can be avoided by knowledge of these variations.
背景:肺裂是由覆盖肺部的胸膜形成的。右肺有水平和斜裂,将右肺分为三个肺叶。左肺只有斜裂,将其分成两个肺叶。文献中记录了诸如附属、不完整和无裂缝等变化。方法:这是一项描述性尸体研究,旨在确定马哈拉施特拉邦浦那地区肺裂和肺叶变异的发生率。结果:左肺可见副裂、不完全裂、水平裂等裂隙变化。据报道,在两个肺中发现了罕见的中间叶水平T形图案。发现了五、四、三、二和单瓣肺。结论:肺叶和肺裂数量的变化是肺科医生和心胸外科医生的关键。了解这些变化可以避免漏气和计划肺叶切除术的临床误解。
{"title":"Morphometric variations in lobes and fissures of the lung: A cadaveric study in Pune region of Maharashtra","authors":"A. Shinde, Dinesh L. Patel","doi":"10.4103/NJCA.NJCA_73_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_73_22","url":null,"abstract":"Background: Fissures are formed by the pleura covering the lungs. Right lung has horizontal and oblique fissures dividing the right lung into three lobes. Left lung has only oblique fissure dividing it into two lobes. Variations such as accessory, incomplete, and absence of fissure are documented in the literature. Methodology: This is a descriptive cadaveric study undertaken to determine the incidence of variation of fissures and lobes of the lung in the Pune region of Maharashtra. Results: Variations in fissures such as accessory fissure, incomplete fissure, and horizontal fissure in the left lung are seen. A rare finding of horizontal T-shaped pattern in the middle lobe was reported in two lungs. Five-, four-, three-, two-, and single-lobed lung are found. Conclusion: Variations in the number of lobes of the lung and fissures are pivotal for pulmonologists and cardiothoracic surgeons. Clinical misinterpretation in cases of air leaks and planned lobectomy can be avoided by knowledge of these variations.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45811093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical relevance of the caudate linguiform process (ponticulus hepatis) in human liver 人类肝脏尾状舌状突起(肝桥)的临床意义
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_94_22
S. Cawich, M. Gardner, J. Louboutin, V. Naraynsingh
Background: The caudate linguiform process (CLP), also known as Ponticulus Hepatis, is loosely defined as a bridge of hepatic parenchyma that overlaps the inferior vena cava (IVC) fossa, occasionally converting it into a canal. The primary objective of this study was to document anatomic variants of the CLP in the human liver. A secondary objective was to perform a systematic literature review of the CLP. Methodology: We analyzed cadaveric livers and selected those with a CLP for detailed examination. Two types of CLPs were defined: A partial CLP that leaves >9 mm of retrohepatic IVC exposed and a complete CLP that leaves <10 mm of IVC surface visible. The following data were recorded: CLP height, CLP width, CLP thickness, relationship to IVC, and width of exposed IVC. Results: A CLP was present in 36 (64%) of 56 cadaveric livers studied. There were 15 (41.7%) complete CLPs and 21 (58.3%) incomplete CLPs. Complete CLPs had a mean height of 54.22 ± 11.20 mm, width of 12.51 ± 3.56 mm, thickness of 7.39 ± 3.93 mm, and left only 6.38 ± 1.75 mm of exposed IVC. The incomplete CLPs had a mean height of 51.36 ± 11.19 mm, width of 11.44 ± 3.25 mm, thickness of 9.49 ± 4.38 mm and left 13.43 ± 3.35 mm of IVC exposed and accessible. Conclusions: We have proposed exact definitions of the CLP using specific anatomic points that are radiologically identifiable, reproducible, and clinically relevant. There is a high prevalence of CLPs in this population, with 42% being complete CLPs. By preventing access to the retrohepatic IVC, a CLP increases the technical complexity of the surgery.
背景:尾状舌状突(CLP),也称为肝桥,松散地定义为肝实质的桥,与下腔静脉窝重叠,偶尔将其转化为管。本研究的主要目的是记录人类肝脏中CLP的解剖变异。第二个目的是对CLP进行系统的文献综述。方法:我们分析了尸体肝脏,并选择了那些带有CLP的肝脏进行详细检查。定义了两种类型的CLP:肝后IVC暴露>9mm的部分CLP和IVC表面可见<10mm的完全CLP。记录以下数据:CLP高度、CLP宽度、CLP厚度、与IVC的关系以及暴露IVC的宽度。结果:在所研究的56具尸体肝脏中,36具(64%)存在CLP。有15个(41.7%)完全CLP和21个(58.3%)不完全CLP。完整CLP的平均高度为54.22±11.20 mm,宽度为12.51±3.56 mm,厚度为7.39±3.93 mm,仅留下6.38±1.75 mm的暴露IVC。不完全CLP的平均高度为51.36±11.19 mm,宽度为11.44±3.25 mm,厚度为9.49±4.38 mm,IVC暴露在外且可触及13.43±3.35 mm。结论:我们已经提出了CLP的确切定义,使用了放射学上可识别、可重复和临床相关的特定解剖点。CLP在这一人群中的患病率很高,其中42%是完全性CLP。CLP通过阻止进入肝后IVC,增加了手术的技术复杂性。
{"title":"Clinical relevance of the caudate linguiform process (ponticulus hepatis) in human liver","authors":"S. Cawich, M. Gardner, J. Louboutin, V. Naraynsingh","doi":"10.4103/NJCA.NJCA_94_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_94_22","url":null,"abstract":"Background: The caudate linguiform process (CLP), also known as Ponticulus Hepatis, is loosely defined as a bridge of hepatic parenchyma that overlaps the inferior vena cava (IVC) fossa, occasionally converting it into a canal. The primary objective of this study was to document anatomic variants of the CLP in the human liver. A secondary objective was to perform a systematic literature review of the CLP. Methodology: We analyzed cadaveric livers and selected those with a CLP for detailed examination. Two types of CLPs were defined: A partial CLP that leaves >9 mm of retrohepatic IVC exposed and a complete CLP that leaves <10 mm of IVC surface visible. The following data were recorded: CLP height, CLP width, CLP thickness, relationship to IVC, and width of exposed IVC. Results: A CLP was present in 36 (64%) of 56 cadaveric livers studied. There were 15 (41.7%) complete CLPs and 21 (58.3%) incomplete CLPs. Complete CLPs had a mean height of 54.22 ± 11.20 mm, width of 12.51 ± 3.56 mm, thickness of 7.39 ± 3.93 mm, and left only 6.38 ± 1.75 mm of exposed IVC. The incomplete CLPs had a mean height of 51.36 ± 11.19 mm, width of 11.44 ± 3.25 mm, thickness of 9.49 ± 4.38 mm and left 13.43 ± 3.35 mm of IVC exposed and accessible. Conclusions: We have proposed exact definitions of the CLP using specific anatomic points that are radiologically identifiable, reproducible, and clinically relevant. There is a high prevalence of CLPs in this population, with 42% being complete CLPs. By preventing access to the retrohepatic IVC, a CLP increases the technical complexity of the surgery.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42660646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Future of cadaveric dissection in anatomical science education 尸体解剖在解剖科学教育中的应用前景
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_126_22
A. Patra, N. Pushpa, K. Ravi
{"title":"Future of cadaveric dissection in anatomical science education","authors":"A. Patra, N. Pushpa, K. Ravi","doi":"10.4103/NJCA.NJCA_126_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_126_22","url":null,"abstract":"","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49121899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histological Analysis of Coronary Atherosclerosis at Division: A Cadaveric Study 冠状动脉粥样硬化的组织学分析:一项尸体研究
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_2_22
Deepshikha Kori, Ritu Singh, Pooja Singh, Ganpat Prasad, A. Rani, R. Verma, Navneet Kumar
Background: Coronary artery disease is the leading cause of mortality in India and it is predominately due to atherosclerosis. The present study was conducted to determine the prevalence of atherosclerosis in coronary arteries without a history of cardiac disease and to determine plaque location in the coronary arterial system. Methodology: This study was conducted in the departments of anatomy and forensic medicine on 50 adult human hearts which had no history of cardiac disease. The coronary arteries were dissected, and 300 sections were taken from the origin, division, and from the distal end of right and left coronary arteries. These tissues underwent (histological) evaluation to note atherosclerosis. Results: In the present study, out of 50 cases, 40 (80%) had atherosclerosis. The majority of atherosclerosis was present at the division of coronary arteries (18.6%). Seventy-two percentage of atherosclerosis is present at left coronary artery (LCA) division (bifurcation) and 40% at right coronary artery (RCA) division (bifurcation). Grade I atherosclerosis was observed in 18.3% of hearts, grade II in 7%, and grade III in 2% of specimens, respectively. Both RCA and LCA had a higher proportion and grade of atherosclerosis at bifurcation points than proximal and distal segments. Conclusion: The proportion and grade of atherosclerosis are significantly higher at the division of coronary arteries without a history of cardiac disease. The identification of high-risk areas for atherosclerosis will lead to future advances in locally oriented preventive strategies.
背景:冠状动脉疾病是印度死亡的主要原因,主要是由于动脉粥样硬化。本研究旨在确定无心脏病史的冠状动脉中动脉粥样硬化的患病率,并确定冠状动脉系统中斑块的位置。方法:本研究在解剖学和法医学部门对50例无心脏病史的成人心脏进行了研究。解剖冠状动脉,从右冠状动脉和左冠状动脉的起源、分支和远端取300个切片。对这些组织进行了(组织学)评估,以发现动脉粥样硬化。结果:在本研究中,50例患者中有40例(80%)患有动脉粥样硬化。大多数动脉粥样硬化出现在冠状动脉的分支(18.6%)。72%的动脉粥样硬化出现在左冠状动脉(LCA)分支(分叉),40%出现在右冠状动脉(RCA)分支(分岔)。在18.3%的心脏中观察到I级动脉粥样硬化,在7%的标本中观察到II级动脉粥样硬化,以及在2%的标本中观测到III级动脉粥样硬化。RCA和LCA在分叉点的动脉粥样硬化比例和级别均高于近端和远端节段。结论:无心脏病史的冠状动脉分支动脉粥样硬化的比例和程度明显较高。动脉粥样硬化高危区域的确定将有助于未来局部预防策略的发展。
{"title":"Histological Analysis of Coronary Atherosclerosis at Division: A Cadaveric Study","authors":"Deepshikha Kori, Ritu Singh, Pooja Singh, Ganpat Prasad, A. Rani, R. Verma, Navneet Kumar","doi":"10.4103/NJCA.NJCA_2_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_2_22","url":null,"abstract":"Background: Coronary artery disease is the leading cause of mortality in India and it is predominately due to atherosclerosis. The present study was conducted to determine the prevalence of atherosclerosis in coronary arteries without a history of cardiac disease and to determine plaque location in the coronary arterial system. Methodology: This study was conducted in the departments of anatomy and forensic medicine on 50 adult human hearts which had no history of cardiac disease. The coronary arteries were dissected, and 300 sections were taken from the origin, division, and from the distal end of right and left coronary arteries. These tissues underwent (histological) evaluation to note atherosclerosis. Results: In the present study, out of 50 cases, 40 (80%) had atherosclerosis. The majority of atherosclerosis was present at the division of coronary arteries (18.6%). Seventy-two percentage of atherosclerosis is present at left coronary artery (LCA) division (bifurcation) and 40% at right coronary artery (RCA) division (bifurcation). Grade I atherosclerosis was observed in 18.3% of hearts, grade II in 7%, and grade III in 2% of specimens, respectively. Both RCA and LCA had a higher proportion and grade of atherosclerosis at bifurcation points than proximal and distal segments. Conclusion: The proportion and grade of atherosclerosis are significantly higher at the division of coronary arteries without a history of cardiac disease. The identification of high-risk areas for atherosclerosis will lead to future advances in locally oriented preventive strategies.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41341560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Morphology and histogenesis of human fetal thyroid gland 人胎儿甲状腺的形态学和组织发生
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_93_22
Y. Jalaja, C. Anbarasi
Introduction: About 5% of the world population is affected from various thyroid disorders. The present study is undertaken to describe the morphological and morphometric variations in the fetal thyroid glands of thyroid at different stages of development in the intrauterine life. Methodology: Forty medically terminated fetuses of both sexes ranging from 15 to 36 weeks of gestation were included. The external parameters recorded were: Fetal weight; crown-rump length; foot Length; Location; Presence/absence of isthmus; Presence of pyramidal lobe; Presence of an accessory thyroid tissue were observed in situ. The length, width, and thickness of each lobe and the isthmus were noted. Results: The specimens were categorized into three gestational groups, i.e., 10–20 weeks, 21–30 weeks, and 31–40 weeks. The statistical analysis suggests that there is significant increase in fetal thyroid weight, lengths and widths of the right and left lobes, and length of the isthmus with increase in gestational age. There was no significant increase in width of isthmus with gestational age. There was no significant difference in all thyroid parameters by gender. Conclusion: The data regarding the various parameters collected and analyzed in the present study emphasized the significance of an insight into the morphological variations, morphometric dimensions, and histological findings of foetal thyroid glands in diagnosing various diseases.
简介:世界上大约5%的人口患有各种甲状腺疾病。本研究旨在描述胎儿甲状腺在宫内不同发育阶段的形态学和形态计量学变化。方法:纳入40例妊娠15至36周的医学终止妊娠胎儿。记录的外部参数为:胎儿体重;冠臀长度;脚部长度;地方峡部存在/不存在;存在锥体叶;原位观察到副甲状腺组织的存在。记录每个肺叶和峡部的长度、宽度和厚度。结果:标本分为三个妊娠组,即10-20周、21-30周和31-40周。统计分析表明,随着胎龄的增加,胎儿甲状腺重量、左右叶的长度和宽度以及峡部的长度显著增加。峡部宽度并没有随着胎龄的增加而显著增加。不同性别的甲状腺参数无显著差异。结论:本研究中收集和分析的有关各种参数的数据强调了深入了解胎儿甲状腺的形态变异、形态计量学维度和组织学表现对诊断各种疾病的意义。
{"title":"Morphology and histogenesis of human fetal thyroid gland","authors":"Y. Jalaja, C. Anbarasi","doi":"10.4103/NJCA.NJCA_93_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_93_22","url":null,"abstract":"Introduction: About 5% of the world population is affected from various thyroid disorders. The present study is undertaken to describe the morphological and morphometric variations in the fetal thyroid glands of thyroid at different stages of development in the intrauterine life. Methodology: Forty medically terminated fetuses of both sexes ranging from 15 to 36 weeks of gestation were included. The external parameters recorded were: Fetal weight; crown-rump length; foot Length; Location; Presence/absence of isthmus; Presence of pyramidal lobe; Presence of an accessory thyroid tissue were observed in situ. The length, width, and thickness of each lobe and the isthmus were noted. Results: The specimens were categorized into three gestational groups, i.e., 10–20 weeks, 21–30 weeks, and 31–40 weeks. The statistical analysis suggests that there is significant increase in fetal thyroid weight, lengths and widths of the right and left lobes, and length of the isthmus with increase in gestational age. There was no significant increase in width of isthmus with gestational age. There was no significant difference in all thyroid parameters by gender. Conclusion: The data regarding the various parameters collected and analyzed in the present study emphasized the significance of an insight into the morphological variations, morphometric dimensions, and histological findings of foetal thyroid glands in diagnosing various diseases.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43072256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prediction of height using hand and foot parameters in Maharashtrian population 马哈拉施特拉邦人口手足参数预测身高
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_52_22
Supriya Methepatil, V. Dethe
Background: Height, a reflection of skeletal growth, is important in calculating various parameters such as lung volumes, glomerular filtration, and metabolic rate. In forensic medicine, where skeletal remains are recovered, calculating the stature is necessary. Estimation of height is important in design of prosthetic body parts and reconstruction surgeries. The objective of this study was to estimate the height of a person from hand and foot parameters. Methodology: In a cross-sectional study, height, hand length (HL), hand breadth (HB), foot length (FL), and foot breadth (FB) were measured in a sample of 200 students (116 females and 84 males) aged between 18 and 24 years. Multiple regression model was used to derive equations for calculation of height from these parameters. Results: Three different multiple regression equations were derived for total cases and for male population and female population separately. The equation for estimation of height in males is 78.808 + 3.592 FL − 1.094 FB + 0.508 HL + 0.003 HB, in females is 69.042 + 3.889 FL + 0.729 FB + 0.621 HL − 1.077 HB and in general is 53.649 + 3.884 FL − 0.285 FB + 0.509 HL + 1.084 HB. The multiple correlation coefficient® is 0.844 for total population and 0.673 for male population and 0.733 for female population (P = 0.001 indicating high significance). Conclusion: Multiple regression equations using FL, FB, HL, and HB can predict height.
背景:身高是骨骼生长的反映,在计算肺容量、肾小球滤过和代谢率等各种参数时很重要。在法医中,在找到骨骼遗骸时,计算身高是必要的。高度的估计在假肢肢体设计和重建手术中具有重要意义。本研究的目的是从手和脚的参数来估计一个人的身高。方法:在一项横断面研究中,测量了200名年龄在18至24岁之间的学生(116名女性和84名男性)的身高、手长(HL)、手宽(HB)、脚长(FL)和脚宽(FB)。利用多元回归模型推导出这些参数的高度计算方程。结果:分别导出了总病例数、男性种群和女性种群的3种不同的多元回归方程。男性身高估算方程为78.808 + 3.592 FL−1.094 FB + 0.508 HL + 0.003 HB,女性身高估算方程为69.042 + 3.889 FL + 0.729 FB + 0.621 HL−1.077 HB,总体身高估算方程为53.649 + 3.884 FL−0.285 FB + 0.509 HL + 1.084 HB。总体的多重相关系数为0.844,男性群体为0.673,女性群体为0.733 (P = 0.001表示高度显著)。结论:利用FL、FB、HL、HB的多元回归方程可以预测身高。
{"title":"Prediction of height using hand and foot parameters in Maharashtrian population","authors":"Supriya Methepatil, V. Dethe","doi":"10.4103/NJCA.NJCA_52_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_52_22","url":null,"abstract":"Background: Height, a reflection of skeletal growth, is important in calculating various parameters such as lung volumes, glomerular filtration, and metabolic rate. In forensic medicine, where skeletal remains are recovered, calculating the stature is necessary. Estimation of height is important in design of prosthetic body parts and reconstruction surgeries. The objective of this study was to estimate the height of a person from hand and foot parameters. Methodology: In a cross-sectional study, height, hand length (HL), hand breadth (HB), foot length (FL), and foot breadth (FB) were measured in a sample of 200 students (116 females and 84 males) aged between 18 and 24 years. Multiple regression model was used to derive equations for calculation of height from these parameters. Results: Three different multiple regression equations were derived for total cases and for male population and female population separately. The equation for estimation of height in males is 78.808 + 3.592 FL − 1.094 FB + 0.508 HL + 0.003 HB, in females is 69.042 + 3.889 FL + 0.729 FB + 0.621 HL − 1.077 HB and in general is 53.649 + 3.884 FL − 0.285 FB + 0.509 HL + 1.084 HB. The multiple correlation coefficient® is 0.844 for total population and 0.673 for male population and 0.733 for female population (P = 0.001 indicating high significance). Conclusion: Multiple regression equations using FL, FB, HL, and HB can predict height.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43831700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A clinically relevant classification of rouvière's sulcus used in the West Indies 西印度群岛rouvi<e:1>沟的临床相关分类
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_100_22
S. Cawich, M. Gardner, J. Louboutin, V. Naraynsingh
Rouvière's sulcus is an important intra-operative landmark for laparoscopic surgeons. However, there are numerous definitions and classification systems for Rouvière's sulcus in medical literature. We propose a uniform definition and classification system to be used by researchers so that we can make meaningful comparisons of data.
Rouvière沟是腹腔镜手术中的一个重要标志。然而,在医学文献中有许多关于Rouvière沟的定义和分类系统。我们提出了一个统一的定义和分类系统供研究人员使用,以便我们能够对数据进行有意义的比较。
{"title":"A clinically relevant classification of rouvière's sulcus used in the West Indies","authors":"S. Cawich, M. Gardner, J. Louboutin, V. Naraynsingh","doi":"10.4103/NJCA.NJCA_100_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_100_22","url":null,"abstract":"Rouvière's sulcus is an important intra-operative landmark for laparoscopic surgeons. However, there are numerous definitions and classification systems for Rouvière's sulcus in medical literature. We propose a uniform definition and classification system to be used by researchers so that we can make meaningful comparisons of data.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44994787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aural and nasal anthropometry: An observational study 耳鼻人体测量:一项观察性研究
Q4 Medicine Pub Date : 2022-07-01 DOI: 10.4103/NJCA.NJCA_88_22
Pratima Jaiswal, Aastha Sharma, Aarushi Jain
Background: Neoclassical analysis of the human face is based on assumptions that certain fixed ratios exist between parameters of a harmonious face, these relationships of the human face have been called canons. One of the facial canons is nasoaural proportion canon most commonly followed for facial reconstructive surgeries. This study aimed to determine the applicability of nasoaural proportion and inclination canon in the participants and to explore the sexual dimorphism of nasoaural parameters among them. Methodology: This observational study was performed in the department of anatomy from May 2018 to May 2019. The study participants aged from 18 to 25 years of which 50 were male and 50 were female. Nose height and ear height were measured by a digital vernier caliper. Nasofacial angle and ear angle were measured using a goniometer. All the parametric data were analyzed by t-test using MedCalc software. Results: Classical nasoaural facial canon was followed by only one (male) participant while none of the males and females followed the classical nasoaural canon. The average ratio of nose height to ear height was 0.7 in both genders. Nasoaural canon showed that nasal height and ear height were fairly correlated. The inclination canon was followed by 18% males and 8% females only. Conclusion: The ideal neoclassical canons did not seem to apply to our sample when measurements were implemented. Therefore, these cannot prove a useful basis of modus operandi in achieving esthetic goals in the Indian population.
背景:对人脸的新古典分析是基于这样的假设,即和谐人脸的参数之间存在一定的固定比例,这些人脸关系被称为经典。面部标准之一是鼻听觉比例标准,最常用于面部重建手术。本研究旨在确定鼻听觉比例和倾斜标准在参与者中的适用性,并探讨他们之间鼻听觉参数的性别差异。方法:这项观察性研究于2018年5月至2019年5月在解剖学系进行。研究参与者年龄在18至25岁之间,其中50人为男性,50人为女性。用数字游标卡尺测量鼻子高度和耳朵高度。使用角度计测量鼻面角和耳角。所有参数数据均采用MedCalc软件进行t检验。结果:只有一名(男性)受试者遵循了经典鼻耳面正典,而男性和女性均未遵循经典鼻耳道正典。男女的鼻高与耳高的平均比值均为0.7。鼻耳部正典显示,鼻高与耳高之间存在着相当的相关性。遵循倾斜正典的男性为18%,女性仅为8%。结论:在进行测量时,理想的新古典主义准则似乎不适用于我们的样本。因此,这些不能证明是在印度人口中实现审美目标的有用的操作方式基础。
{"title":"Aural and nasal anthropometry: An observational study","authors":"Pratima Jaiswal, Aastha Sharma, Aarushi Jain","doi":"10.4103/NJCA.NJCA_88_22","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_88_22","url":null,"abstract":"Background: Neoclassical analysis of the human face is based on assumptions that certain fixed ratios exist between parameters of a harmonious face, these relationships of the human face have been called canons. One of the facial canons is nasoaural proportion canon most commonly followed for facial reconstructive surgeries. This study aimed to determine the applicability of nasoaural proportion and inclination canon in the participants and to explore the sexual dimorphism of nasoaural parameters among them. Methodology: This observational study was performed in the department of anatomy from May 2018 to May 2019. The study participants aged from 18 to 25 years of which 50 were male and 50 were female. Nose height and ear height were measured by a digital vernier caliper. Nasofacial angle and ear angle were measured using a goniometer. All the parametric data were analyzed by t-test using MedCalc software. Results: Classical nasoaural facial canon was followed by only one (male) participant while none of the males and females followed the classical nasoaural canon. The average ratio of nose height to ear height was 0.7 in both genders. Nasoaural canon showed that nasal height and ear height were fairly correlated. The inclination canon was followed by 18% males and 8% females only. Conclusion: The ideal neoclassical canons did not seem to apply to our sample when measurements were implemented. Therefore, these cannot prove a useful basis of modus operandi in achieving esthetic goals in the Indian population.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45003711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
National Journal of Clinical Anatomy
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1