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A case of accessory anterior hepatic fissure: Cadaveric study with retrospective radiological investigation into its vascularity 副肝前裂1例:尸体研究及其血管的回顾性影像学检查
Q4 Medicine Pub Date : 2022-04-01 DOI: 10.4103/njca.njca_91_21
Madhumita Patnaik, S. Mohakud, M. Gaikwad, P. Ravi
The hepatic diaphragmatic surface is usually smooth and featureless. Although the existing literature mentions grooves or fissures on the diaphragmatic surface, there is no consensus regarding its causative factors. During routine dissection, the authors found a liver with a broad accessory fissure on the anterior surface of the anatomical right lobe. An enlarged hepatic area was observed on the left side of this accessory fissure. The undersurface of the right hemidiaphragm had a diaphragmatic band that extended into the hepatic fissure. The morphometry of the accessory fissure was studied. Retrospective magnetic resonance imaging showed that the middle hepatic vein was to the immediate right of the accessory fissure. Histological examination was done to confirm the presence of muscle tissue in the hypertrophied diaphragmatic band. As the need for surgeries and transplantations of the liver rises, there is a need to understand the hepatic macroscopic anatomy and its radiological correlation.
肝膈面通常光滑无特征。虽然已有文献提到横膈膜表面有沟槽或裂隙,但其病因尚无共识。在常规解剖中,作者发现肝脏解剖右叶前表面有一个宽的副裂。在副裂左侧可见肝面积增大。右半膈下表面有横膈膜带延伸至肝裂。对副裂进行了形态学研究。回顾性磁共振成像显示肝中静脉位于副裂的右侧。组织学检查证实在肥大的膈带中存在肌肉组织。随着肝脏手术和移植需求的增加,有必要了解肝脏的宏观解剖及其影像学相关性。
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引用次数: 0
Morphometric and morphological variants of pterion with its clinical importance in South Indian population 蕨类的形态计量学和形态变异及其在南印度人群中的临床意义
Q4 Medicine Pub Date : 2022-04-01 DOI: 10.4103/njca.njca_149_21
Sipra Rout, Mythraeyee Prasad
Background: Pterion is a critical neuroanatomical landmark in various neurosurgical approaches, including for the placement of burr holes. In addition, it also holds significance from radiological, anthropological, and forensic point of view. Thus, we undertook the current study to investigate the prevalence of different morphological types of pterion along with their morphometric parameters from adjacent bony landmarks in the south Indian population. Methodology: A total of 64 adult dry human skulls of unknown gender and age were included for the study. All skulls were grossly normal. The types of pterions were classified on both sides based on Murphy's classification. The vertical linear distance from the center of the pterion to the zygomatic arch (PZ) and to the anterior border of the frontozygomatic suture (PF) was measured with a digital vernier caliper. Data were statistically analyzed. Results: All four varieties of pterion were noticed. The sphenoparietal variety was found as most predominant bilaterally (81%), followed by epipteric (12.5%) stellate (3.9%) and frontotemporal (2.39%). One of the epipteric varieties consists of an unusually large ossicle. Pterion was typically located 3.59 ± 0.43cm behind the fronto zygomatic suture and 3.71 ± 0.34 cm above the zygomatic arch. Conclusion: The sphenoparietal variant of pterion was predominant on both sides, followed by epipteric variety.
背景:Pterion是各种神经外科手术方法中的重要神经解剖学标志,包括毛刺孔的放置。此外,它还具有放射学、人类学和法医学的意义。因此,我们进行了目前的研究,以调查南印度人群中不同形态类型的蕨类的患病率及其相邻骨标志的形态计量参数。方法:共有64个性别和年龄未知的成年干燥人类头骨被纳入研究。所有头骨都非常正常。根据Murphy分类法对两侧的蕨类植物类型进行了分类。用数字游标卡尺测量从翼点中心到颧骨弓(PZ)和额翼缝合线(PF)前缘的垂直直线距离。对数据进行统计分析。结果:四个蕨类品种均被发现。蝶顶变体在双侧(81%)最为常见,其次是表侧(12.5%)星状(3.9%)和额颞叶(2.39%)。其中一个表侧变体由异常大的小骨组成。Pterion通常位于额-颧骨缝合线后方3.59±0.43cm,颧弓上方3.71±0.34cm。结论:两侧以蝶腭变异为主,其次为表蝶腭变异。
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引用次数: 0
Localization of L5–S1 disc space by utilizing simple on table surface marking in posterior lumbar spine surgery without any radiological assistance: An observational study 在没有任何放射辅助的情况下,后路腰椎手术中使用简单的桌面标记定位L5-S1椎间盘间隙:一项观察性研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_104_21
A. Pattajoshi, T. Dalei
Background: Localization of the spinal levels is an important task during any spinal surgery. The purpose of the study is to assess the accuracy and reliability in identifying L5–S1 disc space by surface localization using Venus of dimple as a landmark in posterior spinal surgery without undertaking any radiological assistance. Methodology: We prospectively analyzed 39 patients, who had undergone primary posterior spine surgery, especially for Prolapsed intervertebral disc mostly affecting the lumbosacral region. Following surface marking using Venus of dimple as a landmark, patients were subjected to surgery with or without prior X-ray evaluation solely on surface localization of L5–S1 disc space. Intraoperatively, the accuracy and reliability of the surface marking were determined. Results: Sixty-four percent of the patients had accurate L5–S1 spine level localization utilizing the above clinical palpatory methods, while 23% of the cases identified L5 spine intraoperatively. On analyzing this surface topographical method with that of X-ray in standing position, the sensitivity and specificity came to be 93.3% and 49%, respectively, with a positive predictive value of 77.8%. Conclusion: The method of localization of L5–S1 space described although cannot fully replace the role of fluoroscopic assistance during spinal surgery, still it is an important, simple, and reliable alternative method of localization which demands its application by the spine surgeons, especially in the beginning of their carrier and in certain specific situations.
背景:脊柱水平的定位是任何脊柱手术的重要任务。本研究的目的是评估在后路脊柱手术中,在没有任何放射辅助的情况下,利用酒窝金星作为标志,通过表面定位识别L5-S1椎间盘间隙的准确性和可靠性。方法:我们前瞻性地分析了39例接受过初级后路脊柱手术的患者,特别是椎间盘突出,主要影响腰骶区。以酒窝金星为标志进行表面标记后,患者接受手术,术前或不术前仅对L5-S1椎间盘间隙的表面定位进行x线评估。术中,确定表面标记的准确性和可靠性。结果:64%的患者使用上述临床触诊方法准确定位L5 - s1脊柱水平,23%的患者术中确定L5脊柱。将该表面形貌法与站立位x线片法进行分析,灵敏度为93.3%,特异度为49%,阳性预测值为77.8%。结论:所描述的L5-S1间隙定位方法虽然不能完全取代脊柱手术中透视辅助的作用,但仍是一种重要、简单、可靠的替代定位方法,需要脊柱外科医生的应用,特别是在刚开始携带者和某些特定情况下。
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引用次数: 0
Semitendinosus tendon morphometry as a graft – A cadaver study 半腱肌腱形态测量作为移植-尸体研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_95_21
Balakrishna N. Shetty, Sweekritha Shetty, Prashanth Umesh
Background: Sports and games have become professional activities. The standard of fitness level is raised. Advancement in arthroscopic anterior cruciate ligament (ACL) reconstruction using free tendon graft is one of the key developments. Autograft with minimal donor site or functional morbidity is the key. The latest is the use of semitendinosus in ACL reconstruction. Preoperative knowledge of graft in terms of size is crucial. The present cadaveric study is an attempt to understand the morphology of the semitendinosus tendon (ST) as tendon graft in the local population. Methodology: A total of 50 male cadaver limbs embalmed with formalin were used for harvesting 50 STs. The exact age and height of the cadavers were not known. The femoral length was used as a measure of body height. Tendon length and quadruple diameters were measured. Anderson–Darling test was used for distribution analysis of all the data. Results: In our study, mean length of the tendon was 27.12 cm which is shorter than the required 28 cm for quadrupling the tendon. The average diameter was 8.14 mm which is slightly more than the minimum required thickness of 8 mm. These two findings suggest that tendons in the Indian population are not long enough for an ideal quadruple graft with more than 8 mm diameter. Conclusion: The result of our study is in conformation with the previous studies on the Indian population and also in the Western population. The height of the individual can be inferred from length of the femur; hence, height can be taken as a good predictor for the length of ST in the Indian population.
背景:体育和游戏已经成为职业活动。健身水平提高了。关节镜下应用游离肌腱移植重建前交叉韧带(ACL)是关键进展之一。具有最小供区或功能性发病率的自体移植物是关键。最新的是半腱肌在ACL重建中的应用。术前对移植物大小的了解至关重要。目前的尸体研究试图了解作为肌腱移植物的半腱肌腱(ST)在当地人群中的形态。方法:用福尔马林防腐的50具男性尸体肢体采集50个ST。尸体的确切年龄和高度尚不清楚。股骨长度被用作测量身高的指标。测量肌腱长度和四倍直径。Anderson–Darling检验用于所有数据的分布分析。结果:在我们的研究中,肌腱的平均长度为27.12cm,比肌腱四倍所需的28cm短。平均直径为8.14毫米,略高于所需的最小厚度8毫米。这两项研究结果表明,印度人群的肌腱不够长,无法进行直径超过8毫米的理想四重移植物。结论:我们的研究结果与以前对印度人口和西方人口的研究一致。个体的身高可以从股骨的长度推断出来;因此,身高可以作为印度人群ST段长度的良好预测指标。
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引用次数: 0
Hepato-duodeno-colic fold and sessile sigmoid colon – Rare peritoneal bands in abdomen 肝十二指肠结肠折叠和无柄乙状结肠——腹部罕见腹膜带
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_138_21
V. Kumar, R. Rajprasath, M. Murugan
The presence of aberrant peritoneal folds is one of the differential diagnoses of intestinal obstruction in the pediatric population. Therefore, knowing the variations in the attachment pattern of peritoneum and its folds is essential. In this context, we report a rare peritoneal fold found during the routine human cadaveric dissection of the abdomen, which is attached superiorly to the liver including the gallbladder and inferiorly extended as a bilaminar fold with one attaching to duodenum and other to transverse colon. In addition, the sigmoid colon was completely plastered to the posterior pelvic wall. This variant peritoneal fold is named as hepato-duodeno-colic ligament and is described in detail with its clinical context. The knowledge regarding this abnormal peritoneal fold would be highly useful for surgeons while planning laparoscopic procedures in the upper quadrant of the abdomen.
异常腹膜折叠的存在是儿科人群中肠梗阻的鉴别诊断之一。因此,了解腹膜及其折叠附着模式的变化是至关重要的。在这种情况下,我们报告了在常规人体尸体解剖腹部时发现的一个罕见的腹膜折叠,它上附着在包括胆囊在内的肝脏上,下延伸为双层折叠,一个附着在十二指肠上,另一个连接在横结肠上。此外,乙状结肠完全贴在骨盆后壁上。这种变体腹膜折叠被命名为肝十二指肠结肠韧带,并详细描述了其临床背景。关于这种异常腹膜折叠的知识对外科医生在计划腹部上腹腹腔镜手术时非常有用。
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引用次数: 0
Morphological study of rouviere's sulcus: An important landmark in laparoscopic cholecystectomy and right segmental liver resection 鲁维埃沟的形态学研究:腹腔镜胆囊切除术和右肝切除术的重要标志
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_121_21
P. Gowda, Suman Udupi
Background: Rouviere's sulcus (RS) is a cleft, on the inferior surface of the liver, extending from the caudate process to the right lobe for a variable distance. Cystic duct and artery lie anterosuperior while the common bile duct lies anterior to this sulcus, making it an important landmark in laparoscopic cholecystectomy. Being situated anterior to segment I of liver and having the right posterior portal pedicle as its frequent content, it is an important guide in right segmental liver resection. This study intends to study the anatomy of the RS. Methodology: The present study was done by analyzing 60 formalin-fixed adult livers, for the presence/absence of RS, its morphology and morphometry. Results: RS was present in 49 (81.66%) specimens, it was oblique in 26 (43.33%), transverse in 23 (38.33%) and absent in 11 (18.33%) specimens, RS was classified into three different types - type 1, type 2, and type 3 based on its degree of penetration into the substance of the liver. Type 1, defined as a deep sulcus was present in 37 (61.66%) specimens. Type 2, a slit-like shallow sulcus was observed in 7 (11.66%) and type 3, scar-like sulcus was observed in 5 (8.33%) of specimens. The average length of RS was 2.84 cm, breadth was 0.18 cm and the average depth of the RS was 0.62 cm. Conclusion: RS is an important extra-biliary landmark of the liver, that could easily be visualized during laparoscopic hepatobiliary surgeries and its identification could definitely reduce the risk of bile duct and vascular injuries during these surgeries. Hence, the in-depth knowledge about the anatomy of RS which is less studied and not included in anatomy literature is essential.
背景:Rouviere沟(RS)是肝脏下表面的一个裂口,从尾状突延伸到右叶有一定距离。胆囊管和动脉位于该沟的前上,胆总管位于该沟的前方,是腹腔镜胆囊切除术的重要标志。它位于肝I节段前方,以右后门静脉蒂为主要内容,对右节段肝切除具有重要指导意义。本研究旨在研究RS的解剖学。方法:本研究通过分析60例福尔马林固定的成人肝脏,对RS的存在/不存在,其形态学和形态学进行了分析。结果:RS病变49例(81.66%),呈斜向病变26例(43.33%),横向病变23例(38.33%),未见病变11例(18.33%),根据RS浸润肝实质程度分为1型、2型、3型。37例(61.66%)标本中出现1型,定义为深沟。2型7例(11.66%)见狭缝样浅沟,3型5例(8.33%)见瘢痕样浅沟。RS平均长2.84 cm,宽0.18 cm,平均深0.62 cm。结论:RS是肝脏重要的胆外标志,在腹腔镜肝胆手术中容易观察到,识别RS可明显降低手术中胆管及血管损伤的风险。因此,深入了解研究较少且未被纳入解剖学文献的RS解剖学是必不可少的。
{"title":"Morphological study of rouviere's sulcus: An important landmark in laparoscopic cholecystectomy and right segmental liver resection","authors":"P. Gowda, Suman Udupi","doi":"10.4103/NJCA.NJCA_121_21","DOIUrl":"https://doi.org/10.4103/NJCA.NJCA_121_21","url":null,"abstract":"Background: Rouviere's sulcus (RS) is a cleft, on the inferior surface of the liver, extending from the caudate process to the right lobe for a variable distance. Cystic duct and artery lie anterosuperior while the common bile duct lies anterior to this sulcus, making it an important landmark in laparoscopic cholecystectomy. Being situated anterior to segment I of liver and having the right posterior portal pedicle as its frequent content, it is an important guide in right segmental liver resection. This study intends to study the anatomy of the RS. Methodology: The present study was done by analyzing 60 formalin-fixed adult livers, for the presence/absence of RS, its morphology and morphometry. Results: RS was present in 49 (81.66%) specimens, it was oblique in 26 (43.33%), transverse in 23 (38.33%) and absent in 11 (18.33%) specimens, RS was classified into three different types - type 1, type 2, and type 3 based on its degree of penetration into the substance of the liver. Type 1, defined as a deep sulcus was present in 37 (61.66%) specimens. Type 2, a slit-like shallow sulcus was observed in 7 (11.66%) and type 3, scar-like sulcus was observed in 5 (8.33%) of specimens. The average length of RS was 2.84 cm, breadth was 0.18 cm and the average depth of the RS was 0.62 cm. Conclusion: RS is an important extra-biliary landmark of the liver, that could easily be visualized during laparoscopic hepatobiliary surgeries and its identification could definitely reduce the risk of bile duct and vascular injuries during these surgeries. Hence, the in-depth knowledge about the anatomy of RS which is less studied and not included in anatomy literature is essential.","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45899235","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
Role of 4-methylimidazole in liver toxicity: A histomorphometric study in albino rats 4-甲基咪唑在白化病大鼠肝毒性中的作用:组织形态学研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_126_21
S. Yadav, S. Kalra, S. Wadhwa, P. Rani
Background: These days, food products industry involves the commercial production and addition of food colors, which comprises many food dyes, including caramel colors. 4-methylimidazole (4-MEI) is a component of various caramel-colored food products such as bakery, beer, soft drinks, coffee and sauces, which are consumed daily. The most common route of exposure is ingestion and liver is the organ of detoxification. The histomorphometric observations in liver after 4-MEI consumption have not been reported to the best of our knowledge and so the present study have been designed to evaluate the same. Methodology: Adult male Wistar albino rats weighing 150–200 g were procured for the study and divided into the control and experimental groups. The experimental animals were given 4-MEI orally by gavage tube at a dose of 250 mg/kg body weight daily for 1 month, while the control animals received distilled water. At the end of experiment, all the animals were euthanized under ether anesthesia by perfusion with Formal saline. Dissection and histopathological processing of liver was done for the examination. Results: The histomorphometric observations of the liver in experimental rats revealed a significant increase in sinusoidal width indicative of sinusoidal dilatation and congestion. There was a significant increase in the size of hepatocytes while a decrease in the size of their nuclei was noted, suggestive of ballooning degeneration. Conclusion: The findings in the present study strongly suggest hepatocellular damage caused by ingestion of 4-MEI found in caramel color dyes used routinely in the food industry.
背景:如今,食品工业涉及食品色素的商业生产和添加,其中包括许多食品色素,包括焦糖色素。4-甲基咪唑(4-MEI)是各种焦糖色食品的一种成分,如面包、啤酒、软饮料、咖啡和酱汁等,是日常消费的食品。最常见的接触途径是摄入,肝脏是排毒的器官。据我们所知,食用4-MEI后肝脏的组织形态学观察尚未报道,因此本研究旨在对此进行评估。方法:取体重150 ~ 200 g的成年雄性Wistar白化大鼠作为研究对象,分为对照组和实验组。实验动物以每天250 mg/kg体重的剂量灌胃4-MEI,连续1个月;对照组动物以蒸馏水喂养。实验结束后,所有动物在乙醚麻醉下灌注生理盐水安乐死。进行肝脏解剖及组织病理学处理。结果:实验大鼠肝脏组织形态学观察显示,肝窦宽度明显增加,表明肝窦扩张和充血。肝细胞体积明显增大,细胞核体积减小,提示肝细胞呈球囊变性。结论:本研究结果强烈提示,摄入食品工业中常用的焦糖色素中的4-MEI可引起肝细胞损伤。
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引用次数: 0
Message from editor-in-chief 总编辑留言
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/2277-4025.337048
K. S. Ravi
{"title":"Message from editor-in-chief","authors":"K. S. Ravi","doi":"10.4103/2277-4025.337048","DOIUrl":"https://doi.org/10.4103/2277-4025.337048","url":null,"abstract":"","PeriodicalId":52750,"journal":{"name":"National Journal of Clinical Anatomy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42815801","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
Measurement of metric and nonmetric parameters for determining the gender of the human mandible 用于确定人类下颌骨性别的度量和非度量参数的测量
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_112_21
Anil Kumar, P. Klinkhachorn, C. Mohammed
Background: In humans, the mandible is the longest, densest, and most robust facial bone. It displays a high degree of phenotypic variation between sexes and is resistant to postmortem trauma. Measures of male and female mandibles were quantified in this study along with nonmetric and metric parameters to determine the gender. Methodology: In this retrospective observational study, 96 mandibles (55 males and 41 females) were evaluated for gender through the measurement of 15 metric and 5 nonmetric parameters. Results: A significant correlation between nonmetric variables of the squared chin (85.54%), prominent muscle markings (74.54%), everted gonial flares (94.54%), and triangular coronoid processes (81.81%) was found. Females, by contrast, tended to have a rounded chin (68.49%), a less prominent muscle marking (53.6%), an inverted gonial flare (95.54%), and a hooked shape coronoid process (80.48%). All metric mandible parameters were determined, evaluated, and statistically analyzed in SPSS to determine whether gender had a relationship with the mandibles. Conclusion: Various metric and nonmetric criteria, in addition to existing methods, can be used to determine the gender of a person's mandible.
背景:在人类中,下颌骨是最长、密度最大、最强壮的面部骨骼。它在两性之间表现出高度的表型差异,并对死后创伤有抵抗力。在本研究中,男性和女性下颌骨的测量被量化,以及非度量和度量参数来确定性别。方法:在这项回顾性观察研究中,96个下颌骨(55个男性和41个女性)通过测量15个公制参数和5个非公制参数来评估性别。结果:方形下巴(85.54%)、突出的肌肉标记(74.54%)、外翻的角斑(94.54%)和三角形冠突(81.81%)的非度量变量具有显著的相关性。相比之下,女性往往有圆形下巴(68.49%),不太突出的肌肉标记(53.6%),倒角斑(95.54%)和钩状冠突(80.48%)。在SPSS软件中测定、评估和统计所有下颌骨参数,以确定性别是否与下颌骨相关。结论:除现有方法外,还可采用多种公制和非公制标准来判断人的下颌骨性别。
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引用次数: 0
Face to face versus virtual assessment - A survey on Indian medical students' perception during COVID-19 pandemic: A cross-sectional study 面对面与虚拟评估——新冠肺炎大流行期间印度医学生认知调查:一项横断面研究
Q4 Medicine Pub Date : 2022-01-01 DOI: 10.4103/NJCA.NJCA_102_21
Anasuya Ghosh, S. Sarkar, B. Ray, Arpita Sarkar, Anirban Dasgupta
Background: Assessment has a very important role in curricular development by motivating students and target setting, providing appropriate feedback and quality assurance. During COVID-19 pandemic-induced lockdown, most of the medical schools throughout the world including India had to undergo a paradigm shift from face to face to online mode in medical education and assessment. This study was planned to assess and analyze the perception and opinion of 1st-year medical students from all over the country regarding the online assessment (OA) process that emerged during the COVID 19 pandemic. We also tried to find out the preferred resources that the students wanted to access via online mode and any major hindrance they faced. Methodology: It was a cross-sectional, Internet based, online survey conducted on 1st year medical students from all over India. Result: Students preferred the traditional (face to face) examinations over the OA in terms of usefulness, motivation, answering long answer questions, adequacy of allotted time, and ease of performance. However, they favored OA in terms of examination anxiety, examiner bias, and answering the objective type of questions. The lack of good Internet connectivity was considered a major hindrance. Conclusion: This information might be helpful for respective authorities to establish an effective online platform which could deliver an authentic and valid OA in future during any crisis.
背景:评估通过激励学生和设定目标、提供适当的反馈和质量保证,在课程发展中发挥着非常重要的作用。在新冠肺炎大流行引发的封锁期间,包括印度在内的世界各地的大多数医学院不得不在医学教育和评估方面从面对面模式转变为在线模式。这项研究旨在评估和分析来自全国各地的一年级医学生对2019冠状病毒病大流行期间出现的在线评估(OA)过程的看法和意见。我们还试图找出学生们希望通过在线模式访问的首选资源,以及他们面临的任何主要障碍。方法:这是一项基于互联网的横断面在线调查,对来自印度各地的一年级医学生进行。结果:学生们更喜欢传统的(面对面)考试,而不是OA,在有用性、动机、回答长答案、分配时间的充足性和表现的容易性方面。然而,在考试焦虑、考官偏见和回答客观类型的问题方面,他们倾向于OA。缺乏良好的互联网连接被认为是一个主要障碍。结论:这些信息可能有助于相关当局建立一个有效的在线平台,在未来的任何危机中提供真实有效的OA。
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引用次数: 0
期刊
National Journal of Clinical Anatomy
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