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Effects of pseudoephedrine on rat fetal bone development: evaluation by three different methods 伪麻黄碱对大鼠胎儿骨骼发育的影响:通过三种不同方法进行评估
IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY Pub Date : 2023-06-30 DOI: 10.1007/s12565-023-00733-7
Hüseyin Yiğit, Esra Balcıoğlu, İlyas Uçar, Muhammet Değermenci, Gözde Özge Önder, Tayfun Ceylan, Erdoğan Unur

Pseudoephedrine (PSE) is an agent that is contained in common cold medications. The agent, which is used to treat cold and cough, is the fourth most prescribed drug group in some countries. During pregnancy, expectant mothers use PSE for colds and other reasons. One out of every four expectant mothers use PSE alone or in combination with other medicines for various reasons. This study was aimed to investigate effects of PSE on long bones development in rat during fetal growth. Pregnant rats were divided into five groups: control and four experimental groups (25 mg/kg, 50 mg/kg, 100 mg/kg, 200 mg/kg PSE). Between 1 and 20 days of pregnancy, PSE was given to them by gavage. Weights and heights of fetuses isolated by cesarean on the 21st day were measured. Ossification of femur and humerus was examined by three different methods mentioned earlier. Depending on the dose increase, all morphometric data, ossification rate and bone length of the fetuses were decreased. Besides, it was determined that the amount of Calcium in the bone tissue decreased in the analyzes made with SEM–EDX Analysis. The data obtained from this study reveal that the use of PSE during pregnancy disrupts the existing balance in the bone and negatively affects ossification due to the dose increase. In conclusion, we present descriptive and novel data on the effects of PSE use during pregnancy on the bone development of rat fetal long bones.

伪麻黄碱(PSE)是普通感冒药中含有的一种药剂。这种药剂用于治疗感冒和咳嗽,在一些国家是第四大处方药。在怀孕期间,准妈妈会因感冒和其他原因使用 PSE。每四位准妈妈中就有一位因各种原因单独或与其他药物一起使用 PSE。本研究旨在调查 PSE 对胎儿期大鼠长骨发育的影响。妊娠大鼠分为五组:对照组和四个实验组(每千克含 25 毫克、每千克含 50 毫克、每千克含 100 毫克、每千克含 200 毫克 PSE)。在怀孕 1 至 20 天期间,给大鼠灌胃 PSE。在第 21 天测量剖腹产胎儿的体重和身高。股骨和肱骨的骨化情况通过前面提到的三种不同方法进行检测。根据剂量的增加,胎儿的所有形态测量数据、骨化率和骨长都有所下降。此外,通过 SEM-EDX 分析法进行的分析表明,骨组织中的钙含量也有所下降。本研究获得的数据表明,怀孕期间使用 PSE 会破坏骨骼中现有的平衡,并因剂量增加而对骨化产生负面影响。总之,我们就孕期使用 PSE 对大鼠胎儿长骨骨骼发育的影响提供了描述性的新数据。
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引用次数: 0
Clinical anatomy of the precuneus and pathogenesis of the schizophrenia 楔前叶的临床解剖和精神分裂症的发病机制
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-06-20 DOI: 10.1007/s12565-023-00730-w
Antonino Messina, Giuseppe Cuccì, Caterina Crescimanno, Maria Salvina Signorelli

Recent evidence has shown that the precuneus plays a role in the pathogenesis of schizophrenia. The precuneus is a structure of the parietal lobe's medial and posterior cortex, representing a central hub involved in multimodal integration processes. Although neglected for several years, the precuneus is highly complex and crucial for multimodal integration. It has extensive connections with different cerebral areas and is an interface between external stimuli and internal representations. In human evolution, the precuneus has increased in size and complexity, allowing the development of higher cognitive functions, such as visual-spatial ability, mental imagery, episodic memory, and other tasks involved in emotional processing and mentalization. This paper reviews the functions of the precuneus and discusses them concerning the psychopathological aspects of schizophrenia. The different neuronal circuits, such as the default mode network (DMN), in which the precuneus is involved and its alterations in the structure (grey matter) and the disconnection of pathways (white matter) are described.

最近的证据表明楔前叶在精神分裂症的发病机制中起作用。楔前叶是顶叶内侧和后部皮层的一种结构,代表了参与多模式整合过程的中心枢纽。尽管多年来一直被忽视,但楔前叶高度复杂,对多模式整合至关重要。它与不同的大脑区域有着广泛的联系,是外部刺激和内部表征之间的接口。在人类进化过程中,楔前叶的大小和复杂性都有所增加,从而发展了更高的认知功能,如视觉空间能力、心理意象、情节记忆以及其他涉及情绪处理和心理化的任务。本文综述了楔前叶的功能,并就精神分裂症的精神病理学方面进行了讨论。描述了不同的神经元回路,如默认模式网络(DMN),其中涉及楔前叶及其结构的改变(灰质)和通路的断开(白质)。
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引用次数: 1
Subcellular distribution of membrane lipids revealed by freeze-fracture electron microscopy 冷冻断裂电子显微镜揭示的膜脂亚细胞分布。
IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY Pub Date : 2023-06-14 DOI: 10.1007/s12565-023-00731-9
Takuma Tsuji

Cell membranes are composed of a large variety of lipids and proteins. While the localization and function of membrane proteins have been extensively investigated, the distribution of membrane lipids, especially in the non-cytoplasmic leaflet of organelle membranes, remains largely unknown. Fluorescent biosensors have been widely used to study membrane lipid distribution; however, they have some limitations. By utilizing the quick-freezing and freeze-fracture replica labeling electron microscopy technique, we can uncover the precise distribution of membrane lipids within cells and assess the function of lipid-transporting proteins. In this review, I summarize recent progress in analyzing intracellular lipid distribution by utilizing this method.

细胞膜由种类繁多的脂质和蛋白质组成。虽然人们已经对膜蛋白的定位和功能进行了广泛研究,但对膜脂质的分布,尤其是细胞器膜非细胞质小叶中的膜脂质的分布,仍然知之甚少。荧光生物传感器已被广泛用于研究膜脂的分布,但它们也有一些局限性。利用速冻和冻裂复制标记电子显微镜技术,我们可以揭示细胞内膜脂质的精确分布,并评估脂质运输蛋白的功能。在这篇综述中,我总结了利用这种方法分析细胞内脂质分布的最新进展。
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引用次数: 0
A comparative analysis of the CP and CG using 2D and 3D visualisation approaches 使用2D和3D可视化方法对CP和CG进行比较分析
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-05-26 DOI: 10.1007/s12565-023-00729-3
Matthew Boulton, Faith Kwa, Ali Al-Rubaie

Investigations on the structural variations in the cribriform plate (CP), olfactory foramina and the Crista Galli showcase the benefits of using 3D imaging on smaller structures. These techniques reveal accurate details about bone morphology and density. Comparing different techniques, this project aims to examine the correlation between the CP, olfactory foramina, and Crista Galli. Computed tomography was used to translate and apply the findings acquired from the samples in radiographic studies on CPs for potential clinical significance. The findings show that the surface area measurements were significantly larger when using 3D imaging techniques in comparison with the 2D counterpart. Using 2D imaging, the maximum surface area of the CPs was 239.54 mm2, however, paired 3D samples showed the maximum surface area was 355.51 mm2. The findings show that Crista Galli’s dimensions varied greatly, with length ranging from 15 to 26 mm, height ranging from 5 to 18 mm, and width ranging from 2 to 7 mm. The 3D imaging allowed for surface area measurements on the Crista Galli, and the surface area ranged from 130 to 390 mm2. When 3D imaging was used, significant correlations were found between the surface area of the CP and the length of the Crista Galli (p = 0.001). The findings show that measurements on the Crista Galli using 2D and 3D reconstructed radiographic imaging reflect similar ranges of dimensions to 3D imaging measurements. The findings also suggest that the Crista Galli may increase in length with the CP to support the latter and olfactory bulb during trauma which may be used by clinicians alongside 2D CT scans for optimal diagnosis.

对筛状板(CP)、嗅觉孔和Crista Galli结构变化的研究显示了在较小结构上使用3D成像的好处。这些技术揭示了骨骼形态和密度的精确细节。通过比较不同的技术,本项目旨在检验CP、嗅觉孔和Crista Galli之间的相关性。计算机断层扫描被用于翻译和应用从CP的放射学研究中的样本中获得的结果,以具有潜在的临床意义。研究结果表明,与2D成像技术相比,使用3D成像技术时的表面积测量值明显更大。使用2D成像,CP的最大表面积为239.54mm2,然而,成对的3D样品显示最大表面积是355.51mm2。研究结果表明,Crista Galli的尺寸变化很大,长度从15到26毫米不等,高度从5到18毫米不等,宽度从2到7毫米不等。3D成像允许对Crista Galli进行表面积测量,表面积范围为130至390mm2。当使用3D成像时,CP的表面积和Crista-Gali的长度之间存在显著相关性(p = 0.001)。研究结果表明,使用2D和3D重建的射线照相成像对Crista Galli的测量反映了与3D成像测量相似的尺寸范围。研究结果还表明,Crista Galli的长度可能随着CP的增加而增加,以在创伤期间支持后者和嗅球,临床医生可以将其与2D CT扫描一起用于最佳诊断。
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引用次数: 0
Whereof one cannot see, thereof one must be silent 凡是看不见的地方,就必须保持沉默
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-05-26 DOI: 10.1007/s12565-023-00706-w
Sén Takeda
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引用次数: 0
Dissection, digitization, and three-dimensional modelling: a high-fidelity anatomical visualization and imaging technology 解剖、数字化和三维建模:一种高保真解剖可视化和成像技术
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-05-15 DOI: 10.1007/s12565-023-00725-7
Takamitsu Arakawa, Emma Campisi, John Tran, Anne M. R. Agur

Technological advances have enabled the development of a novel technique of dissection, digitization and three-dimensional modelling of skeletal muscle and other tissues including neurovascular structures as in situ over the last 25 years. Meticulous serial dissection followed by digitization is used to collect Cartesian coordinate data of the contractile and connective tissue elements throughout the entire muscle volume. The Cartesian coordinate can then be used to construct high-fidelity three-dimensional models that capture the spatial arrangement of the contractile and connective tissue elements as in situ enabling detailed studies of the arrangement of the fiber bundles and their attachment sites to aponeuroses, tendon, and bone. In the laboratory, we have concurrently developed a computational methodology to quantify architectural parameters, including fiber bundle length, pennation angle, volume, physiological cross-sectional area in three-dimensional space. In this paper, a flexor digitorum superficialis specimen will be used to demonstrate the high-fidelity outcomes of dissection, digitization, and three-dimensional modelling. This three-step methodology provides a unique opportunity to study muscle architecture in three dimensions, as in situ. Knowledge translation from the anatomy laboratory to the clinical setting has been highly successful.

在过去的25年里,技术进步使骨骼肌和其他组织(包括神经血管结构)的解剖、数字化和三维建模成为可能。精细的连续解剖,然后进行数字化,用于收集整个肌肉体积的收缩组织和结缔组织元素的笛卡尔坐标数据。然后可以使用笛卡尔坐标来构建高保真度三维模型,该模型捕获原位的可收缩和结缔组织元件的空间排列,从而能够详细研究纤维束的排列及其与关节神经、肌腱和骨的附着位置。在实验室中,我们同时开发了一种计算方法来量化建筑参数,包括三维空间中的纤维束长度、包角、体积、生理横截面积。在本文中,指浅屈肌标本将用于演示解剖、数字化和三维建模的高保真度结果。这种三步走的方法提供了一个独特的机会来研究三维肌肉结构,如原位。从解剖实验室到临床环境的知识转换非常成功。
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引用次数: 0
Collateral projections from the ventral tegmental area/substantia nigra pars compacta to the nucleus accumbens and insular cortex in the rat 大鼠腹侧被盖区/黑质致密部至伏隔核和岛叶皮层的侧支投射
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-05-09 DOI: 10.1007/s12565-023-00728-4
Cheng-Bo He, Yuan Jin, Yan Li, Qian Zhang, Bai Yang, Mang Xu, Juan Yang, Xi-Nan Yi, Yu-Lin Dong, Jian Wang, Yun-Qing Li

Midbrain dopaminergic (DAergic) regions including ventral tegmental area (VTA) and substantia nigra pars compacta (SNc) are involved in diverse brain functions. Previous studies demonstrated that the VTA/SNc to nucleus accumbens (NAc) pathway is critical in reward and motivation. Moreover, DAergic innervations within the insular cortex (IC) are reported to play important roles in pain regulation. To investigate whether VTA/SNc sends collateral projections to NAc and IC, we injected retrograde tracer Fluoro-Gold (FG) into the NAc and Fluorescent retrograde tracer beads (RetroBeads) into the ipsilateral IC in rats. Then, to detect whether collateral projection neurons participate in neuropathic pain, parts of the rats received the spare nerve injury (SNI) surgery. The immunofluorescence staining results showed that FG, RetroBeads, and FG/RetroBeads double-labeled neurons were distributed in the VTA/SNc bilaterally with an ipsilateral predominance. The proportion of FG/RetroBeads double-labeled neurons to the total number of FG and RetroBeads-labeled neurons was 16.7% and 30.3%, respectively. About 90.3% of FG/RetroBeads double-labeled neurons showed DAergic neuron marker tyrosine hydroxylase (TH)-immunoreactive (IR), whereas, only 7.5% exhibited a subset of GABAergic inhibitory projection neuron marker parvalbumin (PV)-IR. One week after SNI, about 53.1% and 33.6% of FG- and RetroBeads-labeled neurons were FG/Fos- and RetroBeads/Fos-IR neurons, respectively. Finally, about 35.9% of the FG/RetroBeads double-labeled neurons showed Fos-IR. The present study indicates that parts of DAergic and PV-IR GABAergic neurons in the VTA/SNc send collateral projections to both NAc and IC, which are activated under SNI-induced neuropathic pain, and probably contribute to the regulation of nociception.

中脑多巴胺能(DA能)区域,包括腹侧被盖区(VTA)和黑质致密部(SNc),参与不同的大脑功能。先前的研究表明,VTA/SNc至伏隔核(NAc)通路在奖励和动机方面至关重要。此外,据报道,岛叶皮层(IC)内的DA能神经支配在疼痛调节中起着重要作用。为了研究VTA/SNc是否向NAc和IC发送侧支投射,我们在大鼠的NAc中注射了逆行示踪剂Fluoro Gold(FG),并在同侧IC中注射了荧光逆行示踪剂珠(RetroBeads)。然后,为了检测侧支投射神经元是否参与神经性疼痛,部分大鼠接受了备用神经损伤(SNI)手术。免疫荧光染色结果显示,FG、RetroBeads和FG/RetroBeads双标记神经元分布于双侧VTA/SNc,以同侧为主。FG/RetroBeads双标记神经元占FG/RetroBeads标记神经元总数的比例分别为16.7%和30.3%。约90.3%的FG/RetroBeads双标记神经元显示DA能神经元标记物酪氨酸羟化酶(TH)免疫反应(IR),而只有7.5%的FG/Rero Beads双标记神经元显示GABA能抑制投射神经元标记物小白蛋白(PV)-IR亚群。SNI后一周,FG-和RetroBeads标记的神经元中分别约有53.1%和33.6%是FG/Fos-和RetroBeds/Fos-IR神经元。最后,约35.9%的FG/RetroBeads双标记神经元显示Fos-IR。本研究表明,VTA/SNc中的部分DA能和PV-IR GABA能神经元向NAc和IC发送侧支投射,后者在SNI诱导的神经病理性疼痛下被激活,可能有助于伤害感受的调节。
{"title":"Collateral projections from the ventral tegmental area/substantia nigra pars compacta to the nucleus accumbens and insular cortex in the rat","authors":"Cheng-Bo He,&nbsp;Yuan Jin,&nbsp;Yan Li,&nbsp;Qian Zhang,&nbsp;Bai Yang,&nbsp;Mang Xu,&nbsp;Juan Yang,&nbsp;Xi-Nan Yi,&nbsp;Yu-Lin Dong,&nbsp;Jian Wang,&nbsp;Yun-Qing Li","doi":"10.1007/s12565-023-00728-4","DOIUrl":"10.1007/s12565-023-00728-4","url":null,"abstract":"<div><p>Midbrain dopaminergic (DAergic) regions including ventral tegmental area (VTA) and substantia nigra pars compacta (SNc) are involved in diverse brain functions. Previous studies demonstrated that the VTA/SNc to nucleus accumbens (NAc) pathway is critical in reward and motivation. Moreover, DAergic innervations within the insular cortex (IC) are reported to play important roles in pain regulation. To investigate whether VTA/SNc sends collateral projections to NAc and IC, we injected retrograde tracer Fluoro-Gold (FG) into the NAc and Fluorescent retrograde tracer beads (RetroBeads) into the ipsilateral IC in rats. Then, to detect whether collateral projection neurons participate in neuropathic pain, parts of the rats received the spare nerve injury (SNI) surgery. The immunofluorescence staining results showed that FG, RetroBeads, and FG/RetroBeads double-labeled neurons were distributed in the VTA/SNc bilaterally with an ipsilateral predominance. The proportion of FG/RetroBeads double-labeled neurons to the total number of FG and RetroBeads-labeled neurons was 16.7% and 30.3%, respectively. About 90.3% of FG/RetroBeads double-labeled neurons showed DAergic neuron marker tyrosine hydroxylase (TH)-immunoreactive (IR), whereas, only 7.5% exhibited a subset of GABAergic inhibitory projection neuron marker parvalbumin (PV)-IR. One week after SNI, about 53.1% and 33.6% of FG- and RetroBeads-labeled neurons were FG/Fos- and RetroBeads/Fos-IR neurons, respectively. Finally, about 35.9% of the FG/RetroBeads double-labeled neurons showed Fos-IR. The present study indicates that parts of DAergic and PV-IR GABAergic neurons in the VTA/SNc send collateral projections to both NAc and IC, which are activated under SNI-induced neuropathic pain, and probably contribute to the regulation of nociception.</p></div>","PeriodicalId":7816,"journal":{"name":"Anatomical Science International","volume":"98 4","pages":"580 - 592"},"PeriodicalIF":1.2,"publicationDate":"2023-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s12565-023-00728-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9867464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regional variations in the intra- and intervertebral trabecular microarchitecture of the osteoporotic axial skeleton 骨质疏松性轴骨干骨内和椎间小梁微结构的区域变化
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-04-24 DOI: 10.1007/s12565-023-00726-6
Guido Schröder, Anna Maria Baginski, Marko Schulze, Laura Hiepe, Semjon Bugaichuk, Heiner Martin, Julian Ramin Andresen, Mario Moritz, Reimer Andresen, Hans-Christof Schober

Trabecular structures in vertebral bodies are unequally distributed in the cervical, thoracic and lumbar spine, and also within individual vertebrae. Knowledge of the microstructure of these entities could influence our comprehension and treatment of osteoporotic fractures, and even surgical procedures. Appropriate investigations may clarify the pathomechanisms of various osteoporotic fractures (fish, wedge-shaped, and flat vertebrae). We obtained three cancellous bone cylinders from the centers and margins of cervical vertebra 3 to lumbar vertebra 5, and investigated these in regard of bone volume fraction, trabecular thickness, separation, trabecular number, trabecular bone pattern factor, connectivity density, and degree of anisotropy. Using a Jamshidi needle®, we obtained samples from three quadrants (QI: right-sided edge, QII: central, QIII: left-sided edge) of 242 prepared vertebrae, and investigated these on a micro-CT device. In all, 726 bone samples were taken from eleven body donors. Bone volume fraction, trabecular thickness, and the degree of anisotropy were significantly lower in QII than in QI and QIII. Trabecular pattern factor, however, was significantly higher in QII than in QI and QIII. The results helped to explain fish vertebrae. Wedge fractures and flat vertebrae are most likely caused by the complex destruction of trabecular and cortical structures. The higher bone volume fraction in the cervical spine compared to the thoracic and lumbar spine accounts for the small number of fractures in the cervical spine. The marked trabecular pattern factor in the center of thoracic and lumbar vertebrae could be a reason for the surgeon to use different screw designs for individual vertebrae.

椎体中的小梁结构在颈椎、胸椎和腰椎以及单个椎骨中分布不均。对这些实体微观结构的了解可能会影响我们对骨质疏松性骨折的理解和治疗,甚至影响外科手术。适当的研究可以阐明各种骨质疏松性骨折(鱼类、楔形和扁平椎骨)的病理机制。我们从颈椎3至腰椎5的中心和边缘获得了三个松质骨圆柱体,并对其骨体积分数、小梁厚度、分离度、小梁数量、小梁骨模式因子、连接密度和各向异性程度进行了研究。使用Jamshidi针®,我们从242块制备好的椎骨的三个象限(QI:右侧边缘,QII:中央,QIII:左侧边缘)获得了样本,并在微型CT设备上进行了研究。总共从11名捐献者身上采集了726份骨骼样本。QII的骨体积分数、小梁厚度和各向异性程度显著低于QI和QII。然而,QII的小梁模式因子显著高于QI和QII。研究结果有助于解释鱼的脊椎。楔形骨折和扁平椎骨最有可能是由小梁和皮质结构的复杂破坏引起的。与胸椎和腰椎相比,颈椎的骨体积分数较高,这是颈椎骨折数量较少的原因。胸椎和腰椎中心明显的小梁模式因素可能是外科医生对单个椎骨使用不同螺钉设计的原因。
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引用次数: 1
Prediction of root canal lengths and pulp volume of the maxillary permanent first molar based on stature, crown diameters, and facial morphometry 基于身高、牙冠直径和面部形态计量学预测上颌第一恒磨牙根管长度和牙髓体积
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-04-20 DOI: 10.1007/s12565-023-00727-5
Fatma Pertek Hatipoğlu, Banu Arıcıoğlu, Ömer Hatipoğlu, Taha Emre Köse, Dilara Nil Günaçar

This study purposed to develop statistical models to predict palatal (PRL), mesial (MRL), and distal (DRL) root canal length and pulp volume (PV) of the maxillary first permanent molar using stature, gender, mesiodistal (MD), and buccopalatal (BP) crown diameters and some facial morphometries. 57 individuals were included in the study. Cone beam computed tomography was used to measure root canal lengths and PV. The PV calculation was carried out using the software ITK-SNAP 3.4.0. PRL was positively correlated with BP, stature, middle facial height, interalar distance, and bicommissural distance (BCD) (p < 0.05). DRL was positively correlated with BP, MD, and stature (p < 0.05). MRL was positively correlated with BP, MD, stature, lower face height, bizygomatic distance, and BCD (p < 0.05). PV was negatively correlated with age and BCD (p < 0.05). Although all models have significant predictive power for the root lengths and PV, no model could explain variances greater than 30%. The highest and lowest predictive ability was obtained for PRL and DRL, respectively. While the most significant predictor was BP for PRL and DRL, it was the age for PV.

本研究旨在开发统计模型,利用身高、性别、近中牙冠(MD)和颊阔牙冠(BP)直径以及一些面部形态测量来预测上颌第一恒磨牙的腭(PRL)、近中(MRL)和远中(DRL)根管长度和牙髓体积(PV)。57人被纳入研究。锥形束计算机断层扫描用于测量根管长度和PV。PV计算使用软件ITK-SNAP 3.4.0进行。PRL与血压、身高、中面部高度、极间距离和双裂距离呈正相关(p <; DRL与血压、MD和身高呈正相关(p <; MRL与血压、MD、身高、下脸高度、双颧距离和BCD呈正相关(p <; PV与年龄和BCD呈负相关(p <; 0.05)。尽管所有模型都对根长度和PV具有显著的预测能力,但没有一个模型能够解释大于30%的方差。PRL和DRL的预测能力分别最高和最低。PRL和DRL最显著的预测因素是BP,而PV的预测因素则是年龄。
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引用次数: 0
Conduct of body donation and cadaveric dissection training during the COVID-19 pandemic: challenges, impacts and mitigation 新冠肺炎大流行期间进行遗体捐献和尸体解剖培训:挑战、影响和缓解
IF 1.2 4区 医学 Q2 Medicine Pub Date : 2023-04-18 DOI: 10.1007/s12565-023-00723-9
Li Ping Wong, Haridah Alias, Sik-Loo Tan, Aik Saw

The new coronavirus disease 2019 (COVID-19) has had a substantial impact on the Silent Mentor Programme (SMP), a programme in which members of the public may pledge their bodies to be used for medical training and research after their death. This study aimed to explore the conduct of body donations and simulation surgery training during the COVID-19 pandemic from the viewpoints of the committee members of the SMP and the next-of-kin of body donor pledgers. This study utilised a qualitative exploration method to seek an in-depth understanding of this phenomenon. In-depth individual interviews were carried out. Thematic analysis was used to identify patterns of themes. The COVID-19 polymerase chain reaction (RT-PCR) test is compulsory before accepting a body donation, and this resulted in the turning down of several donations. Being a donor is the final wish of pledgers and this turning down led to a negative emotional remorseful feeling in the next-of-kin of pledgers. From the perspective of students, it is feared that the conduct of the programme, particularly the home visit session being held online, has impeded teaching of humanistic values, compassion, and empathy, which is the prime philosophy of the programme. Previous to the pandemic, the programme ceremonies were well-attended, denoting the utmost respect and recognition of the mentors; however, travel restrictions due to the pandemic limiting in-person attendance resulted in ceremonies becoming less impactful. Continuous postponements of cadaveric dissection training also resulted in students missing training opportunities, hence potentially impairing their professional practice and humanistic values in the medical profession. Counselling interventions should be directed at easing the negative psychological impact on the next-of-kin of pledgers. As the COVID-19 pandemic may pose a significant impediment to achieving the educational outcomes of cadaveric dissection training, efforts to make up for these gaps are essential.

2019新型冠状病毒疾病(新冠肺炎)对沉默导师计划(SMP)产生了重大影响,在该计划中,公众可以承诺在死亡后将自己的身体用于医疗培训和研究。本研究旨在从SMP委员会成员和器官捐献者抵押人的近亲的角度探讨新冠肺炎大流行期间器官捐献和模拟手术培训的进行。本研究采用了定性探索的方法来寻求对这一现象的深入理解。进行了深入的个人访谈。专题分析用于确定专题模式。新冠肺炎聚合酶链式反应(RT-PCR)检测是接受遗体捐赠前的强制性检测,这导致了几次捐赠被拒绝。成为捐赠者是出质人的最终愿望,而这一拒绝导致出质人近亲产生了负面的情感悔恨。从学生的角度来看,人们担心该项目的实施,特别是在网上举行的家访会,阻碍了人文价值观、同情心和同理心的教学,而这正是该项目的主要理念。在新冠疫情之前,该项目的仪式出席人数众多,表示对导师的最大尊重和认可;然而,由于疫情限制了现场出席,旅行限制导致仪式的影响力降低。尸体解剖培训的持续推迟也导致学生错过了培训机会,从而可能损害他们在医学界的专业实践和人文价值观。咨询干预措施应旨在缓解对抵押人近亲的负面心理影响。由于新冠肺炎大流行可能对实现尸体解剖培训的教育成果构成重大障碍,弥补这些差距的努力至关重要。
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引用次数: 1
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Anatomical Science International
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