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Effect of gestational diabetes mellitus and its management on the histological and histomorphometric structure of umbilical cord: a comparative study. 妊娠期糖尿病及其治疗对脐带组织学和组织形态学结构的影响:一项比较研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2025-02-05 DOI: 10.5115/acb.24.179
Seema Valsalan Ennazhiyil, Akshara Venmalassery Rajeev, Mahesh Kumar Damodaran, Tintu Thottiyil Sukumaran, Chitra Srinivasan, Ramakrishnan Panicker Kunnathu

The umbilical cord lacks vasavasorum and is prone for hypoxic injuries. Gestational diabetes mellitus (GDM) causes structural changes with in umbilical cord blood vessels. Knowledge of which would be helpful for the gynecologist and obstetricians to assess the prognosis and prevent the complications. The present study was concentrated from December 2016 to December 2019 on 50 normal and 56 GDM umbilical cords. GDM group included 23 GDM mothers managed by diet (GDM-Diet) and 33 GDM mothers managed by drugs (GDM-Drug). Placentas along with the attached umbilical cords were collected and stored in 10% formaline. Tissue processing, slide preparation and stainings were done using standard protocols. A significant reduction was observed in the number of Hoboken nodules of umbilical arteries of GDM-Diet. Reduction of myofibroblasts with an increase in the empty spaces was observed in the Wharton's jelly of both GDM cases. Similarly, smooth muscle disintegration and migration of smooth muscles to intima was significantly higher in GDM umbilical arteries and veins than normal umbilical vessels. The total wall thickness and tunica media was significantly thicker in the umbilical arteries of GDM-Drug group only. The umbilical venous lumen was found significantly wider in GDM groups compared to normal. The elastin fibers were significantly found reduced in the tunics of umbilical arteries and veins in GDM. However, a significant difference in these parameters was not observed between the GDM-Diet and GDM-Drug groups except for total wall and tunica media thickness of umbilical arteries.

脐带缺乏血管缩索,容易发生缺氧损伤。妊娠期糖尿病(GDM)引起脐带血管的结构改变。了解这些知识将有助于妇产科医生评估预后和预防并发症。本研究于2016年12月至2019年12月集中于50条正常脐带和56条GDM脐带。GDM组包括饮食管理组(GDM- diet) 23例和药物管理组(GDM- drug) 33例。收集胎盘和附着的脐带,保存在10%的福尔马林中。组织处理、载玻片制备和染色均按标准程序进行。gdm饮食可显著减少脐动脉霍博肯结节的数量。在两例GDM患者的沃顿氏果冻中观察到肌成纤维细胞减少,空腔增加。同样,GDM脐动静脉的平滑肌解体和平滑肌向内膜的迁移明显高于正常脐血管。仅gdm -药物组脐动脉总壁厚和中膜明显增厚。GDM组脐静脉管腔明显变宽。GDM患者脐动静脉被膜中弹性蛋白纤维明显减少。然而,除了脐带动脉总壁和中膜厚度外,GDM-Diet组和GDM-Drug组之间这些参数均无显著差异。
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引用次数: 0
Cost-effectiveness and other considerations for different research techniques applied in ancient DNA analysis. 古 DNA 分析中应用的不同研究技术的成本效益及其他考虑因素。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-06 DOI: 10.5115/acb.24.125
Jong Ha Hong, Hisashi Fujita, Jaehyup Kim, Dong Hoon Shin

Ancient DNA (aDNA) analysis has developed rapidly since it first emerged in the 1980s, becoming an almost indispensable tool in anthropological and archaeological sciences. Earlier aDNA study was based on the polymerase chain reaction (PCR) technique, with which, unfortunately, modern DNA contamination and other authenticity issues were often incurred. These technical hurdles were soon overcome by application of advancements in the forms of the next generation sequencing (NGS) technique and others. However, since NGS requires money, time, and, in the case of large projects, manpower as well, genetic analysis of some ancient samples considered to be insignificant is commonly delayed or, in the worst cases, neglected entirely. We acknowledge that as a diagnostic tool in aDNA analysis, PCR is less accurate than NGS and more easily affected by modern DNA contamination; but it also has advantages, such as simplicity, time-saving, and greater ease of interpretation, among others. The role of PCR in aDNA analysis, then, should be reconsidered.

古 DNA(aDNA)分析自 20 世纪 80 年代首次出现以来发展迅速,几乎成为人类学和考古学中不可或缺的工具。早期的 aDNA 研究以聚合酶链式反应(PCR)技术为基础,但遗憾的是,这种技术经常出现现代 DNA 污染和其他真实性问题。新一代测序(NGS)技术等先进技术的应用很快克服了这些技术障碍。然而,由于 NGS 需要资金、时间,在大型项目中还需要人力,一些被认为无足轻重的古代样本的基因分析通常会被推迟,最糟糕的情况是完全被忽视。我们承认,作为 aDNA 分析中的一种诊断工具,PCR 的准确性不如 NGS,而且更容易受到现代 DNA 污染的影响;但它也有一些优点,如简单、省时、更易于解释等。因此,应重新考虑 PCR 在 aDNA 分析中的作用。
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引用次数: 0
Non-invasive procedure implementation for enhanced smile facial muscle movement after orthognathic surgery: a case report. 正颌手术后增强微笑面部肌肉运动的非侵入性手术实施:一例报告。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-12-04 DOI: 10.5115/acb.24.181
Su-Jeong Kim, Soo-Bin Kim, Yu-Ran Heo, Hee-Jin Kim

This study examined the case of 27-year-old female who underwent orthognathic surgery to correct class 3 malocclusion, resulting in an unnatural smile. The research aimed to assess the efficacy of non-invasive treatment in enhancing facial muscle movement during smiling to achieve a natural smile. The patient received eight sessions of treatment using non-invasive devices, and facial assessment were conducted using three-dimensional scanner (Morpheus 3D Scanner) to evaluate facial features in both relaxed and maximum smile states pre- and post-treatment. The results demonstrated improvements in the symmetry of the lower lip height during smiling, along with increases in mouth width and volume in the upper central area. Subjectively, the patient also reported enhanced comfort while smiling. These findings suggest that non-invasive procedures can effectively improve unnatural smiles following orthognathic surgery, contributing to a more aesthetically pleasing smile presentation.

本研究检查了一位27岁的女性,她接受了矫正3级错颌手术,导致了不自然的微笑。该研究旨在评估非侵入性治疗在增强微笑时面部肌肉运动以实现自然微笑方面的效果。患者接受了8次非侵入性治疗,并使用三维扫描仪(Morpheus 3D scanner)进行面部评估,以评估治疗前后放松和最大微笑状态下的面部特征。结果表明,在微笑时,下唇高度的对称性有所改善,嘴巴的宽度和上中心区域的体积也有所增加。主观上,病人也报告说微笑时的舒适感增强了。这些发现表明,非侵入性手术可以有效地改善正颌手术后的不自然微笑,使微笑更美观。
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引用次数: 0
Scapular notch, spinoglenoid notch, and scapular dimensions: implications on the safe zone of the suprascapular nerve. 肩胛骨切迹、椎骨切迹和肩胛骨尺寸:对肩胛上神经安全区的影响。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-18 DOI: 10.5115/acb.24.186
Jhonatan Duque-Colorado, Laura García-Orozco, Andrés Riveros, Mariano Del Sol

The suprascapular nerve corresponds to one of the supraclavicular branches of the brachial plexus, and its route exposes it to being injured during some surgical procedures. Morphometric analysis of the scapula has been proposed as a tool for preventing injuries to the suprascapular nerve. The present investigation aimed to determine the safe distances for approaching the suprascapular nerve at the level of the scapular notch (SPN) and spinoglenoid notch, in addition to establishing its relationship with the type of SPN and with two scapular dimensions: major longitudinal axis (MLA) and major transverse axis (MTA). For this purpose, a descriptive-correlative, quantitative, non-experimental and transversal study was carried out, in which 82 dry scapulae from adult individuals of Chilean origin were investigated. The main results of this study found that prevalences were highest for SPNs types II (36.2%), I (29.3%), and III (26.0%), with average distances that were considered safe in all types of SPNs. Furthermore, there was a positive correlation, with P<0.05, between the MTA (r=0.526; r=0.634), MLA (r=0.284) and the safe distances for the suprascapular nerve at the level of the SPN and incisura spinoglenoid of the scapulae studied. Scapular dimensions such as the MTA and the MLA could, therefore, be used to predict a safe zone for the suprascapular nerve, potentially contributing to a reduction in the current rate of injury of the suprascapular nerve in surgical procedures involving the deltoid and scapular regions.

肩胛上神经是臂丛神经的锁骨上分支之一,在某些外科手术中,肩胛上神经的路径可能会对其造成损伤。有人建议将肩胛骨的形态分析作为预防肩胛上神经损伤的工具。本研究旨在确定在肩胛骨切迹(SPN)和蝶骨切迹水平接近肩胛上神经的安全距离,以及确定其与SPN类型和两种肩胛骨尺寸(主要纵轴(MLA)和主要横轴(MTA))的关系。为此,我们进行了一项描述性、相关性、定量、非实验性和横向研究,调查了来自智利成年个体的 82 个干燥肩胛骨。研究的主要结果发现,SPN 类型 II(36.2%)、I(29.3%)和 III(26.0%)的发病率最高,所有类型 SPN 的平均距离都被认为是安全的。此外,两者之间存在正相关,P
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引用次数: 0
Anatomical variations and surgical implications of axillary artery branches: an anatomical study of the coracoid process region. 腋窝动脉分支的解剖学变异和手术意义:喙突区的解剖学研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2025-01-08 DOI: 10.5115/acb.24.215
Pawaree Nonthasaen, Thawanthorn Chaimongkhol, Thanapon Chobpenthai, Pasuk Mahakkanukrauh

The complex of neurovascular structures surrounding the coracoid process, particularly the axillary artery, the thoracoacromial artery and theirs branches, plays a critical role in shoulder function. Detailed dissection was performed in 36 shoulders from 18 embalmed cadavers. The focus was on axillary artery branches in relation to the coracoid process and the documentation of anatomical variations in this area. Significant findings include the categorization of thoracoacromial artery variations and the identification of acromial and clavicular branches as variable. A key measurement was mean distance between the thoracoacromial artery and tip of the coracoid process (31.89 mm). These findings offer valuable insight into the spatial relationships of these structures. The study provides important information on the vascular anatomy surrounding the coracoid process. Recognizing these anatomical variations is essential for planning safer and more effective shoulder surgeries, such as coracoclavicular stabilization and subcoracoid decompression. Detailed anatomical data are key for surgeons to prevent unintended injuries and enhance surgical success.

喙突周围复杂的神经血管结构,特别是腋窝动脉、胸肩峰动脉及其分支,在肩关节功能中起着至关重要的作用。对18具防腐尸体的36个肩部进行了详细的解剖。重点是腋窝动脉分支与喙突的关系,并在该区域的解剖变化的文件。重要的发现包括胸肩峰动脉变异的分类和肩峰和锁骨分支作为变量的识别。胸肩峰动脉至喙突尖端的平均距离为31.89 mm。这些发现为这些结构的空间关系提供了有价值的见解。该研究为喙突周围血管解剖提供了重要信息。认识到这些解剖变异对于制定更安全、更有效的肩关节手术至关重要,如喙锁骨稳定和喙下减压。详细的解剖数据是外科医生预防意外伤害和提高手术成功率的关键。
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引用次数: 0
Origin and branching pattern of the iliohypogastric and ilioinguinal nerves and their exits in relation to the psoas major muscle: a cadaveric study. 髂腹下神经和髂腹股沟神经的起源和分支模式及其与腰大肌有关的出口:尸体研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2025-01-10 DOI: 10.5115/acb.24.175
Bijo Elsy, Waad Hassan Mohammad Asiri, Lina Eltag Sir Elkhatim Osman, Mansour Abdullah Saeed Alghamdi

This study aims to determine the level of origin, branching pattern and exits of the iliohypogastric and ilioinguinal nerves in relation to the psoas major muscle. Additionally, this study confirms the presence and retroperitoneal courses of the double nerves. We dissected a total of 24 iliohypogastric and ilioinguinal nerves (6 male and 6 female cadavers). The origin, branching, and exits in relation to the psoas major muscle, the absence of these nerves or the presence of double nerves, and their retroperitoneal course were carefully examined. All the images were recorded by photographing. In this study, we mainly observed variations in exits, branching patterns, and their retroperitoneal course. The iliohypogastric nerve was absent in 2 cases (8.3%). In the type I pattern, in 1 case (4.2%), the common trunk descends anteriorly to the iliac vessels from the iliolumbar vessels. In 4 cases (16.7%), the double ilioinguinal nerve with different branch patterns and retroperitoneal courses was observed. In 1 single nerve case (4.2%), the ilioinguinal nerve descends anterior to the iliac vessels from the iliolumbar vessels. To our knowledge, the branching pattern of the double ilioinguinal nerves and their retroperitoneal course have not been reported in any available data. Sound knowledge of the variations in the origin, branches, and retroperitoneal course of the iliohypogastric and ilioinguinal nerves is very helpful for the improvement of peripheral nerve blocks and other various surgical procedures to avoid complications and nerve injuries.

本研究旨在确定髂腹下神经和髂腹股沟神经与腰大肌的起源水平、分支模式和出口。此外,这项研究证实了双神经的存在和腹膜后的路线。我们共解剖了24条髂腹下神经和髂腹股沟神经(6例男性和6例女性)。仔细检查腰大肌的起源、分支和出口,这些神经的缺失或双神经的存在,以及它们的腹膜后走向。所有图像均采用摄影记录。在这项研究中,我们主要观察了出口、分支模式及其腹膜后路线的变化。髂腹下神经缺失2例(8.3%)。在I型型中,1例(4.2%),总干从髂腰血管向前下行至髂血管。4例(16.7%)观察到双髂腹股沟神经不同分支形态及腹膜后走行。在1例(4.2%)单神经病例中,髂腹股沟神经从髂腰血管向前下行至髂血管。据我们所知,双髂腹股沟神经的分支模式及其腹膜后路线尚未在任何现有资料中报道。充分了解髂腹下神经和髂腹股沟神经的起源、分支和腹膜后走向的变化,有助于改善周围神经阻滞和其他各种外科手术,避免并发症和神经损伤。
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引用次数: 0
The effect of rosuvastatin coated by nano-chitosan on developing hippocampus: association with hippocampal neurogenesis and memory in an Alzheimer's induced model of rats. 纳米壳聚糖包被瑞舒伐他汀对阿尔茨海默病模型大鼠海马发育的影响:与海马神经发生和记忆的关系。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2025-02-07 DOI: 10.5115/acb.24.250
Armita Modiri, Zohreh Abdolmaleki, Mohammad Reza Paryani

Statins are long known to be beneficial for neurodegenerative conditions, including Alzheimer's disease (AD). Also, nanoparticle (NP) drugs can better affect the target tissue in various diseases. Therefore, the aim of this study was surveying the effect of rosuvastatin (RZV) coated by nano-chitosan in an Alzheimer's (Alz) induced model of rats. We examined learning, memory, and hippocampal amyloid plaques and evaluate expression levels of calbindin, doublecortin (DCX), NeuroD1, neuronal nuclei (NeuN), and neurofilament. Forty rats were randomly divided into five various groups. AD was induced by injecting bilaterally with 1 μl of amyloid beta (Aβ) into the hippocampus. After confirmation of AD, RZV, or NP, or RZV+NP were administered gavage orally daily in rats for 30 days. Induction of AD significantly raised Aβ plaques and dead cells compared to the control group. Results of Morris water maze in the test day indicated that Alz+NP+RZV group significantly reduced escape latency and travelled distance, also significantly increased spending time compared to the Alz group (P<0.05). RZV significantly decreased Aβ plaque percentage and the number of apoptotic cells compared to the Alz group (P<0.05). In addition, NeuN and neurofilament protein expression and calbindin, DCX, and NeuroD1 genes expression increased in Alz+RZV and Alz+RZV+NP compared to the Alz group. RZV coated by nano-chitosan has good potential for reducing Aβ plaques and dead cells, increasing brain NeuN and neurofilament proteins and calbindin, DCX, and NeuroD1 genes, and improving learning and memory in Alz rats.

他汀类药物长期以来被认为对神经退行性疾病有益,包括阿尔茨海默病(AD)。此外,纳米颗粒(NP)药物在各种疾病中可以更好地影响靶组织。因此,本研究旨在探讨纳米壳聚糖包被瑞舒伐他汀(RZV)对阿尔茨海默病(Alz)模型大鼠的影响。我们检查了学习、记忆和海马淀粉样斑块,并评估了钙结合蛋白、双皮质素(DCX)、NeuroD1、神经元核(NeuN)和神经丝的表达水平。40只大鼠随机分为5组。双侧海马内注射1 μl β淀粉样蛋白诱导AD。确认AD后,大鼠每日灌胃RZV或NP,或RZV+NP,持续30 d。与对照组相比,AD诱导显著增加了Aβ斑块和死细胞。实验日Morris水迷宫结果显示,与Alz组相比,Alz+NP+RZV组的逃避潜伏期和行走距离显著减少,停留时间也显著增加(PP)
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引用次数: 0
Anatomical variation of quadratus plantae with flexor digitorum longus tendon along with unilateral polydactyly of the toes: a rare case report. 带有屈趾肌腱的植物四头肌解剖变异伴单侧多指畸形:一例罕见病例报告。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-22 DOI: 10.5115/acb.24.194
Hare Krishna, Rahul Gaur, Sarthak Gupta, Surajit Ghatak

During routine dissection, we observed a unique case of unilateral polydactyly in the left foot of a 61-year-old male cadaver. We observed the medial head of the quadratus plantae (QP) muscle, which gave off an additional tendinous slip before joining the lateral head of QP. The 4th tendon of the flexor digitorum longus (FDL) was bifurcated into two tendinous parts after receiving a thin fibrous slip from the tendinous slip of the medial head of QP. The medial division of the 4th tendon of FDL passed forward and attached to the base of the distal phalanx of the 5th toe. The extra tendinous slip from the medial head of QP was attached distally to the lateral division of the 4th tendon of FDL and formed a common anomalous tendon to the 6th toe. The knowledge of this variation would be helpful in reconstructive foot surgeries and correction of congenital deformities.

在例行解剖过程中,我们在一具 61 岁男性尸体的左脚上发现了一例独特的单侧多指畸形。我们观察到足四头肌(QP)的内侧头,它在与足四头肌外侧头连接之前又多出了一条肌腱。拇长屈肌腱(FDL)的第 4 肌腱从 QP 内侧头的腱滑处获得一条细纤维后分叉为两个腱部分。FDL 第 4 肌腱的内侧部分向前穿过,附着在第 5 趾远端指骨的基部。来自 QP 内侧头的额外肌腱滑脱到 FDL 第 4 肌腱外侧分部的远端,并与第 6 趾形成一条共同的异常肌腱。对这一变异的了解将有助于足部整形手术和先天性畸形的矫正。
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引用次数: 0
Long linguofacial trunk with infrahyoid origin. 长舌面干,起源于舌下。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-11-08 DOI: 10.5115/acb.24.171
Răzvan Costin Tudose, Mugurel Constantin Rusu, Corneliu Toader, Petrinel Mugurel Rădoi

The linguofacial trunk (LFT) is the conjoined origin of the lingual (LA) and facial (FA) arteries. We present an uncommon case of LFT due to its origin, length, and diameter. The computed tomography angiogram of an adult male case was evaluated. On the right side, the external carotid artery (ECA) gave off a large LFT before reaching the greater hyoid horn, with an outer diameter of 3.7 mm. The outer diameter of the ECA of 3.4 mm. The ECA and the LFT were on the outer side of the greater hyoid horn. After an ascending course of 20.9 mm anteriorly to the ECA, the LFT branched into the LA and FA. Bilateral elongated styloid processes reaching laterally to the oropharyngeal isthmus were also assessed. In conclusion, care should be taken not to confuse a large LFT with the ECA on the outer side of the greater hyoid horn.

舌面动脉干(LFT)是舌(LA)动脉和面(FA)动脉的联合起源。由于其起源、长度和直径,我们介绍了一例不常见的 LFT 病例。我们对一名成年男性的计算机断层扫描血管造影进行了评估。在右侧,颈外动脉(ECA)在到达舌骨大角之前发出一个大的 LFT,其外径为 3.7 毫米。ECA 外径为 3.4 毫米。ECA 和 LFT 位于大舌骨角外侧。LFT 在 ECA 前方上升 20.9 mm 后,分支至 LA 和 FA。此外,还评估了伸向口咽峡外侧的双侧拉长的样式突。总之,应注意不要将大舌骨角外侧的大LFT与ECA混淆。
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引用次数: 0
Abnormal ramification pattern of the renal and testicular vessels. 肾和睾丸血管的异常分支模式。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2025-03-31 Epub Date: 2024-12-31 DOI: 10.5115/acb.24.203
Tetsuhito Kigata, Yuki Akakabe, Rei Inoue, Yasushi Kobayashi

We demonstrate an aberrant ramification pattern of the renal and testicular vessels. On both sides, the anterior and posterior renal veins emerged from the renal. On the right side, the anterior renal vein collected the right testicular vein and drained into the inferior vena cava, while the posterior one directly drained into the inferior vena cava. Two retrocaval testicular arteries originated from the aorta. On the left side, the perinephric vein drained from the abdominal wall and adrenal gland and joined the anterior renal vein. The anterior renal vein also collected the testicular, suprarenal, and inferior phrenic veins. The posterior one received the other testicular vein and the first three lumbar veins. These renal veins converged, passed anteriorly to the aorta, and drained into the inferior vena cava. Knowledge of the varied anatomy of these vessels will contribute to safe surgical approach to the kidneys.

我们展示了肾脏和睾丸血管的异常分支模式。在两侧,肾前静脉和肾后静脉从肾中伸出。右侧肾前静脉汇集右侧睾丸静脉汇入下腔静脉,后静脉直接汇入下腔静脉。两条睾丸腔后动脉起源于主动脉。在左侧,肾周静脉从腹壁和肾上腺流出并与肾前静脉汇合。肾前静脉还包括睾丸静脉、肾上静脉和膈下静脉。后面的一条接上另一条睾丸静脉和前三条腰静脉。这些肾静脉汇合,向前通过主动脉,流入下腔静脉。了解这些血管的不同解剖结构将有助于安全的肾脏手术入路。
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引用次数: 0
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