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Urogenital anomalies associated with anorectal malformations 与肛门直肠畸形相关的泌尿生殖系统畸形
Pub Date : 2024-07-15 DOI: 10.18231/j.ijcap.2024.019
Sameer P. A, Priya Ranganath
: Anorectal malformations are one of the common congenital anomalies with an incidence of 1-3000 to 5000. Up to 70% of the patients have associated anomalies. Urogenital anomalies are the most common associated anomalies. : This study was done to determine the type and frequency of urogenital anomalies associated with different variants of ARMs according to the Krickenbeck classification.: 150 patients were included in the study. A full physical examination of the child was conducted followed by an infantogram, echocardiogram, spinal ultrasound scan, and KUB ultrasound was done to investigate different associated anomalies. MRI was done if further clarity was needed. The patients were classified according to the Krickenbeck classification.: ARM with perineal fistula was the common type of ARM. 73% had associated anomalies, and 32% of patients had urogenital (UG) anomalies. 70.8% of patients had urinary anomalies. 52.1% of patients had genital anomalies. The most common type of urinary anomaly found in the present study was hydroureteronephrosis (HUN) (41.2%). 32.4% of the patients with urinary anomalies had vesicoureteral reflux (VUR). Renal agenesis was found in 32.4%, neurogenic bladder 5.9%, hydronephrotic kidney 5.9%, ectopic ureter 5.9%, cross fused ectopic kidney 5.9%.: Urogenital anomalies associated with different subtypes of anorectal malformation vary drastically from patient to patient. The knowledge of these associated anomalies will help the surgeons in planning the course of treatment which can determine the prognosis and quality of life of the patients.
:肛门直肠畸形是常见的先天性畸形之一,发病率在 1-3000 到 5000 之间。高达 70% 的患者伴有肛门畸形。泌尿生殖系统畸形是最常见的伴发畸形。 本研究的目的是根据克里肯贝克分类法,确定泌尿生殖系统畸形的类型和频率,以及与 ARM 不同变异相关的泌尿生殖系统畸形:研究共纳入 150 名患者。对患儿进行全面体检,然后进行婴儿造影、超声心动图、脊柱超声扫描和 KUB 超声波扫描,以检查不同的相关畸形。如果需要进一步明确,还需进行核磁共振成像检查。根据克里肯贝克分类法对患者进行分类:伴有会阴瘘的 ARM 是常见的 ARM 类型。73%的患者伴有畸形,32%的患者伴有泌尿生殖系统(UG)畸形。70.8%的患者有泌尿系统异常。52.1%的患者有生殖器异常。本研究中最常见的泌尿系统异常类型是输尿管肾积水(HUN)(41.2%)。32.4%的泌尿系统异常患者患有膀胱输尿管反流(VUR)。32.4%的患者有肾脏发育不全,5.9%的患者有神经源性膀胱,5.9%的患者有肾积水,5.9%的患者有异位输尿管,5.9%的患者有交叉融合的异位肾:与不同亚型肛门直肠畸形相关的泌尿生殖系统异常因人而异。了解这些相关畸形有助于外科医生规划治疗方案,从而决定患者的预后和生活质量。
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引用次数: 0
A case of single fissured right lung 一例右肺单裂病例
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.011
Shivani Galani, Sunil Kumar, Mayuri Malivad, Suresh P Rathod
Two soft, spongy lungs are located in the chest cavity on either side of the mediastinum. Tripartitions are typically observed in the right lung with oblique and horizontal fissures, and bipartitions are observed in the left lung with a single oblique fissure. Expansion of the lungs during breathing is largely helped by fissures. During undergraduate cadaveric chest dissection, we discovered and examined the right lung with a single fissure. In this case, the right lung has transitioned from trilobular to bilobular, with a single oblique fissure separating the upper and lower lobes. The left lung had a normal shape with one oblique fissure and two lobes. Lung fissures and lobar patterns are often altered due to developmental changes during the fetal period. Clinicians should be aware of these anatomical differences in the lung fissures before performing lung surgery to prevent subsequent complications.
两个柔软的海绵状肺位于纵隔两侧的胸腔内。右肺通常为三分区,有斜裂和水平裂,左肺为双分区,只有一条斜裂。呼吸时肺部的扩张在很大程度上得益于裂隙。在本科生的尸体胸部解剖中,我们发现并检查了带有单个裂缝的右肺。在这个病例中,右肺从三叶过渡到了双叶,一条斜裂将上下肺叶分隔开来。左肺形状正常,有一个斜裂和两个肺叶。由于胎儿期的发育变化,肺裂和肺叶形态经常会发生改变。临床医生在进行肺部手术前应了解肺裂的这些解剖学差异,以防止后续并发症的发生。
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引用次数: 0
Influence of sleep quality and other associated factors on glycemic control among diabetic patients: A hospital-based study 睡眠质量及其他相关因素对糖尿病患者血糖控制的影响:一项基于医院的研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.006
Yusra Amin, Sonia Mushtaq, Rukhsana Taj, Umara Giyas, Sunil Sachadev
The glycemic control of diabetes patients is influenced by a variety of risk factors, some of which are adjustable and others of which are not. Diabetes and sleep quality are most frequently correlated in both directions. To evaluate the quality of sleep and pinpoint the risk factors for inadequate glycemic control in individuals with diabetes. : This cross-sectional study included seventy consecutive patients who met the inclusion criteria. The Pittsburgh Sleep Quality Index (PSQI) scale was used to evaluate the quality of sleep. Siemens- ID 29984, dimension RxL Max, Architect plus ABBOT (ci 4100), completely automatic seven-part cell-counter by Horiba Pentra Dx and Siemens ADVIA Centaur XPT (Immonoassay system) were utilized for the biochemical tests.: Of the 70 participants in the study, 22 patients [31.4%] reported having good sleep quality, while 15 patients [21.4%] had average sleep quality and 33 patients [47.1%] had poor sleep quality. Patients with managed and uncontrolled blood sugar showed varying degrees of sleep quality; 48.4% and 17.9% showed good sleep quality, 29% and 15.4% showed moderate sleep quality, and 22.6% and 66.7% showed poor sleep quality. A statistically significant difference (p<0.001) was seen in the sleep quality of the two groups. : In summary, the results of our study suggested that diabetics with poor sleep quality are more likely to have poor glycemic control. A significant modifiable risk factor for improved glycemic management in diabetic patients is sleep quality.
糖尿病患者的血糖控制受到多种风险因素的影响,其中一些因素可以调整,另一些则不可调整。糖尿病和睡眠质量最常见的双向相关性。为了评估糖尿病患者的睡眠质量,并找出血糖控制不佳的风险因素,我们开展了一项横断面研究。 这项研究包括连续七十名符合纳入标准的患者。采用匹兹堡睡眠质量指数(PSQI)量表评估睡眠质量。生化检验采用了西门子 ID 29984、dimension RxL Max、Architect plus ABBOT (ci 4100)、Horiba Pentra Dx 全自动七部分细胞计数器和西门子 ADVIA Centaur XPT(免疫测定系统):在 70 名参与者中,22 名患者[31.4%]表示睡眠质量良好,15 名患者[21.4%]睡眠质量一般,33 名患者[47.1%]睡眠质量较差。血糖得到控制和未得到控制的患者表现出不同程度的睡眠质量;48.4%和17.9%的患者睡眠质量良好,29%和15.4%的患者睡眠质量中等,22.6%和66.7%的患者睡眠质量较差。两组睡眠质量的差异具有统计学意义(P<0.001)。 总之,我们的研究结果表明,睡眠质量差的糖尿病患者更有可能血糖控制不佳。睡眠质量是改善糖尿病患者血糖控制的一个重要可调节风险因素。
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引用次数: 0
Conceptual differences about willingness of body donation among southern, eastern, central and northern population of India: Single centered approach 印度南部、东部、中部和北部人口对遗体捐献意愿的概念差异:单中心方法
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.004
Divia Paul Aricatt, Diwan Mahmood Khan, Varsha Saxena, Abdul Ghaffar, Dane Chandy
: Cadaveric dissection cannot be compensated by virtue table concepts or computerized learning aids. The present study was aimed to evaluate the conceptual differences and perceptional clarity about willingness of body donation relevant to regional practice among four inter-state population of India. The study objectives focused to assess the understanding level about general and special concepts and attitudes about body donation in Southern, Eastern, Central as well Northern parts of India and to compare differences about the concepts of understanding and willingness about body donation between four inter-state populations.A cross-sectional single center study with a differential rating scale questionnaire was conducted. Four hundred participants equally divided among four medical colleges of Southern, Eastern, Central and Northern India were the samples. All ethical principles for human research were followed. Completing a special course of ethical training and non-willingness to participate in the study were regarded as the criteria of a subject to get excluded from the study.The given questionnaire was completed by various participants from different zones: eastern, western, central and southern. We found significant difference in the educational level of the participants across various zones. Unsurprisingly, most likely due to the literacy rate, participants from the south are much more familiar with ‘body donation’ for research and education compared to participants from other three zones. Provisions to improve the body donation should concentrate on multi-directional tasks.
:尸体解剖是无法用表格概念或计算机化学习辅助工具来弥补的。本研究旨在评估印度四个跨邦人口在遗体捐献意愿方面的概念差异和与地区实践相关的认知清晰度。研究目的主要是评估印度南部、东部、中部和北部地区对遗体捐献的一般和特殊概念的理解程度和态度,并比较四个邦际人口对遗体捐献的理解和意愿概念的差异。四百名参与者被平均分配到印度南部、东部、中部和北部的四所医学院作为样本。所有人类研究伦理原则均得到遵守。来自东部、西部、中部和南部不同地区的参与者填写了问卷。我们发现,不同地区参与者的受教育程度存在明显差异。毫不奇怪,很可能是由于识字率的原因,与其他三个区的参与者相比,南部的参与者对 "遗体捐献 "的研究和教育更为熟悉。改善遗体捐献的规定应集中在多方位的任务上。
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引用次数: 0
Radiological study of carrying angle among male and female and its clinical importance 男女携带角的放射学研究及其临床重要性
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.009
T. Prabhakar, Vinodkumar Gurram
: The long axes of the ulna and humerus form an acute angle when the upper limb is in its anatomical position and the elbow is fully extended is known as the carrying angle. It is typically larger in females than in males Anthropologists use the carrying angle to predict a person's sex; orthopaedic surgeons use it to surgically treat a variety of elbow disorders; and total elbow prosthetics. The study aimed to assess the carrying angle in an attempt to determine its value in both sexes, proposing a simple and reliable method for measuring it.The elbow radiographs taken in the normal anteroposterior and lateral views were assessed independently and uniformly by anatomists. A total of 70 adult radiographs between the ages of 18 to 76 years, 35 males and 35 females were gathered. To measure the angle, two lines were drawn: one along the mid-axis of the upper limb of the forearm, passing between the radius and ulna through the superior radioulnar joint, and the other along the mid-axis of the lower third of the humerus, where the angle is measured.The carrying angle is statistically more significant in females than in males among 70 radiographs. The p-value was 0.000 and the mean and SD for males were 14.3±2.740, while the mean and SD for females were 21.92±3.170.The current study concludes that there is a significant gender difference between females and males; carrying angle influences secondary sexual characteristics.
:当上肢处于解剖位置且肘部完全伸展时,尺骨和肱骨的长轴会形成一个锐角,这就是所谓的承载角。女性的携带角通常大于男性 人类学家利用携带角来预测一个人的性别;矫形外科医生利用携带角来进行各种肘部疾病的手术治疗;以及全肘部假肢的制作。这项研究旨在评估携带角,试图确定其在男女两性中的价值,并提出了一种简单可靠的测量方法。共收集了 70 张年龄在 18 至 76 岁之间的成人 X 光片,其中男性 35 张,女性 35 张。为了测量角度,我们画了两条线:一条是沿着前臂上肢的中轴线,通过桡骨和尺骨之间的桡骨上关节,另一条是沿着肱骨下三分之一的中轴线,在这里测量角度。P 值为 0.000,男性的平均值和 SD 值为(14.3±2.740),而女性的平均值和 SD 值为(21.92±3.170)。本研究得出结论:女性和男性之间存在显著的性别差异;携带角影响第二性征。
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引用次数: 0
Incomplete oblique fissure with absence of lingula, cardiac notch in left lung: A case report 不完全斜裂,左肺无舌状体、心切迹:病例报告
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.010
Schwetha Cheryl Dsouza, Sabita Nayak, Nazmeen Silotry
: Lungs, are partitioned into distinct lobes by fissures. These anatomical fissures play a crucial role in ensuring the consistent expansion of each lobe during the process of respiration. The left lung, comprises of two main lobes: the upper lobe and the lower lobe, delineated by an oblique fissure. We present a case of an incomplete oblique fissure, accompanied by the absence of both the lingula and the cardiac notch in the left lung of a male cadaver. This anatomical variation was discovered during a routine thoracic dissection. No structural alterations were noted at the hilum of the left lung. The Fissures and hilum on the right lung were normal. Understanding morphological variations in fissures and lobes is useful when identifying lung lesions, planning invasive respiratory operations, and analyzing diagnostic imaging. It emphasizes the practical consequences of anatomical variation in the context of respiratory operations and imaging interpretations, highlighting the importance of incorporating it into medical teaching and practice.
:肺被裂隙分割成不同的肺叶。在呼吸过程中,这些解剖学上的裂隙对确保每个肺叶的持续扩张起着至关重要的作用。左肺由两个主要肺叶组成:上叶和下叶,由一条斜裂缝划定。我们在一具男性尸体的左肺中发现了一个不完整的斜裂,并伴有舌状体和心脏切迹的缺失。这一解剖变异是在一次常规胸腔解剖中发现的。左肺的肺门未发现结构性改变。右肺的裂隙和肺门正常。了解裂隙和肺叶的形态变化有助于确定肺部病变、计划有创呼吸系统手术和分析诊断成像。它强调了解剖变异在呼吸系统手术和影像学解释中的实际影响,突出了将其纳入医学教学和实践的重要性。
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引用次数: 0
“Anatomy is not a harlot of medicine”- Joseph Hyrtl "解剖学不是医学的娼妓"--约瑟夫-赫特尔
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.013
Sven Schumann
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引用次数: 0
Digital content on YouTube channels: A boon or bane to teaching and learning in medical education YouTube 频道上的数字内容:医学教育教学的福音还是祸根
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.001
Anu Sharma, Ajay Kumar, Ashani Kumar, Deepakshi Goyal, Aneesh Sharma
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引用次数: 0
Morphometric analysis of proximal femur in Indian population and its implications in Total Hip Arthroplasty 印度人股骨近端形态分析及其对全髋关节置换术的影响
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.005
Jaikumar B Contractor, Bhavika Umraniya, Praveen Singh
Geometric understanding of the proximal end of femur is significant for functional bipedal erect posture and in pre-operative planning of osteotomy as well as the design and development of implants for THA. Moreover, the anthropological parameters of any bone are determined by genetic and environmental factors such as age, race, gender and lifestyle and this leads to racial variations in the morphological parameters of proximal end of femur owing to lifestyle, physique, applied force and their distribution in India population.The current study was designed to study and compare the morphology of proximal end of femur in Indian population and was conducted on 94 dry human cadaveric bones of unknown age and sex to determine the morphology of the proximal end of femur. We observed the Femur Length as 426.6 ± 15.82 mm, Femur Neck Length as 3.455 ± 0.378 mm and Neck Shaft Angle as 125.27 ± 2.54° amongst other parameters.The findings also revealed significant variations in the morphological parameters among different populations, emphasizing the importance of considering racial diversity in the design and selection of implants for THA for improving the success and longevity of hip arthroplasty procedures.
了解股骨近端的几何形状对两足直立的功能性姿势、截骨术的术前规划以及全髋关节置换术植入物的设计和开发具有重要意义。此外,任何骨骼的人类学参数都是由年龄、种族、性别和生活方式等遗传和环境因素决定的,这就导致了股骨近端形态参数因生活方式、体质、外力及其在印度人口中的分布而存在种族差异。本研究旨在研究和比较印度人口中股骨近端的形态,研究对象是94块年龄和性别未知的干尸骨骼,以确定股骨近端的形态。我们观察到股骨长度为 426.6 ± 15.82 毫米,股骨颈长度为 3.455 ± 0.378 毫米,股骨颈轴角度为 125.27 ± 2.54°,以及其他参数。研究结果还显示,不同人群的形态参数存在显著差异,强调了在设计和选择 THA 植入物时考虑种族多样性的重要性,以提高髋关节置换术的成功率和寿命。
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引用次数: 0
Identification of learning style preferences among first year MBBS students using VARK questionnaire 利用 VARK 问卷确定医学学士一年级学生的学习风格偏好
Pub Date : 2024-05-15 DOI: 10.18231/j.ijcap.2024.007
M. R. Sangam, Bitopan Kalita, Krishnan Srinivasan
Learning style refers to the preference of the students for receiving and processing the information. In the present CBME curriculum, as the learning is more student-centric, understanding the learning style preferences of the students allows higher educational efficiency. Learning styles can be assessed by different models. Among them, the VARK model is more concise, simple, appropriate, and reliable. VARK categorizes learning by sensory preferences – Visual, Auditory, Read/Write, and Kinesthetic. To identify the mode of learning and learning style preferences among first-year MBBS students using the VARK questionnaire and to determine the relationship between learning style preferences and gender. This cross-sectional study was carried out among first-year MBBS students at AIIMS, Guwahati for 6 months after obtaining permission from the Institutional Ethics Committee. Consenting students were administered with a Google form of VARK questionnaire version 7.8. Descriptive statistics were used to analyze the student’s preference for various VARK components. The chi-square test was used to compare four VARK learning styles between male and female students. 97 students (75 males and 22 females) studying first-year MBBS participated in the study. Most of the students were tetra-modal learners (38.14%) showing a preference for all four sensory modalities. 31 students (31.95%) showed an unimodal mode of learning. This is followed by trimodal (17.52%) and bimodal (12.37%) learners showing a preference for three and two sensory modalities respectively. The most preferred learning style was kinesthetic (mean score was 10±3.58) and the least was read/write (mean score was 4.79±3.48).Knowledge of the learning style may allow the students to improve their academic performance. It helps the instructors to modify and adopt appropriate teaching methods addressing different learning styles for achieving higher educational efficiency.
学习风格是指学生接受和处理信息的偏好。在目前的 CBME 课程中,由于学习更加以学生为中心,了解学生的学习风格偏好可以提高教育效率。学习风格可以通过不同的模型来评估。其中,VARK 模型更为简洁、简单、恰当和可靠。VARK 将学习按感官偏好进行分类--视觉、听觉、读/写和动觉。利用 VARK 问卷确定医学学士学位一年级学生的学习模式和学习风格偏好,并确定学习风格偏好与性别之间的关系。这项横断面研究是在获得机构伦理委员会的许可后,在古瓦哈提 AIIMS 的医学学士学位一年级学生中开展的,为期 6 个月。在征得学生同意后,对他们进行了谷歌 VARK 7.8 版问卷调查。描述性统计用于分析学生对 VARK 各组成部分的偏好。利用卡方检验比较了男女学生的四种 VARK 学习风格。97 名就读于医学学士学位一年级的学生(75 名男生和 22 名女生)参与了研究。大多数学生是四模式学习者(38.14%),表现出对所有四种感官模式的偏好。31 名学生(31.95%)表现出单模态学习模式。其次是三模态学习者(17.52%)和双模态学习者(12.37%),他们分别偏好三种和两种感官模式。最喜欢的学习方式是动觉(平均分是 10±3.58),最少的是读/写(平均分是 4.79±3.48)。对学习风格的了解可使学生提高学习成绩,有助于教师针对不同的学习风格修改和采用适当的教学方法,以提高教育效率。
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引用次数: 0
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Indian journal of clinical anatomy and physiology
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