Clinical Anatomy最新文献_第2页

Neuroanatomy teaching in the flipped classroom: Attitudes and effect on medical students' performance. 翻转课堂中的神经解剖学教学：医学生的态度和对成绩的影响。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-25 DOI: 10.1002/ca.24232

Safaa M Hanafy, Mostafa A Arafa, Mohammad I Jumaa, Karim H Farhat, Ayman A Refai, Eman A Elkordy, Ala M Aljehani

{"title":"Neuroanatomy teaching in the flipped classroom: Attitudes and effect on medical students' performance.","authors":"Safaa M Hanafy, Mostafa A Arafa, Mohammad I Jumaa, Karim H Farhat, Ayman A Refai, Eman A Elkordy, Ala M Aljehani","doi":"10.1002/ca.24232","DOIUrl":"https://doi.org/10.1002/ca.24232","url":null,"abstract":"Background: Neuroanatomy is essential to clinical neurosciences and is one of the most difficult components of the anatomy curriculum. Flipped classrooms are one of the pedagogical approaches that have been found to enhance students' abilities and encourage in-depth learning. The current study aims to assess the attitudes and effects of flipped classrooms on neuroanatomy teaching among medical students compared to traditional classrooms.Methods: A quasi-experimental study was carried out during the period January through June 2023. The effectiveness of teaching neuroanatomy in flipped classrooms versus traditional classrooms was assessed using formative assessment and a pre-designed structured questionnaire. The questionnaire was composed of four sections assessing different domains on a Likert scale ranging from 1 (strongly disagree) to 5 (strongly agree).Results: The total sample reached 214 students. Most students' attitude statements covering skills, knowledge and learning process, and length of time were significantly in favor of flipped teaching at the expense of traditional teaching. Then mean examination grades were significantly higher for pre-test flipped and post-test flipped in comparison to pre-test and post-test traditional examination.Conclusions: Although the flipped classroom is an effective method of learning neuroanatomy as compared to traditional classes, it faces some challenges in its implementation. Such challenges need awareness and solutions from educational institutions.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of articles written in non-alphabet languages. 用非字母语言撰写的文章的影响。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-12 DOI: 10.1002/ca.24231

Joe Iwanaga, R Shane Tubbs

引用次数: 0

Formation of the interatrial septum: Insights obtained from cardiac computed tomographic angiography. 房间隔的形成：心脏计算机断层扫描血管造影的启示。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-10 DOI: 10.1002/ca.24223

Atsuko Tahara, Sadako Motoyama, Shaista Malik, Nobuhiro Tahara, Tsutomu Imaizumi, Farhood Saremi, Javier Sanz, Arnold Seto, Jagat Narula, Subramaniam C Krishnan

{"title":"Formation of the interatrial septum: Insights obtained from cardiac computed tomographic angiography.","authors":"Atsuko Tahara, Sadako Motoyama, Shaista Malik, Nobuhiro Tahara, Tsutomu Imaizumi, Farhood Saremi, Javier Sanz, Arnold Seto, Jagat Narula, Subramaniam C Krishnan","doi":"10.1002/ca.24223","DOIUrl":"https://doi.org/10.1002/ca.24223","url":null,"abstract":"We previously described a septal variant termed left atrial septal pouch (LASP). Present in a third of hearts, it results from incomplete fusion of the septum primum (SP) and septum secundum (SS). We assessed the prevalence of LASP using 64-section multidetector computed tomography and further characterized the different variants. Among 864 scans, 770 were of sufficient quality for assessment (428 male, aged 59.2 ± 11.7 years). They were classified on the basis of the degrees of fusion of the SP and SS into a completely fused septum (CFS), patent foramen ovale (PFO), or LASP. The lengths of the SS, SP, and overlapping SP, the maximal length of the foramen ovale (FO) floor, and the atrial dimensions were compared. A PFO was seen in 181 patients (23.5%), a LASP in 242 (31.4%), and a CFS in 339 (44.0%). There were significant differences in the length of the SS (PFO-13.6 ± 4.3 mm, LASP-17.6 ± 4.8 mm, CFS-14.3 ± 7.7 mm, p < 0.001). Hearts with LASPs had a longer overlapping SP than those with PFOs (PFO-6.3 ± 4.5 mm, LASP-13.1 ± 5.2 mm, p < 0.001). The maximal lengths of the FO floor showed differences in short axis (SAX) view (PFO-21.7 ± 4.5 mm, LASP-15.3 ± 4.3 mm, CFS-16.3 ± 4.3 mm, p < 0.001). Hearts with PFO and LASP showed similar SP lengths (27.3 ± 6.6 mm vs. 26.4 ± 6.6 mm, p = 0.10). There was a positive linear correlation between the length of the SS and the overlapping SP (R2 = 0.28, p < 0.001) with a weaker negative correlation between the SS length and maximal length of the FO floor (R2 = 0.02, p < 0.001). The groups showed similar atrial dimensions and volumes. Present in a third of patients, hearts with LASP have longer SS and overlapping SP.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical appraisal of Genelyn soft embalming for cadaveric surgical skill training: A systematic review. 对用于尸体外科技能培训的 Genelyn 软防腐法进行批判性评估：系统综述。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-09 DOI: 10.1002/ca.24236

S S S N Rajasekhar, Kalaivani Kaliyamoorthy, V Dinesh Kumar, Neethu Sivadasan

{"title":"Critical appraisal of Genelyn soft embalming for cadaveric surgical skill training: A systematic review.","authors":"S S S N Rajasekhar, Kalaivani Kaliyamoorthy, V Dinesh Kumar, Neethu Sivadasan","doi":"10.1002/ca.24236","DOIUrl":"https://doi.org/10.1002/ca.24236","url":null,"abstract":"Genelyn is a proprietary embalming solution used for preserving cadavers for surgical skill training (SST) and undergraduate teaching. The aim of this review is to examine the Genelyn embalming method critically by analyzing scientific publications that have employed this method for SST and undergraduate education. The systematic review process involved searching for all relevant articles in PubMed, Google Scholar, and Embase using the keywords \"Genelyn,\" Genelyn embalming,\" \"Genelyn embalmed cadaver,\" and \"surgical skill training. All studies on Genelyn embalming published up to August 14, 2024, in the English language were eligible for inclusion. The literature review yielded 92 studies, 43 of which met the inclusion criteria. The Anatomical Quality Assurance (AQUA) tool from the International Evidence-Based Anatomy (iEBA) working group was used to assess and analyze the risk of bias in all the selected full-text articles. The selected studies reported that Genelyn embalming provided life-like joint range of motion, tissue pliability, and color. Cadaveric studies assessing embalming solutions typically had smaller sample sizes, and few of them compared Genelyn embalmed cadavers (GECs) with the other soft embalming solutions. Unlike Theil's embalming, Genelyn embalming is cost-effective, with easy steps for the preparation and storage of the solution and convenient handling of cadavers. Therefore, GECs serve as an efficient tool for SSTs.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Visualization of the dentogingival junction using micro-plastination technique. 利用微塑化技术观察牙龈交界处。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-08 DOI: 10.1002/ca.24235

Jaime Correa-Aravena, Camila Panes, Nikol Ponce, Aurora Prado-Sanhueza, Diego Guzmán, Bélgica Vásquez, Ignacio Roa, Carlos Veuthey, Telma S Masuko, Nicolás E Ottone

{"title":"Visualization of the dentogingival junction using micro-plastination technique.","authors":"Jaime Correa-Aravena, Camila Panes, Nikol Ponce, Aurora Prado-Sanhueza, Diego Guzmán, Bélgica Vásquez, Ignacio Roa, Carlos Veuthey, Telma S Masuko, Nicolás E Ottone","doi":"10.1002/ca.24235","DOIUrl":"https://doi.org/10.1002/ca.24235","url":null,"abstract":"Plastination has revolutionized the field of anatomy and research by providing biosecurity and enabling the long-term preservation of biological material, ranging from entire bodies to individual organs and even micron sections. The dentogingival junction (DGJ) consists of both epithelial and connective tissues that are closely related to the tooth's mineralized tissues. Cutting-grinding techniques are commonly used to visualize DGJ histology. These techniques exclude enamel from preparations and focus on visualizing hard or soft tissues. To improve the micro-anatomical and histological study of this region, we applied micro-plastination technique to obtain micro-thin slices below 150 μm thick from human and animal samples. The DGJ microanatomy was visualized by applying histological stains to the micro-plastinated slices, highlighting the technique's endogenous autofluorescence capacity identifying periodontal tissues, including dentin, enamel, cementoenamel junction, dentinal tubules, connective tissue, and collagen. Based on our results, we confirm that micro-plastination is a useful technique for visualizing anatomical regions that are difficult to access, such as the DGJ. Micro-plastination can be used as an alternative technique, providing a new approach for its application in anatomical and morphological research protocols.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasonographic assessment of the lateral pterygoid muscle for BoNT-A injection. 为注射 BoNT-A 对翼外侧肌肉进行超声波评估。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-04 DOI: 10.1002/ca.24220

Hyungkyu Bae, Yeon-Hee Lee, Soo-Bin Kim, Kyung-Seok Hu, Hee-Jin Kim

{"title":"Ultrasonographic assessment of the lateral pterygoid muscle for BoNT-A injection.","authors":"Hyungkyu Bae, Yeon-Hee Lee, Soo-Bin Kim, Kyung-Seok Hu, Hee-Jin Kim","doi":"10.1002/ca.24220","DOIUrl":"https://doi.org/10.1002/ca.24220","url":null,"abstract":"The upper head of the lateral pterygoid muscle (LPM) is known to insert into the capsule of the temporomandibular joint and articular disc, and therefore its relationship with temporomandibular disorders (TMD) has been consistently suggested. The aim of the study was to determine the anatomical features of the LPM using ultrasonographic (US) imaging. Around 120 hemifaces from 60 healthy Korean volunteers were included in this study. US images were taken with the subject's mouth 2 cm open. The transducer was placed at a position where the infratemporal fossa could be observed through the mandibular notch, and its position was recorded. The locations of the coronoid process (CorP), lateral margin of the condylar process (ConP), and midpoint of CorP and ConP (MP) were measured with reference to the ala-tragus line. The thicknesses of the skin and subcutaneous tissue, the masseter muscle, the temporalis muscle, and the depth of the LPM were measured at the MP. The masseter muscle, temporalis muscle, and LPM were observed in all cases and located in order from superficial to deep. The MP was located 39.6 ± 3.3 mm anterior and 7.8 ± 1.6 mm inferior to the tragus. The thicknesses of the skin and subcutaneous tissue, the masseter muscle, the temporalis muscle, and the depth of the LPM at the MP were 9.7 ± 1.0, 10.3 ± 1.3, 10.9 ± 1.6, and 30.9 ± 1.9 mm, respectively. The information reported in this study may be useful for determining the location of the LPM and adjacent anatomical structures in TMD patients and provide accurate and safe injection guidelines.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vertebral body density role in determining vertebral osteoporotic fracture type and its progression. 椎体密度在确定椎体骨质疏松性骨折类型及其进展中的作用。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-04 DOI: 10.1002/ca.24219

Yossi Smorgick, Ruth Pelleg-Kallevag, Dror Lindner, Yoram Anekstein, Sergey Goldstein, Hila May

{"title":"Vertebral body density role in determining vertebral osteoporotic fracture type and its progression.","authors":"Yossi Smorgick, Ruth Pelleg-Kallevag, Dror Lindner, Yoram Anekstein, Sergey Goldstein, Hila May","doi":"10.1002/ca.24219","DOIUrl":"https://doi.org/10.1002/ca.24219","url":null,"abstract":"Vertebral osteoporotic fractures (VOF) are among the most frequent fractures in the elderly, often leading to an impaired lifestyle and a high economic burden. Although a reduced bone mass density is considered one of the main risk factors for VOF, its role in determining the fracture type, using the AO spine-DGOU classification for osteoporotic thoracolumbar fractures, as well as its progression, is unknown. The current study aimed to: (1) reveal whether the bone density of the vertebral bodies of fractured and non-fractured vertebrae predicts the type of fracture, (2) examine whether bone density is associated with the initial and progressive collapse of the vertebral body, and (3) provide predictive measures for fracture progression. The study sample included 124 patients (40 males and 84 females) with an acute osteoporotic vertebral fracture who underwent a computerized tomography scan at the time of diagnosis and an x-ray at least 3 months later. The bone density of the fractured and adjacent (non-fractured) vertebrae was measured at diagnosis. The magnitude of the collapse and the progression of the fracture over time were calculated from height measurements of the vertebral bodies at diagnosis and follow-up. Age was a significant factor in predicting the fracture type and magnitude of collapse, whereas sex and bone density were not. The severity of the fracture was involved in predicting its progression, demonstrating that severe-type fractures tended to continue to collapse after diagnosis. However, when each type was examined independently, the density of the fractured vertebra had a protective effect on fracture progression. To conclude, identifying the type of fracture is beneficial in determining patient prognosis. Furthermore, the density of the fractured vertebra, the magnitude of collapse, and patient age are valuable predictors of fracture progression.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ultrasound-guided core needle biopsy of deep fascia: A cadaveric study evaluating feasibility, accuracy and reliability. 超声引导下的深筋膜核心针活检：一项评估可行性、准确性和可靠性的尸体研究。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-01 DOI: 10.1002/ca.24224

Carmelo Pirri, Alen Zabotti, Nina Pirri, Lucia Petrelli, Ivan Giovannini, Veronica Macchi, Andrea Porzionato, Luca Quartuccio, Raffaele De Caro, Salvatore De Vita, Carla Stecco

{"title":"Ultrasound-guided core needle biopsy of deep fascia: A cadaveric study evaluating feasibility, accuracy and reliability.","authors":"Carmelo Pirri, Alen Zabotti, Nina Pirri, Lucia Petrelli, Ivan Giovannini, Veronica Macchi, Andrea Porzionato, Luca Quartuccio, Raffaele De Caro, Salvatore De Vita, Carla Stecco","doi":"10.1002/ca.24224","DOIUrl":"https://doi.org/10.1002/ca.24224","url":null,"abstract":"Over the past few decades, researchers and clinicians have dedicated significant attention to fascial tissues. Current interest focuses on their anatomical and pathophysiological features. Breakthroughs in ultrasound (US) and magnetic resonance imaging (MRI) have enhanced our ability to study the dynamics and alterations of the tissue structures. However, a microscopic perspective is also essential for a comprehensive understanding of some pathologies of the fasciae. The aim of this study was to investigate, using a cadaveric study: (1) the ease of visualization of the landmarks used for the US-guided fascial core needle biopsy (CNB); (2) the consistency and accuracy of needle placement inside fascial layers using US guidance and confirmed by histological examination; (3) inter-rater reliability. We assessed the feasibility of US-guided CNB in different topographical regions of human cadavers: the thoracolumbar fascia (TLF), fascia lata (FL), and crural fascia (CF). The results, confirmed by histological examination, revealed no significant difference in needle placements between the in-plane approaches in the long and short axes for all locations and fasciae studied (long axis: 91.88%; short axis: 96.22%); p > 0.05. US-guided core needle biopsy with the in-plane approach is feasible, consistent and reliable. It could provide most or all of high-quality fascial tissue samples required for pathological examination. It could also reveal changes in fascial pathologies, capturing the exact site of pathology thanks to US guidance, in particular in patchy diseases such as eosinophilic fasciitis.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anatomy is the cynosure of medicine 解剖学是医学的焦点。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-10-01 DOI: 10.1002/ca.24230

R. Shane Tubbs

引用次数: 0

Trans-obliquus inferior capitis course of the greater occipital nerve: A potential cause of occipital neuralgia? 枕大神经的经骨下帽状腱膜走向：枕神经痛的潜在病因？

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-09-27 DOI: 10.1002/ca.24226

Emma R Lesser, Emily M Persons, Marcela Herrera, Anthony Sanchez-Forteza, Silvia M Vergara, Chung Yoh Kim, Juan J Cardona, Keishiro Kikuchi, Yoko Tabira, Aaron S Dumont, Joe Iwanaga, R Shane Tubbs, Rarinthorn Samrid

{"title":"Trans-obliquus inferior capitis course of the greater occipital nerve: A potential cause of occipital neuralgia?","authors":"Emma R Lesser, Emily M Persons, Marcela Herrera, Anthony Sanchez-Forteza, Silvia M Vergara, Chung Yoh Kim, Juan J Cardona, Keishiro Kikuchi, Yoko Tabira, Aaron S Dumont, Joe Iwanaga, R Shane Tubbs, Rarinthorn Samrid","doi":"10.1002/ca.24226","DOIUrl":"https://doi.org/10.1002/ca.24226","url":null,"abstract":"Occipital neuralgia can be due to multiple etiologies. One of these is potential compression of the greater occipital nerve (GON). In this regard, one relationship of the GON, its course through the obliquus inferior capitis muscle (OIC), has yet to be well studied. Therefore, the current anatomical study was performed to elucidate this relationship better. In the prone position, the suboccipital triangle was exposed, and the relationship between the GON and OIC was documented in 72 adult cadavers (144 sides). The GON was found to pierce the OIC on four sides (2.8%), unilaterally in two cadavers and bilaterally in one cadaver. Two cadavers were male, and one was female. Histological samples were taken from GONs with a normal course around the OIC, and nerves were found to pierce the OIC. The GON of all four sides identified histological changes consistent with nerve potential compression (e.g., epineurial and perineurial thickening). This is also the first histological analysis of the trans-OIC course of the GON, demonstrating signs of chronic nerve potential compression. Although uncommon, entrapment of the GON by the OIC may be an underrecognized etiology of occipital neuralgia.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0