AnatomyPub Date : 2019-08-01DOI: 10.2399/ana.19.061
A. Bekel, D. Woldeyes, Yibeltal Wubale Adamu, Mengstu Desalegn Kiros, Shibabaw Tedila Truneh, B. Abegaz
{"title":"Anatomy education in Ethiopia - the effect of school background on medical school performance","authors":"A. Bekel, D. Woldeyes, Yibeltal Wubale Adamu, Mengstu Desalegn Kiros, Shibabaw Tedila Truneh, B. Abegaz","doi":"10.2399/ana.19.061","DOIUrl":"https://doi.org/10.2399/ana.19.061","url":null,"abstract":"Objectives: In Ethiopia, western modern education has been introduced in 1908, though there has been traditional education starting from the entrance of Christianity in Ethiopia in the sixth century. Currently, there are thousands of government and private schools in the country. The objective of this study is to identify who scores well in anatomy in the university; students coming from government or private schools? Methods: A cross-sectional study design was used to assess the effect of high school background on medical students’ performance in anatomy among 120 randomly selected students at Bahir Dar University College of Medicine and Health Sciences. Results: Anatomy is given for medical students as separate course in regional approach for ten months after they complete premed courses as five hours lecture and one hour practical session per week. Students than take an exam with theoretical and practical parts, after completion of each region. Out of 120 randomly selected students about 64% joined the university from government schools and the rest were from private schools. From the government school group, only 17% of the students scored low. However, out of the total private school students 40% were low scorers. There was a statistically significant correlation between school background and medical student performance in anatomy (p=0.007). The odds of private school students performance in anatomy was 3.22 times lower than those of government school students (p=0.007) Conclusion: Students graduated from government high schools perform better in academics than students graduated from private schools.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81863597","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}
AnatomyPub Date : 2019-08-01DOI: 10.2399/ana.19.040
S. Akkaşoğlu, E. Çelebioğlu, S. Çalışkan, I. Sancak
{"title":"Retrospective radiologic analysis of accessory spleen by computed tomography","authors":"S. Akkaşoğlu, E. Çelebioğlu, S. Çalışkan, I. Sancak","doi":"10.2399/ana.19.040","DOIUrl":"https://doi.org/10.2399/ana.19.040","url":null,"abstract":"Objectives: The aim of this study was to define the incidence and classify locations of accessory spleen using CT in a large Turkish population and to compare our findings with earlier studies performed in other populations. Methods: A total of 930 patients were included in the study and evaluated retrospectively using CT. The CT images were obtained using Philips Ingenuity 128 slice computerized tomography device. Results: 930 patients (413 females, 44.4%; 517 males, 55.6%) who underwent CT imaging for various indications were included in this study. Out of these, 55 had an accessory spleen (5.9%), and four had polysplenia. Most common location of accessory spleen was hilum (49.9%) followed by the gastrosplenic ligament (21.81%), infrasplenic area (18.18%), pancreatic tail (3.64%), splenorenal ligament (3.64%) and suprasplenic area (3.64%). Conclusion: Accessory spleen is a common variation encountered in the abdominal cavity. Most and least common locations of this variation should be well known to prevent radiologic misdiagnosis and surgical complications.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87391788","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}
AnatomyPub Date : 2019-04-29DOI: 10.2399/ANA.19.016
I. Selcuk, C. Barut, E. Çalışkan
{"title":"Impact of a gynecologic oncology cadaveric dissection course for surgical training","authors":"I. Selcuk, C. Barut, E. Çalışkan","doi":"10.2399/ANA.19.016","DOIUrl":"https://doi.org/10.2399/ANA.19.016","url":null,"abstract":"Objectives: The aim of this study was to measure the educational efficacy of a gynecologic oncology cadaveric dissection course on fellows and specialists. Methods: After the radical and reconstructive vulvar and abdominal gynecologic cancer surgery cadaveric course, a post-course survey was applied to evaluate the improvement in topographic surgical anatomy and the effect on broadening the surgical experience. Results: Totally 10 and 16 participants attended to the vulvar cancer surgery cadaveric dissection course and abdominal gynecologic cancer surgery cadaveric dissection course, respectively. All participants stated that they had an improvement in topographic surgical anatomy and they found the cadaveric workshop beneficial to broaden the surgical experience. All participants suggested this kind of courses to learn the proper techniques of a surgical procedure in a comfortable and non-stressful setting and improve the surgical skills for rare and complicated surgeries. Conclusion: Cadaveric dissection courses in the field of gynecologic oncology tailor the surgical anatomy education and improve the training","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"305 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76346370","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}
AnatomyPub Date : 2019-04-29DOI: 10.2399/ANA.18.054
Nilgün Tuncel Çini, Serdar Babacan, İ. Kafa, Sezer Erer Kafa
{"title":"Cadavers in anatomy classes: opinions of the students of Bursa Uludağ University School of Medicine","authors":"Nilgün Tuncel Çini, Serdar Babacan, İ. Kafa, Sezer Erer Kafa","doi":"10.2399/ANA.18.054","DOIUrl":"https://doi.org/10.2399/ANA.18.054","url":null,"abstract":"Objectives: Informing the medical students about the ethical aspects related to human cadavers has been an important issue that should be taken into consideration by anatomists. The purpose of the study was to evaluate the opinions of the students of the School of Medicine of Bursa Uludag University, Turkey on the cadavers, prior to the anatomy education, and to determine the changes in attitudes towards the dead human body after basic and compulsory anatomy courses. Methods: The first-year class students of the School of Medicine of Bursa Uludag University were included in the study. The questionnaire was applied before and after the education on cadavers in Topographic Anatomy Committee. The on-line survey form was created and the link address was shared with e-mail and social media. Statistical analyses of the obtained data were performed using the SPSS 22.0 program. Results: The first questionnaire was answered by 297 students and the second questionnaire by 212 students. In the survey applied before the anatomy education in Topographic Anatomy Committee, the percentage of positive opinions (agree and strongly agree) on “Human is a valuable asset. For this reason, the human body must be valued and respected during life and after death” was found to be 83.8% and this percentage increased to 95.3% in the later survey. Conclusion: Anatomy education can not be effective without cadavers. We believe that the current study will be useful for educators in order to contribute to the medical students’ awareness of humanity and privacy.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"95 10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87676656","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}
AnatomyPub Date : 2019-04-29DOI: 10.2399/ANA.19.018
Özlem Elvan, Mert Keskinbora, Havva Didem Çelikcan, A. Bobuş, A. Özgür, Mustafa Kömür, Zeliha Kurtoğlu Olgunus
{"title":"Radiological hip indices correlate with GMFCS level I and GMFM-66 scores in cerebral palsy","authors":"Özlem Elvan, Mert Keskinbora, Havva Didem Çelikcan, A. Bobuş, A. Özgür, Mustafa Kömür, Zeliha Kurtoğlu Olgunus","doi":"10.2399/ANA.19.018","DOIUrl":"https://doi.org/10.2399/ANA.19.018","url":null,"abstract":"Objectives: The aim of this study was to evaluate the certain radiological hip parameters and the effects of these parameters on the functional capacity of cerebral palsy (CP) children, to compare the Gross Motor Function Measure (GMFM-66 scores) of hemiparetic and diparetic children with spastic CP in Gross Motor Function Classification System (GMFCS) level 1, and to define possible differences or similarities with the control group. Methods: The radiographic parameters measured for CP and control groups were caput-collum-diaphyseal angle (CCD), migration index (MI), center edge angle (CEA), acetabular index (AI) and pelvic obliquity. The functional capacity of the CP group was assessed by GMFM-66. Results: No significant differences were found in terms of sides of the same individual in each group. Significant differences were found between groups for left CCD, right MI, right and left AI, and right and left CEA. Correlation analyses revealed significant relationships between radiological parameters. Hemiparetics had statistically higher GMFM-66 dimension E score than diparetics. Conclusion: The threshold values for hip parameters were determined with CP in GMFCS level 1. The hemiparetic and diparetic children with CP, who were at the GMFCS level I and age group, had similar hip morphology. Development of femoral head and acetabulum in these children were not different from control group. Evaluating the functional levels of patients according to GMFM-66 scores with radiographic parameters is believed to contribute to the monitoring CP children.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"145 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77078914","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}
AnatomyPub Date : 2019-04-29DOI: 10.2399/ANA.19.030
K. Keet, G. Louw
{"title":"Variation of the brachial plexus roots in the interscalene groove: relevance in interscalene blocks","authors":"K. Keet, G. Louw","doi":"10.2399/ANA.19.030","DOIUrl":"https://doi.org/10.2399/ANA.19.030","url":null,"abstract":"Objectives: The interscalene block is utilized for regional anesthesia of the upper limb, targeting the roots and trunks of the brachial plexus in the interscalene groove. The prevalence of variation, which may affect the success of this block, has not been documented in detail with respect to side and sex, nor has a classification system been proposed. Methods: Seventy-nine embalmed bodies were dissected bilaterally. The position of the roots and the subclavian artery relative to the anterior scalene muscle was documented and variations were classified according to prevalence. Differences in the prevalence of variation between left and right sides and between males and females were investigated. Results: The standard position of the nerves and subclavian artery in the interscalene groove (Type 1) was present in 31.6%. Variant positions included the following passing through the belly of the anterior scalene: C5 and C6 roots (Type 2) (46.8%), C5 root (Type 3) (15.2%), C5 and C6 roots as well as the subclavian artery (Type 4) (3.8%), and lastly, C5, C6 and C7 roots (Type 5) (2.5%). Variant anatomy was statistically more prevalent in females on the right side only. Conclusion: Variant locations of the roots and subclavian artery external to the interscalene groove were common, suggesting that ultrasound should be used to visualize variations prior to performing interscalene blocks. A classification type of variant positions has been developed for standardization.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85810634","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}
AnatomyPub Date : 2019-04-01DOI: 10.2399/ANA.19.019
C. Öztürk, M. Özdikici, S. Di̇yarbaki̇r
{"title":"Radiographic evaluation of bone maturations in children and adolescents living in Erzurum using Greulich-Pyle method","authors":"C. Öztürk, M. Özdikici, S. Di̇yarbaki̇r","doi":"10.2399/ANA.19.019","DOIUrl":"https://doi.org/10.2399/ANA.19.019","url":null,"abstract":"Objectives: Bone age (BA) is used in age determination for a number of medico-legal reasons. One of the most commonly used radiographic methods in BA assessment is to compare hand-wrist radiographs with a standard reference. In this study, Greulich-Pyle (GP) method was used to determine the bone maturation values of a population of children and adolescents living in the city of Erzurum, Turkey. Methods: Hand and wrist radiographs of 507 individuals (243 boys and 264 girls) aged between 7–19 years were evaluated and the BA was estimated by a radiologist using the GP method. Difference between estimated BA and chronological age (CA) was analyzed. Results: In boys, except for the ages of 12,13 and 17 years, BA was significantly lower than the chronological age. In girls, BA was significantly lower than CA at 7, 8, 18 and 19 years of age, but not statistically different in the other ages. Conclusion: According to the GP atlas, it is suggested that many factors including high altitude, cold climate, environment, nutrition, genetics, ethnics and socio-economic diversities might cause differences between BA and CA. Our results obtained in this study suggest that this method can guide the determination of bone age in children living in Erzurum, Turkey. However, in certain age groups for both genders, the GP method significantly underestimated skeletal age.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81942728","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}
AnatomyPub Date : 2019-04-01DOI: 10.2399/ANA.19.002
Ayşegül GÜNGÖR AYDIN, E. Adigüzel
{"title":"Morphological features of the ventral tegmental area: a brainstem structure related to attention deficit hyperactivity disorder","authors":"Ayşegül GÜNGÖR AYDIN, E. Adigüzel","doi":"10.2399/ANA.19.002","DOIUrl":"https://doi.org/10.2399/ANA.19.002","url":null,"abstract":"Attention deficit hyperactivity disorder (ADHD) is the most common behavioral disorder of the childhood and more interest is raised by clinical investigators nowadays. In spite of being the most studied neurobehavioral condition in child psychiatry, the pathophysiology of ADHD remains elusive. The ventral tegmental area (VTA) has been implicated in the etiology of ADHD. This part of the midbrain needs to be investigated further due to its complex cytoarchitecture and connectivity in order to gain insight into the neurobiology of ADHD. In this review, we will first briefly explain the history of the VTA researches and then summarize the anatomical features and connectivity of this region.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88405859","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}
AnatomyPub Date : 2019-04-01DOI: 10.2399/ANA.19.020
U. Çorumlu, O. Aydın, E. Ulupınar
{"title":"Effects of chronic unpredictable stress on intestinal morphology in Wistar rats","authors":"U. Çorumlu, O. Aydın, E. Ulupınar","doi":"10.2399/ANA.19.020","DOIUrl":"https://doi.org/10.2399/ANA.19.020","url":null,"abstract":"Objectives: Stressful events might cause immune dysfunction and trigger various disorders. Adverse effects of acute or chronic stress exposure on the gastrointestinal system have been shown previously in several studies. In this experimental study, we used chronic unpredictable stress (CUS) paradigm to better mimic effects of the intermittent exposure to daily life stress and investigated the morphometric alterations occurring in the small intestines of rats. Methods: Male Wistar rats were randomly divided into stress and control groups (n=8, each). While stress group was subjected to chronic unpredictable stress protocol for 21 days, control group remained undisturbed. Intestinal tissue samples were obtained from two different regions; one was 3-6 cm away from the pylorus and the other one 3-6 cm prior to the ileocaecal valve. Tissue sections were obtained from paraffin blocks at the thickness of 3 micrometers and stained with hematoxylin-eosin (HE) or periodic acid-Shiff (PAS). The lengths of villi were measured from the basal membrane to the top of the villus. The ratio of degranulating and non-degranulating mast cells per unit area were estimated by point counting method. Results: The mean villi length in the stress group were significantly higher (p<0.01) than those of the control group. Degranulation to non-degranulation ratio of the mast cells were 40% and 54% in the control and stress groups, respectively. Conclusion: Animals exposed to chronic unpredictable stress protocol displayed a significant elongation in the villi of small intestines and an increase in the number of degranulating mast cells in the intestinal mucosa. Since activation of mast cells causes releasing of various chemical mediators and growth factors, it is plausible that stressed animals developed an adaptation mechanism to enhance the capacity for absorption and digestion per unit length of the guts.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85062729","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}
AnatomyPub Date : 2019-04-01DOI: 10.2399/ANA.18.062
R. Romero-Reverón, L. Arráez-Aybar
{"title":"Sutural bones: a literature review","authors":"R. Romero-Reverón, L. Arráez-Aybar","doi":"10.2399/ANA.18.062","DOIUrl":"https://doi.org/10.2399/ANA.18.062","url":null,"abstract":"Using standard search engines PubMed, Scopus, Scielo, Cochrane, Science Direct and Medline, 433 articles were found to evaluate the information about sutural bones. Thirty-six articles that match our stated objectives about sutural bones were analyzed. Data were evaluated in the current medical literature for their historical aspects, anatomical classification, development, clinically significance and their presence in some bone dysplasias. There is still dispute on whether sutural bone development is influenced by genetic or external factors. Sutural bones are a known sporadic occurrence in the human cranium and do not predispose a person to any particular disease. Their presence, however, is commonly used as a useful marker of some underlying genetic disorders.","PeriodicalId":91999,"journal":{"name":"Anatomy","volume":"70 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86293553","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}