A. Studer, C. J. Kahn, A. Loundou, K. Chaumoitre, S. Berdah, R. Denis, C. Brunet, T. Bège
{"title":"Contribution of Three-Dimensional Reconstructions from CT-Scan for Assessing the Factors Associated with Blunt Splenic Injury Severity","authors":"A. Studer, C. J. Kahn, A. Loundou, K. Chaumoitre, S. Berdah, R. Denis, C. Brunet, T. Bège","doi":"10.24966/TAP-7752/100004","DOIUrl":"https://doi.org/10.24966/TAP-7752/100004","url":null,"abstract":"Purpose Analysis of influence of anthropomorphometry, splenic variability and crash’s circumstances on the severity of splenic injury. Methods Seventy-seven patients with blunt splenic trauma had a tomodensitometry at time of admission. Localisation, type, and lesion’s severity (AAST classification), were determined. Severe splenic lesion was defined by: Grade 4 or 5, lesion of entire parenchyma, or fracture. Three-dimensional splenic segmentation allowed calculation of volume, orientation (colatitude and azimuth), morphometry, morphology and span of hilar vessels. Anthropometric parameters were: Age, gender, BMI, and morphotype. Relationships between spleen, stomach, liver and 10th left rib were detailed. Results In univariate analysis, splenic parameters for a severer lesion were: Orientation of hilar side turned towards vertebral column (azimuth, p=0.05), spread conformation of hilar vessels (p=0.10), and high splenic volume (p=0.06). The younger the patient, the more severe was the splenic lesion (p=0.07). A full stomach and a left liver overflowing in the left hypochondrium, were associated with low gravity splenic lesion, (p=0.02 and p=0.03). In multivariable analysis, injured patients whose hilar area was vertically oriented, were more at risk of severe splenic lesion (OR=0.92, 95% CI (0.85-0.99), p=0.02). An abdominal-shaped liver was associated with low gravity splenic lesion (OR= 0.13, 95% CI (0.02-0.93), p=0.04). Conclusions Topographic and morphologic variability of the spleen condition its vulnerability in trauma cases. Using this analysis and the biomechanical behaviour of splenic tissue will allow for the creation of a splenic numerical model, and its integration in the virtual human scientific application of modern traumatology.","PeriodicalId":92641,"journal":{"name":"HSOA trends in anatomy and physiology","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78423204","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}
{"title":"What do we know about Amyand Hernia? Report of Two Cases","authors":"F. Mendoza-Moreno","doi":"10.24966/tap-7752/100005","DOIUrl":"https://doi.org/10.24966/tap-7752/100005","url":null,"abstract":"","PeriodicalId":92641,"journal":{"name":"HSOA trends in anatomy and physiology","volume":"61 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87405590","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}
{"title":"Anatomy and Physiology of Metabotropic Glutamate Receptors in Mammalian and Avian Auditory System.","authors":"Zheng-Quan Tang, Yong Lu","doi":"10.24966/TAP-7752/100001","DOIUrl":"https://doi.org/10.24966/TAP-7752/100001","url":null,"abstract":"<p><p>Glutamate, as the major excitatory neurotransmitter used in the vertebrate brain, activates ionotropic and metabotropic glutamate receptors (iGluRs and mGluRs), which mediate fast and slow neuronal actions, respectively. mGluRs play important modulatory roles in many brain areas, forming potential targets for drugs developed to treat brain disorders. Here, we review studies on mGluRs in the mammalian and avian auditory system. Although anatomical expression of mGluRs in the cochlear nucleus has been well characterized, data for other auditory nuclei await more systematic investigations especially at the electron microscopy level. The physiology of mGluRs has been extensively studied using <i>in vitro</i> brain slice preparations, with a focus on the auditory circuitry in the brainstem. These <i>in vitro</i> physiological studies have demonstrated that mGluRs participate in synaptic transmission, regulate ionic homeostasis, induce synaptic plasticity, and maintain the balance between Excitation and Inhibition (E/I) in a variety of auditory structures. However, the modulatory roles of mGluRs in auditory processing remain largely unclear at the system and behavioral levels, and the functions of mGluRs in auditory disorders remain entirely unknown.</p>","PeriodicalId":92641,"journal":{"name":"HSOA trends in anatomy and physiology","volume":"1 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6405216/pdf/nihms-982911.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37041740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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