Assessment of anatomical knowledge for clinical practice: perceptions of clinicians and students

2010 ◽  
Vol 33 (3) ◽  
pp. 263-269 ◽  
Author(s):  
Simon Rowland ◽  
Kamran Ahmed ◽  
David Ceri Davies ◽  
Hutan Ashrafian ◽  
Vishal Patel ◽  
...  
2016 ◽  
Vol 3 (1) ◽  
pp. 32-36
Author(s):  
Suba Ananthi Kumarasamy ◽  
Manickam Subramanian ◽  
Vaithianathan Gnanasundaram ◽  
Aruna Subramanian ◽  
Ramalingam Ramalingam

Una delgada lámina ósea entre el olécranon y la fosa coronoides es a veces perforada para formar un agujero denominado foramen supratroclear (STF). Dado que el agujero se encuentra entre el epicóndilo lateral y el medial, también se llama el agujero intercondiloidea. Este agujero fue más frecuente en los huesos prehistóricos. El agujero se ha estudiado en detalle en 214 húmeros secos (131 lado derecho y 83 lado izquierdo) de sexo y edad desconocidos. De 214 huesos, el agujero estaba presente en 67 húmeros (48 lado derecho y 19 lado izquierdo) que muestra una incidencia del 31,3%. El diámetro transversal  medio fue de6,5 mma la derecha y5,8 mma la izquierda. El diámetro vertical promedio fue de4,4 mma la derecha y3,9 mmen el lado izquierdo. La distancia media del STF desde la punta del epicóndilo  fue de 24,4mm a la derecha y de24,5 mmen el lado izquierdo. Algunos de los huesos mostraron translucidez del tabique óseo (49,3% y 35,9% a la derecha e izquierda, respectivamente). En las radiografías simples, el agujero puede simular una lesión osteolítica. El conocimiento anatómico de STF puede ser beneficioso para los antropólogos, los cirujanos ortopedistas, los radiólogos y en la práctica clínica  diaria. A thin bony plate between the olecranon and coronoid fossa is sometimes perforated to form a foramen named the supratrochlear foramen (STF). Since the foramen lies between the lateral and the medial epicondyle, it is also called the intercondyloid foramen. This foramen was more common in prehistoric bones. The foramen was studied in detail in 214 dried humeri (131 right side and 83 left side) of unknown sex and age. Out of 214 bones the foramen was present in 67 humeri (48 right side and 19 left side) showing the incidence as 31.3%. The mean transverse diameter was 6.5mm on the right and 5.8mm on the left. The mean vertical diameter was 4.4mm on the right and 3.9mm on the left side. The mean distance of the STF from the tip of the medial epicondyle was 24.4mm on the right and 24.5mm on the left side. Some of the bones showed translucency of the bony septum (49.3% and 35.9% on right and left respectively). On plain radiographs, the foramen may mimic as an osteolytic lesion. The anatomical knowledge of STF may be beneficial for anthropologists, orthopedic surgeons and radiologists in day-to-day clinical practice.


Author(s):  
David Kennedy ◽  
Norm Eizenberg ◽  
Gregor Kennedy

<span>In the medical sciences, there is a well documented problem that involves the separation of discipline based knowledge from clinical practice. In order to address this issue in anatomy teaching, the CD-ROM An@tomedia has been developed - integrating anatomical knowledge with clinical applications. The structure and evaluation of An@tomedia are described.</span>


Author(s):  
Rajani Singh ◽  
Nisha Yadav ◽  
Manisha Pandey ◽  
David Gareth Jones

2011 ◽  
Vol 18 (01) ◽  
pp. 128-132
Author(s):  
ANUPAMA MAHAJAN

Introduction: The knowledge of the presence of STF in a humerus may be important for preoperative planning for treatment of supracondylar fractures. Objectives: Focused on the STF which is an important variation in the distal end of the humerus. Material and Method: The material consisted of 100 humeri of known sex taken from the Department of Anatomy, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar. 36 pairs of male humeri and 14 pairs of female humeri were taken. Results: The supracondylar foramen is seen in 26% of total humeri. It was present more in the females as compared to males and more frequently on the left side than on the right side. The translucent septum is found more frequently in the males than in females and more frequently on the right side than the left side. Conclusions: The anatomical knowledge of STF may be beneficial for anthropologists, orthopaedic surgeons, and radiologists in day-to-day clinical practice.


2020 ◽  
Vol 48 (5) ◽  
pp. 2295-2305
Author(s):  
Jiawei Zhang ◽  
Dandan Li ◽  
Rui Zhang ◽  
Peng Gao ◽  
Rongxue Peng ◽  
...  

The role of miR-21 in the pathogenesis of various liver diseases, together with the possibility of detecting microRNA in the circulation, makes miR-21 a potential biomarker for noninvasive detection. In this review, we summarize the potential utility of extracellular miR-21 in the clinical management of hepatic disease patients and compared it with the current clinical practice. MiR-21 shows screening and prognostic value for liver cancer. In liver cirrhosis, miR-21 may serve as a biomarker for the differentiating diagnosis and prognosis. MiR-21 is also a potential biomarker for the severity of hepatitis. We elucidate the disease condition under which miR-21 testing can reach the expected performance. Though miR-21 is a key regulator of liver diseases, microRNAs coordinate with each other in the complex regulatory network. As a result, the performance of miR-21 is better when combined with other microRNAs or classical biomarkers under certain clinical circumstances.


2019 ◽  
Vol 28 (4) ◽  
pp. 877-894
Author(s):  
Nur Azyani Amri ◽  
Tian Kar Quar ◽  
Foong Yen Chong

Purpose This study examined the current pediatric amplification practice with an emphasis on hearing aid verification using probe microphone measurement (PMM), among audiologists in Klang Valley, Malaysia. Frequency of practice, access to PMM system, practiced protocols, barriers, and perception toward the benefits of PMM were identified through a survey. Method A questionnaire was distributed to and filled in by the audiologists who provided pediatric amplification service in Klang Valley, Malaysia. One hundred eight ( N = 108) audiologists, composed of 90.3% women and 9.7% men (age range: 23–48 years), participated in the survey. Results PMM was not a clinical routine practiced by a majority of the audiologists, despite its recognition as the best clinical practice that should be incorporated into protocols for fitting hearing aids in children. Variations in practice existed warranting further steps to improve the current practice for children with hearing impairment. The lack of access to PMM equipment was 1 major barrier for the audiologists to practice real-ear verification. Practitioners' characteristics such as time constraints, low confidence, and knowledge levels were also identified as barriers that impede the uptake of the evidence-based practice. Conclusions The implementation of PMM in clinical practice remains a challenge to the audiology profession. A knowledge-transfer approach that takes into consideration the barriers and involves effective collaboration or engagement between the knowledge providers and potential stakeholders is required to promote the clinical application of evidence-based best practice.


2019 ◽  
Vol 4 (2) ◽  
pp. 322-324
Author(s):  
Thomas F. Burke

Purpose The purpose of this article was to describe a model for “hybrid speech telecoaching” developed for a Fortune 100 organization and offer a “thought starter” on how clinicians might think of applying these corporate strategies within future clinical practice. Conclusion The author contends in this article that corporate telecommunications and best practices gleaned from software development engineering teams can lend credibility to e-mail, messaging apps, phone calls, or other emerging technology as viable means of hybrid telepractice delivery models and offer ideas about the future of more scalable speech-language pathology services.


2020 ◽  
Vol 29 (2) ◽  
pp. 688-704
Author(s):  
Katrina Fulcher-Rood ◽  
Anny Castilla-Earls ◽  
Jeff Higginbotham

Purpose The current investigation is a follow-up from a previous study examining child language diagnostic decision making in school-based speech-language pathologists (SLPs). The purpose of this study was to examine the SLPs' perspectives regarding the use of evidence-based practice (EBP) in their clinical work. Method Semistructured phone interviews were conducted with 25 school-based SLPs who previously participated in an earlier study by Fulcher-Rood et al. 2018). SLPs were asked questions regarding their definition of EBP, the value of research evidence, contexts in which they implement scientific literature in clinical practice, and the barriers to implementing EBP. Results SLPs' definitions of EBP differed from current definitions, in that SLPs only included the use of research findings. SLPs seem to discuss EBP as it relates to treatment and not assessment. Reported barriers to EBP implementation were insufficient time, limited funding, and restrictions from their employment setting. SLPs found it difficult to translate research findings to clinical practice. SLPs implemented external research evidence when they did not have enough clinical expertise regarding a specific client or when they needed scientific evidence to support a strategy they used. Conclusions SLPs appear to use EBP for specific reasons and not for every clinical decision they make. In addition, SLPs rely on EBP for treatment decisions and not for assessment decisions. Educational systems potentially present other challenges that need to be considered for EBP implementation. Considerations for implementation science and the research-to-practice gap are discussed.


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