scholarly journals A simplified fascial model of pelvic anatomical surgery: going beyond parametrium-centered surgical anatomy

2020 ◽  
Author(s):  
Stefano Cosma ◽  
Domenico Ferraioli ◽  
Marco Mitidieri ◽  
Marcello Ceccaroni ◽  
Paolo Zola ◽  
...  
Keyword(s):  
Surgical Planning ◽  
Umbilical Artery ◽  
Holistic Approach ◽  
Surgical Anatomy ◽  
Female Pelvis ◽  
Anatomical Structures ◽  
Anatomical Knowledge ◽  
Fresh Frozen ◽  
And Training ◽  
Anatomical Area

Abstract The classical surgical anatomy of the female pelvis is limited by its gynecological oncological focus on the parametrium and burdened by its modeling based on personal techniques of different surgeons. However, surgical treatment of pelvic diseases, spreading beyond the anatomical area of origin, requires extra-regional procedures and a thorough pelvic anatomical knowledge. This study evaluated the feasibility of a comprehensive and simplified model of pelvic retroperitoneal compartmentalization, based on anatomical rather than surgical anatomical structures. Such a model aims at providing an easier, holistic approach useful for clinical, surgical and educational purposes. Six fresh-frozen female pelves were macroscopically and systematically dissected. Three superficial structures, i.e., the obliterated umbilical artery, the ureter and the sacrouterine ligament, were identified as the landmarks of 3 deeper fascial-ligamentous structures, i.e., the umbilicovesical fascia, the urogenital-hypogastric fascia and the sacropubic ligament. The retroperitoneal areolar tissue was then gently teased away, exposing the compartments delimited by these deep fascial structures. Four compartments were identified as a result of the intrapelvic development of the umbilicovesical fascia along the obliterated umbilical artery, the urogenital-hypogastric fascia along the mesoureter and the sacropubic ligaments. The retroperitoneal compartments were named: parietal, laterally to the umbilicovesical fascia; vascular, between the two fasciae; neural, medially to the urogenital-hypogastric fascia and visceral between the sacropubic ligaments. The study provides the scientific rational for a model of pelvic retroperitoneal anatomy based on identifiable anatomical structures and suitable for surgical planning and training.

scholarly journals Emerging cross-disciplinary profiles: The Geomatic Epidemiologist

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Recchioni ◽  
V Castello ◽  
S Del Vecchio ◽  
V Ciaccio ◽  
A M Donia ◽  
...  
Keyword(s):  
Public Health ◽  
Information System ◽  
Geographic Information System ◽  
Relevant Literature ◽  
Holistic Approach ◽  
Geographic Information ◽  
Health Study ◽  
Gis And Remote Sensing ◽  
Public Health Epidemiology ◽  
And Training

Abstract Issue Geographic information systems (GIS) and remote sensing technologies are increasingly used in Public Health epidemiology, showing a great potential in anticipating and responding to actual and future challenges for the public health system and in improving health services' excellence. According to the evidences collected within a wide meta-research carried on of relevant literature (”GIS geographic information system” and “GIS geographic information system and training” on Pubmed; “epidemiologist use of GIS and training” and “epidemiologist use of gis” on Google Scholar),GIS and new sensing technologies are mostly used to: map air and water pollution, map diseases prevalence, predict infection diseases and vector-spread diseases in big areas, study health service coverage and preparedness in emergencies, map cities and study urban health, study climate changes for decision making. Description of the Problem Specific skills and training are required to address the use of GIS and new sensing technologies.The specific aim of our study is to identify the professional profile of a new figure, called 'Geomatic Epidemiologist' and to define its professional and educational standards, as well as the relevant training programs. Results Data collection and analysis of INAPP and ESCO databases about existing professional profiles (starting from 2016) has allowed drafting a first qualification schema and profile. The profile has been defined according to the 4C model (elaborated by Univaq) distinguishing between Hard Skills (technical knowledge and skills),Soft Skills (cognitive, individual and social) and interpersonal behaviors. Conclusions Profile will be validated with relevant stakeholders and Public Health professionals in order to deepen the understanding of the main competences required to study health issues with GIS and related technologies; to this extent, a questionnaire has been elaborated to evaluate relevance, frequency and complexity of each component of the profile Key messages Developing cross-disciplinary profiles, (i.e. the Geomatic Epidemiologist) integrating clusters of competences (holistic approach). Public health research challenges and excellence.

scholarly journals The Eagle Project – something for everyone

2007 ◽  
Vol 89 (6) ◽  
pp. 194-195 ◽  
Author(s):  
Dick Rainsbury
Keyword(s):  
Undergraduate Curriculum ◽  
Surgical Anatomy ◽  
Central Importance ◽  
Surgical Practice ◽  
Anatomical Knowledge ◽  
Real Progress ◽  
High Standards ◽  
Anatomy Teaching

Real progress is being made with the Eagle Project – the multimillion-pound scheme to convert the education facilities on the fourth floor of the College. The recent highly successful College conference Anatomy Teaching – the Cruellest Cut of All (see page 194), reconfirmed the central importance of the Eagle Project in teaching surgical anatomy and in maintaining high standards in surgical practice. The conference highlighted the stark and worrying effects of a changing undergraduate curriculum on levels of basic anatomical knowledge. This in turn impacts on postgraduate examination results and on levels of litigation in the NHS. The capacity and diversity of the Eagle Project's facilities provide the College with a unique resource to tackle these problems at every level – undergraduate, postgraduate and consultant.

Strengthening radiation protection education and training of health professionals: conclusions from an IAEA meeting

2021 ◽  
Author(s):  
Jenia Vassileva ◽  
Kimberly E Applegate ◽  
Graciano Paulo ◽  
Eliseo Vano ◽  
Ola Holmberg
Keyword(s):  
Radiation Protection ◽  
Health Professionals ◽  
New Technologies ◽  
Holistic Approach ◽  
Education And Training ◽  
Energy Agency ◽  
Train The Trainer ◽  
International Consultation ◽  
Training Programmes ◽  
And Training

Abstract In March 2021 the International Atomic Energy Agency (IAEA) organised an online Technical Meeting on Developing Effective Methods for Radiation Protection Education and Training of Health Professionals with attendance of 230 participants representing 66 Member States and 24 international organizations, professional bodies and safety alliances. By means of a pre-meeting survey, presentations by experts, topical panel discussions and post-meeting feedback to the meeting summary, the meeting identified strengths, common weaknesses and possible solutions and actions for improving radiation protection education and training of health professionals. Available guidelines and resources for radiation protection training were also reviewed. The meeting discussion resulted in a strong consensus for the need of: (a) international guidance on education and training in radiation protection and safety for health professionals, (b) an international description of minimum standards of initial and ongoing competence and qualification in radiation protection for relevant professional groups, considering the available recommendations at international and regional levels. The proposed actions include provisions for train-the-trainer credentialing and facility training accreditation, balance between the online and face-to-face training, improved on-the job training, as well as improved inclusion in training programmes of aspects related to application of new technologies, ethical aspects, development of communication skills, and use of software tools for improving justification and optimisation. The need for making the ongoing training practical, applicable, and useful to the trainee was highlighted. The international consultation initiated by the IAEA was appreciated as a good approach to understand and promote coordination and collaboration at all levels, for best results in education and training in radiation protection of health professionals. Implementing such a holistic approach to education and training in radiation protection would contribute towards qualification and competence of health professionals needed to ensure application of high standards for quality and safety in medical uses of ionizing radiation.

scholarly journals BASE: a sustainable path for the University of Milano-Bicocca

2018 ◽  
Vol 48 ◽  
pp. 04005
Author(s):  
Cristina Messa ◽  
Giacomo Magatti ◽  
Massimiliano Rossetti ◽  
Matteo Colleoni ◽  
Massimo Labra ◽  
...  
Keyword(s):  
Climate Change ◽  
Energy Efficiency ◽  
Food Supply ◽  
Holistic Approach ◽  
Point Of View ◽  
Waste Reduction ◽  
Sustainable Mobility ◽  
Economic Point ◽  
The University ◽  
And Training

Since its foundation, in 1998, the University of Milano-Bicocca has been pursuing the objective to make its structures sustainable from an environmental, social and economic point of view. To this end, in 2015 the University of Milano-Bicocca created BASE (Bicocca Ambiente Società Economia - Bicocca Environment Society Economy), an internal office aimed at promoting the interaction between research and training and at stimulating sustainability both within the University and outside. BASE proposes a holistic approach to sustainability including energy efficiency, waste reduction, sustainable mobility, climate change attention and water and food supply. The report will focus on the interventions recently carried out in the various fields, paying particular attention to the issues of waste management and of mobility.

scholarly journals EVALUATION OF FUNCTIONING AND STATUS OF IMPLEMENTATION OF HEMOVIGILANCE PROGRAM OF INDIA IN THE BLOOD BANKS OF SOUTHERN KERALA

2018 ◽  
Vol 11 (2) ◽  
pp. 143
Author(s):  
Sreekumar Pk ◽  
Pramod Kumar Tm ◽  
Partha Sarathi G ◽  
Debasish Gupta ◽  
Pallavi Prakash
Keyword(s):  
Training Programs ◽  
Fresh Frozen Plasma ◽  
Blood Components ◽  
Blood Banks ◽  
Fresh Frozen ◽  
Awareness Programs ◽  
Pro Forma ◽  
Survey Approach ◽  
And Training ◽  
Frozen Plasma

 Objective: The objective of this study is to evaluate the functioning and status of implementation of hemovigilance program of India (HvPI) in the blood banks of southern Kerala.Methods: It was a survey approach to analyze the facilities, working nature, and status of implementation of hemovigilance program by the blood banks located in the three districts of southern Kerala. Both goevrnment and private sector blood banks were subjected to the survey. Standard pro forma was used to collect the data. Collected data were analyzed by percentages and ratios.Results: A total of 40 blood banks were covered in the study. All the blood banks were licensed for handling whole blood. 23 blood banks were licensed for handling blood components. 6 blood banks process 100% blood into components. Majority of blood banks have excellent demand for components. Packed red cells, platelet concentrate, and fresh frozen plasma were the significant components among the prepared components. Majority of the blood banks under the survey had hospital transfusion committee (HTC). 25 blood banks replied as the HvPI is an excellent/good system. However, only 11 blood banks were enrolled in the HvPI. Training programs for the resident doctors and nurses regarding with adverse transfusion reaction and their reporting were not conducted by 17 blood banks.Conclusion: Except very few blood banks, all are need more awareness and training programs. Attention should be given in the area such as underreporting, poor implementation of hemovigilance, only serious reactions reporting, and avoiding minor reactions. Core factor is proper functioning of HTC and awareness programs about hemovigilance system.

scholarly journals Anatomical Considerations When Treating Compensatory Hypertrophy of the Upper Part of the Masseter after Long-Term Botulinum Neurotoxin Type A Injections

Toxins ◽  
2020 ◽  
Vol 12 (3) ◽  
pp. 202
Author(s):  
Kyu-Lim Lee ◽  
Hyun Jin Cho ◽  
Hyungkyu Bae ◽  
Hyun Jin Park ◽  
Min Sun Park ◽  
...  
Keyword(s):  
Botulinum Neurotoxin ◽  
Compensatory Hypertrophy ◽  
Unexpected Result ◽  
Anatomical Structures ◽  
Face Shape ◽  
Botulinum Neurotoxin Type A ◽  
Anatomical Knowledge ◽  
Simply Connected ◽  
Morphological Patterns

The masseter is the most targeted muscle when treating hypertrophy to produce a smooth face shape. Compensatory hypertrophy is a well known clinical sequela that occurs in botulinum neurotoxin (BoNT) treatments and is limited to the lower part of the masseter. Based on the masseteric hypertrophy procedure, which targets a confined area, we predicted the possibility of compensatory hypertrophy occurring in the upper part of the masseter. If the patient complains about an unexpected result, additional injections must be performed, but the involved anatomical structures have not been revealed yet. The aim of this study was to identify the morphological patterns of the masseter. Deep tendons were observed in most specimens of the upper part of the masseter and mostly appeared in a continuous pattern (69.7%). The superficial and deep tendons could be classified into a simply connected form and forms surrounding part of the muscle. In 45.5% of cases there were tendon capsules that completely enclosed the muscle, which can interfere with how the injected toxin spreads. Interdigitation patterns in which the tendons could be identified independently between the muscles were present in 9.1% of cases. The present findings provide anatomical knowledge for use when injecting BoNT into the masseter.

scholarly journals Surgical anatomy and functional connectivity of the limbic system

2009 ◽  
Vol 27 (2) ◽  
pp. E3 ◽  
Author(s):  
Karl-Olof Lövblad ◽  
Karl Schaller
Keyword(s):  
High Resolution ◽  
Mr Imaging ◽  
Limbic System ◽  
Surgical Planning ◽  
Diffusion Tensor ◽  
Imaging Techniques ◽  
Surgical Anatomy ◽  
Neurosurgical Planning ◽  
Functional Mr Imaging ◽  
Molecular Information

Object The goal in this study was to highlight the potential of currently available imaging techniques for surgical planning of procedures in and around the limbic system. Methods The authors review traditional and newer imaging techniques as applied to neurosurgical planning. Today MR imaging techniques play a preponderant role. The various applications of functional techniques such as diffusion weighted, diffusion tensor, perfusion, and functional MR imaging methods are discussed. Results In addition to the high-resolution studies of anatomy that can be acquired, especially at higher field strengths (≥ 3 T), MR imaging now also offers the possibility of acquiring functional, metabolic, hemodynamic, and molecular information on normal and pathological brain processes. Conclusions The knowledge obtained using the various imaging techniques contributes substantially to understanding the disease processes in a way that drastically improves surgical planning.

scholarly journals Surgical Anatomy of the Orbit in Human Cadavers–An Endoscopic Pictorial Documentation

2017 ◽  
Vol 79 (02) ◽  
pp. 173-176
Author(s):  
Homajoun Maslehaty ◽  
Saskia Schultheiss ◽  
Martin Scholz ◽  
Athanasios Petridis
Keyword(s):  
Rectus Muscle ◽  
Surgical Anatomy ◽  
Anatomical Landmark ◽  
Inferior Rectus ◽  
Anatomical Structures ◽  
Topographic Anatomy ◽  
Endoscopic Anatomy ◽  
Human Cadavers ◽  
Formalin Fixed ◽  
Inferior Rectus Muscle

Background The aim of our study was a pictorial documentation of the anatomical structures of the orbit. Methods We performed a transmaxillary endoscopic approach in nine formalin-fixed human heads. We identified and documented the anatomy of the inferior part of the orbit. Results The first intraorbital anatomical landmark was the inferior rectus muscle, from which important structures medially and laterally could be identified. Anatomical structures and their relation to each other were documented and presented as illustrative figures. Conclusion Knowledge of the topographic anatomy of the inferior part of the orbit could be sufficiently imparted by our illustrations. The presented transmaxillary approach allowed a wide overview of the anatomical structures located in the inferior part of the orbit. Our pictorial documentation may provide neurosurgeons more safety and the opportunity to become familiar with the endoscopic anatomy.

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