Digital Innervation Patterns Following Median or Ulnar Nerve Laceration and their Correlation to Anatomic Variations of the Communicating Branch Between these Nerves

2004 ◽  
Vol 29 (4) ◽  
pp. 351-355 ◽  
Author(s):  
J. PETER W. DON GRIOT ◽  
J. JORIS HAGE ◽  
PETER J. M. DE GROOT
Keyword(s):  
Ulnar Nerve ◽  
Ring Finger ◽  
Nerve Transection ◽  
Anatomic Variations ◽  
The Third ◽  
Communicating Branch ◽  
Innervation Patterns ◽  
The One

The midline of the ring finger is classically considered as the neural watershed between the median and ulnar nerve sensory territories on the palmar surfaces of the fingers. Variations of this division exist and may be explained by a communicating branch between the third and fourth common digital nerves. The palmar sensibility patterns of fingers were assessed with Semmes Weinstein filaments after either a complete median or an ulnar nerve transection in 43 patients. Eight out of nine observed sensibility patterns could be explained by known anatomic types and subtypes of the communicating branch. The type of communicating branch, but not its subtype, could be established in the one remaining pattern.

The Superficial Anastomosis on the Palm of the Hand between the Ulnar and Median Nerves

1991 ◽  
Vol 16 (5) ◽  
pp. 511-514 ◽  
Author(s):  
G. P. FERRARI ◽  
A. GILBERT
Keyword(s):  
Median Nerve ◽  
Ring Finger ◽  
Middle Finger ◽  
The Other ◽  
Sensory Innervation ◽  
Digital Nerve ◽  
The Third ◽  
Palmar Surface ◽  
Communicating Branch ◽  
Palm Of The Hand

The communications between the median and ulnar innervated territories on the palm of the hand have been studied anatomically and microscopically. A communicating branch is well appreciated but its description has had little emphasis in anatomical or surgical literature. 50 cadaveric palms were dissected in both sexes and an anastomotic branch was found in 45 hands. In 43 of them it originated proximally from the ulnar nerve and proceeded distally to enter the third common digital nerve; in the other two hands it left the median nerve to reach the fourth common digital nerve. By microscopic dissection we have seen that the ulnar fibres of the anastomotic branch which join the median nerve may contribute to the sensory innervation of the radial half of the ring finger and ulnar side of the middle finger on its palmar surface. We have therefore described a cutaneous area on the palm where care must be taken to avoid surgical damage to this branch.

The surgical anatomy of ulnar and median nerve communications in the palmar surface of the hand

2007 ◽  
Vol 106 (5) ◽  
pp. 887-893 ◽  
Author(s):  
Marios Loukas ◽  
Robert G. Louis ◽  
Lynsey Stewart ◽  
Barry Hallner ◽  
Terry DeLuca ◽  
...  
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Ring Finger ◽  
Surgical Anatomy ◽  
Type I ◽  
Risk Area ◽  
Type Iv ◽  
Palmar Surface ◽  
Communicating Branch ◽  
Communicating Branches

Object Sensation in the palmar surface of the digits is supplied by the median and ulnar nerves, with the boundary classically being the midline of the ring finger. Overlap and variations of this division exist, and a communicating branch between the ulnar and median nerve could potentially explain further variations in digital sensory innervations. The aim of this study was to examine the origin and distribution of the communicating branch between the ulnar and median nerves and to apply such findings to the risk involved in surgical procedures in the hand. Methods The authors grossly and endoscopically examined 200 formalin-fixed adult human hands obtained in 100 cadavers, and a communicating branch was found to be present in 170 hands (85%). Of the specimens with communicating branches, the authors were able to identify four notable types representing different points of connections of the branches. The most common, Type I (143 hands, 84.1%), featured a communicating branch that originated proximally from the ulnar nerve and proceeded distally to join the median nerve. Type II (12 hands, 7.1%) designated a communicating branch that originated proximally from the median nerve and proceeded distally to join the ulnar nerve. Type III (six hands, 3.5%) designated a communicating branch that traversed perpendicularly between the median and ulnar nerves in such a way that it was not possible to determine which nerve served as the point of origin. Type IV (nine hands, 5.3%) designated a mixed type in which multiple communicating branches existed, arising from both ulnar and median nerves. Conclusions According to the origin and distribution of these branching patterns, the investigators were able to define a risk area in which the communicating branch(es) may be subject to iatrogenic injury during common hand procedures.

Alkohol im Tank – Bio-Kraftstoffe und die Grenzen moderner Mobilität

2004 ◽  
Vol 34 (136) ◽  
pp. 455-468
Author(s):  
Hartwig Berger
Keyword(s):  
Third World ◽  
Fossil Fuel ◽  
Energy Resources ◽  
The Third ◽  
Political Conflicts ◽  
The Future ◽  
Long Time ◽  
Food Market ◽  
The One ◽  
The Third World

The article discusses the future of mobility in the light of energy resources. Fossil fuel will not be available for a long time - not to mention its growing environmental and political conflicts. In analysing the potential of biofuel it is argued that the high demands of modern mobility can hardly be fulfilled in the future. Furthermore, the change into using biofuel will probably lead to increasing conflicts between the fuel market and the food market, as well as to conflicts with regional agricultural networks in the third world. Petrol imperialism might be replaced by bio imperialism. Therefore, mobility on a solar base pursues a double strategy of raising efficiency on the one hand and strongly reducing mobility itself on the other.

Al-Rasm al-ʿUthmānī: Towards Correct Pronunciation and the Preclusion of Ambiguity

2011 ◽  
Vol 13 (2) ◽  
pp. 201-171
Author(s):  
Nāṣir Al-Dīn Abū Khaḍīr
Keyword(s):  
Specific Pattern ◽  
Writing Style ◽  
The Third ◽  
The Past ◽  
Different Ages ◽  
Correct Pronunciation ◽  
The One ◽  
The Mind

The ʿUthmānic way of writing (al-rasm al-ʿUthmānī) is a science that specialises in the writing of Qur'anic words in accordance with a specific ‘pattern’. It follows the writing style of the Companions at the time of the third caliph, ʿUthmān b. ʿAffān, and was attributed to ʿUthmān on the basis that he was the one who ordered the collection and copying of the Qur'an into the actual muṣḥaf. This article aims to expound on the two fundamental functions of al-rasm al-ʿUthmānī: that of paying regard to the ‘correct’ pronunciation of the words in the muṣḥaf, and the pursuit of the preclusion of ambiguity which may arise in the mind of the reader and his auditor. There is a further practical aim for this study: to show the connection between modern orthography and the ʿUthmānic rasm in order that we, nowadays, are thereby able to overcome the problems faced by calligraphers and writers of the past in their different ages and cultures.

Detection and representation of the basic peculiarities of vegetation cover by the mapping method (experience based on a research of goltsy-taiga territories)

2013 ◽  
pp. 32-47
Author(s):  
S. V. Osipov
Keyword(s):  
Vegetation Cover ◽  
Mapping Method ◽  
Vegetation Changes ◽  
Large Classes ◽  
High Rise ◽  
The Third ◽  
Altitudinal Belts ◽  
The One ◽  
Dynamic Series ◽  
River Valleys

Geobotanical mapping of the territory in riverheads Bureya of 4500 sq.km is carried out and the map of a actual vegetation cover of scale 1 : 200 000 is prepared. The legend of the map is presented in the form of the text with three-level hierarchy of classes. At the heart of structure of a legend of the map such regularities of a vegetation cover, as its latitudinal zonality / altitudinal belts, situation in a relief and dynamic series lie. The largest divisions of the legend reflect, first, change of large classes of mesocombinations of vegetation at the level of belts and, secondly, distinction in a boreal - forestry belt between a vegetation cover of tops and slopes of mountains, on the one hand, and the bottoms of river valleys, with another. Divisions of the legend of the second level reflect, first, vegetation changes in the form of high-rise and barrier changes of subbelts, secondly, distinctions of a vegetation cover in different geomorphological conditions (small and average river valleys, northern slopes, etc.). Divisions of the legend of the second level correspond to dynamic series of units of the third level. Essential addition to it are block diagrams of dynamics of a vegetation cover.

Introduction

2017 ◽  
Author(s):  
Patrick Colm Hogan
Keyword(s):  
Queer Theory ◽  
Social Constructionism ◽  
The Other ◽  
Sexual Identities ◽  
The Third ◽  
Sexuality And Gender ◽  
And Gender ◽  
Sexual Part ◽  
The One ◽  
And Behavior

The introduction first sets out some preliminary definitions of sex, sexuality, and gender. It then turns from the sexual part of Sexual Identities to the identity part. A great deal of confusion results from failing to distinguish between identity in the sense of a category with which one identifies (categorial identity) and identity in the sense of a set of patterns that characterize one’s cognition, emotion, and behavior (practical identity). The second section gives a brief summary of this difference. The third and fourth sections sketch the relation of the book to social constructionism and queer theory, on the one hand, and evolutionary-cognitive approaches to sex, sexuality, and gender, on the other. The fifth section outlines the value of literature in not only illustrating, but advancing a research program in sex, sexuality, and gender identity. Finally, the introduction provides an overview of the chapters in this volume.

“A composItIon wrItten wIthout creatIve lImItatIons” – Wanda Landowska and concerto for harpsichord and five instruments by ManueL de Falla (1923)

2021 ◽  
Vol 1 (15) ◽  
pp. 67-107
Author(s):  
Ines R. Artola
Keyword(s):  
Strict Sense ◽  
Sonata Form ◽  
Historical Sources ◽  
Avant Garde ◽  
20Th Century Music ◽  
The Third ◽  
Word Analysis ◽  
The Past ◽  
History Of ◽  
The One

The aim of the present article is the analysis of Concerto for harpsichord and five instruments by Manuel de Falla – a piece which was dedicated by the composer to Wanda Landowska, an outstanding Polish harpsichord player. The piece was meant to commemorate the friendship these two artists shared as well as their collaboration. Written in the period of 1923-1926, the Concerto was the first composition in the history of 20th century music where harpsichord was the soloist instrument. The first element of the article is the context in which the piece was written. We shall look into the musical influences that shaped its form. On the one hand, it was the music of the past: from Cancionero Felipe Pedrell through mainly Bach’s polyphony to works by Scarlatti which preceded the Classicism (this influence is particularly noticeable in the third movement of the Concerto). On the other hand, it was music from the time of de Falla: first of all – Neo-Classicism and works by Stravinsky. The author refers to historical sources – critics’ reviews, testimonies of de Falla’s contemporaries and, obviously, his own remarks as to the interpretation of the piece. Next, Inés R. Artola analyses the score in the strict sense of the word “analysis”. In this part of the article, she quotes specific fragments of the composition, which reflect both traditional musical means (counterpoint, canon, Scarlatti-style sonata form, influence of old popular music) and the avant-garde ones (polytonality, orchestration, elements of neo-classical harmony).

Introducing Morphology

2021 ◽  
Author(s):  
Rochelle Lieber
Keyword(s):  
Mental Lexicon ◽  
The Other ◽  
Morphological Data ◽  
Theoretical Frameworks ◽  
The Third ◽  
Hands On ◽  
Morphological Theory ◽  
Basic Concepts ◽  
The One

A lively introduction to morphology, this textbook is intended for undergraduates with relatively little background in linguistics. It shows students how to find and analyze morphological data and presents them with basic concepts and terminology concerning the mental lexicon, inflection, derivation, morphological typology, productivity, and the interfaces between morphology and syntax on the one hand and phonology on the other. By the end of the text students are ready to understand morphological theory and how to support or refute theoretical proposals. Providing data from a wide variety of languages, the text includes hands-on activities designed to encourage students to gather and analyse their own data. The third edition has been thoroughly updated with new examples and exercises. Chapter 2 now includes an updated detailed introduction to using linguistic corpora, and there is a new final chapter covering several current theoretical frameworks.

scholarly journals Health care logistics: mapping and optimization of patients logistics

2021 ◽  
Vol 12 (8) ◽  
pp. 2161-2179
Author(s):  
Daiane Maria de Genaro Chiroli ◽  
Raíza Conde Coradazi ◽  
Fabio Jose Ceron Branco ◽  
Yslene Rocha Kachba ◽  
Franciely Velozo Aragão ◽  
...  
Keyword(s):  
Linear Programming ◽  
Computational Simulation ◽  
Transportation Of Patients ◽  
Patient Transport ◽  
Specific Approach ◽  
Health Region ◽  
The Third ◽  
City Hall ◽  
Pass Through ◽  
The One

Healthcare logistics play an important role in management, being attributed the activities of acquisition, distribution and movement of materials, professionals and patients. This work aims to develop a study, using the healthcare logistics in the movement of patients in the third health region of Paraná, proposing a linear programming problem that will pass through a computational simulation, considering the existing demands and constraints in the system, aiming to optimize the flow of patients from this region. The present study developed four mathematical models, based on demands and constraints followed by linear programming in order to find the best possible solution for the flow of patients from the third health region of the state of Paraná. The study developed reached its goal of optimization, generating an economy in the transportation of patients. Through the analysis of the results, it is concluded that the model that best suits the presented problem is the one of costs minimization, since the one of vehicles presented higher costs. Possibly the model that minimizes the vehicles would bring better results if the vehicles were not outsourced, but of the Ponta Grossa City Hall (PMPG). Was possible to verify the importance of the theme, especially when referring to the flow of patients in the health services due to the lack of studies with this specific approach. Even with the scarcity of data, it is possible to notice the potential for improvements on this patient transport system.

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