scholarly journals An Osteological Study of Anatomical Variations of Foramen Transversarium of Cervical Vertebrae and its Clinical Implications

2021 ◽  
Vol 9 (4) ◽  
pp. 8145-8150
Author(s):  
Shivaleela C ◽  
◽  
Khizer Hussain Afroze M ◽  
Ramesh P ◽  
Lakshmiprabha S ◽  
...  

Background: In cervical vertebrae, the costal and transverse elements are connected to each other around the foramen transversarium of the transverse process. The adult cervical vertebrae are characterized by the presence of Foramen Transversarium (FT) in transverse process. These transverse foramina are found to have variations in size, shape and numbers and may be absent, incomplete or duplicate, which may lead to various symptoms. Aim: To study the anatomical variations of cervical vertebrae. Materials and methods: The present observational study was performed on 182 dry human cervical vertebrae of unknown sex and age. Intact cervical vertebrae without any degenerative or traumatic disorders were included in this study. Deformed and damaged vertebrae were excluded from the study Results: Out of these 364 foramen transversarium, 98 (27%) foramen transversarium were of type-I. Type -I was the most common presentation in the present study. Type -II foramen transversarium were seen in 33 (09%) foramen transversarium. Out of 364 foramen transversarium 88 (24%) foramen transversarium were of type-III. Type-IV foramen transversarium were seen in 62 (17%) foramen transversarium. Type-V foramen transversarium were seen on 83 (23%) foramen transversarium. Out of 182 vertebrae 40 (22%) showed complete double foramen transversarium. Incomplete double foramen transversarium were seen in 24 (13%) of vertebrae. One side complete & other side incomplete foramen transversarium were seen in 04 (02%) vertebrae. Conclusion: Knowledge of such variations is important for Physicians, Neurologists Otorhinolaryngologists, radiologists and Orthopedicians. Presence of accessory foramen transversarium especially of incomplete variety, the second part of vertebral artery may be dislodged and prone to get damaged easily during posterior cervical injuries. It helps in radiological imaging, neurological diagnosis and complex surgical procedures in the cervical area. KEY WORDS: Cervical Vertebrae, Foramen transversarium, Accessory Foramen Transversarium.

reportaendo ◽  
2018 ◽  
Vol 1 (4) ◽  
Author(s):  
JENNY GUERRERO FERRECCIO ◽  
CAMILA ADRIANA PERALTA MIER

Introducción: El tratamiento endodontico representa en la actualidad una gran rama en el área de la odontología de importancia para la preservación de piezas dentales, que se verían afectadas por el ataque de agentes externos y que comprometen su funcionabilidad y estética, pero la complejidad de la anatomía de los conductos de todos los dientes en general aún sigue siendo un problema, más aun en los premolares, ya que estos a diferencia de las demás piezas dentarias, tienen diferentes formas y cantidad de conductos radiculares. (6) Propósito: El propósito de este estudio es demostrar la importancia del conocimiento sobre la anatomía radicular y sus variaciones anatómicas, para minimizar el fracaso al realizar una terapia endodontica. Objetivo: El objetivo directo de este estudio es determinar las variaciones anatómicas de premolares superiores e inferiores y su relación con estructuras anatómicas de pacientes atendidos endodónticamente, el año 2016, en la clínica Nexodent de la ciudad de Guayaquil, mediante el uso de sus tomografías previas a  su tratamiento.Materiales y métodos: Se analizaron 70 tomografías de 41 pacientes atendidos en el año 2016 en la clínica Nexodent de la ciudad de Guayaquil. Al momento de analizar cada tomografía se tomaron tres fotografías de cortes tomografcos: coronal, axial y sagital para obtener una información variada de su anatomía. Resultados: De las tomografías revisadas, el 71% fue de género femenino. El 29% de género masculino. Los resultados encontrados del número de conductos en las piezas dentales registradas señalan que el 56% de los casos presenta 1 sólo conducto. En cuanto a la variación anatómica de las piezas dentales estudiadas, se utilizó la clasifcación de Vertucci. El 56% de las piezas dentales es de Tipo I, el 26% es de Tipo IV, el 11% es de Tipo II, y el restante son de Tipo V. Se analizó la distancia entre cada premolar maxilar hasta el seno maxilar y en promedio la distancia fue de 5,3 mm. La distancia promedio de los premolares mandibulares hasta el foramen mentoniano fue de 6,21 mm. La principal localización encontrada para el orifcio del foramen apical fue el centro con el 58% de los casos.Discusión: Se obtuvo mayoría de aciertos sobre los estudios realizados con los estudios de las referencias bibliográfcas excepto en; La incidencia de los conductos en los segundos premolares superiores en que se obtuvo mayoria de un conducto en lugar de dos. En la distancia promedio del apice de los primeros premolares mandibulares con el agujero mentoniano en donde las distancias promedios fueron mayores. En la localizacion del foramen apical en la pieza #35, en que hubo mayor localizacion del foramen en el centro y no hacia distal.Conclusión: Se puede concluir que el mejor examen complementario para analizar la anatomía de conductos es la tomografía y que los resultados obtenidos en esta investigación no fueron muy distintos en comparación a investigaciones realizadas por otros autores.    AbstractIntroduction: Endodontic treatment currently represents a large branch in the area of dentistry of importance for the preservation of dental pieces, which would be afected by the attack of external agents and compromise its functionality and aesthetics, but the complexity of the root Canals anatomy of all teeth in general still remains a problem, even more so in the premolars as these unlike other teeth, have diferent forms and quantity of root Canals. 6 Purpose: The purpose of this study is to demonstrate the importance of knowledge about the root canal anatomy and its anatomical variations, in order to minimize the failure in an endodontic therapy.Objective: The direct objective of this study is to determine the anatomical variations of upper and lower premolars and their relationship with anatomical structures of endodontically treated patients, in 2016, at the Nexodent Clinic of the city of Guayaquil, using their tomography prior to its treatment. Materials and methods: We analyzed 70 CT scans of 41 patients seen in 2016 at the Nexodent clinic in the city of Guayaquil. At the moment of analyzing each tomography three photographs were taken: coronal, axial and sagittal to obtain al the information of its anatomy. Results: Of the CT scans reviewed, 71% were female, 29% male. The results found of the number of root canals in the registered dental pieces indicate that 56% of the cases present 1 only conduit. Regarding the anatomical variation of the studied dental pieces, the Vertucci classifcation was used 56% of the teeth are Type I, 26% are Type IV, 11% are Type II, and the rest are Type V. The average distance between the maxillary premolars to the maxillary sinus was 5.3 mm. The mean distance from the mandibular premolars to the mental foramen was 6.21 mm. The main location found for the apical foramen was the center with 58% of the cases. Discussion: the mayority of the studies carried out with the studies of the bibliographical references where equal except in; The incidence of root canals in the upper second premolars where the mayority of one root was obtained instead of two. In the average distance of the apex of the frst mandibular premolars with the mental foramen where the average distances were greater. In the location of the apical foramen in # 35, in which there was greater location of foramen in the center and not distal. Conclusion: It can be concluded that the best complementary exam to analyze the anatomy of root Canals is the tomography and that the results obtained in this investigation were not very diferent  in comparison to investigations realized by other authors. 


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Deepshikha Bhowmik ◽  
Shiela Chetri ◽  
Bhaskar Jyoti Das ◽  
Debadatta Dhar Chanda ◽  
Amitabha Bhattacharjee

Abstract Objective This study was designed to discover the dissemination of virulence genes in Methicillin-resistant Staphylococcus aureus from clinical, community and environmental settings. Results This study includes 1165 isolates collected from hospital, community and environmental settings. Among them sixty three were confirmed as MRSA with varied SCCmec types viz; type I, type II, type III, type IV, type V, type VI, type VII, type VIII and type XII. The virulence gene such as sea (n = 54), seb (n = 21), eta (n = 27), etb (n = 2), cna (n = 24), ica (n = 2) and tst (n = 30) was also revealed from this study. The study underscores coexistence of resistance cassette and virulence genes among clinical and environment isolates which is first of its kind from this part of the world.


2016 ◽  
Vol 3 (5) ◽  
pp. 814
Author(s):  
Suhag Patel ◽  
Sunita Garg ◽  
Sumit Sabharwal ◽  
Neetika Jain ◽  
Shadabul Islam ◽  
...  

AIM: The purpose of this study was to describe the external and internal anatomy of the mandibular premolars. MATERIAL AND METHODS: 100 extracted human permanent mandibular first and second premolars teeth were collected. The length of the tooth from the cusp tip to root apex was measured with the help of Vernier calliper. In case of curved roots, ligature wire was adapted to the root and then straightened and measured. Each tooth was examined for the number of roots, curvature of root, presence of root canal invagination. India ink was injected into the pulp chamber through the access opening with a no.27 gauge needle mounted on a disposable syringe. The ink was then drawn through the root canal system by applying negative pressure to the apical end of tooth with the use of central suction system. RESULTS: The average (mean) length of mandibular first premolar was 22.25 mm. Average (mean) length of mandibular second premolar was 21.90 mm. Mandibular first premolar had a ribbon shaped root canal orifice in 35% of teeth. Mandibular second premolar had a ribbon shaped of root canal orifice in 44% teeth. Mesial invagination of the root was found in 18% of first and 8% second mandibular premolar teeth. 78% had a Type I canal pattern with Type II, Type IV, Type V, Type VI and Type VII canals being identified in 1%, 2%, 13%, 2% and 1% of the teeth respectively. CONCLUSIONS: Complex root canal anatomy frequently found with mandibular premolars among which more common with mandibular first premolars in Indian population.


2021 ◽  
Vol 8 ◽  
Author(s):  
Masanori Abe ◽  
Ikuto Masakane ◽  
Atsushi Wada ◽  
Shigeru Nakai ◽  
Kosaku Nitta ◽  
...  

Background: Dialyzers are classified as low-flux, high-flux, and protein-leaking membrane dialyzers internationally and as types I, II, III, IV, and V based on β2-microglobulin clearance rate in Japan. Type I dialyzers correspond to low-flux membrane dialyzers, types II and III to high-flux membrane dialyzers, and types IV and V to protein-leaking membrane dialyzers. Here we aimed to clarify the association of dialyzer type with mortality.Methods: This nationwide retrospective cohort study analyzed data from the Japanese Society for Dialysis Therapy Renal Data Registry from 2010 to 2013. We enrolled 238,321 patients on hemodialysis who were divided into low-flux, high-flux, and protein-leaking groups in the international classification and into type I to V groups in the Japanese classification. We assessed the associations of each group with 3-year all-cause mortality using Cox proportional hazards models and performed propensity score matching analysis.Results: By the end of 2013, 55,308 prevalent dialysis patients (23.2%) had died. In the international classification subgroup analysis, the hazard ratio (95% confidence interval) was significantly higher in the low-flux group [1.12 (1.03–1.22), P = 0.009] and significantly lower in the protein-leaking group [0.95 (0.92–0.98), P = 0.006] compared with the high-flux group after adjustment for all confounders. In the Japanese classification subgroup analysis, the hazard ratios were significantly higher for types I [1.10 (1.02–1.19), P = 0.015] and II [1.10 (1.02–1.39), P = 0.014] but significantly lower for type V [0.91 (0.88–0.94), P < 0.0001] compared with type IV after adjustment for all confounders. These significant findings persisted after propensity score matching under both classifications.Conclusions: Hemodialysis using protein-leaking dialyzers might reduce mortality rates. Furthermore, type V dialyzers are superior to type IV dialyzers in hemodialysis patients.


2020 ◽  
Author(s):  
Deepshikha Bhowmik ◽  
Shiela Chetri ◽  
Bhaskar Jyoti Das ◽  
Debadatta Dhar Chanda ◽  
Amitabha Bhattacharjee

Abstract Objective: This study was designed to discover the dissemination of virulence genes in Methicillin-resistant Staphylococcus aureus from clinical and environmental settings. Results: The virulence gene such as sea (n=54), seb (n=21), eta (n=27), etb (n=2), cna (n=24), ica (n=2) and tst (n=30) was revealed from this study. Different SCCmec types such as type I, type II, type III, type IV, type V, type VI, type VII, type VIII and type XII were detected among sixty three MRSA isolates where SCCmec type II having ST1551 and type V with ST2416 were found to be associated with multidrug resistance and were highly prevalent in the study area.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (4) ◽  
pp. 513-525
Author(s):  
Peter O. Kwiterovich ◽  
J. Ramsay Farah ◽  
W. Virgil Brown ◽  
Paul S. Bachorik ◽  
Stephen B. Baylin ◽  
...  

Primary type V hyperlipoproteinemia was identified in two preadolescent children. The propositus (kindred N) was a 10-year-old girl with severely creamy plasma, lipemia retinalis, hypertriglyceridemia (triglyceride level, 6,800 mg/100 ml), and hypercholesterolemia (cholesterol level, 490 mg/100 ml). Her parents and an 8-year-old sister all had endogenous hypertriglyceridemia (type IV hyperlipoproteinemia). In kindred A, an 11-year-old boy had triglyceride levels as high as 1,100 mg/100 ml and recurrent abdominal pain. His father had type V hyperlipoproteinemia; his mother was normal. All three of his older teenage siblings had type IV hyperlipoproteinemia. The enzymatic activities of lipoprotein lipase (LPL), hepatic triglyceride lipase (HTL), and histaminase (H) were studied in postheparin plasma. The LPL level was low in the children and both parents in kindred N. LPL level in kindred A was normal, except for one child with type IV hyperlipoproteinemia. HTL level was normal to above normal in both kindreds. Most patients had a normal H level, but one parent (kindred N) had no preheparin H and very low levels of postheparin H. There was a strong correlation (r = 0.58, significant at < 1% level) between the release of LPL and H but not between HTL and H (r = 0.22). The mean (± 1 S.D.) levels of the enzymes were as follows: LPL, 2.8 ± 0.7 µmol/ml/hr in kindred N and 5.4 ± 2.2 µmol/ml/hr in kindred A; H, 13.4 ± 6.8 units/ml in kindred N and 22.0 ± 11.9 units/ml in kindred A; and HTL, 18.0 ± 7.1 µmol/ml/hr in kindred N and 14.9 ± 6.3 µmol/ml/hr in kindred A. The enzymatic activities of kindreds N and A were significantly different for LPL (P < .001) and H (.025 < P < .05) but not for HTL. All but one child had at least one high insulin level, which was accompanied by hyperglycemia in two children. The hypertriglyceridemia in all but one child was ameliorated on therapeutic diets. These data suggest that the genetic basis of the hypertriglyceridemia in these two families is different and that hyperchylomicronemia in childhood is not confined to the rare type I hyperlipoproteinemia.


Synthesis ◽  
2019 ◽  
Vol 51 (14) ◽  
pp. 2737-2758 ◽  
Author(s):  
Hyeonggeun Lim ◽  
Sikwang Seong ◽  
Sunkyu Han

Post-iboga alkaloids are secondary metabolites that are biosynthetically derived from iboga-type alkaloids via rearrangements of the indole and/or isoquinuclidine moieties. Herein, we categorize post-iboga alkaloids into five types based on the biosynthetic mode of transformation of the iboga scaffold. We then describe reported syntheses of post-iboga alkaloids, including our laboratory’s recent contributions, based on our own categorization.1 Introduction1.1 Iboga and Post-Iboga Alkaloids1.2 Classification of Post-Iboga Alkaloids1.2.1 Introduction to Type I Post-Iboga Alkaloids1.2.2 Introduction to Type II Post-Iboga Alkaloids1.2.3 Introduction to Type III Post-Iboga Alkaloids1.2.4 Introduction to Type IV Post-Iboga Alkaloids1.2.5 Introduction to Type V Post-Iboga Alkaloids2 Syntheses of Post-Iboga Alkaloids2.1 Syntheses of Type I Post-Iboga Alkaloids2.1.1 Syntheses of Monomeric Type I Post-Iboga Alkaloids2.1.2 Syntheses of Dimeric Type I Post-Iboga Alkaloids2.2 Syntheses of Type II Post-Iboga Alkaloids2.3 Synthetic Studies Toward Type III Post-Iboga Alkaloids2.4 Syntheses of Type IV Post-Iboga Alkaloids2.5 Synthesis of Type V Post-Iboga Alkaloids3 Conclusion and Outlook


2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0003
Author(s):  
Timothy Charlton ◽  
Danielle Thomas ◽  
David Thordarson ◽  
Melodie Metzger ◽  
Trevor Nelson

Category: Midfoot/Forefoot Introduction/Purpose: The flexor hallucis longus (FHL) tendon is commonly used for tendon transfers in reconstructive Achilles tendon procedures. A subset of patients who undergo this procedure complain of first great toe weakness and loss of push off strength after FHL tendon transfer. Despite the frequency of this procedure, there is currently little information available to surgeons to help understand this potential complication. Therefore, the objective of this biomechanical cadaveric study was to quantify plantar flexion strength after FHL harvest and correlate it to variations in anatomy to determine if distinct tendon crossover patterns at the Knot of Henry are more likely to lead to forefoot weakness. Methods: Cadaveric specimens were procured from an approved tissue bank. The proximal end of the tibia was potted and secured to the Mechanical Testing System. A pressure mapping system was used to measure plantar force though the great toe and lesser toes. The Achilles, FHL, and flexor digitorum longus (FDL) tendons were attached to linear actuators for load application. Pressure under the toes was measured with the Achilles alone, Achilles with FHL, Achilles with FDL, and Achilles with both FHL and FDL. The resultant loading patterns were recorded in the greater and lesser toes and compared between the different states. After biomechanical testing, all specimens were carefully dissected and the tendinous slips between the FHL and FDL were documented and classified based on a previously determined system (Types I-V, LaRue; Edama) Functional and anatomical relationship between the classification type and loading patterns were statistically analyzed using repeated measures ANOVA. Results: 23 specimens (13M / 10F) with a mean age of 71 years (range: 54-90) were used in this study. 61% were anatomically classified as type I, followed by type II (26%), IV (9%), and type V (4%), and type III (0%). Simulated FHL harvest in type I specimens resulted in a 29% decrease in great toe flexion pressure and an 21% decrease in total forefoot flexion pressure, p<0.05. In type II feet, FHL harvest led to a greater reduction in flexion pressure in the great toe (34%) and forefoot (25%), p<0.05. Type IV specimens also had a decrease in flexion pressure in both the great toe (21%) and forefoot (15%), p<0.05. Type V specimens trended similar to type I specimens. Conclusion: This study is the first to quantify loss of great toe and lesser toe flexion pressure after FHL harvest. In addition, it is the first to correlate these losses to variations in anatomic crossover patterns at the Knot of Henry. Specimens classified as type II had the greatest reduction in flexion pressure, followed by type I and type IV. This information is clinically important for preoperative discussions about post-surgical expectations and surgical planning.


1986 ◽  
Vol 23 (10) ◽  
pp. 1519-1550 ◽  
Author(s):  
R. Kerrich ◽  
D. F. Strong ◽  
A. J. Andrews ◽  
L. Owsiacki

The Ag–, Co–Ni–sulpharsenide deposits of the Cobalt–Gowganda district are characterized by relatively uniform light-stable-isotope systematics, where δ18O in quartz spans 11.1–16.0‰; in K-feldspar, 10.1–12.3‰; in albite, 8.1–14.4‰; in actinolite, 6.0–7.6‰; in chlorite, 3.2–5.6‰; and δD in chlorite = −42 to −35‰. The temperature of hydrothermal silicate deposition was 150–230 °C, as calculated from Δquartz–chlorite, and triple to quadruple isotopic concordancy is locally preserved amongst quartz, chlorite, actinolite, and K-feldspar or albite. Filling temperature modes at 230 and 330 °C exist for primary inclusions in quartz and carbonates. Ore-forming hydrothermal fluids were isotopically characterized by δ18O = −2.5 to + 5‰, δD = −40 to + 5‰, interpreted to reflect isotopically and chemically evolved formation brines from Huronian aquifers, ultimately derived from marine pore fluids, and Proterozoic meteoric water recharge of the sedimentary basin. The restricted range of δ18Oquartz, Δquartz−chlorite, and δDchlorite from a large population of veins implies that the ore-forming fluids were tapped from a large reservoir, or reservoirs, relatively uniform with respect to temperature, δ18O, and δD.Quartzes in silicate selvages, wall rocks, and carbonate-dominated gangue are isotopically comparable, signifying fluid-dominated conditions and the initial precipitation of carbonates from fluids isotopically similar to those involved in the silicate stage and at comparable temperatures. Vein dolomites (δ18O = 21 to 23.1‰) continued to exchange down to temperatures of 110–140 °C in the presence of fluids where δ18O = 3 ± 2‰, during thermal attenuation of the ore-forming reservoir. Vein calcites (δ18O = 1.7 to 15.7‰) record late incursion of meteoric waters where δ18O = −8 to −22‰ at temperatures of ~50 °C. The population of vein carbonates clusters at δ13C = −3.1 to −5.3‰, and this is probably also close to the carbon-isotope signature of the hydrothermal fluid. The source of carbon is uncertain.Actinolites possess age-corrected 87Sr/86Sr = 0.715 to 0.729, for 2200 Ma, close to estimates for the contemporaneous Huronian ratio (0.7053–0.714) but more radiogenic than contemporaneous Archean volcanics (0.7017–0.7021) or the Nipissing diabase (0.7060–0.7061). On this basis, Sr is interpreted to have been derived principally from the Huronian sedimentary reservoir.Fluid inclusions in quartz and calcite of both mineralized and barren veins in the Cobalt and Gowganda mining camps and environs show five different types type I (L), type II (L + halite), type III (L + V), type IV (L + V + H), and type V (V), with types III and IV being most abundant. A histogram of all mine data shows modes around 100, 230, and 330 °C, with a range from > 560 to < 100 °C. No carbon dioxide was observed in the inclusions, although the dominance of calcite and dolomite in the veins attests to its presence during mineralization. Several samples show evidence of aqueous boiling, allowing a direct pressure determination of about 600 bar (60 MPa). The fluids were highly saline NaCl–CaCl2 brines, with up to 54 wt.% NaCl equivalent and highly variable Na/Ca ratios. Fluid inclusions in samples of barren veins from Lundy Township, outside the areas of known mineralization, do not appear to be significantly different from those of the mineralized veins, indicating that the hydrothermal fluids were active throughout a large area of the Huronian basin; this is corroborated by the disturbance of Pb- and Sr-isotope systems in the Nipissing, Huronian, and Archean.The Nipissing diabase likely served as a heat source to mobilize metals and advect formation brines, which may have derived the metals from either or all of the Huronian sediments or the Archean volcanics Nipissing diabase and sedimentary rocks. We suggest a genetic scheme for the veins involving CO2 effervescence and aqueous boiling inducing pH increase and thereby mediating rapid precipitation of ore minerals coeval with and followed by carbonates. This process explains most of the presently known major and minor characteristics of the vein systems and their host rocks, including the chloritic and sodic metasomatism of the Archean and Huronian rocks, abundant calcite, the compositional and mineralogical variability of the ore minerals, the textural variability of both the carbonates and ore minerals, the paragenetic sequence of alteration and mineralization, the distribution of ore minerals with respect to the diabase and other rocks, the relatively narrow vertical extent of mineralization, variations in ore grade and tonnage, and the distribution of economic deposits on the periphery of the Huronian basin.


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