scholarly journals Successful Microneurovascular Penile Replantation Using Loupe Magnification Following Self Amputation in A Young Patient

2019 ◽  
Vol 17 (1) ◽  
pp. 54-57
Author(s):  
Tanveer Ahmed ◽  
Zakir Hossain ◽  
Lutfar Kader Lenin
Keyword(s):  
Single Case ◽  
Rare Condition ◽  
Anatomical Structures ◽  
Small Series ◽  
Common Etiology ◽  
The Common ◽  
Normal Sensitivity ◽  
And Function ◽  
Penile Replantation ◽  
Loupe Magnification

Amputation of the penis is a rare condition reported from various parts of the world. They reported as isolated cases or small series of patients in scientific research. The common etiology is self amputation by sharp weapon or an avulsion or crush injury in an industrial accident or following violence. Complete reconstruction of anatomical structures should be done in one stage which provides the best chance for full rehabilitation of the patient. We report here a single case of sub-total amputation of the penis at it's proximal third in a schizophrenic patient. The penis was successfully replanted using a microsurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capabilities of erection and near normal sensitivity were observed. Journal of Surgical Sciences (2013) Vol. 17 (1) : 54-57

scholarly journals Microneurovascular reimplantation in a case of total penile amputation

2008 ◽  
Vol 41 (02) ◽  
pp. 206-210
Author(s):  
C. Bhatt Yogesh ◽  
A. Vyas Kinnari ◽  
K. Srivastava Rajat ◽  
S. Panse Nikhil
Keyword(s):  
Single Case ◽  
Rare Condition ◽  
Urine Flow ◽  
Industrial Accident ◽  
Normal Appearance ◽  
Small Series ◽  
The World ◽  
The Common ◽  
Normal Sensitivity ◽  
And Function

ABSTRACTAmputation of the penis is a rare condition reported from various parts of the world as isolated cases or small series of patients; the common aetiology is self-mutilating sharp amputation or an avulsion or crush injury in an industrial accident. A complete reconstruction of all penile structures should be attempted in one stage which provides the best chance for full rehabilitation of the patient. We report here a single case of total amputation of the penis, which was successfully reattached by using a microsurgical technique. After surgery, near-normal appearance and function including a good urine flow and absence of urethral stricture, capabilities of erection and near normal sensitivity were observed.

scholarly journals Endoscopic Study of the Oral and Pharyngeal Cavities in the Common Dolphin, Striped Dolphin, Risso’s Dolphin, Harbour Porpoise and Pilot Whale: Reinforced with Other Diagnostic and Anatomic Techniques

Animals ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 1507
Author(s):  
Álvaro García de los Ríos y Loshuertos ◽  
Marta Soler Laguía ◽  
Alberto Arencibia Espinosa ◽  
Francisco Martínez Gomariz ◽  
Cayetano Sánchez Collado ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Common Dolphin ◽  
Resonance Imaging ◽  
Pilot Whale ◽  
Anatomical Structures ◽  
Vascular Plexus ◽  
Endoscopic Study ◽  
Main Technique ◽  
The Common ◽  
Magnetic Resonance Imaging Mri

In this work, the fetal and newborn anatomical structures of the dolphin oropharyngeal cavities were studied. The main technique used was endoscopy, as these cavities are narrow tubular spaces and the oral cavity is difficult to photograph without moving the specimen. The endoscope was used to study the mucosal features of the oral and pharyngeal cavities. Two pharyngeal diverticula of the auditory tubes were discovered on either side of the choanae and larynx. These spaces begin close to the musculotubaric channel of the middle ear, are linked to the pterygopalatine recesses (pterygoid sinus) and they extend to the maxillopalatine fossa. Magnetic Resonance Imaging (MRI), osteological analysis, sectional anatomy, dissections, and histology were also used to better understand the function of the pharyngeal diverticula of the auditory tubes. These data were then compared with the horse’s pharyngeal diverticula of the auditory tubes. The histology revealed that a vascular plexus inside these diverticula could help to expel the air from this space to the nasopharynx. In the oral cavity, teeth remain inside the alveolus and covered by gums. The marginal papillae of the tongue differ in extension depending on the fetal specimen studied. The histology reveals that the incisive papilla is vestigial and contain abundant innervation. No ducts were observed inside lateral sublingual folds in the oral cavity proper and caruncles were not seen in the prefrenular space.

Twinning in Susceptible Mothers—An Exploratory Study of International Data by Payami's Models Suggests “Reproductive Maturity” as a Risk Factor

1991 ◽  
Vol 40 (3-4) ◽  
pp. 269-289 ◽  
Author(s):  
P. Philippe
Keyword(s):  
Maternal Age ◽  
Comparison Group ◽  
Linear Increase ◽  
Reproductive Maturity ◽  
Secondary Exposure ◽  
Twin Birth ◽  
Age Dependent ◽  
Common Etiology ◽  
International Data ◽  
The Common

AbstractAn attempt has been made to apply Payami's models to maternal age-specific twin birth prevalences in several countries. The models disclose the heterogeneity of a cohort and spell out the risks to susceptible members (who will actually get the disease) according to age (or time). Payami's method specifies that the typical cohort of susceptibles is ascribed to two exposures: a potent and generalised exposure and a very low or no risk secondary exposure. The models have been adjusted to international data from current as well as old populations, of Occidental and Japanese origin. Results show that cohorts of twin-prone mothers aged 25 to 45 are homogeneous. A single dominant etiology is suggested which applies to both MZ and DZ twins. Heterogeneity, from 10% to 25%, is present in all countries whenever the 20-24 age group is involved. A separate study of illegitimate twin births from Denmark reduces the heterogeneity and shows that MZ illegitimate twin births are due to a secondary exposure responsible for a distinct twinning etiology. The age-specific risks of a MZ illegitimate twin birth are much higher than those of any comparison group, and are constant until age 35 years. This suggests a single-hit exposure akin to a neuroendocrine stimulus which short-cuts the usual age-dependent etiologic pathway. MZ and DZ twins both experience the same maternal age specific risks, an observation which underscores the common etiology of both types of twins. Risks increase with age from age 20 to 45 years. The pattern according to age varies among countries and time periods. Occidental populations have a pattern varying from an exponential to a more linear increase in old and recent populations, respectively. Only present-day Japan displays a logarithmic-like growth curve. The concept of “reproductive maturity” is introduced, and related to the secular trend of the DZ twin birth risk and to its variation across countries. Two new conclusions are drawn: a) The higher the rate of reproductive maturity, the less the DZ twin birth risk and, b) Reproductive maturity determines the maternal age-specific gonadotropin levels.

Emperor Qianlong's Hidden Treasures

2019 ◽  
Author(s):  
Nicole T. C. Chiang
Keyword(s):  
Physical Object ◽  
The Common ◽  
And Function

This book reconsiders what actually constitutes the collection of the Qing imperial household during the Qianlong reign, which leads to the re-evaluation of the collection’s historiography, implications, significance and function. It questions the common presumption that there was a single and readily definable assemblage, which includes every physical object that had once been kept in the imperial palaces. This study also challenges the pervasive notion that collecting at the Qianlong court was highly individual and that the supposed collection reflected the emperor’s personal preferences and tastes. Lastly, this research confronts the popular interpretation of the function of the assumed collection, which was to display authority and to project various images to different groups of audience.

Atlanto-Occipital Decompression of Vertebral Artery for a Variant of Bow Hunter's Syndrome: 2-Dimensional Operative Video

2021 ◽  
Author(s):  
Nickalus R Khan ◽  
Turki Elarjani ◽  
Stephanie H Chen ◽  
Laszlo Miskolczi ◽  
Sheryl Strasser ◽  
...  
Keyword(s):  
Vertebral Artery ◽  
Rare Condition ◽  
Head Rotation ◽  
Treatment Modalities ◽  
Spinal Instability ◽  
Vertebrobasilar Insufficiency ◽  
Common Etiology ◽  
Neurologically Intact ◽  
Hunter's Syndrome ◽  
Visual Abnormalities

Abstract Rotational vertebral artery (VA) occlusion syndrome, also known as bow hunter's syndrome, is an uncommon variant of vertebrobasilar insufficiency typically occurring with head rotation.1-3 The most common presenting symptom is dizziness (76.8%), followed by visual abnormalities and syncope (50.4% and 40.4%, respectively).2 Osteophytic compression due to spinal spondylosis has been shown to be the most common etiology (46.2%), with other factors, such as a fibrous band, muscular compression, or spinal instability, being documented.1,2 Treatment is dependent on the level and site of VA compression with anterior, anterolateral, or posterior approaches being described.1,4 We present the case of a 72-yr-old male with osteophytic compression of the V3 segment of the vertebral artery at the occipital-cervical junction. The patient underwent a C1 hemilaminectomy and removal of osteophytic compression from the occipital-cervical joint. The patient had complete resolution of compression of his vertebral artery on postoperative imaging and remained neurologically intact following the procedure. We review the literature on this topic, the technical nuances of the procedure performed, and review the different treatment modalities available for this rare condition.1-11  The patient consented to the procedure and to publication of their image.

scholarly journals Diagnostics and Treatment of Cervical Causes of Infertility

2019 ◽  
Vol 12 (1) ◽  
pp. 33-39
Author(s):  
Aleksandar K. Kunev
Keyword(s):  
Intrauterine Insemination ◽  
Treatment Options ◽  
Cervical Canal ◽  
Male Factor ◽  
Gynaecological Examination ◽  
The Common ◽  
Common Problems ◽  
Cervical Diseases ◽  
And Function ◽  
Methods Of Treatment

Summary Nowadays, infertility is a problem that affects an increasing number of people. The causes of infertility in a couple may be due to a variety of factors – female, male or unexplained. One of the common problems associated with infertility in women is related to uterine cervical diseases. The cervix is an essential part of the sperm passage, so various disorders in the cervix structure and function may be the cause of infertility. The study aimed to identify the leading cervical causes of female infertility, methods of treatment and their success. The most common problems of cervical origin are cervical polyps and stenosis of the cervical canal. They are easily diagnosed with a routine gynaecological examination and ultrasound examination. Polyps are removed through polypectomy, and after that, a natural pregnancy can be achieved. In the case of stenosis of the cervical canal, there are two treatment options – dilation or intrauterine insemination (IUI). In younger patients and lack of male factor in the couple, dilation is performed. Dilation is mechanical with classic Hegar dilatiors or with synthetic hygroscopic dilatiors (Dilapan). If, in addition to the stenosis of the cervical canal in a woman, there is a male factor, treatment with IUI is preferred. Methods for cervical factor treatment vary in their success rate but are generally characterised by good results.

scholarly journals Lobectomy for lung cancer with a displaced left B1 + 2 and an anomalous pulmonary vein: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shinichi Sakamoto ◽  
Hiromitsu Takizawa ◽  
Naoya Kawakita ◽  
Akira Tangoku
Keyword(s):  
Computed Tomography ◽  
Lung Cancer ◽  
Pulmonary Vein ◽  
Three Dimensional ◽  
Lower Lobe ◽  
Rare Condition ◽  
3D Ct ◽  
Anatomical Structures ◽  
Case Presentation ◽  
Anomalous Pulmonary Vein

Abstract Background A displaced left B1 + 2 accompanied by an anomalous pulmonary vein is a rare condition involving complex structures. There is a risk of unexpected injuries to bronchi and blood vessels when patients with such anomalies undergo surgery for lung cancer. Case presentation A 59-year-old male with suspected lung cancer in the left lower lobe was scheduled to undergo surgery. Chest computed tomography revealed a displaced B1 + 2 and hyperlobulation between S1 + 2 and S3, while the interlobar fissure between S1 + 2 and S6 was completely fused. Three-dimensional computed tomography (3D-CT) revealed an anomalous V1 + 2 joining the left inferior pulmonary vein and a branch of the V1 + 2 running between S1 + 2 and S6. We performed left lower lobectomy via video-assisted thoracic surgery, while taking care with the abovementioned anatomical structures. The strategy employed in this operation was to preserve V1 + 2 and confirm the locations of B1 + 2 and B6 when dividing the fissure. Conclusion The aim of the surgical procedure performed in this case was to divide the fissure between S1 + 2 and the inferior lobe to reduce the risk of an unexpected bronchial injury. 3D-CT helps surgeons to understand the stereoscopic positional relationships among anatomical structures.

scholarly journals Litteratur og politik

2007 ◽  
Vol 35 (104) ◽  
pp. 148-165
Author(s):  
Frederik Tygstrup ◽  
Isak Winkel Holm
Keyword(s):  
The Political ◽  
Form And Function ◽  
Symbolic Forms ◽  
Representational Practices ◽  
The World ◽  
Cultural Poetics ◽  
The Common ◽  
And Function ◽  
The Way

Literature and PoliticsLiterature is political by representing the world. The production of literature is a contribution to a general cultural poetics where images of reality are constructed and circulated. At the same time, the practice of literature is institutionalized in such a way that the form and function of the images of reality it produces are conceived and used in a distinctive way. In this article, we suggest distinguishing between a general cultural poetics and a specific literary poetics by using Ernst Cassirer’s neo-Kantian concept of »symbolic forms«. We argue that according to this view, the political significance of literary representational practices resides in the way they activate a common cultural repertoire of historical symbolic forms while at the same time deviating from the common ways of treating these forms.

scholarly journals The Artistry and Creative Process in the Making of Malang Masks in East Java | Kesenian dan Proses Kreatif dalam Penciptaan Topeng Malang di Jawa Timur

SPAFA Journal ◽  
2021 ◽  
Vol 5 ◽  
Author(s):  
Guntur [n/a]
Keyword(s):  
Creative Process ◽  
Cultural Background ◽  
Qualitative Description ◽  
Facial Appearance ◽  
Unique Form ◽  
Common People ◽  
The Common ◽  
Visual Characteristics ◽  
Unique Style ◽  
And Function

The creative process in Malang mask making has a strong tradition of creation which has produced a unique form. The Malang mask art has been popularized based on the Panji story. Despite being properties of an art performance, the masks are works of art. The visual characteristics of the faces and their carved ornaments are the main elements that determine the typology of the mask’s facial appearance. The characteristics of form, color, expression, and function create a unique style or identity of the group of traditional mask artists in Malang. Masks can be classified according to four general types of character: the figure of Panji, antagonistic characters, servants, and animals. In terms of the traditionality of creation, including aspects of material, technique, and function in the community of craftsmen, the style of the masks refers to previously existing forms. This essay is a qualitative description of the artistry of Malang masks, through the formation of the Panji story – based on kidung as indigenous stories in the practice of adaptive Hinduism – and leaning on a dichotomy with the Kakawin form. Malang masks are used by the wayang topeng community in art performances to present the narration of the Panji story – against the spiritual cultural background of the common people. Process kreatif dalam pembuatan topeng Malang memiliki tradisi penciptaan yang kuat, dan telah menghasilkan bentuk yang khas. Topeng Malang dipopulerkan berdasarkan kisah Panji. Meskipun menjadi properti seni pertunjukan, topeng adalah karya seni. Karakteristik visual wajah dan ornamen ukir merupakan elemen utama yang membentuk tipologi perwajahan topeng. Karakteristik pada bentuk, warna, ekspresi, serta fungsi, menghasilkan gaya atau identitas unik dari kelompok seniman topeng tradisional di Malang. Klasifikasi topeng ada pada empat tipologi umum karakter tokoh: sosok Panji, tokoh antagonis, tokoh abdi, dan tokoh binatang. Dari sisi tradisionalitas penciptaan, yaitu aspek materialitas, teknik, dan fungsinya di komunitas perajin, gaya topeng mengacu kepada bentuk topeng yang ada sebelumnya. Esai ini mendeskripsikan secara kualitatif perwujudan artistik topeng Malang, melalui formasi kisah Panji - berdasarkan kidung sebagai cerita asli dalam praktek Hinduisme adaptif - dan bersandar pada dikotomi dengan bentuk Kakawin. Topeng Malang digunakan oleh masyarakat topeng wayang dalam pertunjukan seni untuk menampilkan narasi kisah Panji - dengan latar belakang kultural spiritual orang biasa.

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