scholarly journals Morphometric parameters of clavicles among adult Black people in Tanzania

2020 ◽  
Vol 9 (1) ◽  
pp. 1707-1712
Author(s):  
A.G. Alexander ◽  
A.D. Russa

Morphological clavicular variation has been studied extensively by orthopaedic surgeons, anatomic and forensic experts to explain developmental,  gender and age-related differences. The design of fixation devices for displaced clavicular fracture management depends largely on anatomic  characteristics of clavicle. Eighty-one unpaired clavicles of unknown sex were studied, 42 clavicles were of right side and 39 clavicles of left side. All the clavicles were collected from adult cadavers which were dissected in Departments of Anatomy at Muhimbili and Herbert Kairuki Memorial  Universities. The length of clavicle was measured by a vernier calliper; the middle point of this length was taken as the point where midclavicular circumference was measured with the help of a measuring thread and the angle of curvature of clavicle was measured by using protractors. The  average lengths of the left and right clavicles were 15.23±1.12 cm and 15.43±1.01cm respectively. The average medial angle of curvature of left  clavicle was 155.33° ± 4.39°and that of right clavicle was 153.40° ± 3.96°. The mean total angle of curvature of left clavicle was 293.54˚± 9.55°and the average total angle of curvature of right clavicle was 290.05±8.94°. The average midclavicular circumference of left clavicle was 3.88cm ± 0.33cm and  that of right clavicle was 3.94cm±0.33cm. The right clavicle was longer than the left clavicle, the average medial angle of curvature of left clavicle was greater than medial angle of right clavicle, the average lateral angle of curvature of left clavicle was more than the average lateral angle of  curvature of right clavicle and the mean of midclavicular circumference of right clavicle was greater than that of left clavicle. Keywords: Morphometric, clavicle, curvatures, circumference 

2011 ◽  
Vol 30 (5) ◽  
pp. E5 ◽  
Author(s):  
Emel Avcı ◽  
Erinç Aktüre ◽  
Hakan Seçkin ◽  
Kutluay Uluç ◽  
Andrew M. Bauer ◽  
...  

Object Although craniofacial approaches to the midline skull base have been defined and surgical results have been published, clear descriptions of these complex approaches in a step-wise manner are lacking. The objective of this study is to demonstrate the surgical technique of craniofacial approaches based on Barrow classification (Levels I–III) and to study the microsurgical anatomy pertinent to these complex craniofacial approaches. Methods Ten adult cadaveric heads perfused with colored silicone and 24 dry human skulls were used to study the microsurgical anatomy and to demonstrate craniofacial approaches in a step-wise manner. In addition to cadaveric studies, case illustrations of anterior skull base meningiomas were presented to demonstrate the clinical application of the first 3 (Levels I–III) approaches. Results Cadaveric head dissection was performed in 10 heads using craniofacial approaches. Ethmoid and sphenoid sinuses, cribriform plate, orbit, planum sphenoidale, clivus, sellar, and parasellar regions were shown at Levels I, II, and III. In 24 human dry skulls (48 sides), a supraorbital notch (85.4%) was observed more frequently than the supraorbital foramen (14.6%). The mean distance between the supraorbital foramen notch to the midline was 21.9 mm on the right side and 21.8 mm on the left. By accepting the middle point of the nasofrontal suture as a landmark, the mean distances to the anterior ethmoidal foramen from the middle point of this suture were 32 mm on the right side and 34 mm on the left. The mean distance between the anterior and posterior ethmoidal foramina was 12.3 mm on both sides; the mean distance between the posterior ethmoidal foramen and distal opening of the optic canal was 7.1 mm on the right side and 7.3 mm on the left. Conclusions Barrow classification is a simple and stepwise system to better understand the surgical anatomy and refine the techniques in performing these complex craniofacial approaches. On the other hand, thorough anatomical knowledge of the midline skull base and variations of the neurovascular structures is crucial to perform successful craniofacial approaches.


Author(s):  
Patricia M. Lutz ◽  
Matthias J. Feucht ◽  
Judith Wechselberger ◽  
Michael Rasper ◽  
Wolf Petersen ◽  
...  

Abstract Purpose Ultrasound (US) examination of the medial joint space of the knee has played a subordinate diagnostic role up till now. The purpose of the present study was to describe mean values of medial joint width and to investigate the impact of gender, age, and body mass index (BMI) on medial joint laxity in healthy knees using modern, dynamic US in a standardized fashion in unloaded and standardized loaded conditions. Methods A total of 65 subjects with 79 healthy knees were enrolled in this study. All volunteers underwent clinical examination of the knee. The medial knee joint width was determined using US in a supine position at 0° and 30° of knee flexion in unloaded and standardized loaded (= 15 Dekanewton, daN) conditions using a specific device. Mean values were described and correlations between medial knee joint width and gender, age, and BMI were assessed. Results Thirty-two females and 33 males were enrolled in this study. The mean medial joint width in 0° unloaded was 5.7 ± 1.2 mm and 7.4 ± 1.4 mm loaded. In 30° of knee flexion, the mean medial joint width was 6.1 ± 1.1 mm unloaded and 7.8 ± 1.2 mm loaded. The average change between unloaded and loaded conditions in 0° was 1.7 ± 1.0 mm and in 30° 1.7 ± 0.9 mm. A significant difference between genders was evident for medial joint width in 0° and 30° of flexion in unloaded and loaded conditions (p < 0.05). With rising age, a significant increased change of medial joint space width between unloaded and loaded conditions could be demonstrated in 0° (p = 0.032). No significant correlation between BMI and medial joint width in US could be found. Conclusion Mean values of medial joint width in unloaded and standardized loaded conditions using a fixation device could be demonstrated. Based on the results of this study, medial knee joint width in US is gender- and age-related in healthy knees. These present data may be useful for evaluating patients with acute or chronic pathologies to the medial side of the knee. Level of evidence III.


2021 ◽  
Vol 10 (21) ◽  
pp. 4845
Author(s):  
Chikako Hara ◽  
Miki Sawa ◽  
Fumi Gomi ◽  
Kohji Nishida

Purpose: This study aimed to assess driving capabilities in patients with exudative age-related macular degeneration (AMD) causing unilateral blindness or paracentral scotoma without vision deterioration. Methods: Of the 275 patients with AMD who responded to a questionnaire regarding car driving at Osaka University Hospital, we excluded 78 patients who answered that they had never driven. Finally, 197 patients were included (50 with bilateral and 142 with unilateral AMD). We investigated the relationship between the questionnaire findings and best-corrected visual acuity (BCVA). Results: The mean age was 74.8 ± 6.9 years, and the mean BCVA in the right and left eyes were 0.48 and 0.47, respectively. A negative correlation was observed between the proportion of patients who stopped driving due to AMD and the vision in the worse eye (p < 0.0001); however, 66% of participants were still driving. Regardless of the BCVA, 84% of them wished to continue driving. Concerning perceived dangerous situations, all patients reported an oversight of people or signals and night driving; further, patients with unilateral and bilateral vision deterioration reported vision narrowness and difficulty with discerning signal colours, respectively. Conclusion: Despite the associated danger, patients with AMD continued driving. Close attention should be paid to the driving activities among patients with AMD, even if they have passed the relevant driving tests.


2020 ◽  
Vol 15 (2) ◽  
pp. 61-67
Author(s):  
Fatema Johora ◽  
Abu Sadat Mohammad Nurunnabi ◽  
Dilruba Siddiqua ◽  
Hasna Hena ◽  
Shamim Ara

Background: Changes in the size of the kidney are evident in humans, as age progresses. Objective: To see the age-related changes in the morphological dimensions of the kidney in a sample of the Bangladeshi population. Methods: This crosssectional study was done in the Department of Anatomy, Dhaka Medical College, Dhaka, from July 2008 to June 2009, based on a collection of 140 postmortem human kidneys collected from 70 unclaimed dead bodies from the morgue of the same institution. All the samples of kidney were divided into three age groups, including A (10-19 years), B (20-39 years) and C (40-59 years). The length, breadth and thickness of all the kidneys were measured by using a slide calipers and recorded. Data were expressed as mean±SD. For statistical analysis, independent sample t test and one way ANOVA was used. Results: The length of the right and left kidneys found were 8.72±0.25 cm and 9.28±0.12 cm; 9.73±0.35 cm and 10.31±0.41 cm; 9.68±0.21 cm and 10.24±0.06 cm in group A, B and C respectively. The breadth of the right and left kidneys found were 4.32±0.09 cm and 4.22±0.11 cm; 4.74±0.29 cm and 4.55±0.28 cm; 4.61±0.21 cm and 4.44±0.21 cm in group A, B and C respectively. The thickness of the right and left kidneys found were 2.84±0.10 cm and 2.64±0.05 cm; 3.31±0.16 cm and 3.11±0.10 cm; 3.17±0.07 cm and 3.11±0.10 cm in group A, B and C respectively. The mean length of the left kidneys was found significantly greater than that of the right , whereas the mean breadth and the thickness of the right kidneys were found greater than that of the left kidney in all age groups. Moreover, age related changes were significant in all dimensions (length, breadth and thickness) of the kidney when compared between group A & B and A & C. Conclusion: This study results concluded that the length of the left kidney was greater than that of the right, but the breadth and the thickness of the right kidney were greater than that of the left one in all age groups. In addition, age related changes in all dimensions (i.e. length, breadth and thickness) of the kidneys were evident in middle age versus young adult and older adult versus young adult. J Bangladesh Soc Physiol. 2020, December; 15(2): 61-67


1994 ◽  
Vol 72 (01) ◽  
pp. 021-027 ◽  
Author(s):  
P R Howard ◽  
E G Bovill ◽  
J Pike ◽  
W R Chruch ◽  
R P Tracy

SummaryWe determined factor VII antigen (FVIIag) levels in 705 healthy blood donors ranging in age from 17 to 79 years using a two-site solid-phase enzyme immunoassay developed in our laboratory. The mean (± SD) FVIIag level for the total population was 102 ± 31%. FVIIag levels for men (n = 375) and women (n = 330) were 101 ± 28% and 103 ± 33%, respectively. A significant increase in FVIIag was observed with age in both men (r = 0.25, p <0.0001) and women (r = 0.35, p <0.0001). FVIIag levels were significantly higher in women > 60 years when compared to men (median women: 125%; median men: 111%; p <0.05). On a subset of the study group (n = 45), FVIIag levels were correlated to total cholesterol (r = 0.27, p = 0.08) and triglyceride (r = 0.41, p <0.01). Assuming the commonly used reference interval of 60-140% for FVII, the frequencies of FVIIag values for <60% and >140% using our assay were 2.1% and 9.2%, respectively. Gender and age-related differences in FVIIag levels must be considered in a reference interval. We further suggest that assay-specific reference ranges be established, which may include values outside the commonly used values of 60-140%.


Author(s):  
Başak Kurt ◽  
Halil H. Çağatay ◽  
Özgür Aksoy

Tonometry is one of the basic diagnostic tests used for the diagnosis of glaucoma and uveitis in veterinary ophthalmology. The Icare® Rebound Tonometer which is a new tonometric device has been shown to be useful in a wide range of species. Eyes (n = 48) of 24 Simmental and Montafon calves with a mean age of 7.5 weeks (2–16 weeks), male and female, were subjected to intraocular pressure (IOP) measurement using the Icare® Rebound Tonometer with calves standing and in lateral recumbency. The mean IOP was measured as 9.02 ± 2.38 mmHg in the right eye and 9.08 ± 2.55 mmHg in the left eye. No age-related change was found in intraocular pressure of the calves between 2 and 16 weeks of age. No difference in IOP values was observed between Simmental and Montafon calves. Body position had no effect on IOP in calves. The Icare® Rebound Tonometer was shown to be a suitable diagnostic device for IOP measurement in calves.


2018 ◽  
Vol 4 (2) ◽  
pp. 137-140
Author(s):  
Hasna Hena ◽  
Shamim Ara ◽  
Rubina Qasim ◽  
Dilruba Siddiqua ◽  
Fatema Johora ◽  
...  

Background: The fallopian tubes act as conduit for spermatozoa to reach the oocyte and to convey the fertilized (egg) to enter the uterine cavity following fertilization. Problems with the fallopian tubes can lead to infertility. Detailed morphological and histological knowledge is essential for the diagnosis and management of fallopian tube disease.Objective: The purpose of the present study was to identify the inner diameter of ampulla of the fallopian tube and its changes with advancing age.Methodology: This descriptive cross-sectional study was conducted in the Department of Anatomy at Dhaka Medical College, Dhaka, Bangladesh from July 2008 to June 2009 for a period of one (01) year. This present study was performed on post mortem fallopian tubes of Bangladeshi female. Among them lowest age was 12 years and highest age was 50 years. Samples were divided into three differential age groups named asgroup A (10 to 13 years), group B (14 to 45 years), and group C (46 to 50 years). All samples were studied morphologically and histologically.Results: The mean inner diameter of the ampulla of the right and left fallopian tubes ranged from 1.99±0.08 to 3.24±0.27 mm. The difference between all the groups were statistically significant (p < 0.001).Conclusion: The mean difference of the inner diameter of the ampulla of the right and left fallopian tubesbetween groupA and groupB and groupB and groupC were statistically significant; however, there was no significant difference between right and left fallopian tube.Journal of National Institute of Neurosciences Bangladesh, 2018;4(2): 137-140


2014 ◽  
Vol 72 (5) ◽  
pp. 333-336 ◽  
Author(s):  
Thiago Cardoso Vale ◽  
Luciene Chaves Fernandes ◽  
Paulo Caramelli

Objective:To present an eight-case serie of patients with Charles Bonnet syndrome (CBS). Method: All patients were initially evaluated by an ophthalmologist and then submitted to a neurologic evaluation with exclusion of alternative psychiatric and neurologic diagnoses.Results:Five patients were male (62.5%) and the mean age was 52.3+16.0 years. Two patients suffered from severe myopia and glaucoma, three had retinitis pigmentosa, one had anterior ischemic optic neuropathy, one had age-related macular degeneration and one had toxoplasmic retinochoroiditis. Mean visual acuity in the right eye was 1,12 logMAR and in the left eye 0.57 logMAR. A mean delay of 41.7 months occurred until diagnosis. All hallucinations were complexes and mostly ocurred on a weekly-basis (62.5%) and lasted for seconds (87.5%).Conclusions:Physicians who care for low vision patients should be aware of CBS and appropriately diagnose its hallucinations after exclusion of psychiatric and neurologic diseases.


2019 ◽  
Vol 36 (01) ◽  
pp. 014-016
Author(s):  
Vidya Srikantaiah ◽  
Hemamalini Shetty

Introduction The greater wing of sphenoid presents various foramina, of which the foramen ovale is one important foramen through which advanced surgical therapeutic and diagnostic procedures related to the middle cranial fossa are performed. Materials and Methods A total of 40 dried adult skulls of unknown gender and age, obtained from the Department of Anatomy of the JSS medical College, Mysuru, Kamakata, India. The length and the width of the foramen ovale were measured using digital sliding calipers (tiny deal 150 mm SS digital caliper with LCD display, Kristeel-Shimwa industries, Bombay, India). Results The mean length of the foramen ovale was 0.745 ± 0.31 cm on the right side (RS), and 0.68 ± 0.15 cm on the left side (LS). The mean width was 0.6 ± 0.17 cm on the RS, and 0.56 ± 0.14 cm on the LS. Conclusion The knowledge of variations in the length and breadth of the foramen ovale is of immense importance in neurosurgery during various invasive surgical procedures, such as percutaneous trigeminal rhizotomy, and in the biopsy of cavernous sinus tumors and of Meckel cave lesions.


2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Roberta Hack-Mendes ◽  
Lorraine Brennan

AbstractIntroductionOsteoporosis is characterized by low bone mineral density (BMD) and increased susceptibility to low trauma fractures(1).The relationship between osteoporosis risk and general metabolic health parameters is poorly understood. The aim of this study was to investigate the relationship between anthropometric and metabolic parameters with BMD in Adults.Materials and MethodsA total of 214 (100 male and 114 female) healthy adults were recruited. The mean age was 32 ± 10 years for males and 31 ± 11 years for females. BMD was assessed by whole body dual energy X ray- absorptiometry (Dexa scan). Dexa scores were reported as total bone mineral density, T-score and Z-score. Anthropotemetric measures included body weight, height, waist circumference. Basal metabolic rate (BMR) was assessed by indirect calorimetry. Tertiles of BMD were obtained for males and females. Assessment of parameters across BMD tertiles was performed in males and females separately using ANOVA. Relationships between parameters was assessed using Spearman correlation analysis controlling for gender and age where appropriate.ResultsBMI, Weight and BMR increased significantly across the tertiles for both genders. The mean weight, BMI and BMR were significantly increased in the males at the highest tertile of BMD. Positive correlations (adjusted for gender and age) were observed between weight, BMI, BMR and BMD (R2 = 0.404; p = 0.001, R2 = 0.348, p = 0.001; R2 = 0.363; p = 0.001, respectively).ConclusionsOverall, the results confirm the relationships between BMD and BMI and weight in a healthy cohort. Furthermore, it highlights a relationship between BMR and BMD. Targeting improvement in body composition and BMR may be a strategy for the age-related decline in BMD.


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