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1.
Small ; 20(22): e2308672, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38155506

RESUMEN

Layered 2D transition metal dichalcogenides (TMDs) have been suggested as efficient substitutes for Pt-group metal electrocatalysts in the hydrogen evolution reaction (HER). However, poor catalytic activities in neutral and alkaline electrolytes considerably hinder their practical applications. Furthermore, the weak adhesion between TMDs and electrodes often impedes long-term durability and thus requires a binder. Here, a universal platform is reported for robust dual-atom doped 2D electrocatalysts with superior HER performance over a wide pH range media. V:Co-ReS2 on a wafer scale is directly grown on oxidized Ti foil by a liquid-phase precursor-assisted approach and subsequently used as highly efficient electrocatalysts. The catalytic performance surpasses that of Pt group metals in a high current regime (≥ 100 mA cm-2) at pH ≥ 7, with a high durability of more than 70 h in all media at 200 mA cm-2. First-principles calculations reveal that V:Co dual doping in ReS2 significantly reduces the water dissociation barrier and simultaneously enables the material to achieve the thermoneutral Gibbs free energy for hydrogen adsorption.

2.
Nano Lett ; 23(7): 3054-3061, 2023 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-36930591

RESUMEN

As the electron mobility of two-dimensional (2D) materials is dependent on an insulating substrate, the nonuniform surface charge and morphology of silicon dioxide (SiO2) layers degrade the electron mobility of 2D materials. Here, we demonstrate that an atomically thin single-crystal insulating layer of silicon oxynitride (SiON) can be grown epitaxially on a SiC wafer at a wafer scale and find that the electron mobility of graphene field-effect transistors on the SiON layer is 1.5 times higher than that of graphene field-effect transistors on typical SiO2 films. Microscale and nanoscale void defects caused by heterostructure growth were eliminated for the wafer-scale growth of the single-crystal SiON layer. The single-crystal SiON layer can be grown on a SiC wafer with a single thermal process. This simple fabrication process, compatible with commercial semiconductor fabrication processes, makes the layer an excellent replacement for the SiO2/Si wafer.

3.
Foot Ankle Surg ; 28(1): 72-78, 2022 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-33574006

RESUMEN

BACKGROUND: The aim of this study was to clarify the anatomical features of the interosseous tarsometatarsal ligaments of foot and to classify their types based on the combinations of their ligamentous components. METHODS: Fifty feet from 27 adult Korean cadavers were dissected. RESULTS: The interosseous tarsometatarsal ligaments were observed in the first, second, and third cuneometatarsal joint spaces. The interosseous tarsometatarsal ligament of the first cuneometatarsal space consistently connected the medial cuneiform and the second metatarsal, and was accompanied by one or two accessory ligaments above (34%) and/or below (6%) the Lisfranc ligament. The interosseous tarsometatarsal ligaments of the second and third cuneometatarsal joint spaces comprised seven and five components, and were classified into five and three types depending on the number and combination of the components, respectively. CONCLUSIONS: These results are expected to advance the current knowledge on the tarsometatarsal joint and provide helpful information for more accurate and successful diagnosis and treatment of lesions at this joint.


Asunto(s)
Huesos Metatarsianos , Huesos Tarsianos , Articulaciones Tarsianas , Adulto , Cadáver , Pie , Humanos , Ligamentos Articulares
4.
Microsc Microanal ; : 1-5, 2021 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-33888180

RESUMEN

We report on comparative atom probe tomography investigations of γ/γ'-forming Co­12Ti­4Mo­Cr alloys. Moderate additions of Cr (2 and 4 at%) reduced the γ/γ' lattice misfit and increased the γ' volume fraction of a Co­12Ti­4Mo alloy significantly. These microstructural changes were accompanied by changes in the elemental partitioning between γ and γ' and site-occupancy in γ'. Spatial distribution maps revealed that Mo occupied both Co and Ti sub-lattice sites in γ'. In agreement with the experimental data, thermodynamic calculations predicted a stronger tendency for Mo to occupy the Co-sites than for Cr and an increase in Cr fraction on the Ti-sites with increasing Cr content.

5.
Korean J Parasitol ; 59(4): 393-397, 2021 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-34470090

RESUMEN

Although research conducted in East Asia has uncovered parasite eggs from ancient toilets or cesspits, data accumulated to date needs to be supplemented by more archaeoparasitological studies. We examined a total of 21 soil samples from a toilet-like structure at the Hwajisan site, a Baekje-period royal villa, in present-day Korea. At least 4 species of helminth eggs, i.e., Trichuris trichiura, Ascaris lumbricoides, Clonorchis sinensis, and Trichuris sp. (or Trichuris vulpis) were detected in 3 sediment samples of the structure that was likely a toilet used by Baekje nobles. The eggs of T. trichiura were found in all 3 samples (no. 1, 4, and 5); and A. lumbricoides eggs were detected in 2 samples (no. 4 and 5). C. sinensis and T. vulpis-like eggs were found in no. 5 sample. From the findings of this study, we can suppose that the soil-transmitted helminths were prevalent in ancient Korean people, including the nobles of Baekje Kingdom during the 5th to 7th century.


Asunto(s)
Aparatos Sanitarios , Helmintos , Animales , Ascaris lumbricoides , Humanos , República de Corea , Suelo , Trichuris
6.
Korean J Parasitol ; 59(2): 149-152, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33951770

RESUMEN

Our previous research on coprolite specimens from the mummies of Joseon Dynasty (1392-1910 CE) has revealed various species of parasite eggs. Herein, we added 2 new helminthic cases of human remains from Joseon-period graves in the Republic of Korea (Korea). The organic materials precipitated on the hip bones of 2 half-mummied cases (Goryeong and Gwangmyeong cases) were collected, rehydrated, and examined by a microscope. In the sample from Goryeong-gun (gun=County), ova of Trichuris trichiura, Clonorchis sinensis, and Metagonimus spp. were detected, and eggs of T. trichiura and A. lumbricoides were found from the sample of Gwangmyeong-si (si=City). By adding this outcome to the existing data pool, we confirm our previous estimates of Joseon-period parasite infection rates. The overall rates of A. lumbricoides, T. trichiura, and C. sinensis decreased dramatically from Joseon to the modern period. In Goryeong mummy specimen, we also found Metagonimus spp. eggs that has rarely been detected in archaeological samples so far.


Asunto(s)
Ascaris lumbricoides/citología , Momias/parasitología , Trichuris/citología , Animales , Arqueología , Ascaris lumbricoides/clasificación , Ascaris lumbricoides/aislamiento & purificación , Clonorchis sinensis/clasificación , Clonorchis sinensis/citología , Clonorchis sinensis/aislamiento & purificación , Humanos , Óvulo/clasificación , Óvulo/citología , República de Corea , Trichuris/clasificación , Trichuris/aislamiento & purificación
7.
Prostate ; 80(6): 471-480, 2020 05.
Artículo en Inglés | MEDLINE | ID: mdl-32049374

RESUMEN

BACKGROUND: The shape and function of the longitudinal muscular column (LMC) of the prostate have not been established in detail. The present study was undertaken to elucidate the roles of the LMC of the posterior wall of the prostatic urethra (PSU) in the emission phase of ejaculation by investigating the form and muscular arrangement of the LMC. METHODS: Prostates and urinary bladders were obtained from 14 Korean adult cadavers. Nine specimens were histologically analyzed using hematoxylin and eosin, Masson's trichrome, and Verhoeff-van Gieson staining. Two specimens were scanned using microcomputed tomography (micro-CT), and all scanned images were reconstructed into a three-dimensional model. RESULTS: At the proximal level of the prostate, the ejaculatory ducts (EDs) and prostatic utricle (PU) together were surrounded by circular smooth-muscle fibers. However, at the seminal colliculus (SC) where the EDs and PU opened, they were mainly surrounded by an abundance of longitudinal fibers. The longitudinal fibers posterior to the EDs and PU formed a distinctive LMC in the posterior urethral wall. In histologic sections and micro-CT images, the LMC extended distally from the level of the SC to the level of the membranous urethra (MBU). We simulated a potential mechanism of LMC using a mathematical model of its movements. CONCLUSIONS: Comprehensive analyses based on in-depth assessment of histologic characteristics and micro-CT images demonstrated extension of the LMC from the level of the SC to the level of the MBU, enabling a better understanding of ejaculation physiology involving the LMC. These results suggest that the LMC in the posterior wall of the PSU is a critical component of ejaculation by facilitating the ejection of seminal vesicle fluid into the PSU via well-coordinated contractions.


Asunto(s)
Eyaculación/fisiología , Modelos Biológicos , Próstata/anatomía & histología , Próstata/fisiología , Anciano , Anciano de 80 o más Años , Cadáver , Elastina/fisiología , Humanos , Masculino , Persona de Mediana Edad , Modelos Anatómicos , Músculo Liso/anatomía & histología , Músculo Liso/citología , Músculo Liso/fisiología , Próstata/citología , Próstata/diagnóstico por imagen , Uretra/anatomía & histología , Uretra/citología , Uretra/fisiología , Microtomografía por Rayos X/métodos
8.
J Korean Med Sci ; 35(6): e42, 2020 Feb 17.
Artículo en Inglés | MEDLINE | ID: mdl-32056402

RESUMEN

BACKGROUND: To help medical students learn anatomy effectively in limited hours, a regional anatomy book enhancing students' memorization was developed. METHODS: Only anatomical terms essential for basic cadaver dissection are included along with schematic figures which enable memorization of complicated anatomical structures. Learning comics and comic strips that depict anatomy mnemonics and jokes were appended and sentences were written to be comfortably readable. The electronic book titled "Visually Memorable Regional Anatomy" has been distributed without payment or registration. With the help of 246 volunteer students from three Korean medical schools, the book's learning effects were evaluated. RESULTS: These students' book reading led to increase in their anatomy scores, including written examination scores and tag examination scores. It was an encouraging result that almost 20% of students spontaneously read the book no matter who presented their lecture or examination. A webpage version of the book was visited by thousands of users. CONCLUSION: The book with unique features may suggest a new perspective in the field of anatomy learning. After having acquaintance with essential structures from reading the book, students are able to and willing to study more from other resources.


Asunto(s)
Anatomía Regional , Lectura , Estudiantes de Medicina , Anatomía Regional/educación , Libros , Comprensión , Curriculum , Humanos , Aprendizaje , Memoria , Encuestas y Cuestionarios
9.
Mem Inst Oswaldo Cruz ; 114: e180595, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31116227

RESUMEN

The genetic information of ancient Paragonimus westermani, the oriental lung fluke infecting over 20 million people worldwide, has not been thoroughly investigated thus far. We analysed genetic markers (COI and ITS2) of P. westermani from coprolite specimens (n = 6) obtained from 15th to 18th century Korean mummies. Our results indicated that all P. westermani sequences were generally distinct from the other species of the genus Paragonimus. The sequences were clustered into three groups: Group I for East Asia; Group II for South and Southeast Asia; and Group III for India and Sri Lanka. In this study, we found that ancient P. westermani sequences in Korea belong to Group I, adding invaluable information to the existing knowledge of Paragonimus paleogenetics.


Asunto(s)
ADN de Helmintos/genética , ADN Espaciador Ribosómico/genética , Complejo IV de Transporte de Electrones/genética , Heces/parasitología , Momias/parasitología , Paragonimus westermani/aislamiento & purificación , Animales , Asia , Humanos , Paleodontología , Paragonimus westermani/genética , Recuento de Huevos de Parásitos , Filogenia
10.
J Korean Med Sci ; 34(20): e149, 2019 May 27.
Artículo en Inglés | MEDLINE | ID: mdl-31124326

RESUMEN

We analyzed Clonorchis sinensis ancient DNA (aDNA) acquired from the specimens of the Joseon mummies. The target regions were cytochrome C oxidase subunit 1 (CO1), internal transcribed spacer 1 (ITS1), nicotinamide adenine dinucleotide hydrogen (NADH) dehydrogenase subunits 2 (NAD2) and 5 (NAD5). The sequences of C. sinensis aDNA was completely or almost identical to modern C. sinensis sequences in GenBank. We also found that ITS1, NAD2 and NAD5 could be good markers for molecular diagnosis between C. sinensis and the other trematode parasite species. The current result could improve our knowledge about genetic history of C. sinensis.


Asunto(s)
Clonorchis sinensis/genética , ADN Antiguo/química , Complejo IV de Transporte de Electrones/genética , Oxidorreductasas/genética , Animales , Clonorquiasis/diagnóstico , Clonorquiasis/epidemiología , Clonorchis sinensis/clasificación , ADN Antiguo/aislamiento & purificación , Complejo IV de Transporte de Electrones/química , Complejo IV de Transporte de Electrones/clasificación , Humanos , Momias/parasitología , Oxidorreductasas/química , Oxidorreductasas/clasificación , Filogenia , Subunidades de Proteína/química , Subunidades de Proteína/clasificación , Subunidades de Proteína/genética , República de Corea , Análisis de Secuencia de ADN
11.
Clin Anat ; 32(5): 699-705, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30873654

RESUMEN

This study investigated the morphological variations of the plantar tarsometatarsal ligaments of the foot by classifying them based on their ligamentous components. Fifty embalmed feet from 27 adult Korean cadavers were used. The plantar tarsometatarsal ligaments comprised nine components (medial cuneiform-first metatarsal, pCn1-M1; medial cuneiform-second metatarsal, pCn1-M2; medial cuneiform-second and third metatarsals, pCn1-M2,3; median cuneiform-second metatarsal, pCn2-M2; lateral cuneiform-third metatarsal, pCn3-M3; lateral cuneiform-fourth metatarsal, pCn3-M4; lateral cuneiform-third and fourth metatarsals, pCn3-M3,4; cuboid-fourth metatarsal, pCb-M4; and cuboid-fifth metatarsal, pCb-M5). pCn1-M2 was newly observed in the present study. The number of the bands composing the ligament was one in the pCn1-M2, pCn2-M2, pCn3-M3, and pCn3-M4 components, and one or two in the pCn1-M1, pCn1-M2,3, pCn3-M3,4, pCb-M4, and pCb-M5 components. The plantar tarsometatarsal ligaments were classified into five types based on the combination of their components. The pCn1-M1, pCn1-M2,3, and pCn2-M2 components were consistently observed in types I-IV (88%), along with pCn3-M3,4 in type I, pCn3-M4 and pCb-M5 in type II, and pCn3-M3 in type IV. In type V (12%), the pCn1-M1 and pCb-M5 components were consistently present. Improved comprehension of the variations in plantar tarsometatarsal ligament anatomy is expected to help diagnose diverse injuries to this region, better understand the structural pathomechanism of the injuries, and contribute to successful treatment. Clin. Anat. 32:699-705, 2019. © 2019 Wiley Periodicals, Inc.


Asunto(s)
Pie/anatomía & histología , Ligamentos Articulares/anatomía & histología , Cadáver , Femenino , Humanos , Masculino , Huesos Metatarsianos/anatomía & histología , Huesos Tarsianos/anatomía & histología
12.
Clin Anat ; 32(2): 212-217, 2019 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-30252160

RESUMEN

This study investigated the anatomical features of the dorsal tarsometatarsal ligaments of the foot for the purpose of analyzing the ligamentous components and classifying their types. Fifty embalmed cadaveric feet from 27 adult cadavers were dissected in this study. The dorsal tarsometatarsal ligaments comprised nine components (first cuneiform-first metatarsal, dCn1-M1; first cuneiform-second metatarsal, dCn1-M2; second cuneiform-second metatarsal, dCn2-M2; third cuneiform-second metatarsal, dCn3-M2; third cuneiform-third metatarsal, dCn3-M3; third cuneiform-fourth metatarsal, dCn3-M4; cuboid-third metatarsal, dCb-M3; cuboid-fourth metatarsal, dCb-M4; cuboid-fifth metatarsal, dCb-M5). The dCn3-M4 and dCb-M3 had not been previously reported. The dCn1-M1, dCn1-M2, dCn3-M2, dCn3-M4, and dCb-M3 had only one band, the dCn2-M2 had two bands, and the others had one or two bands. The ligaments originating from Cb attached simultaneously to M3 and M4 (4/50), M4 and M5 (7/50), or M3 and M5 (5/50), which were Y-shaped (dCb-M3, 4 and dCb-M3, 5), or V-shaped (dCb-M4, 5). The dorsal tarsometatarsal ligaments were classified into four types according to the presence of each component. In Type I (52%), Type II (36%), Type III (10%), and Type IV (2%), all components were observed except for one, two, three, and four components, respectively. The dimensions of each component were measured, and as a result the dCn1-M1 was found to be the widest and longest of the dorsal ligaments while the dCn1-M2 was found to be the thickest. The dorsal tarsometatarsal ligaments comprised nine components and were classified into four types. Clin. Anat. 32:212-217, 2019. © 2018 Wiley Periodicals, Inc.


Asunto(s)
Ligamentos Articulares/anatomía & histología , Articulaciones Tarsianas/anatomía & histología , Adulto , Fenómenos Biomecánicos , Cadáver , Femenino , Humanos , Ligamentos Articulares/fisiología , Masculino , Huesos Metatarsianos/anatomía & histología , Huesos Tarsianos/anatomía & histología , Articulaciones Tarsianas/fisiología
13.
J Korean Med Sci ; 33(6): e53, 2018 Feb 05.
Artículo en Inglés | MEDLINE | ID: mdl-29349942

RESUMEN

The parasitic infection patterns of the Joseon period have begun to be revealed in a series of paleoparasitological studies. However, parasitism prevailing during or before the Three Kingdom period is still relatively unexplored. In the present study, we therefore conducted parasitological examinations of soil and organic-material sediments precipitated upon human hipbone and sacrum discovered inside an ancient Mokgwakmyo tomb dating to the Silla Dynasty (57 BCE-660 CE). Within the samples, we discovered ancient Ascaris lumbricoides (eggs per gram [EPG], 46.6-48.3) and Trichuris trichiura (EPG, 32.8-62.1) eggs, the species commonly detected among Korean populations until just prior to the 1970s. These findings show that soil-transmitted parasitic infection among the Silla nobility might not have been uncommon. This is the first-ever report on the presence of ancient parasite eggs in the samples obtained from a Three Kingdom period tomb; and it also presents the earliest positive results for any of the ancient South Korean tombs paleoparasitologically examined to date.


Asunto(s)
Ascaris lumbricoides/aislamiento & purificación , Suelo/parasitología , Trichuris/aislamiento & purificación , Animales , Arqueología , Ascaris lumbricoides/crecimiento & desarrollo , Huesos/parasitología , Óvulo/citología , Sacro/parasitología , Trichuris/crecimiento & desarrollo
14.
J Korean Med Sci ; 31(1): 147-51, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26770051

RESUMEN

We found calcified pulmonary nodules in a middle-aged female mummy discovered from 350-yr-old Joseon tomb of Korea. In the CT scan, we found six radiopaque nodules in right lung, through the levels of thoracic vertebrae 1 to 6. We also found presumptive pleural adhesions in right thoracic cavity of CT images. We re-confirmed radiological findings by our post-factum dissection on the same mummy. By the differential diagnosis, we speculate that the radiopaque calcification nodules and associated pleural adhesion could have been caused by tuberculosis. This is the first-ever report on the pulmonary tuberculosis identified in archaeologically obtained, pre-modern Korean samples.


Asunto(s)
Momias/diagnóstico por imagen , Tuberculosis Pulmonar/diagnóstico , Adulto , Femenino , Humanos , República de Corea , Tomografía Computarizada por Rayos X
15.
Eur Arch Otorhinolaryngol ; 273(12): 4413-4416, 2016 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-27180250

RESUMEN

The purpose of this study was to document the presence of a sublingual gland (SLG) herniating inferiorly through the mylohyoid muscle into the submandibular area. A total of 100 half-heads of 50 adult Korean cadavers were enrolled in this study. The floor of the mouth was dissected from the neck, and mylohyoid muscle patency and position of the sublingual gland were evaluated. Demographic factors of the donor and characteristics of the herniation were evaluated. Herniation was found in 29 (58.0 %) of the 50 cadavers or 42 of the 100 half-heads. Herniation was more frequently observed in females than in males (p = 0.009). However, no laterality was observed. Classifying the location of SLG herniation from the midpoint of the mandible to the hyoid bone into 3 regions, 32 (63 %) of herniations were found in the anterior one-third. No ranula formation was observed. The size and weight of normal glands tended to be larger than those of herniated glands, but no statistical significance was observed. An SLG hernia is a very common condition and is more frequently observed in females. As such, SLG herniation should be considered when a submental neck mass is evaluated.


Asunto(s)
Hernia/patología , Enfermedades de las Glándulas Salivales/patología , Glándula Sublingual/patología , Adulto , Cadáver , Femenino , Humanos , Hueso Hioides , Masculino , Mandíbula , Músculos del Cuello
16.
Korean J Parasitol ; 53(2): 237-42, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25925186

RESUMEN

Analysis of ancient DNA (aDNA) extracted from Ascaris is very important for understanding the phylogenetic lineage of the parasite species. When aDNAs obtained from a Joseon tomb (SN2-19-1) coprolite in which Ascaris eggs were identified were amplified with primers for cytochrome b (cyt b) and 18S small subunit ribosomal RNA (18S rRNA) gene, the outcome exhibited Ascaris specific amplicon bands. By cloning, sequencing, and analysis of the amplified DNA, we obtained information valuable for comprehending genetic lineage of Ascaris prevalent among pre-modern Joseon peoples.


Asunto(s)
Ascariasis/parasitología , Ascaris/aislamiento & purificación , ADN de Helmintos/genética , ADN Mitocondrial/genética , Momias/parasitología , Adulto , Animales , Ascariasis/diagnóstico , Ascariasis/historia , Ascaris/clasificación , Ascaris/genética , Secuencia de Bases , Citocromos b/genética , Cartilla de ADN/genética , ADN Mitocondrial/historia , Femenino , Fósiles/historia , Fósiles/parasitología , Historia Antigua , Humanos , Masculino , Datos de Secuencia Molecular , Momias/historia , Óvulo/química , Óvulo/clasificación , Filogenia , ARN Ribosómico 18S/genética
17.
Surg Radiol Anat ; 37(3): 293-8, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25064605

RESUMEN

PURPOSE: Digital report (DR), a new method for students' dissection report, has been introduced to replace the traditional method in the anatomy laboratory. METHODS: Laboratory tasks were assigned to groups of five students, and each group was asked to make a DR of their dissection tasks and upload it on the website for the anatomy course developed by the authors' institution. For creating the DR, students were instructed to take photographs of their findings with digital cameras, to mark the orientation and label the structures on the photograph. Students were assessed as a group by evaluating the DR. All the photographs of the DR were saved to construct a database that can be used by the students who will take the anatomy course in the following years. A questionnaire consisting of 14 questions was administered at the end of the anatomy course to evaluate the effectiveness of the DR. RESULTS: The results of the student survey showed that the DR was useful for making the students participate more actively in the teamwork for dissection, and for making dissection reports by referring to the DR made by the students from previous years. The DR was also more helpful for the anatomy teacher to assess student learning in the anatomy laboratory than conventional practical examinations and paper-based dissection reports. CONCLUSIONS: DR, a paperless report of team-based dissection, is concurrent with the 'digital' age and is in line with the need for a more systematic and objective evaluation of students' dissection.


Asunto(s)
Anatomía/educación , Computadores/estadística & datos numéricos , Disección/métodos , Educación de Pregrado en Medicina/métodos , Proyectos de Investigación , Cadáver , Estudios Transversales , Evaluación Educacional , Femenino , Humanos , Laboratorios , Masculino , Estudiantes de Medicina/estadística & datos numéricos , Encuestas y Cuestionarios , Análisis y Desempeño de Tareas , Adulto Joven
18.
Clin Anat ; 27(1): 97-101, 2014 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-24254966

RESUMEN

The purpose of this study was to clarify the composition of the internal and external branches (IB and EB) of the accessory nerve. Fifty-seven half heads of 34 adult cadavers were used. The IB and EB of the accessory nerve were mixed with the cranial root (CR), vagus nerve, and spinal root (SR). The IB was classified into five types and the EB into four types according to their composition. The IB consisted of only CR in 7.0% of the 57 cases, and of the CR and the vagus nerve in 52.6%; the IB did not exist in 12.3%. The EB was only composed of the SR in 19.3% of cases, the SR and CR in 52.6%, and the SR, CR, and the vagus nerve in 21.1%. There were 14 combinations of IB and EB types. The most common combination was the IB with the CR and the vagus nerve, and the EB with the SR and CR (31.6%). The combination of IB and EB comprising CR and SR, respectively, was not observed. The IB and EB are known to consist of the CR and SR of the accessory nerve, respectively. However, this study shows that there are no IB and EB comprising only the CR and SR, respectively, and the branches have various combinations of the CR, SR, and vagus nerve.


Asunto(s)
Nervio Accesorio/anatomía & histología , Adulto , Anciano , Anciano de 80 o más Años , Cadáver , Femenino , Cabeza/inervación , Humanos , Masculino , Persona de Mediana Edad , Raíces Nerviosas Espinales/anatomía & histología , Nervio Vago/anatomía & histología
19.
Clin Anat ; 27(7): 1111-6, 2014 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-24535960

RESUMEN

The flexor digitorum accessorius longus (FDAL), a variant leg muscle, can cause tarsal tunnel syndrome. This study was performed to classify the variants of the FDAL by dissection and to correlate the dissection results with clinical cases of tarsal tunnel syndrome caused by this muscle. Eighty lower limbs of embalmed Korean cadavers were dissected. MR images of two clinical cases of tarsal tunnel syndrome caused by the FDAL were correlated with the dissection results. The FDAL was observed in nine out of 80 specimens (11.3%) and it was classified into three types depending on its site of origin and its relationship to the posterior tibial neurovascular bundle (PTNV) in the leg. In Type I (6.3%), the FDAL originated in the leg and ran superficially along the PTNV, either not crossing (Type Ia, 3.8%) or crossing (Type Ib, 2.5%) the neurovascular bundle. In Type II (6.3%), it originated in the tarsal tunnel. Most FDALs followed a similar course in the tarsal tunnel and the plantar pedis. On correlating the MR images of the clinical cases with this classification, the FDAL corresponded to Types Ia and II. All three types of FDAL can compress the tibial nerve in the tarsal tunnel or the distal leg. Clarification of the topographical relationship between this muscle and the PTNV would help to improve the results of surgery for tarsal tunnel syndrome caused by the FDAL.


Asunto(s)
Variación Anatómica , Tobillo/anatomía & histología , Pierna/anatomía & histología , Músculo Esquelético/anatomía & histología , Síndrome del Túnel Tarsiano/patología , Arterias Tibiales/anatomía & histología , Nervio Tibial/anatomía & histología , Adulto , Anciano , Anciano de 80 o más Años , Tobillo/anomalías , Femenino , Humanos , Pierna/anomalías , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Músculo Esquelético/anomalías , Arterias Tibiales/anomalías , Nervio Tibial/anomalías
20.
Clin Anat ; 27(5): 798-803, 2014 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24038173

RESUMEN

This study was performed to clarify the morphologic characteristics of two layers of the posterior tibiotalar ligament (PTT) and two bands of the deep PTT (dPTT), and to correlate the dissection findings with MR images. Sixty-four ankles from 42 cadavers were examined. The origin and insertion sites of the superficial PTT (sPTT) and the two bands of the dPTT were identified, and their length, width, and thickness were measured. MRI was performed on four ankles before serial sectioning or dissection. The serial sections were taken at a thickness of 2 mm. The sPTT was observed in 50 out of 60 dissected specimens (83.3%), taken from 64 ankles of 42 cadavers. The dPTT was observed in all specimens. The sPTT, superficial band of the dPTT (sdPTT), and deep band of the dPTT (ddPTT) arose from the inferior surface of the medial malleolus. The sPTT attached to the posterior process of the talus, and the sdPTT and ddPTT attached to the depression below the articular facet for the medial malleolus. The sPTT and two bands of the dPTT could be distinguished on coronal MR images, where the sPTT appeared as a thin string superficial to the two bands of the dPTT, which were separated as two thick, low-density strings. In the coronal plane of frozen sections, the outermost sPTT appeared as a thin, white bundle attached to the sdPTT. The PTT is composed of superficial and deep layers, and the dPTT is composed of superficial and deep bands.


Asunto(s)
Ligamentos/anatomía & histología , Imagen por Resonancia Magnética , Astrágalo/anatomía & histología , Tibia/anatomía & histología , Adulto , Anciano , Anciano de 80 o más Años , Tobillo/anatomía & histología , Cadáver , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Retrospectivos
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