An Aberrant Bald Eagle (Haliaeetus Leucocephalus) with Multiple Anatomical Abnormalities

Total Page:16

File Type:pdf, Size:1020Kb

An Aberrant Bald Eagle (Haliaeetus Leucocephalus) with Multiple Anatomical Abnormalities Vertebrate Anatomy Morphology Palaeontology 7:101–110 101 ISSN 2292-1389 An aberrant bald eagle (Haliaeetus leucocephalus) with multiple anatomical abnormalities Jeremy J. Klingler1,* and Christine N. Glasmann2 1School of Biological Sciences, University of Utah, 257 South 1400 East, Salt Lake City, Utah, 84112, USA; [email protected] 2Department of Integrative Biology, University of California Berkeley, 3040 Valley Life Sciences Building, Berkeley, California, 94720, USA; [email protected] Abstract: Genetic abnormalities, especially polydactyly, are quite common among birds. Although there are numerous accounts of anatomically abnormal birds with polydactyly, few written anatomical descriptions have elucidated whether or not these physical aberrations extend to the musculoskeletal structure of the feet. Here, we present the findings of a dissection of a 14-week old female bald eagle that exhibited polydactyly and numerous other aberrations and discuss the functional impact these aberrations would cause. The speci- men displayed a myriad of feather anomalies including missing feathers (i.e., had never grown in), ingrown feathers, stress bars, and most strikingly, bifurcated feathers wherein two feathers were seen to grow out of one rachis. Further, an extra, anomalous tendon was observed stemming from the tendinous origin of the m. extensor carpi radialis. The carpometacarpi were unable to reach full extension, stopping at less than 140º, and had phalanges bent downward at 45º. This mobility is limited in comparison to that of a normal bird. Most notably, the specimen exhibited polydactyly with one extra hallux on each foot. Several tendons of the left foot were seen to have aberrant connections as well. INTRODUCTION induce multiple abnormalities in developing embryos, such as stress bars and polydactyly, as seen in a blue-fronted Genetic diversity and variation is important in a species’ Amazon parrot (Amazona aestiva) nestling (Herrara and evolutionary fitness and is often viewed in a positive light. Berkunsky 2017). Although there are many accounts of However, some genetic discrepancies can severely hinder polydactyly, there is surprisingly little information on the an animal’s ability to execute tasks vital to its survival, such musculoskeletal anatomy that makes up these physical as prey capture or locomotion. Polydactyly is a condition abnormalities. For instance, with the duplication or expres- in which a vertebrate exhibits additional phalanges. This sion of additional digits, do the tendons also duplicate or physical abnormality, and more generally any physical are there aberrant connections where the muscles/tendons abnormality, may be the consequence of environmental insert? The omission of these studies represents a serious conditions, genetics, or unknown reasons (Pourlis 2011). deficit in our understanding of aberrational anatomy. Here, Among birds, polydactyly has been well-documented in we describe a juvenile bald eagle (Haliaeetus leucocephalus) domestic as well as wild species (e.g., Reichnenau 1880; with polydactyly and multiple other abnormalities. We Coale 1887; Lönnberg 1907; Bebe 1910; Ester 1937; compare the anatomy of the abnormal bird with that of a Cole 1942; Landaver 1946; Taylor and Gunns 1947; developmentally normal bald eagle of similar age. Kummerloeve 1952; Cooper 1984; Fox 1984; Heidenreich 1997; Trinkaus et al. 1999; Samour 2000; Vedde 2000). Polydactyly can come with a multitude of other abnormal- METHODS ities (Hollander and Levi 1942). In pigeons, for instance, Two juvenile bald eagle specimens, one abnormal and one alongside polydactyly, Hollander and Levi (1942) ob- normal, were dissected (fresh, frozen, and thawed). The served other characteristics including short nestling down, abnormal specimen (specimen number 2017-01134; acces- defective plumage, an undershot beak, and shortened legs. sion number N1715533 Pennsylvania Animal Diagnostic Extreme environmental stressors, such as wildfires, can Laboratory System) was a 14-week old female nestling Published September 3, 2019 *corresponding author. © 2019 by the authors; submitted May 15, 2019; revisions received August 27, 2019; accepted August 28, 2019. Handling editor: Robert Holmes. DOI 10.18435/vamp29351 Vertebrate Anatomy Morphology Palaeontology is an open access journal http://ejournals.library.ualberta.ca/index.php/VAMP Article copyright by the author(s). This open access work is distributed under a Creative Commons Attribution 4.0 International (CC By 4.0) License, meaning you must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits. Vertebrate Anatomy Morphology Palaeontology 7:101–110 that had never fledged. This specimen’s nest was from ies, and body contour feathers exhibited peculiar bifurcations Columbus, New Jersey near an area that had recently been wherein the feather’s rachis split in two somewhere along cleaned up of arsenic contamination; however, there was no the rachis forming two distinct feathers emerging from one evidence of toxins in the body. Thus, the deformities may central stem. In at least three feathers, it was observed that the have been genetic or developmental in origin. This bird rachis split in a left-right manner (Fig. 2A). More common- was captured and brought to the Mercer County Wildlife ly, the feathers split in such way as to produce a front-back/ Center (New Jersey) after it was found when the nest had overlapping bifurcation (Fig. 2B, C). Sixth, some primary and fallen out of the tree. Evaluation of the bird concluded that secondary feathers were missing (i.e., never formed; Fig. 2D). although it could perch and use all toes on each foot, it Issues such as deep cutting stress bars curved primary remiges, was not a viable candidate for release given the discovery and the absence of primaries and secondaries would severely of numerous anatomical anomalies, and the inability to impact the animal’s ability to generate lift and properly fly. extend its wings. The bird was anesthetized with isoflurane, Forearm and then humanely euthanized with pentobarbital injected intravenously. The normal specimen (band number 17- M. extensor carpi radialis: This muscle has a tendin- 1208; accession number N1714552 Pennsylvania Animal ous origin on the distal end of the humerus on the lateral Diagnostic Laboratory System) was a male with the plum- epicondyle, and the muscle inserts on the extensor process age and development of a recent fledge (11–16 weeks). This of the carpometacarpus. This muscle acts to extend the car- animal was found weak and emaciated, was diagnosed with pal joint at the wrist. The muscle courses along the dorsal disseminated aspergillosis, and was humanely euthanized. surface of the radius and its belly is about as long as half The normal specimen was found in Annapolis, Maryland, the length of the forearm before it becomes a stout tendon and is therefore not related to the deformed specimen. distally towards the carpometacarpus. Overall, this forearm Specimens were worked on under the following per- muscle is quite normal in the aberrant specimen, except mits: MCWC Federal Wildlife rehabilitation permit in one respect. In the right muscle of the abnormal bird #MB777794; MCWC NJ Wildlife rehabilitation permit exists a bizarre, anomalous, extra tendon stemming from #2017-2192; MCWC NJ Endangered species permit #ES2017038; and MCWC NJ Wildlife salvage per- mit #SB2016037. Upon completion of the study, both specimens were sent to the National Eagle Repository (Commerce City, CO, USA). Both specimens were dissected to compare the anatomical differences between certain regions of interest, particularly the wings and feet. Anatomical terminology follows the Handbook of Avian Anatomy: Nomina Anatomica Avium (Baumel et al. 1993). RESULTS The following section details all the significant issues the abnormal bald eagle specimen exhibits that would impair normal function contrasted with the normal condition. Feathers Numerous abnormalities are associated with the feathers. First, many feathers (primaries, secondaries, and retrices) exhibited stress bars indicative of poor nutrition, stress, and/or general illness (Fig. 1A). Many of these feathers had deeply cutting stress bars which cut off the ends of the barbs. Second, some primary remiges retained the sheath along the rachis (Fig. 1B). Third, some primaries of the right forelimb exhibited severe curvature laterally rather than exhibiting straight-to-slight medial curvature (Fig. 1C). Fourth, some Figure 1. Feather anomalies. A, stress bars; B, extended primary feathers on each wing were ingrown in the follicle of sheath on rachis; C, curvature of primary; D, ingrown the calamus (Fig. 1D). Fifth, numerous primaries, secondar- feather. Arrows indicate these features. 102 Klingler & Glasmann—Aberrant bald eagle Figure 2. Feather anomalies. A, bifurcated feather exhib- Figure 3. A, dorsal view of the extra tendon of the m. iting a left-right split; B, bifurcated feather displaying a extensor carpi radialis. Arrow points to the extra tendon; B, front-back split; C, another bifurcated feather with a front- line drawing of the dorsal forearm musculature of the bald back split; D, missing feathers can be seen on the wing eagle. (image
Recommended publications
  • Neonatal Orthopaedics
    NEONATAL ORTHOPAEDICS NEONATAL ORTHOPAEDICS Second Edition N De Mazumder MBBS MS Ex-Professor and Head Department of Orthopaedics Ramakrishna Mission Seva Pratishthan Vivekananda Institute of Medical Sciences Kolkata, West Bengal, India Visiting Surgeon Department of Orthopaedics Chittaranjan Sishu Sadan Kolkata, West Bengal, India Ex-President West Bengal Orthopaedic Association (A Chapter of Indian Orthopaedic Association) Kolkata, West Bengal, India Consultant Orthopaedic Surgeon Park Children’s Centre Kolkata, West Bengal, India Foreword AK Das ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD. New Delhi • London • Philadelphia • Panama (021)66485438 66485457 www.ketabpezeshki.com ® Jaypee Brothers Medical Publishers (P) Ltd. Headquarters Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi 110 002, India Phone: +91-11-43574357 Fax: +91-11-43574314 Email: [email protected] Overseas Offices J.P. Medical Ltd. Jaypee-Highlights Medical Publishers Inc. Jaypee Brothers Medical Publishers Ltd. 83, Victoria Street, London City of Knowledge, Bld. 237, Clayton The Bourse SW1H 0HW (UK) Panama City, Panama 111, South Independence Mall East Phone: +44-2031708910 Phone: +507-301-0496 Suite 835, Philadelphia, PA 19106, USA Fax: +02-03-0086180 Fax: +507-301-0499 Phone: +267-519-9789 Email: [email protected] Email: [email protected] Email: [email protected] Jaypee Brothers Medical Publishers (P) Ltd. Jaypee Brothers Medical Publishers (P) Ltd. 17/1-B, Babar Road, Block-B, Shaymali Shorakhute, Kathmandu Mohammadpur, Dhaka-1207 Nepal Bangladesh Phone: +00977-9841528578 Mobile: +08801912003485 Email: [email protected] Email: [email protected] Website: www.jaypeebrothers.com Website: www.jaypeedigital.com © 2013, Jaypee Brothers Medical Publishers All rights reserved. No part of this book may be reproduced in any form or by any means without the prior permission of the publisher.
    [Show full text]
  • Lista De Doenças Raras E Sinónimos: Listadas Por Ordem Alfabética
    Março 2016 Lista de doenças raras e sinónimos: Listadas por ordem alfabética www.orpha.net www.orphadata.org METODOLOGIA Recolha de dados A Orphanet fornece uma compressiva enciclopédia de Com o aparecimento de novos conhecimentos doenças raras na Europa, publicada bianualmente em científicos, a enciclopédia de doenças raras da Orphanet formato de lista. é actualizada por adição/actualização regular de novas As doenças raras registadas na Orphanet são definidas doenças através de duas fontes não exclusivas: fontes em dois âmbitos: documentais e/ou aconselhamento especializado. O conhecimento científico é monitorizado através: Qualquer entidade é definida pela sua homogeneidade clinica, independentemente da Uma análise, duas vezes por mês, de um sua etiologia ou do número de genes causadores conjunto definido de revistas científicas identificados; internacionais revistas por pares, que abrangem a diversidade das especialidades médicas A raridade é definida de acordo com a representadas na Orphanet; legislação europeia definindo um limite de prevalência não superior a 5 pessoas afectadas Um algoritmo de pesquisa mensal na Medline: por cada 10.000 (Regulação (EC) Nº141/200 do (nosologia[Titulo] OU classificação[Titulo] OU Parlamento Europeu e do conselho de 16 de nomenclatura[Titulo] ou terminologia[Titulo]) dezembro de 1999 em medicamentos órfãos, E (doença rara* OU Síndrome* OU http://ec.europa.eu/health/files/eudralex/vol- desordem*); 1/reg_2000_141/reg_2000_141_en.pdf). As doenças raras registadas foram descritas na literatura Pesquisas específicas na Medline de acordo científica internacional (artigos revistos por pares) com com as solicitações dos especialistas, dos pelo menos dois casos que confirmam que os sinais utilizadores da base de dados ou das clínicos não são associados fortuitamente.
    [Show full text]
  • Mirror Foot: a Case Report with Review of Literature 1Tribhuwan NS Gaur, 2Harish Rao
    JFASJFAs (AP) Mirror Foot: A 10.5005/jp-journals-10040-1088Case Report with Review of Literature Case RePoRt Mirror Foot: A Case Report with Review of Literature 1Tribhuwan NS Gaur, 2Harish Rao ABSTRACT Morphogenetically, the malformation can be consid- Introduction: Mirror foot is a very rare and complex congenital ered as a process of bifurcation of one or several fingers or anomaly. We report the case of a 1- year-old child who was toe rays in the longitudinal axis progressing from distal treated surgically. At 3 years follow-up, the results were satis- to proximal. In addition to simple duplication, multiple factory. We report this case for its rarity, unusual presentation, duplications also occur to the extent of creating a double and successful treatment. Hand (diplocheiria) or a double foot (diplopodia).10 Keywords: Excision, Mirror foot, Preaxial polydactyly. Polydactyly of foot is a common foot anomaly account- 11 How to cite this article: Gaur TNS, Rao H. Mirror Foot: A ing for 45% of congenital foot abnormalities and occurs Case Report with Review of Literature. J Foot Ankle Surg bilaterally in 40 to 50% cases. (Asia-Pacific) 2018;4(3):43-46. Temtamy and McKusick have described polydactyly Source of support: Nil based on the location of extra digit: Preaxial (medial ray), 12 Conflict of interest: None central, and postaxial (lateral ray). Postaxial polydactyly occurring in 80% of the patients is often asymmetric. Pre- axial polydactyly affects the big toe and occurs in 15% of INTRODUCTION patients, while central duplication occurs in the remain- Polydactyly is a condition of the hand or foot with more ing 5%, often duplicating a hypoplastic metatarsal ray.13 than five fingers or toes.
    [Show full text]
  • Orphanet Report Series Rare Diseases Collection
    Marche des Maladies Rares – Alliance Maladies Rares Orphanet Report Series Rare Diseases collection DecemberOctober 2013 2009 List of rare diseases and synonyms Listed in alphabetical order www.orpha.net 20102206 Rare diseases listed in alphabetical order ORPHA ORPHA ORPHA Disease name Disease name Disease name Number Number Number 289157 1-alpha-hydroxylase deficiency 309127 3-hydroxyacyl-CoA dehydrogenase 228384 5q14.3 microdeletion syndrome deficiency 293948 1p21.3 microdeletion syndrome 314655 5q31.3 microdeletion syndrome 939 3-hydroxyisobutyric aciduria 1606 1p36 deletion syndrome 228415 5q35 microduplication syndrome 2616 3M syndrome 250989 1q21.1 microdeletion syndrome 96125 6p subtelomeric deletion syndrome 2616 3-M syndrome 250994 1q21.1 microduplication syndrome 251046 6p22 microdeletion syndrome 293843 3MC syndrome 250999 1q41q42 microdeletion syndrome 96125 6p25 microdeletion syndrome 6 3-methylcrotonylglycinuria 250999 1q41-q42 microdeletion syndrome 99135 6-phosphogluconate dehydrogenase 67046 3-methylglutaconic aciduria type 1 deficiency 238769 1q44 microdeletion syndrome 111 3-methylglutaconic aciduria type 2 13 6-pyruvoyl-tetrahydropterin synthase 976 2,8 dihydroxyadenine urolithiasis deficiency 67047 3-methylglutaconic aciduria type 3 869 2A syndrome 75857 6q terminal deletion 67048 3-methylglutaconic aciduria type 4 79154 2-aminoadipic 2-oxoadipic aciduria 171829 6q16 deletion syndrome 66634 3-methylglutaconic aciduria type 5 19 2-hydroxyglutaric acidemia 251056 6q25 microdeletion syndrome 352328 3-methylglutaconic
    [Show full text]
  • External Diameters of the Crural Arteries in Patients with Chronic Critical Limb Ischaemia
    Folia Morphol. Vol. 64, No. 4, pp. 315–320 Copyright © 2005 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl External diameters of the crural arteries in patients with chronic critical limb ischaemia Michał Szpinda Department of Normal Anatomy, the Ludwik Rydygier Collegium Medicum in Bydgoszcz, the Nicolaus Copernicus University, Toruń, Poland [Received 29 June 2005; Revised 7 September 2005; Accepted 16 September 2005] Knowledge of the diameters of the crural arteries forms the basis for reconstruc- tive vascular surgery and percutaneous angioplasty. The external diameters of the crural arteries were examined in 152 specimens of lower limbs by anatomi- cal, digital and statistical methods. The diameters of all the crural arteries were significantly greater (p £ 0.01) in the male subjects. The differences between the right and left arterial diameters were statistically significant (p £ 0.01) only in relation to the posterior tibial artery. In subtypes IC and IIB the anterior tibial artery was the strongest, the peroneal artery was of intermediate diameter and the posterior tibial artery was the weakest. In subtype IB the anterior tibial artery presented as the predominant vessel but in subtypes IIA-1 and IIA-2 it was the posterior tibial artery that did so. In subtype IA 24 examples of the coexistence of angiometric variants of the crural arteries were distinguished. It was demon- strated that the strongest vessel was the anterior tibial artery (32.24%), rarely the posterior tibial artery (14.47%) or the peroneal artery (9.87%).
    [Show full text]
  • Congenital Tibial Deficiency
    Review Article Congenital Tibial Deficiency Abstract Jody Litrenta, MD Congenital tibial deficiency is a rare condition characterized by partial Megan Young, MD to complete absence of the tibia, an intact but frequently overgrown fibula, variable degrees of knee deformity and function, and an John G. Birch, MD abnormal equinovarus foot. It can occur in isolation but also presents Matthew E. Oetgen, MD, MBA concurrently with other orthopaedic anomalies and syndromic conditions. Among these, congenital abnormalities of the hand and femur are most commonly observed. Many theories exist regarding its etiology and some genetic mutations have been identified; however, the underlying mechanism remains unknown. The prognosis and treatment differ based on the clinical severity. The goal of treatment is always to create a stable, functional limb, most commonly with amputation and use of prosthetics. Controversy exists over the level of amputation and the usefulness of reconstructive procedures to preserve the foot and limb length. Current investigation on this complex disorder is focused on identifying its origins and further developing a classification-based treatment algorithm to improve patient outcomes. ’ From the Children s National Health ongenital tibial deficiency oc- ectodermal ridge, the zone of polar- System, Division or Orthopaedic 1 Surgery and Sports Medicine, Ccurs in 1 in 1 million live births. izing activity (ZPA), and the Wnt Washington, DC (Dr. Oetgen, It exhibits a spectrum of disease, signaling pathway. Cell-mediated in- Dr. Young), NYULMC Hospital for Joint with varying amounts of tibia absence teractions among these centers occur Diseases, New York, NY (Dr. Litrenta), contributing to a range of associated between the 4th and 7th week of ges- and Texas Scottish Rite Hospital for Children, Dallas, TX (Dr.
    [Show full text]
  • Developmental Genetics of Three Foot-Affecting Mutants of the Pigeon, Columba Livia Gerald Wilton Dooley Iowa State University
    Iowa State University Capstones, Theses and Retrospective Theses and Dissertations Dissertations 1968 Developmental genetics of three foot-affecting mutants of the pigeon, Columba livia Gerald Wilton Dooley Iowa State University Follow this and additional works at: https://lib.dr.iastate.edu/rtd Part of the Genetics Commons Recommended Citation Dooley, Gerald Wilton, "Developmental genetics of three foot-affecting mutants of the pigeon, Columba livia " (1968). Retrospective Theses and Dissertations. 3238. https://lib.dr.iastate.edu/rtd/3238 This Dissertation is brought to you for free and open access by the Iowa State University Capstones, Theses and Dissertations at Iowa State University Digital Repository. It has been accepted for inclusion in Retrospective Theses and Dissertations by an authorized administrator of Iowa State University Digital Repository. For more information, please contact [email protected]. This dissertation has been microfilmed exactly as received 68-10,458 DOOLEY, Gerald Wilton, 1942- DEVELOPMENTAL GENETICS OF THREE FOOT- AFFECTING MUTANTS OF THE PIGEON, COLUMEA LIVIA. Iowa State University, Ph. D., 1968 Biology-Genetics University Microfilms, Inc.. Ann Arbor. Michigan DEVELOPMENTAL GENETICS OF THREE FOOT-AFFECTING MUTANTS OF THE PIGEON, COLUMBA LIVIA by Gerald Wilton Dooley A Dissertation Submitted to the Graduate Faculty in Partial Fulfillment of The Requirements for the Degree of DOCTOR OF PHILOSOPHY Major Subject: Genetics Approved: Signature was redacted for privacy. In Charge of Major Work Signature was redacted for privacy. Head o ajor Department Signature was redacted for privacy. n of Graduée College Iowa State University Of Science and Technology Ames, Iowa 1968 ii TABLE OF CONTENTS Page INTRODUCTION AMD REVIEW OF LITElUTUllE 1 rIATERIALS AND METHODS 25 OBSERVATIONS 45 DISCUSSION 38 CONCLUSIONS 103 SUMMARY 104 GLOSSARY OF UIWSUAL TECHNICAL TERMS 105 BIBLIOGRiiPHY 107 1 INTRODUCTION AND REVIEW OF LITERATURE The limbs of vertebrates are highly adapted structures.
    [Show full text]
  • An Angiographic Study of the Anterior Tibial Artery in Patients with Aortoiliac Occlusive Disease
    Folia Morphol. Vol. 65, No. 2, pp. 126–131 Copyright © 2006 Via Medica O R I G I N A L A R T I C L E ISSN 0015–5659 www.fm.viamedica.pl An angiographic study of the anterior tibial artery in patients with aortoiliac occlusive disease M. Szpinda Department of Normal Anatomy, the Ludwik Rydygier Collegium Medicum of Bydgoszcz, the Nicolaus Copernicus University, Toruń, Poland [Received 12 December 2005; Revised 4 February 2006; Accepted 16 February 2006] The anterior tibial artery is of great clinical relevance to vascular infrapopliteal surgery. The sources (origins), length and luminal diameter of the anterior tibial artery in 46 men and 30 women with Lerich syndrome were studied by means of radiological and digital methods. The results obtained were described by two- way analysis of variance (Multi-group ANOVA) for unpaired data — the means for six subtypes with regard to sex and side of the body, using the STATISTICA 5.5 program. The anterior tibial artery occurred most frequently (92.11%) as a terminal branch of the popliteal artery in its normal (IA: 87.5 %, IB: 2.63%) and high (IIA 1: 1.32%, IIA 2: 0.66%) division. In the remainder (7.89%), the anterior tibial artery arose from both the anterior tibioperoneal trunks (IC: 1.97%, IIB: 5.92%). The statistical analysis of the sources of the anterior tibial artery did not show gender differences. Symmetry of the left and right popliteal patterns was observed in the two most frequent subtypes: IA (r1 = 0.80) and IIB (r2 = 0.83).
    [Show full text]
  • 1. Einleitung
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Publikationsserver der RWTH Aachen University Chromosomenanomalien und multiple systemische Fehlbildungen in SNOMED (Kapitel D 4) und in der ICD 10 (Kapitel XVII) – ein kritischer Vergleich und Vorschläge zu einer deutschen Version Von der Medizinischen Fakultät der Rheinisch - Westfälischen Technischen Hochschule Aachen zur Erlangung des akademischen Grades eines Doktors der Medizin genehmigte Dissertation vorgelegt von Ingrid Maria Blum geb. Schüller aus Mayen Diese Dissertation ist auf den Internetseiten der Hochschulbibliothek online verfügbar Berichter: Herr Universitätsprofessor Dr. med. Dipl.-Math. R. Repges Herr Universitätsprofessor Dr. med. Ch. Mittermayer Tag der mündlichen Prüfung: 10. April 2001 1. INHALTSVERZEICHNIS Seite 2 2. EINLEITUNG Seite 3 3. AUFGABENSTELLUNG UND METHODEN Seite 8 4. ÜBERSETZUNG Seite 10 5. DISKUSSION Seite 148 6. LITERATURVERZEICHNIS Seite 152 2 1. Einleitung In der modernen Zivilisation ist aufgrund der ansteigenden Datenmenge in allen Wissensbereichen eine umfassende Dokumentation mit standardisierten Mitteln unausweichlich. Deshalb muß auch in der heutigen Medizin die Menge und Vielfalt an Informationen systematisch katalogisiert werden, um eine nationale und auch internationale Nutzung zu erreichen. Eine strukturierte Datenerfassung bietet folgende Vorteile: - Sicherung von Daten, Befunden und Therapien des einzelnen Patienten. - Kommunikation und Kooperation zwischen verschiedenen Fachdisziplinen unter der Prämisse der Optimierung eines Behandlungskonzeptes. - Im Rahmen von Wissenschaft und Forschung können einzelfallübergreifend die erhobenen Datensätze für die Optimierung und Qualitätssicherung des medizinischen Standards genutzt werden. - Eine standardisierte Dokumentation ermöglicht die Kooperation und Interaktion auf internationalem Niveau. - Schaffung einer fundierten Grundlage für juristische Verfahren. - Bildung einer Orientierungshilfe für die Kostenrechnungsanalyse und Budgetierung für medizinische Einrichtungen.
    [Show full text]
  • Reconstruction of Bilateral Tibial Aplasia and Split Hand-Foot Syndrome in a Father and Daughter
    Access this article online Website: Technical Innovation www.afrjpaedsurg.org DOI: 10.4103/0189-6725.129201 PMID: *** Reconstruction of bilateral tibial aplasia Quick Response Code: and split hand-foot syndrome in a father and daughter Ali Al Kaissi1,2, Rudolf Ganger2, Klaus Klaushofer1, Franz Grill2 as peromelia and transverse hemimelia have been ABSTRACT reported.[1,2] Background: Tibial aplasia is of heterogeneous aetiology, the majority of reports are sporadic. Tibial hemimelia is characterised by partial or We describe the reconstruction procedures in complete absence of the bone. It usually occurs as a two subjects - a daughter and father manifested solitary anomaly or may be part of syndromic complex autosomal dominant (AD) inheritance of the bilateral tibial aplasia and split hand-foot syndrome. associations such as Langer-Giedion or tricho-rhino- Materials and Methods: Reconstruction of these phalangeal syndrome, tibial hemimelia-polysyndactyly- patients required multiple surgical procedures and triphalangeal thumb syndrome, Wolfgang-Gollop orthoprosthesis was mandatory. The main goal of syndrome or tibial agenesis-ectrodactyly syndrome.[3,4] treatment was to achieve walking. Stabilization of There were several classification systems applied such the ankle joint by fi bular-talar-chondrodesis on both as Kalamchi and Dawe,[5] Weber[6] and Jones et al.[7] sides, followed by bilateral Brown-procedure at the knee joint level has been applied accordingly. Believed that these earlier classifications were no longer Results: The outcome was with improved function useful for present-day requirements and suggested of the deformed limbs and walking was achieved a new classification reflecting the severity of the with simultaneous designation of orthotic fitting.
    [Show full text]
  • Nuove Politiche Per L'innovazione Nel Settore Delle Scienze Della Vita
    Laura Magazzini Fabio Pammolli Massimo Riccaboni WP CERM 03-2009 NUOVE POLITICHE PER L'INNOVAZIONE NEL SETTORE DELLE SCIENZE DELLA VITA ISBN 978-88-3289-038-9 INDICE EXECUTIVE SUMMARY .................................................................................. 2 1. Risorse e innovazione: fallimenti di mercato e logiche di intervento pubblico........... 2 2. Da raro a generale: nuovi modelli di sostegno mission-oriented alla ricerca e sviluppo nelle scienze della vita............................................................................... 31 2.1. Incentivi pubblici per la ricerca sulle malattie rare: il panorama internazionale.....37 Stati Uniti...........................................................................................................................................................................................37 Giappone.............................................................................................................................................................................................44 Australia..............................................................................................................................................................................................46 Unione Europea.............................................................................................................................................................................46 2.2. Incentivi pubblici per la ricerca sulle malattie rare: il panorama europeo.....................58 Francia ..................................................................................................................................................................................................58
    [Show full text]
  • Prevalence of Rare Diseases: Bibliographic Data
    Prevalence distribution of rare diseases 200 180 160 140 120 100 80 Number of diseases 60 November 2009 40 May 2014 Number 1 20 0 0 5 10 15 20 25 30 35 40 45 50 Estimated prevalence (/100000) Prevalence of rare diseases: Bibliographic data Listed in alphabetical order of disease or group of diseases www.orpha.net Methodology A systematic survey of the literature is being Updated Data performed in order to provide an estimate of the New information from available data sources: EMA, prevalence of rare diseases in Europe. An updated new scientific publications, grey literature, expert report will be published regularly and will replace opinion. the previous version. This update contains new epidemiological data and modifications to existing data for which new information has been made Limitation of the study available. The exact prevalence rate of each rare disease is difficult to assess from the available data sources. Search strategy There is a low level of consistency between studies, a poor documentation of methods used, confusion The search strategy is carried out using several data between incidence and prevalence, and/or confusion sources: between incidence at birth and life-long incidence. - Websites: Orphanet, e-medicine, GeneClinics, EMA The validity of the published studies is taken for and OMIM ; granted and not assessed. It is likely that there - Registries, RARECARE is an overestimation for most diseases as the few - Medline is consulted using the search algorithm: published prevalence surveys are usually done in «Disease names» AND Epidemiology[MeSH:NoExp] regions of higher prevalence and are usually based OR Incidence[Title/abstract] OR Prevalence[Title/ on hospital data.
    [Show full text]