Species – Armiger (Bat) to Mammals (Human Being)
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June 3, 2016 Karen B. Desalvo, M.D., M.P.H., M.Sc. Acting Assistant
June 3, 2016 Karen B. DeSalvo, M.D., M.P.H., M.Sc. Acting Assistant Secretary Department of Health and Human Services Office of the National Coordinator for Health Information Technology Attention: RFI Regarding Assessing Interoperability for MACRA 330 C Street, SW, Room 7025A Washington, DC 20201 Subject: Office of the National Coordinator for Health Information Technology; Medicare Access and CHIP Reauthorization Act of 2015; Request for Information Regarding Assessing Interoperability for MACRA Dear Acting Assistant Secretary DeSalvo: The American Association of Orthopaedic Surgeons (AAOS) and orthopaedic specialty societies, representing over 18,000 board-certified orthopaedic surgeons, appreciate the opportunity to provide comments on the Request for Information Regarding Assessing Interoperability for MACRA by the Office of the National Coordinator (ONC) for Health Information Technology, and published in the Federal Register on April 8, 2016. The AAOS has been committed to working with ONC in the adoption of electronic health records. As surgical specialists, we have unique Health Information Technology (HIT) needs and respectfully offer some suggestions to improve interoperability to better reflect the needs of our surgical specialists and their patients and accelerate HIT adoption in the future by orthopaedic surgeons. The AAOS thanks ONC in advance for its solicitation and consideration of the following comments and concerns. We have structured our comments in the order that ONC is soliciting public feedback in the RFI document referenced above. Scope of Measurement: Defining Interoperability and Population The focus of measurement should not be limited to “meaningful Electronic Health Records (EHR) users,” as defined (e.g., eligible professionals, eligible hospitals, and CAHs that attest to meaningful use of certified EHR technology under CMS’ Medicare and Medicaid EHR Incentive Programs), and their exchange partners. -
General Introduction of Anatomy
ﺍﳌﻌﻬﺪ ﺍﻟﻄﺒﻲ ﺍﻟﺘﻘﻨﻲ / ﺑﻐﺪﺍﺩ ﻗﺴﻢ ﺍﻟﺘﺄﻫﻴﻞ ﺍﻟﻄﺒﻲ ﻭﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻴﻌﻲ ﻓﺮﻉ ﺻﻨﺎﻋﺔ ﺍﻻﻃﺮﺍﻑ ﻭﺍﳌﺴﺎﻧﺪ General introduction of Anatomy 2013 – 2014 Dr. ASHRAF Ali AL-ZUBAIDI Dr. ASHRAF Ali AL-ZUBAIDI 2013-2014 1 GENERAL INTRODUCTION Anatomy: is the science of body structures and the relationships among Structures. At first the anatomy was studied by dissection, the carful cutting apart of body structures to study their relationships, Nowadays, many imaging of anatomical (ﺗﻘﺪم) to the advancement (ﺗﺴﺎھﻢ) techniques also contribute knowledge. The Anatomy is including many of fields, which is: It is the study of different : (اﻟﻔﺤﺺ اﻟﻌﯿﻨﻲ ) Macroscopic examination 1- structures , which make up the human body . It is the study of : (اﻟﻔﺤﺺ اﻟﻤﺠﮭﺮي ) Microscopic examination 2- seen (اﻟﻜﺎﺋﻦ اﻟﺤﻲ ) microscopic different structures of an organism only by use of a microscope . It is the study of different structures as : (اﻻﺟﮭﺰة اﻟﺠﺴﻤﯿﺔ) Systemic 3- : It comprises of the followings . (ﻛﻜﯿﺎﻧﺎت ﻓﺮدﯾﺔ) individual entities .The bony system \ ( ﻋﻠﻢ اﻟﻌﻈﺎم ) Osteology • . The articular system or joint \(ﻋﻠﻢ اﻟﻤﻔﺎﺻﻞ ) Syndesmology • . The muscular system \ (ﻋﻠﻢ الﻋﻀﻼت )Myology • , Comprising the heart , blood vessels \ (ﻋﻠﻢ اﻻوﻋﯿﺔ ) Angiology • ( اﻟﻌﻘﺪ اﻟﻠﻤﻔﺎوﯾﺔ)lymph nodes & (اﻻوﻋﯿﺔ اﻟﻠﻤﻔﺎوﯾﺔ) lymph vessels .The nervous system \(ﻋﻠﻢ اﻟﺠﮭﺎز اﻟﻌﺼﺒﻲ) Neurology • , ( اﻟﻨﻈﺎم اﻟﺤﺸﻮي ) The visceral system \ (ﻋﻠﻢ اﻻﺣﺸﺎء) Splanchnology • , (ﻧﻈﺎم اﻧﺒﻮﺑﻲ – ھﻀﻤﻲ ) comprising two tubular system – digestive . (اﻟﺠﮭﺎز اﻟﺘﻨﺎﺳﻠﻲ) and genital (اﻟﺠﮭﺎز اﻟﺒﻮﻟﻲ) urinary tract The study of form and marking of those :(اﻟﺘﺸﺮﯾﺢ اﻟﺴﻄﺤﻲ) Surface 4- structures by examination through skin. .It is the study of development before birth :(ﻋﻠﻢ اﻻﺟﻨﺔ) Embryology 5- GLOSSARY OF ANATOMIC TERMINOLOGY description of location (ﯾﺴﻤﺢ) Reference position of body permitting and movements: 1- Term of Anatomical position: • Head ………. -
Bones of the Skeletal System
BIOLOGY 211: HUMAN ANATOMY & PHYSIOLOGY ********************************************************************************************************* BONES OF THE SKELETAL SYSTEM ********************************************************************************************************** Reference: Saladin, KS: Anatomy & Physiology, The Unity of Form and Function, 6th ed. (2012) or 7th ed. (2015) Please review Chapters 7 & 8 before beginning this lab. INTRODUCTION The skeletal system has a number of important functions in the human body. It is the framework around which the body is organized, it provides levers for muscles to pull against, and it surrounds and protects many soft organs. Equally important, bones serve as a "buffer" in which calcium and other ions can be deposited and withdrawn according to the changing needs of the body, and they are the site of almost all blood cell production. Contrary to our popular conceptions, bones are not rigid, inflexible structures: they are constantly changing, and can have a remarkable degree of flexibility before they break. The organs of the skeletal system are the bones and joints, and like all organs are composed of different types of tissue. Although we tend to classify them into "types" such as "long bones", "flat bones", etc., each is in fact unique and ideally suited to its particular location and function. We classify bones as belonging to either: a) the axial skeleton (head and trunk) b) the appendicular skeleton (arms and legs), However, you should always bear in mind that the entire skeletal system functions as a unit. If you look at any bone, you will see that it is rarely flat or smooth. Bones have a variety of bumps, grooves, holes, etc. which allow them to serve their specific functions. -
Anatomy of the Knee Bony Structures Quad Muscles
Anatomy of the Knee Bony Structures Quad muscles - Tibia: proximal end forms tibial plateaus, tibial plateaus, articulates with Tendon femoral condyles. o Knee hinge joint flexion/extension Patellar tendon o Tibial plateaus separated by intercodylar tubercles . Medial and lateral tubercle Tibial tuberosity Lateral tibial plateau is smaller compare to medial . Tibial plateaus slope posteriorly o Cruciate ligaments and meniscus attach anterior and posterior to tubercles Fibular head o Distal to plateaus is tibial tuberosity . Common insertion for patellar tendon Lateral condyle o Distal and anterior to plateaus are lateral and medial condyles . Lateral condyle has facet that articulates with head of fibula IT Band Facet = extremely smooth surface of bone o Medial to lateral condyle is Gerdys tubercle o GERDYS tubercle – point of muscular attachment - Femur: medial/lateral condyle o Medial condyle is longer than lateral and slightly more distal o Slight external rotation at terminal (full) extension o Femoral condyles project more posterior than they do anterior o Groove between condyles, anteriorly is trochlear or patello- femoral groove o Posteriorly the condyles are separated by intercodylar notch (fossa) . Notch more narrow in women o Linea aspera: longitudinal ridge on posterior surface of femur (rough line) o Medial and lateral super condylar lines: lines running from each femoral condyle posteriorly to the linea aspera o Femur is longest and strongest bone o Directly superior to condyle is epicondyle (epi – above) o On medial side of medial epicondyle is adductor tubercle . Serves as point of attachment for adductor magnus muscle o Small groove present within medial and lateral condyle to accommodate the medial and lateral meniscus (very shallow) - Patella o Largest Sesamoid bone in body o Rounded, triangular bond and has only one articulation with femur o Can only dislocated laterally o Posterior surface has 3 facets . -
Tibia Length in South Indian Population
Summer & Autumn 2018, Volume 15, Number 2 Research Paper: Anthropometric Measurement of Maximum Tibia Length in South Indian Population Prasanna Veera Kumar Attada1* , Gandrakota Ravindranadh2, Kolla Deena Usha Kumari1 1. Department of Anatomy, NRI Institute of Medical Sciences, Visakhapatanam, India. 2. Department of Anatomy, Perdana University - Royal College Surgeons in Ireland, Selangor, Malaysia. Citation: Attada PVK, Ravindranadh G, Kumari KDU. Anthropometric Measurement of Maximum Tibia Length in South Indian Population. Anatomical Sciences. 2018; 15(2):47-54. Dr. Prasanna Veera Kumar Attada did his MBBS at Osmania University. Then, He continued his education at the Dr NTR University if Health Sciences and received his Masters degree in Anatomy. He is currently an associate professor in the Department of Anatomy at NRI Institute of Medical Sciences, Visakhapatnam, India. Funding: See Page 52 Copyright: The Author(s) A B S T R A C T Introduction: The human stature forms part of his or her biological profile. It becomes more important during personal identification in case of mass disasters and in search of missing Article info: persons. We measured various parameters of the dried tibia, then by applying linear regression Received: 25 Dec 2017 we formulated maximum tibia length which can be conveniently used for arriving at human Accepted: 18 May 2018 stature. Available Online: 01 Jul 2018 Methods: The obtained data were analyzed by descriptive statistics methods and expressed as mean (SD). The Pearson correlation coefficient (r) was used to express the relationship between the Maximum Tibia Length (MTL) and other parameters of tibia. The linear regression analysis was performed and the regression equation was arrived for the prediction of MTL. -
Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur
Journal of Clinical Medicine Brief Report Intraosseous Bioplasty for a Subchondral Cyst in the Lateral Condyle of Femur Anish G.R. Potty 1,2,3, Ashim Gupta 1,4,5,6 , Hugo C. Rodriguez 1,2 , Ian W. Stone 2 and Nicola Maffulli 7,8,9,* 1 South Texas Orthopaedic Research Institute, Laredo, TX 78045, USA; [email protected] (A.G.R.P.); [email protected] (A.G.); [email protected] (H.C.R.) 2 School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, TX 78209, USA; [email protected] 3 Laredo Sports Medicine Clinic, Laredo, TX 78041, USA 4 Department of Psychology, Illinois Wesleyan University, Bloomington, IL 61701, USA 5 Future Biologics, Lawrenceville, GA 30043, USA 6 BioIntegrate, Lawrenceville, GA 30043, USA 7 Department of Musculoskeletal Disorders, School of Medicine and Surgery, University of Salerno, 84084 Fisciano, Italy 8 Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Queen Mary University of London, London E1 4DG, UK 9 School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Stoke on Trent ST4 7QB, UK * Correspondence: n.maff[email protected] Received: 7 April 2020; Accepted: 4 May 2020; Published: 6 May 2020 Abstract: Several conditions can lead to the development of a subchondral cyst. The mechanism by which the cysts form, their location, and their severity depend on the underlying pathology, although the exact pathogenesis is not fully elucidated. Treatment options vary according to the location of the cyst, with less invasive procedures such as calcium phosphate cement injection to a joint arthroplasty when there is an extensive cyst in communication with the joint space. -
Developing Learning Models to Teach Equine Anatomy and Biomechanics
The University of Maine DigitalCommons@UMaine Honors College Spring 5-2017 Developing Learning Models to Teach Equine Anatomy and Biomechanics Zandalee E. Toothaker University of Maine Follow this and additional works at: https://digitalcommons.library.umaine.edu/honors Part of the Animal Sciences Commons, and the Veterinary Anatomy Commons Recommended Citation Toothaker, Zandalee E., "Developing Learning Models to Teach Equine Anatomy and Biomechanics" (2017). Honors College. 453. https://digitalcommons.library.umaine.edu/honors/453 This Honors Thesis is brought to you for free and open access by DigitalCommons@UMaine. It has been accepted for inclusion in Honors College by an authorized administrator of DigitalCommons@UMaine. For more information, please contact [email protected]. DEVELOPING LEARNING MODELS TO TEACH EQUINE ANATOMY AND BIOMECHANICS By Zandalee E. Toothaker A Thesis Submitted in Partial Fulfillment of the Requirements for a Degree with Honors (Animal and Veterinary Science) The Honors College University of Maine May 2017 Advisory Committee: Dr. Robert C. Causey, Associate Professor of Animal and Veterinary Sciences, Advisor Dr. David Gross, Adjunct Associate Professor in Honors (English) Dr. Sarah Harlan-Haughey, Assistant Professor of English and Honors Dr. Rita L. Seger, Researcher of Animal and Veterinary Sciences Dr. James Weber, Associate Professor and Animal and Veterinary Sciences © 2017 Zandalee Toothaker All Rights Reserved ABSTRACT Animal owners and professionals benefit from an understanding of an animal’s anatomy and biomechanics. This is especially true of the horse. A better understanding of the horse’s anatomy and weight bearing capabilities will allow people to treat and prevent injuries in equine athletes and work horses. -
Species - Domesticus (Chicken) to Mammals (Human Being)
Int. J. LifeSc. Bt & Pharm. Res. 2013 Sunil N Tidke and Sucheta S Tidke, 2013 ISSN 2250-3137 www.ijlbpr.com Vol. 2, No. 4, October 2013 © 2013 IJLBPR. All Rights Reserved Research Paper MORPHOLOGY OF KNEE JOINT - CLASS- AVES - GENUS - GALLUS, - SPECIES - DOMESTICUS (CHICKEN) TO MAMMALS (HUMAN BEING) Sunil N Tidke1* and Sucheta S Tidke2 *Corresponding Author: Sunil N Tidke [email protected] In the present investigation, a detailed comparison is made between the human knee and the knee of chicken (Gallus domesticus), with the object of determining similarities or variation of structure and their possible functional significance, if any special attention has been paid to bone taking part in joint, the surrounding muscles and tendons, which play an important part in stabilizing these joints, the form and attachments of the intraarticular menisci, which have been credited with the function of ensuring efficient lubrication throughout joints movement, and to the ligaments, the function of which is disputed. Keywords: Bony articular part, Intra capsular and extra capsular structure and Muscular changes INTRODUCTION patella. A narrow groove on the lateral condyle of femur articulate with the head of the fibula and The manner in which the main articulations of intervening femoro fibular disc. The tibia has a the vertebrate have become variously modified enormous ridge and crest for the insertion of the in relation to diverse function has been patellar tendon and origin of the extensor muscle. investigated by many workers, notably, Parsons The cavity of the joint communicates above and (1900) and Haines (1942). The morphology of the below the menisci with the central part of joint knee joint of human has been studied in great around the cruciate ligament. -
Muscles of the Hip Joint Gluteus Maximus
Muscles of the Hip Joint Gluteus Maximus • O: lower posterior iliac crest and posterior surface of the sacrum • I: gluteal tuberosity (upper, posterior aspect of the femur) & I.T. band • Actions: • Extension of the hip • External rotation of the hip • Upper fibers - assist in abduction • Lower fibers - assist in adduction Extension Gluteus Medius • O: outer surface of the ilium just below the crest • I: greater trochanter • Actions: osterior Anterior • Abduction of the hip P • Anterior fibers: Internal rotation and flexion • Posterior fibers: External rotation and extension Gluteus Minimus • O: outer surface of the ilium beneath the gluteus medius • I: greater trochanter of the femur • Actions • Abduction of the hip • Internal rotation • Flexion of the hip Biceps Femoris • Lateral side • Origin: • 1.) Long head - ischial tuberosity; • 2.) Short head - lower half of the linea aspera • Insertion: Head of the fibula • Action: • Extension of hip • External rotation of the hip Semitendinosus • Medial side; superficial • Origin: Ischial tuberosity • Insertion: Medial surface of proximal end of the tibia • Action: • Extension of the hip • Internal rotation of the hip Semimembranosus • Medial side, deeper than semitendonosus • Origin: Ischial tuberosity • Insertion: Medial surface of the tibia • Action: • Extension of the hip • Internal rotation of the hip Tensor Fasciae Latae • O: iliac crest • I: iliotibial (I.T.) band • Actions: • Flexion of the hip • Internal rotation • Abduction of the hip Tensor Fascia Latae (Anterior View) Iliopsoas • Origins: -
Lab Activity 9
Lab Activity 9 Appendicular Skeleton Martini Chapter 8 Portland Community College BI 231 Appendicular Skeleton • Upper & Lower extremities • Shoulder Girdle • Pelvic Girdle 2 Humerus 3 Humerus: Proximal End Greater tubercle Lesser tubercle Head: Above the epiphyseal line Anatomical Neck Surgical neck Intertubercular groove Anterior Medial Posterior4 Deltoid Tuberosity 5 Radial Groove 6 Trochlea (Distal Humerus) Anterior Posterior Anterior Posterior 7 Capitulum (Distal Humerus) Anterior Posterior Anterior Posterior 8 Olecranon Fossa (Distal Humerus) Anterior Posterior Anterior Posterior 9 Medial Epicondyle (Distal Humerus) Anterior Posterior Anterior Posterior 10 Lateral Epicondyle (Distal Humerus) Anterior Posterior Anterior Posterior 11 Radial Fossa (Distal Humerus) Anterior Posterior Anterior Posterior 12 Coronoid Fossa (Distal Humerus) Anterior Posterior Anterior Posterior 13 Lateral Supracondylar Ridge (Distal Humerus) Anterior Posterior Anterior Posterior 14 Medial Supracondylar Ridge (Distal Humerus) Anterior Posterior Anterior Posterior 15 Humerus: Distal End/Anterior Medial Lateral Supracondylar Supracondylar Ridge Ridge Coronoid Fossa Radial fossa Lateral Medial Epicondyle Epicondyle Capitulum Trochlea 16 Humerus: Distal End/Posterior Olecranon Fossa Medial Epicondyle Lateral Epicondyle Trochlea 17 Radius • “Rotates” • On the thumb side of the forearm 18 Radius: Head 19 Radial Tuberosity 20 Ulnar Notch of the Radius 21 Ulnar Notch of the Radius 22 Radius: Interosseous Ridge 23 Styloid Process of the Radius 24 Radius Distal Anterior -
Macroanatomy of the Bones of Pelvis and Hind Limb of an Asian Elephant (Elephas Maximus)
Int. J. Morphol., 31(4):1473-1478, 2013. Macroanatomy of the Bones of Pelvis and Hind Limb of an Asian Elephant (Elephas maximus) Macroanatomía de los Huesos de la Pelvis y del Miembro Posterior de un Elefante Asiático (Elephas maximus) Subrata Kumar Shil; Md. Abul Quasem; Mohammad Lutfur Rahman; A. S. M. Golam Kibria; Mohi Uddin & A. S. M. Lutful Ahasan SHIL, S. K.; QUASEM, M. A.; RAHMAN, M. L.; KIBRIA, A. S. M. G.; UDDIN, M. & AHASAN, A. S. M. L. Macroanatomy of the bones of pelvis and hind limb of an Asian Elephant (Elephas maximus). Int. J. Morphol., 31(4):1473-1478, 2013. SUMMARY: Recent excavated skeleton of an adult female Asian Elephant (Elephas maximus), died in dystokia in Bangladesh was used for macro anatomical study. Some unique morphological features of bones of hind limb were observed. Pelvic canal was more oval and the wings of ilium were wider. Rump slope was about 36°. Angle between femur and tibia was close to 180°. In Femur, the major trochanter was located at the lower level of head. Minor trochanter, fovea capitis and trochanteric ridge were absent. Supracondyloid fossa was shallow but the intercondyloid fossa was deep. Posterior surface of patella possessed a blunt vertical ridge. The articular surfaces of both tibial condyles were clearly concave. The tibia and the fibula were articulated proximally and distally with keeping a wide interosseous space. Instead of tibial tuberosity, there was an elongated triangular depression in proximal part. There were six tarsal bones arranged in three rows. The comparative size of the distal tarsal bones were III+IV > I > II. -
Case Report Osteochondral Fracture of the Lateral Femoral Condyle
Case Report Osteochondral fracture of the Lateral Femoral Condyle involving the entire weight bearing articular surface fixed with biodegradable screws Shah Jehan,1 Mark David Loeffler,2 Hamayon Pervez3 Hull Royal Infirmary, Hull,1 Colchester General Hospital, Colchester,2,3 United Kingdom. Abstract Osteochondral fracture of lateral femoral condyle can result from support and other twisting injuries of the knee. Arthroscopy is a better diagnostic and therapeutic tool as standard radiographs can mislead regarding the size and location of the fragment. If fragment is large and displaced, arthrotomy may become necessary. We present a case of large osteochondral fracture of lateral femoral condyle involving the entire articular surface in Figure-2: Large osteochondral fragment comprising the entire articular surface (left a 12 year old male. This was treated with open reduction side figure) reattached to lateral condyle of femur and fixed with four biodegradable and internal fixation using biodegradable screws. MRI at screws (right side figure). six weeks after surgery showed satisfactory results. After the surgery full weight bearing was allowed at follow up was arranged. When reviewed in the clinic one three months. week later an oblique radiograph was taken which showed a significant osteochondral fracture of the lateral femoral Case Report condyle. A twelve year old boy sustained a twisting injury to On arthroscopy of the knee there was a large defect his left knee whilst playing football. He presented to the in the articular surface of the lateral femoral condyle emergency department with severe pain and a large effusion involving the entire weight bearing area. A corresponding in the knee.