Getting physical with medical education:Exercise based virtual anatomy review classes for medical students

The benefits of regular physical activity are well known.Yet,few studies have examined the effectiveness of integrating physical activity(PA)into curricula within a post-secondary setting.To investigate the incorporation of PA into medical curriculum,we developed a series of optional exercise-based review sessions designed to reinforce musculoskeletal(MSK)anatomy course material.These synchronous sessions were co-taught by a group fitness instructor and an anatomy instructor.The fitness instructor would lead students through both strength and yoga style exercises,while the anatomy instructor asked questions about relevant anatomical structures related to course material previously covered.After the sessions,participants were asked to evaluate the classes on their self-reported exam preparedness in improving MSK anatomy knowledge,PA levels,and mental wellbeing.Thirty participants completed surveys;a majority agreed that the classes increased understanding of MSK concepts(90.0%)and activity levels(97.7%).Many(70.0%)felt that the classes helped reduce stress.The majority of respondents(90.0%)agreed that the classes contributed to increased feelings of social connectedness.Overall,medical students saw benefit in PA based interventions to supplement MSK course concepts.Along with increasing activity levels and promoting health behaviours,integrating PA into medical curriculum may improve comprehension of learning material,alleviate stress and foster social connectivity among medical students.

基于micro-CT实验的颗粒体系接触力计算及演化分析

三维颗粒体系颗粒间接触力计算是散体力学研究的重难点.以双弹性橡胶球为研究对象,开展显微CT(micro-CT)原位平压实验,基于Hertz接触理论和Tatara大变形接触理论,验证了弹性球接触模型,获得了基于实验的弹性球接触力理论公式.以三维颗粒体系为研究对象,开展了micro-CT原位探针加载实验,获取颗粒二维图像序列,经过系列数字变换得到数字体图像,获得了不同加载状态下三维颗粒体系接触力网络,分析了颗粒体系接触力分布及演化规律,探究了强接触数量及分布演化与颗粒体系稳定性的联系.研究结果表明:基于实验的弹性球接触力公式能合理有效表征两颗粒间的接触力;探针加载下颗粒间接触力呈现以探针压头接触点为起点,向下方和四周逐级传递接触力的网状分布;强接触数量占接触总数量的45%-50%,分布贯穿于整个颗粒体系内部,支撑起颗粒体系网络结构,较大值集中于压头下方呈现树杈状分布;加载过程中,z=14 mm处建立了平衡点,平衡点处,强接触数量达到顶峰,强接触力网络结构布满整个三维颗粒体系,建立起承受外载荷的主要骨架,随着加载继续,强接触力的整体数值更高,在颗粒体系内部分布也更加均匀.

micro-CT和有限元分析技术在手舟骨研究中的应用进展

手舟骨是手部的重要骨骼之一,在临床上损伤频发且治疗具有一定难度。因此,深入研究手舟骨的微观结构和生物力学特征对了解其损伤机制和优化治疗方案至关重要。微计算机断层扫描(micro-CT)技术提供了高分辨率的骨组织成像,而有限元分析则能帮助模拟手舟骨在不同生理和病理状态下的应力分布和行为模式。通过micro-CT技术获取手舟骨的高分辨率三维图像,能够用于构建手舟骨真实解剖结构的有限元模型,从而实现对手舟骨力学性能的精确模拟。这两种先进技术的融合为揭示手舟骨的结构功能关系及其损伤机制提供了新视角。因此,本文回顾了手舟骨的解剖学特征及其在不同状态下的生物力学行为,并重点讨论了micro-CT和有限元分析技术在手舟骨研究中的具体应用及其优势,通过综述近几年来的研究成果,为手舟骨相关疾病的诊断、治疗及预防提供新的科学依据和方法。

A Preliminary Study on Anatomy of the Stem and Leaf of Premna microphylla Turcz.

[Objective] This study was to reveal the anatomic structure of Premna microphylla Turcz.stem and leaf.[Method] Using plant anatomy method,we performed anatomic analysis of Premna microphylla Turcz.stem and leaf.[Result] The stem of Premna microphylla Turcz.is axially symmetric organ,its primary structure consists of three parts of epidermis,cortex and vascular cylinder.The petiole consists of epidermis,cortex and vascular cylinder,of which epidermis is a layer of cells with cuticle and epidermal hair.The sun leaf in Premna microphylla is dorsi-ventral leaf,wich is consist of palisade tissue and spongy tissue;while its shade leaf of Premna microphylla almost are isobilateral leaf.[Conclusion] Our results provided reference for further the exploitation and utilization of Premna microphylla Turcz.resources.

不同方法对根管内氢氧化钙去除效果的micro-CT评价

目的:应用显微CT(micro-computed tomography,micro-CT)建立磨牙根管模型,评价不同方法对氢氧化钙的清除效率。方法:收集2023年10月—2024年2月口腔综合科门诊拔除的11颗磨牙(24个根管),按照标准根管治疗流程,镍钛器械预备完成后,在根管内置入氢氧化钙,1周后,根据不同冲洗方法将样本随机分为侧方开口注射器组、超声荡洗组(EMS组)和声波震荡组(EDDY组)等3组(n=8)。冲洗前后使用micro-CT重建根管系统并使用不同颜色标记独立根管,计算各个根管氢氧化钙体积,比较各组氢氧化钙清除率。采用SPSS 19.0软件包对数据进行统计学分析。结果:3种方法均无法完全去净根管内氢氧化钙。使用次氯酸钠作为冲洗液时,超声荡洗和声波震荡清除效果优于侧方开口冲洗器(P<0.05);超声荡洗和声波震荡去除氢氧化钙效率相当,差异无统计学意义(P>0.05);氢氧化钙残留部位集中于根尖区。结论:Micro-CT能较为高效地重建磨牙根管模型,可用于评价氢氧化钙去除效果。超声荡洗组和声波震荡组清除氢氧化钙效率相当,优于侧方开口注射器组。

Micro LED车灯投影光学系统设计与优化

本文提出了一种基于Micro LED阵列的车灯投影方案,设计了以像素尺寸为80μm×80μm的200×150白光Micro LED阵列作为显示光源,视场角为16°×34°的车灯投影光学系统,并对物面倾斜角度和光学系统结构进行了优化。此外,分别采用反向畸变处理方法和像素灰度调制方法用以解决车灯投影图像的梯形畸变和照度均匀性问题,并搭建了投影实验平台,对图像校正方法进行了验证。实验结果表明:校正后图像梯形畸变系数p1,p2分别从0.0932和0.3680下降至0.0835和0.0373,像面照度均匀性从83.2%提高到93.2%。本文通过对基于Micro LED的倾斜投影车灯光学系统进行优化设计及采用图像校正方法,实现了高光效、低畸变的车灯投影。

光子晶体Micro LED微显示阵列加工及光学特性分析

Micro LED器件具有高亮度、低功耗和高可靠性等优点,但Micro LED显示像素巨量转移和光提取效率低的问题为其应用带来挑战。开发了具有高转移效率和出光效率的单片64×64 Micro LED微显示阵列,提出了倒装型GaN基单片Micro LED微显示阵列芯片和Si基驱动电路的设计方法及集成工艺。通过时域有限差分(FDTD)方法对Micro LED微显示阵列光学特性进行了建模分析,设计了一种提高Micro LED微显示阵列出光效率的光提取结构。结合仿真结果,开发了一种在Micro LED蓝宝石衬底表面制备光子晶体结构的聚焦离子束(FIB)微纳加工工艺,并进行了器件加工。测试结果表明,蓝宝石衬底上加工的光子晶体结构可以提高Micro LED器件的表面出光效率,光功率平均值提升了16.36%,对Micro LED微显示阵列加工及微显示像素光提取问题具有借鉴意义。

Micronuclei in Nasal Mucosa, Oral Mucosa and Lymphocytes in Students Exposed to Formaldehyde Vapor in Anatomy Class

The frequency of micronuclei (MN) in cells of the nasal mucosa, oral mucosa and in lym-phocytes was evaluated for 25 students in anatomy classes exposed to formaldehyde (FA) overan 8-week period. Each student served as his or her own control. The time-weighted averageconcentration (TWA) of fOrmaldehyde in anatomical laboratories and in students' dormitorieswas 0. 508 ± 0. 299 mg/m3 and 0. 012 ± 0. 0025mg/m3, respectively. A higher frequency ofmicronuclei was observed in nasal and oral exfoliative cells after formaldehyde exposure (3. 85± 1. 48 vs 1 .20± 0. 676 and 0. 857 ± 0. 558 vs 0. 568 ± 0. 317, paired-t test: P< 0. 001and P < 0. 01, respectively). No significant increase in the frequency of lymphocyte micronu-clei was found after formaldehyde exposure (P >0. 05 ). The present study shows that nasalmucosa cel1s exposed through respiration are the chief target of FA-induced genotoxic effects

基于Micro CT的铜导线短路熔痕孔洞特征分析

导线短路是造成电气火灾的重要原因之一。现行国家标准中将导线短路熔痕分为起火前发生的一次短路熔痕和起火后造成的二次短路熔痕,然而现行国家标准中的鉴定仅停留在定性判断的阶段。火灾现场铜导线短路熔痕特征的量化分析研究是国内外研究人员主要关注的重点。本文应用Micro CT技术对铜导线短路熔痕进行断层扫描检测并重构铜导线短路熔痕的3D图像数据,在此基础上统计、归纳、总结铜导线短路熔痕内部孔洞形态及分布等孔洞特征。研究表明,Micro CT能够全面采集铜导线短路熔痕的整体形态和内部孔洞特征,一次短路熔痕与二次短路熔痕内部孔洞半径、表面积、紧密度的特征数据存在差别,可为短路熔痕定性和定量分析判据研究提供新的理论依据。

Anatomy Education: Perceptions and Experiences of Nigerian Anatomists towards Contributing to Programme and Career Advancements

Anatomy, a foremost basic medical science (BMS) has evolved in content and context, while remaining the most fundamental BMS subject. Stakeholders have continually made efforts especially in recent time to achieve an evolution of this subject. The primary aim of this work was to study the perceptions and experiences of Anatomists towards contributing to programme and career advancements. Following ethical approval, structured questionnaire was administered to Nigerian anatomists using a Google form. It is a total population study. The questionnaire had 13 sections, with each section addressing a theme that was integral to the subject of research interest. The last section collected free responses as qualitative information. After indicating informed consent, 106 anatomists properly completed and returned the questionnaires. Statistical and quantitative analyses of results were done. The most popular field amongst respondents was Neuroscience (60.9%);followed by Histology or Microscopic Anatomy (53.6%), Embryology or developmental anatomy (35.5%), Gross anatomy (34.5%) and Histochemistry (30.9%). About half of Nigerian anatomists involved in the study had a PhD degree. Training emphasized the cognitive domains the most. Consequently, emphasis should be laid on the psychomotor (skills) and the affective domain (attitude) to improve capacity, competences, and the job prospects of trainees. The consensus was that the programme trained students and prepared graduates as medical educators, scientists, and researchers. Anatomy has significant potential to contribute to development with proper programme design, emphasis on research, teaching and applied services competencies, effective policy formulation and implementation and adherence to best practices.

Micro-CT分析跟骨内骨小梁分布及结构特征

背景:跟骨位于足的后下部,受力较大。跟骨外形复杂且不规则,外周有较薄的皮质骨包绕,内部充满大量的骨小梁,探讨骨小梁的微观结构、走行及分布特征有助于提高对跟骨骨折的认识。目的:采用微计算机断层扫描仪(Micro-CT)扫描跟骨标本获得其影像资料,对其内部骨小梁结构进行分析,探讨跟骨内骨小梁的形态、分布及结构特征。方法:采用Micro-CT连续扫描干燥成人跟骨标本,扫描后获得影像图像,将其以DICOM格式存储。导入影像资料到Hiscan Analyzer软件,显示清晰完整的成人跟骨矢状面、冠状面、水平面的图像,逐层观察骨小梁的走行,依据骨小梁走行特点将跟骨矢状面分为6个部分,在以7 mm为标准的相同厚度下,每个部分选择1个49 mm2等面积的兴趣区,三维重建后获得跟骨及骨小梁的立体微观结构,二值化后运用软件计算感兴趣区域内骨小梁的体积分数、表面密度、骨小梁厚度、骨小梁间隙和骨小梁数量参数。结果与结论:①跟骨表面皮质层很薄,内部充满大量骨松质,在Gissane角的骨皮质明显增厚;②跟骨上部的骨小梁体积分数大于跟骨下部前端、中和三角区、跟骨下后部、跟骨结节部、跟骨底部,跟骨结节部的骨小梁体积分数大于跟骨下部前端、中和三角区、跟骨下后部、跟骨底部;跟骨结节部的骨小梁表面密度大于跟骨下部前端、中和三角区、跟骨底部,跟骨上部、跟骨下后部的骨小梁表面密度大于中和三角区;跟骨上部的骨小梁厚度大于跟骨结节部;中和三角区的骨小梁间隙大于跟骨上部、跟骨结节部;跟骨结节部的骨小梁数量大于中和三角区;③中和三角区主要分布杆状骨小梁,骨小梁表面密度最小、体积分数较小、骨小梁间隙最大;该部位骨质较疏松,受到高冲击力时抗压缩能力差,骨小梁最先发生断裂,是易发生骨折的部位。

Systematic Importance of Leaf Anatomical Characters in Some Species of Microcos Linn. Section Eumicrocos Burret. in Nigeria

The leaf anatomy of six Microcos L. species belonging to section Eumicrocos in Nigeria was investigated by transverse sectioning of the lamina and examined by light microscope to determine their taxonomic significance in species delimitation and classification. The common anatomical characteristics in all the species are as follows: the uniseriate epidermis;the hypostomatic and bifacial leaves;presence of 2 layers of palisade tissues;presence of bundle sheath extension to both epidermises;presence of glandular and non-glandular trichomes;presence of secretory ducts on abaxial surface;presence of druse crystal in the mesophyll and midrib and;sclerenchyma cells associated with the phloem. Anatomical characters which are significant for species delimitation include: the presence/absence of sclerenchyma cells associated with the xylem in the midrib;presence/absence of starch grains in the mesophyll and midrib;the presence/absence of secretory ducts on the adaxial surface of the midrib;the presence/absence of medullary plates in midrib;the number of secretory ducts in the midrib and the midrib adaxial outline. The section can be separated into two distinct groups based on the number of spongy tissue layers in the mesophyll, number of sclerenchyma cells associated with the phloem and presence/absence of sclerenchyma cells in xylem both groupings correlated with those obtained from foliar epidermal and pollen characters. The importance of these characters is discussed in relation to the taxonomy of the taxon.

Micro segment analysis of supercritical methane thermal-hydraulic performance and pseudo-boiling in a PCHE straight channel

The printed circuit heat exchanger(PCHE) is receiving wide attention as a new kind of compact heat exchanger and is considered as a promising vaporizer in the LNG process. In this paper, a PCHE straight channel in the length of 500 mm is established, with a semicircular cross section in a diameter of 1.2 mm.Numerical simulation is employed to investigate the flow and heat transfer performance of supercritical methane in the channel. The pseudo-boiling theory is adopted and the liquid-like, two-phase-like, and vapor-like regimes are divided for supercritical methane to analyze the heat transfer and flow features.The results are presented in micro segment to show the local convective heat transfer coefficient and pressure drop. It shows that the convective heat transfer coefficient in segments along the channel has a significant peak feature near the pseudo-critical point and a heat transfer deterioration when the average fluid temperature in the segment is higher than the pseudo-critical point. The reason is explained with the generation of vapor-like film near the channel wall that the peak feature related to a nucleateboiling-like state and heat transfer deterioration related to a film-boiling-like state. The effects of parameters, including mass flow rate, pressure, and wall heat flux on flow and heat transfer were analyzed.In calculating of the averaged heat transfer coefficient of the whole channel, the traditional method shows significant deviation and the micro segment weighted average method is adopted. The pressure drop can mainly be affected by the mass flux and pressure and little affected by the wall heat flux. The peak of the convective heat transfer coefficient can only form at high mass flux, low wall heat flux, and near critical pressure, in which condition the nucleate-boiling-like state is easier to appear. Moreover,heat transfer deterioration will always appear, since the supercritical flow will finally develop into a filmboiling-like state. So heat transfer deterioration should be taken seriously in the design and safe operation of vaporizer PCHE. The study of this work clarified the local heat transfer and flow feature of supercritical methane in microchannel and contributed to the deep understanding of supercritical methane flow of the vaporization process in PCHE.

Advances in microfluidic-based DNA methylation analysis

DNA methylation has been extensively investigated in recent years,not least because of its known relationship with various diseases.Progress in analytical methods can greatly increase the relevance of DNA methylation studies to both clinical medicine and scientific research.Microflu-idic chips are excellent carriers for molecular analysis,and their use can provide improvements from multiple aspects.On-chip molecular analysis has received extensive attention owing to its advantages of portability,high throughput,low cost,and high efficiency.In recent years,the use of novel microfluidic chips for DNA methylation analysis has been widely reported and has shown obvious superiority to conventional methods.In this review,wefirst focus on DNA methylation and its applications.Then,we discuss advanced microfluidic-based methods for DNA methylation analysis and describe the great progress that has been made in recent years.Finally,we summarize the advantages that microfluidic technology brings to DNA methylation analysis and describe several challenges and perspectives for on-chip DNA methylation analysis.This review should help researchers improve their understanding and make progress in developing microfluidic-based methods for DNA methylation analysis.

3D Vector Reconstruction of the Typical Cervical Vertebra from Anatomical Sections of Korean Visible Human at the Laboratory of Clinical and Digital Anatomy of Paris Descartes University

Aim: To carry out a 3D vector reconstruction of the typical cervical vertebra from anatomical sections of the “Korean Visible Human” for educational purposes. Material and Methods: The anatomical subject was a 33-year-old Korean man who died of leukemia. He was 164 cm tall and weighed 55 kg. This man donated his body to science. Her body was frozen and cut into several anatomical sections after an MRI and CT scan. These anatomical sections were made using a special saw called a 0.2 mm thick cryomacrotome. Thus 8100 cuts were obtained. Only the sections numbered 940 to 1200 were used for our study. A segmentation by manual contouring of the different parts of the typical cervical vertebra was made using the software Winsurf version 3.5 on a laptop PC running Windows 7 equipped with a Ram of 8 gigas. Results: Our 3D vector model of the typical cervical vertebra is easily manipulated using the Acrobat 3DPDF interface. Each part of the vertebra accessible in a menu can be displayed, hidden or made transparent, and 3D labels are available as well as educational menus for learning anatomy. Conclusion: This original work constitutes a remarkable educational tool for the anatomical study of the typical cervical vertebra and can also be used as a 3D atlas for simulation purposes for training in therapeutic gestures.

Macro-Micro-Anatomy of the Lingual Artery

The macro-micro-anatomy of the lingual artery of 25 adult cadavers wasstudied.The origin of the artery is rather concentrated and the greater cornu of thehyoid bone can be used as the indicator.The entrance of the artery into the hyoglossusmuscle is almost constantly along the posterior border of the muscle,where the artery issuperficially located and easily to be exposed,and has a constant relationship with thevein and hypoglossal nerve.Thus the lingual artery can be used as the artery of a recipientarea in case of tongue reconstruction.The deep lingual artery has two types ofbranches;the short ones mainly supply the muscles of tongue while the long ones mainlysupply the mucosa by forming a submucosal network.In the muscles of tongue,minutearterioles run tortuously along the muscular fibers with abundant anastomoses betweeneach other,but no anastomosis is found to cross over the rnidline of the tongue.Be-neath the mucosa,there is an arterial network spreading all over the whole tongue notlimited to one side.The relationship of the arterial architecture to the structure and thefunctions of the tongue and its clinical significance were discussed.

高亮绿光氮化镓基Micro-LED微型显示器制备

Micro-LED作为一种新型的显示技术,具有对比度高、响应快及寿命长等优点,已成为当前研究的热点。然而,尽管潜力巨大,Micro-LED技术的商业化之路仍面临诸多技术上的挑战与瓶颈。本文旨在探讨高亮绿光氮化镓基Micro-LED微型显示器的制备过程及其相关技术。基于WVGA041全数字信号电路CMOS硅基驱动电路,制作了0.41 inch、分辨率为800×480的主动式单色绿光Micro-LED微型显示器。利用高精度倒装焊接技术实现了CMOS驱动电路与LED发光芯片的电气连接。结果表明,制备出LED显示芯片正常启亮电压为2.8V,EL光谱峰值波长524nm;在硅基CMOS电路驱动范围内,Micro-LED微型显示器在5V电压下,器件亮度为108000cd/m^(2)(最大亮度可达250000 cd/m^(2)),电流密度达到0.61A/cm^(2)时色坐标为(0.175,0.756)。当电流密度从0.3A/cm^(2)增加到1.3A/cm^(2)时,色坐标从(0.178,0.757)变化到(0.175,0.746),器件的色稳定性能够满足实际应用要求。

Effect of dry-wet cycles on dynamic properties and microstructures of sandstone:Experiments and modelling

Underground pumped storage power plant(UPSP)is an innovative concept for space recycling of abandoned mines.Its realization requires better understanding of the dynamic performance and durability of reservoir rock.This paper conducted ultrasonic detection,split Hopkinson pressure bar(SHPB)impact,mercury intrusion porosimetry(MIP),and backscatter electron observation(BSE)tests to investigate the dynamical behaviour and microstructure of sandstone with cyclical dry-wet damage.A coupling FEM-DEM model was constructed for reappearing mesoscopic structure damage.The results show that dry-wet cycles decrease the dynamic compressive strength(DCS)with a maximum reduction of 39.40%,the elastic limit strength is reduced from 41.75 to 25.62 MPa.The sieved fragments obtain the highest crack growth rate during the 23rd dry-wet cycle with a predictable life of 25 cycles for each rock particle.The pore fractal features of the macropores and micro-meso pores show great differences between the early and late cycles,which verifies the computational statistics analysis of particle deterioration.The numerical results show that the failure patterns are governed by the strain in pre-peak stage and the shear cracks are dominant.The dry-wet cycles reduce the energy transfer efficiency and lead to the discretization of force chain and crack fields.

根管治疗后隐匿性牙根纵裂特征的体外及micro-CT研究

目的:收集根管治疗后隐匿性牙根纵裂牙(subtle vertical root fracture, SVRF),对其进行裂纹特征体外观察及micro-CT扫描,探索其裂纹特征并探讨其发生发展过程。方法:收集我院2021年10月~2023年10月拔除的根管治疗后SVRF患牙共计21颗,收集SVRF患牙的牙位及裂纹发生的牙根位。在直视或透照法下观察裂纹数目,以根管为中心,颊、舌、近中、远中分别计算,以及裂纹纵向长度根据裂纹是否累及釉牙骨质界及根尖区分为4类。使用micro-CT扫描并评价裂纹是否累及根管,裂纹在轴位图像上的方向(颊舌,近远中向),并在裂纹最宽层面进行裂纹宽度测量,将裂纹最宽处在牙根上的分布分为根上部、根中部及根下部。结果:本研究共收集21颗SVRF患牙,累及24个牙根,其中17个牙根为完全性裂纹,7个为不完全性裂纹,共计41条裂纹。上颌前磨牙牙根及下颌磨牙近中根为发生牙根纵裂最多的牙根,且这些牙根均表现为颊舌/腭向扁根并分为颊舌/腭向双根管。所有裂纹均为颊舌/腭向,均累及根中区及根管内壁。裂纹最大宽度无论是在牙根上的纵向分布还是在水平面上的分布都没有明显的规律。结论:根管治疗后SVRF的裂纹均累及根中区,均由根管壁向根面延伸,裂纹宽度无明显规律;推测根中区的根管内壁为牙根纵裂发生的起始部位;裂纹扩展的过程具有无序性和多样性。

Micro RNAs与急性心肌梗死关系的研究进展

急性心肌梗死(acute myocardial infarction,AMI)是冠状动脉疾病最严重的表现,其引起的心肌组织损伤可促进心力衰竭的发展。尽管近些年由于生活方式的改变、治疗方式(如经皮冠状动脉介入治疗)的发展使AMI的预后得到了改善,但是AMI依旧每年危害着全球700多万人的身心健康,AMI仍然是世界范围内高发病率和高死亡率的主要疾病之一[1]。微小RNA(micro RNAs,miRNAs)是在20世纪90年代被发现的,mi RNAs的研究已经迅速发展成为一个成熟而广阔的领域。mi RNAs存在于几乎所有类型的细胞和细胞的病理生理活动中,包括与心血管系统相关的细胞。本文将mi RNAs对AMI病理生理进程的影响进行综述,希望为临床治疗提供新思路。