Detailed Vascular Anatomy of the Human Retina by Projection-Resolved Optical Coherence Tomography Angiography
J. P. Campbell, Miao Zhang, T. Hwang
et al.
Optical coherence tomography angiography (OCTA) is a noninvasive method of 3D imaging of the retinal and choroidal circulations. However, vascular depth discrimination is limited by superficial vessels projecting flow signal artifact onto deeper layers. The projection-resolved (PR) OCTA algorithm improves depth resolution by removing projection artifact while retaining in-situ flow signal from real blood vessels in deeper layers. This novel technology allowed us to study the normal retinal vasculature in vivo with better depth resolution than previously possible. Our investigation in normal human volunteers revealed the presence of 2 to 4 distinct vascular plexuses in the retina, depending on location relative to the optic disc and fovea. The vascular pattern in these retinal plexuses and interconnecting layers are consistent with previous histologic studies. Based on these data, we propose an improved system of nomenclature and segmentation boundaries for detailed 3-dimensional retinal vascular anatomy by OCTA. This could serve as a basis for future investigation of both normal retinal anatomy, as well as vascular malformations, nonperfusion, and neovascularization.
CAT – A Computational Anatomy Toolbox for the Analysis of Structural MRI Data
Christian Gaser, R. Dahnke
Computerized three-dimensional segmented human anatomy.
I. Zubal, C. R. Harrell, Eileen O. Smith
et al.
1170 sitasi
en
Computer Science, Medicine
Root canal anatomy of the human permanent teeth.
F. Vertucci
Atlas of Human Anatomy
F. Netter
This is the deluxe editon of the ultimate anatomy atlas for clinical reference, patient education and personal study! In addition to the classic illustrations of the late physician and medical illustrator Frank Netter, this edition includes surface anatomy plates added to the beginning of each regional section. These plates draw attention to surface features that portend underlying anatomy. Also, significant number of normal radiographic images have been included. These radiographs show the importance of diagnostic imaging in clinical anatomy and medicine.
CAT: a computational anatomy toolbox for the analysis of structural MRI data
Christian Gaser, R. Dahnke, P. Thompson
et al.
Abstract A large range of sophisticated brain image analysis tools have been developed by the neuroscience community, greatly advancing the field of human brain mapping. Here we introduce the Computational Anatomy Toolbox (CAT)—a powerful suite of tools for brain morphometric analyses with an intuitive graphical user interface but also usable as a shell script. CAT is suitable for beginners, casual users, experts, and developers alike, providing a comprehensive set of analysis options, workflows, and integrated pipelines. The available analysis streams—illustrated on an example dataset—allow for voxel-based, surface-based, and region-based morphometric analyses. Notably, CAT incorporates multiple quality control options and covers the entire analysis workflow, including the preprocessing of cross-sectional and longitudinal data, statistical analysis, and the visualization of results. The overarching aim of this article is to provide a complete description and evaluation of CAT while offering a citable standard for the neuroscience community.
Standardized statement for the ethical use of human cadaveric tissues in anatomy research papers: Recommendations from Anatomical Journal Editors‐in‐Chief
J. Iwanaga, Vishram Singh, S. Takeda
et al.
Human cadaveric donors are essential for research in the anatomical sciences. However, many research papers in the anatomical sciences often omit a statement regarding the ethical use of the donor cadavers or, as no current standardized versions exist, use language that is extremely varied. To rectify this issue, 22 editors‐in‐chief of anatomical journals, representing 17 different countries, developed standardized and simplified language that can be used by authors of studies that use human cadaveric tissues. The goal of these editor recommendations is to standardize the writing approach by which the ethical use of cadaveric donors is acknowledged in anatomical studies that use donor human cadavers. Such sections in anatomical papers will help elevate our discipline and promote standardized language use in others non anatomy journals and also other media outlets that use cadaveric tissues.
The applied anatomy of human skin: A model for regeneration
J. Abdo, N. Sopko, S. Milner
Abstract Autologous keratinocyte cultures and combinations of scaffolds, different cell types, solutions of macromolecules, or growth factors have contributed to the resurfacing of burns and large wounds. There are, however, significant limitations with these therapies. No tissue-engineered substitute can fully replace the split-thickness skin graft for permanent coverage of full-thickness skin loss in one step, and none contain a functional vascular plexus. Current research characterizes skin as more than a barrier with sensory function, but as an intricate biological factory participating in cell signaling, metabolism, and protein synthesis, and as a vital component of the nervous, immune and endocrine systems. This paper provides a comprehensive review of the structure and function of skin, highlighting the importance of regenerating an organ that will function physiologically.
Anatomy promotes neutral coexistence of strains in the human skin microbiome
A. Conwill, Anne C. Kuan, Ravalika Damerla
et al.
What enables strains of the same species to coexist in a microbiome? Here, we investigate if host anatomy can explain strain co-residence of Cutibacterium acnes, the most abundant species on human skin. We reconstruct on-person evolution and migration using 947 C. acnes colony genomes acquired from 16 subjects, including from individual skin pores, and find that pores maintain diversity by limiting competition. Although strains with substantial fitness differences coexist within centimeter-scale regions, each pore is dominated by a single strain. Moreover, colonies from a pore typically have identical genomes. An absence of adaptive signatures suggests a genotype-independent source of low within-pore diversity. We therefore propose that pore anatomy imposes random single-cell bottlenecks during migration into pores and subsequently blocks new migrants; the resulting population fragmentation reduces competition and promotes coexistence. Our findings imply that therapeutic interventions involving pore-dwelling species should focus on removing resident populations over optimizing probiotic fitness.
138 sitasi
en
Biology, Medicine
Mitochondrial Sensitivity to Submaximal [ADP] Following Bed Rest: A Novel Two‐Phase Approach Associated With Fibre Types
Lucrezia Zuccarelli, Maria De Martino, Antonio Filippi
et al.
ABSTRACT Background We recently demonstrated that following a 10‐day exposure to inactivity/simulated microgravity impairments of oxidative metabolism were located ‘upstream’ of mitochondrial function, as evaluated by maximal ADP‐stimulated mitochondrial respiration (JO2max) determined ex vivo. The aim of this study was to evaluate mitochondrial sensitivity to submaximal [ADP] by an alternative approach aimed at identifying responses associated with fibre type composition. Methods Isolated permeabilized vastus lateralis fibres were analysed by high‐resolution respirometry in 9 young males before and after a 10‐day horizontal bed rest. Eleven submaximal titrations of ADP (from 12.5 to 10 000 μM) were utilized to assess complex I + II‐linked ADP sensitivity. We applied to JO2 versus [ADP] data a traditional Michaelis–Menten kinetics equation, with the calculation of the apparent Km and maximal respiration (Vmax), and two ‘sequential’ hyperbolic equations, yielding two Km and Vmax values. The two‐hyperbolic equations were solved and the [ADP] value corresponding to 50% of JO2max was calculated. Isoform expression of myosin heavy chains (MyHC) 1, 2A and 2X was also determined. Control experiments were also carried out on rat skeletal muscle samples with different percentages of MyHC isoforms. Results The two hyperbolic equations provided an alternative fitting of data and identified two distinct phases of the JO2 versus [ADP] response: a first phase characterized by low Vmax (Vmax1, 28 ± 10 pmol s−1 mg−1) and apparent Km (Km1, 62 ± 54 μM) and a second phase characterized by higher Vmax (Vmax2, 61 ± 16 pmol s−1 mg−1) and Km (Km2, 1784 ± 833 μM). Data were confirmed in control experiments carried out in rat muscle samples with different percentages of MyHC isoforms. Correlation and receiver operating characteristics analyses suggest that the two phases of the response were related to the % of MyHC isoforms. Conclusions A novel mathematical approach (two sequential hyperbolic functions) for the fitting of JO2 versus [ADP] data obtained by high‐resolution respirometry on permeabilized skeletal muscle fibres, obtained in humans and rats, provided an alternative fitting of the experimental data compared to the traditional Michaelis–Menten kinetics equation. This alternative model allowed the identification of two distinct phases in the responses, which were related to fibre type composition. A first phase, characterized by low apparent Km and Vmax values, was correlated with the percentage of less oxidative (Type 2A + 2X) MyHC isoforms. A second phase, characterized by high apparent Km and Vmax, was related to more oxidative (Type 1) MyHC isoforms.
Diseases of the musculoskeletal system, Human anatomy
Association of Cumulative Exposure to Metabolic Score for Visceral Fat With the Risk of Cardiovascular Disease and All‐Cause Mortality: A Prospective Cohort Study
Qian Liu, Haozhe Cui, Fei Si
et al.
ABSTRACT Background Previous studies have demonstrated that metabolic score for visceral fat (METS‐VF), a novel surrogate indicator assessing visceral fat, was associated with the risk of hypertension, diabetes mellitus, cardiovascular disease (CVD) and mortality, predicting the risks based on a single METS‐VF measurement can increase limitations of the study. Few studies have investigated the association between cumulative exposure to METS‐VF and risk of CVD and all‐cause mortality. We aimed to examine the association of cumulative METS‐VF with risk for CVD and all‐cause mortality. Methods All participants in the study were from the Kailuan Study, which is a large, prospective cohort study, and began in 2006 years. Cumulative METS‐VF was calculated by data from 2006 survey to 2010 survey and defined as the mean METS‐VF for each pair of consecutive surveys multiplied by the time intervals between these two consecutive surveys. The optimal cut‐off value for time‐averaged cumulative METS‐VF associated with CVD was determined using a survival‐time method to calculate maximally selected rank statistics and was used to assess exposure of high METS‐VF. A multivariate Cox proportional hazards regression model was used to assess the risk of CVD and all‐cause mortality during 2010–2022 years (hazard ratio [HR] and 95% confidence interval [95% CI]). Results We included 41 756 participants (mean age, [52.72 ± 11.64] years, 78.53% males and 21.47% females). All participants were divided into four groups: Q1 (reference group), Q2, Q3 and Q4 according to the quartiles of cumulative METS‐VF, and exposure duration of high METS‐VF was quantified as 0, 2, 4, and 6 years. During the median follow‐up of 12.01 years, 4008 (9.60%) CVD events and 3944 all‐cause mortality events occurred. After adjusting for potential covariates, compared to participants in Q1 group, the HRs of incident CVD and all‐cause mortality were 1.55 (95% CI, 1.38–1.74) and 1.59 (95% CI, 1.40–1.81) for those in Q2 group, 2.13 (95% CI, 1.91–2.38) and 2.67 (95% CI 2.37–3.01) for those in Q3 group, 2.78 (95% CI, 2.49–3.17) and 4.90 (95% CI 4.36–5.50) for those in Q4 group. The HRs for CVD and all‐cause mortality were increased with exposure duration of high METS‐VF increasing. The result of ROC curve analysis showed that cumulative METS‐VF had the highest predictive for CVD among 4 indexes including cumulative METS‐VF, cumulative waist circumference, cumulative body mass index and cumulative WHtR. Conclusions The high cumulative METS‐VF was associated with an increased risk of CVD and mortality, and this association was stronger as exposure to high METS‐VF was prolonged, emphasizing the importance of striving to control the METS‐VF.
Diseases of the musculoskeletal system, Human anatomy
Correction Notice: An Efficient Method for Immortalizing Mouse Embryonic Fibroblasts by CRISPR-Mediated Deletion of the Tp53 Gene
Srisathya Srinivasan, Hsin-Yi Ho
Reply to <i>Before scoliosis can be attributed to the variant c.326G>A in MYH3, its pathogenicity must be proven</i>
Maria Chiara Maccarone, Matilde Paramento, Edoardo Passarotto
et al.
Dear Editor,
We appreciate the valuable comments regarding our recent case report on a 15-year-old girl presenting with scoliosis, growth retardation, facial dysmorphism, and delayed puberty, who was found to carry the heterozygous NM_002470.4(MYH3):c.326G>A (p.Arg109His) variant.1 We welcome the opportunity to address the concerns raised and to further clarify aspects of our study, as constructive scientific dialogue is important for refining our understanding of the pathophysiology of scoliosis. [...]
Weight Gain Among Cancer Patients Receiving Chemotherapy—Facts and Numbers
Muhammad Shahzeb Khan, Javed Butler, Markus Anker
ABSTRACT Cachexia affects up to 60% of patients with lung cancer, with its prevalence rising up to 80% in advanced stages of disease. In approximately 20% of cases, it is the primary cause of mortality. Five studies, including a total of 4467 patients, across range of cancer types reported data on weight gain in cancer patients undergoing chemotherapy. Across all five studies, an average of 18.3% of patients experienced weight gain > 5% (816 out of 4467 patients). The frequency of weight gain > 5% was highest among breast cancer patients, 18.9% in Pedersini et al (n = 169) and 33.0% in Sella et al (n = 687). In NSCLC patients, weight gain was reported in 18.3% in patients in Patel et al (n = 2301) and 11.7% in Roeland et al (n = 1030). In contrast, colorectal cancer patients showed only 5.7% of weight gain > 5% (Zutphen et al, n = 280). Additionally, weight loss > 5% was reported in 15.1% of breast cancer patients and 28.3% of colorectal cancer patients. Despite weight loss being quantified as a common endpoint in clinical trials focused on cancer cachexia, there is limited data on the impact of weight gain as a marker of a positive outcome among cancer patients. Studies have shown that weight gain of more than 5% within 3 months in NSCLC patients can be associated with improvement in overall survival (OS) and progression‐free survival (PFS) scores. In this post hoc analysis by Roeland et al., the authors defined different percentage cut‐off values for maximum weight gain among patients with non–small cell lung cancer within 3 months of starting platinum‐based chemotherapy. Among all categories, namely, weight gain > 0%, > 2.5% and > 5%, a significant benefit in overall and progression‐free survival was seen and was comparable among all groups. These findings highlight the clinical significance of incorporating strategies that encourage weight gain and to prevent weight loss at the least among cancer patients. Along with further delving into the prognostic value of weight gain and developing methods to encourage this response among cancer patients, future studies should use standardized assessment tools to identify weight gain that could be attributed to underlying pathologic processes such as oedema and congestion. We also suggest that monitoring and reporting of weight changes should be done in all cancer trials.
Diseases of the musculoskeletal system, Human anatomy
ACE, Action and Control via Explanations: A Proposal for LLMs to Provide Human-Centered Explainability for Multimodal AI Assistants
Elizabeth Anne Watkins, Emanuel Moss, Ramesh Manuvinakurike
et al.
In this short paper we address issues related to building multimodal AI systems for human performance support in manufacturing domains. We make two contributions: we first identify challenges of participatory design and training of such systems, and secondly, to address such challenges, we propose the ACE paradigm: "Action and Control via Explanations". Specifically, we suggest that LLMs can be used to produce explanations in the form of human interpretable "semantic frames", which in turn enable end users to provide data the AI system needs to align its multimodal models and representations, including computer vision, automatic speech recognition, and document inputs. ACE, by using LLMs to "explain" using semantic frames, will help the human and the AI system to collaborate, together building a more accurate model of humans activities and behaviors, and ultimately more accurate predictive outputs for better task support, and better outcomes for human users performing manual tasks.
Anatomy of four human Argonaute proteins
K. Nakanishi
Abstract MicroRNAs (miRNAs) bind to complementary target RNAs and regulate their gene expression post-transcriptionally. These non-coding regulatory RNAs become functional after loading into Argonaute (AGO) proteins to form the effector complexes. Humans have four AGO proteins, AGO1, AGO2, AGO3 and AGO4, which share a high sequence identity. Since most miRNAs are found across the four AGOs, it has been thought that they work redundantly, and AGO2 has been heavily studied as the exemplified human paralog. Nevertheless, an increasing number of studies have found that the other paralogs play unique roles in various biological processes and diseases. In the last decade, the structural study of the four AGOs has provided the field with solid structural bases. This review exploits the completed structural catalog to describe common features and differences in target specificity across the four AGOs.
A very rare case report: accessory head of the sartorius muscle
Nicol Zielinska, Richard Shane Tubbs, Adrian Balcerzak
et al.
The sartorius muscle belongs to the anterior compartment of the thigh. Morphological variations of this muscle are very rare, few cases being described in the literature. An 88-year-old female cadaver was dissected routinely for research and teaching purposes. However, an interesting variation was found during anatomical dissection. The proximal part of the sartorius muscle had the normal course, but the distal part bifurcated into two muscle bellies. The additional head passed medially to the standard head; thereafter, there was a muscular connection between them. This connection then passed into the tendinous distal attachment. It created a pes anserinus superficialis, which was located superficially to the distal attachments of the semitendinosus and gracilis muscles. This superficial layer was very wide and attached to the medial part of the tibial tuberosity and to the crural fascia. Importantly, two cutaneous branches of the saphenous nerve passed between the two heads. The two heads were innervated by separate muscular branches of the femoral nerve. Such morphological variability could be clinically important.
Study of the Acute Toxicity of Scorpion Leiurus macroctenus Venom in Rats
Valery Gunas, Oleksandr Maievskyi, Nataliia Raksha
et al.
Background. The expansion of the territory of human habitation leads to inevitable interference in the natural range of distribution of one or another species of animals, some of which may be dangerous for human life. Scorpions—the Arachnida class and order Scorpiones—can be considered as such typical representatives. Scorpions of the Buthidae family pose a particular danger to humans. However, LD50 has not yet been defined for many species of this family, in particular, new representatives of the genus Leiurus. Leiurus macroctenus is a newly described species of scorpion distributed in Oman, and the toxicity of its venom is still unknown. Estimating the LD50 of the venom is the first and most important step in creating the antivenom and understanding the medical significance of the researched animal species. The purpose of this study was to determine the lethal dose (LD100), the maximum tolerated dose (LD0), and the average lethal dose (LD50) in rats when using Leiurus macroctenus scorpion venom. Methods and Results. 15 sexually mature scorpions were used in the study, which were kept in the same conditions and milked by a common method (electric milking). For the study, 60 male rats were used, which were injected intramuscularly with 0.5 ml of venom solution with a gradual increase in the dose (5 groups, 10 rats in each), and 10 rats were injected intramuscularly with physiological solution as control group. LD calculations were done using probit analysis method in the modification of the method by V.B. Prozorovsky. The LD0 of Leiurus macroctenus scorpion venom under the conditions of intramuscular injection was 0.02 mg/kg, LD100 was 0.13 mg/kg, and LD50 was 0.08 ± 0.01 mg/kg. Conclusions. The analysis of scientific publications and other sources of information gives reason to believe that Leiurus macroctenus has one of the highest values of LD50 not only among scorpions but also among all arthropods in the world. All these point to the significant clinical importance of this species of scorpion and require further research that will concern the toxic effect of its venom on various organ systems. Determining the LD50 of the venom for new scorpion species is crucial for creating effective antivenoms and understanding the medical implications of envenomation by this species.
Analysis of human steering behavior differences in human-in-control and autonomy-in-control driving
Rene Mai, Agung Julius, Sandipan Mishra
Steering models (such as the generalized two-point model) predict human steering behavior well when the human is in direct control of a vehicle. In vehicles under autonomous control, human control inputs are not used; rather, an autonomous controller applies steering and acceleration commands to the vehicle. For example, human steering input may be used for state estimation rather than direct control. We show that human steering behavior changes when the human no longer directly controls the vehicle and the two are instead working in a shared autonomy paradigm. Thus, when a vehicle is not under direct human control, steering models like the generalized two-point model do not predict human steering behavior. We also show that the error between predicted human steering behavior and actual human steering behavior reflects a fundamental difference when the human directly controls the vehicle compared to when the vehicle is autonomously controlled. Moreover, we show that a single distribution describes the error between predicted human steering behavior and actual human steering behavior when the human's steering inputs are used for state estimation and the vehicle is autonomously controlled, indicating there may be a underlying model for human steering behavior under this type of shared autonomous control. Future work includes determining this shared autonomous human steering model and demonstrating its performance.
Kinematically Constrained Human-like Bimanual Robot-to-Human Handovers
Yasemin Göksu, Antonio De Almeida Correia, Vignesh Prasad
et al.
Bimanual handovers are crucial for transferring large, deformable or delicate objects. This paper proposes a framework for generating kinematically constrained human-like bimanual robot motions to ensure seamless and natural robot-to-human object handovers. We use a Hidden Semi-Markov Model (HSMM) to reactively generate suitable response trajectories for a robot based on the observed human partner's motion. The trajectories are adapted with task space constraints to ensure accurate handovers. Results from a pilot study show that our approach is perceived as more human--like compared to a baseline Inverse Kinematics approach.