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  • 1995-1999  (2,288)
  • 1880-1889
  • 1995  (2,288)
  • Life and Medical Sciences  (2,263)
  • Genetics  (327)
  • Nuclear reactions
  • 101
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 32 (1995) 
    ISSN: 0886-1544
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
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  • 102
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 32 (1995) 
    ISSN: 0886-1544
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Type of Medium: Electronic Resource
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  • 103
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 32 (1995), S. 299-304 
    ISSN: 0886-1544
    Keywords: 3T3 cells ; CV1 cells ; cell motility ; infrared ; photobiology ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: 3T3 mouse fibroblasts responded differently to specific near-infered signals than epithelial CV1 cell. Furthermore, signals with the same wavelength and energy changed the percentages of attracted and repelled 3T3 cells if their intensity modulation was altered. I found this result in a 22 month long study which established a spectrum of motile responses of 781 individual 3T3 cells and 148 CV1 cells to the near-infrared emissions of microscopic, pulsating light sources using the infrared spot-irradiation phase-contrast (IRSIP) microscopic [Albrecht-Buehler, 1991: J. Cell Biol. 114:493-502]. Thus the response of cultured, mammalian cells to near-infrared light signals is not merely a matter of total energy absorption by cirtain cytoplasmic componets. Since it seems to depend on the cell type and the temporal pattern in which the light energy is emitted, it appears to imply the existence of a new kind of cellular information. © 1995 Wiley-Liss, Inc.
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  • 104
    ISSN: 0886-1544
    Keywords: actin ; microfilaments ; heparan sulfate proteoglycans ; heparin-binding proteins ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Cell surface proteoglycans participate in molecular events that regulate cell adhesion, migration, and proliferation. To investigate the organization of these molecules at the cell surface, the distribution of two well-known proteoglycan ligands has been studied. These ligands, lipoprotein lipase and basic fibroblast growth factor, showed a characteristic binding pattern consisting of highly organized parallel arrays that crossed the upper surface of human skin fibroblasts. The proteoglycan nature of the binding sites was evident from their susceptibility to heparinases, and from ligand displacement by heparin. Parallel localization of the ligands and actin, and treatment of the cells with cytochalasin, showed that the binding proteoglycans are organized by the actin cytoskeleton. The ligands induced a different behaviour of the binding sites on incubation of the cells at 37°C. Lipoprotein lipase produced a movement of the binding proteoglycans along the actin filaments towards the cell center. In contrast, after binding of basic fibroblast growth factor the binding proteoglycans remained spread over the cell surface and actin depolymerization was induced. Since an increasing number of ligands appear to depend on proteoglycans for their interactions with their high affinity receptors, distribution and movement of proteoglycans at the cell surface that is organized by the actin cytoskeleton could direct and enhance the encounters between the ligands and their specific receptors. © 1995 Wiley-Liss, Inc.
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  • 105
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 30 (1995), S. 108-121 
    ISSN: 0886-1544
    Keywords: intercellular junctions ; desmosome ; assembly ; kinase ; phosphatase ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Desmosomes are one component of the intercellular junctional complex in epithelia. In cultures of epithelial cells, desmosome assembly can be regulated by modulating the calcium concentrations of the growth media. At present, very little is known about the intracellular signal transduction mechanisms that regulate desmosome assembly and disassembly in response to changing extracellular calcium concentrations. We have used inhibitors of protein kinases and phosphatases in a combined biochemical and morphological approach to analyze the role of protein phosphorylation in the assembly and disassembly of desmosomes in Madin-Darby canine kidney epithelial cells. Our results suggest that desmosomal proteins (desmoplakins I/II and desmoglein 1) are primarily phosphorylared on serine residues. Electron microscopic analyses of desmosome assembly upon induction of cell-cell contact, in the presence of protein kinase inhibitor, H-7, revealed an apparently normal assembly of desmosomes. However, complete disassembly of desmosomes was inhibited by H-7 upon removal of extracellular calcium. Under these conditions, although desmosomes split, desmosomal plaques and their associated cytokeratin filaments can not be internalized. In contrast, treatment of the cultures with okadaic acid (OA), an inhibitor of protein phosphatases, inhibited desmosome assembly but had no effect on disassembly. In addition, the inhibitory effect of okadaic acid on desmosome assembly was specific to this junction since we observed apparently normal tight junction and adherens junction in okadaic acid-treated cultures. These results suggest that via reversible protein phosphorylation involving both protein kinase and protein phosphatases. © 1995 Wiley-Liss, Inc.
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  • 106
    Electronic Resource
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 30 (1995), S. 146-152 
    ISSN: 0886-1544
    Keywords: zinc-sheets ; macrotubes ; kinesin ; electron microscopy ; microtubules ; tubulin ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Moving along a microtubule, kinesin follows a course parallel to the protofilaments; but it is not known whether kinesin binds exclusively on a single protofilament. The presence of zinc during tubulin polymerization induces sheets where neighboring protofilaments are antiparallel. If kinesin could support the motility of these zinc-sheets, then the binding site for a kinesin molecule would be limited to a single protofilament.Kamimura and Mandelkow [1992: J. Cell Biol. 118:865-75] reported that kinesin moves along zinc-sheets. We found that zinc-sheets grown under their conditions often had a microtubule-like structure along one edge. We confirmed the possibility that the motility observed by Kamimura and Mandelkow [1992: J. Cell Biol. 118:865-75] is attributed to the microtubule-like structure rather than the zinc-sheet.To resolve the question of whether kinesin can recognize an antiparallel protofilament lattice, we investigated the kinesin-mediated motility of zinc-macrotubes. At higher free zinc concentrations, zinc-sheets roll up as macrotubes, free of edges. In the presence of 10 m̈M taxol and 100 nM free Zn2+ at pH 6.8, the samples were shown by electron microscopy to contain only macrotubes. Under these buffer conditions, kinesin could bind strongly to axonemal doublets in the presence of AMP-PNP, and generate motility in the presence of ATP, but kinesin did not bind to nor move the macrotubes. This shows that kinesin cannot bind efficiently to nor move on the anti-parallel lattice; it is possible (though not necessary) that the groove between two parallel protofilaments is required for kinesin's motility. © 1995 Wiley-Liss, Inc.
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  • 107
    ISSN: 0886-1544
    Keywords: uterus ; leiomyomas ; cultured smooth muscle cells ; α-smooth muscle actin ; desmin ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: We had previously found no myosin heavy chain (MHC) changes in expression during pregnancy in human myometrium. In the present work, we compared the MHC pattern of expression in normal human myometrium, pregnant and non-pregnant, to that in benign tumors of the uterine musculature and in cultured myometrial cells. We used a high-resolution gel electrophoretic system and monoclonal antibodies directed against smooth muscle and nonmuscle MHCs. Smooth muscle MHCs (SM1, 204 kDa, and SM2, 200 kDa, MHCs) and a nonmuscle MHC of 196 kDa (NM MHC) were detected in pregnant and nonpregnant human myometrium. Pregnant myometrium was found to differ from nonpregnant myometrium by its slightly lower content in NM MHC, whereas the ration of SM1/SM2 was equivalent. In leiomyomas and in cultured cells grown from human myometrium explants, SM1, SM2, and NM MHCs were also expressed. In addition, a nonmuscle MHC of 198/200 kDa (SMemb MHC), which was present in a fetal human uterus but not in adult normal tissue, was observed in leiomyomas and in cultured cells. Expression of SM1 and SM2 MHCs was variable in the different leiomyomas studied. In cultured cells, SM1 and SM2 MHC content was low, but it was enhanced by suppression of serum after cell confluency. Present results confirm that pregnancy-associated smooth muscle cell hypertrophy is not accompanied by major changes in MHCs. In contrast, cell culturing and cell hyperplasia leading to leiomyoma formation induce substantial modifications in MHCs, including the occurrence of a second type of nonmuscle MHC. © 1995 Wiley-Liss, Inc.
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  • 108
    Electronic Resource
    Electronic Resource
    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 30 (1995), S. 221-228 
    ISSN: 0886-1544
    Keywords: Key words: microtubules, flexural rigidity, optical trapping, microtubule-associated proteins, taxol ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: As major determinants of cell shape and polarity, microtubules are required to have suitable rigidity. However, our knowledge of the mechanical properties of microtubules is far from satisfactory. We report here a new method of measuring the flexural rigidity of a single microtubule by direct buckling using the optical trapping technique. Microtubule buckling was induced by applying a small longitudinal compressing force through an optically trapped microsphere that was firmly attached to the microtubule. Three ways of estimating the flexural rigidity of a continuous slender rod, one from the observed critical load of buckling and two from deflected lengths and angles of bending, yielded values which agreed well when applied to the analysis of buckling microtubules. Unexpectedly, we found that the rigidity was not constant as expected but was dependent on microtubule length. This length dependency explains the discrepancies among reported values of microtubule flexural rigidity measured by different methods. Comparing microtubules of identical lengths, microtubules assembled with brain-derived associated proteins (4 × 10-23 Nm2 at around 10 m̈m in length) were four times more rigid than those assembled from purified tubulin and stabilized with taxol (1 × 10-23 Nm2). © 1995 Wiley-Liss, Inc.
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  • 109
    Electronic Resource
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 30 (1995), S. 272-284 
    ISSN: 0886-1544
    Keywords: tensin ; cortactin ; vinculin ; chicken ; osteoclasts ; differentiation ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: The expression and localization of tensin and cortactin were examined in osteoclast precursors in comparison with isolated osteoclasts on various substrates. Initially, the ability of hen monocytes to differentiate into osteoclasts was evaluated on plastic or glass, and compared to differentiation on bone. Specifically, monocytes were isolated from the medullary bones of egg-laying hens maintained on a Ca-deficient diet. Differentiation was monitored morphologically and by quantitation of the ability to form Howship's lacunae in bone slices or resorb radiolabeled bone particles of 20-53 m̈m diameter. These cells differentiated into tartrate resistant acid phosphatase (TRAP)-positive, bone resorbing, multinucleated syncytia in the presence of cytosine-1-β-D-arabinofuranoside in a time dependent manner (day 1-6). Differentiation into osteoclast-like cells was similar whether cultured on plastic, on glass, or on bone. When compared to GAP-DH control levels, tensin and cortctin mRNA levels increased by 7- and 10-fold, respectively, by day 6. Tensin and cortactin protein levels also increased by 6- and 15-fold, respectively, by day 6. Immunofluorescence of differentiating precursors showed that tensin localized between regions of cell to cell contact and colocalized with vinculin in podosomes of osteoclast-like cells and of real osteoclasts. Cortactin immunofluorescence was not detectable in monocytes but localized inside tensin/vinculin podosome structures after fusion into osteoclast-like cells and in freshly isolated osteoclasts. Both tensin and cortactin were associated with attachment complexes used by osteoclast-like cells and osteoclasts to resorb bone. Specifically, punctate cortactin staining was observed inside tensin staining which formed a double ring structure at the membrane/bone interface of resorbing osteoclasts. These data showed that tensin and cortactin can be used as osteoclast differentiation markers, that participate in attachment complexes used to resorb bone, and that tensin may participate in the fusion process of osteoclast precursors. © 1995 Wiley-Liss, Inc.
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  • 110
    ISSN: 0886-1544
    Keywords: cleavage furrow ; cytokinesis ; contractile ring ; microfilament ; stress fibers ; microfilament networks ; intestinal epithelium ; spleen cells ; dorsal root ganglia ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Two principal isoforms of cytoplasmic myosin II, A and B (CMIIA and CMIIB), are present in different proportions in different tissues. Isoform-specific monoclonal and polyclonal antibodies to avian CMIIA and CMIIB reveal the cellular distributions of these isoforms in interphase and dividing embryonic avian cardiac, intestinal epithellal, spleen, and dorsal root ganglia cells in primary cell culture. Embryonic cardiomyocytes react with antibodies to CMIIB but not to CMIIA, localize CMIIB in stress-fiber-like -structures during interphase, and markedly concentrate CMIIB in networks in the cleavage furrow during cytokinesis. In contrast, cardiac fibroblasts localize both CMIIA and CMIIB in stress fibers and networks during interphase, and demonstrate slight and independently regulated concentration of CMIIA and CMIIB in networks in their cleavage furrows. V-myc-immortalized cardiomyocytes, an established cell line, have regained the ability to express CMIIA, as well as CMIIB, and localize both CMIIA and CMIIB in stress fibers and networks in interphase cells and in cleavage furrows in dividing cells. Conversely, some intestinal epithelial, spleen, and dorsal root ganglia interphase cells express only CMIIA, organized primarily in networks. Of these, intestinal epithelial cells express both CMIIA and CMIIB when they divide, whereas some dividing cells from both spleen and dorsal root ganglia express only CMIIA and concentrate it in their cleavage furrows. These results suggest that within a given tissue, different cell types express different isoforms of CMII, and that cells expressing either CMIIA or CMIIB alone, or simultaneously, can form a cleavage furrow and divide.
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  • 111
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 31 (1995), S. 140-146 
    ISSN: 0886-1544
    Keywords: cAMP ; ATP ; hypoxia ; motility initiation ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Bovine sperm that were subjected to extended anoxia (2.5 h) in the absence of glycolytic substrates then diluted into oxygenated medium were immotile but metabolically active, producing ATP from lactate via oxidative phosphorylation. In response to anoxia sperm ATP titers dropped from 15-20 μmoles/108 cells to 1-2 μmoles/108 cells in the first 5 min then remained extremely low until reoxygenation. Cyclic AMP titers declined slowly over the anoxic period, but did not show the same scale of depression as ATP. After dilution and re-oxygenation ATP recovered to pre-anoxia levels within 1 min, and cAMP rose to about the pre-anoxia levels. However, motility, which varied quantitatively and qualitatively between ejaculates prior to anoxic treatment, was substantially depressed after extended anoxia in all cases; progressive motility was almost non-existent in post-anoxic sperm. Addition of isobutylmethylxanthine or Cibacron Blue F3GA, both putative phosphodiesterase inhibitors, stimulated a transient peak of cAMP, which was accompanied by motility stimulation. These techniques provide a protocol to manipulate and dissect the biochemical pathways of motility initiation in mammalian sperm.
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  • 112
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 31 (1995) 
    ISSN: 0886-1544
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
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  • 113
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 31 (1995), S. 225-240 
    ISSN: 0886-1544
    Keywords: cell-substratum adhesion ; lamellar contractility ; locomotion ; silicone rubber ; traction forces ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: A means of determining quantitative maps of the tractions exerted by locomoting cells on a substratum has been developed. This method is similar to the Harris silicone substratum assay [Harris et al., 1980: Science 208:177-179], but uses an improved non-wrinkling film that deforms more predictably in response to traction forces. The method also utilizes a mathematical analysis of rubber deformation to produce the final map of the distribution of tractions. The resulting maps consistently showed that fish keratocytes exert a steady-state “pinching” on the substratum, perpendicular to the cell's direction of locomotion. No significant rearward tractions were detected at or near the front edge of the cell. Likewise, no significant forward tractions associated with peeling of adhesions were found at the back of the cell. A second assay uses deflection of a lightly attached glass microneedle to measure the total force exerted by locomoting cells. Forces of approximately 4.5 × 10-3 dyn were required to “stall” locomoting keratocytes. The implications of these findings for cell movement are discussed.
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  • 114
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    Cell Motility and the Cytoskeleton 31 (1995), S. 66-81 
    ISSN: 0886-1544
    Keywords: microtubule motor proteins ; immunolocalization ; RT-PCR ; Northern/Southern blots ; microinjection ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: To examine the possible role of kinesin in pigment granule migration in the retinal pigment epithelium (RPE) of teleosts, we investigated the expression and distribution of kinesin heavy chain (KHC) in RPE. Blots of fish RPE lysates probed with two well-characterized antibodies to KHC (H2 and HD) displayed a prominent band at 120 kD. A third KHC antibody (SUK4) recognized a band at 118 suggesting the presence of two KHC isoforms in teleost RPE. Reverse transcriptase-polymerase chain reaction (RT-PCR) of mRNA from RPE using primers homologous to conserved regions of the KHC motor domain resulted in the homologous to conserved regions of the KHC motor domain resulted in the identification of two putative KHC genes (FKIF1 and FKIF5) based on partial amino acid sequences. Previous studies had demonstrated a requirement for microtubules in pigment granule aggregation in RPE. In addition, the reported microtubule polarity orientation in RPE apical projections is consistent with a role for kinesin in pigment granule aggregation. Immunofluorescent localization of KHC in isolated RPE cells using H2 revealed a mottled distribution over the entire cell body, with no detectable selective association with pigment granules, even in cells fixed while aggregating pigment granules. Microinjected KHC antibodies had no effect on pigment granule aggregation or dispersion, although each of the three antibodies has been shown to block kinesin function in other systems. Thus we found no evidence for KHC function in RPE pigment granule aggregation. However, the two KHC isoforms may participate in other microtubule-dependent processes in RPE.
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  • 115
    ISSN: 0886-1544
    Keywords: trout ; spermatozoa ; ATP ; cAMP ; axoneme ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Live trout spermatozoa initiate flagellar motility for only a short period (30 sec at 18°C) during which their mean beat frequency decreases steadily from 60 to 20 Hz. Motility then stops abruptly. Investigations of the activation of movement in demembranated sperm points to cyclic-AMP being necessary for reactivation (half effect at 0.5μm) in some conditions. cAMP acts mainly by increasing the percentage of motile cells and not the beat frequency (BF) of the flagellar axoneme. Dibutyryl cAMP does not initiate movement or prolong motility of live sperm.The initiation of movement of demembranted trout sperm was investigated in various incubation conditions relative to previous phases of in vivo movement and to ATP concentration. In the absence of cAMP and in the presence of ATP lower than 25 μM, all sperm celi models were active with BF up to 15-20 Hz whatever their previous physiological condition. In contrast, at ATP concentrations above 100 μM, the fraction of active spermatozoa decreased proportionally but the BF of the active ones increased so that, at 1 mM ATP up to 20 μM restored activity to 100% sperm models with a similar BF of 65 Hz.At ATP concentrations higher than 25 μM, cAMP was necessary in a concentration dependent manner in the reactivation, but not in the demembranation meduim. This dependence was found to be unrelated to a previous in vivo phase of movement. The antagonistic effects of ATP vs. cAMP were tested at various concentrations of both nucleotides: the apparent affinity for cAMP, measured as the concentration restoring movement of 50% cell models, was decreased from 15 nM at 0.1 mM ATP to 0.5 μM at 1 mM ATP; conversely, the affinity for ATP, measured as the concentration giving rise to the half maximal beat frequency, was not significautly affected when the concentration of cAMP was raised to 0.5 mM. Preincubation with phosphodiesterase (PDE) resulted in motility of 100% of sperm models even at low ATP concentration. This tends to show that cAMP must be constantly present to sustain motility.
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  • 116
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    Cell Motility and the Cytoskeleton 31 (1995), S. 196-206 
    ISSN: 0886-1544
    Keywords: gelsolin ; actin ; myofibrils ; immunofluorescence ; nebulin ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: We have investigated the binding of gelsolin to thin myofilaments in situ and their stability against severing. Differentiated myotubes from chicken skeletal muscle containing cross-striated myofibrils were permeabilized with Triton X-100 and incubated with gelsolin. Immunoflurorescence microcopy localized both endogenous and exogenous gelsolin in the I-Z-I-regions of the sarcomers. The staining pattern suggested a binding of the exogenous gelsolin along the entire length of the thin filaments. This binding was Ca2+ dependent, but gelsolin was not removed after subsequent addition of EGTA. The fluorescence staining for actin remained unchanged after gelsolin incubation, indicating that thin filaments in cross-striated myofibrils were resistant to the severing action of gelsolin, in contrast to the microfilaments in stress fibers. After extraction of the permeabilized cells with high ionic strength to remove tropomyosin and myosin, gelsolin stell bound along the entire thin filament and the actin pattern also remained unchanged. After Triton X-100 permeabilization and high ionic strength extraction, the giant protein nebulin was found to be still present as a myofibrillar component. Gelsolin treatment after high salt extraction affected neither actin nor nebulin in the thin filaments. We therefore conclude that nebulin confers the gelsolin resistance to the sarcomeric actin filaments.
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  • 117
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    New York, NY : Wiley-Blackwell
    Cell Motility and the Cytoskeleton 31 (1995) 
    ISSN: 0886-1544
    Keywords: Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
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  • 118
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    Cell Motility and the Cytoskeleton 31 (1995), S. 298-306 
    ISSN: 0886-1544
    Keywords: Drosophila ; nurse cells ; oocyte ; microfilaments ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: The distribution of microfilaments in Drosophila egg chambers stained with rhodamine (Rh)-conjugated phallcidin was studied by laser scanning confocal microscopy and transmission electron microscopy. These techniques revealed new details in the pattern of microfilament localization. We observed in stage 1-3 egg chambers accumulation of filamentous actin in the oocyte cytoplasm between the ring canals connecting the oocyte with adjacent nurse cells. Starting from stages 6-7 short microfilament bundles arranged in basket-like structures were associated with the side of the ring canals facing the nurse cell cytoplasm. We also observed a dramatic decrease in the actin network associated with the cortex of the oocyte in stage 10. During stage 10B the nurse cell cytoplasm was crossed by radial actin bundles that showed a sarcomeric-like cross striation after Rh-phalloidin staining. The ring canals also did not uniformly stain but showed a punctate labeling. The implications of the actin cytoskeleton during oocyte growth are discussed. © 1995 Wiley-Liss, Inc.
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  • 119
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    Cell Motility and the Cytoskeleton 31 (1995), S. 273-282 
    ISSN: 0886-1544
    Keywords: Peritoneal macrophages ; F-actin microfilament ; in situ hybridization ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: In mouse fibroblasts, at least five TM isoforms are identified and they can be grouped into the high (TM1, TM2, and TM3) and low molecular weight TM isoforms (TM4 and TM5). Suppression of one of the high molecular weight tropomyosin (TM) isoforms in nonmuscle cells is implicated to be one of the causes for disorganization of actin microfilament bundles and subsequent changes in cell motility and cell shape. In this study, we studied the expression of tropomyosin isoforms in macrophages that exhibit high motility and ability to change cell shape. Two-dimensional gel electrophoresis followed by Western blot analysis using polyclonal anti-TM antiserum revealed that the high molecular weight TM isoforms were lacking in both resident and activated mouse peritoneal macrophages. Analyses of newly synthesized TM isoforms, Northern blot analyses using isoform-specific cDNA probes, and immunostaining with monoclonal anti-TM antibody that recognizes only the high molecular weight TM isoforms also demonstrated that the syntheses of the high molecular weight TM isoforms (TM1, TM2, and TM3) were completely suppressed, whereas the low molecular weight TM isoforms (TM4 and TM5) were expressed in macrophages. These results indicate that macrophages intrinsically lack the high molecular weight TM isoforms. In order to obtain information about cellular localization of the low molecular weight TM isoforms in macrophages, they were immunostained with polyclonal anti-TM antiserum that recognizes both the high and low molecular weight TM isoforms. The results showed that the low molecular weight TM isoforms were co-localized with F-actin in punctate and short fibrous structures. In addition, we performed in situ hybridization analysis to examine localizations of the TM mRNAs in fibroblasts and macrophages. The results showed that TM mRNAs were localized throughout the cytoplasm. © 1995 Wiley-Liss, Inc.
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  • 120
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    Cell Motility and the Cytoskeleton 32 (1995), S. 205-225 
    ISSN: 0886-1544
    Keywords: myofibrillogenesis ; sarcomere structure ; Z-line ; protein ruler ; actin-binding protein ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: A 107-kD protein has been identified in primary cultures of chicken embryonic cardiomyocytes by immunoprecipitations with certain anti-nebulin monoclonal antibodies (mAbs). These mAbs, prepared against a fragment of human skeletal muscle nebulin located near the carboxyl terminus, detect a 107-kD protein in extracts of adult chicken heart, adult mouse heart, and adult rabbit heart by immunoblot analysis. A partial cDNA corresponding to this protein has been isolated by immunological screening of a chicken heart cDNA expression vector library. The partial cDNA encodes a 380-amino acid open reading frame composed entirely of nebulin-like 35-residue modules marked by the highly conserved sequence motifs: SXXXYK and TPD. The open reading frame exhibits 60-85% homology with skeletal muscle nebulins from a variety of species. This cDNA recognizes an ˜8-kb transcript in cardiac RNA and does not hybridize to skeletal muscle RNAs by northern analysis. Immunofluorescence localization of this nebulin-like protein in primary cultures of chicken cardiomyocytes and embryonic chicken cardiac myofibrils indicates that the protein is localized to the I-Z-I complex of the myofibrils, extending approximately 25% of the thin filament length. Comparisons of the distribution of this protein relative to actin, myosin, and titin in spreading cardiomyocytes suggest that the cardiac nebulin-like protein becomes aligned with the nascent myofibrils early during myofibrillogenesis. To distinguish this petite nebulin-like protein from the 600-900 kD skeletal muscle nebulin, we have named it nebulette. © 1995 Wiley-Liss, Inc.
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  • 121
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    Cell Motility and the Cytoskeleton 32 (1995), S. 37-45 
    ISSN: 0886-1544
    Keywords: Entamoeba histolytica ; adhesion plates ; cytoskeleton ; fibronectin binding and degradation ; signaling ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Entamoeba histolytica trophozoites are pleiomorphic and highly motile cells. Although scarce fibrous material can be identified in the cytoplasm as elements of an organized cytoskeleton, clearly defined actin-containing structures are formed at the sites of cell-matrix contact upon the interaction of trophozoites with fibronectin (FN) and other extracellular matrix substrates. These structures are reminiscent of the adhesion plaques or focal contacts found in higher eukaryotic cells, where actin filament bundles insert into specialized regions of the plasma membrane and function as signal transduction organelles. Thus, the formation of adhesion plates in this parasitic ameba could be related to specific signaling responses involved in its invasive behavior. Here, we report the isolation of amebic adhesion plates and the results of their structural and molecular analyses. Filaments, with the characteristic diameter of F-actin, radiating from an electrondense matrix, are the main feature. Actin is one of the main protein components of the plate; other proteins identified are a FN-binding protein - previously reported as a “putative” FN receptor - the actin-binding proteins myosin II, myosin I, α-actinin, vinculin, and tropomyosin. The presence in the isolated plates of several proteases and protein kinases, in particular pp125FAK, is also demonstrated. Our results suggest that adhesion plates in amebas are dynamic membrane-cytoskeletal complexes participating not only in the attachment to FN substrates but also providing the structural basis for their involvement in parasite locomotion and invasiveness. © 1995 Wiley-Liss, Inc.
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    Cell Motility and the Cytoskeleton 32 (1995), S. 136-144 
    ISSN: 0886-1544
    Keywords: DYH1B ; dynein family ; motor proteins ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Analysis of sequence relationships in dynein heavy chains shows that dynein motor proteins comprise a single homologous family with three main branches, cytoplasmic dynein, axonemal dynein, and a third branch represented by DYH1B that lies between the other two. In all branches of the family the dynein heavy chain has four copies of the P-loop motif for a nucleotide-binding site spaced ∼300 residues apart in its midregion, with the amino acid sequence GPAGTGKT in the P-loop of the hydrolytic ATP-binding site. Cytoplasmic dyneins appear more primitive in that the heavy chain usually occurs as a homodimer, with traces of the early evolution of its four P-loop motifs by gene duplication being recognizable. In the axonemal subfamily the heavy chains occur as heterodimers or heterotrimers encoded by multiple genes, and their non-hydrolytic P-loop motifs are much more divergent with little trace of their origin by gene duplication. The DYH1B subfamily is more closely related to the cytoplasmic dyneins in sequence, but appears related to axonemal dyneins in function since it becomes upregulated during reciliation and has not been found in organisms, such as yeast and Dictyostelium, that are totally without cilia or flagella.
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  • 123
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    Cell Motility and the Cytoskeleton 32 (1995), S. 163-172 
    ISSN: 0886-1544
    Keywords: actin ; C-terminus ; α-actinin ; myosin ; myofibrils ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: A series of deletions was made from the C-terminal end of actin by inserting termination codons into a full length cDNA of human α-skeletal muscle actin. These included deletions of 2, 3, 10, 20, 30, and 40 amino acids. The cDNA clones were transcribed and the resulting mRNA were translated in vitro using 35S-labeled methionine. The 35S-labeled actin and actin mutants were then tested for the ability to coassemble with carrier actin, bind DNAse I, bind myosin S-1, bind a 27 kDa proteolytic fragment of α-actinin, and incorporate into myofibrils in vitro. Removal of the C-terminal two or three amino acids did not grossly alter the properties of actin tested. Deletion of an additional 7 amino acids (10 amino acids total) significantly decreased coassembly, binding to DNAse I, and incorporation into myofibrils, but did not dramatically reduce binding to myosin S-1 or the 27 kDa fragment of α-actinin. Deletion of 20 or more amino acids virtually abolished all normal actin function tested. By examining the structure of actin, we propose that the effect of removing residues 356-365 is due to the important role Trp356 plays in maintaining hydrophobic bonds between three non-contiguous segments of actin. We also suggest that removal of residues 366-372 adversely affected the structure or orientation of the DNAse I binding loop and that this change can account for defects in actin binding to DNAse I, coassembly with wild type actin, and incorporation into myofibrils. © 1995 Wiley-Liss. Inc.
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    Cell Motility and the Cytoskeleton 32 (1995), S. 226-232 
    ISSN: 0886-1544
    Keywords: Z-line interconnections ; honey-bee flight muscle ; transverse cytoskeletal network ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Located at the level of the Z-line, the transverse cytoskeletal network of insectflight muscle interconnects adjacent myofibrils with one another, and interconnects peripheral myofibrils with the cell membrane. This network has been presumed to keep myofibrils in register, or to distribute tension laterally among myofibrils. In this study, we used scanning-electron microscopy to reveal details of the three-dimensional arrangement of this network. The network is seen to interconnect longitudinal elements of the cytoskeletal network which surround each myofibril. The arrangement is not unlike that seen in vertebrate skeletal muscle. Interestingly, the transverse network makes contact with cell components such as dense bodies and mitochondria. Such contacts imply potential roles over and above those noted above. The network may be involved not only in mechanical function, but possibly also in intracellular communication. © 1995 Wiley-Liss, Inc.
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    Cell Motility and the Cytoskeleton 32 (1995), S. 273-288 
    ISSN: 0886-1544
    Keywords: microtubules ; γ-tubulin ; polarized epithelia ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: Microtubules oriented in the apicobasal axis of columnar epithelial cells arranged with a uniform polarity with minus ends toward the apical surface, suggesting that these cytoskeletal filaments might serve as a substrate for polarized movement of membrane vesicles within the cell. It is not known whether hepatocytes, a cuboidal epithelium in which transcellular transport is a requisite step in normal apical membrane biogenesis, contain microtubules arranged with a similar polarity. In the present study, we explore the question of microtubule polarity and possible mechanisms for nucleation in the epithelial cell lines WIF-B (hepatocyte), Caco-2 (intestine), and Madin-Darby canine kidney (MDCK). Caco-2 microtubules in the apicobasal axis had uniform polarity with minus ends nearest the apical surface. After cold and nocodazole-induced depolymerization, microtubule regrowth initiated in the apical region in all three cell types. The apex of WIF-B and Caco-2 cells contained two pools of γ-tubulin: one associated with centrosomes and the other delocalized under the apical membrane. Non-centrosomal γ-tubulin was present in complexes that sedimented between 10S and 29S; both forms could bind microtubules. The presence of both centrosomal and noncentrosomal γ-tubulin in apical cytoplasm suggests multiple mechanisms by which microtubule nucleation might occur in epithelial cells. © 1995 Wiley-Liss, Inc.
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    Cell Motility and the Cytoskeleton 32 (1995), S. 318-331 
    ISSN: 0886-1544
    Keywords: cytoskeleton ; cyclic AMP ; vinculin ; E-cadherin ; ZO-1 ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Medicine
    Notes: In epithelial cells interactions between the actin cytoskeleton and cell-cell junctions regulate paracellular permeability and partcipate in morphogenesis. We have studied the relationship between supracellular morphology and actin-junction interactions using primary cultures of porcine thyroid cells grown either as three-dimensional follicles or as open monolayers. Regardless of morphology, thyroid cells assembled occluding and adhesive junctions containing ZO-1 and E-cadherin, respectively, and showed F-actin staining in apical microvilli and a perijunctional ring. In monolayers, actin stress fibers were also observed in the apical and basal poles of cells, where they terminated in the vinculin-rich zonula adherens and in cell-substrate focal adhesions, respectively. Surprisingly, we were unable to detect vinculin localization in follicular cells, which also did not form stress fibers. Immunoblotting confirmed significantly greater vinculin in triton-insoluble fractions from monolayer cells compared with follicular cells. Incubation of monolayers with 8 chloro(phenylthio)-cyclic AMP decreased the level of immunodetectable vinculin in the zonula adherens, indicating that junctional incorporation of vinculin was regulated by cyclic AMP. In monolayer cultures, cytochalasin D (1 μM) caused actin filaments to aggregate associated with retraction of cells from one another and the disruption of cell junctions. Despite morphologically similar perturbations of actin organization in follicular cultures treated with cytochalasin D, junctional staining of ZO-1 and E-cadherin was preserved and cells remained adherent to one another. We conclude that in cultured thyroid cells structural and functional associations between actin filaments and cellular junctions differ depending upon the supracellular morphology in which cells are grown. One important underlying mechanism appears to be regulation of vinculin incorporation into adhesive junctions by cyclic AMP. © 1995 Wiley-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 96-101 
    ISSN: 0897-3806
    Keywords: ankle pump ; physical thrombosis prophylaxis ; lower limb veins ; venous hemodynamics ; arthrogenic congestive syndrome ; chronic venous insufficiency ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Among the joint and muscle pumps that are hemodynamically active and, in particular, bring about venous return in the lower limb, the so-called ankle pump is of paramount importance. The basic anatomical relationship of the talocrural joint to the venous network around the ankle is reviewed.Duplex sonographic measurement of the rate of blood flow in the great saphenous vein at the saphenous opening, at rest and during active and passive movements at the ankle joint, shows that such movements have an important effect on the rate of flow through the adjacent veins.Passive movement of the foot relative to the leg was brought about by a newly developed apparatus that can be either pneumatically or electrically operated. The action of the ankle pump against venous stasis, the arthrogenic congestive syndrome, and chronic venous insufficiency has demonstrated the prophylactic importance of this physiological mechanism. It can, when necessary, be replaced by an appropriately designed apparatus. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 124-127 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: It is a falsehood to assert that there is no royal road in anatomy. Dissection is the royal road and follows a pass through difficult mountains to pleasure and peace of mind. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 116-123 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Intractable decubitus ulcers and femoropelvic osteomyelitis are rare sequelae of paraplegia. Therapy for these conditions ranges from the simple to the complex, including; wound debridement and care, alimentary and urinary tract diversion, hip disarticulation, and myofasciocutaneous rotational flaps. Should the condition be recalcitrant to these modalities the only curative therapy is hemicorporectomy. A 28-year-old rendered paraplegic 3 years ago presented manifesting sepsis; marasmus; hip and knee flexion contractures; suppurative sacral and femoropelvic decubitus ulcers, exposed bone, and osteomyelitis; and fecal and urinary incontinence. Pre-operative nutritional supplementation, wound debridement and care, and psychological counselling were provided. Hemicorporectomy was performed, including colostomy, ureteroileal conduit, gastrostomy, and translumbar amputation. Several anatomical, physiological, and operativetechnical perspectives are emphasized: a two-staged approach may be preferable - at the first setting an intra-peritoneal exploratory celiotomy with alimentary and urinary tract diversion; and at the second setting an extra-peritoneal hemicorporectomy; preservation of abdominal wall musculature and fasciae to facilitate wound closure; sequential and bilateral ligation of the arteriae et venae iliaca communis; translumbar amputation between the fourth and fifth lumbar vertebrae; extirpation of the fourth lumbar processus spinosus vertebrarum; closure of the dura mater and translation of musculi sacrospinalis into the vertebral canal; avoidance of hypervolemia and hyperthermia; avoidance of wound pressure; testosterone replacement therapy for eunuchism; and physical and occupational rehabilitation including adaptation to a customized bucket prosthesis. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 164-165 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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    Clinical Anatomy 8 (1995), S. 166-167 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995), S. 190-201 
    ISSN: 0897-3806
    Keywords: microcirculation of pancreas ; insulo-acinar portal system ; corrosion casting ; insulo-insular portal route ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The morphology of the microcirculation of the pancreas in 20 monkeys (Macaca mulatta) was studied by scanning electron microscopy (SEM) of vascular corrosion casts and light microscopy (LM) of China ink-injected/cleared tissues. The principal results were that (1) insulo-acinar portal vessels were found between the endocrine and exocrine parts in the pancreas. The blood flows from the endocrine to the exocrine part. (2) Depending on the different microvascular arrangement, there were two patterns of microcirculation in the islet: in 66% of islets the direction of microcirculation was from cortex to core, and in 44% from core to cortex. (3) Islets could be categorized in three classes on the basis of size: the small islets (40-100 μU in diameter), the intermediate islets (101-240 μU in diameter), and the large islets (241-340 μm in diameter). (4) Insulo-insular portal routes were observed in the pancreas of the monkey. Some intermediate or large islets were connected to an adjacent small islet by one or two, occasionally more, efferent vessels. These small islets received no arterial branch and were entirely supplied by the portal vessels-the efferent vessels of intermediate or large islets. The authors suggest this new pattern to be termed the insulo-insular portal system. (5) A single centrally located intralobular artery as the exclusive vessel supplied each pancreatic lobule of the monkey, there being no anastomosis between the intralobular arteries and any of their branches. This anatomic feature might be the morphological basis of the pancreatic microcirculatory disturbance and microvascular impairment occurring during acute pancreatitis. The functional and clinical significance of pancreatic microcirculation are discussed in the paper. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 214-218 
    ISSN: 0897-3806
    Keywords: splenie artery ; tortuosity ; celiac angiography ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Arantius (1571) was the first to describe tortuosity of the splenic artery. The present study investigated the variations in its tortuosity in man, and possible relationships with age, sex, and presence of atheroma.Twenty-nine cadaveric specimens and forty-four celiac angiograms were studied. The straight distance from the origin of the splenic artery, from the celiac trunk, to the point of commencement of the hilar branches was measured, as was the total length of the artery between these two points. The ratio of these two measurements is called the “index of tortuosity.” The cadaveric arteries were then opened and graded for the presence of atheroma on a scale of 0 to 3.Marked variation in the index was found in both the cadavers and the angiograms. No definite relationship was found with sex. However, there was a suggestion of increasing tortuosity with age, although in one 10-year-old girl, marked tortuosity was demonstrated on angiography. No significant correlation was shown between increased tortuosity and the extent of atheroma.At present, there is apparently no satisfactory explanation for tortuosity of the splenic artery. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 231-234 
    ISSN: 0897-3806
    Keywords: injection demonstration ; inferior alveolar nerve block ; collaborative teaching ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A teaching method was developed to improve the ability of dental students to understand and perform their first inferior alveolar nerve block. Lectures, demonstrations, and laboratory sessions were utilized to provide correlation of anatomical and clinical information. The use of cadavers for injection demonstration and practice was an integral part of this teaching approach. Cadavers were dissected so that the oral cavity remained intact. Laterally the skin and masseter muscle were reflected, and the superior portion of the ramus of the mandible was removed. This procedure permitted exposure of the medial pterygoid muscle and the inferior alveolar and lingual nerves and, therefore, permitted observation of a syringe needle during the practice of inferior alveolar nerve blocks. In addition, the supraorbital, infraorbital, and mental nerves were exposed. This combined anatomical-clinical experience provided reinforcement of the relevance of anatomy in clinical practice, provided instruction and practice sessions before the first patient injection, and aided in relieving some of the anxiety often associated with the initial injection. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 238-238 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995), S. 235-236 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995) 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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  • 138
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    Clinical Anatomy 8 (1995), S. 102-109 
    ISSN: 0897-3806
    Keywords: collagen fibers ; elastic-elastic-related fibers ; omentun minus ; mesoscopy ; first duodenal sphincter ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The morpho-functional relationships between the hepato-duodenal ligament and the superior part of the duodenum are analysed. Twenty-four specimens were removed during necropsies of adults and prepared according to various mesoscopic, microscopic, and ultramicroscopical methods, i. e., whole-mounts, membrane preparations, thick and thin histological sections, and polarized light, scanning, and transmission electron microscopy were employed.The hepato-duodenal ligament is formed by longitudinally elongated, type I collagen fiber bundles which are interlinked by more delicate bundles of type III collagen fibers. Longitudinally disposed elastic fibers are the principal component of the elastic fiber system of the ligament. These are in continuity with the elaunin and oxytalan fibers which are intermingled with the muscle cells of the vessels and duodenal wall, and fat cells of the ligament.Part of the muscle bundles of the external, longitudinal, muscle layer of the Cluodenum is anchored in the adventitial and subserosal collagen and elastic fiber framework of the organ while part inserts directly into the fibrous framework of the ligament. The fibrous system of the ligament is continuous with that of the subserosa and adventitia of the duodenum. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 128-130 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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  • 140
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    Clinical Anatomy 8 (1995), S. 134-138 
    ISSN: 0897-3806
    Keywords: Vesalius ; Fabrica ; translation ; teeth ; history of medicine ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: An annotated translation into English of Chapter 11, Book One, “On the Teeth, Which Are Also Counted as Bones,” from Andreas Vesalius' De humani corporis fabrica. The translation incorporates the text of both the 1543 and 1555 editions, and verified citations of ancient sources. In this chapter, Vesalius corrects errors of Galen and demonstrates and describes for the first time the anatomy and function of the dental pulp cavity. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 148-153 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995) 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995), S. 208-213 
    ISSN: 0897-3806
    Keywords: ligament ; joint capsule ; vein ; temporomandibular joint ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: In the human temporomandibular joints of 14 Japanese cadavers, we observed a new retinacular ligament that connected to the retrodiskal pad posterolaterally and was accompanied by a vein draining the retrodiskal pad. This retinacular ligament originated from lateral to posterolateral part of the joint. The origin included the articular tubercle of the zygomatic process of the temporal bone. The ligament descended along the mandibular ramus to insert into the fascia of the masseter muscle at the mandibular angle. The vein originated from the venous plexus in the retrodiskal pad and ran parallel to the retinacular ligament, giving off branches to the retromandibular, transverse facial, and superfacial temporal veins. There were no remarkable differences in the size of the retinacular ligaments among individuals as well as between the left and right sides. The retinacular ligament had firm fibrous connections with the posterolateral part of the retrodiskal pad, where the external fibrous membrane of the articular capsule was lacking. These findings suggest that the retinacular ligament and its accompanying vein function together to maintain blood circulation during jaw movement and may also be related to the development of occlusal disorders. © 1995 WiIey-Liss, Inc.
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  • 144
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    Clinical Anatomy 8 (1995), S. 227-230 
    ISSN: 0897-3806
    Keywords: tumor ; etiological factors ; presacral embryology ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A case report involving a 42-year-old female is presented. The symptoms and objective physical findings manifest a diagnostic problem. The anatomical site of the tumor depends on the consideration of the numerous possible etiological factors, and one of which is the embryologic knowledge of the region involved. The clinical, pathological, and embryologic features of a case of presacral tumor is presented. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 222-226 
    ISSN: 0897-3806
    Keywords: arterial embolism ; developmental anomalies ; thoracic outlet syndrome ; thrombolysis ; urokinase ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Thoracic outlet syndrome (TOS) represents a constellation of symptoms arising from the compression of the neurovascular bundle as it exits the thorax. We report a unique case of multiple rare anatomical anomalies resulting in TOS manifested by distal arterial embolism. These anomalies include the combination of: (1) a unilateral right cervical rib, Gruber's type II (Gruber 1869), (2) nonunion of the first thoracic rib, (3) abnormal fibrous insertions of the anterior scalene muscle onto the epineurium of the brachial plexus and adventitia of the subclavian artery, (4) anterior position of the brachial plexus in relation to the third portion of the subclavian artery, and (5) the bifurcation of a single root of the phrenic nerve at the level of the anterior scalene muscle. This series of findings suggest an underlying developmental abnormality with a delayed onset of symptomatology consisting of the thoracic outlet syndrome. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 237-237 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995), S. 243-244 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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    Clinical Anatomy 8 (1995), S. 256-261 
    ISSN: 0897-3806
    Keywords: anatomical features of left main bronchus ; absence of pulmonary artery flow ; flow ; retrograde filling of pulmonary artery ; broncho-pulmonary shunt ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: This explanation of the previously described left bronchus syndrome (Ashour et al., 1990, Thorax, 45:210-212) is based on a prospective study of 17 additional cases with unilateral lung destruction. It is likely that the anatomic peculiarities of the left main bronchus predispose the left lung to more frequent bronchial obstruction and hemodynamic changes than the right. Broncho-pulmonary shunt formation and retrograde filling of the pulmonary artery most likely lead to increased oxygen tension and impaired lymph flow in the entire lung, thus spreading tuberculosis in the lung and ultimately leading to left lung destruction. © 1995 WiIey-Liss, Inc.
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  • 149
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    Clinical Anatomy 8 (1995), S. 219-221 
    ISSN: 0897-3806
    Keywords: splenic artery ; tortuosity ; primates ; pig ; greyhound ; human ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The splenic artery of four mammals-pig, greyhound, rhesus macaque, and olive baboon-was studied to determine its tortuosity and pattern of convolutions. The results were compared to those previously gathered in humans. It was found that the isolated cadaveric arteries showed a noticeable species variation in mean index of tortuosity. In the pig and dog, the artery was nearly straight throughout its length, with a very low index of tortuosity, not significantly different in the two species (P 〉0.1). The artery was significantly more tortuous in the rhesus macaque and baboon than in both pig and dog, (Ps 〈 0.001), with a single large convolution present in the proximal one-third. In humans, the artery is commonly tortuous throughout its length and is significantly more tortuous than in the pig and dog (P 〈 0.001), but not significantly more tortuous than in the baboon (P 〉 0.1) and only just significantly more so than in the rhesus macaque (0.02 〈 P 〉 0.05). The speculation that the tortuosity of the artery may be related to habitual posture, being less in the pronograde pig and dog than in the partly orthograde rhesus macaque and baboon, is not supported by results in the wholly orthograde human. © 1995 WiIey-Liss, Inc.
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  • 150
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    Clinical Anatomy 8 (1995), S. 241-242 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 151
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    Clinical Anatomy 8 (1995), S. 252-255 
    ISSN: 0897-3806
    Keywords: spleen volume ; spleen ultrasound ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Thirty-two morphologically normal spleens from adult corpses were excised and immersed into a graduated water tank and the water volume displaced was considered as the actual spleen volume. after that, the splenic maximal height, width, and breadth were determined by a pachimeter. all the reference points were marked with a metal clip. utilizing the metal clip references ultrasound maximal height, width, and breadth were determined. it was assumed that the ultrasound spleen volume was the result of the multiplication of the three ultrasonographic measurements previously obtained.There was no significant difference between pachimeter and ultrasound determinations. The mean actual spleen volume was 147.5 cm3 (SD = 81.46). The mean ultrasound spleen volume was 283.8 cm3 (SD = 168.27). A roughly linear correlation between actual spleen volume (y) and ultrasound spleen volume (x) was found, y = 14.23 + 0.469 × (R2 = 0.94, P 〈 0.01). © 1995 WiIey-Liss, Inc.
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  • 152
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    Clinical Anatomy 8 (1995), S. 262-272 
    ISSN: 0897-3806
    Keywords: sympathetic innervation ; pupil ; oculosympathetic paresis ; anatomy ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Most of the details regarding the course of the sympathetic fibers to human ocular structures are based on anatomical and physiological studies in lower animals. While studying a clinical problem involving pericarotid sympathetic fibers, it became obvious that these animal observations cannot adequately explain the findings in human diseases affecting these pathways. An attempt was made, therefore, to clarify this situation.We were able to gather enough information from human clinical and experimental studies, from our own clinical observations, and from our cadaver dissections to conclude that these pathways are somewhat different from those which are usually described in the literature. Based on this information, we conclude that (1) the oculosympathetic fibers in man do not course through the tympanic plexus and/or trigeminal ganglion, and (2) the sweat glands of the face receive their innervation from both internal and external carotid sympathetic plexuses. We also have suggestive, but inconclusive, evidence regarding the final mode of distribution of these fibers to the dilator of the pupil and the smooth muscle portion (deep layer) of the levator palpebrae superioris muscle (superior tarsal muscle). © 1995 WiIey-Liss, Inc.
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  • 153
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    Clinical Anatomy 8 (1995), S. 281-287 
    ISSN: 0897-3806
    Keywords: thumb ; finger ; lumbrical ; interphalangeal ; variations ; nomenclature ; computer ; modelling ; robotics ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Digits of the hand vary from each other with respect to bone and joint architecture, muscles, tendons, and degree of functional independence. The hand may be conceived as having a central rigid framework moved at the wrist by flexors, extensors, abductors, and adductors. But on each side of this central structure lies a mobile (hinged) segment necessary for pinch and to increase the strength of grasp. At the distal end of this triplex framework lie multijointed appendages essential for any type of pinch or grasp more sophisticated than that of a lobster claw. The thumb has a highly mobile carpometacarpal joint but lacks a middle phalanx. Therefore, it has no proximal interphalangeal (PIP) joint and consequently no mechanical need for a lumbrical. Since the thumb has excellent coordination without a lumbrical, the lumbrical's function as a sense organ cannot be simply to coordinate finger movement. Mechanically the lumbrical is a deflexor of the PIP joint. Because lumbricals are richly endowed with muscle spindles, their passive stretch by contraction of the flexor digitorum profundus might both inhibit finger extensors and facilitate wrist extensors. Since each digit is unique, accurate mathematical and computer modelling of the hand must take into consideration this uniqueness. © 1995 WiIey-Liss, Inc.
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  • 154
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    Clinical Anatomy 8 (1995), S. 308-309 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 155
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    Clinical Anatomy 8 (1995) 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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  • 156
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    Clinical Anatomy 8 (1995), S. 334-338 
    ISSN: 0897-3806
    Keywords: Skin ; dermis ; hypertrophic scar ; collagen ; ultrastructure ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The diameter-distribution of collagen fibrils in the dermis of human skin and scar tissue has been investigated. In samples of normal skin, normal scar, and hypertrophic scar, prepared for transmission electron microscopy, collagen fibrils were systematically random-sampled and their diameters measured. There was a statistically significant difference between the diameter-distribution of fibrils in the papillary and reticular layers of dermis in normal skin. A similar pattern was found in normal scar, but not in hypertrophic scar. © 1995 WiIey-Liss, Inc.
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  • 157
    ISSN: 0897-3806
    Keywords: lumbosacral region ; dorsal root ganglion ; nerve compression ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Sixty-five lumbosacral regions from adult cadavers were dissected and the position and relations of the lumbosacral ligament noted. The lumbosacral ligament was present in all specimens; in 22 (34%) it extended medially across the ventral ramus of the fifth lumbar nerve, and in six (9%) of these the underlying nerve was compressed and visibly flattened. On two of these specimens the nerve, together with its dorsal root ganglion, was removed, processed, and stained with Masson's trichrome. The compressed nerve showed increased thickness of endoneurial and perineurial connective tissue, and the cells of the dorsal root ganglion were smaller and surrounded by increased connective tissue, particularly at the periphery of the ganglion. Observation of the lumbosacral ligament and surrounding anatomical structures suggests that anatomical variation in this region may be attributed to the health of the lumbosacral articular elements. In those specimens showing compression of the fifth lumbar spinal nerve there was also narrowing of the lumbosacral interspace. In these the disc itself was compressed and showed degenerative changes. The articular processes at the lumbosacral joint were irregular, with thinning and fissuring of the articular cartilage. It is suggested that the processes which lead to the further development of the ligament, by the formation of additional fibrous bands, are mechanical in nature and result from instability at the lumbosacral region itself. Instability subsequently leads to the initiation of a chain of degenerative changes, involving pathology at the lumbosacral disc and zygapophyseal joints. Compression of the dorsal root ganglion occurs either within a narrowed inter vertebral foramen, or in the case described here just external to the foramen, while compression of the nerve occurs in the accessory ligamentous bands formed to resist the instability. A mechanism by means of which compression of the ganglion may give rise to pain is suggested. © 1995 WiIey-Liss, Inc.
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  • 158
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    Clinical Anatomy 8 (1995), S. 366-366 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 159
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    Clinical Anatomy 8 (1995), S. 377-377 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 160
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    Clinical Anatomy 8 (1995), S. 388-390 
    ISSN: 0897-3806
    Keywords: sex differences ; joint cartilages ; auricular surfaces ; sacroiliac articulation ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Differences in articular cartilage thickness in the sacroiliac joint were investigated in different regions of the sacral and the iliac articular surfaces in the embalmed cadavers of five males and six females. The mean thickness of the sacral articular cartilage was greater than that of the iliac articular cartilage (P 〈 0.001) and the sacral articular cartilage of the female was thicker than that of the male (P 〈 0.02). Differences between thicknesses of the iliac articular cartilage in the male and female and in different regions of the sacral and iliac articular cartilages were found to be not significant. © 1995 WiIey-Liss, Inc.
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  • 161
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    Clinical Anatomy 8 (1995), S. 399-402 
    ISSN: 0897-3806
    Keywords: Linton's line ; perforating veins ; Coclrett ; saphenous systems ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A macroscopic anatomical investigation was carried out on 67 embalmed dissecting-room legs in order to determine the position, course, and origin of so-called Cockett's perforating veins. This information was considered to be of particular importance because of the frequency with which varicoses in this region are treated with sclerosing agents and the serious adverse effects that can follow a misplaced injection. In view of the almost universal credence given to the accuracy of Cockett's original description (Cockett FP, 1955, Br. J. Surg. 43:260-278 ), and the general acceptance of the constancy of “Cockett's veins,” it was felt to be of importance to see to what extent we could confirm this description. It was found that the origins of these vessels and the places at which they penetrate the deep fascia are not constant, and that - in our series - only 7.3% of the veins belonging to these groups occupy the positions that are repeatedly cited in the literature as the most common. The clinical importance of any discrepancy between expectation and reality can hardly be exaggerated. © 1995 WiIey-Liss, Inc. © 1995 WiIey-Liss, Inc.
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  • 162
    ISSN: 0897-3806
    Keywords: human gross anatomy ; cadaver ; anatomical variability ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: One way to increase medical students' awareness of anatomical variability is the dissection of different cadavers throughout laboratory coursework. This report covers such a procedure successfully instituted in a human gross anatomy course. © 1995 WiIey-Liss, Inc.
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  • 163
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    Clinical Anatomy 8 (1995), S. 29-32 
    ISSN: 0897-3806
    Keywords: ultrasonography ; choroid plexus ; fetu ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Echogenicity of the normal fetal telencephalic choroid plexus was characterized anatomically in 102 consecutive antenatal abdominal ultrasonographic examinations. Echogenicity of the plexus was observed only during the second trimester, first appearing at week 13 and disappearing after week 23. We suggest that this echogenicity may be due to different stages of glycogen chemistry in the plexus. The knowledge that telencephalic echogenicity is confined to the second trimester should help detect diseases that cause focal areas of echogenicity in fetal life. © 1995 WiIey-Liss, Inc.
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  • 164
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    Clinical Anatomy 8 (1995), S. 1-16 
    ISSN: 0897-3806
    Keywords: anatomy ; brachial plexopathy ; nerve model ; neuropathy ; MRI ; patholog ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Magnetic resonance images (MRI) of brachial plexus anatomy bilaterally, not possible by plain radiographs or CT, were presented to the Vascular Surgery, Neurology, and the Neurosurgery departments. Patients were requested for MRI of their brachial plexus. They were referred for imaging and the imaging results were presented to the faculty and housestaff. Our technique was accepted and adopted to begin referrals for MRI evaluation of brachial plexopathy. Over 175 patients have been studied. Eighty-five patients were imaged with the 1.5 Tesla magnet (Signa; General Electric Medical Systems, Milwaukee, WI) 3-D reconstruction MRI. Coronal, transverse (axial), oblique transverse, and sagittal plane T1-weighted and selected T2-weighted pulse sequences were obtained at 4-5 mm slice thickness, 40-45 full field of view, and a 512 × 256 size matrix. Saline water bags were used to enhance the signal between the neck and the thorax. Sites of brachial plexus compromise were demonstrated. Our technique with 3-D reconstruction increased the definition of brachial plexus pathology. The increased anatomical definition enabled the vascular surgeons and neurosurgeons to improve patient care. Brachial plexus in vivo anatomy as displayed by MRI, magnetic resonance angiography (MRA), and 3-D reconstruction offered an opportunity to augment the teaching of clinical anatomy to medical students and health professionals. Selected case presentations (body builder, anomalous muscle, fractured clavicle, thyroid goiter, silicone breast implant rupture, and cervical rib) demonstrated compromise of the brachial plexus displayed by MRI. The MRI and 3-D reconstruction techniques, demonstrating the bilateral landmark anatomy, increased the definition of the clinical anatomy and resulted in greater knowledge of patient care management. © 1995 WiIey-Liss, Inc.
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  • 165
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    Clinical Anatomy 8 (1995), S. 33-35 
    ISSN: 0897-3806
    Keywords: thyroid gland ; isthmus ; pyramidal lobe ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Four developmental anomalies of the thyroid gland are to be noted: a pyramidal lobe, failure of the lobes of thyroid tissue to develop, failure of the isthmus to fuse, and absence of a significant part of the lateral lobes. We encountered failure of the isthmus to fuse in the midline of the thyroid gland in a 48-year-old female cadaver. © 1995 WiIey-Liss, Inc.
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  • 166
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    Clinical Anatomy 8 (1995), S. 51-55 
    ISSN: 0897-3806
    Keywords: measurements ; renal veins ; resin casts ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Modern surgical and radiological techniques dictate a reappraisal and definition of the renal venous anatomy. The purpose of this study was to investigate the incidence and morphometry of additional renal veins. One hundred fifty-three morphologically normal en bloc renal specimens were randomly selected from post-mortem examinations. Single additional renal veins were common on the right side (26%), while it was rare on the left side (2.6%). Second additional renal veins occurred infrequently on the right side (5%). Since additional renal veins may be encountered more than occasionally, it is worthwhile emphasizing their presence particularly to the transplant surgeon and the angiologist. © 1995 WiIey-Liss, Inc.
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  • 167
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    Clinical Anatomy 8 (1995), S. 66-68 
    ISSN: 0897-3806
    Keywords: fat ; fascia ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A case report involving a 76-year-old male is presented. The signs and symptoms represent a difficult diagnostic problem. The physical signs are dependent on a knowledge of the distribution of fat and fascia in the region involved. The importance of this distribution, both physiologic and pathologic, is the subject of a brief commentary. © 1995 WiIey-Liss, Inc.
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  • 168
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    Clinical Anatomy 8 (1995), S. 82-83 
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 169
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    Clinical Anatomy 8 (1995), S. 69-79 
    ISSN: 0897-3806
    Keywords: medical education ; dissection ; thanatology ; death ; memorial ceremony ; physician assistant ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: We suggest four ways in which human gross anatomy instructors can reinforce respect and compassion in students. First, encourage respectful language in the laboratory. The term “donor” should be used instead of “cadaver” or “corpse” in referring to the donated body because this promotes appreciation for the students' first “patient.” Second, provide the students with the actual name, age, history, and likely cause of death of the donor so that they more fully appreciate the donor as having once been a living human being. Third, prompt students to explore feelings and discuss topics stimulated by the intense experience of human dissection. Suggested topics include the students' feelings about dissecting a human being, the difficulty in deciding to donate one's body, the central importance of anatomy to a medical practitioner's role, and the historical development of the study of anatomy. Fourth, hold a memorial ceremony, in which both students and faculty participate, as a positive closure to an emotionally and intellectually intense course. Additionally, a ceremony reinforces salutary values in students, enhances social bonding among students, and encourages their appreciation of various cultural and religious beliefs. These methods introduce a new dimension of experience for anatomy students. We have developed these methods in response to what we view as a negative trend in the medical profession in which health care becomes technical and patients become objects. It is our role as faculty to reinforce respectful and compassionate attitudes in medical students from the very beginning. © 1995 WiIey-Liss, Inc.
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  • 170
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    Keywords: Life and Medical Sciences ; Miscellaneous Medical
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  • 171
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    Clinical Anatomy 8 (1995), S. 273-280 
    ISSN: 0897-3806
    Keywords: cricoid cartilage ; endotracheal intubation ; stenotic lesion ; subglottic region ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The subglottic regions of 54 human adult male and female larynges were studied with regard to anatomical aspects of postintubational stenosis. Fourteen specimens were impregnated with curable polymers and cut into 600-800 μm sections along different planes. Forty formalin-fixed hemilarynges were dissected. Measurements of the upper cricoid lamina and the thickness of the endocricoid soft tissues were taken for statistical analysis. Immediately beneath the glottis, the upper part of the cricoid lamina consists of two lateral plates with an average angle of 110°. Distally, the cricoid adopts a more and more rounded lumen. At the level of the cricothyroid joint, the definite airway lumen is always laterally narrowed by a prominent thickening of the endocricoid soft tissue. Large amounts of loose connective tissue facilitate the development of edema in case of injury in this region. Dorsally, the submucous stratum is smaller and consists mainly of dense connective tissue. The blood vessels are fixed to the cricoid perichondrium by collagenous fibers. Any pressure applied from the airway lumen will force the vessels against the nonresilient cartilage, resulting in occlusion and ischemia. These pathophysiologic mechanisms are important for the development of early laryngeal damage during endotracheal intubation, possibly resulting in posterior stenosis due to scarring later on. © 1995 WiIey-Liss, Inc.
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  • 172
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    Clinical Anatomy 8 (1995), S. 305-305 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 173
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    Clinical Anatomy 8 (1995), S. 297-302 
    ISSN: 0897-3806
    Keywords: formaldehyde ; adverse effects ; ventilation ; occupational hazard ; dissection ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A dissection table ventilation system that draws air across the cadaver and away from the table top was designed to fit the Shandon-Lipshaw AN-52 dissection table. Each U-shaped unit consists of a pair of hollow collection arms that attach to a collecting manifold at one end. During dissection the manifold is coupled to a central ventilation system through a flexible duct. The air from the table ventilation system is exhausted after passing through a heat recovery system. The unit is raised from the table surface during dissection of the body cavities to increase the efficiency of fume/odor removal. Eight hour exposure data for formaldehyde concentrations are presented. Data were collected from detectors positioned at selected levels above the cadaver during dissection, and above a tray on the table top containing a known volume of 4% formaldehyde or the West Virginia School of Osteopathic Medicine embalming fluid under varying airflow conditions. The results demonstrate that the table ventilation system is effective in reducing exposure to formaldehyde in the dissection laboratory. © 1995 WiIey-Liss, Inc.
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  • 174
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    Clinical Anatomy 8 (1995), S. 323-326 
    ISSN: 0897-3806
    Keywords: knee ; meniscal tear ; anterior cruciate ligament ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The menisco-femoral ligaments were studied in 60 knees from 30 dissecting room cadavers. The anterior horns of the menisci were attached to the intercondylar area of the femur by discrete antero-medial or antero-lateral menisco-femoral ligaments, separate from the anterior cruciate ligament, in 15% of knees for each meniscus, more frequently than previously appreciated; these anterior horn ligaments may exacerbate a meniscal tear. The posterior horn of the lateral meniscus was connected with the intercondylar area of the femur in 100% of knees. In 93% of knees a ligament ran behind the posterior cruciate ligament while in 33% of knees a ligament ran in front of the posterior eruciate ligament. We propose renaming these the pre-cruciate postero-lateral menisco-femoral ligament and post-cruciate postero-lateral menisco-femoral ligament, respectively, to avoid confusion with the ligaments of the anterior horns.The menisco-femoral ligaments may function in controlling movement of the menisci, especially during rotation of the knee. The posterior horn of the medial meniscus has no direct femoral attachment and this may be a factor in the increased risk of injury to this meniscus. © 1995 WiIey-Liss, Inc.
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  • 175
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    Clinical Anatomy 8 (1995), S. 347-351 
    ISSN: 0897-3806
    Keywords: spinal cord ; vascular resistance ; postoperative paraplegia ; anatomy ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: We studied the anterior spinal artery (ASA) in 25 cadaveric human spinal cords to determine the cross-sectional area of the ASA cephalad and caudal to the entry of the arteria medullaris magna anterior (AMMA). Spinal cords were removed en bloc and latex was injected into the AMMA. The preparations were then fixed in formalin, embedded in paraffin, sectioned, mounted, and stained with hematoxylin and eosin. The diameter and cross-sectional area of the ASA 1 cm above and 1 cm below the entry of the AMMA were measured. The mean radius of the ASA above the entry of AMMA was 0.14 ± 0.03 mm compared to 0.28 ± 0.05 mm below the entry of the AMMA (P 〈 0.001). According to Poiseuille's equation, the resistance to blood flow in the ASA cephalad to the AMMA would be 14.8 times greater than the resistance to blood flow caudal to the ANIMA. This resistance could affect the distribution of blood flow in the distal spinal cord whenever flow in the AMMA or distal ASA is altered. © 1995 WiIey-Liss, Inc.
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  • 176
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    Clinical Anatomy 8 (1995), S. 363-365 
    ISSN: 0897-3806
    Keywords: dissection ; brain ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The brain was removed from cadavers using a modified technique involving additionally the removal of most of the squamous occipital bone and laminae of the upper cervical vertebrae. The resulting specimens were superior to the usual ones in that the medulla oblongata, the upper spinal cord, and all the cranial nerves and cerebral arteries were intact. Fears of slow-virus contamination and legislative changes are precluding the use of brains obtained in the necropsy room for neuroanatomy teaching, so it is paramount that complete brains are removed from dissecting room cadavers. The method described herein takes a little longer than the traditional method, but is within the capability of an anatomy technician and yields better specimens for use in teaching and examinations. © 1995 WiIey-Liss, Inc.
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  • 177
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 178
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    Clinical Anatomy 8 (1995), S. 379-387 
    ISSN: 0897-3806
    Keywords: gross anatomy ; human ; inferior laryngeal artery ; inferior laryngeal nerve ; internal laryngeal nerve ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The morphological patterns of the inferior laryngeal nerve and internal laryngeal nerve display complex arborizations. This paper attempts to identify and clarify these patterns.Dissections were performed on 105 adult Japanese cadavers, and observations were made on 201 sides. Results showed that the communications between the inferior laryngeal nerve (ILN) and internal laryngeal nerve (ITLN) could be classified into two types and three subtypes. Also, the ITLN displayed three characteristic patterns at the arytenoid cartilage. These communications produce complex arborizations of the ILN as it enters the larynx. This may explain the variety of potential clinical symptoms observed after thyroid surgery or neck dissections. © 1995 WiIey-Liss, Inc.
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  • 179
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    Keywords: gross anatomical technique ; laparoscopie herniorrhaphy ; clinical relevance ; surgical anatomic perspective ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The usual dissection by medical students of the anterior abdominal wall and the inguinal region proceeds from superficial to deep; special emphasis is placed on the sheath of the rectus abdominis muscle and lateral muscular layers. We suggest an alternate approach to dissection of this region that has the following advantages: (1) sparing of delicate deep structures not often fully appreciated by students; (2) provision of an opportunity to visualize the region from a laparoscopic surgeon's vantage point; (3) considerably reduced time spent dissecting and identifying structures and relationships, especially peritoneal reflections important in laparoscopic procedures. Our dissection begins with bilateral subcostal incisions through the entire thickness of the anterior abdominal wall and peritoneum, which extend laterally and inferiorly to the level of the anterior superior iliac spines, thereby forming a large, inverted, U-shaped flap. This flap is reflected inferiorly, allowing abdominal viscera to be dissected, and ultimately removed en bloc. The flap is then drawn cranially and stretched somewhat to approximate its position when the abdomen is inflated with C02 during laparoscopic procedures. Major land-marks, including the deep inguinal ring, are noted and the flap is again reflected inferiorly for dissection beginning with the peritoneum and transversalis fascia. This method of dissecting the anterior abdominal wall and inguinal region results in more facile and timely identification of both superficial and deep structures of the anterior abdominal wall and inguinal region, and superficial and deep structures of the anterior abdominal wall and inguinal region, and provides a clinically relevant demonstration of anatomy from a laparoscopic perspective. © 1995 WiIey-Liss, Inc.
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  • 180
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    Clinical Anatomy 8 (1995), S. 288-293 
    ISSN: 0897-3806
    Keywords: anomalous arteries ; middle colic ; accessory left colic ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The topography of the celiac trunk and superior and inferior mesenteric arteries was studied by dissection in 27 embalmed cadavers. Variant vascular patterns were noted in four subjects. These consisted of: (1) an accessory right hepatic artery from the superior mesenteric artery, (2) an anomalous middle colic artery from the proximal segment of the splenic artery, and (3) two instances of an accessory left colic artery originating from the superior mesenteric artery. The precarious course of the middle colic artery (coming from the splenic artery) and its dominance in the formation of the marginal artery were thought to predispose the ascending and transverse colon to an increased risk of vascular damage. These cases also illustrate two variant patterns of formation of the marginal artery. In the case of the anomalous middle colic artery, the only contribution of the superior mesenteric artery to the marginal artery was through the anastomosis of its ileocolic branch with the right branch of the aberrant middle colic artery. In subjects with accessory left colic arteries, the superior mesenteric artery played a dominant role in the formation of the marginal artery by contributing the accessory left colic artery, which supplied the splenic flexure and the proximal part of the descending colon. These arterial variations underscore the importance of doing vascular studies prior to major abdominal surgery. © 1995 WiIey-Liss, Inc.
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  • 181
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    Clinical Anatomy 8 (1995), S. 294-296 
    ISSN: 0897-3806
    Keywords: survey ; graduate student teaching ; anatomy ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A survey of U. S. departments of anatomy, physiology, and biochemistry shows that 39% of the respondent anatomy departments reported declines in the numbers of graduate students taking the human gross anatomy course. Similarly, 42% of the departments reported decreases in the numbers of graduate students teaching human gross anatomy. These decreases were greater in anatomy than in physiology and in biochemistry. The percentages of departments reporting increases in students taking or teaching their courses was 6% for human gross anatomy and 0% to 19% for physiology and biochemistry courses. To reverse this trend the establishment of specific programs for the training of gross anatomy teachers is advocated. These new teachers will be available as the need for them is increasingly recognized in the future. © 1995 WiIey-Liss, Inc.
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  • 182
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    Clinical Anatomy 8 (1995), S. 303-304 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 183
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    Clinical Anatomy 8 (1995), S. 310-311 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
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  • 184
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    Clinical Anatomy 8 (1995), S. 315-322 
    ISSN: 0897-3806
    Keywords: knee joint ; posterior cruciate ligament ; joint morphology ; joint function ; isometric reconstruction ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The posterior cruciate ligament (PCL) can be anatomically divided into three bundles: anterolateral, posteromedial, and posterior oblique. The changes in distance between the femoral and tibial attachment sites of these three bundles were measured in 10 human knee specimens with intact ligamental structures. The femoral to tibial distance (and thus the length) of the posterior oblique bundle remained nearly the same throughout flexion between 0° and 90°. The femoral to tibial distance of the anterolateral and the posteromedial bundles distinctly changed throughout the same range of motion.For a truly functional replacement of the PCL, correct isometric placement of the transplant is especially important. Based on the results of the present study, an isometric reconstruction of the PCL is achieved by positioning the graft within the original attachment site of the posterior oblique bundle. © 1995 WiIey-Liss, Inc.
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  • 185
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    Clinical Anatomy 8 (1995), S. 327-333 
    ISSN: 0897-3806
    Keywords: cartilage ; joint ; larynx ; nerve compression ; posterior cricoarytenoid muscle ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The posterior cricothyroid ligament and its topographic relation to the inferior laryngeal nerve were studied in 54 human adult male and female larynges. Fourteen specimens were impregnated with curable polymers and cut into 600-800 μm sections along different planes. Forty formalin-fixed hemi-larynges were dissected and various measurements were made. The posterior cricothyroid ligament provides a dorsal strengthening for the joint capsule of the cricothyroid joint. Its fibers spread in a fan-like manner from a small area of origin at the cricoid cartilage to a more extended area of attachment at the inferior thyroid cornu. The ligament consists of one (7.5%) to four (12.5%), in most cases of three (45.0%) or two (35.0%), individual parts oriented from mediocranial to latero-caudal. The inferior laryngeal nerve courses immediately dorsal to the ligament. In 60% it is covered by fibers of the posterior cricoarytenoid muscle, in the remaining 40% it is not. In this latter topographic situation there is almost no soft tissue interposed between the nerve and the hypopharynx. Therefore, the nerve may be exposed to pressure forces exerted from dorsally. It may be pushed against the unyielding posterior cricothyroid ligament and suffer functional or structural impairment. Probably, this mechanism may explain some of the laryngeal nerve lesions described in the literature after insertion of gastric tubes. © 1995 WiIey-Liss, Inc.
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  • 186
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    Clinical Anatomy 8 (1995), S. 359-362 
    ISSN: 0897-3806
    Keywords: stylohyoid ligament ; styloid process ; styloid syndrome ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A bilateral ossified stylohyoid ligament was observed in a cadaver specimen. On the left side, the stylohyoid chain was markedly enlarged. The stylohyoid ligament was completely ossified into two segments separated by a diarthrodial-like joint. An articulation was also observed between the enlarged styloid process and the ossified ligament. On the right side, the styloid process had a normal appearance. The middle part of the stylohyoid ligament was ossified and it was attached to the styloid process and to the hyoid bone by a fibrous band. Proposed theories to account for the ossification oaf this ligament are discussed. Since the presence of an enlarged and ossified stylohyoid chain can cause much discomfort and pain, a greater understanding of the causative factors responsible for this anomaly is needed to provide for more effective diagnosis and treatment. © 1995 WiIey-Liss, Inc.
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  • 187
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    Clinical Anatomy 8 (1995), S. 352-358 
    ISSN: 0897-3806
    Keywords: Frankfurt plane ; cephalometry ; morphometry ; dentistry ; man ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: In order to assess the relationship between the hard (porion-orbitale) and soft (tragusorbitale) tissue Frankfurt planes, the relative positions of porion, orbitale, and tragus were evaluated on cephalometric radiographs. A 5-mm radiopaque disk was fixed on the right tragus of 160 white orthodontic patients (65 males aged 7 to 28 years, and 95 females aged 7 to 36 years), and a pretreatment lateral cephalometric radiograph was taken. In every film the positions of orbitale, porion, and tragus were digitized, and the linear distances between the points, as well as the position of tragus relative to the skeletal structures, were calculated. The linear distances porion-orbitale and tragus orbitale progressively increased with age, with a low variability in all age classes. The linear distances were always larger in the males than in the females. The tragus was always lower and more anterior than the porion, with vertical distances ranging from 1.2 to 19.8 mm. When the porion-tragus distance was expressed as a percentage of the porion-orbitale distance, the variability decreased. In the age classes, mean percentage horizontal projections from porion ranged from 18 to 23% of the porion-orbitale distance, mean percentage vertical projections ranged from 8 to 15%. Unfortunately, sample variability was large, and, in a single patient, the position of tragus relative to the skeletal structures could be predicted only with a large approximation. © 1995 WiIey-Liss, Inc.
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  • 188
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    Clinical Anatomy 8 (1995), S. 375-376 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
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  • 189
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    Clinical Anatomy 8 (1995), S. 418-425 
    ISSN: 0897-3806
    Keywords: embryological terminology ; mesenchyme ; early development ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The meaning of some terms used in describing the development of embryos is discussed in the light of their historical origin and current usage. Attention is focused on the terminology associated with the early development of animals, particularly that concerned with gastrulation and germ layer theory. It is suggested that terms linked with outdated concepts are not always appropriate for, and unless defined with care may limit, our appreciation of the significance of subsequent observation and experiment. Recommendations are made concerning the use of the terms mesoblast, mesoderm and mesenchyme.
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  • 190
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    Clinical Anatomy 8 (1995) 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
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  • 191
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    Clinical Anatomy 8 (1995), S. 17-24 
    ISSN: 0897-3806
    Keywords: sectional anatomy ; computed tomography ; magnetic resonance imaging ; pelvic connective tissu ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The sectional anatomy of the pelvic connective tissue was studied in plastinated sections of fetal and adult pelves, by computed tomography and by magnetic resonance imaging. The comparative study of the different specimens shows that the pelvic connective tissue consists of three compartments: a presacral compartment, a perirectal compartment, and a paravisceral compartment. The content and the borders of the compartments are described. Furthermore the pelvic fasciae and the pelvic ligaments are studied within the different specimens. A thin pelvic visceral fascia can only be found around the perirectal compartment. In tomographical anatomy the so called supportive ligaments of the uterus are only composed of the round ligaments and the sacrouterine ligaments. © 1995 WiIey-Liss, Inc.
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  • 192
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    Clinical Anatomy 8 (1995), S. 25-28 
    ISSN: 0897-3806
    Keywords: lower limb lymphatics ; lower limb veins ; lymphedem ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The relationships between lymph vessels and veins are of clinical importance for the prevention of injury to collectors and resulting edema after removal of veins. Injection preparations of the lymph vessels and veins showed that on the dorsum of the foot the collectors overcross the veins; however, in all remaining areas they undercross them. Only the great saphenous vein is overcrossed by lymph collectors. It also has accompanying lymph vessels but its vascular sheath, however, does not contain any lymph vessels. The position of the collectors depends on the thickness of the subcutaneous adipose tissue. On the dorsum of the foot the lymphatics are often closely bound up with the corium; on the lower leg, however, they are embedded in the adipose tissue. Some collectors are closely related to perforator veins. In the knee region the lymph bundle ascends dorsomedially to the medial condylus of the femur. On the thigh, where the subcutaneous fatty tissue is thick, the collectors form three layers. The superficial inguinal lymph nodes draining the leg and the external genitalia are situated around the saphenous opening and are closely related to the subinguinal venous star, so that in surgical intervention the collectors of this region are more exposed to danger than in other regions. © 1995 WiIey-Liss, Inc.
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  • 193
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    Clinical Anatomy 8 (1995), S. 36-43 
    ISSN: 0897-3806
    Keywords: primitive trigeminal artery ; primitive hypoglossal artery ; pro-atlantal intersegmental artery ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: The persistence of embryonic carotid-basilar and carotid-vertebral anastomoses was investigated retrospectively in 4,400 cerebral angiograms. Six primitive persistent carotid-basilar anastomoses and one primitive persistent carotid-vertebral anastomosis were found. In 4,400 cerebral angiograms, the incidence of primitive carotid-basilar and carotid-vertebral anastomoses was 0.14% and 0.023% respectively. Primitive persistent anastomoses are associated with intracranial vascular anomalies, especially aneurysms. The clinical and pathological findings in combination with these primitive persistentanastomoses were also examined. © 1995 WiIey-Liss, Inc.
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  • 194
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    Clinical Anatomy 8 (1995), S. 44-50 
    ISSN: 0897-3806
    Keywords: dimension ; biceps brachii ; correlation ; regression equation ; stature ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Measurements of the maximum width and depth of the intertubercular sulcus (ITS), angles of the medial and lateral walls with the floor of the ITS, as well as the length of the humerus in 100 right and 100 left matched, unpaired dry humeri of 100 adults were statistically analyzed. Since 90-95% of the general population is right handed, on the basis of altered size of the dimensions of the right ITS relative to the left, it is proposed that greater width and smaller angles of the medial and lateral walls of the ITS of one side are indicative of handedness on that side. Handedness can further be deduced by the presence of a 〈50° angle of the medial wall and of a supratubercular ridge of Meyer on that side. The length of the humerus correlated with the width and depth of the ITS (P 〈 0.001). Regression equations of the length of the humerus on width, depth, as well as width and depth of the ITS have been derived. © 1995 WiIey-Liss, Inc.
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  • 195
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    Clinical Anatomy 8 (1995), S. 56-60 
    ISSN: 0897-3806
    Keywords: abdomen ; anatomy ; fascial plane ; CT ; edema ; sacral ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Sacral edema is a widely recognized clinical sign. Hitherto there has been no method of radiological confirmation, nor has the anatomy of this sign been well described. In a prospective study of 100 patients referred for abdominopelvic computed tomography (CT), 17 showed radiological evidence of sacral edema. It was demonstrated clinically in 12 of these 17 patients, leaving five patients with apparent CT evidence of sacral edema in whom this was not demonstrated clinically. In two patients with clinical evidence of sacral edema, their tissue planes in this region appeared normal on CT. The edema fluid accumulates in an intermediate plane of fibrous tissue within the subcutaneous fatty layer of the trunk. In those 17 patients with CT evidence of edema, the center of the fluid accumulation was situated over the lumbar rather than the sacral spine, suggesting that the term “sacral” edema is something of a misnomer. © 1995 WiIey-Liss, Inc.
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  • 196
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    Clinical Anatomy 8 (1995), S. 61-65 
    ISSN: 0897-3806
    Keywords: objective tests ; unusual responses ; test errors ; test evaluation ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Multiple-choice questions (MCQ) are widely used to evaluate students in the health sciences, including anatomy. Unusual responses in 90 simple MCQ examinations have been identified and classified as to cause, including a number of illustrated examples. About one-quarter of these errors were attributable to the teacher and could have been avoided by a critical analysis of the questions before use. The increasing use of sophisticated formats of the MCQ in medical education indicates that teachers need to analyze their questions more carefully before and after actual tests to minimize errors. © 1995 WiIey-Liss, Inc.
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  • 197
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    Clinical Anatomy 8 (1995), S. 84-84 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
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  • 198
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    Clinical Anatomy 8 (1995), S. 89-95 
    ISSN: 0897-3806
    Keywords: paraglottic space ; airway anaesthesia ; upper airway ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: Superior laryngeal nerve anaesthesia is frequently used to facilitate endotracheal intubation in the awake patient. We have modified the transcutaneous approach to this nerve block to employ a short bevel needle. This improves tactile perception in performing the procedure thus simplifying identification of the correct depth of injection. This study was designed to determine the anatomical basis of superior laryngeal nerve anaesthesia and to estimate the success rate using our modified technique. At autopsy, 20 cadavers had nerve block performed substituting 0.02% methylene blue for local anaesthetic. Dissection was then performed to identify the anatomical structures stained by the simulated local anaesthetic. Additional dissections were performed in formalin-fixed cadavers. We found that the dye was injected into the paraglottic space bounded laterally by the thyrohyoid membrane and thyroid cartilage, medially by the laryngeal submucosa, caudad by the conus elasticus, cephalad by the hyoid bone, and anteriorly and posteriorly by the anterior and posterior thyrohyoid ligaments, respectively. The internal laryngeal nerve, the sensory branch of the superior laryngeal nerve, passed through this compartment and was heavily stained with simulated local anaesthetic. Resistance to the passage of the short bevel needle was provided by the lateral glossoepiglottic fold, not the thyrohyoid membrane as we had expected. Of 40 injections, 39 were deemed successful for a success rate of 97.5%. We conclude that this is a simple and highly successful technique for performing superior laryngeal nerve anaesthesia. © 1995 WiIey-Liss, Inc.
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  • 199
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    Clinical Anatomy 8 (1995), S. 110-115 
    ISSN: 0897-3806
    Keywords: pudendal nerve ; sacral nerve roots ; continence ; incontinence ; pudendal canal syndrome ; Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
    Notes: A study of the surgical anatomy of the pudendal nerve (PN) was performed in 13 female and 7 male cadavers. The knowledge of the precise anatomy and anomalies of this important nerve would help in better localization of the nerve and its roots and branches for neurostimulation or for pudendal canal decompression in pudendal canal syndrome. Two routes were used in the dissection: gluteal and perineal. The PN was identified and its course was followed from its roots to its termination.The PN was composed of three roots derived from the 2nd, 3rd, and 4th anterior sacral rami (S 2,3,4). The roots received a contribution from S 1 in five cadavers and from S 5 in one. The three roots formed two cords. The first root continued as the upper cord while the second and third root fused together producing the lower cord. The PN was formed by union of the two cords a short distance proximal to the sacrospinous ligament, and then crossed the back of the ligament. In no specimen did the nerve cross the ischial spine.The inferior rectal nerve arose from the PN in the pudendal canal in 18 cadavers. In two cases it came out proximal to the canal; this would spare the two subjects the anorectal manifestations of the pudendal canal syndrome. As the PN crossed the back of the sacrospinous ligament, it gave origin to a branch that supplied the levator ani muscle. This branch was only found in male cadavers and we call it “accessory rectal nerve”; the levator ani muscle in such cadavers was doubly innervated on its perineal aspect. © 1995 WiIey-Liss, Inc.
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    Clinical Anatomy 8 (1995), S. 131-133 
    ISSN: 0897-3806
    Keywords: Life and Medical Sciences ; Miscellaneous Medical
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Medicine
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