Purpose : Bodies for purpose of dissection and organs for transplantation surgeries are needed for education of medical students and treatment of cases of end-stage organ failure. However deceased organ donation rate in India is very dismal. In the present study the authors assess the knowledge and attitude of the people living in an urban city in India towards organ and body donation. Materials/Methods : A questionnaire was distributed amongst all willing patients and their relatives attending the out-patient Department at our Hospital. This was followed by an awareness session wherein the researchers discussed body and organ donation and its need in India. Information sheet was handed to all and the willing respondents were given eye and body donation forms, and donor cards. Result: 41/65 people consented to participate. 41.5%, 31.7%, 12.2% and 12.2% had obtained knowledge regarding organ donation from newspaper, television, family members and internet respectively. 26.8% claimed that they were imparted knowledge by health care professionals. 78%, 53.7% and 19.5% were aware about eye, kidney and liver donations respectively. 17.1% were aware of body and lung donation each. Awareness of donation of other organs was found to be in the range between 4.9% to 14.6%. 43.9% were willing to be organ donors and 3 persons filled the body donation forms. Conclusion: Newspapers, healthcare professionals could be utilized to further the awareness regarding body and organ donation. Carrying out awareness programmes will help to reach information to each individual, clarifying any myths and increasing understanding and motivation levels among
Background:The Extensor pollicis longus and brevis and abductor pollicis longus muscles have evolved progressively in different primates according to the function expected from the pollux finger. Analysis of individual muscles in different primates can help our understanding of evolution. Aims and objective: The present study was undertaken to study these three muscles and to note the variations therein and to attempt to explain the existence of these variations on the probable basis of their evolutionary history. Methodology: The extensor pollicis longus, brevis and abductor pollicis longus muscles were dissected meticulously in 100 upper limbs of adult cadavers. Results: In case of extensor pollicis longus and extensor pollicis brevis, 2% incidence of duplication of muscle and 1% of duplication of tendon and 1% incidence of duplication of muscle and 2% of duplication of tendon was observed respectively. In case of abductor pollicis longus 23% incidence of variation was observed. The muscle was observed to split into multiple tendons of muscles to have widespread attachment beyond the 1st metacarpal bone. Conclusion: The extensor pollicis longus with minimum variation seems to have settled in its evolutionary trajectory. In 8% of abductor pollicis longus studied, superficial and deep heads were observed. Oudenaarde states that the superficial head is used for range of movement and the deep set of fibers are used for strength of contraction. Elliot observes that the wide attachment of the abductor pollicis longus on the muscles abductor pollicis brevis and the opponens pollicis, the 1st carpometacarpal joint capsule and trapezium bone could be for better anchorage for radial deviation at the wrist joint. The extensor pollicis brevis muscle is seen as a separate muscle only in humans, hylobatids and gorillas whereas in all other primates. The chimpanzee hand seems to have evolved one step further with two extensor pollicis brveis muscles.
Introduction Angiosome formed by Anterior tibial artery and dorsalis pedis artery supply the ankle and the dorsum of foot. Both the vessels shows variation in termination and branching pattern. Materials and Methods 50 free formalin preserved limbs were dissected for the study. Results and Conclusion Anterior tibial artery showed variation in termination in 16%, most common of them was formation of loop with perforating branch of peroneal artery in 10%, bifurcation in to medial and lateral tarsal artery in 4% and trifutcation in 2%. Branching pattern of dorsalis pedis artey was variable in 18%, medial and lateral tarsal arteries were not branches of dorsalis pedis artery in 14% and 16% respectively. Arcuate artery was absent in 10%, when present it was branch of dorsalis pedis artery in 96%, perforating branch of peroneal artery in 2% and loop of medial and lateral tarsal artery in 2%. First dorsal metatarsal artery was not branch of dorsalis pedis artery in 4%. Lateral tarsal artery was constantly found in all the dissected limbs. Thorough knowledge of variation about branching pattern of arterial tree is clinically important for accuracy in interpretation of angiographs, Doppler study of lower limb vessels and optimum use of vascular pedicle for myocutaneous flaps. Importance of palpation of peripheral pulse in lateral tarsal artery is discussed in the study.
Objectives: Placental alkaline phosphatase (PALP) is synthesized in placenta and increases with gestational age. Alkaline phosphatase supports pregnancy and could play an essential role in nutrient supply and growth of the fetus. Preeclampsia is a systemic disorder which affects 5 to 7 percent of women worldwide and is a major cause for maternal and neonatal morbidity and mortality. As it has a major role in fetal growth, nutrition and defense mechanism study of alkaline phosphatase enzymatic activity becomes essential. Methods: 50 normal and 50 preeclamptic placentae were collected immediately after delivery from Department of Obstetrics and Gynecology. Placentae were obtained from known preeclamptic consenting cases who had no history of hypertension before pregnancy or during first 20 weeks of gestation, who had consistently recorded systolic and diastolic blood pressure of 140 / 90 mm of Hg or above and proteinuria ≥ 300mg / 24 hrs. Alkaline phosphatase activity was demonstrated by using modified Gomori's method. Results: Intensity of PALP localization was stronger in preeclamptic placentae as compared to normotensive placentae. Conclusion: Placental ischemia is evident in preeclampsia. Uteroplacental insufficiency leads to increased syncytial damage in preeclamptic placentae which may lead to abnormally high PALP activity and consequent increase in serum alkaline phosphatase.
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