Lienal plexus particularities

Catedra Anatomia Omului USMF ,,Nicolae Testemiţanu”Anatomical knowledge concerning variations of the splenic plexus in the aspects of its two main types: concentrated and diffuse, along with its topography inside the organ and its relationship with the neighboring visceral plexuses, etc. are of practical importance in performing splenectomy tactics and segmental removing of the organ. Cunoştinţele anatomice privind variabilitatea plexului lienal în contextul celor două tipuri ale lui: concentrat şi difuz, precum şi topografia intraorganica a acestuia, interrelaţiile cu plexurile viscerale alăturate etc. sunt de importanţa practică majoră în realizarea tacticilor de splenectomie şi înlăturarea segmentelor organului

К иннервации верхней полой вены

Universitatea de Stat de Medicină şi Farmacie „NicolaeTestemiţanu”, Chişinău, Republica Moldova, Conferinţa Știinţifică Internaţională ”Probleme actuale ale morfologiei” dedicată сentenarului profesorului B.Z. Perlin, Chişinău, 20-22 septembrie 2012The permanent sources of innervation of the superior vena cava (SVC) are the sympathetic trunk and the right vagus nerve. The density of the neurofibrilar, receptor and neurocellular elements prevails at the level of confluence of the brachiocephalic veins and at the level of the opening of the azygos and SVC orifices into the right atrium. Постоянными источниками иннервации верхней полой вены (ВПВ) являются симпатический ствол и правый блуждающий нерв. Плотность нейрофибрилярных, рецепторных и нейроклеточных элементов преобладает в местe слияния плечеголовных вен и в местах впадения отверстий непарной вены и ВПВ в правое предсердие. Ключевые слова: верхняя полая вена, источники иннервации, нервная система

Correlations of the lymph nodes with the elements of the circulatory system within the funiculotesticular complex

Catedra Anatomia Omului USMF „Nicolae Testemiţanu”The lymph nodes of the funiculotesticular complex are localized at the level of the bifurcation of the blood vessels, among the loops of the pampiniform plexus, on the trajectory of the lymph vessels, having a peri- and paravascular location, being surrounded by well developed vascular networks. These lymph nodes are considered as components of the microcirculatory network, and they contribute to lymphopoiesis and represent the first barrier of the immune protection, which assures the immune control of the blood, that supplies the testis and of those that drains from the testis. Nodulii limfoizi ai complexului funiculotesticular (CFT) sunt localizaţi în regiunea bifurcaţiei vaselor sangvine, printre ansele plexului pampiniform, pe traiectul vaselor limfatice, peri- şi paravascular fiind înconjuraţi cu reţele vasculare bine pronunţate. Ei sunt consideraţi drept componente ale reţelei microcirculatorii, contribuie la limfopoeză şi reprezintă prima barieră a protecţiei imune, care efectuează controlul imun al sângelui ce circulă spre şi de la testicul

Individual Specific Features and Variability of the Buccal Branches of the Facial Nerve

The purpose of our study was to review and evaluate the course, number, connections, individual specific features and relationship of the buccal branches of the facial nerve to the parotid duct.Materials and methodsTwenty adult cadaveric semiheads fixed in formaldehyde solution were dissected and anatomical specific features of the buccal branches of the facial nerve, their course, divisions and connections were marked out.ResultsIn 95% of cases the trunk of the facial nerve was divided into temporofacial branch (TFB) and cervicofacial branch (CFB). The number of buccal branches (BB) originating from the facial nerve varied from 2 to 6. In one case the TFB gave rise to a single BB, in 7 cases it gave rise to 2 BB, in other 7 cases there were 3 BB and in 5 cases there were 4 BB. The CFB gave rise to 1 BB in 11 cases and to 2 BB in 7 cases, and in 2 cases no buccal branches originated in the CFB. More than 2 BB originated from the CFB was never mentioned. Variations of location of the buccal branches related to the parotid duct were marked out. In 3 cases 1 BB was located above the parotid duct, and in 7 cases the buccal branch was found below it. In 10 cases 2 BB were located above the parotid duct, and in 11 cases the same number was found below it. In 6 cases 3 BB were located above the parotid duct, and in 1 case 3 BB were located below the duct. In a single case 4 BB were located above the parotid duct, and in one case the same number was below it. Connections of the buccal branches were variable from linear to loop-shaped, and plexiform.ConclusionsThe buccal branches of the facial nerve are variable in number, origin, course, connections, and relationship to the parotid duct. No more than two BB were marked out to originate from the CFB. The number of BB given off by the facial nerve varies from 2 to 6 branches

Dutch patients, caregivers and healthcare professionals generate first nationwide research agenda for juvenile idiopathic arthritis

Background: Involving the end-users of scientific research (patients, carers and clinicians) in setting research priorities is important to formulate research questions that truly make a difference and are in tune with the needs of patients. We therefore aimed to generate a national research agenda for Juvenile Idiopathic Arthritis (JIA) together with patients, their caregivers and healthcare professionals through conducting a nationwide survey among these stakeholders. Methods: The James Lind Alliance method was used, tailored with additional focus groups held to involve younger patients. First, research questions were gathered through an online and hardcopy survey. The received questions that were in scope were summarised and a literature search was performed to verify that questions were unanswered. Questions were ranked in the interim survey, and the final top 10 was chosen during a prioritisation workshop. Results: Two hundred and seventy-eight respondents submitted 604 questions, of which 519 were in scope. Of these 604 questions, 81 were generated in the focus groups with younger children. The questions were summarised into 53 summary questions. An evidence checking process verified that all questions were unanswered. A total of 303 respondents prioritised the questions in the interim survey. Focus groups with children generated a top 5 of their most important questions. Combining this top 5 with the top 10s of patients, carers, and clinicians led to a top 21. Out of these, the top 10 research priorities were chosen during a final workshop. Research into pain and fatigue, personalised treatment strategies and aetiology were ranked high in the Top 10. Conclusions: Through this study, the top 10 research priorities for JIA of patients, their caregivers and clinicians were identified to inform researchers and research funders of the research topics that matter most to them. The top priority involves the treatment and mechanisms behind persisting pain and fatigue when the disease is in remission

Dutch patients, caregivers and healthcare professionals generate first nationwide research agenda for juvenile idiopathic arthritis

Background: involving the end-users of scientific research (patients, carers and clinicians) in setting research priorities is important to formulate research questions that truly make a difference and are in tune with the needs of patients. We therefore aimed to generate a national research agenda for Juvenile Idiopathic Arthritis (JIA) together with patients, their caregivers and healthcare professionals through conducting a nationwide survey among these stakeholders. Methods: the James Lind Alliance method was used, tailored with additional focus groups held to involve younger patients. First, research questions were gathered through an online and hardcopy survey. The received questions that were in scope were summarised and a literature search was performed to verify that questions were unanswered. Questions were ranked in the interim survey, and the final top 10 was chosen during a prioritisation workshop. Results: two hundred and seventy-eight respondents submitted 604 questions, of which 519 were in scope. Of these 604 questions, 81 were generated in the focus groups with younger children. The questions were summarised into 53 summary questions. An evidence checking process verified that all questions were unanswered. A total of 303 respondents prioritised the questions in the interim survey. Focus groups with children generated a top 5 of their most important questions. Combining this top 5 with the top 10s of patients, carers, and clinicians led to a top 21. Out of these, the top 10 research priorities were chosen during a final workshop. Research into pain and fatigue, personalised treatment strategies and aetiology were ranked high in the Top 10. Conclusions: through this study, the top 10 research priorities for JIA of patients, their caregivers and clinicians were identified to inform researchers and research funders of the research topics that matter most to them. The top priority involves the treatment and mechanisms behind persisting pain and fatigue when the disease is in remission.</p