Clinical submission of supernumerary head of adducter brevis muscle

Adductor brevis is an important member of the adductor family occupying the medial compartment of the thigh executing the function of adduction and medial rotation. Deviations from normal anatomy are unusual and rarely reported. A survey of anatomical archives revealed occasional mention of additional bellies of adductor brevis muscle. The present study reports a double belly of adductor brevis muscle (AB) found during a cadaveric dissection class for medical students. The left sided AB displayed two bellies disposed in the same plane. This case report attempts to present the clinical applications of supernumerary bellies of this important adductor muscle of the thigh. It is feasible to categorize these muscular variations upon specialized radiological procedures such as CT and MRI scans only if the radiologist possesses satisfactory understanding of variant anatomy of this region. It is thereafter inferred that upon recognition these muscles present a fair chance of being of utilitised in reconstructions. A biomechanical overview of the present anomaly is also attempte

Hubungan Kompetensi Era Industri 4.0, Beban Kerja Organizational Citizenship Behavior dan Kinerja Karyawan

PDAM Kabupaten Sleman's efforts to improve the organization cannot be separated from good human resources in it, especially in responding the challenges in the era of industrial revolution 4.0. The aim of study to analyze the correlation of competencies, workload, organizational citizenship behavior, and employee performance. The analysis technique used product moment correlation method. The analysis result show that competence has a significant relationship with employee performance. Workload has  a significant relationship with employee performance. Organizational citizenship behavior has a significant relationship with employee performance. Competencies, workload, organizational citizenship behavior simultaneusly have a significant influence on employee performance, its 64,1 %

Preferences for Prenatal Tests for Cystic Fibrosis: A Discrete Choice Experiment to Compare the Views of Adult Patients, Carriers of Cystic Fibrosis and Health Professionals

As new technologies enable the development of non-invasive prenatal diagnosis (NIPD) for cystic fibrosis (CF), research examining stakeholder views is essential for the preparation of implementation strategies. Here, we compare the views of potential service users with those of health professionals who provide counselling for prenatal tests. A questionnaire incorporating a discrete choice experiment examined preferences for key attributes of NIPD and explored views on NIPD for CF. Adult patients (n = 92) and carriers of CF (n = 50) were recruited from one children’s and one adult NHS specialist CF centre. Health professionals (n = 70) were recruited via an e-mail invitation to relevant professional bodies. The key attribute affecting service user testing preferences was no miscarriage risk, while for health professionals, accuracy and early testing were important. The uptake of NIPD by service users was predicted to be high and includes couples that would currently decline invasive testing. Many service users (47%) and health professionals (55.2%) thought the availability of NIPD for CF would increase the pressure to undergo prenatal testing. Most service users (68.5%) thought NIPD for CF should be offered to all pregnant women, whereas more health professionals (68.2%) thought NIPD should be reserved for known carrier couples. The implications for clinical practice are discussed

A duplicated spinous process of the C7 vertebra

Normally the 7th cervical vertebra (C7) has a long non-bifid spine. A bifid spine is a feature of typical cervical vertebrae such as C3–C6. In contrast to past studies, which have described a bifid spine in the C3–C6 cervical vertebrae, this study is a report on the presence of a duplicated spinous process in the C7 vertebra with an intervening space. The presence of such anomalies may be associated with other congenital anomalies and needs a careful and thorough clinical approach. This is an extremely rare finding which may be of clinical interest to radiologists, neurologists, orthopaedic surgeons, anthropologists and forensic personnel. The present case report describes the anatomical details in the bone specimen along with its radiological picture in a case of a duplicated spinous process of the C7 vertebra

A triplicate obturator foramen

The obturator foramen is a large opening in the hip bone situated below and anterior to the acetabulum. The obturator foramen is enclosed by the obturator membrane, apart from the part above near the obturator groove, where the obturator vessels and nerve pass through. The present study reports multiple openings in the obturator foramen detected incidentally in a left hip bone specimen and discusses its clinical implications. To the best of our knowledge, the occurrence of multiple openings associated with the obturator foramen is rare and has not been reported in any standard textbook of anatomy or in any research study. Anatomical knowledge of the presence of such anomalies may be clinically important for radiologists interpreting skiagrams and surgeons performing operative procedures in the hip region

Anatomical observations on os inca and associated cranial deformities

The present study describes the presence of os inca, incomplete metopic suture with asymmetrical frontal sinuses and multiple sutural deformities in a skull bone. Os inca has been reported to be associated with other cranial deformities. However, the present study, besides reporting os inca and associated sutural abnormalities, also highlights the presence of an unusual pterion in such cases. The aim is to provide anatomical insight into the morphology of sutures, frontal sinuses and associated cranial abnormalities. These are important findings which may be relevant for surgeons and radiologists in clinical practic

An asymmetrical inferior articular process of a lumbar vertebra

The present case report describes the topographical anatomy and radiological study of an asymmetrical inferior articular process of a lumbar vertebra, which was detected during routine osteology teaching of undergraduate medical students. The inferior articular process of the lumbar vertebra on the left side was rudimentary, while that on the right was normal in size. On the left side an additional bony projection was noted anterior to the rudimentary inferior articular process. The difference in height between the inferior articular processes of the two sides may play an important role in the kinematics of the particular joint. The orientation of the facets of the articular processes of the vertebrae are important for axial weight transmission and anomalies involving these can possibly alter the orientation of movements in that particular segment. An asymmetrical inferior articular process may be related to disc prolapse and may be a cause of back pain. In view of the paucity of research reports of anatomicoradiological study of the inferior articular process of a lumbar vertebra in relation to other parts of the vertebra, we, as anatomists, believe that knowledge of anomalies of the inferior articular process may be relevant for academic, anthropological and clinical purposes