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Dalmau-Pastor M, Alvarez Toledo N, Valdivia-Gandur I, Tubbs RS, Vázquez-Osorio T, de Anta JM, Simon de Blas C, Prats-Galino A, Loukas M, Manzanares-Cespedes MC. International consensus for a dissection room quality system (DRQS): A Delphi panel study. Clin Anat 2024; 37:54-72. [PMID: 37650536 DOI: 10.1002/ca.24086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2023] [Revised: 06/15/2023] [Accepted: 06/15/2023] [Indexed: 09/01/2023]
Abstract
Dissection Rooms (DRs) are key facilities that allow teaching and research on human anatomy, where students and researchers work with human bodies to acquire, increase, or create new knowledge. Usually, DRs work with a Body Donation Program (BDP), where living donors bequeath their bodies for use in teaching and research after they expire. Despite DRs being part of universities worldwide, no common guidelines, regulations, or quality management systems (QMS) exist that could be applied to different countries. With that purpose in mind, we aimed to develop a QMS that could be applied to DRs globally, using a Delphi panel to achieve consensus about the items that should constitute the QMS. The panel was constituted by 20 anatomy professors from 20 different countries, and the 167 standards to create the rules or guidelines that constitute the QMS were divided in five categories: direction, body donation, students, instructors, and research. After two rounds of revisions, 150 standards were considered "essential" or "important" by more than 70% of the participants, thus being incorporated to the Dissection Room Quality System (DRQS). The results of this panel represent a minimum list of items of the DRQS for improving the functioning of DRs globally.
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Affiliation(s)
- M Dalmau-Pastor
- Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
- MIFAS by GRECMIP (Minimally Invasive Foot and Ankle Society), Merignac, France
| | - N Alvarez Toledo
- Department of Neurosurgery, Tulane University, New Orleans, Louisiana, USA
| | - I Valdivia-Gandur
- Human Anatomy Unit, Biomedical Department, Universidad de Antofagasta, Antofagasta, Chile
| | - R S Tubbs
- Department of Neurosurgery, Neurology, Surgery, and Structural and Cellular Biology, St. George's University, Grenada
- Department of Anatomical Sciences, St. George's University, Grenada
- Department of Neurosurgery and Ochsner Neuroscience Institute, Ochsner Health System, New Orleans, Louisiana, USA
| | - T Vázquez-Osorio
- Department of Anatomy and Embryology, School of Medicine, Complutense University of Madrid, Madrid, Spain
| | - J M de Anta
- Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
| | - C Simon de Blas
- Department of Statistics and Operations Research, Computer Science School, Rey Juan Carlos University, Madrid, Spain
| | - A Prats-Galino
- Laboratory of Surgical Neuroanatomy (LSNA), Human Anatomy and Embryology Unit, Department of Surgery and Medical-Surgical Specialties, Universitat de Barcelona, Barcelona, Spain
| | - M Loukas
- Department of Anatomical Sciences, St. George's University, Grenada
| | - M C Manzanares-Cespedes
- Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, School of Medicine and Health Sciences, Universitat de Barcelona, Barcelona, Spain
- UNIPRO-Oral Pathology and Rehabilitation Research Unit, University Institute of Health Sciences (IUCS), Gandra, Portugal
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Ortega C, Maranillo E, McHanwell S, Sañudo J, Vázquez-Osorio T. External laryngeal nerve landmarks revisited. Head Neck 2018; 40:1926-1933. [DOI: 10.1002/hed.25186] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2016] [Revised: 01/18/2018] [Accepted: 02/20/2018] [Indexed: 11/11/2022] Open
Affiliation(s)
- Consuelo Ortega
- Otorhinolaryngology Service; Infanta Sofía University Hospital; Madrid Spain
| | - Eva Maranillo
- Human Anatomy and Embryology Department, School of Medicine; Complutense University of Madrid; Madrid Spain
| | - Steve McHanwell
- School of Medical Education and School of Dental Sciences, Faculty of Medical Sciences; Newcastle University; United Kingdom
| | - Jose Sañudo
- Human Anatomy and Embryology Department, School of Medicine; Complutense University of Madrid; Madrid Spain
| | - Teresa Vázquez-Osorio
- Human Anatomy and Embryology Department, School of Medicine; Complutense University of Madrid; Madrid Spain
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Puerta-Fonollá J, Vázquez-Osorio T, Ruiz-Cabello J, Murillo-González J, Peña-Melián A. Magnetic resonance microscopy versus light microscopy in human embryology teaching. Clin Anat 2004; 17:429-35. [PMID: 15176043 DOI: 10.1002/ca.20012] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
A study was carried out on the application of magnetic resonance microscopy (MRM) in teaching prenatal human development. Human embryos measuring 8 mm, 15 mm, 18.5 mm, and 22 mm were fixed in a 4% paraformaldehyde solution and sections obtained with magnetic resonance imaging (MRI) were compared to those prepared for light microscopy (LM), using the same embryos. The MRM and LM slices were of a similar quality. In the MRM sections, embryonic organs and systems were clearly visible, particularly the peripheral and central nervous systems, and the cardiovascular and digestive systems. The digitalization and clarity of the MRM images make them an ideal teaching aid that is suitable for students during the first years of a health-science degree, particularly medicine. As well as providing students with their first experience of MRM, these images allow students to access, at any time, all embryos used, to assess changes in the positions of different organs throughout their stages of development, and to acquire spatial vision, an absolute requirement in the study of human anatomy. We recommend that this technique be incorporated into the wealth of standard embryonic teaching methods already in use.
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Affiliation(s)
- J Puerta-Fonollá
- Departamento de Anatomía y Embriología Humana I, Universidad Complutense, Madrid, Spain
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Barrio-Asensio C, Peña-Melián A, Puerta-Fonollá J, Vázquez-Osorio T, Murillo-González J. Ciliary muscle in avian is derived from mesenchymal and epithelial cells. Vision Res 2002; 42:1695-9. [PMID: 12127103 DOI: 10.1016/s0042-6989(02)00097-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
It has long been maintained that the ciliary muscle derives from mesenchymal cells. The embryonic development of the avian ciliary muscle was studied in chick embryos from stage 25 HH to the time of hatching. Serial sections of the eye were stained routinely or immunocytochemically using the monoclonal antibody 13F4, which recognizes a cytoplasmic antigen specific for all types of muscle cells. We found that the mesenchymal immunoreactive cells, at stage 37 HH, are arranged in two distinct orientations forming the anterior and posterior portions of the ciliary muscle. At stages 38 and 39 HH the pigmented epithelium contained 13F4 positive cells, which detach from the epithelium and apparently migrate into stroma. These epithelial cells may differentiate into muscle cells. Within this same time period a progressive accumulation of myoblasts was detected between the pigmented epithelium and the ciliary muscle. Some myoblasts containing melanin were also observed. At stage 40 HH the internal portion of the ciliary muscle was visible. These findings indicate that the immunopositive epithelial cells participate in the formation of the internal portion of the muscle. We conclude that the ciliary muscle derives not only from the mesenchymal cells but also from the pigmented epithelium.
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Affiliation(s)
- Carmen Barrio-Asensio
- Departamento de Ciencias Morfológicas I, Facultad de Medicina, Universidad Complutense de Madrid, 28040 Madrid, Spain
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Puerta-Fonollá J, Ruiz-Cabello J, Vázquez-Osorio T, Murillo-González J, Peña-Melián A. The human embryo development through MMR. Ital J Anat Embryol 2002; 106:155-60. [PMID: 11732572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Abstract
This study evaluates the use of the Microscopic Magnetic Resonance (MMR) in the human prenatal development. Human embryos (8mm, 15mm, 18mm and 22mm in length) fixed in 4% paraformaldehyde were used. Results were compared with light microscopy (LM) images. The internal configuration of the embryos can be clearly observed as well as many organs such as liver, lungs, heart, including their spatial relationships. In general MMR sections are less clear and show minor details than those by LM. Neverthless, many advantages are provided by using this technique. For example it is possible: a) to make three-dimensional (3-D) surface and internal full or partial reconstructions; b) to evaluate the presence of developmental anomalies; c) to evaluate the tissular preservation degree of the specimens; and d) to apply morphometric techniques to unfixed specimens. In our opinion the advantages derived by using MMR are many and overcome the disadvantages. This study demonstrates that MMR can be incorporated into ordinary laboratory techniques in human development studies, being also an initial election technique opposite to others more aggressive.
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Affiliation(s)
- J Puerta-Fonollá
- Departamento de Ciencias Morfológicas I. Fac. Med. UCM, Madrid, Spain.
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