Medical Illustration

医学插图
  • 文章类型: Journal Article
    背景:这篇历史报道回顾了神经外科和医学插图中MildredCodding(1902-1991)的生活和时代。
    方法:这个项目的写作是由关于编码的原始科学和书目信息的发现引发的,关于人际关系的证词,和综合资料汇编后的观点。
    结果:米尔德里德·科丁在约翰·霍普金斯医院(JHH)(巴尔的摩,美国马里兰州),在PeterBentBrigham医院工作,现为布莱根妇女医院(波士顿,马萨诸塞州,美国)。Codding是Cushing博士的医学插画家,同事,和朋友。她提供了照片,图表,以及1929年至1932年库欣大部分颅内肿瘤的草图。1991年,布莱根妇女医院和波士顿儿童医院主持了一次Codding访谈,以永久收集美国神经外科医师协会的档案,并提供了其他照片和徽章,用笔和墨水绘制的方法,多阶梯分层,和插图实现。重要的是,Brigham外科校友徽章显示外科医生的手和手术刀是根据Codding的左手建模的。在手术室外面,编码的兴趣包括儿科,动物学和遗传学,在外科手术中,teatime,用水彩画,尤其是海景,灯塔和沙丘.
    结论:本文概述了MildredCodding对神经外科和医学教育的个性和显着影响,并增加了有关她的文献。
    BACKGROUND: This historical account reviews the life and times of Mildred Codding (1902-1991) in neurosurgery and medical illustration.
    METHODS: The writing of this project was sparked by the discovery of original scientific and bibliographical information about Codding, testimony on personal relationships, and viewpoints after comprehensive compilation of information.
    RESULTS: Mildred Codding learned the carbon dust technique from Max Brödel at the Johns Hopkins Hospital (JHH) (Baltimore, Maryland USA), and worked at Peter Bent Brigham Hospital, now Brigham and Women\'s Hospital (Boston, Massachusetts, USA). Codding was Dr. Cushing\'s medical illustrator, colleague, and friend. She provided photographs, diagrams, and sketches for the majority of Cushing\'s collection of intracranial tumors from 1929 to 1932. A 1991 interview of Codding was hosted by Brigham and Women\'s Hospital and Boston Children\'s Hospital for the permanent collection of the Archives of the American Association of Neurological Surgeons and provides additional photographs and insignia, drawings with pen and ink method, multi-stepped layering, and illustration implements. Importantly, the Brigham Surgical Alumni insignia showing a surgeon\'s hand with scalpel was modeled after Codding\'s left hand. Outside of the operating room, Codding\'s interests included Pediatrics, Zoology and Genetics, atlantes of surgical operations, teatime, and paint with watercolor, particularly seascapes, lighthouses and dunes.
    CONCLUSIONS: This article provides glimpses into the personality and marked influence of Mildred Codding on neurosurgery and medical education and adds to the growing literature on her person.
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  • 文章类型: Journal Article
    牙科的历史始于旧石器时代晚期的人使用用骨头或木头碎片制成的牙签,或者我们的人类祖先开始操纵牙齿表面以消除其保留力的那一刻,所以食物不会卡住。至少在14000年前,基于现有的证据。当前的时间表,在这篇文章中编译,是多年来出版的众多出版物之一。然而,这个时间表包含了三个新的策略。首先,它延伸到选择医学和基本牙科发现,因为牙科史只能用医学史中的主要事件来讲述。第二,它比作者以前遇到的任何时间表都更详细(350个条目)。第三,本时间表中列出的支持事件的几个关键主要参考文献描述了这一努力。最后,包括130个插图,以改善日期的可视化。手稿还包括牙科历史上五个主要阶段的新展示。
    History of Dentistry starts from the moment the Late Paleolithic Man used a toothpick fashioned from a bone or wood splinter, or the moment our human ancestors began to manipulate the surface of a tooth to remove its retentiveness, so food does not get stuck. That was at least 14,000 years ago, based on available evidence. The current timeline, compiled in this article, is one of many published over the years. However, this timeline incorporates three new strategies. First, it extends to select medical and fundamental dental discoveries, as the History of Dentistry can only be told with the main events within the History of Medicine. Second, it is more detailed (350 entries) than any previous timeline the author has encountered. Third, several critical primary references to support events listed in this timeline characterize this effort. Finally, 130 illustrations are included to improve the visualization of dates. The manuscript also includes a new display of the five main stages of dentistry throughout its history.
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  • 文章类型: Journal Article
    仿生学是将自然界的现有特征应用于人类技术,例如受鸟类飞行启发的飞机的发明。在医疗解决方案的发展中,仿生是一个不断发展的研究领域,对自然的全面理解可以激发尖端设计。这项研究的目的是创建一个教育,视觉资源体现了仿生学的新兴医学应用。创建了一个网站来呈现2D运动图形(动画)和插图。动画是向公众传达健康信息的一种既定且有用的方法。这为公众提供了一个可访问的界面,可以与该研究领域进行互动和了解。弥合两者之间的差距。增加公众知识,订婚,兴趣可以扩大影响范围,从而影响未来的研究。进行了一项调查,以评估公众对生物仿生和医学设计的资源和主题的参与和意见。结果表明,参与者积极地参与了该资源;95.7%的人强烈同意/同意动画对学习有益。所有回应的参与者都同意,仿生可以为医学设计提供有用的解决方案。这项研究表明,图形动作可以有效地传达复杂的想法以进行公共宣传。
    Biomimicry is the application of existing features in nature to human technologies, such as the invention of aircraft inspired by bird flight. In the development of medical solutions, biomimicry is a growing field of research, where a holistic understanding of nature can inspire cutting-edge design. The purpose of this study was to create an educational, visual resource exemplifying up-and-coming medical applications of biomimicry. A website was created to present 2D motion graphics (animations) and illustrations. Animation is an established and useful method of communicating health information to the public. This presents an accessible interface for the public to interact with and learn about this area of research, bridging the gap between the two. Increasing public knowledge, engagement, and interest can expand the reach and thereby influence future research. A survey was conducted to assess public engagement and opinions on both the resource and the topic of biomimicry and medical design. The results suggested that participants positively engaged with the resource; 95.7% strongly agreed/agreed that the animations were beneficial for learning. All responding participants agreed that biomimicry could provide useful solutions in medical design. This study suggests that graphic motions are effective at communicating complex ideas for public outreach.
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  • 文章类型: Journal Article
    医学插图是学习外科解剖学和外科技术的宝贵资源,允许术前和术后复查。由于传统的手绘插图难以使用,表达神经介入手术的领域是耗时的,我们提出了神经介入外科医生使用iPad独家Procreate应用程序(SavageInteractive,霍巴特,澳大利亚)。创建专用的“数字笔”并用于每个血管内装置,创建神经介入程序的简单表示和随时间的变化。神经干预中的DI容易地描绘具有复杂配置和结构的各种设备的突出手术场景的变化。DI也是多才多艺的,允许简单的机构内和机构间共享和讨论有关医疗设备操作的技术提示(线圈,导管,支架,等。)在世界各地的神经介入外科医生中。DI不仅可以作为神经介入手术的教育工具,还有开颅手术和其他专科的手术记录。
    Medical illustrations represent a precious resource for learning surgical anatomy and surgical techniques, allowing preoperative and postoperative reviews. As traditional hand-drawn illustrations are difficult to use and expressing the area of neurointerventional surgery is time-consuming, we proposed methods for neurointerventional surgeons to create digital illustrations (DIs) for neurointerventional surgery using the iPad-exclusive Procreate application (Savage Interactive, Hobart, Australia). Dedicated \"digital pens\" were created and used for each endovascular device, creating straightforward representations of neurointerventional procedures and changes over time. DIs in neurointervention easily depict changes to highlighted surgical scenes for various devices with complex configurations and structures. DIs are also versatile, allowing easy intrainstitutional and interinstitutional sharing and discussion of technical tips on the manipulation of medical devices (coils, catheters, stents, etc.) among neurointerventional surgeons worldwide. DIs can be applied as educational tools not only in neurointerventional surgery, but also in craniotomy surgery and for surgical records from other specialties.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    自过去以来,艺术已被用作一种工具来阐述解剖学知识和指导外科医生进行手术。通过时代,艺术通过以插图和模型的形式向人们传达知识来发挥作用,包括神经外科的神经解剖学知识。随着技术的进步,神经外科培训和护理比以前发展得更多。
    艺术和技术如何在神经外科的教育和发展中发挥作用?
    进行了文献检索,以寻找艺术和技术在插图形式中的作用,模型,或其他在神经外科。
    插图在过去被称为理解它的工具之一。现在,在现代,神经外科学习,培训,教学过程贯穿了艺术和技术的始终。不仅作为二维绘图,艺术和技术已经发展成三维模型,并为手术计划和模拟创建特定的模型。人工智能,虚拟现实,和增强现实也被用来实现准确和有效的学习过程和神经外科护理。
    艺术确实在神经外科的发展中起着重要作用。当与技术结合时,艺术通过学习给予更大的效用和影响,教学过程,在神经外科领域提供护理。
    UNASSIGNED: Since the past, art has been used as a tool to elaborate anatomical knowledge and guide surgeons to perform surgeries. Through the eras, art has taken role by conveying the knowledge to people in forms of illustrations and models, including neuroanatomy knowledge for neurosurgical purposes. With the advancement of technology, neurosurgical trainings and care evolve more than before.
    UNASSIGNED: How do art and technology play role in tbe education and development of neurosurgery?
    UNASSIGNED: A literature search was conducted to find the role of art and technology in forms of illustrations, models, or others in neurosurgery.
    UNASSIGNED: Illustration was known as one of the tools to understand it in the past. Now, in the modern era, neurosurgical learning, training, and teaching process have integrated both art and technology throughout the process. Not only as two-dimenional drawings, art and technology have gone as far as being developed into three-dimensional models and create specific models for surgical plannings and simulations. Artificial intelligence, virtual reality, and augmented reality have also been used to achieve accurate and efficient learning process and neurosurgical care.
    UNASSIGNED: Art does take significant role in the progression of neurosurgery. When combined with technology, art give greater utility and impact through the learning, teaching process, and delivery of care in neurosurgical world.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    布鲁里溃疡(BU)是由溃疡分枝杆菌引起的皮肤感染和被忽视的皮肤热带病(皮肤NTD)。抗生素治疗是可用的,但是,在没有手术的情况下有效,必须在其最早阶段检测到BU(皮肤下看起来无害的肿块),并且对处方药的依从性必须很高。这项研究旨在开发BU的多感官医学插图,以支持与风险社区的沟通。我们使用ThinkAloud方法来探索社区卫生工作者(n=6)对BU的经验,重点关注他们的五种感官的作用,因为这些非医学疾病专家熟悉BU提出的日常挑战。对成绩单的主题分析确定了与检测有关的三个关键主题,\'\'寻求帮助,\'和\'坚持\'具有超越主题\'作为医疗保健的主要促进者的感觉'。新的医学插图,为此,我们创造了短语“5D插图”(表示五种感官的贡献)来反映这些主题。因此,感官促进了丰富的叙事,从而为健康交流提供了相关和有用的视觉效果。医学艺术家社区可以利用感官体验来创建用于实践的动态医学插图。
    Buruli ulcer (BU) is a skin infection caused by Mycobacterium ulcerans and a neglected tropical disease of the skin (skin NTD). Antibiotic treatments are available but, to be effective in the absence of surgery, BU must be detected at its earliest stages (an innocuous-looking lump under the skin) and adherence to prescribed drugs must be high. This study aimed to develop multisensory medical illustrations of BU to support communication with at-risk communities. We used a Think Aloud method to explore community health workers\' (n = 6) experiences of BU with a focus on the role of their five senses, since these non-medical disease experts are familiar with the day-to-day challenges presented by BU. Thematic analysis of the transcripts identified three key themes relating to \'Detection,\' \'Help Seeking,\' and \'Adherence\' with a transcending theme \'Senses as key facilitators of health care\'. New medical illustrations, for which we coin the phrase \"5D illustrations\" (signifying the contribution of the five senses) were then developed to reflect these themes. The senses therefore facilitated an enriched narrative enabling the production of relevant and useful visuals for health communication. The medical artist community could utilise sensory experiences to create dynamic medical illustrations for use in practice.
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  • 文章类型: Historical Article
    真实的图像首次可用。第一个主要人物是BerengariodaCarpi(1460-1530)。他为知识做出了贡献。他说,硬脑膜不仅固定在缝合线上,而且固定在头盖骨内部。他还指出,出血发生在大脑深处,创伤性血肿后的恶化速度越快,他注意到创伤后神经功能缺损是对侧的。此外,他介绍了实用设计的新仪器。具体来说,他使用支架和钻头把手启动了钻孔。该仪器需要两只手,并且一直以相同的方向旋转套头。此外,他举例说明了一个皇冠套头,其中的钻头可以互换。他还开发了一种改进的电梯。他还提供了透镜状透镜的第一张图。接下来的插图来自VidusVidius(1509-1569)。他的文字中的插图优雅而逼真,但其中一些不切实际或无法使用。AmbroiseParé(1510-1590)是一位主要的外科医生。他设计了一种改进的支架和钻头套头,带有项圈以控制渗透。他还介绍了通过咬住骨头来扩大颅骨开口和压制硬脑膜以使材料更容易逃脱的仪器。
    Realistic images became available for the first time. The first major figure was Berengario da Carpi (1460-1530). He made contributions to knowledge. He stated the dura was attached all over the interior of the cranium not just at the sutures. He also noted that deterioration following traumatic hematomas was speedier the deeper within the brain the bleed had occurred and he noticed that post-traumatic neurological deficits were contralateral. Moreover, he introduced new instruments of a practical design. Specifically, he launched trepanation using a brace and bit handle. This instrument required two hands and rotated the trepan in the same direction all the time. In addition, he illustrated a crown trepan in which the bits could be interchanged. He also developed an improved elevator. He also provided the first drawing of a lenticular. The next illustrations came from Vidus Vidius (1509-1569). The illustrations in his text were elegant and realistic but some of them were impractical or unusable. Ambroise Paré (1510-1590) was a major surgeon. He designed an improved brace and bit trepan with a collar to control penetration. He also introduced instruments for expanding a cranial opening by biting up the bone and for depressing the dura to enable material to escape more easily.
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  • 文章类型: Journal Article
    先前的研究表明,医学课程中代表性不足会使医疗保健中的不平等现象长期存在。这项研究旨在量化人类表型多样性的患病率(例如,肤色,性别,身体尺寸,和年龄)跨越11个常用的解剖学地图集和教科书,从2015年到2020年出版。对5001张图像进行了系统的视觉内容分析,其中至少一种表型属性是可量化的。解剖学图像最普遍地描绘了浅肤色,男性,中等体型的人,以及年轻人到中年人。在3883张具有可编码肤色的图像中,81.2%(n=3154)描绘光,14.3%(n=554)描述的中间体,4.5%(n=175)描绘深色肤色。在2384张可以归类为性别二元的图像中,38.4%(n=915)描述女性,61.6%(n=1469)描述男性。男性偏见持续存在于所有全身和区域身体图像中,包括那些显示性器官的人或那些显示通常与特定性别相关的特征的人(例如,对于男性,面部毛发和/或肌肉肥大)。在特定性别的背景下,较深的皮肤代表不足,但是男性的描述显示出更大的整体肤色变化。虽然大多数图像不能被分配到一个身体大小或年龄类别,当可编码时,这些图像绝大多数描绘了较小(34.7%;93/268)或中等(64.6%;173/268)体型的成年人(85.0%;567中的482人)。最终,这些结果为监测正在进行的和未来的工作提供了参考指标,以解决解剖学图像中描绘的表示不平等.
    Previous research suggests that underrepresentation in medical curricula perpetuates inequities in healthcare. This study aimed to quantify the prevalence of human phenotypic diversity (e.g., skin tone, sex, body size, and age) across 11 commonly used anatomy atlases and textbooks in pre-clerkship medical education, published from 2015 to 2020. A systematic visual content analysis was conducted on 5001 images in which at least one phenotypic attribute was quantifiable. Anatomy images most prevalently portrayed light skin tones, males, persons with intermediate body sizes, and young to middle-aged adults. Of the 3883 images in which there was a codable skin tone, 81.2% (n = 3154) depicted light, 14.3% (n = 554) depicted intermediate, and 4.5% (n = 175) depicted dark skin tones. Of the 2384 images that could be categorized into a sex binary, 38.4% (n = 915) depicted females and 61.6% (n = 1469) depicted males. A male bias persisted across all whole-body and regional-body images, including those showing sex organs or those showing characteristics commonly associated with a specific sex (e.g. for males, facial hair and/or muscle hypertrophy). Within sex-specific contexts, darker skin was underrepresented, but male depictions displayed greater overall skin tone variation. Although most images could not be assigned to a body size or age category, when codable, these images overwhelmingly depicted adults (85.0%; 482 of 567) with smaller (34.7%; 93 of 268) or intermediate (64.6%; 173 of 268) body sizes. Ultimately, these outcomes provide reference metrics for monitoring ongoing and future efforts to address representation inequalities portrayed in anatomical imagery.
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