Research Article
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The contribution of plastinates to teaching complex anatomy of the heart

Year 2021, Volume: 15 Issue: 1, 69 - 75, 29.04.2021

Abstract

Objectives: The use of plastination can minimize health risks and cost in anatomy laboratories. Plastinates are easy to handle and can facilitate the learning of complex anatomical structures. Therefore, we aimed to evaluate the contribution of plastinates to teaching complex anatomy of the heart.
Methods: Standard S10 technique was used for heart plastination by fixation, dehydration, impregnation and curing stages. Ninety volunteer first-year medicine students at Akdeniz University, who did not take cardiovascular system anatomy lectures yet, were included. Formalin-fixed heart specimens were used in the lecture of group 1; both formalin-fixed heart specimens and heart plastinates were used in the lecture of group 2. After the lecture, a 10-question exam was administered. Statistical significance between the scores of the two groups was tested with one sample t-test, and post hoc Tukey test was used for multiple comparisons.
Results: The pre-test scores of the groups were compared with the scores obtained after the 2 hours of lecture (p=0.002, p<0.05). The test scores of both groups increased significantly after the lecture (p<0.05). The post-test scores of group 2 were significantly higher than group 1 (p= 0.047, p<0.05). The average test scores of those trained with formalin-fixed specimens increased from 23.78±1.94 to 48.22±3.19 (p<0.05). Students gave positive feedback about heart plastinates, and they stated that their rising interest in the anatomy lecture due to the odourless, disinfected and reusable materials.
Conclusion: In conclusion, besides being cost-effective, healthy, long lasting and easy to maintain materials, plastinates are useful tools to teach complex anatomical structures.

Supporting Institution

Akdeniz University Scientific Research Projects Coordination Unit

Project Number

TSA-2015-710

References

  • Yammine K, Violato C. The effectiveness of physical models in teaching anatomy: a meta-analysis of comparative studies. Adv Health Sci Educ Theory Pract 2016;21:883–95.
  • Wilson AB, Miller CH, Klein BA, Taylor MA, Goodwin M, Boyle EK, Brown K, Hoppe C, Lazarus M. A meta-analysis of anatomy laboratory pedagogies. Clin Anat 2018;31:122–33.
  • Cottam WW. Adequacy of medical school gross anatomy education as perceived by certain postgraduate residency programs and anatomy course directors. Clin Anat 1999;12:55–65.
  • Fitzgerald JE, White MJ, Tang SW, Maxwell-Armstrong CA, James DK. Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clin Anat 2008;21:718–24.
  • Papa V, Vaccarezza M. Teaching anatomy in the XXI century: new aspects and pitfalls. ScientificWorldJournal 2013;2013:310348.
  • Yammine K, Violato C. A meta-analysis of the educational effectiveness of three-dimensional visualization technologies in teaching anatomy. Anat Sci Educ 2015;8:525–38.
  • Bhangu A, Boutefnouchet T, Yong X, Abrahams P, Joplin R. A three-year prospective longitudinal cohort study of medical students' attitudes toward anatomy teaching and their career aspirations. Anat Sci Educ 2010;3:184–90.
  • Collins JP. Modern approaches to teaching and learning anatomy. BMJ 2008;337:a1310.
  • Estai M, Bunt S. Best teaching practices in anatomy education: a critical review. Ann Anat 2016;208:151–7.
  • Riederer BM. Plastination and its importance in teaching anatomy. Critical points for long-term preservation of human tissue. J Anat 2014;224:309–15.
  • Ottone NE, Cirigliano V, Bianchi HF, Medan CD, Algieri RD, Borges Brum G, Fuentes R. New contributions to the development of a plastination technique at room temperature with silicone. Anat Sci Int 2015;90:126–35.
  • Neha, Lalwani S, Dhingra R. Plastinated knee specimens: a novel educational tool. J Clin Diagn Res 2013;7:1–5.
  • O'Sullivan E, Mitchell BS. Plastination for gross anatomy teaching using low cost equipment. Surg Radiol Anat 1995;17:277–81.
  • Latorre R, Bainbridge D, Tavernor A, Lopez Albors O. Plastination in anatomy learning: an experience at Cambridge University. J Vet Med Educ 2016;43:226–34.
  • Ravi SB, Bhat VM. Plastination: A novel, innovative teaching adjunct in oral pathology. J Oral Maxillofac Pathol 2011;15:133–7.
  • Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020;104:246–51.
  • WHO Team. Infection prevention and control for the safe management of a dead body in the context of COVID-19. Interim guidance 2020;WHO/2019-nCoV/lPC_DBMgmt/2020.1. CC BY-NC-SA 3.0 IGO, WHO Global. p. 6.
  • Tiedemann K, von Hagens G. The technique of heart plastination. Anat Rec 1982;204:295–9.
  • Dorri S, Farahani MA, Maserat E, Haghani H. Effect of role-playing on learning outcome of nursing students based on the Kirkpatrick evaluation model. J Educ Health Promot 2019;8:197.
  • Arnts H, Kleinnijenhuis M, Kooloos JG, Schepens-Franke AN, van Cappellen van Walsum AM. Combining fiber dissection, plastination, and tractography for neuroanatomical education: revealing the cerebellar nuclei and their white matter connections. Anat Sci Educ 2014;7:47–55.
  • Latorre RM, Garcia-Sanz MP, Moreno M, Hernandez F, Gil F, Lopez O, Ayala MD, Ramirez G, Vazquez JM, Arencibia A, Henry RW. How useful is plastination in learning anatomy? J Vet Med Educ 2007;34:172–6.
  • Musumeci E, Lang FJW, Duvoisin B, Riederer BM. Plastinated ethmoidal region: I. Preparation and applications in clinical teaching. Journal of the International Society for Plastination 2003;18:23–8.
  • Baptista CAC, Conran PB. Plastination of the heart: preparation for the study of the cardiac valves. Journal of the International Society for Plastination 1989;3:3–7.
  • Gomez A, Del Palacio JF, Latorre R, Henry RW, Sarria R, Albors OL. Plastinated heart slices aid echocardiographic interpretation in the dog. Vet Radiol Ultrasound 2012;53:197–203.
  • Raoof A, Marchese L, Marchese A, Wischmeyer A. Demonstration of systolic and diastolic phases of the cardiac cycle in a plastinated human heart. The Journal of Plastination 2013;25:18–21.
  • Klaus RM, Royer DF, Stabio ME. Use and perceptions of plastination among medical anatomy educators in the United States. Clin Anat 2018;31:282–92.
  • Chaturvedi RK, Singh A, Chaturvedi P, Mishra A, Mishra SP. Advantages of plastinated human body in medical education and its legal & ethical aspects. Journal of Evolution of Medical and Dental Sciences 2014;3:2626–31.
  • Sivrev DP, Usovich A. Using of plastinated anatomical preparations in preclinical and clinical education of medical students. Acta Morphologica et Anthropologica 2012;19:211–19.
  • Riederer BM. Body donations today and tomorrow: what is best practice and why? Clin Anat 2016;29:11–8.
  • Tanaka K, Nishiyama K, Yaginuma H, Sasaki A, Maeda T, Kaneko SY, Onami T, Tanaka M. Formaldehyde exposure levels and exposure control measures during an anatomy dissecting course [Article in Japanese]. Kaibogaku Zasshi 2003;78:43–51.
Year 2021, Volume: 15 Issue: 1, 69 - 75, 29.04.2021

Abstract

Project Number

TSA-2015-710

References

  • Yammine K, Violato C. The effectiveness of physical models in teaching anatomy: a meta-analysis of comparative studies. Adv Health Sci Educ Theory Pract 2016;21:883–95.
  • Wilson AB, Miller CH, Klein BA, Taylor MA, Goodwin M, Boyle EK, Brown K, Hoppe C, Lazarus M. A meta-analysis of anatomy laboratory pedagogies. Clin Anat 2018;31:122–33.
  • Cottam WW. Adequacy of medical school gross anatomy education as perceived by certain postgraduate residency programs and anatomy course directors. Clin Anat 1999;12:55–65.
  • Fitzgerald JE, White MJ, Tang SW, Maxwell-Armstrong CA, James DK. Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clin Anat 2008;21:718–24.
  • Papa V, Vaccarezza M. Teaching anatomy in the XXI century: new aspects and pitfalls. ScientificWorldJournal 2013;2013:310348.
  • Yammine K, Violato C. A meta-analysis of the educational effectiveness of three-dimensional visualization technologies in teaching anatomy. Anat Sci Educ 2015;8:525–38.
  • Bhangu A, Boutefnouchet T, Yong X, Abrahams P, Joplin R. A three-year prospective longitudinal cohort study of medical students' attitudes toward anatomy teaching and their career aspirations. Anat Sci Educ 2010;3:184–90.
  • Collins JP. Modern approaches to teaching and learning anatomy. BMJ 2008;337:a1310.
  • Estai M, Bunt S. Best teaching practices in anatomy education: a critical review. Ann Anat 2016;208:151–7.
  • Riederer BM. Plastination and its importance in teaching anatomy. Critical points for long-term preservation of human tissue. J Anat 2014;224:309–15.
  • Ottone NE, Cirigliano V, Bianchi HF, Medan CD, Algieri RD, Borges Brum G, Fuentes R. New contributions to the development of a plastination technique at room temperature with silicone. Anat Sci Int 2015;90:126–35.
  • Neha, Lalwani S, Dhingra R. Plastinated knee specimens: a novel educational tool. J Clin Diagn Res 2013;7:1–5.
  • O'Sullivan E, Mitchell BS. Plastination for gross anatomy teaching using low cost equipment. Surg Radiol Anat 1995;17:277–81.
  • Latorre R, Bainbridge D, Tavernor A, Lopez Albors O. Plastination in anatomy learning: an experience at Cambridge University. J Vet Med Educ 2016;43:226–34.
  • Ravi SB, Bhat VM. Plastination: A novel, innovative teaching adjunct in oral pathology. J Oral Maxillofac Pathol 2011;15:133–7.
  • Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect 2020;104:246–51.
  • WHO Team. Infection prevention and control for the safe management of a dead body in the context of COVID-19. Interim guidance 2020;WHO/2019-nCoV/lPC_DBMgmt/2020.1. CC BY-NC-SA 3.0 IGO, WHO Global. p. 6.
  • Tiedemann K, von Hagens G. The technique of heart plastination. Anat Rec 1982;204:295–9.
  • Dorri S, Farahani MA, Maserat E, Haghani H. Effect of role-playing on learning outcome of nursing students based on the Kirkpatrick evaluation model. J Educ Health Promot 2019;8:197.
  • Arnts H, Kleinnijenhuis M, Kooloos JG, Schepens-Franke AN, van Cappellen van Walsum AM. Combining fiber dissection, plastination, and tractography for neuroanatomical education: revealing the cerebellar nuclei and their white matter connections. Anat Sci Educ 2014;7:47–55.
  • Latorre RM, Garcia-Sanz MP, Moreno M, Hernandez F, Gil F, Lopez O, Ayala MD, Ramirez G, Vazquez JM, Arencibia A, Henry RW. How useful is plastination in learning anatomy? J Vet Med Educ 2007;34:172–6.
  • Musumeci E, Lang FJW, Duvoisin B, Riederer BM. Plastinated ethmoidal region: I. Preparation and applications in clinical teaching. Journal of the International Society for Plastination 2003;18:23–8.
  • Baptista CAC, Conran PB. Plastination of the heart: preparation for the study of the cardiac valves. Journal of the International Society for Plastination 1989;3:3–7.
  • Gomez A, Del Palacio JF, Latorre R, Henry RW, Sarria R, Albors OL. Plastinated heart slices aid echocardiographic interpretation in the dog. Vet Radiol Ultrasound 2012;53:197–203.
  • Raoof A, Marchese L, Marchese A, Wischmeyer A. Demonstration of systolic and diastolic phases of the cardiac cycle in a plastinated human heart. The Journal of Plastination 2013;25:18–21.
  • Klaus RM, Royer DF, Stabio ME. Use and perceptions of plastination among medical anatomy educators in the United States. Clin Anat 2018;31:282–92.
  • Chaturvedi RK, Singh A, Chaturvedi P, Mishra A, Mishra SP. Advantages of plastinated human body in medical education and its legal & ethical aspects. Journal of Evolution of Medical and Dental Sciences 2014;3:2626–31.
  • Sivrev DP, Usovich A. Using of plastinated anatomical preparations in preclinical and clinical education of medical students. Acta Morphologica et Anthropologica 2012;19:211–19.
  • Riederer BM. Body donations today and tomorrow: what is best practice and why? Clin Anat 2016;29:11–8.
  • Tanaka K, Nishiyama K, Yaginuma H, Sasaki A, Maeda T, Kaneko SY, Onami T, Tanaka M. Formaldehyde exposure levels and exposure control measures during an anatomy dissecting course [Article in Japanese]. Kaibogaku Zasshi 2003;78:43–51.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Teaching Anatomy
Authors

Güneş Aytaç 0000-0003-4902-2844

Eren Ogut 0000-0003-2506-9883

Rahime Şekerci 0000-0002-3253-1186

Sezgi Gürçay This is me 0000-0002-9061-676X

Nurettin Oğuz 0000-0001-6864-8872

Muzaffer Sindel 0000-0002-6594-1325

Project Number TSA-2015-710
Publication Date April 29, 2021
Published in Issue Year 2021 Volume: 15 Issue: 1

Cite

APA Aytaç, G., Ogut, E., Şekerci, R., Gürçay, S., et al. (2021). The contribution of plastinates to teaching complex anatomy of the heart. Anatomy, 15(1), 69-75.
AMA Aytaç G, Ogut E, Şekerci R, Gürçay S, Oğuz N, Sindel M. The contribution of plastinates to teaching complex anatomy of the heart. Anatomy. April 2021;15(1):69-75.
Chicago Aytaç, Güneş, Eren Ogut, Rahime Şekerci, Sezgi Gürçay, Nurettin Oğuz, and Muzaffer Sindel. “The Contribution of Plastinates to Teaching Complex Anatomy of the Heart”. Anatomy 15, no. 1 (April 2021): 69-75.
EndNote Aytaç G, Ogut E, Şekerci R, Gürçay S, Oğuz N, Sindel M (April 1, 2021) The contribution of plastinates to teaching complex anatomy of the heart. Anatomy 15 1 69–75.
IEEE G. Aytaç, E. Ogut, R. Şekerci, S. Gürçay, N. Oğuz, and M. Sindel, “The contribution of plastinates to teaching complex anatomy of the heart”, Anatomy, vol. 15, no. 1, pp. 69–75, 2021.
ISNAD Aytaç, Güneş et al. “The Contribution of Plastinates to Teaching Complex Anatomy of the Heart”. Anatomy 15/1 (April 2021), 69-75.
JAMA Aytaç G, Ogut E, Şekerci R, Gürçay S, Oğuz N, Sindel M. The contribution of plastinates to teaching complex anatomy of the heart. Anatomy. 2021;15:69–75.
MLA Aytaç, Güneş et al. “The Contribution of Plastinates to Teaching Complex Anatomy of the Heart”. Anatomy, vol. 15, no. 1, 2021, pp. 69-75.
Vancouver Aytaç G, Ogut E, Şekerci R, Gürçay S, Oğuz N, Sindel M. The contribution of plastinates to teaching complex anatomy of the heart. Anatomy. 2021;15(1):69-75.

Anatomy is the official journal of Turkish Society of Anatomy and Clinical Anatomy (TSACA).