SUMMARY: The myodural bridge is a dense connective tissue connecting muscles and ligaments to the spinal dura mater in the atlanto-occipital interspace. Some researchers believe that the myodural bridge may play a vital physiological role. It is possible, for instance, that the prevention of spinal dura mater infoldings might be involved in regulated cerebrospinal fluid circulation. For instance, it is possible to prevent spinal dura mater infoldings, regulating cerebrospinal circulation. Bats are nocturnal and the only mammals that can perform a genuine and sustained flight, whereas tree shrews are arboreal mammals that often climb to a high altitude of about 10,000 feet. Both animals have lifestyles that are different from other previously studied mammals. The study of these two animals will shed further light on the existence of the myodural bridge in mammals. Gross anatomical dissection was used to observe the connections between the deep muscles of the neck and the dura mater at the level of the atlanto-occipital interspace. The existing structures were analyzed using conventional and special histological staining techniques. The suboccipital regions in bats and tree shrews contained the rectus capitis dorsal major (RCDma), rectus capitis dorsal minor (RCDmi), oblique capitis anterior (OCA), and oblique capitis posterior (OCP). Dense connective tissue connects the RCDmi to the posterior atlanto-occipital membrane (PAOM) and the latter to the spinal dura mater. The myodural bridge in these mammals shares a similar structure to the myodural bridge in humans. Histological analyses confirmed that the connective fibers of the myodural bridge were primarily type I collagen fibers. In this study, it is supplemented by the existence of the myodural bridge in mammals. This further demonstrates that myodural bridge widely exists in the normal anatomy of mammals. This provides morphological support for a comparative anatomical study of the physiological function of the myodural bridge.

RESUMEN: El puente miodural es un tejido conjuntivo denso que conecta los músculos y los ligamentos a la duramadre espinal en el espacio atlanto-occipital. Algunos investigadores creen que el puente miodural puede desempeñar un papel fisiológico vital. Es posible, por ejemplo, que la prevención de los pliegues de la duramadre espinal pueda estar involucrada en la circulación regulada del líquido cefalorraquídeo. En esta instancia, es posible prevenir los pliegues de la duramadre espinal, regulando la circulación cerebro espinal. Los murciélagos son animales nocturnos y los únicos mamíferos que pueden realizar un vuelo real y sostenido, mientras que las musarañas arborícolas son mamíferos arbóreos que a menudo ascienden a una gran altura de unos 10 000 pies. Ambos animales tienen estilos de vida diferentes a los de otros mamíferos previamente estudiados. El estudio de estos dos animales ofrecerá más información sobre la existencia del puente miodural en los mamíferos. Se realizó una disección anatómica macroscópica para observar las conexiones entre los músculos profundos del cuello y la duramadre a nivel del espacio atlanto-occipital. Las estructuras existentes se analizaron mediante técnicas de tinción histológica convencionales y especiales. Las regiones suboccipitales en murciélagos y musarañas arbóreas presentaban el músculo recto dorsal mayor de la cabeza (RCDma), el recto dorsal menor de la cabeza (RCDmi), el oblicuo anterior de la cabeza (OCA) y el oblicuo posterior de la cabeza (OCP). El tejido conjuntivo denso conecta el RCDmi con la membrana atlanto- occipital posterior (PAOM) y esta última con la duramadre espinal. El puente miodural en estos mamíferos comparte una estructura similar al puente miodural en humanos. Los análisis histológicos confirmaron que las fibras conectivas del puente miodural son principalmente fibras de colágeno tipo I. Esto demuestra además que el puente miodural existe ampliamente en la anatomía normal de los mamíferos. Esta investigación proporciona apoyo morfológico para un estudio anatómico comparativo de la función fisiológica del puente miodural.

RESUMO Introdução: O boxe é um esporte global, incluindo táticas, corpo e mente para uma luta intensa. Os atletas precisam de muita força, velocidade, resistência, agilidade e resistência. Através do treinamento profissional, a agilidade e o controle corporal dos atletas são continuamente melhorados. Objetivo: Desenvolver um treinamento especial de aptidão física para boxeadores profissionais. Esta conclusão pode fornecer uma referência para o ensino e treinamento do boxe. Métodos: Este artigo estuda o treinamento especial de boxeadores profissionais empregando materiais de literatura, entrevistas com especialistas e métodos de auto experiência. Faz-se análise dos resultados empregando estatísticas matemáticas. Resultados: Este trabalho encontrou vários métodos particulares de treinamento de boxe, tais como treinamento de alta intensidade, intensivo e de desenvolvimento, através de análise. Conclusão: O treinamento profissional tem um efeito particular de promoção na melhoria da aptidão física e do nível de competição dos boxeadores. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.

ABSTRACT Introduction: Boxing is a global sport, including tactics, body, and mind for intense fighting. Athletes need high strength, speed, endurance, agility, and endurance. Through professional training, athletes’ agility and body control are continuously improved. Objective: To develop special fitness training for professional boxers. This conclusion can provide a reference for boxing education and training. Methods: This paper studies the special training of professional boxers by employing literature materials, expert interviews, and self-experience methods. Analysis of the results is done using mathematical statistics. Results: This paper found several particular boxing training methods, such as high-intensity, intensive and developmental training, through analysis. Conclusion: Professional training has a particular promoting effect on improving the physical fitness and competition level of boxers. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

RESUMEN Introducción: El boxeo es un deporte global, que incluye la táctica, el cuerpo y la mente para un combate intenso. Los atletas necesitan mucha fuerza, velocidad, resistencia, agilidad y resistencia. Gracias al entrenamiento profesional, la agilidad y el control corporal de los atletas mejoran continuamente. Objetivo: Desarrollar un entrenamiento físico especial para boxeadores profesionales. Esta conclusión puede servir de referencia para la educación y la formación del boxeo. Métodos: Este trabajo estudia el entrenamiento especial de los boxeadores profesionales empleando materiales bibliográficos, entrevistas con expertos y métodos de auto experiencia. El análisis de los resultados se realiza mediante estadísticas matemáticas. Resultados: Este trabajo encontró varios métodos particulares de entrenamiento de boxeo como el entrenamiento de alta intensidad, intensivo y de desarrollo a través del análisis. Conclusión: El entrenamiento profesional tiene un efecto especial de promoción en la mejora de la condición física y el nivel de competición de los boxeadores. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.

Abstract Objective: To investigate the effects of Erector Spinae Plane Block (ESPB) and Retrolaminar Block (RLB) on intraand postoperative analgesia in patients with Multiple Rib Fractures (MRFs). Methods: A total of 80 MRFs patients were randomly divided into the ESPB (Group E) and RLB (Group R) groups. After general anesthesia, ESPB and RLB were performed under ultrasound guidance, respectively, together with 20 mL of 0.5% ropivacaine and Patient-Controlled Intravenous Analgesia (PCIA). Results: Thirty-four cases in Group E and 33,cases in Group R showed unclear paravertebral spaces. The intraoperative dosage of remifentanil (mean ± SD) (392.8 ± 118.7 vs. 501.7 ± 190.0 μg) and postoperative morphine PCIA dosage, (7.35 ± 1.55 vs. 14.73 ± 2.18 mg) in Group R were significantly less than those in Group E; the Visual Analog Scale (VAS) scores in Group R at 2 (2.7 ± 1.2 vs. 3.4 ± 1.4), 4 (2.2 ± 1.1 vs. 2.8 ± 0.9), 12 (2.5 ± 0.9 vs. 3.0 ± 0.8), and 24 hours (2.6 ± 1.0 vs. 3.1 ± 0.9) after surgery were significantly lower than those in Group E. Finally, the normal respiratory diaphragm activity (2.17 ± 0.22 vs. 2.05 ± 0.19), pH (median [IQR] (7.38 [7.31-7.45] vs. 7.36 [7.30-7.42]), and partial pressure of carbon dioxide (PaCO2) (44 [35-49] vs. 42.5 [30-46]) after the operation in Group R were significantly better than those in Group E (p < 0.05). Conclusions: RLB was a more effective analgesic method than ESPB in the treatment of MRF.