Suchergebnisse

External jugular vein is the superficial vein of the neck and is prone to variations. Multiple internal jugular veins are incidental findings that present as a duplication or fenestration. We encountered a unilateral fenestrated internal jugular vein and a bilateral variation in the course of external jugular vein, during a cadaveric dissection. The external jugular vein, after its formation, crossed the sternocleidomastoid muscle and pierced the investing cervical fascia of the posterior triangle. It traversed deep to the inferior belly of omohyoid muscle to enter the subclavian triangle and terminated by draining into the subclavian vein on the left side, and at the angle between the internal jugular vein and the subclavian vein on the right side. The fenestrated internal jugular vein on the left side divided into a small medial and large lateral division which reunited at the level of the tendon of omohyoid muscle and drained into the subclavian vein. Only the medial division of the internal jugular vein received tributaries in the neck. Awareness of the multiple variations of the jugular veins would be valuable during surgical approaches to the neck. Present report aims to be useful for vascular surgeons, radiologists, and intensivists as well.

Trends across nations suggest that adulthood in the future will require greater social versatility, including abilities to function in relationships that are less scripted by community norms and that bridge multiple social worlds. This article assesses whether current changes in adolescents' interpersonal experience are likely to give them the social resources and competencies they will need. Changes in families are making them smaller, more diverse in social capital, and more responsive to adolescents. Changes in adolescents' nonfamily experience include more time in institutional settings; more involvement with peers; and more cycles of developing (and ending) relationships with a heterogeneous set of adults, friends, and, for many, romantic partners. The analysis suggests that these changes will provide many youth with greater opportunities to develop the more versatile interpersonal resources required in the future, but that many adolescents will have restricted opportunities to acquire these resources.