Home

understanding female pelvic anatomy in 3d

Contents

1. co eie tik aee eRe ahead an tee ERA 37 List of anatomical parts I eov Ret erred ie dt eus 37 Notes on selected model 39 Female pelvis ox Di ary te qoe PRD a R E oe rs Oe WED DEALER Dee 39 Superficial transverse perineal muscle 39 Greater vestibular Bartholin glands 40 Length of perineal 40 Lateral fibers and tendinous plate of the pubococcygeal muscle 40 External anal sphincter 40 Space between the external anal sphincter and coccyx 40 STUDYING WITH THE 3D ANATOMY PROGRAM 41 BIBLIOGRAPHY db ben ots a ee dire ne ie deae 43 ABOUT THE GRAPHICS DESIGNER AND GAMING PROGRAMERS 44 Is THIS THE MOST CURRENT VERSION OF THIS MANUAL If you are looking at the version of this manual included with the DVD it may not be the most current To double check on this go to my website lt www midwiferybooks com anatomy_users_manual pdf gt There you will find a link that takes you right to the manual posted on my website and the file date will be shown The help screen in the interactive 3D pelvic anatomy tool also points you to the website for this manual just in case there is a more recent version posted there lt www
2. Once all the pop up windows are gone go to your start menu click on MY COMPUTER find your DVD drive which should now read female pelvic anatomy Right click on this drive and choose play Note do not choose autoplay as that will reinitiate the install process for the interactive anatomy program Choosing play should take you right into your DVD player software and to the menu for the vignettes SIMPLIFIED INSTALLATION NOTES FOR THE INTERACTIVE PELVIC ANATOMY PROGRAM These notes should be sufficient if you are running Windows 7 Turn on your computer and close any open applications If the anatomy program is already on your computer delete it before proceeding If this is a first time install create a restore point see Windows Help and Support for instructions Ensure that your internet connection is operable Turn off your antivirus software Place the DVD in the disc drive The vignettes may start playing automatically If so close out of any multimedia windows that may open 8 The installation process should launch automatically If it does not open the DVD menu open the Installer folder and click on setup The program should now proceed with the install 9 If you are working in Windows 7 and a window pops up that says the program may not have installed correctly ignore it and close the window this is a bug in Windows 7 10 The install process will conclude wit
3. ie ace ac og teow icu 32 Familiarizing Yourself with the Screen 32 Eist to thie Lert OF ie Screen bt rte E ey ev P E dress 32 Seroll DAT cs pacte ex ve esc dew dae dear rte 32 Speaker Seite oie ox kt exteros breed exea pd d Te 32 os 824 ue Vac oo beoe vau aod esse aue e oye bue Sd ead o e 32 VIEWPOR eag ba or SAL De oS T db ae poa De Die NS SH ON 33 MIoyIBE the model i 6 3 oe Dee eee ees Boe Re sb e Ee ee 33 Orientation CUDGS us Lo wy v eco epos Fore eg PER ex ex au doe dos 33 Rotation ICONE oes DRE qon URINE q euo woh ese ie 33 Names of anatomical parts s em e Ae rper eat Rap peg s 33 Selecting deselecting patissau n4 o xd uk stie Rosie eS Su pepe web alts 34 Default setine view all 34 Making parts appear disappear 34 M orkitig Wilh TECIONS ui oerte ad ed ree ewe as eR ed tae RS 34 Isolating one part or 1 34 Working with individual parts 35 Displaying coxal innominate or hip bones and central pubic bone ICBIONS men ae ae oe Re Ewe BICIS RE rep cp Us 35 Transparent Parts Dess poo CRAS CU Wer S va taies reete Y 36 Orientation of PANS o dro ri C gry E vau S SERIE Vade Snyder a edere a 36 TOC Used Sd Bal Aus dali ck E d ied 36 TIE and
4. as well as all other types of certification programs that are not university based Institutional rate all other categories Universities and their libraries Public libraries Special licensing level for permanent residents and natives of developing countries If you have paid for the DVD at an individual price but now find you wish to use it when teaching workshops for example you can bring your copy into compliance by simply calling the office and paying the difference in the licensing fee Personal and Private Use by an Individual Licensee in the Developed World Individual licensees are defined as students or professionals including all types of educators who wish to use the DVD only for their own personal and private study They may copy the contents of this DVD to up to two of their personal computing devices that will not to be used simultaneously for the viewing of the software They may view the vignettes on any television or other device that allows such viewing The individual user may copy the files to a flash drive or other type of media or storage device if necessary to transfer them to their computer or other compatible device An archival copy can be made to avoid loss should something happen to the original DVD When a computing device is retired the user should first delete all of the software content from the hard drive or removable drive before disposal or passing on the device to another for their use Once installed on t
5. Centers 1995 It is included here to emphasize that blood vessels that attach to the clitoral bulbs are likely to exist in the perineal body Also note that the model is a tangle of red tubes that are intended only to represent blood vessels not precise circulatory anatomy If you want to eliminate this part from your study simply turn it off Greater vestibular Bartholin glands MRI studies Suh et al 2003 have found the greater vestibular glands to arise within the labia minora at the posterolateral aspects of the yoni introitus in the 4 and 8 o clock positions just posterior and caudal to the clitoral bulbs These glands are about the size of a pea and range from 5 to 1 cm in diameter Grimes amp Chen 2011 describe them as ling immediately under the bulbocavernosus muscles as they are illustrated in other texts Length of perineal body You will also note that the space that would be occupied by the perineal body will seem quite long Most Caucasian women do not have such long perineums although this length is within normal range Lateral fibers and tendinous plate of the pubococcygeal muscle These fibers are shown in a light blue color and created as a separate part as a matter of computer limitations These in fact are the only fibers that reach from the pubic bone all the way to the coccyx In life these fibers are continuous with the fabric of the puboanalis muscle External anal sphincter models These parts have fiber
6. REVENUES OR PROFITS OR LOSS OF BUSINESS RESULTING FROM THIS AGREEMENT OR FROM THE FURNISHING PERFORMANCE INSTALLATION OR USE OF THE SOFTWARE PRODUCT WHETHER DUE TO A BREACH OF CONTRACT BREACH OF WARRANTY OR THE NEGLIGENCE OF LABRYS PRESS OR ANY OTHER PARTY EVEN IF LABRYS PRESS IS ADVISED BEFOREHAND OF THE POSSIBILITY OF SUCH DAMAGES TO THE EXTENT THAT THE APPLICABLE JURISDICTION LIMITS LABRYS PRESS S ABILITY TO DISCLAIM ANY IMPLIED WARRANTIES THIS DISCLAIMER SHALL BE EFFECTIVE TO THE MAXIMUM EXTENT PERMITTED LIMITATION OF REMEDIES AND DAMAGES Your remedy for a breach of this Agreement or of any warranty included in this Agreement is the replacement of the Software Product Selection of whether to replace the DVD shall be solely at the discretion of Labrys Press Labrys Press reserves the right to substitute a functionally equivalent copy of the Software Product as a replacement If Labrys Press is unable to provide a replacement or substitute Software Product or corrections to the Software Product your sole alternate remedy shall be a refund of the purchase price for the Software Product exclusive of any costs for shipping and handling Any claim must be made within the applicable warranty period All warranties cover only defects arising under normal use and do not include malfunctions or failure resulting from misuse abuse neglect alteration problems with electrical power acts of nature unusual temperatures or humidity improper i
7. Software Product You may not reproduce the database portion or create any tables or reports relating to the database portion DISCLAIMER OF SOFTWARE PRODUCT WARRANTY This DVD is distributed as is in the hope that it will be useful but without warranty of any kind either expressed or implied including but not limited to warranties of merchantability and fitness for a particular purpose While significant effort has been made to determine minimum system requirements and to ensure that the software product will operate as expected when installed on a system that meets these requirements and to ensure that the DVD content is free of defects in programing no guarantees are made as to whether it will perform as expected on any given device or computer Labrys Press makes no warranty that operation of the Software Product will be secure error free or free from interruption You must determine whether the software product sufficiently meets your requirements for security and uninterruptability You bear sole responsibility and all liability for any loss incurred due to failure of the software product to meet your requirements The entire risk as to the quality and performance of the program is with you Should the program prove defective you assume the cost of all necessary servicing repair or correction as a result of installation In no event unless required by applicable law will the author be responsible for or liable to you for damages
8. THE VIGNETTES ON YOUR COMPUTER 17 DETAILED INSTALLATION NOTES FOR THE INTERACTIVE PELVIC ANATOMY PROGRAM Saad ec at ach EE S 19 VIGNETTES INTRODUCING SOFT TISSUE REGIONS OF THE FEMALE PELVIS 22 DETAILS ABOUT PLAYING AND VIEWING THE VIGNETTES 22 FRE Te SIONS discussed o eu adoret eor os eons Rae Oe WE et ee d dE Qa OARS 22 Depiction of anatomical Parts vu eU Hex IRL M e qb ie an Bo aqoa 22 EE aps 22 Closeudro ANU ONS oa mado trio i ee abeo ose d el OR AA a RN 23 Playing the vignettes on a 23 Playing the vignettes on a television 23 Repeat play looping dores e EO CR dt nie 23 COMMENTS ON EACH VIGNETTE 2 2 4 ob REPLYS PARA RE EMPRESA EP AGENS 23 Vignette 1 Urethrovaginal Sphincter Muscle Complex 23 Vignette 2 Perineal Membrane Connective Tissue Complex 23 Vignette 3 Clitoral 1 24 Vignette 4 Levator Ani Muscle Complex 24 Vignette 5 External Anal 5 24 MIGNETTE SCRIPTS en awit oe rae Sask Gosh ek ee eee te te 25 2 INTERACTIVE 3D PELVIC ANATOMY PROGRAM E LEARNING TOOL 32 USING THE PROGRAM oca Ma Strab Sei m hante
9. This is the list of parts as it appears on the screen The order of parts matches the order in which the parts are presented in the text except for the anorectal canal which is grouped with the other pelvic organs even though it is discussed after the external anal sphincter is described in the text SHOW HIDE ALL FEMALE PELVIS Coccyx Sacrum Coxal hip bones ilia sing ilium ischia sing ischium pubis Left coxal bone With central pubic bone region Without central pubic bone region Right coxal bone With central pubic bone region Without central pubic bone region Central pubic bone region only Left side Right side Symphysis cartilage FEMALE PELVIC ORGANS Bladder and urethra Bladder Urethra Vagina yoni Uterus Anorectal canal URETHROVAGINAL SPHINCTER MUSCLE COMPLEX Urethral sphincter Compressor urethra Urethrovaginal sphincter Transverse muscle fibers PERINEAL MEMBRANE CONNECTIVE TISSUE COMPLEX 3 D part Banded part 38 CLITORAL COMPLEX AND RELATED PARTS Clitoral glans body and crura sing crus Clitoral bulbs and root Perineal sponge Greater vestibular glands Greater vestibular ducts Clitoral muscles Ischiocavernosus muscles Bulbocavernosus muscles ADDITIONAL PARTS OF THE UROGENITAL TRIANGLE Superficial transverse perineal muscle Perineal body LEVATOR ANI MUSCLE COMPLEX AND RELATED PARTS Pubovisceral pubococcygeal muscle complex Puboanalis muscle Lateral fibers and tendinous plate of pubococcyg
10. collapse into a bowl shape as you see here IMAGE Uplifted composite model of pelvic muscles without pelvis return to toned view Thanks to MRI studies we now know that during life the muscles assume a much different shape because they retain tone when at rest IMAGE Bowl shape composite muscles without pelvis To understand the shape of the pelvic floor in life imagine that the side walls of the bowl have been pushed up from below so that they become convexly curved IMAGE funnel shaped central and domed shaped lateral muscles converting the bowl into a U shaped funnel with dome shaped sides The U shaped part hugs the urethral vaginal and rectal canals The domed sides serve as the primary diaphragm of the pelvis closing the pelvic cavity IMAGE composite model of pubovisceral complex rotating We will begin by describing the midline muscles first The most central component of the levator ani complex is the pubococcygeus muscle which many researchers now refer to as the Pubovisceral muscle because most of its function is contributed by fibers that attach to organs rather than those few that attach to the coccyx The pubovisceral muscle is really a complex of tissues that has several different parts or subdivisions each named separately The main body of the pubovisceral complex is a U shaped layer that arises on the inside of the pubic bone along a convexly curved line of origin IMAGE The pubovisceral muscle m
11. computer hardware or operating system Windows support for that you must consult an independent computer expert at your own expense RESTRICTIONS ON COPYING You may not copy any part of the Software Product except to the extent that licensed use inherently demands the creation of up to two temporary copies stored in computer memory on two devices and not permanently affixed on storage medium Copying of this DVD or its contents for the purpose of loaning giving or selling it to another person or institution is prohibited The only exception to the selling rule is in the event that you discover that you cannot play the DVD on your computer or that the program will not install In this case only you may transfer sell your license to another person once you have contacted Labrys Press and explained the situation ARCHIVAL COPY PERMISSION General terms Your physical DVD will serve as your archival copy of the Software Content In the event of the release of a downloadable version in addition to permission to install and use the Software Product on two personal computing devices you may make one archival copy of the Software Product The archival copy must be on a storage medium other than a hard drive and may only be used for the reinstallation of the Software Product This Agreement does not permit the installation or use of additional copies of the Software Product or the installation of the Software Product on more than two personal devices a
12. every other part was dependent on it Using a half dozen pelvic models plus reference to the classic 1975 text MOLOY S EVALUATION OF THE PELVIS IN OBSTETRICS 3 ed By Charles Steer Bev Standish of Digital Elf Studios modeled this beautiful gynecoid pelvis which she says is by far the most complexly shaped object she has ever created It was only after I was fully satisfied with this model that we proceeded to develop the soft tissue parts You will note that this pelvis has a wide round brim and plenty of space at the outlet it looks much different than most of the pelvic models that are available for study This is because most models are based on bone specimens obtained from the developing world from small immature or malnourished women because those are the bones most readily available for sale Female pelvic organs The vagina or yoni canal is shown dissected at the beginning of the H shaped region In life the walls at the most distal end converge to form a vertically oriented slit Likewise the urethra is slightly longer than this in life as it also opens at the level of the vestibular skin I left the urethra this length to match that of the vaginal yoni canal Both would ordinarily terminate in approximately the same plane as the inferior surface of the clitoral bulbs The anal canal is also a bit longer than this in life as there are layers of tissue that are not depicted in this model that lie between the plane of dissection an
13. including any general special incidental or consequential damages arising out of the installation or use or inability to use the program including but not limited to loss of or damage to data on any computer or information storage device data being rendered inaccurate or losses sustained by you or third parties or a failure of the program to operate with any other programs even if the author has been advised of the possibility of such damages 12 LIMITED STORAGE MEDIUM WARRANTY For a period of 60 days from the date of shipment or from the date that you download the Software Product as applicable Labrys Press warrants that when properly handled and used under normal conditions the storage medium i e DVD disk on which the Software Product is shipped will be free of defects in material and workmanship DISCLAIMER OF OTHER WARRANTIES AND LIMITATION OF LIABILITY UNLESS OTHERWISE EXPLICITLY AGREED TO IN WRITING BY LABRYS PRESS LABRYS PRESS MAKES NO OTHER WARRANTIES EXPRESS OR IMPLIED IN FACT OR IN LAW INCLUDING BUT NOT LIMITED TO ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE OTHER THAN AS SET FORTH IN THIS AGREEMENT OR IN THE DOCUMENTS PROVIDED WITH THE SOFTWARE PRODUCT UNDER NO CIRCUMSTANCES SHALL LABRYS PRESS ITS DIRECTORS OFFICERS EMPLOYEES OR AGENTS BE LIABLE TO YOU OR ANY OTHER PARTY FOR INDIRECT CONSEQUENTIAL SPECIAL INCIDENTAL PUNITIVE OR EXEMPLARY DAMAGES OF ANY KIND INCLUDING LOST
14. load missing files that you may need for the program to run on your computer It also allows you to access the online version of the user manual and the latest version of Adobe Acrobat Reader If your computer drive cannot play DVD If none of your computer drives can read a DVD you will not be able to use the DVD to install the 3D Anatomy Tool or to view the vignettes on your computer You may copy the Interactive 3D Pelvic Anatomy program zip file to a CD or a flash aka stick or thumb drive using someone else s computer so that you can download it to your machine To PLAY THE VIGNETTES ON YOUR COMPUTER This disk contains both the interactive anatomy program files and the vignettes as DVD content so it is a little more complexly formatted than most DVDs To play the DVD go to the DVD software on your computer and use it as you normally would If you are not sure how to do that or if that doesn t work as you expect follow these instructions WINDOWS 8 The program will install in Windows 8 and the vignettes will play however I have not had an opportunity to sit down the Windows 8 to write down detailed instructions It should be pretty automatic 18 WINDOWS 7 Place the DVD in the drive The vignettes will probably launch on their own Ifnot go to the START Menu Click on COMPUTER This should open a window that shows a list of drives attached to your computer If something else is displayed click on the word COMPUTER in the lef
15. me to ask about legitimate uses that may not be addressed in this document ACCEPTANCE OF THIS AGREEMENT YOU ACCEPT AND AGREE TO BE BOUND BY THE TERMS OF THIS AGREEMENT BY PROCEEDING WITH BREAKING AND REMOVING THE SHRINKWRAP ON THE SOFTWARE PRODUCT OR BY INSTALLING USING OR COPYING THE SOFTWARE PRODUCT YOU MUST AGREE TO ALL OF THE TERMS OF THIS AGREEMENT BEFORE YOU PROCEED TO REMOVE THE SHRINKWRAP FROM THE SOFTWARE PRODUCT IF YOU DO NOT AGREE TO ALL OF THE TERMS OF THIS AGREEMENT YOU MUST NOT OPEN INSTALL USE OR COPY THE SOFTWARE PRODUCT LICENSING OF THE SOFTWARE PRODUCT The two tools included on the DVD Understanding Female Pelvic Anatomy in 3D collectively referred to as the Software Product or DVD and accompanying documentation are licensed and not sold This Software Product is protected by copyright laws and treaties as well as laws and treaties related to other forms of intellectual property Labrys Press or its subsidiaries affiliates and suppliers collectively Labrys Press own intellectual property rights in the Software Product The Licensee s you or your license to download use copy or make changes to the Software Product 1s subject to these rights and to all the terms and conditions of this End User Licensing Agreement and Terms of Use Agreement 6 Categories of use licensing permissions There are several categories of licenses there are some special provisions for users in developi
16. midwiferybooks com anatomy_users_manual pdf gt Version date August 2 2013 INTRODUCTION The programs on this DVD represent four years of weekly work sessions beginning in March 2007 and ending in April of 2011 They were inspired by the dearth of illustrations depicting the most current understandings of female pelvic soft tissue arrangements In researching the 6 edition of HEALING PASSAGE I found out many new things about female pelvic anatomy that were either not explained or illustrated in textbooks or poorly explained in the few that did try to include more recent information No textbook that I could find to date even attempted to show the pelvic floor muscles as they are in life uplifted rather than sagging in a bowl shape as they do after death due to lack of muscle tone As a result I was inspired to create these tools as a way to help students teachers and practitioners better understand this anatomy Please remember that while I did exhaustive research and have done my best to depict each part accurately the work that is being done to understand these new concepts is continuing Therefore there may be mistakes in these presentations that will have to be corrected in future versions Nevertheless I believe I have created a useful and unique pair of tools that will be of benefit to the midwifery and obstetric communities I hope you find them helpful Anne Frye May 20 2013 GENERAL INFORMATION ABOUT THE 3D ANATOMY DVD The ma
17. not selected you must check the SYMPHYSIS CARTILAGE box if you want to see it See the next page Fig A which displays the complete pelvis To display the pelvis with one or both coxal bones without the central pubic bone region uncheck the left and or right COXAL BONE WITH CENTRAL PUBIC BONE REGION and uncheck the CENTRAL PUBIC BONE REGION sub header See the next page Fig B which displays the Primary regions of the left coxal bone sacrum coccyx and both coxal bones lateral aspect without the central pubic bone region To display the central pubic bone region 36 by itself uncheck the FEMALE PELVIS regional header and then check the CENTRAL PUBIC BONE REGION ONLY sub header box Fig A Fig B Fig C See Fig C above remember that when any subcategory part is selected the main regional header and the regional sub header above it if any will automatically be checked as well Transparent parts The perineal membrane connective tissue parts and the perineal body are partially transparent on your screen because various other parts are embedded within them The transparency feature is most obvious when embedded parts are also selected so you can see them through the transparent parts For example first uncheck the SHOW ALL HIDE ALL box and then check the PERINEAL MEMBRANE CONNECTIVE TISSUE COMPLEX header and the URETHROVAGINAL SPHINCTER MUSCLE COMPLEX header to see how the sphincter muscles can be seen through
18. noted in the file that can be found on my website by clicking on the link to the file shown in the About window Finally there is a PDF file ofthe anatomy portion ofthe HEALING PASSAGEtextbook on the disk This is included so that anatomy students who are not maternity care specialists can have access to this part of the text as an adjunct to learning It cannot be printed out but can be copied to a computer or tablet for display MINIMUM SYSTEM REQUIREMENTS PC Operating system incl 64 bit Windows 8 Windows 7 SP 1 Vista SP2 Windows XP SP2 MAC computer built from 2006 on with Intel processor using Boot Camp or other Windows compatibility software that allows booting with any of the above Windows operating systems PC with a Pentium 4 1 5 processor 512 MB RAM 50 MB available disk space 800x600 screen resolution 24 bit color Real time 3D graphics card with Direct X9 3D9 or greater amp Shader model 1 1 DVD drive Manual input capability 1 e mouse trackball or tablet Internet access for installation and to download current version of User s Manual only There are no returns on an opened Anatomy DVD package because there is no way to verify if the program has been installed or not To avoid disappointment I have included details below about how to tell if your computer system is likely to be compatible with the program The following notes are far beyond what other companies offer to try and help ensure com
19. resolve the issue In such cases it is likely that the new version of Framework will have to be completely removed from your system Do not attempt to do this yourself and I cannot help you as I am not a Microsoft expert You will need to consult a computer expert 22 VIGNETTES INTRODUCING SOFT TISSUE REGIONS OF THE FEMALE PELVIS Five scripted vignettes presented in virtual 3D color graphics introduce selected soft tissue regions of the female pelvis These vignettes are organized in the same order that each group of parts is discussed in the text The descriptions on the DVD provide an overview of each of these regions which are fully explained in the text The vignettes introduce the shapes of the parts how they are situated in the pelvis and how they relate to certain adjacent parts They are intended to enhance your understanding of each region in 3 dimensions As you study reference to the drawings in the book along with reference to the images on the DVD should help you grasp the shape of each part more clearly DETAILS ABOUT PLAYING AND VIEWING THE VIGNETTES The regions discussed These vignettes will be most useful if you sit at your computer before you read about each part or region and play the appropriate vignette The five soft tissue regions described in the vignettes and the relevant page numbers where they are discussed in the text are as follows 1 Urethrovaginal sphincter muscle complex pp 53 57 2 Perineal membrane conn
20. their program Library use of DVD by patrons I recommend that a printed copy of the DVD User s Manual and a printed copy of the PDF Anatomy file excerpt from the text be given to the patron with the DVD whenever it is to be used If the library has a copy of the complete textbook HEALING PASSAGE it can be included or at least recommended when the DVD is used at the library s discretion Perhaps a copy of the text can be purchased that will always accompany the audio visual tools Because the disk includes a copyrighted program that must be installed on a computer before it can be used I highly recommend that the library designate this material as reference use only and install the interactive 3D anatomy program on a library computer for in house patron use only Uses by Individual Licensees Residing in Developing i e third world Countries DVDs licensed at the individual price rate may be used for any educational purpose if the presentation is taking place in a developing country and the owner of the DVD is a native or permanent resident of that country All other restrictions about copying of the software product still apply Up to ten copies of the PDF file of the anatomy portion of the text may be made and distributed to students Permission to make additional copies must be requested by e mail midwiferybooks gmail com If the licensee has access to funding that would cover the institutional rate for the DVD full payment of
21. view one or more parts in isolation you must remember to turn off all the other parts first An easy way to do this is to first uncheck SHOW ALL HIDE ALL and then only check the parts you want to see Displaying the coxal innominate or hip bones and central pubic bone region Like the newborn skull the neonatal hip bones start with several osification centers 8 in each hip that later fuse into a single functional bone In adults the coxal bone has three primary fused regions the ilium upper portion of the ball joint up to the iliac crest the ischium from posterior third of the ball joint to the ischial tuberosity and about one third of the posterior pubic ramus and the pubis anterior third of the ball joint upper two thirds of the pubic ramus and anterolateral pelvic brim Among the program s models the central pubic bone region is a special case because this is the only instance where the same modeled parts can overlie each other the left and right sides of the central pubic bone region only overlie the left and right coxal bones with central pubic bone region when all these parts are checked To properly display these parts proceed as follows To display the pelvis with the complete left and right coxal bones check the FEMALE PELVIS box it does not matter if the CENTRAL PUBIC BONE REGION sub header box is selected or not for the complete coxal bones to display properly but if the CENTRAL PUBIC BONE REGION ONLY sub header is
22. your practice If you will be using the material in childbirth or other types of classes that are offered to the general public 1 e others who are not registered with your clinical practice please select the Independent Professional Educator level of licensing Use by an Independent Professional Educator An independent professional educator is defined as a person who is not affiliated with a school or university or professional practitioner certificate granting program of any kind who will use the DVD regularly to teach audiences of students or the public such as during childbirth education classes for pregnant parents for a fee more often than twice yearly on a regular basis whether or not CEUs are granted What this means is you can be a certified instructor yourself but you are not certifying others to become instructors in your classes rather you are teaching students other professionals for CEUs only or the general public Regular use is defined as showing the DVD more than twice yearly for two years in row Apart from the number of and type of teaching engagements all other individual use permissions and restrictions apply Use by an Educational Institution or Library in the Developed World DVDs for institutional use are licensed at a price that grants permission for repeated viewing and use of the material by groups of tuition paying students or the public as would be the case for a pubic library Institutions include but are not
23. CEEDING Ensure that your internet connection is up and running Turn off your virus protection software Insert the DVD in your DVD drive WINDOWS 7 A window that says something like DVD RW drive Female pelvic anatomy may appear that offers you a choice of options Be aware that you may have to close other windows to find this box If this window appears click on run setup exe WINDOWS XP and VISTA A window may appear notifying you that FRAMEWORK needs to be installed this occurs because the DVD has defaulted to the setup exe for installing the program Follow the instructions If no window appears go to your START menu click on COMPUTER in XP it is MY COMPUTER and find your DVD drive Right click on the icon and then click on open Find the INSTALLER folder and double click on it Then double click the setup file to begin the installation process At this point you ll likely get a window saying the publisher cannot be verified this occurs because Tinderbox Entertainment is not registered with Microsoft Click on run One way or another once setup begins it should proceed pretty much automatically The program will check your system to determine if your utility software meets the minimum criteria for the program to run properly If not it will let you know what is needed to do so Issues that might arise You need a new version of Framework The most likely issue will be t
24. STALLING THE PROGRAM If you already have any version of this program on your computer it must be removed before a new version can be installed Do this by going to the start menu clicking on Control Panel and choosing Programs and Features in Windows amp or 8 or Add or Remove Programs in Windows XP Find the interactive pelvic anatomy program click on it and choose uninstall Check the Windows Help and Support files if you have more questions about uninstalling a program CUSTOMER SUPPORT Any customer support from Labrys Press will be provided by myself as this is a one woman business The manual has a thorough explanation of how to use the tools on the DVD and it is expected that you will have read the manual in its entirety before you call Customer support for the interactive anatomy program is limited to issues directly related to using the program once it is successfully installed The program is pretty simple and once installed will either open or not depending upon whether your computer hardware will support 3D graphics If Framework causes problems and you have set a restore point it should be an easy matter to recover your system to the condition it was in before you did anything just look in Help and Support in Windows and follow those instructions If that doesn t work or you did not bother to set a system restore point you will need to consult a computer expert who is knowledgeable about Microsoft products to
25. UNDERSTANDING FEMALE PELVIC ANATOMY IN 3D USER S MANUAL BY ANNE FRYE LABRYS PRESS AV DEPARTMENT A DIVISION OF MATRIX MIDWIFERY ENTERPRISES LTD PORTLAND OR 2013 ALL RIGHTS RESERVED TABLE OF CONTENTS Is THIS THE MOST CURRENT VERSION OF THIS MANUAL 3 INTRODUCTION ed o ios re ood A aot br neh dy a OL da 4 GENERAL INFORMATION ABOUT THE 3D ANATOMY 5 UNDERSTANDING FEMALE PELVIC ANATOMY IN 3D DVD END USER LICENSE AGREEMENT 4 2 3 955 PERS esit eR IRE Qe E er duc dap EU Eee 5 Personal and Private Use by an Individual Licensee in the Developed World 6 Printine or PDETISS By tbe CE SUE E Be bie Oa 5 SEPIUS 6 Group student use in a no fee setting 7 Individual educator 7 Use as a Full Time 8 Use by an Independent Professional Educator 8 Use by an Educational Institution or Library in the Developed World 8 Library use of DVD by patrons 9 Uses by Individual Licensees Residing in Developing i e third world COUMPMES cari So ed ae wh Soh ae ew eee taste rM Beso E 9 WHAT IS ON THE FEMALE ANATOMY IN 3D DVD 14 MINIMUM SYSTEM REQUIREMENTS 14 TO PLAY
26. am should proceed semi automatically and will be over in a jiffy there may be another window or two in which you must click ok so don t leave Ifnothing happens you may need to click on the setup file again to install the program see step 10 above A window may appear that says the publisher cannot be verified this occurs because Tinderbox Entertainment is not registered with Microsoft If this happens click on install In Windows 7 at some point during installation you may see a window that says that the program may not have installed correctly this seems to be a glitch in Windows 7 This appears in error since the program has not yet been installed Simply click the X in the upper right hand corner of this box to exit this window The program should then install and open automatically indicating success A shortcut with a pelvis 21 icon will be added to your desktop and a link entitled Labrys Press Pelvic Anatomy will appear in your start menu The drop down menu associated with the start menu link will have a link to the program entitled Interactive 3D Pelvic Anatomy as well as a live web link to the most current online version of this User s Manual entitled Interactive 3D Pelvic Anatomy online support 14 Turn your virus protection software back on 15 Remember to double check the operation of other applications to ensure that all is working as it should in conjunction with the new Framework file REIN
27. amiliar with each part and how it looks You can do this all at once or by sections as you move through the Anatomy portion of the book As you read the Anatomy section of HEALING PASSAGE you can go down the list and check each individual part listed under the respective regional header calling each part up successively as you study it in the text Then turn off the preceding parts and move on to the next regional header Periodically turn on the pelvis to see how parts sit in relation to the bones This way you will build the parts in relationship to themselves as they are also illustrated in the text The relevant page numbers for most of the parts displayed are listed below The only part that is not discussed at all in HEALING PASSAGE is the uterus which is included in this program for completeness The uterus is covered in depth in my HOLISTIC MIDWIFERY VOL II The PDF file on the DVD of the anatomy portion of the book has been modified to exclude information that is not directly related to the anatomy section Therefore the page numbers are not the same as those in the text For this reason page numbers for this file are included in parentheses below You may note that some of the drawings in that file include a thin straight longitudinal line to the right of the illustration This is an artifact of PDF conversion and should be ignored These lines disappear when the page is printed out If you are having trouble reading the file on screen z
28. ar in the viewport and that all the component parts are automatically checked below it in the list If you have deselected certain parts in a region and now wish to view all these regional parts together the easiest thing to do is to first uncheck the regional header box which turns all the related parts off and then recheck the regional header box to turn all the related parts on Isolating one part or region If you right click on a checked box this will cause all the other regions or individual parts to turn off leaving just the region or individual part you right clicked in the viewport For example assuming everything is on right click on the box for the FEMALE PELVIS region header to cause all the soft tissue parts to disappear leaving only the complete bony pelvis visible Or again assuming everything else is on right click on the COCCYX box to have 35 only the coccyx visible and have everything else vanish Working with individual parts When an entire region is unchecked you can select any of its component parts by either checking its box or by clicking on the name of a part either of which will cause a checkmark to appear in its box and cause the part to appear in the viewport You will note that checking a component part also causes a checkmark to appear in the regional header box To quickly turn off the selected component parts you must uncheck the actual box clicking on the name will not uncheck its box When you want to
29. at were manufactured in 2006 or later will have graphics cards that have this capability To find out if your PC computer supports Direct X9 3D 9 or greater 1 Open your START menu by clicking on your start button 2 In Windows 7 type dxdiag in the search bar and click ENTER In older versions of Windows or Vista you may have to type dxdiag in the Search programs and files bar and then click ENTER this will open the DirectX Diagnostic Tool 3 In Windows 7 in the search findings click on DxDiax under programs to open the tool In older versions the DxDiax window should open up on its own Click the Display tab and check your graphics card details under the Device heading and look through the list for DirectX version It must be 9 or greater 4 In Windows 7 the DxDiax window opens with the system tab displayed Look at the bottom of the list for the DirectX version It must be 9 or greater 5 The Shader model feature is linked to Direct X Most video graphics cards equipped with DirectX9 have Shader model 2 0 on board DVD drive to install directly from the DVD The files names can also be viewed on a computer that does have a DVD player and then copied to and installed from a flash stick or thumb drive Manual input device such as a mouse or trackball Internet connection for installation and to check for updates to the User s Manual only NOTE An internet connection allows the installer to down
30. cygeal ligament Postanal space Anococcygeal ligament Postanal space To build the anococcygeal ligament by itself first clear the screen by unchecking the SHOW ALL HIDE ALL box Select the regional header for the FEMALE PELVIS Then under the LEVATOR ANI MUSCLE COMPLEX select the LATERAL FIBERS AND TENDINOUS PLATE OF THE PUBOCOCCYGEUS and the ILIOCOCCYGEUS MUSCLES Under the EXTERNAL ANAL SPHINCTER select under the main part FIBERS EXTENDING TO COCCYX and under the subcutaneous part FIBERS EXTENDING TO COCCYX Rotate the model to look down through the brim to see the pubococcygeal contribution to the anococcygeal ligament Iliococcygeus muscles pp 88 89 80 81 43 Coccygeus ischiococcygeus muscles p 92 84 External anal sphincter pp 94 110 89 93 Winged part pp 98 99 90 91 Main part pp 99 100 91 92 Subcutaneous part 100 92 To properly display the external anal sphincter complex uncheck SHOW ALL HIDE ALL Then check FEMALE PELVIS under CLITORAL COMPLEX check bulbocavernosus muscle and then check the EXTERNAL ANAL SPHINCTER header Anorectal canal located under the regional header FEMALE PELVIC ORGANS pp 101 105 93 99 Postanal space p 101 93 To see the postanal space select VIEW ALL HIDE ALL Turn the pelvis to one side lateral view The empty space between the fibers extending to the coccyx and the puboanalis and ischiococcygeus muscles is the postanal space The location o
31. d in writing in any handouts they may give out Ifa Powerpoint presentation is also used this information could be included for students to copy down The following information should be included on a slide in writing on a handout or both if both media are used UNDERSTANDING FEMALE PELVIC ANATOMY IN 3 D is designed to accompany the 6 edition of the text HEALING PASSAGE A MIDWIFE S GUIDE TO THE CARE AND REPAIR OF THE TISSUES INVOLVED IN BIRTH by Anne Frye The text and the DVD may be obtained by visiting the website www midwiferybooks com For those who are not in the field of maternity care a copy of the anatomy portion of the HEALING PASSAGE is included on the disk Pricing varies according to the intended use check the website Limited practitioner use The personal and private use license permits using the material for the purpose of teaching up to 5 clients yearly on a one on one basis in the course of clinical care as well as during childbirth education or similar classes taught by yourself for the same 5 or fewer private clients up to twice yearly 8 Use as a Full Time Practitioner This licensing level includes all permissions for personal and private use plus the use of the material with an unlimited number of clients registered with your practice for one on one teaching or during classes specific to your type of practice such as childbirth or pelvic floor therapy classes that are only offered to clients registered with
32. d the external opening Superficial transverse perineal muscle You will note that some of the vessels of the perineal sponge are anterior to the superficial transverse perineal muscle I am not absolutely sure if this is accurate as the perineal sponge in only discussed as such in one text Therefore this gives you a general idea of the anatomy but may not be absolutely precise Clitoral bulbs and root In the text the clitoral bulbs are illustrated as they are in cadavers sort of shrunken In the program they are depicted as they are described in the latest MRI research on living women In life the bulbs fill the space under the pubic arch between the urethral and vaginal canals and the crura of the clitoris You will note that there is a little space between the crura and the bulbs This is because the virtual bulbocavernosus muscle has to be thick enough to have two sides it normally forms a very thin skin over the bulbs but the limitations of the 3D graphics modeling requires that there be a little more thickness than is strictly anatomical In life the clitoral root extends from the bend in the clitoral body to the anterior border of the urethra filling the anterior vestibular space This is not explained very well or illustrated in the text Perineal sponge The perineal sponge is only discussed in one feminist writing on female pelvic 40 anatomy A NEW VIEW OF A WOMAN S BODY by the Federation of Feminist Women s Health
33. djacent to the levator ani complex the obturator internus muscles line the pelvic sidewalls IMAGE Obturator internus muscles first by themselves then the right muscle in the pelvis Their overlying parietal fascia has a line of condensed connective tissue called the tendinous arch of the levator ani on either side IMAGE White line appears across each muscle This line runs along the anterolateral pelvic sidewall and ends just in front of the ischial spines The iliococcygeus is the widest muscle in the Levator ani complex making up the main diaphragmatic component IMAGE Both sides iliococcygeus muscle by themselves Each half arises from the tendinous arch of the levator ani on either side IMAGE One obturator internus muscle amp white line with one half of the iliococcygeus attached passes behind the rectal canal and meets in the midline usually beneath the tendinous plate of the pubococcygeus IMAGE Both sides of the iliococcygeus muscle then add the composite pubovisceral muscle all parts then add pelvis the most posterior edges of each half attach on either side of the lower part of the coccyx IMAGE Rotate pelvis to show where the iliococcygeus attaches to coccyx 30 Lastly the coccygeus muscles reach from the posterior side of the ischial spines to connect on either side of the lower sacrum and coccyx closing off the most posterior part of the pelvic cavity IMAGE To last image is added the c
34. e by up to 5 five faculty members Students that are registered in the classes of these instructors may be granted access to the software in the library should they miss a class for the purposes of catch up However for general use by all library patrons a second copy should be obtained Even if a faculty member has an individual license to use the software product privately the school should use a copy licensed at the appropriate institutional level for use in the classroom seminar webinar or library setting Visiting faculty The only exception to these rules is when a visiting instructor wishes to use the 9 software program in a presentation to be given at an institution where the faculty has never seen the material before In such cases the visiting faculty may use the DVD in their presentation which will allow the students and resident faculty members to view the material If the visiting instructor is also connected to a college university or other educational institution ideally the copy used should be one that was licensed by the home institution of the visiting faculty member If such a copy is not available the instructor may use their own personal copy in this special circumstance the rules for use by an independent educator apply After that however the institution where the presentation took place should obtain a copy for their continued use and for use by future visiting faculty if they wish to incorporate this material into
35. e direction of the head Inferior below or caudal in the direction of the tail Left lateral the woman s left side Right lateral the woman s right side Anterior toward the front or ventral in the direction of the abdomen Posterior or dorsal both of which mean in the direction of the back The location of the cube is fixed and it cannot be turned off Rotation icon The rotation icon allows for two options to move the model Axial rotation This is the default option Movement of the cursor causes the model to move around a central axis This option allows a great deal of flexibility of positioning while making it relatively easy to maintain a particular posture of the model while it is being rotated and to return the model to an upright position Skillful use of the mouse still allows a view from almost every angle This option does not allow you to completely tumble the parts or view the model in a lateral supine position because of the way it moves around a fixed point Spherical rotation This option acts as though the model is encased in a clear sphere and allows you to move it in any direction You can fully rotate and tumble the model into an infinite number of positions Itis more difficult to move the model around while maintaining a particular posture with this option For this reason axial rotation is set as the default To switch between rotation options Click on the rotation icon which will switch the rotation opt
36. ective tissue complex pp 57 60 3 Clitoral complex pp 60 70 4 Levator ani muscle complex pp 75 93 5 External anal sphincter pp 94 110 In private study the vignettes should be used in conjunction with the interactive program Depiction of anatomical parts This material does not depict the complete anatomy of the pelvis Rather it emphasizes anatomy that is not well explained or illustrated in the mainstream literature for which there is new information and for which 3D modeling greatly enhances understanding All anatomical parts are shown as graphic representation no attempt has been made to depict them as real tissue This is to emphasize their shape location and relationship to each other and to make them easier to identify separately Each part is given a specific color Texturing has been left out to simplify the images For more details on the creation of the model parts see Comments on each vignette on page 23 and Notes on selected model parts on page 39 Vocabulary I expect that this DVD will be viewed by diverse individual students as well as audiences in academic settings where no time will be taken to explain vocabulary revisions such as those that appear in the text for example the use of the Sanscrit word yoni which means sacred space the source of all life to replace the Latin derived term vagina which means sheath for a sword I also expect that there will be times when the first
37. ed to be two parts to function as one 25 VIGNETTE SCRIPTS The entire script of each vignette is presented below beginning with the DVD credits The spoken words are in bold WARNING The unauthorized reproduction or distribution of this copyrighted work is illegal Criminal copyright infringement including infringement without monetary gain is investigated by the FBI and is punishable by up to 5 years in federal prison and a fine of 250 000 Image LOGO BabyMoon Productions A division of Matrix Midwifery Enterprises Portland OR Produced and Directed by Anne Frye AN INTRODUCTION TO SELECTED SOFT TISSUE REGIONS OF THE FEMALE PELVIS This presentation is meant to compliment the 6 edition of the text HEALING PASSAGE A MIDWIFE S GUIDE TO THE CARE AND REPAIR OF THE TISSUES INVOLVED IN BIRTH by Anne Frye It introduces various soft tissue parts in 3D that are difficult to visualize in drawings It does not cover these parts in depth and is not meant to stand alone For complete information reference to the text is essential If you do not yet have the text it can be purchased directly from Labrys Press www labryspress com VIGNETTE 1 URETHROVAGINAL SPHINCTER MUSCLE COMPLEX The urethrovaginal sphincter muscle complex consists of three primary muscles The deepest of these is the urethral sphincter IMAGE bladder urethra vagina and urethral sphincter the upper border of which blends with the muscle of the bladder wal
38. eir own text and their own DVD software for their private use at home Students participating in study group that takes place at a school or school library should use the school s copy A student group is defined as a gathering of students purely for the purpose of study there should be no fees involved for participating in the group and no expert teaching the class that use falls in the next category Individual educator use Individual licensees who offer independent educational presentations for the sole purpose of education ie no professional credential is granted or the granting of CEUs continuing education units that is a presentation not associated with a school or other educational institution or certification program except during childbirth education or similar classes offered to the public may use their personal software product license when teaching in venues such as at conferences workshops and similar offerings whether free or presented for a fee up to two times a year use exceeding twice yearly that occurs on a regular basis defined as more than two consecutive years in a row warrants licensing the software product at the independent educator s rate you can call Labrys Press to report the new use and pay the difference to bring yourself into compliance with this permissions agreement When offering CEUs licensee should include information about how the text and DVD can be obtained verbally in their presentation an
39. eus pubovisceral muscle Vaginolevator attachments Puboperinealis muscle Puborectalis muscle Iliococcygeus muscles Muscle only Add tendinous arch of the levator ani to muscle edges Coccygeus ischiococcygeus muscles Obturator internus muscles Left muscle Overlay left tendinous arch of the levator ani Right muscle Overlay right tendinous arch of the levator ani EXTERNAL ANAL SPHINCTER Winged part U shaped fibers Wings left amp right Main part Circular fibers Fibers extending to coccyx Subcutaneous part Circular fibers Fibers that blend with bulbocavernosus muscle Fibers extending to coccyx 39 Notes on selected model parts The parts chosen for this program follow those described in the textbook although not every part described there is shown here This was to keep the model simpler and more affordable and so we could focus on the parts best illustrated in a 3D format Be sure to also read the section entitled Comments on each vignette that begins on page 23 for more background information about the creation of the models Female pelvis The other anatomy programs I have seen that attempt to depict female pelvic anatomy and I have not seen them all so this may not be universally true display pelvises that look to me like they are slightly altered male types with narrow sacrosciatic notches and more triangular brims So the first thing we created for this project was a true female pelvis since the location and shape of
40. f the postanal space is illustrated on the previous page of this manual Once you have finished studying each group of parts separately you can start experimenting with how the regional parts are situated in relationship to the other regions by choosing adjacent regional headers and rotating the model to view it from different angles BIBLIOGRAPHY The very brief bibliography included here gives the reference information for citations that are specifically mentioned in this manual For complete bibliographical information please see the list included at the end of the anatomy section of the text Federation of Feminist Women s Health Centers A NEW VIEW OF A WOMAN S BODY A FULLY ILLUSTRATED GUIDE Simon amp Schuster New York NY 1981 Grimes C Chen C Chapter 23 Anatomy of the Female Pelvis in Hurt K et al THE JOHNS HOPKINS MANUAL OF GYNECOLOGY AND OBSTETRICS 4 ed Lippincott Williams amp Wilkins 2011 Hsu Y et al Magnetic resonance imaging and 3 dimensional analysis of external anal sphincter anatomy OBSTET GYNECOL 106 6 1259 1265 Dec 2005 Oelrich TM The striated urogenital sphincter muscle in the female ANAT REC 205 2 223 232 Feb 1983 Shafik A et al A novel concept for the surgical anatomy of the perineal body DIS COLON RECTUM 50 12 2120 2125 Dec 2007 Steer C MOLOY S EVALUATION OF THE PELVIS IN OBSTETRICS 3 ed Plenum Pub New York NY 1975 Suh D et al Magnetic Resonance Ima
41. ging Anatomy of the female genitalia in premenopausal and postmenopausal women J UROL 170 1 138 144 July 2003 44 ABOUT THE GRAPHICS DESIGNER AND GAMING PROGRAMERS Ican highly recommend both Digital Elf Studios and Tinderbox Entertainment for other projects involving this kind of teaching aid Bev Standish was wonderful to work with very patient and dedicated to rendering the anatomical parts correctly http digitalelfstudios com Kyle Rhone and his crew did a great job with programing and incorporated many tricks to make the program easier to use http tinderboxentertainment com I have been very pleased with working with both these companies and they are quite willing to do more work along this line
42. glans body and crura under pubic arch and move to the side to show how the clitoris projects The tips of the clitoral bulbs are connected underneath the clitoral body at the root of the clitoris Clitoral circulatory vessels called the perineal sponge are found within the perineal body IMAGE Add clitoral bulbs and perineal sponge The ischiocavernosus muscles overlie the crura for a variable distance usually covering 4 5ths of their length IMAGE Add ischiocavernosus muscles to above The bulbocavernosus muscles cover the clitoral bulbs IMAGE Add bulbocavernosus muscles to above Note that most of the clitoral structures project beyond the boundaries of the pubic bones into the soft tissues of the vulva 27 VIGNETTE 4 LEVATOR ANI MUSCLE COMPLEX IMAGE Composite 3 D model showing pelvis with levator ani complex in life in the standing position The pelvic muscles support the abdominal organs and assist in the function of the clitoris and reproductive organs We will take a close look at those muscles that are most difficult to visualize the levator ani muscle complex which lies behind the more superficial structures of the pelvic cavity and is often referred to collectively as the pelvic floor IMAGE Composite model of muscles without the pelvis uplifted as in life that then collapses into a bowl shape For centuries our understanding of the levator ani muscles has been limited because in cadavers the muscles
43. h the program opening automatically indicating that it has 11 15 19 installed correctly Turn on your antivirus software Double check the operation of other applications to ensure that all is working as it should If this process did not go as described or you want more hand holding please read the much more detailed installation notes that follow DETAILED INSTALLATION NOTES FOR THE INTERACTIVE PELVIC ANATOMY PROGRAM To install the Interactive 3D Pelvic Anatomy program for the first time 1 Turn on your computer 2 Close any programs that may be running Press CTRL ALT DELETE together to access the task I ON tA 10 11 12 manager where you will see a list of programs that are running Carefully look down the list and close all other programs If this is a reinstall delete the anatomy program from your computer before reinstalling it If this is a first time install create a system restore point for your computer before installing any new software Windows 8 7 Vista and XP all have this feature Check the Windows Help and Support files of your operating system to learn more about this feature This is always a wise precaution By creating a restore point first you will be able to return your system to the state it was in before a program was installed should any problems result from the installation I STRONGLY ENCOURAGE YOU TO SET A RESTORE POINT BEFORE PRO
44. hat you are missing the required version of XNA Framework Redistributable 3 1 a Microsoft utility file If so you must first accept the Microsoft licensing agreement Then you will confirm that you 20 want it to be installed and the program will automatically go to the web download the file and install it for you Please note Framework may take as long as 20 minutes to install especially on older versions of Windows during this time the progress bar may not indicate that anything is happening until a window pops up that says Framework has been installed NOTE It is possible that installing the new Framework file could interfere with how an older version of a program already installed on your computer works but in most instances programs do not require framework files and it should not cause any problems Once the install process has completed check to make sure your other programs are working correctly while doing so do not alter any important files If a problem is detected and you have created a restore point it should be easy to take care of it by returning your system to its previous state However the 3D anatomy program cannotrun without this version of Framework If Framework causes problems you will need to consult a computer and Microsoft expert There are no Microsoft experts on staff at Labrys Press If Framework will not install On rare occasions all is going well but Framework refuses to install You can try rebooting you
45. heir own computing devices individual licensees may always show this material to other interested individuals for the purpose of review so that they can decide if they wish to purchase a license for themselves Individual users should not charge for viewing this DVD other than as allowed for under in the terms described below Printing of PDF files This DVD contains a PDF file ofthe user s manual as well as a copy of the anatomy portion of my text HEALING PASSAGE You may print a copy of the user s manual You may want to print it in color as it contains a few color screen images The anatomy portion of the text is formatted to prevent inadvertent alteration It is also indexed and typos that appear in the print version have been corrected It can be searched moved to a computer or tablet for reading on screen and the licensee is allowed to print one copy for personal use only It should not be duplicated or otherwise shared with others in any manner for any purpose If your one copy becomes lost or destroyed you may print out another copy for your personal use Group student use in a no fee setting Small groups of students studying independently at a private home or community room but not at a school school library or other educational institution may view the contents of an individually licensed software as a group as long as the contents are not copied to devices other than those owned by the individual licensee Each student should have th
46. ion to spherical Click on it again to switch back to the default axial rotation Names of anatomical parts The names of each anatomical part or region will appear in the upper center ofthe viewport when the part is selected This will help ensure that you know what parts you are looking at as you move the model around in the viewport 34 Causing a part name to appear Place the curser on any part of the anatomy of interest and left click The name of the part i e uterus or a phrase describing that part or region 1 e clitoral glans body and crura named together because I did not make these separate parts will appear in black text in the upper center of the viewport Causing a part name to disappear The name or phrase will remain in the viewport until the mouse is clicked again or a new function is performed 1 e if you go to the list and unclick a part any name that is visible in the viewport will disappear To see the name of another part To see the name of another part simply move the curser to the part of interest and left click again This action will also cause any previously visible name to disappear and be replaced with the name of the currently selected part Naming conventions The way names could be applied are limited due to the way the anatomical parts were created For example the left and right coxal bones are named as such whether the pubic bone region is visible or not Also the clitoral glans b
47. l Next the compressor urethra IMAGE to above add compressor urethra and angle slowly passes over the urethra and each of its ends extend a variable distance toward the ischial tuberosity on either side Between the medial surface of the compressor urethra and the anterolateral vaginal wall there are transverse muscle fibers that connect the two and provide stabilization Lastly the urethrovaginal sphincter muscle encircles both the urethra and the vagina and thus passes through the perineal body IMAGE to above add urethrovaginal sphincter and move to the side 26 VIGNETTE 2 PERINEAL MEMBRANE CONNECTIVE TISSUE COMPLEX The perineal membrane connective tissue complex has two parts IMAGE both parts shown that support other structures of the anterior triangle The ventral part is 3 dimensional and houses the upper parts of the urethrovaginal sphincter muscle complex IMAGE UVSM complex with 3 D part of perineal membrane The dorsal part consists of two thinner bands that reach from the vaginal walls to the pubic rami A small bridge of perineal membrane underlies the vaginal canal contributing to the central structures of the perineal body Here we see the perineal membrane complex and embedded parts in the pelvis VIGNETTE 3 CLITORAL COMPLEX The clitoral complex consists of several parts The clitoral glans body and crura are attached to the pubic arch IMAGE Pelvis vagina urethra and bladder with clitoral
48. language of the viewers will not be English For these reasons standard English medical terminology has been used on the DVD 23 Closed captioning The vignettes have been closed captioned to accommodate those that are hearing impaired The captions cannot be turned off Playing the vignettes on a computer You must have a disk player that can playa DVD All new computers come with a combination CD DVD reader however many older computers do not have the capability to reada DVD If your computer has a CD DVD reader you should be able to view the vignettes right away no additional software is required To view the entire series of vignettes click PLAY ALL To view an individual vignette or the introductory information and credits click on the appropriate icon Playing the vignettes on a television If you cannot play a DVD on your computer you can probably play it on your DVD player that you use with your TV Newer DVD players should be able to play the vignette portion of this disc just fine Insert the disk and choose what you want to view just as you would with any movie on any DVD Repeat play looping Each individual vignette or the entire series of vignettes if you choose play all are set to loop that is each will play to the end and then restart until you interrupt them COMMENTS ON EACH VIGNETTE These two learning tools represents one of the most complete and detailed presentations on female pelvic soft tis
49. les and other sources primarily consisting of the best MRI studies and descriptions that I could find the very few drawings that have been done in an attempt to illustrate the uplifted shape as well as drawings of the dead tissue and reference to a number of anatomical descriptions Weeding through all this and settling on the shape was a daunting task It is important to keep in mind that the size of the attachment points the actual shape and the degree of uplift of the muscles varies quite a bit among individual women Many of these variations are discussed in the text The idealized composite model presented here gives you only a general idea of what it might look like but well illustrates that the shape is much different than the bowl shape that has traditionally been described Vignette 5 External Anal Sphincter The structure of the external anal sphincter in women is quite a bit different than it is in men The description in the text combines information primarily from two contemporary studies Hsu and colleagues 2005 see text pp 98 100 and Shafik and associates 2007a see text p 100 Hsu et al describe the three primary parts of the external anal sphincter in women emphasizing the gap in the uppermost winged part Shafik et al offers the best description of the subcutaneous fibers that reach all the way up through the perineal body and blend with those of the bulbocavernosus muscle causing what have been traditionally consider
50. lf with the Screen The window consists of a list and a viewport List to the Left of the Screen The list on your left has several features from left to right as follows Scroll bar On the far left is the scroll bar It consists of a narrow grey vertical strip A little scroll tool can be moved up and down the list with your mouse to find a particular part You can also click on the grey area to cause the scroll tool to move to that point on the bar Speaker To the right of the scroll bar most entries have a speaker symbol that can be activated by placing your cursor over the icon and left clicking your mouse to hear the part name or phrase pronounced For the benefit of those for whom English is a second language all the written words are spoken including the commonly used words No pronunciation is offered for those entries that include only commonly used words Check box Next in line is a square check box that is used to select or deselect the adjacent part or region This is done by left clicking the box with your mouse Anatomical part Anatomical parts are presented in a list that is grouped by related parts or regions some of these names are too long for the list and will appear as a fly out when the cursor is placed over the name The names are in outline form with regional headers or sub headers followed by individual parts The name of each part or region will become white when the cursor hovers over it With only one excep
51. limited to schools colleges medical libraries and universities or any other formal educational programs apart from short independent classes or workshops taught by an individual or independent professional educator licensee as described above Educational institutional use includes use by faculty or students at established in house program during intermittent intensive classes with interposed independent at a distance study or for any at a distance training programs in short any type of program that grants some kind of certificate of completion other than CEUs continuing education units This includes but is not limited to such programs intended to credential professionals including but not limited to such specialities as doula training childbirth educator certification pelvic floor therapy training nursing or midwifery certificate training or credentialing venues of any other type At a distance programs may use the software product in webinars as they might in a regular classroom but are not permitted to install the software on a server or in any other manner make it available for access by students outside the classroom setting students should be directed to obtain individual licenses for their personal private study School libraries should purchase a separate license for general use by library patrons of all types A department within an institution including libraries can license a single copy at the institutional price for us
52. n the far right look around for the resolution and bit color If the color is set at 16 bit try to change it to 24 bit you may have to raise the screen resolution to do so see table above eIn Windows 7 you go through the same steps but note that the edit display window looks quite different than in older versions of Windows The screen resolution drop down menu will appear in the center of the first window To find out the bit color type click on ADVANCED SETTINGS and then click the Monitor tab Under Colors select True Color 32 bit and then click OK If it won t let you select at least 24 bit color 32 bit is fine too check that your resolution is set to the optimal level and then try again Real time 3D graphics video card that is compatible with the following Microsoft OS software utilities Direct X9 3D 9 or greater Shader model 1 1 or greater An ATI Radion 9800 Pro video card works which was released in 2003 NOTE The video card is probably the most critical piece of hardware While the vignettes should play on any computer that has a DVD player with media software installed the 3D graphics in the program are a bit more demanding The program is formatted like a very simple 3D game 17 Newer PC computers running Windows 7 or later should all have video cards and other hardware that supports the necessary graphics capabilities Most PCs built after 2002 should support the necessary graphics MAC computers th
53. ng countries described under a separate header in this Agreement Licensing is priced according to the type of use being sought There categories are Individual use personal private use or use in a no fee private study group comprised only of students This category includes permissions as follows Individual educator use Includes use for certain types of teaching up to twice yearly Limited practitioner use Includes one on one teaching with up to 5 clients yearly or for teaching up to 5 private clients and their partners yearly in groups such as when you offer your own childbirth education classes in the course of your clinical practice Full time practitioner use Includes all of the above permissions plus use with an unlimited number of clients for one on one teaching and for teaching private clients and their partners in groups such as when you offer your own childbirth education classes in the course of clinical practice Independent professional educator For someone not affiliated with a formal school and who is not teaching for any type of educational program that grants credentials to professionals CEU granting presentations are ok that will regularly show content to paying audiences more than twice yearly Institutional use For all types of formal educational programs While the permissions are the same there are two levels of pricing for institutional licensing Direct entry midwifery schools and their libraries
54. nstallation or damage determined by Labrys Press to have been caused by you All limited warranties on the Software Product are granted only to you and are non transferable You agree to indemnify and hold Labrys Press harmless from all claims judgments liabilities expenses or costs arising from your breach of this Agreement and or acts or omissions 13 GOVERNING LAW JURISDICTION AND COSTS This Agreement is governed by the laws of Oregon without regard to Oregon s conflict or choice of law provisions SEVERABILITY If any provision of this Agreement shall be held to be invalid or unenforceable the remainder of this Agreement shall remain in full force and effect To the extent any express or implied restrictions are not permitted by applicable laws these express or implied restrictions shall remain in force and effect to the maximum extent permitted by such applicable laws CONTRACTURAL CHANGES Labrys Press may change the terms of this agreement at any time These changes will be made known to users by being posted on the website www midwiferybooks com 14 WHAT IS ON THE FEMALE ANATOMY IN 3D DVD This DVD presents two e learning tools consisting of a series of five brief films or vignettes introducing selected regions of female pelvic soft tissue anatomy and an interactive program to study selected individual parts of the female pelvic anatomy in virtual 3D There is also a copy of this user manual as a PDF file Any revisions will be
55. occygeus muscles in pelvis with rotation Here we see the complete levator ani muscle complex at rest IMAGE Composite muscles no pelvis rotating and here we see the levator ani muscles with the urethral vaginal and anorectal canals in place IMAGE Composite of muscle complex with canals and rotate Here we see all these parts within the pelvis first with the sacrum and pubic bone removed IMAGE show composite of all and rotate somersault slowly then tumble and rotate at an oblique angle and now with the complete pelvis in the standing position VIGNETTE 5 EXTERNAL ANAL SPHINCTER The external anal sphincter has three parts In women the deepest part has been said to have wings because it forms a U shaped sling behind the anal canal and sends stabilizing fibers to the pubic rami on either side IMAGE Show U shaped part by itself and then in the pelvis with rectal canal Next the main part of the sphincter encircles the anal canal and sends a few fibers back that attach to the coccyx IMAGE add main part of sphincter to above Finally the subcutaneous external sphincter forms the most shallow part IMAGE show subcutaneous part with above This part sends fibers straight up through the perineal body that divide as they reach the level of the introitus and then blend with those of the bulbocavernosus muscle causing these muscles to function together It also sends a few fibers back that attach to the c
56. occyx IMAGE show bulbocavernosus and subcutaneous sphincter connection 31 Here we see the anorectal canal with the entire external sphincter complex within the pelvis including the link between the subcutaneous part and the bulbocavernosus muscle IMAGE Rectum and all parts of the external sphincter with bulbocavernosus muscle 3D computer modeling animation video editing and music by Bev Standish www digitalelfstudio com 503 977 1921 Tigard OR END 32 INTERACTIVE 3D PELVIC ANATOMY PROGRAM E LEARNING TOOL This interactive anatomy learning teaching tool consists of 48 individually modeled anatomical parts that were created for the vignettes These models some of which are variations of a particular part can be selected individually in regional groups or in whatever combination you find useful After doing some research it appears that this tool is one of the most detailed and interactive of its kind It stands alone in terms of easy to see graphic depiction of the parts Nothing else has so much clearly visible detail of the parts included that is based on the current understanding of female pelvic soft tissue anatomy in living women It allows a great deal of flexibility in the selection positioning and viewing of the parts USING THE PROGRAM This program is not difficult to master By reading through the following instructions as you practice you will quickly learn to manipulate the parts Familiarizing Yourse
57. ody and crura are named are grouped because they cannot be displayed as individual parts Selecting deselecting parts Default setting view all The program opens with all the parts turned on note that all the check boxes are marked Note that at the very top of the list is an option to SHOW ALL HIDE ALL Uncheck this box to deselect all the parts the viewport will be empty To make all the parts reappear recheck the SHOW ALL HIDE ALL box Making parts appear disappear You can display as many or a few parts as you desire Working with regions Ifaregional header is checked all the subcategory boxes will automatically be checked as well and you click the box to the left of a single region header all of the component parts below it will become unchecked and will disappear in the viewport Note that check marks will also disappear in all the boxes for all the component parts that are listed under the header You can cause a single part or the entire region to reappear by clicking on its checkbox or its name When an entire region is selected you can also uncheck any one of its parts to make only that one part disappear you cannot turn parts off by clicking on the name you must use the checkbox All subcategories of a part will appear when a header or sub header is checked For example uncheck the box for the regional header FEMALE PELVIS them check the sub header COXAL HIP BONES Note that all the left and right coxal bones appe
58. ograms without having to have Windows installed such configurations have NOT been tested with this DVD PC with a Pentium 4 1 5 GHz core processing unit CPU or equivalent or a MAC with an Intel processor which should be true for any MAC built after 2005 2006 or later 512 MB RAM Random Access Memory NOTE This just happens to be the amount of RAM on the oldest and least sophisticated computer on which we tested the program it may work just fine with fewer MB but this hasn t been tested If you don t have enough RAM you will need to confirm how much RAM your computer can take Windows XP will not work with more than 2 GB RAM Fortunately if you need more RAM it is not that expensive and is easy to install just make sure it matches the type you already have You can check your computer motherboard manual for details about the type of RAM you need If you don t have the manual you can look at the RAM chips already installed to see what kind they are You can also decide its time to buy a new system because if you have less than a GB of RAM that means you have a pretty old computer NOTE To check on your type of CPU and the amount of RAM click on START then CONTROL PANEL then SYSTEM These details appear in the center ofthe window The Pentium 4 core processor was introduced in November of 2000 and sold until August of 2008 Any CPU made after 2000 will probably work just fine to run the program but most have not been tested A
59. oom in and the type should become more crisp Pelvic bones pp 31 32 23 24 Bladder pp 40 41 32 33 Urethra pp 42 45 33 37 Vagina yoni pp 45 54 37 44 Urethrovaginal sphincter muscle complex pp 53 57 45 49 Urethral sphincter pp 54 55 46 47 Compressor urethra pp 55 47 Urethrovaginal sphincter pp 55 56 47 48 Transverse muscle fibers p 56 48 Perineal membrane connective tissue complex pp 57 60 49 52 3D part pp 58 59 50 51 Banded part pp 59 60 51 52 Clitoral complex pp 60 70 52 59 Clitoral body glans and crura pp 61 64 53 56 Greater vestibular glands and ducts pp 64 65 56 57 Clitoral bulbs and root pp 65 67 57 59 Perineal sponge p 67 59 Clitoral muscles 42 schiocavernosus muscles p 68 60 Bulbocavernosus muscles p 69 70 61 62 Additional parts of the urogenital triangle Superficial transverse perineal muscle p 68 60 Perineal body pp 70 74 62 66 Levator ani muscle complex pp 75 93 67 85 Obturator internus muscles p 79 71 Pubovisceral muscle pp 81 82 73 74 Puboanalis muscle pp 83 84 75 76 Vaginolevator attachments pp 84 85 76 77 Puboperinealis muscle p 85 77 Pubococcygeus fibers lateral fibers and tendinous plate of the pubococcygeus muscle pp 85 86 77 78 Puborectalis muscle pp 86 87 78 79 Urogenital hiatus pp 87 88 79 80 Anococcygeal ligament or raphe pp 89 90 81 82 Anococ
60. oves to a slightly antero oblique view to demonstrate its convexly curved line of origin This U shaped part is called the puboanalis 28 IMAGE puboanalis U shape with puboanalis extension cuff and fits into the pelvis like this IMAGE muscle rotates pelvis appears with sacrum removed showing a posterior view of the inside of pubic bone with pubovisceral muscle in place Its two halves pass back behind the rectum where its fibers form a ridge as they join in the midline The fibers of the puboanalis layer pass continuously from the pubic bone to form a cuff of fibers that surround the anal canal IMAGE Anorectal canal appears This cuff of fibers contributes to those making up the longitudinal anal muscle and assists in maintaining the anorectal angle as well as other anorectal functions IMAGE show U shaped part with puboanalis extension The upper fibers of the U shaped part constitute the true pubococcygeal component These fibers pass continuously from the pubic bone along the upper edge of the puboanalis part extending a tail that attaches to the inside surface of the coccyx This tail is classically referred to as the tendinous plate of the pubococcygeus muscle IMAGE show U shaped part with puboanalis extension and pubococcygeus extension alone and then in the pelvis and rotate Along the inside of the more anterior end of the puboanalis muscle two vaginolevator attachments link the vaginal wall to the mu
61. patibility and are provided for your convenience Minimum requirements mean that the program installed and worked as expected on a computer that was configured and had hardware matching these specifications PLEASE NOTE THAT NOTHING CAN GUARANTEE that your system will be fully compatible until the program has been installed as numerous unpredictable variables come into play with each computer However chances are excellent that if your system meets these criteria the program will work as expected This detailed checklist explains how to determine if your system meets the above listed minimum criteria to run the Interactive Pelvic Anatomy software You will need one of these operating systems 15 Windows 8 Windows 7 with Service Pack 1 or above Windows Vista with Service Pack 2 Windows XP with Service Pack 2 NOTE The program was tested and worked as expected on each of these operating systems prior to release However I have no control over any changes that Microsoft may make to any of these operating systems that may render them incompatible Macintosh computer built in 2006 or later 1 e that have an Intel processor using Boot Camp or other Windows compatibility software with any of the above Windows operating systems installed in a dual boot configuration otherwise this program will not run on an Apple computer While there are programs that can be directly installed on a MAC that will allow you to run certain Windows pr
62. r system and starting over from number 1 above If that doesn t work you will need to contact a computer savvy expert to troubleshoot why your particular system is not cooperating I cannot help you with this as Iam not a Microsoft expert The program cannot run without this file You should still be able to play the vignettes Your graphics card is incompatible During the install process or after it is done when the program tries to open you may receive an error message along the lines of The graphics card must have a direct 3D 9 level driver and support pixel shader 1 1 and vertex shader 1 1 This means your graphics card does not meet the minimum requirements of the program If you must go shopping for a graphics card ask the salesperson or call the manufacturer of any card you are considering to make sure it is compatible Any card designed to handle basic 3D gaming should have the features listed above and new cards available today probably have this capability You should be able to find a suitable card for a very reasonable price If you must swap out your graphics card make sure your motherboard is compatible with the new card A computer expert should be able to verify that it will work Once the new card is in place you should uninstall and reinstall the anatomy program so that it properly recognizes the new card 13 Finishing installation After the download and installation of Framework is complete installation of the progr
63. rior triangle and is not the distinct shape you see in the DVD The model shape does however more or less demarcate the 24 region filled by the connective tissue characterized as the perineal membrane and roughly its dimensions This connective tissue cannot be dissected as a discrete anatomical part which is what makes it so hard to draw and to visualize Vignette 3 Clitoral Complex The clitoral complex includes the parts shown in this vignette but may include others such as the greater vestibular glands that are not traditionally considered a part of the clitoral complex These models are based on MRI studies of living women and therefore the shape and size of the clitoral bulbs is much larger than is usually illustrated The primary purpose of this vignette is to show the relationship between the primary clitoral parts and the rest of the pelvic anatomy particularly the bony pelvis Vignette 4 Levator Ani Muscle Complex Creating the levator ani muscle complex was by far the most challenging part of this project The only way to see the muscles uplifted as they are in life is with MRI images which are not very easy to translate into a 3D model Photographs and drawings of dissected cadaver parts are not helpful as the shape is so different in life We therefore spent many of the months it took to produce this DVD working on these parts The result is a composite shape that was derived from studying a number of different artic
64. s that run in such different directions that it proved easiest for the modeler to divide each part into sections even though the fibers of each of the three main parts are continuous in life Space between the external anal sphincter and coccyx You will note that the distance between the external anal sphincter and the coccyx seems quite long Since I wanted the most ideal gynecologic pelvis we could come up with this space is naturally quite a bit longer than that in most plastic pelvic models you are probably used to studying because most of the available models are not ideal gynecoid pelvises Note that when the sacrum is longer this distance is naturally made shorter in this model the sacrum is depicted as short and wide with an average inclination which is its classically described shape and angle in a gynecoid pelvis It also has four rather than five foramina either is normal which makes it shorter as well 41 STUDYING WITH THE 3D ANATOMY PROGRAM There are many ways you can use this tool to enhance your learning experience After you have experimented with the nuts and bolts of how the program works I recommend that you start your study by first turning all the parts off uncheck SHOW ALL HIDE ALL Then go down the list and turn each part on one by one Once it is on the screen click on the speaker icon to hear how that part name is pronounced Use the zoom feature to enlarge small parts Rotate each part This will help you get f
65. scle belly IMAGE remove pelvis show composite muscles add vaginolevator attachments then add the vagina These attachments provide support for the upper urethra and the vagina IMAGE add urethra to image The part of the puboanalis muscle that spans between the pubic bone and these attachments is often referred to as the pubovaginalis muscle IMAGE Arrows indicate this part of the muscle The final part of the pubovisceral complex consists of a narrow strap of fibers called the puboperinealis muscle which originates at the pubic bone and wraps under the vaginal canal where these fibers contribute to the tissues of the perineal body IMAGE add puboperinealis muscle to image of parts already discussed 29 The midline U shaped area formed by the puboanalis part is called the anourogenital hiatus where the muscle hugs the rectal vaginal and urethral canals helping to keep the pelvic organs aligned and properly supported IMAGE Each canal appears inside the walls of the U shaped muscle as the voice over says its name rectal vaginal and urethral The second midline levator ani muscle is the puborectalis It forms a rounded U shaped sling that originates adjacent to the origin of the puboperinealis muscle The puborectalis muscle attaches along the lower border of the puboanalis part and wraps continuously behind the rectal canal IMAGE Pubovisceral composite with puborectalis below rotating A
66. stem even one owned by the licensee that is also used by persons other than the licensee or permit the use copying or installation of the Software Product by more than one user or on a computer that is not personally owned by the licensee You may not permit any third party to benefit from the use or functionality of the Software viaa rental lease timesharing service bureau hosting service or other arrangement or upload host use or access the Software via a timesharing service bureau virtualization application hosting or other remote access arrangement If you hold multiple validly licensed copies you may not use copy or install the Software Product on any system with more than the number of computers permitted by license or permit the use copying or installation by more users or on more computers than the number permitted by license Ifa computer is retired and replaced by another the software may be transferred to the new device as long as it is deleted from the old device in keeping with the license you purchased You may not decompile reverse engineer disassemble or otherwise attempt to derive the source code for the Software Product RESTRICTIONS ON ALTERATION You may not modify the Software Product or create any derivative work of the Software Product or its accompanying documentation Derivative works include but are not limited to translations You may not alter any files or libraries in any portion of the
67. sue anatomy that is available anywhere Exhaustive research went into this work and every effort has been made to accurately represent each part However since the study of this anatomy in living women is ongoing since there are wide variations in normal anatomy among individual women and since drawings of the newer understandings in the literature are very limited there may be mistakes that need to be corrected in future versions as more is understood The following comments refer only to the parts as depicted on the DVD some of which you will notice have been reproduced as drawings in the text Please read about each anatomic region in the text to gain a more complete understanding Vignette 1 Urethrovaginal Sphincter Muscle Complex These muscles are quite interwoven with connective tissues and are nowhere near this distinct in life There was no good description of how close the urethrovaginal sphincter was to the skin surface so this is my best guess based on all available descriptions You will note that three primary muscles are mentioned and that four groups of muscle fibers are displayed the transverse muscle fibers are often left out of the few descriptions that are in the literature at present but were described by Oelrich 1983 the anatomist who put these parts on the map so to speak so they are shown here Vignette 2 Perineal Membrane Connective Tissue Complex This connective tissue is spread throughout the region of the ante
68. t any given time on a system that allows shared used of applications on a multi user network or on any configuration or system of computers that would be used to allow simultaneous viewing of the software MULTIPLE COPY AND USE PERMISSION MUST BE GRANTED INDIVIDUALLY Other than as set forth in this Agreement multiple copy use or installation is only allowed if you obtain an appropriate licensing agreement for each user and each copy of the Software Product For further information regarding multiple copy licensing of the Software Product please contact Representative Labrys Press 7528 NE Oregon St Portland OR 97213 www midwiferybooks com RESTRICTIONS ON TRANSFER Without first obtaining the express written consent of Labrys Press you may not assign your rights and obligations under this Agreement or redistribute encumber sell rent lease sublicense or otherwise transfer your rights to the Software Product The only exception to this is when a copy has been purchased and you find it cannot be used on your computer In this event you may resell your copy for the price you paid to another who can use it once you have obtained permission to do so from Labrys Press RESTRICTIONS ON USE Except as set forth in the section of this Agreement entitled Categories of use licensing permissions you may not use copy or install the Software Product on any nonpersonal computing 11 system with more than one computer i e a networked sy
69. t hand column to bring up this list Locate the DVD drive and wait till it displays female pelvic anatomy indicating that your computer has recognized the DVD Right click on this drive A drop down menu will appear Find the open autoplay option and click on it An window specific to the DVD will pop up it may appear behind other windows If so you may need to minimize and or move other windows aside to find it Click on play DVD movie This should automatically start your DVD software WINDOWS VISTA Place the DVD in the drive In VISTA the DVD may default to the DVD portion of the disk If it does it may open your media software and display the DVD menu If this happens your all set Proceed to play the DVD as you normally would It that does not happen go to the start menu choose COMPUTER and find the DVD drive It should say female pelvic anatomy Right click on the DVD icon then click on play to open the DVD portion of the disk WINDOWS XP Place the DVD in the drive In XP the DVD defaults to program installation Therefore once your computer has recognized the DVD it is likely that another window will open It may ask about installing XNA Framework or state that it cannot start the application due to it being installed in a different location Regardless just click the X in the upper right hand corner to exit this window A little window may appear asking if you want to exit setup Ifit does click ok
70. t least 50 MB of available hard drive space NOTE To check how much free space you have on your PC hard drive click on START then COMPUTER or MY COMPUTER then right click on the C drive icon A drop down menu should appear At the bottom of the list choose PROPERTIES The free space is listed above the drive graphic Screen resolution of at least 800 x 600 however the higher the resolution the more smoothly the program will work and the brighter and crisper the graphics will appear with at least 24 bit color This measurement refers to color depth which is the number of color values that can be 16 assigned to a single pixel in an image Color depth can range from 1 bit black and white to 32 bits over 16 7 million colors RECOMMENDED SCREEN RESOLUTION MONITOR TYPE amp SIZE CRT 15 inch 1024 x 1024 CRT 17 to 19 inch 1280 x 1024 CRT 20 inch or larger 1600 1200 LCD 19 inch standard ratio 1280 x1024 LCD 20 inch standard ratio 1600 x1200 LCD 10 22 inch widescreen 2680 x 1050 LCD 24 inch widescreen 1920 x1200 Laptop 13 15 inch standard ratio 1400 x1050 Laptop 13 15 inch widescreen 1280 x 800 Laptop 17 inch widescreen 1680 x 1050 NOTE To check screen resolution and the bits of color you are running on your PC Go to START CONTROL PANEL DISPLAY Or go to the START menu click on HELP amp SUPPORT and enter adjust display settings in the search bar click ENTER eIn Windows XP select the SETTINGS tab o
71. terial on the 3D Anatomy DVD has been designed to accompany the 6 edition of the text HEALING PASSAGE A MIDWIFE S GUIDE TO THE CARE AND REPAIR OF THE TISSUES INVOLVED IN BIRTH by Anne Frye The tools on the DVD augment the information found in the Anatomy section of the text but do not stand alone For complete information reference to the anatomy portion of the text is essential If you need a copy of the text it may be obtained by visiting the website www midwiferybooks com This DVD is sold separately from the text and the anatomy portion of the text is included so that it will be useful of all types of students of female pelvic anatomy UNDERSTANDING FEMALE PELVIC ANATOMY IN 3D DVD END USER LICENSE AGREEMENT Please read through this section if you do not agree with these stipulations do not remove the shrinkwrap on the DVD and arrange for a return This agreement is quite detailed with lots of legalize The part most relevant to daily use the types of permissions granted according to licensing fees paid is included at the beginning I have tried to anticipate the variety of ways licensees may wish to use this software If you discover that you want to use the material in a new way for example you paid the individual price and now want to start using it as an independent professional educator you can simply call me to pay the difference to bring yourself into compliance If there is some question left unanswered here please call or email
72. the direct entry midwife institutional rate would be appreciated but is not required if the money could go to cover other necessary expenses RESPECT FOR COPYRIGHT Using this software product in any manner other than as set forth in this Agreement without the express permission of Anne Frye and Labrys Press constitutes software piracy It s the same as coming by my table at a conference and taking a DVD something you probably would not do In order to make my products available in the most useable format and at a reasonable price I am depending on you my customers to protect my copyrights and thus keep me in business I appreciate your understanding and support If you have somehow acquired a copy of this software that you did not pay for directly or that was not a gift of the new unopened DVD it is an illegal copy Call Labrys Press and pay for your copy to bring yourself into compliance with this license or delete it from your device immediately RETURNS POLICY Once the shrink wrap is broken the product is non returnable except for detects in material or workmanship If the DVD is defective contact Labrys Press immediately at 503 255 3378 You will then be instructed about how to return it for a replacement 10 TECHNICAL SUPPORT Technical support from Labrys Press for Software Products is primarily limited to questions regarding the use of the program itself once it is successfully installed Labrys Press is not equipped to provide
73. the perineal membrane Orientation of parts All selected parts will appear in their proper resting anatomical posture and location whether chosen together with others or individually Thus the posture of each part is fixed individually as well as how it relates to all the other parts This ensures that as you to call up different parts successively they will always appear in proper relationship to every other part Focus The focus feature centers a particular part on the screen To activate it the part or regional header box must first be checked Then click on the name not the box but the words for that part or its regional header and that part or region will move to the center of the viewport and you will be able to rotate the model around it For example if the pelvis has become uncentered in the viewport it can easily be restored to center by simply clicking on the words of the regional header FEMALE PELVIS If the part or region is already centered or very close to another part that is centered the model will not move 37 Reset model location and orientation to the default position To restore the default position of the model which is the position it is in when the program is first opened just hit the space bar Zooming in and out Use your mouse scroll wheel or hold down your right click key and drag to zoom in and out Move the cursor up to zoom in enlarge and down to zoom out make smaller List of anatomical parts
74. tion the list is ordered according to the way the parts are introduced in the text The only exception is the ANORECTAL CANAL which is grouped with the rest of the FEMALE PELVIC ORGANS The parts list begins on page 37 It is followed by notes on the creation of specific parts 33 Viewport The viewport is the big blue area where the modeled parts are displayed In the upper right hand corner you will find the usual icons for minimizing or maximizing the size of the window and an X for closing the program In the lower left corner you will notice a cube In the lower right corner of the viewport you will notice a small rotation icon which allows two options for moving the model once the desired parts are displayed In the upper center of the viewport you will note that when an anatomical part is left clicked its name appears in black text Moving the model Moving the model is accomplished by continuously holding down your left mouse button placing the cursor over a part of the model and moving the cursor Orientation cube In the lower left corner of the viewport you will notice a 3D cube On each face of the cube there are anatomical directional terms As you move the model best to move model rather than attempt to manipulate cube directly you will notice that the cube moves along with it showing you the anatomical direction with each change of position The anatomical directions displayed are Superior above or cephalad in th

Download Pdf Manuals

Related Search

Related Contents

HFK-SD11/HFK-SD21 取扱説明書(PDF形式、1.52Mバイト)  PNC-TN844-76-02:5.42MB  Problématique :  Contenu du Campus Tuteur - C  intext:Bedienungsanleitung filetype:pdf  取扱説明書 KM 170/600 RD  ME 3135 RC METEO STATION Guida d'uso User manual Guide de l    SECTION 8 Troubleshooting  Life Fitness LIFECYCLE M051-0K66-A149 User's Manual  

Copyright © All rights reserved. Failed to retrieve file