WordNet

negation of a word or group of words; "he does not speak French"; "she is not going"; "they are not friends"; "not many"; "not much"; "not at all" (同)non
notch a surface to record something
a V-shaped indentation; "mandibular notch"
a small cut (同)nick, snick
a V-shaped or U-shaped indentation carved or scratched into a surface; "there were four notches in the handle of his revolver"
cut or make a notch into; "notch the rope"

PrepTutorEJDIC

《助動詞,be動詞,時にhaveと共に,また一般動詞にはdoを添えて文の否定を表して》…『でない』,しない / 《語・句・節を否定して》…『でなく』 / 「not+形(副)」は否定される形容詞・副詞の反対の意味を強調することがある / notの意が及ぶ範囲の違いによって,意味解釈に違いが生じることがある / 《不定詞・分詞・動名詞を否定して》…[『し』]『ない』 / 《all, everyなどとともに用いて部分否定を表して》(全部が…なのでは)『ない』,(必ずしも…では)『ない』 / 《any, eitherなどに伴って全面否定を表して》(全然…)『しない』,(どちらも…)『しない』 / 《省略文でnotを含む句・節の代用として》『そうではない』
(V字形の)刻み目 / 《米》山あい / 《話》段階(STEP),等級(degree) / …‘に'刻み目をつける / 《話》〈競技の得殿など〉'を'記録する,〈勝利〉'を'収める

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/11/01 16:21:52」(JST)

wiki en

The suprasternal notch (fossa jugularis sternalis), also known as the jugular notch, is part of human anatomy. It is a large, visible dip in between the neck and the collarbone.

Structure

The jugular notch is found at the superior border of the manubrium of the sternum, between the clavicular notches.

Clinical significance

Intrathoracic pressure is measured by using a transducer held in such a way over the body that an actuator engages the soft tissue that is located above the suprasternal notch. Arcot J. Chandrasekhar, MD of Loyola University, Chicago, is the author of an evaluative test for the aorta using the suprasternal notch.^[1] The test can help to recognise the following conditions:

Aneurysm
Dissecting aneurysm
Atherosclerosis
Hypertension

To carry out this test it is necessary to place an index finger or middle finger on the notch and palpate it. A prominent pulse may be indicative of an uncoiled aorta, arch aneurysm, or a tortuous blood vessel. The most likely cause of a suprasternal pulse in an adult is an aortic arch aneurysm, while the most likely cause in a child is coarctation of the aorta.

Society and Culture

The notch as an erogenous zone

The suprasternal notch or well, is seen as a point of attraction by many and can be subtly enhanced by the wearing of pendants or necklaces which rest in that area, to draw focus to a part of the body that can be considered an erotic or sensual zone. Highlighting the notch in this way is more understated in exhibiting sensuality than the usual areas (legs, chest, hips etc.) and makes it an erogenous zone.

The suprasternal notch appears in the 1941 Alfred Hitchcock thriller Suspicion, where it is given by screenwriter Samson Raphaelson the whimsical name "ucipital mapilary". This neologism is repeated by Count Dracula in Mel Brooks' 1995 satire Dracula: Dead and Loving It, played by Leslie Nielsen.

The suprasternal notch appears in the novel and 1996 film The English Patient as an erogenous zone and focal point of amorousness. In the novel it is given the whimsical name "vascular sizood", but it is correctly named in the film.

It is known in the south of the Netherlands as the "derelegate zone" which has erotic connection to local folk stories.

As a vulnerable target in martial arts

The suprasternal notch is a target for finger strikes in such martial arts as Jiu-Jitsu and Hapkido. In self-defense, a person may thrust their fingers or thumb into the suprasternal notch, initially pushing straight to get past the increased thickness of the upper portion of the manubrium and then curling their fingers to apply downward pressure. This maneuver is thought to induce choking through blockage by crushing the windpipe, or perhaps have medical implications involving pressure to the aortic arch and surrounding tissues. This maneuver (as a two-finger strike utilizing the middle and index fingers) was choreographed into the subway station fight scene in the movie, The Matrix.

References

^ MedEd at Loyola MEDICINE/PULMONAR/PD/pstep37a.htm - Evaluative tests using the suprasternal notch

External links

The Suprasternal Notch site with (humorous) suggestions on suppressing suprasternal notch fetishism.
IMDb ucipital mapilary quote in Hitchcock's Suspicion.
IMDb ucipital mapilary movie connection in Dracula: Dead and Loving It.
IMDb suprasternal notch quote in The English Patient
blog entry on Ucipital Mapilary citing film dialogue.

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 経胸壁心エコー：正常の心臓の解剖および断層像 transthoracic echocardiography normal cardiac anatomy and tomographic views
2. フローボリューム曲線 flow volume loops
3. 胸部大動脈および近位腹部大動脈の心エコー評価 echocardiographic evaluation of the thoracic and proximal abdominal aorta
4. 肺動脈弁と肺動脈の心エコー評価 echocardiographic evaluation of the pulmonic valve and pulmonary artery
5. 乳児、小児および成人における動脈管開存症の臨床症状および診断 clinical manifestations and diagnosis of patent ductus arteriosus in term infants children and adults

English Journal

Anomalous connection of the left upper pulmonary vein to the vertical vein: an uncommon diagnosis unveiled by suprasternal notch imaging.

Shaikh A1, Agarwal A1, Treiber S1, Tajik AJ2.
European heart journal cardiovascular Imaging.Eur Heart J Cardiovasc Imaging.2014 Dec;15(12):1385. doi: 10.1093/ehjci/jeu139. Epub 2014 Jul 29.
PMID 25073596

Efficacy of the transillumination method for appropriate tracheal tube placement in small children: a randomized controlled trial.

Yamashita S1, Takahashi S2, Osaka Y2, Fujikura K3, Tabata K3, Tanaka M2.
Journal of clinical anesthesia.J Clin Anesth.2014 Nov 20. pii: S0952-8180(14)00311-0. doi: 10.1016/j.jclinane.2014.09.003. [Epub ahead of print]
STUDY OBJECTIVE: To evaluate whether the transillumination method increased the probability of appropriate tracheal tube (TT) placement compared with the main-stem method.DESIGN: Prospective, randomized, controlled study.SETTING: Operating room, university hospital.PATIENTS: Eighty children <2 ye
PMID 25457173

Assessment of three placement techniques for individualized positioning of the tip of the tracheal tube in children under the age of 4 years.

Moll J1, Erb TO, Frei FJ.
Paediatric anaesthesia.Paediatr Anaesth.2014 Oct 11. doi: 10.1111/pan.12552. [Epub ahead of print]
BACKGROUND: Accurate positioning of the tip of the tracheal tube (tube tip) is challenging in young children. Prevalent clinical methods include placement of intubation depth marks, palpation of the tube cuff in the suprasternal notch, or deliberate mainstem intubation with subsequent withdrawal. To
PMID 25308697

Japanese Journal

ペースメーカーリード感染に対する transvenous pacemaker lead extraction 施行後に生じた腕頭動静脈瘻

日本心臓血管外科学会雑誌 43(3), 142-145, 2014
NAID 130004887203

舌内に発生した甲状下管=胞例

耳鼻咽喉科臨床 90(9), 1019-1023, 1997-09-01
NAID 10005030086

胸骨上窩での触診による気管内チューブの位置決定法

日本歯科麻酔学会雑誌 25(1), 29-32, 1997-01-15
NAID 10007930888

Related Pictures

Suprasternal notch. Causes, symptoms, treatment Suprasternal notch Suprasternal Notch View TEE | Cardiac surgery | Pinterest | Ultrasound and Cardiology Suprasternal notch | Anatomical Terms Pronunciation by Kenhub - YouTube Αποτέλεσμα εικόνας για suprasternal notch | Ανατομία Jugular Notch/Suprasternal Notch – Earth's Lab The hollow | Arnold Zwicky's Blog List of Synonyms and Antonyms of the Word: jugular notch

★リンクテーブル★

リンク元	「頚切痕」「胸骨上切痕」「胸骨上窩」
関連記事	「notched」

「頚切痕」

Suprasternal notch
	Suprasternal notch
	Anterolateral view of head and neck. (Jugular notch labeled at bottom center.)
Details
Identifiers
Latin	Incisura jugularis sternalis,; fossa jugularis sterni
TA	A02.3.03.004
FMA	7542
	Anatomical terms of bone [edit on Wikidata]