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Introduction:Anthropometric studies have shown significant variations in the cranium and orbits between races and genders due to various factors such as genetics, race, hormones, nutritional differences, and environmental influences. The present study aims to record cranial and orbital dimensions and indices to classify skulls based on these measurements. MaterialsandMethods: Thirty‑five human adult skulls were obtained from the dissecting laboratory and museum of Hind Institute of Medical Sciences, Safedabad. The orbital height, width, interorbital distance, maximum length, and width of the cranium were measured directly using a digital Vernier caliper. The skulls were then classified based on the orbital and cranial indices calculated. Results: The study found a mean orbital index of 83.42, classifying the skulls as mesoseme, and a cranial index of 73.15, classifying them as dolichocephalic. Conclusion: Basic data and records of morphometry of bones belonging to specific regions can help identify the ethnicity and race of a person. Understanding the correlation of dimensions of the orbital cavity and cranium is crucial in certain conditions, such as interpreting fossils, classification of skulls in forensic medicine, and discovering trends in evolution and racial differences. These findings may also aid in identifying unclaimed bodies in India, which are found in significant numbers yearly
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Purpose@#The purpose of this study was to determine the pattern of human leukocyte antigen (HLA)-DQ genotype in children diagnosed with celiac disease (CD) (biopsy proven), and to compare this with a control group; and secondarily, to correlate HLA genotypes with clinical profiles of CD. @*Methods@#This cross-sectional comparative observational study included 26 controls and 52 patients diagnosed with CD who presented at Sir Padampat Mother and Child Health Institute, Jaipur, from May, 2017 to October, 2018. HLA DQ genotype was assessed for each patients and correlated with clinical profiles. @*Results@#HLA DQ2/DQ8 genotypes were significantly more common in CD (present in 100.0% cases) than in controls (23.1%) in Northern India (Rajasthan). When HLA DQ2.5 and DQ8 were present together, individuals had significantly more atypical presentations and severe findings on duodenal biopsy. Similarly, patients with the HLA DQ 2.5 genotype were also predisposed to more severe endoscopic findings, while HLA DQ2.2 predisposed them to less severe biopsy findings. HLA DQ8 was significantly associated with later age at diagnosis (>5 years) and shorter stature. The highest HLA DQ relative risk (RR) for CD development was associated with HLA DQ2.5 and DQ2.2 in combination, followed by HLA DQ2.5 and DQ8 in combination, while HLA DQx.5 and HLA DQ2.2 together had the lowest risk. @*Conclusion@#HLA DQ2/DQ8 genotypes are strongly associated with pediatric CD patients in northern India. These genotypes and their combinations may be associated with different clinical presentations of CD, and may help predict severity of CD.
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A good armamentarium facilitates the efficient working of the dentist which in turn improves the quality of treatment rendered to the patient. The present invention of the unit consisting of the flexible mirror attached to the suction and the dual suction tip aims at improving the clinical efficiency of dental treatments provided. This compact unit is designed to improve the visualization and isolation of the operating field. It is also easy to fabricate and alleviates the very relevant shortcomings of clinical work.
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Introduction : COVID-19 Pandemic has affected the Healthcare System adversely. It should be diagnosed early to prevent mortality and morbidity. Thus various Haematological and Biochemical markers can be used specially in developing countries where clinicians have limited access to Molecular Diagnostic Technique. Aim and objectives : The study aims to observe the role of haematological and biochemical parameters in diagnosing as well as predicting the prognosis along the course of the disease. Material and methods : Retrospective study performed in Department of Pathology from April, 2021 to May, 2021 on 200 COVID-19 positive patients. The tests were conducted using the Haematological and Biochemistry Auto analysers. Results : Out of 200 Reverse Transcription Polymerase Chain Reaction (RT-PCR) positive COVID-19 patients analysis of Haematological Parameters showed Leucocytosis, Neutrophilia, Lymphopenia and Eosinopenia. Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio and Systemic Inflammatory Index were also found to be elevated in comparison to the control cases. Statistically significant difference was observed in Total Leucocyte Count, Absolute Neutrophil Count, Absolute Lymphocyte Count, Kidney Function Tests (KFT) and Liver Function Tests (LFT) between severe and non severe cases. Biochemical parameters were found to be more elevated in severe cases. C-Reactive Protein (CRP) levels >50 mg/dl and Lactate Dehydrogenase (LDH) levels >1000U/L were found only in severe cases. Conclusion : Haematological and Biochemical Markers being easily available and reliable can be utilised as useful prognosticator for early prediction of disease. Elevated Neutrophil Lymphocyte Ratio, Platelet Lymphocyte Ratio and Systemic Inflammatory Index can be useful in diagnosing COVID-19 especially when clinical suspicion is present despite negative Polymerase Chain Reaction (PCR) reports
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Background: FNAC is very useful technique and routinely done on palpable lesion of the body as a diagnostic procedure. For preoperative diagnosis of salivary gland lesions, triple approach technique is used in which FNAC is one of the most important techniques. The main purpose of FNAC of salivary gland lesion is in the investigation of any palpable lump and to avoid unnecessary surgery in specific benign condition. The advantages are – it provides rapid and accurate diagnosis, is therapeutic as well as diagnosis in many cystic condition. Materials and methods: Retrospective study was done for 1year from January 21 to January 22 at SBKS MI & RC, Vadodara, Gujarat. In present study, 96 cases were taken with salivary gland lesions that underwent FNAC in our Department. Results: Out of 96 cases, 61 (63.54%) cases were neoplastic and 35 (36.46%) cases were non- neoplastic which exclude chronic sialedenites. Among cases 61, 52 (85.25%) cases were benign and 9 (14.75%) cases were malignant. Males predominate and were 59 cases whereas female comprising 37 cases. Male to female ratio was 1.6:1. The age range was from 11 to 73 years. Conclusion: The present was a single institutional experience where analysis of salivary gland lesion was carried out. The findings of age, sex, site distribution and pathologic features encountered in present study were comparable with those studies reported from India and other parts of the world. Although the number of salivary gland tumors discussed in this study is small, the findings should contribute in better understanding of the disease.
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Amongst all the traumatic experiences in a human life, death of child is considered the most painful, and has profound and lasting impact on the life of parents. The experience is even more complex when the death occurs within a neonatal intensive care unit, particularly in situations where there have been conflicts associated with decisions regarding the redirection of life-sustaining treatments. In the absence of national guidelines and legal backing, clinicians are faced with a dilemma of whether to prolong lifesustaining therapy even in the most brain-injured infants or allow a discharge against medical advice. Societal customs, vagaries, and lack of bereavement support further complicate the experience for parents belonging to lower socio-economic classes. The present review explores the ethical dilemmas around neonatal death faced by professionals in India, and suggests some ways forward.
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A 22 year old male presented with symptoms of fast-escalating cognitive degeneration and behavioral impairment after a period of clinical recovery post severe traumatic brain injury (TBI). Neuroimaging found extensive mild-moderate cortico-cerebral atrophy not really corresponding to his primary TBI lesions. A diagnosis of dementia [ICD F02.8] was made and patient was treated accordingly, in conjunction with Neurology services, with emphasis on neuro-cognitive rehabilitation. Extensive testing could not find any other likely causes for this condition, which was then postulated to be generalized secondary post-TBI neurodegenerative changes. His symptoms are currently improved and stabilized with ongoing maintenance-phase management, but as this condition is not reversible – this case report discusses likely etiopathological processes and corresponding management options (both presently available and those likely to become so in near future) to be aware of..
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Purpose: To assess the cost of pediatric cataract surgery in a tertiary eye care hospital from a provider’s perspective. Methods: Retrospective review of direct costs incurred for pediatric cataract surgery for the financial year April 1, 2018, to March 31, 2019. The cost analysis was done by standard costing methods. The fixed cost included the cost of land, buildings, construction, maintenance, personnel, operation theater (OT), and Out patient department (OPD) equipment. The variable cost included the cost of consumables used during surgery. The indirect costs were not considered. Results: The per?patient fixed facility cost was INR 1.52 ($0.02), maintenance cost was INR 39.06 ($0.55), OPD equipment and consultation were INR 19.64 ($0.28), OT equipment was INR 467.95 ($6.61), the cost for personnel was INR 5,300.33 ($74.92), and the cost of consumables varied between INR 16,418 ($314.44) and INR 22,313 ($397.76), with the choice of intraocular lenses (IOL) being the main determining factor. The net average cost for a pediatric cataract surgery varied between INR 22,246.50 ($ 314.44) and INR 28,141.50 ($ 397.76). Conclusion: Pediatric cataract surgeries are cost?intensive. High?volume surgeries and an increase in the number of patients in OPD reduce the fixed facility cost. But there is an overall increase in human resource (HR) and consumable cost owing to economic and technological reforms. However, the impact of operating a child, thereby, increasing his/her blindness?free years probably outweighs the cost and justifies it. High patient inflow, increased number of surgeries, and bulk purchase of consumables help in decreasing the cost.
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ABSTRACT Introduction: Micro-osteoperforation is a minimally invasive technique that has been used to accelerate orthodontic tooth movement and reduce treatment duration. However, literature presents conflicting reports about this technique. Objective: To evaluate the effectiveness of micro-osteoperforations on the rate of canine retraction and expression of biomarkers in gingival crevicular fluid (GCF). Methods: This was a randomized clinical trial with split-mouth study design. Thirty adult subjects with age above 18 years (20.32 ± 1.96) who required fixed orthodontic treatment and extraction of maxillary first premolars were enrolled and randomly allocated to either the experimental or control group. Randomization was performed by block randomization method, with a 1:1 allocation ratio. The experimental group received three micro-ostoperforations (MOPs) distal to maxillary canine, using the Lance pilot drill. The retraction of maxillary canine was performed with NiTi coil-spring (150g) in both experimental and control groups. The primary outcome was the evaluation of canine retraction rate, measured on study models from the baseline to 16 weeks of canine retraction. Secondary outcomes were the estimation of alkaline and acid phosphates activity in GCF at 0, 1, 2, 3, and 4 weeks. Results: There was a statistically significant difference in the rate of canine retraction only after the first 4 weeks. Subsequently there was no statistically significant difference from the eighth to the sixteenth weeks between MOPs and control group. There was a statistically significant difference in alkaline and acid phosphates activity in GCF between MOPs and control groups during the initial 4 weeks of canine retraction. Conclusion: Micro-ostoperforation increased the rate of tooth movement only for the first 4 weeks; thereafter, no effect was observed on the rate of canine retraction during 8, 12 and 16 weeks. A marked increase in biomarker activity in the first month was observed.
RESUMO Introdução: As micro-osteoperfurações (MOPs) são uma técnica minimamente invasiva que tem sido utilizada para acelerar a movimentação dentária ortodôntica e reduzir o tempo de tratamento. No entanto, existem relatos conflitantes sobre o uso dessa técnica. Objetivo: Avaliar a eficácia das MOPs em acelerar a taxa do movimento de retração de caninos e na expressão de biomarcadores no fluido crevicular gengival (FCG). Métodos: Esse foi um ensaio clínico randomizado com desenho de estudo do tipo boca dividida. Trinta indivíduos adultos com idade acima de 18 anos (20,32 ± 1,96 anos) que necessitavam de tratamento ortodôntico fixo e extração de primeiros pré-molares superiores foram incluídos e aleatoriamente alocados para o grupo experimental ou grupo controle. A randomização foi realizada pelo método de randomização em bloco, com proporção de alocação de 1:1. O grupo experimental recebeu três MOPs distais ao canino superior, utilizando uma broca piloto em formato de lança. A retração do canino superior foi realizada com mola helicoidal de NiTi (150g) nos dois grupos, experimental e controle. O desfecho primário foi a avaliação da taxa de retração dos caninos, medida em modelos de estudo do início da retração até 16 semanas depois. O desfecho secundário foi a estimativa da atividade da fosfatase alcalina e ácida no FCG após 0, 1, 2, 3 e 4 semanas. Resultados: Houve uma diferença estatisticamente significativa na taxa de retração dos caninos somente após as quatro primeiras semanas. Após isso, não houve diferença estatisticamente significativa entre os grupos experimental e controle entre a oitava e a décima sexta semanas. Houve uma diferença estatisticamente significativa na atividade da fosfatase alcaline e ácida no FCG entre os grupos experimental e controle durante as quatro primeiras semanas de retração dos caninos. Conclusão: As micro-osteoperfurações aumentaram a taxa de movimentação dentária apenas nas primeiras quatro semanas; depois disso, nenhum efeito foi observado na taxa de retração dos caninos após 8, 12 e 16 semanas. Houve aumento considerável na atividade do biomarcador no primeiro mês.
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Methods@#Twenty subjects with traumatic spinal cord injury (level C5–C8) and upper limb spasticity in the finger and wrist flexors were enrolled. They were randomly allocated to two different groups using a computer-generated randomization schedule: group I comprised the neurodynamic mobilization group (n=11) and group II was the conventional therapy group (n=9); the subjects were administered therapy for 5 days every week for a period of 4 weeks. Upper limb spasticity was assessed using the Modified Ashworth Scale for wrist and finger flexors; F-wave amplitude, latency, and F-wave/M-wave amplitude ratio (F/M ratio) were examined using the F-wave scores of the median nerve; and upper limb function was determined using the Capabilities of Upper Extremity (CUE) Questionnaire. @*Results@#After 4 weeks of intervention, between-group comparisons showed a significant difference in the pre-intervention and postintervention scores on the Modified Ashworth Scale score for wrist flexors (−1.64±0.67), Modified Ashworth Scale score for finger flexors (−1.00±0.63), F-wave amplitude (−154.09±220.86), F/M ratio (−0.18±0.24), and CUE scores (17.82±13.49). @*Conclusions@#These results suggest that neurodynamic mobilization of the median nerve may be effective for upper limb spasticity control and upper limb functional improvement in tetraplegic patients.
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Methods@#Twenty subjects with traumatic spinal cord injury (level C5–C8) and upper limb spasticity in the finger and wrist flexors were enrolled. They were randomly allocated to two different groups using a computer-generated randomization schedule: group I comprised the neurodynamic mobilization group (n=11) and group II was the conventional therapy group (n=9); the subjects were administered therapy for 5 days every week for a period of 4 weeks. Upper limb spasticity was assessed using the Modified Ashworth Scale for wrist and finger flexors; F-wave amplitude, latency, and F-wave/M-wave amplitude ratio (F/M ratio) were examined using the F-wave scores of the median nerve; and upper limb function was determined using the Capabilities of Upper Extremity (CUE) Questionnaire. @*Results@#After 4 weeks of intervention, between-group comparisons showed a significant difference in the pre-intervention and postintervention scores on the Modified Ashworth Scale score for wrist flexors (−1.64±0.67), Modified Ashworth Scale score for finger flexors (−1.00±0.63), F-wave amplitude (−154.09±220.86), F/M ratio (−0.18±0.24), and CUE scores (17.82±13.49). @*Conclusions@#These results suggest that neurodynamic mobilization of the median nerve may be effective for upper limb spasticity control and upper limb functional improvement in tetraplegic patients.
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Ocular trauma is very common, but globe avulsion along with optic nerve avulsion is a rare clinical event. Blunt trauma during a road traffic accident can cause rupture or avulsion of the globe and the outcome can range from complete recovery on repositioning to visual loss because of globe perforation or optic nerve injury. Here, authors report a case of a 20-year-old male who presented with history of a road traffic accident causing severe facial injuries. The physical examination revealed oedema and ecchymoses over the right side of the face with avulsion of the right eyeball anteriorly outside the orbit along with avulsion of the optic nerve. The visual acuity in the injured eye was no perception of light and the direct pupillary response was absent. Computed tomography revealed fracture of the roof and lateral wall of the right orbit. As the eye was not salvageable, enucleation surgery was done. Insertion of an ocular prosthesis for rehabilitation was planned. The presentation, investigations, surgery and follow-ups are described.
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Introduction: Blood transfusion services are vital and aim toprovide blood and blood products which are safe, readilyavailable and adequate to meet the need of the patient. Aim ofstudy is to estimate the frequency, type of adverse reactionsand interventions that can be taken to reduce this frequency.Materials and Methods: The present study was conductedover duration of 12 months (January 2017 to December2017). This study comprises of 6500 blood donations inwhich 6250 were male and 250 were female donors.4680 were voluntary donors and 1820 were replacementdonors. Overall, 3473 whole blood donations, 2983component donations, and 44 plateletpheresis donationswere considered.Results: Only 43 had some adverse events. Out of these, 15had vasovagal reaction followed by nausea and vomitingcomprising 11 donors. Some less common reactions werehematoma and nerve injury. As compared to whole blooddonation there are less adverse events in cases ofplateletpheresis.Conclusion: Only few donors suffered any adverse eventbut methods should be employed to reduce risks with thehelp of maximum safety measures.
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Panoramic radiographs and computed tomography (CT) play a paramount role in the accurate diagnosis, treatment planning, and prognostic evaluation of various complex dental pathologies. The advent of cone-beam computed tomography (CBCT) has revolutionized the practice of dentistry, and this technique is now considered the gold standard for imaging the oral and maxillofacial area due to its numerous advantages, including reductions in exposure time, radiation dose, and cost in comparison to other imaging modalities. This review highlights the broad use of CBCT in the dentomaxillofacial region, and also focuses on future software advancements that can further optimize CBCT imaging.
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Cone-Beam Computed Tomography , Dentistry , Diagnosis , Pathology , RadiographyABSTRACT
BACKGROUND/AIMS: The role of psychosocial factors on irritable bowel syndrome (IBS) in adolescents is incompletely understood. The aim of this study is to investigate the association between the psychosocial factors and the risk of developing IBS in college freshmen. METHODS: A cross-sectional survey was conducted in a randomly selected freshmen population in Wuhan China (n = 2449). Questionnaire evaluated demographics and psychosocial risks. The population was divided into 3 groups: non-discomfort, chronic abdominal discomfort and IBS. The association between the development of IBS and psychosocial factors was analyzed by ordinal and multiple logistic regression analysis. RESULTS: A total of 2053 (83.8%) completed this survey (mean age, 18.2 ± 0.9 years; female, 35.6%). Among them, 82 (4.0%) fulfilled the Rome III criteria for IBS. Female (odds ratio [OR], 3.31; 95% confidence interval [CI], 2.47–4.45), experience of abuse (OR, 2.44; 95% CI, 1.10–5.56), and suicidal intention (OR, 2.17; 95% CI, 1.15–4.17) were more likely to have IBS. Compared with chronic abdominal discomfort, however, depression (OR, 5.55; 95% CI, 1.36–22.71) was the only dependent risk factor for IBS. CONCLUSION: The prevalence of IBS in college freshmen is 4.0%, and to the freshmen, psychosocial factors such as experience of abuse, depression, and suicidal intention were associated with high risk of developing IBS.
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Adolescent , Child , Female , Humans , Asian People , Child Abuse , China , Cross-Sectional Studies , Demography , Depression , Intention , Irritable Bowel Syndrome , Logistic Models , Prevalence , Psychology , Risk Factors , SuicideABSTRACT
Background: Restricted mouth opening is a common complaint in patients suffering from temporomandibular joint disorders, ankylosis, impaired masticatory muscle function, rheumatic disease, infection, or malignancy. As with any disease, the aim of treatment of disorders affecting mouth opening is to restore the mouth opening to its normal value. It is thus of paramount importance to determine the normal value. Objective: To establish the normal range of maximal incisal opening (MIO) in children aged 4 to 15 years and to investigate the correlation between MIO and age, gender, height, and body weight. Materials and Methods: Six hundred and two children from various schools in Bengaluru, India, participated in the study. The children were divided into the following age groups: 45, 67, 89, 1011, 1213, and 1415 years. MIO for the children was recorded using Therabite® scale. The measurements of MIO were then correlated with gender, body weight, and height of the children in different age groups. Results: It was observed that MIO gradually increased with age with a mean MIO of 41.34 mm at 45 years to a mean MIO of 51.73 mm at 1415 years. The mean MIO value for males (48.90 ± 6.49 mm) was found to be higher when compared to that of females (46.17 ± 5.58 mm). The results indicated a strong positive correlation of MIO with height and weight. Conclusion: MIO gradually increased with age in both the genders, and a strong positive correlation of MIO with height and weight was observed
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Child , Female , India , Mouth , Mouth Diseases , Pediatrics , PopulationABSTRACT
Introduction: Neck pain is a common disorder. Poor posture might result in muscular imbalance that causes a faulty relationship among various body parts. Forward head posture is one of the most common cervical abnormalities that predispose individuals toward pathological conditions, such as headache, neck pain, and temporomandibular disorders. Aim: The aim of the study was to find the relationship between CV angle and neck pain. Materials and method: 50 patients were evaluated and included in the study. They were evaluated for pain using Numerical Pain Rating Scale (NPRS) and the forward head posture was assessed by measuring CV angle. The total duration of the study was 6 months. Analysis was done using SPSS Version 20. Results: Spearman’s correlation test was used to find correlation between CV angle and neck pain and the r value was found to be -0.731 with the level of significance 0.01. Conclusion: A moderate to good negative correlation was found between CV angle and neck pain.
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Background: To study the morphology of the caudate lobe of liver. The caudate lobe is visible on the posterior surface, bounded on the left by the fissure for the ligamentum venosum, below by the porta hepatis and on the right by the groove for the inferior vena cava. Above, it continues into the superior surface on the right of the upper end of the fissure for the ligamentum venosum. Below and to the right, it is connected to the right lobe by a narrow caudate process, which is immediately behind the porta hepatis and above the epiploic foramen. Below and to the left, the caudate lobe has a small rounded papillary process. Taking into consideration clinical importance of this lobe in metastasis, cirrhosis and hepatic resections a morphological study was carried out on caudate lobe. Methods: This study was undertaken on 36 cadaveric livers available in the Department of Anatomy of Shri Ram Murti Smarak Institute of Medical Sciences, Bareilly to study the morphometery of caudate lobe of liver using vernier caliper. Results: Various shapes of the caudate lobe were observed, rectangular being the commonest. Conclusion: Knowledge of variations of caudate lobe may be important to anatomists and morphologists for new variant, embryologists for new developmental defect, clinicians for diseases, surgeons for planning surgery involving liver, and imagery specialists for avoiding misinterpretation of CT and MRI.
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Background: Our study aims to study the variations in lobar pattern and fissures of both right and left human lungs. Methods: 41 formalin fixed cadaveric lungs were obtained from the Department of Anatomy, SRMS IMS. The lungs were studied to observe the variations of fissures and lobes. Abnormal or accessory lobes were also noted. Results: 18 right lung and 23 left lung specimens were obtained and studied. Among the right lungs studied one showed an incomplete oblique fissure, six showed incomplete horizontal fissures. The horizontal fissure was absent in three right lungs. In the left lung only one lung showed the presence of an incomplete oblique fissure. Conclusion: The lung is a vital organ for life. Hence, considering the clinical importance of such anomalies, we as anatomists suggest that awareness and knowledge of the variations in the lobes and fissures of the lungs may be important for surgeons planning lobectomies and surgical resections involving individual segments and for radiologists to accurately interpret radiological images. This knowledge has further become more significant with the increasing incidence of lung carcinomas.
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No abstract available.