ABSTRACT
Introduction: The mental foramen is a funnel-like opening located on the anterolateral aspect of body of themandible which marks the termination of the mental canal. The orientation and position of the mental foramenis important in performing anesthetic block prior to clinical procedures in lower-anterior teeth and also topreserve the integrity of the mental nerve trunk in surgical interventions.Materials and Methods: A total of 100 adult dry human mandibles were collected from the department ofAnatomy, Khaja Banda Nawaz institute of medical sciences, Faculty of Medicine, Khaja Banda Nawaz University,Gulbarga, Karnataka. The size, shape and position of the right and left side of the mandible were recorded in mmby direct visual inspection and digital vernier calipers.Results: The parameters which were considered in the present study were size, shape and position of the mentalforamen. In the present study the common shape encountered was oval shape, and the common position wasbelow the Apex of 2nd PM which coincides with the study by AGARWAL & GUPTA.Discussion: Agarwal & Gupta et al studied on 100 mandibles in gujarat population. Mean H.D was 3.33mm onright side and 3.25mm on left side, mean V.D was 2.15mm on right side and 2.13mm on left side. The comparativestudy of the present study and the other authors is tabulated in the tables.Conclusion: The present study enlightens and assist the maxillofacial and dental surgeons about the importanceof size, shape and position of the mental foramen for nerve block. It also has impact on the studies donepreviously like Agarwal et all and others. Hence this knowledge can be used as a tool for the dental surgeons.
ABSTRACT
Objective: to study the clinical behavior of dengue infection in cancer patients
Material and Methods: we reviewed medical records of cancer patients who were diagnosed with dengue infection in year 2011 as per discharge notes. Patients fulfilling revised dengue WHO/TDR classification with positive dengue lgM serologist were finally chosen for analysis
Results: from initially screened 63 patients, 43 fulfilled revised dengue WHO/TDR classification criteria, 31 [of these 43] with positive dengue lgM were finally analyzed. There were 16 males and 15 females, mean age was 39.0 [23.0] years. 23 patients were = 18 years of age. 81 % patients reported within first three days of illness. Major cancer bulk was from solid organ cancer group [n=21] followed by hematological group [n=10]. Presenting features were fever [100%] followed by aches [58.1 %], hemorrhagic manifestations [35.5%], vomiting [29%] and diarrhoea [25.8%]. Twelve [38. 7%] patients developed severe dengue with one death making 3.2% crude mortality rate
Conclusion: the spectrum of dengue infection severity in cancer patients seems to be different from general population. Clinically dengue was more severe with solid organ cancers as compared to hematologic cancers possibly highlighting the role of cellular mediated immunity. Other risk factors identified were relatively elder age and more co-morbid conditions