A Recurrent Case of Ameloblastic Fibroma in 37-year Old Male.

Ameloblastic fibroma (AF) is a benign mixed epithelial and mesenchymal odontogenic tumor. This was previously grouped in odontogenic tumor showing odontogenic epithelium with odontogenic ectomesenchyme, with or without hard tissue formation. This report describes a case of ameloblastic fibroma in a 37-yearold male who came with the complain of swelling in the left side of lower jaw since one year. Enucleation of the mass followed by reconstruction was done six years back. However, after two years of initial treatment; radiographic findings suggested recurrence. Histopathological examination confirmed the diagnosis of ameloblastic fibroma. Patient had no clinical and radiographic evidence of recurrence in three and six months' follow-up. Because of the higher proliferative capacity and malignant degree of the mesenchymal component in the recurrent neoplasm, sarcomatous transformation may occur. Hence, a long term clinical and radiographical follow-up is essential due to its transformation into ameloblastic fibrosarcoma.

Assessment of Sexual Dimorphism in Mandibular Ramus: An Orthopanoramic Study.

Background Mandible is the largest and strongest bone of the face, is very durable, and hence remains well preserved than many other bones. In cases of mass disasters where an intact skull is not found, the mandible may play a vital role in sex determination as it is the most dimorphic bone of the skull. Morphometric analysis of mandibular ramus provides highly accurate data to discriminate sex. This can be accomplished by the use of panoramic radiography which is widely available and is used routinely to assess the mandibular structures. Objective To evaluate and compare the various parameters of the mandibular ramus and to determine the usefulness of the mandibular ramus as an aid in sex determination. Method Orthopantomograms of 140 samples (70 males and 70 females) were collected from the archives and traced manually on matte acetate tracing paper. Various parameters of mandibular ramus were measured on the right and left sides. The obtained measurements were subjected to discriminant function analysis. Result Mandibular measurements on the right side were greater than on the left side. However, only the ramus breath (minimum and maximum) and projective height of ramus were statistically significant (p < 0.05). All the measurements were higher for males than females. F-statistic values indicated that the highest sexual dimorphism was seen with the projective height of ramus and least with minimum ramus breath. Conclusion Mandibular ramus measurements can be a useful tool for gender determination and can be an essential tool in forensic science especially when there is damaged or partially preserved mandibles and may be helpful for medico-legal purpose in Nepal.

Eosinophilic Granuloma of Mandible: A Diagnostic Challenge.

Eosinophilic Granuloma is the mildest and localized form of Langerhans Cell Histiocytosis and is characterized by clonal proliferation of Langerhans cells. It is a rare disease, accounting for less than 1% of all the osseous neoplasms. It has predilection for the axial skeleton and incidence in jaws is just 7.9%. It lacks pathognomonic clinical and radiographic trait and hence is difficult to make a correct diagnosis without histopathological and immunohistochemical examination. This report describes a case of Eosinophilic Granuloma of mandible in 30 years old male who presented with complain of unhealed extraction wound and was clinically diagnosed as chronic suppurative osteomyelitis. The final diagnosis of Eosinophilic Granuloma was made only after histopathological and immunohistochemical evaluations.

Factors Determining Availability, Utilization and Retention of Child Health Card in Western Nepal.

BACKGROUND: The immunization card is revised with addition of general information about child health and is later called as child health card. This card is a tool used by Health Management Information System in Nepal. It is important for tracking the records of immunization. Aim is to identify the factors determining the availability, utilization and retention of the child health card in Western Nepal. METHODS: A cross sectional study was conducted among mothers having children < 24 months old from Gorkha (Western Hill) and Nawalparasi (Western Terai) districts. The sample size for the study was 600 and systematic random sampling was used to select the mothers having less than 24 months old children. Data entry and analysis was done by using SPSS. Qualitative data was analyzed by making matrix. RESULTS: The average age of respondents was 24 years. The majority of respondents have gained higher level education. Retention of the card was found to be 82.2%. 90.3% retention was seen among 0-12 months children age group whereas it was 74 % among12 to 24 months age group. The reasons for less retention were torn by the child/played by child (54.6%) followed by lack of proper place,unaware about importance and poor quality of card.The new child health cards were insufficient, compelling use of both new and old cards which created problem in consistency. Regarding utilization of child health card, it was found to be used for birth registration and for further studies in abroad. CONCLUSIONS: The areas of utilization of child health card should be broadened so that the retention of card can be increased. The main reasons for less retention of the card are torn by children and lack of the proper place.

Myanmar experiences in sanitation and hygiene promotion: lessons learned and future directions.

Recent activities in connection with the National Sanitation Week (NSW) and Social Mobilisation for Sanitation and Hygiene have contributed to a significant increase in access to sanitary means of excreta disposal, from 45% in 1997 to 67% in 2001. Handwashing with soap and water after defecation has also increased from 18% in 1996 to 43% in 2001. Success is attributable to high level political commitment, state or division level action and community mobilisation by village level authorities. Multi-level efforts such as mass media, planning workshops, training sessions and house-to-house visits by village authorities and health officials have raised greater awareness of sanitation and hygiene issues and led to construction of latrines on a self-help basis. The challenge ahead is to give greater attention to the 'hard to reach' who live in less accessible areas and are more resistant to change. The 2002 NSW has accordingly given special emphasis to activities in 73 of 324 townships where 50% or more of the households have no access to a sanitary latrine. The communication and social mobilisation package has been improved to upgrading unsanitary latrines and integrating handwashing more systematically with promotion of sanitary latrines. Programmatic follow-up to the NSW is being provided in selected townships through more intensive social mobilisation for 'hard to reach' households and activity-based school sanitation and hygiene education. This approach will contribute further towards improved hygienic practices and reduce diarrhoeal morbidity and mortality.

Nutritive values of Nepalese edible wild fruits.

The nutritive values of forty edible wild fruits of Nepal were determined in terms of total dry matter, sugar, protein, total ash and sodium, potassium, magnesium and calcium. It was concluded that most of the wild fruits are comparable to cultivated fruits in nutritive values and, therefore, may be considered as suitable for cultivation.

Control of Seed Germination by Abscisic Acid: I. Time Course of Action in Sinapis alba L.

The germination process of mustard seeds (Sinapis alba L.) has been characterized by the time courses of water uptake, rupturing of the seed coat (12 hours after sowing), onset of axis growth (18 hours after sowing), and the point of no return, where the seeds lose the ability to survive redesiccation (12 to 24 hours after sowing, depending on embryo part). Abscisic acid (ABA) reversibly arrests embryo development at the brink of radicle growth initiation, inhibiting the water uptake which accompanies embryo growth. Seeds which have been kept dormant by ABA for several days will, after removal of the hormone, rapidly take up water and continue the germination process. Seeds which have been preincubated in water lose the sensitivity to be arrested by ABA after about 12 hours after sowing. This escape from ABA-mediated dormancy is not due to an inactivation of the hormone but to a loss of competence to respond to ABA during the course of germination. The sensitivity to ABA can be restored in these seeds by redrying. It is concluded that a primary action of ABA in inhibiting seed germination is the control of water uptake of the embryo tissues rather than the control of DNA, RNA, or protein syntheses.

Effect of light on the development of glyoxysomal functions in the cotyledons of mustard (Sinapis alba L.) seedlings.

The degradation of storage fat in the cotyledons of mustard seedlings is unaffected by phytochrome and photosynthesis (irradiation with continuous red or far-red light from sowing of the seeds) although light imposes a strong constraint on the translocation of organic matter from the cotyledons into the seedling axis. Likewise, the development and disappearance of glyoxysomal enzyme activities (isocitrate lyase, malate synthase, citrate synthase) takes place independently of light. It is concluded that the mobilization of storage fat (fat→carbohydrate transformation) is independent of photomorphogenesis. The surplus of carbohydrate produced from fat in the light seems to be converted to starch grains in the plastids, which function as a secondary storage pool in the cotyledons.

Interaction of gibberellic and indole-3-acetic acid on root formation in pea (Pisum sativum L.) epicotyl cuttings.

Indole-3-acetic acid (IAA) strongly enhanced rooting of etiolated pea epicotyl cuttings while gibberellic acid (GA3) enhanced rooting only slightly. The promoting effects of the hormones appeared not until 14 d after the onset of treatment. When GA3 and IAA were applied together, the initiation of rooting started already after 6 d after onset of treatment. It is suggested that gibberellin plays an important role, in combination with auxin, in the initiation of root formation in Pisum cuttings.

Phytochrome-mediated development of mitochondria in the cotyledons of mustard (Sinapis alba L.) seedlings.

The development of mitochondria from promitochondria is regulated by phytochrome. This conclusion is based on four lines of evidence: 1. The activity of representative mitochondrial marker enzymes (fumarase, EC 4.2.1.2; succinate dehydrogenase, EC 1.3.99.1; cytochrome oxidase, EC 1.9.3.1) is increased by continuous far-red light and (in 2 of the 3 enzymes) by brief red pulses, the effect of which is reversible by brief far-red pulses. These effects do not merely represent a general growth or proliferation of mitochondria already present but specific responses of individual enzymes. Inhibitors of protein synthesis but not of RNA synthesis suppress the increase of these enzyme activities. 2. Continuous far-red light changes some structural properties of the mitochondrial membranes, detectable by an increased requirement of detergent (Triton X-100) for the solubilization of cytochrome oxidase and a more efficient retainment of the matrix enzyme fumarase during isolation of mitochondria. Continuous far-red light increases the apparent buoyant density of mitochondria on a sucrose density gradient. 3. Continuous far-red light has a strong effect on the morphology of the inner mitochondrial membrane system. Electron micrographs from dark-grown cotyledons show arrays of parallel, plate-like cristae while typical plant mitochondria with irregularly oriented sacculi are formed in the light. These responses indicate the involvement of mitochondria in cytophotomorphogenesis during the transition of the cotyledons from dissimilatory to assimilatory metabolism.

Phytochrome-mediated transformation of glyoxysomes into peroxisomes in the cotyledons of mustard (Sinapis alba L.) seedlings.

The specific changes in the temporal pattern of glyoxysomal and peroxisomal enzymes in dark-grown and continuously far-red irradiated mustard seedlings are accompanied by specific changes in the spatial associations of microbodies with other cell organelles which can be quantitatively estimated from electron micrographs. The association (surface contact) with oleosomes (lipid bodies) and with plastids have been used as operational criteria for the glyoxysomal and peroxisomal engagement, respectively, of individual microbodies. The time course of these specific associations during the phytochrome-mediated changeover from glyoxysomal to peroxisomal character reveals the transient formation of functionally intermediary microbodies ("glyoxyperoxisomes") which are associated to oleosomes as well as to plastids. In continuous far-red light, up to 50% of the microbody profiles detectable on electron micrographs fall into this category, compared to about 10% in darkness. It is concluded that peroxisomes of cotyledons neither originate de novo as an independent population nor are formed from pre-existing glyoxysomes by repackaging of enzymes. We suggest rather that a transition from glyoxysomal to peroxisomal enzyme formation in the presence of continuous turnover of microbody particles leads to a gradual replacement of microbodies of glyoxysomal character by microbodies of intermediary character and ultimately by microbodies of peroxisomal character.