ABSTRACT
Introduction: Nipah virus (NiV) was reported for the first time from the Kampung Sungai Nipah village of Malaysia in 1998. Since then, there have been multiple outbreaks, all of them in South- and South-East Asia. According to the World Health Organization (WHO), up to 75% of Nipah infections were proven to be fatal. Nipah virus belongs to the group of Biosafety Level-4 pathogen associated with high case fatality rate (40-75%). Methodology:According to the PRISMA guidelines for 2020, we searched in four medical databases (PubMed, Google Scholar, EMBASE and Scopus) and selected relevant studies from the past twenty years till November 2021. Review:Nipah virus was first detected in Malaysia's Kampung Sungai Nipah in 1998. By May 1999, the Malaysia Ministry of Health in association with the Centers for Disease Control (CDC) reported a total of 258 cases with a case fatality rate of almost 40%. Nipah in Kozhikode:Experts from the Pune Institute and Bhopal's National Institute of High Security Animal Diseases had collected Bat samples from Pazhoor in Chathamangalam gram panchayat (where a 12-year-old died due to Nipah infection on September 5 carried antibodies of the virus). All Indian outbreaks have seen person-to-person transmission. The virus found in Kerala differed from those two variants in terms of genetic structure. It also differed by 1.96% from the Bangladesh variant. The difference with the Malaysian variant was 8.42%. While PCR is the most sensitive technique for diagnosing active NiV infection, NiV-specific IgM ELISA offers a serological option when PCR is not available. Conclusions:Understanding the fruit bat ecology, NiV illness seasonality, and the transmission risk of various intermediate species requires a One Health approach. The danger of reintroduction into animal or human populations cannot be handled without a thorough understanding of the wildlife reservoir.
ABSTRACT
Introduction Basic knowledge of anatomy is crucial in providing predictable, safe, and efficacious mandibular anesthesia as the mandibular nerve is vulnerable to injury during dental procedures and other surgical manoeuvers. The lack of availability of the appropriate topographical bony landmarks for the location of the branches of this nerve often accounts for iatrogenic injuries and the failure to obtain adequate local anesthaesia. Hence we aimed to describe the topographical landmarks of the branches of the mandibular nerve and their variations in the infratemporal fossa. Methodology In 16 formalin-fixed cadavers, irrespective of the sex of the cadavers, bilateral dissection of the infratemporal fossa was done after identifying the necessary bony landmarks. The mandibular nerve and its branches were traced out and the required measurements were taken using the digital vernier caliper. The results were statistically analysed for mean, range, and standard deviation. Results The masseteric nerve is 15.87+/-1.64 mm superior to the lowest point on the mandibular notch. The lingual nerve in the third molar area is at the depth of 24.75+/-2.38 mm from the angle of the mandible (gonion), making an angle of 50° with the base of the mandible. 20.13+/-3.1 mm inferior to the mandibular notch is the precise location of the mandibular foramen which allows access to the inferior alveolar nerve. The incidence of accessory mandibular foramen in the dissected samples is 9.37%. Conclusion The topography of the masseteric nerve, lingual nerve, and inferior alveolar nerve was studied using constant and reliable bony landmarks in the cadaver which might aid effective dental and facio-maxillary surgical procedures. However, the outcome of this study could not be applied to paediatric patients as the subjects were restricted to adult cadavers.
