Journal of Kathmandu Medical College最新文献_第5页

Operative difficulty grading scale for laparoscopic cholecystectomy at a tertiary care hospital in Eastern Nepal 尼泊尔东部一家三级医院腹腔镜胆囊切除术的手术难度分级

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45497

N. Sah, R. Gupta, L. Awale, K. B. Deo, Rupesh Prasad Sah, Abhijeet Kumar, S. Sah

{"title":"Operative difficulty grading scale for laparoscopic cholecystectomy at a tertiary care hospital in Eastern Nepal","authors":"N. Sah, R. Gupta, L. Awale, K. B. Deo, Rupesh Prasad Sah, Abhijeet Kumar, S. Sah","doi":"10.3126/jkmc.v11i1.45497","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45497","url":null,"abstract":"Background: Predictions of difficult cholecystectomy preoperative make the surgeon prepared, thereby making a more careful dissection, back up from senior surgeons, and a low threshold for early conversion. Objectives: To utilise an operative grading scale to predict open conversion, duration of surgery, total length of stay, complications and to validate Nassar score. Methods: This was a prospective cross-sectional study done from 2020 July 9 to 2021 January 30 after ethical clearance among all patients of BPKIHS planned for laparoscopic cholecystectomy for symptomatic gallstone disease. Nassar scale was used for risk evaluation of difficult cholecystectomy. The intraoperative outcome parameters were bleeding, bile spillage, stone spillage, presence of bowel or biliary injury, operative time and conversion to open surgery. Postoperative outcomes noted were total length of stay, 30-day complications, reintervention, and mortality. The data were entered in Microsoft Excel sheet 2010 and analysis was done in SPSS v.26. Results: Seventy-four patients were analysed. Comparison of Nassar scoring system with outcomes revealed a significant association of rising Nassar grade with bile spillage, stone spillage, bleeding, post-surgical drain placement, conversion to open, duration of surgery, and total length of stay. Operative time was significantly more in male, cholecystitis, and interval cholecystectomy. Conversion to open was significantly associated with Nassar grade 4, acute cholecystitis, and interval cholecystectomy. There was no mortality, 30-day reintervention, and complication. Conclusion: Nassar operating scale is simple scale that can be used by all level of surgeons to predict difficult laparoscopic cholecystectomy. Rising grades have significant correlation with difficulty and complications.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132501568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of marginal bone level after implant placement and before loading, by digital radiography 用数字x线摄影评估种植体植入后和加载前的边缘骨水平

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45494

B. Sapkota, C. Upadhyaya, U. Rimal, S. Mahanta

{"title":"Evaluation of marginal bone level after implant placement and before loading, by digital radiography","authors":"B. Sapkota, C. Upadhyaya, U. Rimal, S. Mahanta","doi":"10.3126/jkmc.v11i1.45494","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45494","url":null,"abstract":"Background: Marginal bone loss around dental implant is one of the criteria for evaluating implant success. Objectives: To evaluate the marginal bone loss around dental implants using digital radiographs and to determine correlation of mesial and distal bone loss around dental implants with gender and location in either arch in a period of 3-6 months after placement and before prosthetic loading. Methods: An analytical study was undertaken from July 2021 till December 2021, after ethical clearance, in 18 patients on whom 23 implants had been placed at Dhulikhel hospital. After implant placement first radiograph was taken by CE 0297 size 2 PSP plate and Carestream (CS2100) intraoral periapical radiograph machine using paralleling technique (XcpRinn Device) and second at 3-6 months later. The radiographs were viewed using image viewer software (Vistasoft2.0.1) to calculate the bone level. Calculating the difference in bone level at zero month and at 3-6 months gave us the amount of bone loss which was entered in Excel sheet and transferred to SPSS v.22 for analysis and student unpaired-t test was used.Results: The mean bone loss was 0.27 ± 0.2 mm on mesial aspect and 0.13 ± 0.3 mm on distal aspect at the end of the study period. No statistically significant bone loss in relation to gender and location of implant placement was found. Conclusion: Within the limitation of the study, no significant difference was found in the mesial and distal aspect of bone loss around dental implant when compared with different parameters.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128937611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low-cost vacuum-assisted closure dressing in wound management: An effective alternative for Nepal 低成本真空辅助封闭敷料在伤口管理:尼泊尔的一种有效选择

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45488

A. Bajracharya

{"title":"Low-cost vacuum-assisted closure dressing in wound management: An effective alternative for Nepal","authors":"A. Bajracharya","doi":"10.3126/jkmc.v11i1.45488","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45488","url":null,"abstract":"Background: Low-cost vacuum-assisted closure (VAC) can be used as an alternative method for wound management. Objectives: To observe the effectiveness of low-cost vacuum-assisted closure dressing in wound management. Methods: A descriptive cross-sectional hospital-based study was conducted in the Department of Plastic Surgery, Kathmandu Medical College from April 2021 to February 2022 to observe age, sex, indication, type of wound with history of comorbidities, number of dressings, duration of hospital stays, and complications like: bleeding, haematoma, and delay in wound healing . Results: A total of 22 patients were included by convenience sampling technique in the study with 21 (95.5%) acute and one (4.5%) case of chronic wound with ulcer. The mean age was 39 ± 18.157 years ranging from 13-76 years. Most of them were males (15, 68.2%). The mean duration of wound presentation was 5.45 ± 9.127 days ranging from 1-45 days. The mean duration of hospitalisation was 20.45 ± 11.467 days ranging from 5-45 days. Eight (36.4%) patients were with comorbidities like Diabetes Mellitus, Hypertension, Peripheral vascular diseases etc., and no mortality was recorded. Conclusion: Low-cost Vacuum-assisted closure is a very easy and efficient alternative method for wound care.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129904228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Persistent otorhinolaryngological symptoms in patients following COVID-19 infection COVID-19感染后患者持续性耳鼻喉科症状

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45489

D. Regmi, N. Manandhar

{"title":"Persistent otorhinolaryngological symptoms in patients following COVID-19 infection","authors":"D. Regmi, N. Manandhar","doi":"10.3126/jkmc.v11i1.45489","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45489","url":null,"abstract":"Background: Patients having coronavirus disease 2019 (COVID-19) may have persistent symptoms even after weeks or months of recovery. Although there are several studies on persistence of general symptoms, research primarily focussing on post COVID otorhinological symptoms are scarce. Objective: The aim of study was to assess the persistent otorhinolaryngological symptoms among the patients within a period of three months of recovery from COVID -19 infection. Methods: An analytical cross-sectional study was carried out in the ENT OPD of Kathmandu Medical College Teaching Hospital Nepal from July 2021 to September 2021. Ninety-one consecutive patients who recovered from COVID-19 were evaluated. The frequency of otorhinolaryngological manifestations at the time of presentation and during the active COVID-19 illness were interpreted and classified as nasal, aural, and throat symptoms. Results: The commonest persistent nasal symptoms were the nasal obstruction in 15 out of 43 patients during COVID (15/43, 34.88 %), followed by nasal discharge (2/12, 16.66%), loss of smell (12/73, 16.43%), and frontal headache (8/40, 20%). Twenty patients had persistent aural symptoms and all of them had tinnitus (8/8, 100%) followed by earache (4/7, 57.14%), hearing loss (3/6, 50%) and dizziness (4/14, 28.57%). Thirty-four patients had persistent throat symptoms. The most common was sore throat (23/49, 46.93%) followed by itching (4/13, 30.76%), hoarseness (3/25, 12%), and dry cough (3/52, 5.7%). Conclusion: Many ENT OPD patients had variable nasal, aural, and throat complaints at the time of infection which was still persisting in majority of them within three months of recovery from COVID-19.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117123056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of second wave of COVID-19 related lockdown on patients undergoing fixed orthodontic treatment in a dental teaching hospital 第二波疫情封锁对牙科教学医院固定正畸治疗患者的影响

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45492

P. Poudel, S. Dahal

{"title":"Impact of second wave of COVID-19 related lockdown on patients undergoing fixed orthodontic treatment in a dental teaching hospital","authors":"P. Poudel, S. Dahal","doi":"10.3126/jkmc.v11i1.45492","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45492","url":null,"abstract":"Background: Lockdown due to second wave of COVID-19 was implemented, in Kathmandu from April 29, 2021. In most of the dental hospitals, patients’ regular appointments were temporarily suspended and only emergency treatments were considered. Objectives: To assess the impact of the COVID-19 related lockdown on the treatment among patients undergoing fixed orthodontic treatment. Methods: A descriptive cross-sectional study was conducted among 170 individuals undergoing fixed orthodontic treatment at Kathmandu Medical College Teaching Hospital from 1st July to 30th September 2021 after obtaining ethical approval. A standard pretested self-administered online questionnaire having questions regarding impact of COVID-19 on orthodontic treatment was sent to all the study participants. Data were entered in Microsoft Excel Sheet and analysed in Statistical Package for Social Sciences version 20. Descriptive statistics like mean, standard deviation, frequency, and percentage were calculated depending upon the nature of data. Results: Majority of the study participants (113, 66.5%) did not visit orthodontist for more than one month due to second wave of COVID-19 and were very worried (84, 49.4%) for not getting to go for regular follow-ups for their treatment. Most of them were worried thinking that their treatment time will be extended (134, 78.8%), and some (97, 57.1%) participants faced problems like broken brackets and elastics. Conclusion: This study concluded that second wave of COVID-19 had some impact on orthodontic patients. This study highlighted the importance of teledentistry for orthodontic consultation and also the need for preparing the patients to deal with orthodontic appliances if required to prevent trauma.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128458294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy and safety of oral mifepristone in induction of labour in prolonged pregnancy 口服米非司酮在延长妊娠期引产中的疗效和安全性

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45493

Rubby Das, Nilam Subedi, S. Rajbhandari, Gahana Gurung

{"title":"Efficacy and safety of oral mifepristone in induction of labour in prolonged pregnancy","authors":"Rubby Das, Nilam Subedi, S. Rajbhandari, Gahana Gurung","doi":"10.3126/jkmc.v11i1.45493","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45493","url":null,"abstract":"Background: Induction of labour implies, achieving vaginal delivery by stimulating uterine contractions before spontaneous onset of labour. Prolonged pregnancy exceeding duration of expected date of delivery is associated with increased risk to foetus and most common indication for induction of labour. Objectives: To study the safety and efficacy of oral mifepristone in induction of labour in prolonged pregnancy. Methods: This experimental study was carried out in Universal College of Medical Sciences Teaching Hospital, Bhairahawa between June 2016 to June 2017 after ethical clearance. Total 102 women were included in the study with 51 participants in the study group (mifepristone) and 51 in the control group (misoprostol). Data were expressed in frequency and mean ± SD and analysed using Independent “t” test and Chi-square test. A p-value of <0.05 was considered significant. Safety and efficacy of the drug was analysed with regards to maternal and perinatal outcome. Results: Single dose of mifepristone was sufficient enough for successful induction in 40 (78.43%) women in study group. Time interval from induction to delivery had maximum frequency of 6-12 hours in both groups (p-value 0.13). The active phase of labour lasted for 2-6 hours in 38 (74.5%) women of the study group. Around 27 (42.9%) women of study group required augmentation of labour and 49 (96.1%) women had vaginal delivery. There was no significant difference in perinatal outcome between both the groups. Conclusion: Mifepristone combined with or without augmentation is safe, efficient, economical, and convenient induction agent for initiation of labour in prolonged pregnancies.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128216163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preoperative ultrasonographic prediction of difficult airway in patients undergoing surgery under general anaesthesia 全麻手术患者气道困难的术前超声预测

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45487

Mona Sharma, Saurya Dhungel, Buna Piya, Ritika Gautam

{"title":"Preoperative ultrasonographic prediction of difficult airway in patients undergoing surgery under general anaesthesia","authors":"Mona Sharma, Saurya Dhungel, Buna Piya, Ritika Gautam","doi":"10.3126/jkmc.v11i1.45487","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45487","url":null,"abstract":"Background: Preoperative assessment of the airway with ultrasound has come up as a viable option to aid the preanaesthetic airway assessment. Objectives: To identify reliable ultrasound parameters as predictors of difficult airway in patients undergoing surgery under general anaesthesia. Methods: A prospective analytical cross-sectional study was conducted at Kathmandu Medical College in 99 consecutive patients scheduled for elective surgery with general anaesthesia and endotracheal intubation from July 2019 to June 2020 after ethical clearance. Three ultrasound parameters were used for this study. Distance from the skin to the anterior aspect of trachea at the level of vocal cords (ANS-VC), the depth of the pre-epiglottic space (PreE), the distance from the epiglottis to the midpoint of vocal cords (EVC) was measured. The PreE/EVC and hyomental distance ratio (HMDR), which is the distance ratio of hyomental distance at neutral and extended head position were calculated. These ultrasonographic parameters were used to predict difficult laryngoscopy Cormack-Lehane (CL) grading 3, 4. Results: Difficult intubation was seen in 23 (23.2%) as CL grade 3. The authors did not encounter CL grade 4. HMDR and PreE/EVC have been shown to have significant association with CL grading, with a specificity of 71% and 77% respectively and a high negative predictive value of 84.3% and 84.2% respectively. Therefore, it is valuable in predicting difficult intubation. ANS-VC did not have a significant correlation. Conclusion: Diagnostic predictability of difficult airway is better with HMDR and PreE/E-VC.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128872116","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Symmetrical comparison of crown size, morphology and gingival shape in maxillary incisors 上颌切牙牙冠大小、形态及牙龈形状的对称比较

Journal of Kathmandu Medical College Pub Date : 2022-06-06 DOI: 10.3126/jkmc.v11i1.45490

B. Ghimire, S. Dhital

{"title":"Symmetrical comparison of crown size, morphology and gingival shape in maxillary incisors","authors":"B. Ghimire, S. Dhital","doi":"10.3126/jkmc.v11i1.45490","DOIUrl":"https://doi.org/10.3126/jkmc.v11i1.45490","url":null,"abstract":"Background: Maxillary anterior tooth proportion has special value in dental aesthetics. Restorative dentistry often involves correcting tooth size discrepancies. Therefore, dental biometrics should play an important role in the planning of an aesthetic restoration. Objectives: To assess and compare clinical crown dimensions and classify crown shape and gingival shape of the maxillary incisors in order to collect anatomical data on the anterior teeth of young population visiting the tertiary centre. Methods: This descriptive cross-sectional study conducted in department of Prosthodontics in November 2021 after getting ethical approval among dental students and patients attending the hospital, with permanent healthy dentitions. Impression of maxillary and mandibular arches were made with alginate and poured in dental stone. Measurement of maxillary central incisors was done for length and thickness with the digital vernier calliper. Convenience sampling was done. Data were recorded and analysis done with SPSS v.20. Results: The mean value of crown length, crown thickness, mesiodistal width of left central incisor was greater compared to the right side (Left vs Right: 9.01 ± 1.14 mm vs 9 ± 1.14 mm , 7.04 ± 0.67 mm vs 6.96 ± 0.61 mm, 8.25 ± 0.59 mm vs 8.20 ± 0.51 mm). Conclusion: Crown length and crown width of maxillary left central incisor were greater compared to maxillary right central incisor. Shape of maxillary incisors determines the shape of the gingiva. The average values of length and widths of the central incisors derived from this study can be a valuable template for prosthodontic and aesthetic planning.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127478177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Burden among caregivers of geriatric people in Kavrepalanchok district, Nepal 尼泊尔kavrepalanchik地区老年人护理人员的负担

Journal of Kathmandu Medical College Pub Date : 2021-12-31 DOI: 10.3126/jkmc.v10i4.43857

Nirmala Manandhar, Sophiya Shrestha, A. Risal, D. Kunwar, K. Manandhar

{"title":"Burden among caregivers of geriatric people in Kavrepalanchok district, Nepal","authors":"Nirmala Manandhar, Sophiya Shrestha, A. Risal, D. Kunwar, K. Manandhar","doi":"10.3126/jkmc.v10i4.43857","DOIUrl":"https://doi.org/10.3126/jkmc.v10i4.43857","url":null,"abstract":"Background: Ageing is the natural phenomenal encompassing physical, psychological, and social changes. Today, people are living longer than ever before due to advances in education, technology, medicine, food distribution, and public health. Longevity has also resulted in a care giving burden in the family living together.\u0000Objectives: To assess the caregiver’s burden among family of geriatric people in Kavrepalanchok.\u0000Methods: Analytical cross-sectional study was done to assess the caregivers’ burden among family members of geriatric people in Kavrepalanchok. Total sample of 439 was selected using multistage random sampling technique. Among them 21 respondents did not respond. Data were collected from January and February 2019 using validated Nepali version of the Zarit Burden Inventory-22. Descriptive and inferential statistic (t-test and ANOVA) were applied using Statistical Package for Social Sciences 20 version. The scoring ?21 on ZBI-22 were considered as burden.\u0000Results: The study showed that more than half respondents 256 (58.3%) had no or minimal burden, 183 (41.7%) experienced mild to severe burden while caring the older people at home. There was significant association between caregiver’s burden with age, education status, marital status, and occupation respectively.\u0000Conclusion: Care giving to elderly is stressful task which affects physical, mental, social, and psychological state of caregivers. Therefore, it would be helpful, if community health organisations could conduct the educational programme for caregivers caring the older family members at home.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127789923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mandibular parameters as a predictor of sex: A digital orthopantomogram study 下颌参数作为性别的预测指标:一项数字骨断层成像研究

Journal of Kathmandu Medical College Pub Date : 2021-12-31 DOI: 10.3126/jkmc.v10i4.43862

B. Ojha, D. Bajracharya, S. Koju, Nisha Maharja, Ankit Saha, Radha Baral

{"title":"Mandibular parameters as a predictor of sex: A digital orthopantomogram study","authors":"B. Ojha, D. Bajracharya, S. Koju, Nisha Maharja, Ankit Saha, Radha Baral","doi":"10.3126/jkmc.v10i4.43862","DOIUrl":"https://doi.org/10.3126/jkmc.v10i4.43862","url":null,"abstract":"Background: The determination of age and sex is required for forensic practice and medicolegal purposes. Because the mandible is typically recovered intact, it plays a crucial role in determining sex. Orthopantomogram X-rays can be used to thoroughly examine the mandible. The availability of a large number of antemortem orthopantomograms could be extremely beneficial in terms of evaluating and developing population-specific sex determination standards.\u0000Objectives: To evaluate the usefulness of the mandibular ramus in sex determination by evaluating linear and angular measurements of the mandibular ramus on digital panoramic radiographs.\u0000Methods: An analytical cross-sectional study was conducted on 216 digital orthopantomogram from March 2021 to June 2021 in Kantipur Dental College. A convenient sampling technique was used to collect the radiographs. Mandibular parameters were traced using Image J Software, and angular and linear parameters were calculated. Radiographs with high image quality and sharpness of patients with full permanent dentition, no radiographic evidence of trauma were included in the study. Descriptive analysis was done using IBM SPSS Statistics for Windows, version 20 (IBM Corp., Armonk, N.Y., USA). The measures were compared using an Independent t-test, and the results were subjected to discriminant function analysis.\u0000Results: The male’s vertical parameters were found to be greater than the female’s. The coronoid height was shown to be the most dimorphic using discriminant analysis. The overall accuracy of the mandibular parameters was 63.4%.\u0000Conclusion: Mandible can be used as an adjunct in sex determination.","PeriodicalId":254049,"journal":{"name":"Journal of Kathmandu Medical College","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133046182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0