K. Shrestha, P. Shrestha, Subodh Lal Karn, A. Khapung
{"title":"Evaluation of Interocclusal Rest Space among the Patients Attending Dental College and Hospital","authors":"K. Shrestha, P. Shrestha, Subodh Lal Karn, A. Khapung","doi":"10.3126/njhs.v2i1.47159","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47159","url":null,"abstract":"Introduction: Interocclusal Rest Space (IRS) is one of the significant factors that determine an individual’s aesthetics, their ability to perform oral functions, and oral reconstructive procedures.\u0000Objective: Evaluation of interocclusal rest space in different age groups, sex, and Angel’s class of malocclusion.\u0000Methods: A descriptive cross-sectional study was conducted among the patients attending People’s Dental College and Hospital, Kathmandu. The interocclusal rest space in 321 subjects was determined after measuring the vertical dimension of rest and occlusion with a digital caliper.\u0000Results: The IRS among the participants ranged from 2.11±1.06 -2.58±0.79mm. The age group of 55 years and above had the highest mean IRS (2.58 mm) followed by 35-44 years with a mean IRS (2.43 mm). There was no statistically significant difference in IRS among the different age groups (P-value 0.29). The mean IRS of the male (2.43mm) was statistically significantly higher than the female (2.02 mm) group (P-value 0.001). The IRS among participants with Angle’s class I, II, and III malocclusions had no statistically significant difference (P-value 0.08) among the three groups.\u0000Conclusions: The mean value of IRS in Nepalese subjects can be considered within the average value of 2-3 mm. The mean values of IRS among the participants were 2.21mm. The average IRS values in males should be considered 0.4 mm more than in females.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"194 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114994802","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}
A. Gupta, G. J. Shah, A. Chaudhary, Ram Jiban Prasad
{"title":"Foramen Magnum: A Morphometric Study in Dried Human Skulls","authors":"A. Gupta, G. J. Shah, A. Chaudhary, Ram Jiban Prasad","doi":"10.3126/njhs.v2i1.47146","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47146","url":null,"abstract":"Introduction: The foramen magnum is the largest foramen or opening present in the base of the skull. The dimensions of the foramen magnum are clinically crucial because many vital structures are passing through it.\u0000Objective: The aim of the study was to determine the different shapes of the foramen magnum and its anteroposterior diameter and transverse diameter.\u0000Methods: This study was conducted on 32 dry human skulls of unknown age and sex. All the important parameters were studied using a vernier caliper.\u0000Results: The mean transverse diameter (TD) was found to be 27.75 ± 2.47mm (Mean ± SD) and the mean anteroposterior diameter (APD) was found to be 34.62 ± 3.58mm (Mean ± SD). The various shapes of the foramen magnum were observed. The most common shape was oval 46.9%, followed by round18.8%, tetragonal 15.6%, hexagonal 12.5%, and irregular 6.3%.\u0000Conclusions: In our study, the most common shape of the foramen magnum was oval; this can help the surgeons to perform post-cranial surgery and surgery near the foramen magnum as an oval shape indicates the narrow operative field. The study may also be helpful for anatomists for study purposes and forensic experts to determine the identity of different populations when compared to other studies.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129570289","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}
{"title":"Morbidities and its Immediate Outcome in Newborns Born Through Mothers with Gestational Diabetes Mellitus","authors":"M. Bhatta, V. Aneja","doi":"10.3126/njhs.v2i1.47168","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47168","url":null,"abstract":"Introduction: Gestational Diabetes mellitus is associated with a significant risk of maternal and neonatal morbidity.\u0000Objective: The objective of this study was to assess the different morbidities and their immediate outcome in newborns born to mother with gestational diabetes mellitus.\u0000Methods: A descriptive cross-sectional study was done among 349 inborn neonates born to mothers with gestational diabetes mellitus, at the Department of Pediatrics and Adolescent Medicine, B.P. Koirala Institute of Health Sciences. The informed written consent and ethical approval were taken. The different socio-demographic & clinical parameters of the mothers and neonates were taken. The data was analyzed using relevant statistical tests.\u0000Results: Out of the total 11977 deliveries, there were 431 (3.6%) deliveries of mothers with gestational diabetes mellitus. More than half of the neonates were male. The mean birth weight and gestational age of the neonates were 39±2 weeks and 3100 ± 570 gram respectively. Sixty-four (18.3%) neonates had some form of morbidity. The three major morbidities in the neonates were small for gestational age (n=39, 11.2%), preterm birth (n=34, 9.7%) and neonatal hyperbilirubinemia (n=24, 6.9%). The incidence of macrosomia, hypoglycemia, hypocalcemia, polycythemia, cardiac defects, and gross congenital anomalies were 21 (6%), 22 (6.3%), six (1.7%), one (0.3%), eight (2.3%) and two (0.6%) respectively. Similarly, 22 (6%) neonates needed admission, out of which 16 (4.6%) recovered and got discharged, while six (1.4%) expired.\u0000Conclusions: The major morbidities associated with neonates born to mothers with gestational diabetes mellitus were small for gestational age, prematurity, neonatal hyperbilirubinemia, and hypoglycemia.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"106 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128079516","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}
R. Dhakal, Shivalal Sharma, Sajeev Shrestha, K. Goel, M. Lamsal, R. Singh
{"title":"Assessment of Fasting Blood Glucose in Chronic Periodontitis Patients Visiting a Tertiary Hospital","authors":"R. Dhakal, Shivalal Sharma, Sajeev Shrestha, K. Goel, M. Lamsal, R. Singh","doi":"10.3126/njhs.v2i1.47175","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47175","url":null,"abstract":"Introduction: It is well-established that diabetes unfavorably influences periodontal health and results in periodontitis. However, upcoming evidence also shows that periodontitis initiates a chronic state of insulin resistance leading to hyperglycemia.\u0000Objectives: We designed this study to assess fasting blood glucose levels in chronic periodontitis patients and also explore the relationship between severity of chronic periodontitis and fasting blood glucose levels with an analysis of their risk factors in adult the population of eastern Nepal.\u0000Methods: A cross-sectional hospital-based study was conducted on a total of 141 chronic periodontitis patients aged 30-55 years who were divided into Group A (Mild periodontitis) and Group B (Moderate/ Severe periodontitis) according to the American Academy of Periodontology / Centres for Disease Control (AAP/ CDC) criteria. Fasting blood glucose level was analyzed as normal (<100 mg/dl), impaired fasting (100-125 mg/dl), and diabetic (≥126 mg/dl) based on the American Diabetes Association (ADA) criteria.\u0000Results: Among the 141 subjects examined, Group A accounted to be 43.26% and Group B 56.74%. The mean fasting blood glucose level was 121.51 ± 53.67 mg/dl. The Chi-square test showed that severity of periodontitis and body mass index were significantly associated with the categories of fasting blood glucose. Multivariate logistic regression analysis showed that age (OR=1.08), gender (OR=3.48) and body mass index (OR=0.38) were significantly associated with impaired fasting glucose. The risk of acquiring diabetes in mild periodontitis was 0.255 times less likely than in severe periodontitis (OR=0.255, CI 0.065-0.997).\u0000Conclusions: The severity of chronic periodontitis showed a significant association with the categories of fasting blood glucose.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121125513","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}
Reena Shrestha, D. Shrestha, P. Sakya, Dhiraj Khadka, Rakshya Shrestha, K. Shrestha
{"title":"Anatomical Risk Factors of Nerve Injuries Following Surgical Removal of Mandibular Third Molar","authors":"Reena Shrestha, D. Shrestha, P. Sakya, Dhiraj Khadka, Rakshya Shrestha, K. Shrestha","doi":"10.3126/njhs.v2i1.47165","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47165","url":null,"abstract":"Introduction: Surgical removal of the mandibular third molar has its own set of complications. The mandibular impacted teeth are in proximity to the Inferior Alveolar Nerve (IAN), Buccal Nerve, and Lingual Nerve (LN). Therefore, each of these nerves is always at risk of injury during extraction.\u0000Objectives: This study was to evaluate the anatomical risk factors of nerve injury after the surgical extraction of mandibular third molars in patients visiting the department of oral and maxillofacial surgery of People’s Dental College and Hospital.\u0000Methods: This prospective study was conducted with 315 participants who presented with a mandibular third molar impaction and underwent Intraoral Periapical Radiograph (IOPAr), panoramic radiograph, as well as Cone Beam, Computed Tomography (CBCT). CBCT was done in those patients in which the mandibular third molar was in close contact with the mandibular canal.\u0000Results: Collected data from 315 patients showed that the incidence of Inferior alveolar nerve (IAN) and lingual nerve(LN)injury was 0.31%. Of which one had mesioangular class B, level II type of impaction in 17year male and the other had horizontal class C, level II type of impaction in 47year female respectively. In both cases, the tooth was lingually placed in relation to IAN.\u0000Conclusions: Various factors are responsible for nerve injury after the removal of the mandibular third molar. In our study, the incidence of nerve injury to IAN and LN was comparatively low and the most common risk factor was angulation and anatomical position of the impacted mandibular third molar.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124578010","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}
{"title":"Prevalence of C-Shaped Root Canal Systems in Mandibular Second Molars in Nepalese Population","authors":"S. Shubham, K. Shrestha, S. Ahmad, V. Gautam","doi":"10.3126/njhs.v2i1.47170","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47170","url":null,"abstract":"Introduction: Detailed diagnosis, treatment planning, and successful endodontic treatment require an in-depth understanding of the root canal anatomy and its distinguishing features in various ethnic groups.Objective: The aim of this study was to study the C-shaped canal morphology of mandibular second molars in the Nepalese population by using clinical and radiographic analysis.Methods: This descriptive cross-sectional study will be designed and implemented using records from dental records from January 2017 to January 2021. Out of 4680 cases, 1800 cases were evaluated as samples based upon inclusion and exclusion criteria. The prevalence of C-shaped root canals according to age, sex, and quadrant was calculated. The morphology of C-shaped root canals was assessed on the basis of radiographic appearance and clinical examination records. Descriptive statistics were presented as numbers and percentages. The Chi-square test was used to check any association between variables. The level of significance was kept at 0.05.Results: The prevalence of C-shaped canals was 0.105%(n=162) in the second mandibular molar with the highest prevalence being in the young adult age group (18-25) and slightly higher in male cases than females. Unilateral cases (93.83%) of C-shaped were more prevalent than bilateral (6.17%). Group of age and site(unilateral/bilateral) variables were significantly associated with the prevalence of c-shaped canals.Conclusions: Knowing the anatomical variation and prevalence of the population we are treating is of utmost importance for a favorable outcome. In comparison to the prevalence of other Asian countries like China and Korea, the prevalence of C-shaped canals was comparatively less.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116576682","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}
Daisy Maharjan, Deepshikha Gaire, Sheela Dhakal, S. B. Tiwari
{"title":"Gliomatosis Peritonei associated with Ovarian Immature Teratoma - A rare entity","authors":"Daisy Maharjan, Deepshikha Gaire, Sheela Dhakal, S. B. Tiwari","doi":"10.3126/njhs.v2i1.47181","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47181","url":null,"abstract":"Gliomatosis peritonei is a rare entity associated with ovarian teratoma, both mature and immature. We present a case of a 24-year-old female diagnosed with immature ovarian teratoma, grade 2 on histopathological examination. The presence of mature glial tissue on the omentum tissue established the diagnosis of gliomatosis peritonei. It is a harmless condition with a favorable prognosis. However, regular follow-up is required as it is associated with the risk of recurrence and malignant transformation. Adequate sampling and examination of multiple biopsies for the presence of an immature neural element is important to rule out metastatic involvement.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131758744","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}
M. Bajimaya, N. Mahotra, L. Shrestha, S. Pradhan, Sanyukta Gurung
{"title":"Association of Height and Arm Span in Young Healthy Subjects","authors":"M. Bajimaya, N. Mahotra, L. Shrestha, S. Pradhan, Sanyukta Gurung","doi":"10.3126/njhs.v2i1.47169","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47169","url":null,"abstract":"Introduction: Height is used to calculating body mass index and body surface area which are used to interpret renal function tests and pulmonary function tests. The maximum vertical measurement of a person is the standing height. Arm span is the measurement between the tip of the middle finger of the right and left hands. The exact standing height of patients with abnormalities of disproportionate growth, spine deformities, skeletal dysplasia, limb deformities, amputated limb, pain, weakness or paralysis cannot be measured. In these conditions, an arm span may be used to determine the height of a person.\u0000Objective: This study aims to determine the association of height and arm span among the medical students of Maharajgunj, Medical Campus, Nepal.\u0000Methods: A cross-sectional analytical study was conducted among medical students in the Clinical Physiology Department of Maharajgunj Medical Campus from November 2020 to October 2021. Non-probability, the convenience sampling method was adopted and a total of 110 participants were enrolled in the study including 55 males and 55 females. Pearson’s correlation coefficient was used to find the association between height and arm span. A simple linear regression test was also used to formulate the equations of height and arm span and data analysis was done using SPSS version 25.\u0000Results: A significant positive correlation was observed between height and arm span where the total participants had r-value=0.765(p=0.00), males had r-value=0.557(p =0.00) and female had r-value=0.778(p=0.00).\u0000Conclusions: A strong positive correlation was observed between height and arm span among the participants.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133510570","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}
Anuranjan Maharaj, C. Mukherjee, Prerna Anand, Arvind Kumar
{"title":"Mesiodens- A Report of Two Cases","authors":"Anuranjan Maharaj, C. Mukherjee, Prerna Anand, Arvind Kumar","doi":"10.3126/njhs.v2i1.47180","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47180","url":null,"abstract":"Teeth more than normal in number are termed as supernumerary. The presence of multiple supernumerary teeth is termed ‘mesiodentes’. Supernumerary tooth usually results in oral problems such as malocclusion, food impaction, poor aesthetics, and cyst formation. This paper presents a case report on the successful management of mesiodens and mesiodentes.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131193869","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}
{"title":"The Study of Palmar and Digital Dermatoglyphics in Congenitally Deaf Patients","authors":"Prakash Baral, Shriti Manandhar, P. Yadav, C. Jha","doi":"10.3126/njhs.v2i1.47164","DOIUrl":"https://doi.org/10.3126/njhs.v2i1.47164","url":null,"abstract":"Introduction: Dermatoglyphics is the study of dermal ridges and patterns. It is frequently used for the diagnosis of several diseases in the human body including congenital deafness. Congenital deafness appears in children and is diagnosed through pathological tests, genetic investigations, or other anatomical measures.\u0000Objective: To establish a potential relationship between Dermatoglyphics and identification of congenital deafness.\u0000Methods: Forty congenital deaf male and female patients and forty normal control groups were selected. Observations of dermal patterns in the Hypothenar area and III and IV Interdigital areas of both left and right hands were carried out. Results were obtained for the normal control group as well as the congenital deaf patients’ group. Results obtained for both males and females were separately analyzed. Z-tests were conducted to assess the statistical significance of the results.\u0000Results: Loop (Radical), Open Field, and Arches (Carpal) were present in higher frequencies in congenital deaf patients compared to the normal control group. The frequency of arches in the Hypothenar area in both hands of congenital deaf patients is found to be significantly higher than in the normal control group. Pattern frequencies in III and IV Interdigital areas are consistently higher in congenital deaf patients than in the normal control group. Observation of overall pattern frequencies in III and IV Interdigital area of males and females of both control group and congenital deaf patients exhibit higher frequencies in congenital deaf patients’ group.\u0000Conclusions: Dermatoglyphics can be used for the diagnosis of congenital deafness.","PeriodicalId":384518,"journal":{"name":"Nepal Journal of Health Sciences","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127873518","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}