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1.
J Am Coll Radiol ; 2024 May 17.
Artículo en Inglés | MEDLINE | ID: mdl-38763442

RESUMEN

PURPOSE: Access to magnetic resonance imaging (MRI) in low-and-middle-income countries (LMICs) remains among the poorest in the world. The lack of skilled MRI personnel exacerbates access gaps, reinforcing longstanding health disparities. The SWiM Program aims to sustainably create a network of highly skilled MRI technologists in LMICs who will facilitate the transfer of MRI knowledge and skills to their peers and contribute to implementation of highly valuable imaging protocols for impactful clinical and research use. METHODS: The program introduces a case-based curriculum designed using a novel train-the-trainer approach, integrated with peer collaborative learning to upskill practicing MRI technologists in LMICs. The six-week curriculum uses the Teach-Try-Use approach, which combines self-paced didactic lectures covering the basics of MR image acquisition (teach) with hands-on expert-guided scanning experience (try), and implementation of protocols tailored to provide the best possible images on their infrastructures (use). Each program includes research translation skills training using an established advanced MRI technique relevant to LMICs. A pilot program focused on cardiac MRI (CMR) was conducted to assess the program's curriculum, delivery, and evaluation methods. RESULTS: Forty-three MRI technologists from 16 LMICs participated in the pilot CMR program and over the course of the training, implemented optimized CMR protocols that reduced acquisition times while improving image quality. The training resources and scanner-specific standardized protocols are published openly for public use on an online repository. In general, at the end of the program, learners reported considerable improvements in CMR knowledge and skills. All respondents to the program evaluation survey agreed to recommend the program to their colleagues, while 87% indicated interest in returning to help train others. DISCUSSION: The SWiM Program is the first masterclass in MRI acquisition for practicing imaging technologists in LMICS. The program holds the potential to help reduce disparities in MRI expertise and access. The support of the MRI community, imaging societies, and funding agencies will increase its reach and further its impact in democratizing MRI.

2.
Alzheimers Dement ; 20(6): 4126-4146, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38735056

RESUMEN

INTRODUCTION: MODEL-AD (Model Organism Development and Evaluation for Late-Onset Alzheimer's Disease) is creating and distributing novel mouse models with humanized, clinically relevant genetic risk factors to capture the trajectory and progression of late-onset Alzheimer's disease (LOAD) more accurately. METHODS: We created the LOAD2 model by combining apolipoprotein E4 (APOE4), Trem2*R47H, and humanized amyloid-beta (Aß). Mice were subjected to a control diet or a high-fat/high-sugar diet (LOAD2+HFD). We assessed disease-relevant outcome measures in plasma and brain including neuroinflammation, Aß, neurodegeneration, neuroimaging, and multi-omics. RESULTS: By 18 months, LOAD2+HFD mice exhibited sex-specific neuron loss, elevated insoluble brain Aß42, increased plasma neurofilament light chain (NfL), and altered gene/protein expression related to lipid metabolism and synaptic function. Imaging showed reductions in brain volume and neurovascular uncoupling. Deficits in acquiring touchscreen-based cognitive tasks were observed. DISCUSSION: The comprehensive characterization of LOAD2+HFD mice reveals that this model is important for preclinical studies seeking to understand disease trajectory and progression of LOAD prior to or independent of amyloid plaques and tau tangles. HIGHLIGHTS: By 18 months, unlike control mice (e.g., LOAD2 mice fed a control diet, CD), LOAD2+HFD mice presented subtle but significant loss of neurons in the cortex, elevated levels of insoluble Ab42 in the brain, and increased plasma neurofilament light chain (NfL). Transcriptomics and proteomics showed changes in gene/proteins relating to a variety of disease-relevant processes including lipid metabolism and synaptic function. In vivo imaging revealed an age-dependent reduction in brain region volume (MRI) and neurovascular uncoupling (PET/CT). LOAD2+HFD mice also demonstrated deficits in acquisition of touchscreen-based cognitive tasks.


Asunto(s)
Enfermedad de Alzheimer , Péptidos beta-Amiloides , Modelos Animales de Enfermedad , Proteínas tau , Animales , Enfermedad de Alzheimer/patología , Enfermedad de Alzheimer/genética , Enfermedad de Alzheimer/metabolismo , Ratones , Péptidos beta-Amiloides/metabolismo , Proteínas tau/metabolismo , Proteínas tau/genética , Ratones Transgénicos , Encéfalo/patología , Encéfalo/metabolismo , Sinapsis/patología , Sinapsis/metabolismo , Masculino , Femenino , Humanos
3.
J Nepal Health Res Counc ; 21(3): 486-490, 2024 Mar 22.
Artículo en Inglés | MEDLINE | ID: mdl-38615222

RESUMEN

BACKGROUND: Facial growth and development is necessary for proper orthodontic diagnosis and treatment planning. Growth of cranial base is linked to the overall growth of facial bones, especially the maxilla and mandible. Any change in the amount and direction of growth of the cranial base can have direct or indirect effects on the developing maxilla and mandible. Thus the aim of this study was to determine the linear and angular cranial base measurements in different skeletal malocclusion in Nepalese population. METHODS: Pretreatment lateral cephalograms of 225 patients aged between 17-30 years were collected. Linear measurements Sella-Nasion (S-N), Sella-Articulare (S-Ar), Articulare-Gonion (Ar-Go), Gonion-Gnathion (Go-Gn) and angular measurements Saddle angle (N-S-Ar), Articular angle (S-Ar-Go) and Gonial angle (Ar-Go-Gn) were measured. RESULTS: In angular measurements statistically significant differences were found in the saddle and gonial angles between class I, II, and III skeletal pattern. In linear measurements, anterior and posterior cranial base lengths were not significantly different among groups however, ramal height and mandibular body length were significantly different among groups with a P value < 0.05. CONCLUSIONS: Skeletal class III has a larger gonial angle, ramal height and mandibular length. Males have larger linear measurements and females have larger angular measurements.


Asunto(s)
Maloclusión , Adolescente , Adulto , Femenino , Humanos , Masculino , Adulto Joven , Maloclusión/diagnóstico por imagen , Nepal , Pacientes , Base del Cráneo/diagnóstico por imagen , Personas del Sur de Asia
4.
Indian J Public Health ; 67(3): 471-473, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37929394

RESUMEN

Pregnancy intention refers to a women's thinking at the time she became aware that she was pregnant. It can be categorized as intended and unintended. Identifying pregnancy intentions during prenatal periods help to employ careful monitoring of pregnancy that is at high risk for mother and children's health outcomes. Unintended pregnancy is a contributing factor for maternal and infant mortality, which is still high in Nepal. Reproductive and family planning program should incorporate pregnancy intention domains in health education and counseling with priority to design program to address and reduce unintended pregnancy. This brief research examines the pregnancy intentions and its associated factors among married women so that it could identify the intentions of pregnancy and factors influencing unintended pregnancy and could be useful to improve and maintain the health and well-being of women, family, community, and nation.


Asunto(s)
Intención , Embarazo no Planeado , Embarazo , Niño , Femenino , Humanos , Nepal , India , Embarazo no Planeado/psicología , Matrimonio
5.
Materials (Basel) ; 16(22)2023 Nov 08.
Artículo en Inglés | MEDLINE | ID: mdl-38005017

RESUMEN

In this paper, a knittle pressure sensor was designed and fabricated by coating graphene/Polyvinylidene Fluoride nanocomposite on the knitted polyester substrate. The coating was carried out by a dip-coating method in a nanocomposite solution. The microstructure, surface properties and electrical properties of coated layers were investigated. The sensors were tested under the application of different pressures, and the corresponding sensor signals were analyzed in terms of resistance change. It was observed that the change in resistance was 55% kPa-1 with a sensitivity limit of 0.25 kPa. The sensor model was created and simulated using COMSOL Multiphysics software, and the model data were favorably compared with the experimental results. This investigation suggests that graphene-based nanocomposites can be used in knittle pressure sensor applications.

6.
ACS Omega ; 8(15): 13876-13883, 2023 Apr 18.
Artículo en Inglés | MEDLINE | ID: mdl-37091372

RESUMEN

In this study, the process for tuning the electrical properties of graphene/polyvinylidene fluoride (Gr/PVDF) nanocomposite films by a thermal annealing process is explored. The surface morphology and microstructure of the nanocomposite were characterized. The effect of temperature on the electrical conductivity was investigated by heating and cooling the sample from the room temperature up to 150 °C. The effect of annealing on the electrical conductivity was recorded as a function of annealing temperature. A Hall effect measurement was conducted as a function of annealing temperatures to obtain Hall voltage (V H), carrier mobility (µH), carrier concentration (n H), Hall coefficient (R H), resistivity, and carrier conductivity type (n or p). It was found that the films annealed at 150 °C exhibited the best electrical conductivity of Gr/PVDF films. This study may provide an insight into the development and utilization of Gr/PVDF films in future electronics and the potential applications in various sectors such as aerospace, automotive, and biomedical industries.

7.
Materials (Basel) ; 16(4)2023 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-36837216

RESUMEN

A flexible piezoresistive sensor was developed as an accelerometer based on Graphene/PVDF nanocomposite to detect low-frequency and low amplitude vibration of industrial machines, which may be caused due to misalignment, looseness of fasteners, or eccentric rotation. The sensor was structured as a cantilever beam with the proof mass at the free end. The vibration caused the proof mass to accelerate up and down, which was converted into an electrical signal. The output was recorded as the change in resistance (response percentage) with respect to the acceleration. It was found that this accelerometer has a capability of detecting acceleration up to 8 gpk-pk in the frequency range of 20 Hz to 80 Hz. The developed accelerometer has the potential to represent an alternative to the existing accelerometers due to its compactness, simplicity, and higher sensitivity for low frequency and low amplitude applications.

8.
NMR Biomed ; 36(5): e4887, 2023 05.
Artículo en Inglés | MEDLINE | ID: mdl-36454009

RESUMEN

High-resolution magnetic resonance imaging (MRI) affords unique image contrasts to nondestructively probe the tissue microstructure; validation of MRI findings with conventional histology is essential to better understand the MRI contrasts. However, the dramatic difference in the spatial resolution and image contrast of these two techniques impedes accurate comparison between MRI metrics and traditional histology. To better validate various MRI metrics, we acquired whole mouse brain multigradient recalled-echo and multishell diffusion MRI datasets at 25-µm isotropic resolution. The recently developed Allen Mouse Brain Common Coordinate Framework (CCFv3) provides opportunities to integrate multimodal and multiscale datasets of the whole mouse brain in a common three-dimensional (3D) space. The T2*, quantitative susceptibility mapping, diffusion tensor imaging, and neurite orientation dispersion and density imaging parameters were compared with both serial two-photon tomography images and 3D Nissl staining images in the CCFv3 at the same spatial resolution. The correlation between MRI and Nissl staining strongly depends on different metrics and different regions of the brain. Integrating different imaging modalities to the same space may substantially improve our understanding of the complexity of the brain at different scales.


Asunto(s)
Imagen de Difusión Tensora , Imagen por Resonancia Magnética , Animales , Ratones , Imagen de Difusión Tensora/métodos , Imagen de Difusión por Resonancia Magnética/métodos , Encéfalo/diagnóstico por imagen , Neuritas/patología
9.
bioRxiv ; 2023 Dec 20.
Artículo en Inglés | MEDLINE | ID: mdl-38187716

RESUMEN

INTRODUCTION: MODEL-AD is creating and distributing novel mouse models with humanized, clinically relevant genetic risk factors to more accurately mimic LOAD than commonly used transgenic models. METHODS: We created the LOAD2 model by combining APOE4, Trem2*R47H, and humanized amyloid-beta. Mice aged up to 24 months were subjected to either a control diet or a high-fat/high-sugar diet (LOAD2+HFD) from two months of age. We assessed disease-relevant outcomes, including in vivo imaging, biomarkers, multi-omics, neuropathology, and behavior. RESULTS: By 18 months, LOAD2+HFD mice exhibited cortical neuron loss, elevated insoluble brain Aß42, increased plasma NfL, and altered gene/protein expression related to lipid metabolism and synaptic function. In vivo imaging showed age-dependent reductions in brain region volume and neurovascular uncoupling. LOAD2+HFD mice also displayed deficits in acquiring touchscreen-based cognitive tasks. DISCUSSION: Collectively the comprehensive characterization of LOAD2+HFD mice reveal this model as important for preclinical studies that target features of LOAD independent of amyloid and tau.

10.
Front Oncol ; 12: 939260, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36483050

RESUMEN

Many drugs that show potential in animal models of glioblastoma (GBM) fail to translate to the clinic, contributing to a paucity of new therapeutic options. In addition, animal model development often includes histologic assessment, but multiparametric/multimodality imaging is rarely included despite increasing utilization in patient cancer management. This study developed an intracranial recurrent, drug-resistant, human-derived glioblastoma tumor in Sprague-Dawley Rag2-Rag2 tm1Hera knockout rat and was characterized both histologically and using multiparametric/multimodality neuroimaging. Hybrid 18F-fluoroethyltyrosine positron emission tomography and magnetic resonance imaging, including chemical exchange saturation transfer (18F-FET PET/CEST MRI), was performed for full tumor viability determination and characterization. Histological analysis demonstrated human-like GBM features of the intracranially implanted tumor, with rapid tumor cell proliferation (Ki67 positivity: 30.5 ± 7.8%) and neovascular heterogeneity (von Willebrand factor VIII:1.8 to 5.0% positivity). Early serial MRI followed by simultaneous 18F-FET PET/CEST MRI demonstrated consistent, predictable tumor growth, with exponential tumor growth most evident between days 35 and 49 post-implantation. In a second, larger cohort of rats, 18F-FET PET/CEST MRI was performed in mature tumors (day 49 post-implantation) for biomarker determination, followed by evaluation of single and combination therapy as part of the model development and validation. The mean percentage of the injected dose per mL of 18F-FET PET correlated with the mean %CEST (r = 0.67, P < 0.05), but there was also a qualitative difference in hot spot location within the tumor, indicating complementary information regarding the tumor cell demand for amino acids and tumor intracellular mobile phase protein levels. Finally, the use of this glioblastoma animal model for therapy assessment was validated by its increased overall survival after treatment with combination therapy (temozolomide and idasanutlin) (P < 0.001). Our findings hold promise for a more accurate tumor viability determination and novel therapy assessment in vivo in a recently developed, reproducible, intracranial, PDX GBM.

12.
Front Neurosci ; 16: 964654, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-36061588

RESUMEN

Purpose: To evaluate the age-dependent microstructure changes in 5xFAD mice using high-resolution diffusion tensor imaging (DTI). Methods: The 5xFAD mice at 4, 7.5, and 12 months and the wild-type controls at 4 months were scanned at 9.4T using a 3D echo-planar imaging (EPI) pulse sequence with the isotropic spatial resolution of 100 µm. The b-value was 3000 s/mm2 for all the diffusion MRI scans. The samples were also acquired with a gradient echo pulse sequence at 50 µm isotropic resolution. The microstructure changes were quantified with DTI metrics, including fractional anisotropy (FA) and mean diffusivity (MD). The conventional histology was performed to validate with MRI findings. Results: The FA values (p = 0.028) showed significant differences in the cortex between wild-type (WT) and 5xFAD mice at 4 months, while hippocampus, anterior commissure, corpus callosum, and fornix showed no significant differences for either FA and MD. FA values of 5xFAD mice gradually decreased in cortex (0.140 ± 0.007 at 4 months, 0.132 ± 0.008 at 7.5 months, 0.126 ± 0.013 at 12 months) and fornix (0.140 ± 0.007 at 4 months, 0.132 ± 0.008 at 7.5 months, 0.126 ± 0.013 at 12 months) with aging. Both FA (p = 0.029) and MD (p = 0.037) demonstrated significant differences in corpus callosum between 4 and 12 months age old. FA and MD were not significantly different in the hippocampus or anterior commissure. The age-dependent microstructure alterations were better captured by FA when compared to MD. Conclusion: FA showed higher sensitivity to monitor amyloid deposition in 5xFAD mice. DTI may be utilized as a sensitive biomarker to monitor beta-amyloid progression for preclinical studies.

13.
Magn Reson Imaging ; 92: 243-250, 2022 10.
Artículo en Inglés | MEDLINE | ID: mdl-35777687

RESUMEN

PURPOSE: To evaluate the magic angle effect on diffusion tensor imaging (DTI) measurements in rat ligaments and mouse brains. METHODS: Three rat knee joints and three mouse brains were scanned at 9.4 T using a modified 3D diffusion-weighted spin echo pulse sequence with the isotropic spatial resolution of 45 µm. The b value was 1000 s/mm2 for rat knee and 4000 s/mm2 for mouse brain. DTI model was used to investigate the quantitative metrics at different orientations with respect to the main magnetic field. The collagen fiber structure of the ligament was validated with polarized light microscopy (PLM) imaging. RESULTS: The signal intensity, signal-to-noise ratio (SNR), and DTI metrics in the ligament were strongly dependent on the collagen fiber orientation with respect to the main magnetic field from both simulation and actual MRI scans. The variation of fractional anisotropy (FA) was about ~32%, and the variation of mean diffusivity (MD) was ~11%. These findings were further validated with the numerical simulation at different SNRs (~10.0 to 86.0). Compared to the ligament, the DTI metrics showed little orientation dependence in mouse brains. CONCLUSION: Magic angle effect plays an important role in DTI measurements in the highly ordered collagen-rich tissues, while MD showed less orientation dependence than FA.


Asunto(s)
Encéfalo , Imagen de Difusión Tensora , Animales , Anisotropía , Encéfalo/diagnóstico por imagen , Colágeno , Imagen de Difusión Tensora/métodos , Ligamentos , Ratones , Ratas
14.
JNMA J Nepal Med Assoc ; 60(247): 286-289, 2022 Mar 11.
Artículo en Inglés | MEDLINE | ID: mdl-35633267

RESUMEN

Introduction: New concepts and methods have been developed in orthodontics with patients' increased concern on esthetics. Among the various parameters of smile, smile type, smile arc, and smile symmetry are essential for a beautiful smile. The objective of this study was to find out the prevalence of average type in posed smiles of individuals visiting the department of orthodontics. Methods: This descriptive cross-sectional study was conducted from 1st April 2021 to 30th June 2021 at a tertiary care hospital. Ethical clearance was obtained from the Institutional Review Committee (Reference number: 1, CH No. 30, 2077/2078). A convenience sampling technique was used to collect a total of 413 samples of posed smile photographs. Data was collected and analysed using Microsoft Excel 2013. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage. Results: Among 413 individuals, the average type of smile was found in 193 (46.73%) (42.12-51.74 at 95% Confidence Interval). Out of 87 average smile type males, most of them 51 (58.62%) had non consonant smile arcs and 47 (54.02%) had asymmetric type smiles. On the contrary, the majority of females 76 (71.70%) had a consonant arc smile while 63 (59.43%) had an asymmetric smile. Conclusions: The prevalence of the average type of smile was higher in our study as in other published literatures. Keywords: dental esthetics; dental photography; orthodontics; smiling.


Asunto(s)
Ortodoncia , Sonrisa , Estudios Transversales , Estética Dental , Femenino , Humanos , Masculino , Centros de Atención Terciaria
15.
Neuroimage ; 255: 119199, 2022 07 15.
Artículo en Inglés | MEDLINE | ID: mdl-35417754

RESUMEN

Diffusion magnetic resonance imaging has been widely used in both clinical and preclinical studies to characterize tissue microstructure and structural connectivity. The diffusion MRI protocol for the Human Connectome Project (HCP) has been developed and optimized to obtain high-quality, high-resolution diffusion MRI (dMRI) datasets. However, such efforts have not been fully explored in preclinical studies, especially for rodents. In this study, high quality dMRI datasets of mouse brains were acquired at 9.4T system from two vendors. In particular, we acquired a high-spatial resolution dMRI dataset (25 µm isotropic with 126 diffusion encoding directions), which we believe to be the highest spatial resolution yet obtained; and a high-angular resolution dMRI dataset (50 µm isotropic with 384 diffusion encoding directions), which we believe to be the highest angular resolution compared to the dMRI datasets at the microscopic resolution. We systematically investigated the effects of three important parameters that affect the final outcome of the connectome: b value (1000s/mm2 to 8000 s/mm2), angular resolution (10 to 126), and spatial resolution (25 µm to 200 µm). The stability of tractography and connectome increase with the angular resolution, where more than 50 angles is necessary to achieve consistent results. The connectome and quantitative parameters derived from graph theory exhibit a linear relationship to the b value (R2 > 0.99); a single-shell acquisition with b value of 3000 s/mm2 shows comparable results to the multi-shell high angular resolution dataset. The dice coefficient decreases and both false positive rate and false negative rate gradually increase with coarser spatial resolution. Our study provides guidelines and foundations for exploration of tradeoffs among acquisition parameters for the structural connectome in ex vivo mouse brain.


Asunto(s)
Conectoma , Animales , Encéfalo/diagnóstico por imagen , Conectoma/métodos , Imagen de Difusión por Resonancia Magnética/métodos , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Ratones
16.
ACS Omega ; 7(9): 7981-7988, 2022 Mar 08.
Artículo en Inglés | MEDLINE | ID: mdl-35284750

RESUMEN

In recent years, flexible and stretchable sensors have been a subject of intensive research to replace the traditional sensors made up of rigid metals and semiconductors. In this paper, a piezoresistive airflow sensor was designed and tested to measure the speed of air inside a pipe. Graphene/polyvinylidene fluoride nanocomposite films were prepared using a solvent-cast technique on a flexible polyethylene substrate as a piezoresistive material. Three different solutions were studied as a function of graphene concentration. The microstructure of the nanocomposite was characterized by X-ray diffraction, scanning electron microscopy, and optical microscopy. The effect of temperature on electrical conductivity was investigated by heating and cooling the sample between the room temperature and 150 °C. The stretchability of the nanocomposite film was studied with a tensile test, and the same procedure was employed to determine the breakdown point of the electrical conductivity. The sensor response was measured in terms of the resistance change caused by air pressure and found to increase with the concentration of graphene in the composite. The sensing characteristics were simulated using the COMSOL Multiphysics software, and the modeled data were compared favorably with the experimental result. The sensitivity of the sensor was found to be 1.21% kPa-1 in the range of 0-2.7 kPa. This piezoelectric sensor possesses unique characteristics such as being lightweight, flexible, and exhibiting fast response; hence, it can have potential applications in various sectors such as ventilators, commercial HVAC, and automotive industries.

17.
JNMA J Nepal Med Assoc ; 59(235): 271-275, 2021 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-34506436

RESUMEN

INTRODUCTION: Orthodontic treatment may affect the size and position of oropharyngeal structures altering the airway dimension. Airway dimension is considered as one of the parameter of orthodontic diagnosis and treatment planning. Narrow airway passage is associated with sleep disordered breathing. This aims to study about the measurement of upper pharyngeal airway dimension of young Nepalese adults visiting orthodontic department of a dental college. METHODS: This descriptive cross-sectional study conducted at Department of Orthodontics, Peoples Dental College and Hospital, Kathmandu. Data was collected from 8th December 2020 to 28th February 2021. Ethical clearance (Reference number. 1, CH100 06, 2077/2076) was taken from Institutional Review Committee of Peoples Dental College and Hospital, Kathmandu, Nepal. Convenient Sampling technique was done. Data was collected and analysis was done using Statistical Packageof Social Sciences 16. RESULTS: Mean upper pharyngeal airway dimension was 11.40±1.84mm and 11.68±1.96mm for male and female respectively. Upper pharyngeal airway dimension was found to be almost similar for male and female. CONCLUSIONS: Gender diversity regarding upper pharyngeal airway dimesnion was not observed in this study while other studies also revealed similarities in upper pharyngeal airway dimension between male and female, inspite of larger craniofacial dimension in males than females.


Asunto(s)
Nariz , Faringe , Estudios Transversales , Femenino , Humanos , Masculino , Nepal , Adulto Joven
18.
JNMA J Nepal Med Assoc ; 59(237): 482-485, 2021 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-34508422

RESUMEN

INTRODUCTION: The Gonial angle is an important parameter of the craniofacial complex for growth Patterns prediction. The gonial angle on lateral cephalometric radiograph represents the mandibular morphology concerning mandibular body and ramus. The objective of this study was to find out the mean value of gonial angle in lateral cephalometric radiographs of patients of orthodontic department in a tertiary care center. METHODS: The descriptive cross-sectional study was conducted among patients from the Department of Orthodontics at People's Dental College and Hospital between 8th December 2020 to 8th February 2021 at People's Dental College and Hospital, Kathmandu, Nepal after obtaining Ethical approval (Reference Number. 01, CH100 09,2077/2078) by the Institutional Review Committee. A convenience sampling technique was used to collect 166 pre-treatment lateral cephalograms radiographs of patients between 17-30 years. Data were collected and entered using Statistical Package of Social Science 16. RESULTS: The mean value of gonial angle on lateral cephalogram radiographs was 132.84±3.70 in hyperdivergent, 119.94±5.57 in hypodivergent and 124.06±3.88 in normodivergent vertical skeletal patterns and between male and female were 132.52±4.32, 133.07±3.28 in hyperdivergent, 121.46±3.78, 119.14±6.42 in hypodivergent and 123.74±5.14, 123.94±3.90 in normodivergent vertical skeletal patterns of Orthodontic Patients. CONCLUSIONS: The gonial angle value on lateral cephalometric radiographs was greater in hyperdivergent than hypodivergent and normodivergent vertical skeletal patterns. The hyperdivergent vertical skeletal pattern of female was greater than of male patient's lateral cephalometric radiographs while hypodivergent and normodivergent vertical skeletal patterns of males were greater than female lateral cephalogram radiographs of Nepalese orthodontic patients.


Asunto(s)
Mandíbula , Cefalometría , Estudios Transversales , Femenino , Humanos , Masculino , Mandíbula/diagnóstico por imagen , Radiografía , Centros de Atención Terciaria
19.
JNMA J Nepal Med Assoc ; 59(244): 1215-1218, 2021 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-35199791

RESUMEN

INTRODUCTION: Impacted canine is a frequently encountered clinical problem during orthodontic practice with different prevalence in each region. Treatment usually requires an interdisciplinary approach which is difficult and time consuming. Surgical exposure of the impacted tooth and the complex orthodontic mechanisms are used to align the tooth into the arch. This study was designed to find out the prevalence of impacted canine in orthodontic patients. METHODS: A descriptive cross-sectional study was done with hospital records of patients from 15 to 38 years of age visited department of Orthodontics at a tertiary care hospital from August 2020 to March 2021 after obtaining ethical clearance from the institutional review committee. Convenience sampling method was used. Patients Orthopantomogram and clinical notes were thoroughly evaluated. To locate position of impacted canine cone-beam computed tomography images were used. The data was collected and entered in Microsoft Excel. Point estimate at 99% Confidence Interval was calculated along with frequency and proportion for binary data. RESULTS: Out of 1008 patients, 44 (4.37%) (2.71-6.03 at 99% Confidence Interval) patients had impacted canines. Among them, maxillary canine impaction was seen in 38 (3.77%) and mandibular canine impaction in 6 (0.60%). CONCLUSIONS: The overall prevalence of impacted canines was found lower than previous studies done in similar settings. Large number of patients had buccal impaction compared to palatal impaction.


Asunto(s)
Diente Impactado , Estudios Transversales , Diente Canino/diagnóstico por imagen , Diente Canino/cirugía , Humanos , Maxilar , Centros de Atención Terciaria , Diente Impactado/diagnóstico por imagen , Diente Impactado/epidemiología , Diente Impactado/cirugía
20.
Eur J Radiol Open ; 7: 100287, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33294498

RESUMEN

BACKGROUND: Radiation protection is the core of radiography for safe radiation-based imaging practice. This study aims to determine the knowledge of radiation protection among radiology professionals and students in a medical college of Nepal. MATERIAL AND METHODS: A questionnaire survey was carried out among 35 radiology staff and students at Universal College of Medical Sciences (UCMS), Bhairahawa, Nepal. The questionnaire survey consisted of socio-demographic variables and 17 questions, 3 questions were related to general information regarding training, knowledge, and experience and the remaining 14 multiple choice questions (MCQ) were related to radiation protection. Data were analyzed in SPSS Statistics software, version 27. The p-value was set at 5% level of significance. Nonparametric tests were applied since the data did not follow normal distribution. The knowledge score were categorized into lesser than 60 % inadequate, 60-80 % adequate and greater than or equal to 80 % excellent. RESULTS: Out of total 35 participants, 28 were male and 7 were female with mean age 26.09 ± 7.18 years, range 18-54. The average radiation level of awareness was 9.6 (68.57 %), which was adequate, maximum 13 and minimum 4. There was not statistical significance of knowledge score by gender, age groups, work experience and studentship. Taking academic qualification, the level of knowledge of diploma graduates was inadequate 7.76 (55.42 %), and lower than other higher academic qualifications. CONCLUSIONS: Adequate radiation protection course materials and training should be introduced for diploma graduates. Continuing professional education (CME) should be organized regularly. Moreover, radiation protection law is a must in Nepal now.

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