A Morphological Cross-Sectional Study of Metopic Suture in Human Adult Cadaveric Skulls

2021 ◽  
Vol 8 (8) ◽  
pp. 405-409
Author(s):  
Archana Kundlikrao Tale ◽  
Fatima Bhopalwala Ali ◽  
Suvarna Kundilkrao Tale ◽  
Jitendra Gupta ◽  
Santosh Shravanrao Fupare

BACKGROUND Metopic suture is located anterior to the coronal suture. There are two types: complete and incomplete metopic sutures. Knowledge regarding the metopic sutures in adults is necessary to avoid misinterpretation of radiographs as frontal bone fracture. Knowledge with regard to metopic suture is helpful for anatomists and medico legal experts. This study has been done to find out the incidence of metopic suture, classify the metopic sutures into complete and incomplete type and further classify the incomplete variety based on shape. METHODS This study was conducted on 50 skulls from the Department of Anatomy, Autonomous Government Medical College and Hospital, Ratlam (MP). Skulls with signs of disease and damaged skulls were excluded from the study. RESULTS In the present study, out of 50 dry adult cadaveric skulls, 2 skulls (4 %) showed complete metopism. Incomplete metopic sutures were present in 28 / 50 (56 %) and absent in 20 / 50 (40 %). Out of 28 incomplete metopic sutures, single linear metopic sutures were present in 12 / 28 (42.85 %). Double linear metopic sutures were present in 7 / 28 (25 %). V-shaped metopic sutures were present in 5 / 28 (17.85 %) and U shaped metopic sutures were present in 4 / 28 (14.28 %). CONCLUSIONS Detailed knowledge of the metopic suture is important for neurosurgeons and radiologists in routine practice. Vertical frontal bone fractures may be easily misdiagnosed with persistent metopic sutures. This anatomical knowledge of metopic sutures is very useful for doctors while treating traumatised patients and during surgical intervention including frontal craniotomy. KEYWORDS Suture, Metopism, Frontal Bone, Nasion, Bregma

Author(s):  
Tripta S. Bhagat ◽  
Luv Kumar ◽  
Prakhar Garg ◽  
Apoorv Goel ◽  
Amit Aggarwal ◽  
...  

Cellulitis is a bacterial infection of the dermis and subcutaneous tissues occupying a large proportion of hospital beds. This study was conducted for analysis of patients with cellulitis according to their demographics and clinical presentation and to examine their comorbidities, complications, and its management. This observational cross-sectional study was conducted in the Department of Surgery at Santosh Medical College and Hospitals involving a total of 60 cases having cellulitis and other soft tissue infections of lower limb. Analysis of their demographic profile, management, and complications was done. Cellulitis is seen commonly in males, 46 (76.6%). The mean age of patients affected by cellulitis in the study was 36.4 ± 1.23 years. The most common site affected is leg involving more people in field jobs. The most common risk factor was trauma in 46.6%, and other factors were diabetes mellitus and smoking, while abscess formation was the most common complication observed in 36.6% of cases. A total of 56.6% cases were managed conservatively, while 43.3% cases required surgical intervention. Mean hospital stay in this study was 5.02 ± 0.23 days. It was concluded that cellulitis is subcutaneous, spreading bacterial infection is more common in males, and its incidence is highest in working age group population. Lower limb is commonly involved. Trauma, smoking, and diabetes are significant risk factors for development of cellulitis. Abscess is the most common complication. About 50% patients with cellulitis can be managed conservatively and the rest require surgical intervention.


Author(s):  
Kevin A. John ◽  
Poonam R. Naik

Background: Medical students have been reported to suffer from higher perceived stress compared to general population and students in the other academic fields. The objective of the study was to estimate the prevalence of stress and to identify the potential stressors among undergraduate medical students using perceived stress scale (PSS).Methods: A cross sectional study was conducted among 301 undergraduate medical students at a private medical college in Dakshina Kannada district, Karnataka. The extent of the stress was assessed using PSS-10 and a questionnaire was used to identify the potential academic, psychosocial and environmental stressors.Results: The mean PSS score was found to be 26.34±3 in this study. Moderate stress was observed in 68% of the study participants. The PSS score was higher among the 2nd year MBBS students. Stress was observed more among female medical students (74%). Inadequate study leave (92.4%), vastness of academic curriculum (84.1%), poor quality of food in mess or home (70.4%), accommodation away from home (60.1%) and high parental expectations (48.5%) were found to be the potential stressors in this study.Conclusions: The study results thereby highlight the need to plan tailored interventions to address the various stressors and prevent stress among the medical students. 


2021 ◽  
Vol 8 (3) ◽  
pp. 195-199
Author(s):  
Vaseemunnisa Begum ◽  
Neeraj Sadiq ◽  
Ghulam Subhani ◽  
Asma Gulnaaz ◽  
Mohammed Mohsin ◽  
...  

: The Global disease (COVID-19 pandemic) has impacted our lives in various ways. Online teaching is the strange routine for studying platforms to continue with the process of educating students, Online classes have become a key component in the continuity of education.: 1. This study aims to rank the usefulness of online teaching compared to classroom conventional teaching 2. Socioeconomic parameters related to online teaching in a medical college: The study is a cross-sectional study done on medical students. A questionnaire was prepared listing the various ways in which they discern online teaching trying to cope up during the pandemic.: After the institutional Ethics committee clearance, online cross-sectional study was done on the medical students where from the 2 and 3 year. This online survey was done between 10May 2021- 10 June 2021, A total number of 211 students participated out of 250, after completion of 18 months of online classes. A Set of 15 self -designed questionnaire based on 5 point Likert scale was given to the students to rank the effectiveness through online class usefulness levels and satisfaction levels on various parameters. Students were also asked about the demographic factors. The data was analyzed using software SPSS software The study results shows that online classes is less helpful in five parameters and equally helpful in five parameters but was not at all superior to conventional methods, we can come to the interpretation that students think that classroom teaching cannot be replaced by online teaching. We can conclude that online studies can only be a supplement and cannot be an alternate for the established order of learning


2013 ◽  
Vol 2 (1) ◽  
pp. 31-35
Author(s):  
Manoj Bhattarai

Introduction Skull has cranial vault and base. The cranial vault is called as calvarium which roofs the cranial cavity (brain box).Cranial vault consists of frontal, parietal and occipital bones. Total thickness of calvarial bones includes outer table, diploe and inner table. Diploe is made up of spongy bone whereas outer and inner table made up of compact bone. Objective To measure the thickness of Nepalese calvarial bones i.e. Frontal, Parietal and Occipital. Methods It is a hospital base cross-sectional study. CT records of one hundred and fifty adult people were studied. Nine various points on frontal bone, seven on parietal and six on occipital were located and their thickness were measured bilaterally with help of CT scan. Results The present study showed that Mean thickness+_SD of frontal bone were 6.1+_1.8mm; parietal 4.6+_2.2 and occipital 9.5+_3.4. The study also showed that frontal bone had 2.4+_0.8 mm thick outer table; 1.4+_0.6mm inner table and 3.5+_1.3mm diploe. Similarly parietal bone had 1.9+_0.6 mm thick outer table; 1.1+_0.4mm inner table and 0.8+_0.5mm diploe. The occipital bone had 3.5+_1.5 mm thick outer table; 2.2+_0.8mm inner table and 4.3+_1.8mm diploe. Similarly this present study also calculated the mean thickness+_SD of outer table in the calvarium as 2.7+_1.3mm and that of inner table 1.5+_0.9 mm. Thus it concluded that outer table was thicker than inner table. Journal of Nobel Medical College Vol. 2, No.1 Issue 3 Nov.-April 2013 Page 31-35 DOI: http://dx.doi.org/10.3126/jonmc.v2i1.7670


1970 ◽  
Vol 18 (1) ◽  
pp. 25-27
Author(s):  
R Khanom ◽  
S Akter ◽  
J Nur ◽  
K Khatun

Objective: To assess the reason for seeking menstrual regulation among 500 clients, in 2 different hospitals. Methods: This was a descriptive type of cross sectional study during the period of July, 2007 to January2008. The study was carried out in the Menstrual Regulation and Training Service Program (MRTSP) centre of Dhaka medical college hospital and Mymensingh Medical College Hospital. Total 500 patients irrespective of age, occupation, family status, religion who came for MR in the MRTSP centre in DMCH & MMCH were included in the study. Results: Regarding the place of residence, it was found that of the total 500 respondents 64.6% came from the urban area and rest from the rural area. The mean age of the respondents was 28.58yrs with 6.42 mean age of the husbands were 37.04yrs 6.42. Investigating the reasons for seeking MR, it was found that 74.4% reported that they had adopted MR because they did not want any more children. Key words: Menstrual regulation; induced abortion; morbidity; mortality. DOI: 10.3329/jdmc.v18i1.6301 J Dhaka Med Coll. 2009; 18(1) : 25-27


Author(s):  
Anuranjan Dubey ◽  
Ashish Kumar Ragase

<p class="abstract"><strong>Background:</strong> Tibia being a superficial bone of the body and vulnerable to trauma, often becomes fractured among all long bone fractures. Tibial surface is subcutaneous most of its length so open fractures are common.</p><p class="abstract"><strong>Methods: </strong>The present cross sectional study was conducted on 20 patients attending the outpatient department Of Orthopedics, Government Medical College and Hospital, Ambikapur, Sarguja (C.G) India between September 2020 to February 2021. Patients within the age group of 18-60 years, having fracture of any duration with gap non union and those having duration of fracture more than 36 weeks without bony gap were included in the study. Details of Patient’s characteristics concerning primary injury and treatment were recorded and evaluation of results were based on Paleys criteria.</p><p class="abstract"><strong>Results: </strong>In bone/radiological results, seven were classed as excellent, eleven as good with the remainder of 2 being fair and poor each. Functionally nine were graded as excellent, nine as good and two as fair and poor each.</p><p class="abstract"><strong>Conclusions:</strong> It was found that Ilizarov ring fixator is an excellent treatment modality for tibial non-union with infection. However the technique requires long treatment follow up. Multiple interventions may be necessary to overcome the difficulties which come across the treatment.</p>


Author(s):  
Lakshmi Deepika Patchva

Background: Pharmacovigilance is the science and activity relating to the detection, assessment, understanding and prevention of adverse effects or any other drug–related problems. The ultimate aim of pharmacovigilance is to ensure safe and rational use of medicines, once they are released for general use in the society. The most important outcome of pharmacovigilance is the prevention of negative consequences of pharmacotherapy. So, the present study primary objective is to assess awareness of pharmacovigilance among medical students and to evaluate the knowledge of pharmacovigilance at Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Chinaoutpally (A.P.), a tertiary care teaching hospital.Methods: A cross-sectional study will be carried out using a pretested questionnaire. The questionnaire will be designed to assess the knowledge regarding pharmacovigilance. The medical students (Final MBBS and Interns) were included in the study during the study period. Only the participants who will give their consent will be included in the study. Results will be calculated by proper statistical analysis.Results: The current study was conducted in a medical college Dr. PSIMS and RF, which included a total of 180 medical students 75% final years, 25% interns. Most of them (89.8%) accepted that reporting ADR is necessary and pharmacovigilance should be taught in detail to healthcare professionals.Conclusions: This study demonstrated that knowledge of pharmacovigilance among medical students is improving gradually, but unfortunately the actual practice of ADR reporting is still deficient among students.


2014 ◽  
Vol 27 (2) ◽  
pp. 74-77
Author(s):  
Sehelly Jahan ◽  
Muhammad Fariduddin Milky

Background: Analgesic drugs may produce toxic effect on the cochlear system depending on the dose, duration or concomitant renal failure. Objective: Our aim was to find out the relationship between analgesic use and hearing loss. Methods: This was a cross sectional study done combindly between E.N.T. and Neurology department of Bangladesh Medical college among the patients complaining of hearing loss of different degree. One hundred and forty four patients of both sexes having sensory-neural type of hearing loss were included in this study. Results: Out of 944 patients, eighty eight patients were taking tab. Diclofenac (61.11%), thirty six patients were taking Naproxen(25%), and twelve were taking Paracetamol (8.33%) eight were taking Ibuprophen(5.55%). Eighty eight patients were taking the drugs more than two years (61%). All patients were taking analgesic 3-4 times per week. Intensity of damage was severe in 52.77%; moderate damage was evident in 30.55% cases and mild damage found in 16.66% cases. Severity of damage was moderate to severe in most cases of Diclofenac. Conclusion: Analgesic drugs may have toxic effect on hearing. Bangladesh Journal of Neuroscience 2011; Vol. 27 (2) : 74-77 DOI: http://dx.doi.org/10.3329/bjn.v27i2.17572


2014 ◽  
Vol 3 (1) ◽  
pp. 10-15 ◽  
Author(s):  
Nawaraj Subba ◽  
Shishir Subba

Introduction: This is a cross-sectional study with the objective of identifying modification in delivery practice in Rajbanshi mothers of Nepal. Methodology: Both qualitative and quantitative tools were used. Semi-structured questionnaires covering 375 samples of its resident districts Morang, Jhapa and Sunsari districts and check lists for in-depth interview were used in the study. Results: People were adopting both traditional and modern care practices concurrently. Among 375 households; 40% adopted local clinic/ hospital/ traditional healer concurrently. Similarly 31.20% adopted local clinic/ traditional healer/ hospital, 10.67% adopted hospital/traditional healer. There were 11.47% (urban 0.54% and rural 10.93%) respondents were having traditional care system as a first choice. During first delivery among 375 mothers 265 (70.67%) had traditional home delivery and 110 (29.33%) had hospital delivery. During last delivery, this was 115 (30.67%) in traditional home delivery and 260 (69.33%) in hospital delivery. Therefore trend of hospital delivery was increasing whereas trend of traditional home delivery was decreasing. It was statistically highly significant (p=<0.0001). There was also remarkable increased in using trained Health Worker/Nurse/Doctor at hospitals is 66.4% during last delivery which was only 6.13% during first delivery. It is statistically highly significant (p= <.0001). Conclusion: Trend of hospital delivery was increasing (from 30.67% to 69.33%) and trend of home delivery was decreasing (from 69.33% to 29.23%) in between first and last child delivery. There was remarkable increased in using trained HW/Nurse/Doctor at hospitals is 66.4% during last delivery which was only 6.13% during first delivery. Traditional care was more practiced in rural than in urban population. DOI: http://dx.doi.org/10.3126/jonmc.v3i1.10047   Journal of Nobel Medical College Vol.3(1) 2014; 10-15


1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


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