Introduction: The temporo-mandibular joint (TMJ) is a synovial joint between the articular fossa of the temporal bone and the mandibular condyle. It is condylar variety of joint. The most important functions of the TMJ are mastication and speech and are of great interest to anatomists, dentists, orthodontists and oro-maxillo-facial surgeons. The study was conducted with objective to establish the surface projection of Temporo-mandibular joint (TMJ) using tragus of ear as land mark. Materials and methods: Twenty five cadavers dissected in pre auricular area on both right and left side were studied. Out of 25 cadavers, 18 were male and seven were females. The temporo-mandibular joints were exposed on both sides, keeping the tragus of the ear intact. Altogether fifty temporo-mandibular joints were studied. On living persons, condylar head of TMJ were palpated while the subjects were carrying out side to side movement of lower jaw. The distance between the summit of the tragus and the marking on condylar head was measured with the help of divider and scale. Result: The mean distance in millimeter (mm) from midpoint of condylar head to the summit of tragus in all living subjects and cadavers (n=150) was 12.5 ± 3.5 mm and the mean length of distal phalanx of fore finger in all living subjects and cadavers (n=150) was 22 ± 4 mm. Conclusion: The mandibular condyle can be palpated at 12.5 ± 3.5 mm distance from summit of tragus of ear (i.e. Half-length of distal phalanx of fore finger which is 22 ± 4 mm) just below the inferior border of zygomatic arch.
Introduction: The height measurement is an important anthropometric measurement which can be directly correlated with health status of an individual. Body weight of an individual refers to total body mass and is also important indicator of health status of people. Body mass index (BMI) is a key index for relating weight to height. It is defined as the body mass divided by the square of the body height, The BMI is an attempt to quantify the amount of body tissue mass in an individual, and then categorize that the person as underweight, normal weight, overweight or obese. Objectives: To find out the average height and weight, to calculate BMI and find out its average value and to correlate height and weight in Nepalese population. Methodology: A cross sectional study was conducted in subjects from different parts of Nepal. Three hundred twenty one healthy subjects of 25-40 years of age group were studied. Height and weight of subjects were recorded and BMI was calculated. Data were analyzed using SPSS. Result: In overall Nepalese population, Mean height was found to be 156.6 ± 6.3 cm; mean weight 56.6 ± 11.4 kg and BMI 20.9 ± 1.8 kg/m2. Pearson’s correlation co-efficient(r) for height and weight was 0.88. Conclusion: There was partial positive correlation between height and weight. There was statistically significant difference in height, weight and BMI between Nepalese male and female(p<0.05).
Introduction: Recent studies in last few decades are revealing that Intelligence Quotient (IQ) alone is not a reliable factor of students’ academic achievement. It has been claimed that only 20% of a person’s success can be attributed to IQ and rest 80% to Emotional Quotient. Since, many researchers had claimed the influence of emotional intelligence on academic performance; the aims of this study were to find out the level of emotional intelligence and its relation with academic performance among Nepali undergraduate students. Methods: A cross sectional study was carried out in 280 medical students (120 male, 160 female). The data of this research was obtained through the use of a questionnaire which elicits information about their Emotional Intelligence level and academic performance. The obtained data was analyzed by SPSS. The degree of relationship between marks obtained and emotional intelligence were established by Correlation coefficient and Fischer exact test. The level of significance was set at p-value less than 0.05. Results: The mean level of emotional intelligence was high (5.055±0.798) among Nepalese medical students. The respondents were reported to have high level of emotional intelligence with (5.544±0.929) for Self- awareness, (5.035±1.01) for Social awareness, (5.394±1.11) for Social skill and moderate level of emotional intelligence (4.24±1.37) for Self-management. Conclusion: There was a positive and strong relationship between the respondents’ overall emotional intelligence and their academic achievement which means that the higher their level of emotional intelligence, the better they perform academically.
Introduction: Tension band wiring is the most commonly used treatment method for transverse patella fracture. Tension band construct can be achieved by various modifications. Percutaneous cannulated screw with tension band is a minimally invasive technique with stiffer fixation that follows tension band principle. This study aims to assess the clinical and radiological outcome using percutaneous cannulated screw with tension band for the management of transverse patella fracture. Methods: This was a prospective study among 30 adult patients who had closed displaced transverse patella fracture. Patients with polytrauma, comminuted fracture, neurovascular injury and prior injury to the limb were excluded from the study. Each patient was followed up at 2 weeks, 4 weeks, 3 months and 6 months postoperatively. Results: Among all surgically treated patients using this technique, Pain gradually decreased over time and was less than VAS score of 1 in all patients at 6 months follow-up with an average score of 0.3. The final range of motion at 6 months was: flexion ranging from 122 to 145 degrees and extension lag from of 0 to 8 degrees. There was significant improvement in range of motion of knee in each follow up. The mean duration for fracture union was 11.4±2.3 weeks. There were no cases of nonunion and hardware failure. The mean Lyshom score was 82.5 at final follow up. Conclusions: The percutaneous fixation of transverse patella fracture with cannulated screw and SS wire is safe and effective method which gives good functional outcome.
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