A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Chhabra, Sudha
- Sources of Stress in first Year Medical Students: a Cross-sectional Study at Government Medical College of Haryana
Authors
1 Department of Psychiatry, Pt. B.D. Sharma, PGIMS, University of Health Sciences, Rohtak, IN
2 Department of Anatomy, Pt. B.D. Sharma, PGIMS, University of Health Sciences, Rohtak, IN
3 Department of Pharmacology, Pt. B.D. Sharma, PGIMS, University of Health Sciences, Rohtak, IN
4 Department of Physiology, Pt. B.D. Sharma, PGIMS, University of Health Sciences, Rohtak, IN
Source
Indian Journal of Health and Wellbeing, Vol 3, No 1 (2012), Pagination: 147-148Abstract
The Bachelor of Medicine and Bachelor of Surgery (MBBS) course in India is demanding as far as students' efforts are concerned. Fear of failure, vast amount of content that has to be mastered, inability to cope with the high expectations of self, teachers, parents and peers' are commonly observed sources of stress. This study was conducted to observe the pattern/sources of stress in first year MBBS students at University of Health Sciences, Pt. B.D. Sharma, PGIMS, Rohtak. A total of 135 students returned completed questionnaire pertaining to various academic and non-academic sources of stress. Work overload, poor accommodation/ living conditions and weak student-teacher relationship came out to be the major sources of stress. More comparative studies are required to further aour knowledge about pattern of stress among various universities/places and thus framing out possible explanations and mechanisms to deal with the same.Keywords
Stress, Medical Students.- Panoramic Mandibular Index: Effect of Age and Gender Related Variations in the North-Indian Population
Authors
1 Pt. B.D. Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, IN
2 Pt. B.D. Sharma Post Graduate Institute of Dental Sciences, Rohtak, Haryana, IN
Source
International Journal of Medical and Dental Sciences, Vol 4, No 2 (2015), Pagination: 765-774Abstract
Background: Panoramic Mandibular Index (PMI) is a quantitative radiomorphometric index of the mandible. It is an important indicator of mandibular bone mineral density.
Objectives: To examine the age and gender related variations associated with the panoramic mandibular index and their effect in a group of North-Indian population of Haryana.
Methods: 60 adult human orthopantomographs were evaluated and divided into six age groups (35-65 years) with equal number of males and females. Panoramic mandibular index was measured bilaterally on every radiograph. The measurements were analyzed for interactions with age and sex, using SPSS (Stastistical Package for Social Studies) software version no. 18. The tests employed were Kruskal-Wallis, Mann-Whitney and the unpaired T-test.
Results: The male mean panoramic mandibular index values ranged from 0.3 ± 0.025 to 0.381 ± 0.019, whereas the female mean panoramic mandibular values ranged from 0.286 ± 0.306 to 0.36 ± 0.007. Panoramic mandibular index showed significant negative correlation with age in both the sexes. Inter-age group comparisons showed statistically significant differences between the youngest and eldest age-groups in both the genders. Female values were lower than male values in all age groups, but sexual dimorphism was not observed.
Conclusion: Panoramic mandibular index was influenced significantly by the variations in age but minimally by the gender related variations.
Keywords
Panoramic Mandibular Index, Mandibular Inferior Cortex, Mental foramen, Panoramic Radiographs, Radiomorphometric Indices of Mandible, Sexual Dimorphism.References
- Kaseem M, Melton LJ, Riggs BL. The type I / Type II model for involutional osteoporosis. In: Marcus R, Feldman D, Kelsey J, eds. Osteoporosis. Ist ed. San Diego: Academic Press; 1996. p.691-702.
- Gregg EW, Cauley JA, Seeley DG, Ensrad KE, Bauer DC. Physical activity and osteoporotic fracture risk in older women. Study of osteoporotic fractures research group. Ann Int Med 1998;129:81-8.
- Von Wowern N, Klausen B, Kollerup G. Osteoporosis: a risk factor in periodontal disease. J Periodontol 1994;65:1134-8.
- Horner K, Devlin H, Alsop CW, Hodgkinson IM, Adams JE. Mandibular bone mineral density as a predictor of skeletal osteoporosis. Br J Radiol 1996;69:1019-25.
- Klemetti E, Vainio P, Lassilla V, Alhava E. Cortical bone mineral density in the mandible and osteoporosis status in postmenopausal women. Scand J Dent Res 1993;101:219-23.
- Taguchi A, Tanimoto K, Suci Y, Ohama K, Coada T. Relationship between the mandibular and lumbar vertebral bone mineral density at different postmenopausal stages. Dentomaxillofac Radiol 1996;25:130-5.
- Devlin H, Horner K. Mandibular radiomorphometric indices in the diagnosis of reduced skeletal bone mineral density. Osteoporosis Int 2002;13:373-8.
- Mahl CRW, Licks R, Fontanella VRC. Comparison of morphometric indices obtained from dental panoramic radiography for identifying individuals with osteoporosis / osteopenia. Radiol Bras 2008;41:183-7.
- Taguchi A, Suei Y, Ohtsuka M, Otani K, Tanimoto K, Ohtaki M. Usefulness of panoramic radiography in the diagnosis of post menopausal osteoporosis in women. Width and morphology of inferior cortex os the mandible. Dentomaxillofac Radiol 1996;25:263-7.
- White SC. Oral radiographic predictors of osteoporosis. Dentomaxillofac Radiol 2002;31:84-92.
- Dutra V, Yang J, Devlin H, Susin C. Radiomorphometric indices and their relation to gender, age and dental status. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 2005;99:479-84.
- Benson BW, Prihoda TJ, Glass BJ, Antonio S. Variations in adult cortical bone mass as measured by a panoramic mandibular index. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 1991;71:617-21.
- Raghdaa AM, El-Ashiry MK, Farid MK. Effect of age, sex and dental status on mental and panoramic mandibular indices of the mandible: a retrospective study. Egypt J Oral Maxillofac Surg 2011;2:22-6.
- Kalinowski P, Kalinowska R. Panoramic radiomorphometric parameters in polish patients. Folia Morphol. 2011;70(3):168-74.
- Rao GS, Chatra L, Shenai P. Evaluation of adult cortical bone mass as measured by panoramic index – A radiological study. [Online] 2011 [Cited 2011]; Avaliable from: URL: http://www.webmedcentral.com/ wmcpdf/Article_WMC001447.pdf
- Knezovic ZD, Celebic A, Lazic B, Baucic I, Stipetic- Ovcricek J, Ibrahimagic L. Influence of age and gender on radiomorphometric indices of the mandible in removable denture wearers. Coll Anthropol 2002;26(1):259-66.
- Hildebolt CF. Osteoporosis and oral bone loss. Dentomaxillofac Radiol 1997;26(1):315.
- Ulm CW, Solar P, Ulm MR, Matejka M. Sexrelated changes in the bone mineral content of atrophic mandibles. Calcif Tissue Int 1994;54:203-7.
- Mudda JA, Bajaj M, Patil UA. A radiographic comparison of mandibular bone quality in pre- and post- menopausal women in Indian population. J Indian Soc Periodontol 2010;14(2):121-5.
- Influence of Age on the Radiomorphometric Indices of the Gonial Region of Mandible in North-Indian Population
Authors
1 Pt. BD Sharma Post-Graduate Institute of Medical Sciences, Rohtak, Haryana, IN
Source
International Journal of Medical and Dental Sciences, Vol 3, No 2 (2014), Pagination: 411-420Abstract
Background: The gonial region of mandible plays a significant role in the determination of mandibular basal bone morphology. Gonial Angle is important for maintenance of a harmonius facial profile whereas Gonial Index is an indicator of the bone quality of the mandibular gonial region.
Objectives: To examine the influence of age on two quantitative radiomorphometric indices of mandible, Gonial Angle (GA) and Gonial Index (GI) in a group of North-Indian population.
Material and Methods: 60 adult human orthopantomographs were evaluated and divided into six age groups (35-65 years) with equal number of cases. Gonial Angle and Gonial Index were measured bilaterally on each radiograph. The measurements were analyzed for interactions with age and other interrelationships between the indices. The data obtained was subjected to statistical analysis using SPSS (Statistical Package for Social Studies) software version No. 18 and Mann- Whitney tests were used for various comparisons.
Results: Gonial angle showed a significant positive correlation with age as the mean gonial angle values showed an increase with increasing age. Whereas in sharp contrast to this, gonial index showed no correlation with age as the mean gonial index values showed no pattern of either increase or decrease with increase in age. The correlation between gonial angle and gonial index was statistically insignificant (p>0.05).
Conclusion: Age had a significant influence on the angular radiomorphometric index i.e. gonial angle but the linear radiomorphometric index i.e. gonial index remained independent of age.
Keywords
Panoramic Radiographs, Gonial Index, Mandibular Angle, Mandibular Remodeling, Radiomorphometric, Indices of Mandible.References
- Bras J, Vanooij CP, Abraham IL, Kuson GJ, Wilmink JM. Radiographic interpretation of the mandibular angular cortex: A diagnostic tool in metabolic bone loss. Part I: Normal bone. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 1982;53:541-5.
- Ingervall B, Thilander B. Relation between facial morphology and activity of masticatory muscles. J Oral Rehab 1974;1:131-47.
- Fish SF. Change in the gonial angle. J Oral Rehabil 1979;6:219-27.
- Xie QF, Ainameno A. Correlation of gonial angle size with cortical thickness, height of the mandibular residual body and the duration of edentulism. J Prosthet Dent 2004;91:477-82.
- Kribbs PJ, Chestnut CH, Ott SM, Kilcoyne RF. Relationships between mandibular and skeletal bone in an osteoporotic population. J Prosthet Dent 1987;62:703-7.
- Habets LL, Bras J, Borgmeyer-Hoelen AM. Mandibular atrophy and metabolic bone loss. Endocrinology, radiology and histomorphometry. Int J Oral Maxillofac Surg 1988;17:208-11.
- Weinmann JP, Sicher H. Bone and bones, fundamentals of bone biology. St Louis: The CV Mosby Co; 1947.
- Shamout RA, Ammoush M, Alrbata R, Habahbah AA. Age and gender differences in gonial angle, ramus height and bigonial width in dentate subjects. Pak Oral Dental J 2012;32(1):81-7.
- Fattah AH, Corrrelation of gonial angle size, angular cortical thickness and mandibular bone height with age, gender and dental status in Iraqi sample. J Bagh Coll Dentistry 2010;22(4):47-9.
- Ohm E, Silness J. Size of the mandibular jaw angle related to age, tooth retention and gender. J Oral Rehab 1999;26:883-91.
- Casey DM, Emrich LJ. Changes in the mandibular angle in the edentulous state. J Prosthet Dent 1988;59(3):373-9.
- Moffett BC. The temporomandibular Joint. In: Sharry JJ, editors. Complete denture prosthodontics. 2nd ed. New York: Mc Graw Hill; 1968.
- Raustia AM, Salonen MA. Gonial angles and condylar ramus height of the mandible in complete denture wearers-a panoramic radiograph study. J Oral Rehab 1997;24:512-6.
- Dutra V, Devlin H, Susin C, Yang J, Horner K. Mandibular morphological changes in low bone mass edentulous females: evaluation of panoramic radiographs. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 2006;102:663-8.
- Kim YS, Kim KA, Koh KJ. The relationship between age and the mandibular cortical bone thickness by using panoramic radiograph. Korean J Oral Maxillofac Radiol 2010;40:83-7.
- Knezovic ZD, Celebic A, Lazic B, Baucic I, Stipetic- Ovcricek J, Ibrahimagic L. Influence of age and gender on radiomorphometric indices of the mandible in removable denture wearers. Coll Anthropol 2002;26(1):259-66.