Background and Objectives. Fetal weight evaluation in utero is a significant component in obstetric practices. The present study aims to estimate the fetal weight (EFW) by evaluating two available formulas using ultrasound parameters and comparing them with actual birth weight (ABW) after delivery. The accuracy and efficacy of both EFW formulas in detecting intrauterine growth retardation (IUGR) and macrosomia were also compared in our local sample of the population. Methods. The cross-sectional study included 100 pregnant women aged 20–45 years from the Kamrup district admitted to Guwahati Medical College and Hospital, Guwahati, Assam. The data were analyzed using Microsoft Excel and SPSS version 16. The EFW at term was calculated using Shepard’s formula and Hadlock’s formula. Differences in means are compared using the one-way ANOVA or Kruskal–Wallis test and paired t-test. The accuracy of the two procedures was evaluated using mean absolute error (MAE) and mean absolute percentage error (MAPE). A p value<0.05 was considered significant. Results. The present study included 100 pregnant women aged 21–38 years with term or postterm pregnancies subjected to ultrasonographic evaluation within 72 hours of delivery. The mean (±s.d.) EFW by Shepard’s formula was 2716.05 (±332.38) g and Hadlock’s formula was 2740.44 (±353.23) g, respectively. For Hadlock’s formula, MAE ± s.d. was found to be higher (overall 84.59 ± 76.54) specifically in the weight category less than 2500 (106.42 ± 88.11) as compared to Shepard’s (overall MAE ± s.d = 79.86 ± 64.78, and among ABW < 2500 g, MAE ± s.d = 65.04 ± 61.02). The overall MAPE of Hadlock’s formula was 3.14% and that for Shepard’s formula was 2.91%, and the difference was not statistically significant. Both Shepard’s formula and Hadlock’s formula had a sensitivity of 92.85% in detecting IUGR, but Hadlock’s method had higher specificity (66%), higher PPV (86.67%), and higher NPV (80%). Conclusion. The ultrasonographic evaluation of fetal weight helps predict fetal birth weight precisely and can influence obstetric management decisions concerning timing and route of delivery, thus reducing perinatal morbidity and mortality.
Background and Objectives. In the biological age determination of a person’s teeth at adolescence, the third molar (M3) or wisdom tooth development is considered a dependable method used over the years. The present research intended to evaluate the age from the eruption status of M3 and analyze and equivalence with a different quadrant of the jaws. Methods. A cross-sectional descriptive and analytical study was undertaken with 1060 Assamese individuals (642 males and 418 females) aged 14–26 years and was subjected to a clinical, dental, and general physical examination from January 2014 to December 2018. The data were statistically analyzed using Microsoft Excel and the Statistical Package for the Social Sciences (SPSS) version 22. The significant differences among variables were tested using the chi-square test and Student’s t -test, considering a p value < 0.05 as significant. Results. The carried-out research showed no eruption (NE) status of M3 with an overall mean (±SD) age at 17.39 (±2.273) years, although a significantly lower age among males with a mean age of 16.92 (±2.138) years ( p value < 0.001) was observed. The mean age (overall) for the complete eruption (CE) was observed at 20.33 (±2.566) years, which was seen earlier in males. The mandibular M3 appears earlier compared to the maxillary M3. The third molar eruption (TME) on both left and right quadrants of the jaw was observed substantially earlier in the lower jaw, compared to the upper jaw ( p value < 0.025). The earliest CE of M3 was marked at 15 years. The differences in the frequencies of TME in different chronological age groups were found significant ( p value < 0.001). A significant association between gender and TME ( p value < 0.045) in the current study is worth noting. Conclusion. Thus, determined by TME as a valid method, age can be used for various purposes to establish a person’s identity. Dental age estimated using third molar eruption status has a weighty association with chronological age. Thus, it should be utilized to determine the likely age of an individual.
Background Orphan children living in orphanages are often neglected. These children's physical and mental health status are essential concerns as they are highly prone to malnourishment and psychosocial distress. We aim to evaluate the orphan children's physical and psychosocial status living in orphanages. Methods This study adopted a cross-sectional research design conducted with the children living in the orphanages using a pretested, predesigned schedule. Body Mass Index (BMI) for age and height were then determined using WHO standards. Thinness was defined as BMI for age below − 2 SD (Standard Deviation) and thinness as height for age below − 2 SD. The behavioural and mental status of the children of age 10–19 years were evaluated using the Strengths and Difficulties Questionnaire (SDQ-21) with a cut off value of SDQ score > 15 as the presence of emotional and behavioural distress. Results Almost 50% of orphans were in the age group of 10–14 years, 62.7% were females, and 42.2% had a primary level of education. 52.5% of orphans exhibited severe thinness for <-3SD. Observed severe thinness more among the 5–9 years and 10–14 years (p-value < 0.05) group and among the male orphans (p-value < 0.05). Out of 65 children aged 10–19 years, 18.5% had behavioural and mental distress. Emotional (32.3%) and poor conduct problems (23%) were observed significantly among male adolescents. Conclusions Orphaned children, particularly those living in orphanages, are at risk of malnutrition and experience various behavioural and psychosocial problems. Frequent assessments of their physical and mental health are advocated for early detection, prevention, and timely intervention.
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