JNMA; journal of the Nepal Medical Association
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Periodontitis is multifactorial disease that along with dental caries remains one of the commonest cause of tooth loss worldwide. Effective management requires clear understanding of risk factors. Smoking has a dose-dependent effect on periodontium. Similarly, individuals with diabetes have severe forms of periodontal diseases. We aim to assess the prevalence of periodontal disease in dental patients in relation to smoking and diabetes. ⋯ Periodontitis was significantly associated with smoking, diabetes, hypertension and age. It is recommended that tobacco cessation and diabetes control be promoted as an integral component of periodontal therapy and oral health be included as an essential element of general health when conducting national health surveys.
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Epidermolysis bullosa is a rare inherited blistering disease with an incidence of 8-10 per million live births. Dystrophic epidermolysis bullosa is a type of epidermolysis bullosa caused by mutation in type VII collagen, COL7A1. There are 14 subtypes of dystrophic epidermolysis bullosa and 400 mutations of COL7A1. ⋯ Preventing possible skin and mucosal injury in patients requiring surgery should be worked on. Here, we present a case of dystrophic epidermolysis bullosa in a 26-year-old male. Keywords: blister; dystrophic epidermolysis bullosa; epidermolysis bullosa; knee disarticulation; surgery.
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JNMA J Nepal Med Assoc · Sep 2018
Dietary Practice among the Patients with End Stage Renal Disease undergoing Maintenance Haemodialysis.
Several studies on the nutritional status of chronic kidney disease patients living on haemodialysis revealed high prevalence of malnutrition (18-94%). A hospital-based study in Nepal revealed 66.7% mild to moderately malnourished and National Kidney Center reported common protein-energy malnutrition problem among haemodialysis patients. As almost all patients undergoing maintenance haemodialysis looked malnourished, this study was carried out to explore prevailing dietary knowledge and practice of the patients. ⋯ Considerable limited knowledge (medium) and practices (low) scores were found. Had they have taken adequate dietician's support, they might have taken right kind and right amounts of foods and benefitted in controlling potassium, phosphate and protein at the recommended level. Plant-based diet could assist in end stage renal disease in a number of ways: an edge of protection against diet cost, reduce inter-related co-morbidities or complications (hypertension and diabetes).
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JNMA J Nepal Med Assoc · Sep 2018
Etiological Yield of Global Developmental Delay in Kanti Children's Hospital.
Global developmental delay is the common pediatric problem having spectrum of underlying causes. Etiological diagnosis is very vital for providing information regarding pathogenesis, prognosis, recurrence, risk and treatment options. The aim of this study was to determine etiological yield of global developmental delay. ⋯ A specific etiology can be determined in majority of cases of global developmental delay after comprehensive evaluation. The most common etiologies were perinatal asphyxia and post infectious sequelae.
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JNMA J Nepal Med Assoc · Sep 2018
Estimation of Body Height from Head Length among Dental Students of a Dental College.
Body height is an important measure of physical identity. Height exhibits a dimensional relationship with various parts of the body. This relationship helps to calculate height from dismembered and mutilated body parts in forensic examinations. As the cranial dimensions are more reliable and precise means of predicting the stature, this study was undertaken to find the relation between head length and height and to derive a regression formula for the estimation of height from head length among dental students. ⋯ It was observed in the present study that there was a significant positive correlation between height and head length in all the age groups indicating that head length is a reliable indicator in estimation of height.