JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Dec 2021
Impacted Canine in Orthodontic Patients of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Impacted canine is a frequently encountered clinical problem during orthodontic practice with different prevalence in each region. Treatment usually requires an interdisciplinary approach which is difficult and time consuming. Surgical exposure of the impacted tooth and the complex orthodontic mechanisms are used to align the tooth into the arch. This study was designed to find out the prevalence of impacted canine in orthodontic patients. ⋯ The overall prevalence of impacted canines was found lower than previous studies done in similar settings. Large number of patients had buccal impaction compared to palatal impaction.
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JNMA J Nepal Med Assoc · Dec 2021
Manual Anesthesia Record Keeping at a Tertiary Care Center: A Descriptive Cross-sectional Study.
Intraoperative record form is one of the cardinal parts of anesthesia practices. Ideally, it should contain complete information about patients under anesthesia and intraoperative events. It serves as valuable information for subsequent patient management, research, or during medicolegal conditions. The objective of this study was to assess the practice and completeness of manual intraoperative anesthesia record keeping. ⋯ Our intraoperative record form shows poor completion rate, which was similar to other studies. many important variables were missing and had incomplete data.
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JNMA J Nepal Med Assoc · Dec 2021
Injury amongst Medicolegal Cases in Department of Forensic Medicine of a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Victim of injuries presenting to a hospital is a medico-legal issue. So, with medical management, proper documentation of injuries should be done as a legal duty by all physicians attending such cases. The study aims to find the prevalence of injury amongst medicolegal cases in the Department of Forensic Medicine in a tertiary care centre. ⋯ The prevalence of injuries amongst medicolegal cases was found to be higher in our study in comparison to other studies done in similar settings. Most of the injuries were due to physical assault; however, the majority of road traffic injuries were life-threatening. These road traffic injuries could have been prevented by following a safe system approach to road safety.
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JNMA J Nepal Med Assoc · Dec 2021
Endoscopic Septoturbinoplasty among Patients Undergoing Surgery in the Department of Otolaryngology-Head and Neck of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
Septoplasty without turbinoplasty is one of the main reasons for failure of procedure in case of deviated nasal septum with inferior turbinate hypertrophy. Septoturbinoplasty is the procedure of choice for complete treatment. The main objective is to find out the prevalence of endoscopic septoturbinoplasty among patients undergoing surgery in Department of Otolaryngology-Head and Neck of a tertiary care hospital. ⋯ The prevalence of septoturbinoplasty in our study is similar to other studies done in similar settings. We found almost complete resolution of breathing problems following endoscopic septoturbinoplasty, hence improving quality of life.
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JNMA J Nepal Med Assoc · Dec 2021
Moderate Hydronephrosis among Acute Ureteral Calculus on Ultrasonographic Imaging in a Tertiary Care Center in Nepal: A Descriptive Cross-sectional Study.
Ureteric calculi are lying at any point of ureter from the pelvic ureteric junction to the vesicoureteral junction. If left untreated, ureteropelvic junction obstruction can lead to hydronephrosis. With the improved availability of computed tomography and ultrasound scanning, hydronephrosis is being diagnosed more frequently. The main aim of this study is to find out the prevalence of moderate Hydronephrosis among ureteral calculus on ultrasonography imaging in a tertiary care center of Nepal. ⋯ The ultrasound is an easy method to be applied, and a fast one to help and diagnose obstructive hydronephrosis. The main causes of hydronephrosis are kidney stones, followed by ureteral stones, with a moderate degree of hydronephrosis.