JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2022
Average Type Smile in Posed Smile of Individuals Visiting Department of Orthodontics of a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
New concepts and methods have been developed in orthodontics with patients' increased concern on esthetics. Among the various parameters of smile, smile type, smile arc, and smile symmetry are essential for a beautiful smile. The objective of this study was to find out the prevalence of average type in posed smiles of individuals visiting the department of orthodontics. ⋯ dental esthetics; dental photography; orthodontics; smiling.
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JNMA J Nepal Med Assoc · Mar 2022
Diabetic Retinopathy among Diabetic Patients at a Tertiary Care Hospital: A Descriptive Cross-sectional Study.
The alarming rise in the prevalence of diabetes mellitus is a global public health and economic problem. Diabetic retinopathy is the most common ocular morbidity in the diabetic population and is the leading cause of blindness among the working-age group. This study was aimed to find out the prevalence of diabetic retinopathy in diabetic patients attending to the department of ophthalmology of a tertiary care hospital. ⋯ biomarkers; body mass index; diabetes mellitus; diabetic retinopathy; visual acuity.
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JNMA J Nepal Med Assoc · Mar 2022
Case ReportsAn Infant with Congenital Diaphragmatic Eventration with Dextrocardia: A Case Report.
Diaphragmatic eventration is a rare condition, and its association with dextrocardia is even a rarer clinical entity. Patients are usually asymptomatic, but the typical features include rapid breathing and recurrent respiratory infections. Here we present a rare case of a seven months old infant, who presented with cough, noisy breathing and chest retraction. ⋯ Afterwards, plication of the diaphragm was done through the trans-abdominal approach and the symptoms gradually improved postoperatively. For dextrocardia, since there were no structural abnormalities, the patient was kept in regular follow-up in the pediatric cardiology unit. Though most patients are asymptomatic, diaphragmatic eventration increases the risk of recurrent chest infection and hampers the quality of life of the patient, so timely diagnosis and intervention will greatly improve their quality of life.
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JNMA J Nepal Med Assoc · Mar 2022
Case ReportsSpontaneous Common Femoral Artery Pseudoaneurysm: A Case Report.
Spontaneous femoral artery pseudoaneurysm in a young person with no comorbidity is a rare occurrence. A 30 years old gentleman presented to our hospital with complaints of painful swelling of spontaneous onset in the right inguinal region for 15 days. He had undergone incision and drainage of the contents of the swelling five days back but he suffered from a recurrence of the painful right inguinal swelling and persistent bleeding from the incision site for four days. ⋯ It was treated surgically by emergency exploration, hematoma evacuation, removal of pseudoaneurysm, and repair of the defect in the right common femoral artery. In this case, we were fortunate that inadvertent incision of the pseudoaneurysm didn't result in a massive haemorrhage. This serves as a reminder that the possibility of a femoral artery pseudoaneurysm should be considered when evaluating a swelling of the inguinal region.
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JNMA J Nepal Med Assoc · Mar 2022
Dyslipidemia in Acute Non-cardioembolic Ischemic Stroke Patients at a Tertiary Care Centre: A Descriptive Cross-sectional Study.
Acute ischemic stroke is the second most common cause of death after ischemic heart disease worldwide and Nepal's top five diseases based on Disability-Adjusted Life Years. Dyslipidemia is a major risk factor for coronary heart disease but has an unclear role in the pathogenesis of ischemic stroke. The objective of this study was to find the prevalence of dyslipidemia in acute non-cardioembolic ischemic stroke patients at a tertiary care centre. ⋯ cardioembolic stroke; dyslipidemia; ischemic stroke; lipid; lipoprotein.