JNMA; journal of the Nepal Medical Association
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Facial index is useful for anatomists, forensic scientists and plastic surgeons during treatment of congenital and traumatic deformities, identification of individuals in medico-legal cases and identifying craniofacial deformities and they help us in distinguishing one person from another. Very few researchers from Nepal have worked on these facial features with respect to population and environment. The study aims to find the prevalence of leptoprosopic type of face among dental students of Kantipur Dental College, Kathmandu, Nepal. ⋯ This study concludes that the leptoprosopic face was most common followed by hyperleptoprosopic, mesoprosopic, europrosopic and hypereuroprosopic type of face.
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JNMA J Nepal Med Assoc · Jul 2019
Prevalence of Bilateral Asymmetry of Tibial Bones Length in MBBS Students of A Medical College.
A wide variability of bilateral asymmetry in human has been observed within the population. However sufficient attention has not been given to the difference present in the limbs especially the tibial bones. It is generally assumed that the both limbs of the individual are with insignificant differences. The objective of the study is to find the prevalence of bilateral asymmetry of the tibial bone length of the same individual and distribution in between the two genders. ⋯ Asymmetry in the tibial bones length should be given proper attention and proper diagnosis and treatment of leg discrepancies should be done.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsDelayed Presentation of Renal Arterio-Venous Fistula and Pseudoaneurysm in Native Left Kidney in Allograft Recipient: A Case Report.
Iatrogenic complications due to renal biopsy majorly include formation of an arterio-venous fistula, pseudoaneurysm or arterio-ureteral fistula. These complications are observed within a span of few days post biopsy and are rare after few years. ⋯ Superselective embolization was achieved using coils and high concentration glue and transient placement of a venous occlusion balloon with complete technical and clinical success. Keywords: renal arterio-venous fistula; renal biopsy; renal pseudoaneurysm.
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JNMA J Nepal Med Assoc · Jul 2019
Multicenter StudyVerbal Abuse among Nurses in Tertiary Care Hospitals.
Verbal abuse against nurses who are major working force can affect the work performance and productivity in hospital. Verbal abuse is epidemic in tertiary care hospitals though it is most preventable with healthcare professions. The study aims to identify the prevalence of verbal abuse among nurses in a Tertiary Care Hospital. ⋯ Verbal abuse is frequently prevalent in nurses and mostly from patient's visitors. Hence, nurses should maintain their respect and authority otherwise it will lead to decrease in their performance that shows direct impact on patient care and consequently the effectiveness of the health care system.
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JNMA J Nepal Med Assoc · Jul 2019
Case ReportsLangerhan's cell Histiocytosis of Sphenoid Sinus causing Vision Loss: A Case Report.
Langerhan's cell histiocytosis is an uncontrolled proliferation of dendritic cells. The involvement of skull base is rare. Variable clinical presentation and multi organ involvement often warrant a multidisciplinary approach for a successful diagnosis. ⋯ Delayed diagnosis and treatment can result in serious complications. The radiological features and management options are discussed with a review of the pertinent literature. Keywords: : blindness; histiocytosis; langerhans-cell; sphenoid sinus.