JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Jan 2018
Variations in the Facial Dimensions and Face Types among the Students of A Medical College.
Facial dimensions and the face types are the most variable factors in human community. These dimensions have practical implications for the anthropologist, forensic experts, anatomists and surgeons. The present study is aimed to determine the facial dimensions and face types among the medical and nursing students. ⋯ The present study depicts higher values of facial height, width and facial indexfor males when compared to the females. The present finding is based upon the indices and classification obtained from developed nation. Further studies with local data would help develop indices and classification for Nepalese population.
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JNMA J Nepal Med Assoc · Jan 2018
Prevalence of Non-Communicable Diseases and its Associate Factors among Government Employees in Biratnagar, Nepal.
Non-communicable diseases have along duration and slow progression. It is estimated that the attribution of NCDs in mortality has been rising gradually in Nepal. This study aimed to estimate the prevalence and factors associated with NCDs in Biratnagar, Nepal. ⋯ Prevalence of Non-Communicable Diseases has been seen in Government Employees in Biratnagar, Nepal. Most of them had at least one associated factor related to NCD was found.
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JNMA J Nepal Med Assoc · Jan 2018
Operative Management of Late Presented Displaced Lateral Condyle Fracture of Humerus in Children.
Management of late presented displaced fracture of lateral condyle of humerus in children is controversial, many recommend conservative management due to fear of complications like avascular necrosis but recently many are advocating for operative management with good results hence we studied the outcome of operative management in late presented displaced lateral condyle fracture of humerus in children. ⋯ Outcome of operation without bone grafting on lateral condyle fracture of humerus in children who presents late up to 5 weeks are excellent; whereas outcome of delayed operation up to 16 weeks also gives good functional recovery and union.
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JNMA J Nepal Med Assoc · Jan 2018
Case ReportsSupracrestal Non-Surgical Therapy in Periodontal Diseases.
Periodontal diseases are the complex disease with a dynamic relationship between biofilm and the host immunoinflammatory response. The goal of periodontal therapy is to preserve the natural dentition and increase their longevity by creation of a favorable environment around the teeth. The mainstay to achieve this is by the non-surgical periodontal therapy, followed by surgical and other recent treatment modalities. ⋯ This avoided a surgical intervention and was more cost-effective in treating moderate to severe young chronic periodontitis patients. The decision for the type of treatment needs to be critically assessed with a better understanding of the outcome, morphology of the defects, and type of teeth involved. Fundamentals like positive reinforcements, compliance and self-performed plaque control will always remain an integral component regardless of nonsurgical or surgical periodontal therapy.
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JNMA J Nepal Med Assoc · Oct 2017
Randomized Controlled Trial Comparative StudyPrevention of Shivering during Spinal Anesthesia: Comparison between Tramadol, Ketamine and Ondansetron.
Shivering is an unpleasant experience after spinal anesthesia. We conducted this study to evaluate the efficacy of ondansetron, ketamine and tramadol for prevention of shivering. ⋯ Prophylactic use of ondansetron, low doses of ketamine and tramadol is effective in preventing shivering post spinal anesthesia without untoward effects.