JNMA; journal of the Nepal Medical Association
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JNMA J Nepal Med Assoc · Mar 2018
Predisposing Factors and Outcome of Malpresentations in an Institute.
This study was done to find out the incidence of malpresentation among all deliveries with various types of Malpresentations, its mode of delivery , maternal and fetal predisposing factors with outcome. ⋯ The most common type of malpresentation was breech common in primigravida with oligohydramnios as contributing factor.
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JNMA J Nepal Med Assoc · Mar 2018
Prevalence of Different Types of Apical Root Canal Morphology and their Treatment Recommendations in an Institute.
Canals can be of different shapes in cross section including round canals, oval canals, long oval canals or ribbon shaped canals. Recesses of nonround canals may not be included in the round preparation created by rotary instruments and thus they remain unprepared. The aim of this study included determination of shape and taper of the apical root canal based on diameter at different levels. Measurement of the diameter of the root canal at one, two and three mm cross sections from the apex of the tooth were done such that apical instrumentation in root canal treatment could be modified based on the results obtained. ⋯ The most prevalent canal configuration in this study was non round, however, most of the rotary instruments tend to prepare root canals into round shape making their use questionable. The taper of the root canals was found to be higher in our study than what most of the shaping instruments have to offer. So it would be advisable to consider this fact while selecting instruments and preparing these non-round canals as far as the Nepalese subpopulation is considered.
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JNMA J Nepal Med Assoc · Mar 2018
Knowledge, Awareness, and Attitude Regarding Dental Implants among Dental Interns.
Implant therapy is an elective dental procedure of dental rehabilitative treatment. Objective of this study was to assess the knowledge, awareness, and attitude of dental interns of Nepal toward dental implants and to see associations of the responses with gender and geographic location of dental college. ⋯ A majority of interns have knowledge regarding dental implants, but the percentage of those who gave unsatisfactory answers is also large. They have a positive attitude towards gaining more information through various means.
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JNMA J Nepal Med Assoc · Mar 2018
Prevalence of Internet Addiction and Associated Psychological Co-morbidities among College Students in Bhutan.
Globally 3.5 billion people have access to internet and most of them are young adults and adolescents. In South Asia, Bhutan has the highest proportion of population with internet access at 37% in 2016. Many studies in Asia have reported significantly high level of internet addiction among college going students. In this light, this study was designed to estimate the prevalence of internet addiction and other co-morbidities. ⋯ The prevalence of internet addiction is high among the college going students in Bhutan. This warrants timely interventions to address the problems of internet addiction.
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JNMA J Nepal Med Assoc · Mar 2018
Case ReportsSpinal Anaesthesia for Laparoscopic Cholecystectomy in Parkinson's Disease.
Parkinson's disease, a neurodegenerative disorder, presents with resting tremor, muscle rigidity and bradykinesia. Affecting multiple organ-systems, it's an important cause of peri-operative morbidity. General anaesthesia may deteriorate cardio-pulmonary and neuro-cognitive functions; moreover, medications used may interact with anti-parkinsonian agents. ⋯ Without deterioration, patient was discharged from hospital on third day. Spinal anaesthesia is a valid technique for laparoscopic cholecystectomy in needy patients with multiple peri-operative risks. Keywords: Laparoscopic cholecystectomy; Parkinson's disease; spinal anaesthesia.