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Small for you to long term outcomes of 154 documented full cool arthroplasties throughout ankylosing spondylitis.
Upper gastrointestinal bleeding is a common acute medical emergency. Endoscopy is the gold standard diagnostic and therapeutic tool in the management of upper gastrointestinal bleed. This study was undertaken to address the clinical profile, endoscopic profile, and outcomes in patients with upper gastrointestinal bleed.

A descriptive cross-sectional study was conducted in a tertiary care teaching hospital in Gandaki Province, Nepal from January 2018 to December 2019 after obtaining ethical clearance from Institutional Review Committee (MEMG/IRC/291/GA) and informed consent from the patient or patient relatives. The sample size was calculated. Six hundred and sixty patients with upper gastrointestinal bleed were included in the study. Data entry was done in Statistical Packages for the Social Sciences version 20.

Peptic ulcers and ruptured oesophageal varices are the common aetiologies of upper gastrointestinal bleed. Inpatient mortality was seen in 98 (14.8 %) patients. Upper gastrointestinal bleed of variceal etiology presents with a higher Rockall score and has more chances of rebleeding and has higher mortality than those with non-variceal aetiologies. Bad prognostic factors were rebleeding, variceal etiology, and comorbidities including cirrhotic and Rockall score > 6.

Upper gastrointestinal bleeding is a common acute medical emergency. Early upper gastrointestinal endoscopy preferably within 24 hours is recommended for diagnosis, timely intervention, and management of the patients with an upper gastrointestinal bleed that helps in reducing morbidity and mortality.
Upper gastrointestinal bleeding is a common acute medical emergency. Early upper gastrointestinal endoscopy preferably within 24 hours is recommended for diagnosis, timely intervention, and management of the patients with an upper gastrointestinal bleed that helps in reducing morbidity and mortality.
Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome refers to biological syndrome occurring in pre-eclamptic and eclamptic women. There is a higher rate of maternal and perinatal morbidity and mortality due to the syndrome. So, the objective of the study is to find the prevalence and maternal- perinatal outcome in the syndrome.

A descriptive cross-sectional study was done in a tertiary care hospital from 1st April 2017 to 30th March 2018 after obtaining ethical clearance from the Institutional Review Committee. The inclusion criteria were patients giving consent for participation and those who delivered in our hospital. Patient with the syndrome who delivered outside and referred in the postpartum period was excluded because details of the neonate may not be available. The Statistical Package for Social Sciences version 21 was used for the analysis of the data. Point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data.

Out of 11974 deliveries, the prevalence of Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome was 83 (0.69%) at 95% Confidence Interval (59.06-78.94). Maternal complications were seen in 19 (22.9%) and common complications being acute renal failure 9 (47.37%) followed by postpartum hemorrhage 4 (21.05%). Nearly 27 (33%) of patients required maternal ICU stay and there was one maternal mortality.

Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome is one of the major causes of maternal and perinatal morbidity and mortality. Hence early recognition and prompt management may improve maternal and fetal outcomes.
Hemolysis, Elevated Liver Enzymes, Low Platelet count syndrome is one of the major causes of maternal and perinatal morbidity and mortality. Hence early recognition and prompt management may improve maternal and fetal outcomes.
Fixed orthodontic procedures such as separator placement, archwire placement and activations, application of orthopaedic forces, and debonding of brackets produce pain in patients. This study was conducted to assess pain and oral health-related quality of life among patients undergoing orthodontic treatment.

This descriptive cross-sectional study was conducted among 152 orthodontic patients of a teritary care center from January 2019 to October 2019 after receiving ethical approval from the Institutional Review Committee (Ref. no. 2311201813). Convenience sampling method was done to select the participants. Oral health-related quality of life using "Oral Health Impact Profile-14" and pain experienced during the first month of fixed orthodontic treatment were assessed. Data analysis for calculation of frequency and proportion was done in Statistical Package of Social Sciences.

Mean pain score of the study participants was 5.05±2.07 and their mean oral health impact was 12.71±7.27. Most of the study participants 86 (56.58%), had experienced moderate pain due to orthodontic treatment. Out of the reported impacts, 134 (88.2%) had painful aching in mouth and 127 (83.6%) had difficulty during eating. Least impact was seen in alteration of taste 35 (23%).

The pain intensity experienced by patients was variable. Most participants had moderate pain but few patients perceived no pain at all. The participants had at least one or other oral health impacts due to fixed orthodontic treatment. Orthodontists should counsel the patients regarding possible discomfort so that there is no discontinuation of treatment due to pain.
The pain intensity experienced by patients was variable. Most participants had moderate pain but few patients perceived no pain at all. The participants had at least one or other oral health impacts due to fixed orthodontic treatment. Orthodontists should counsel the patients regarding possible discomfort so that there is no discontinuation of treatment due to pain.
The knowledge of anterior tooth width and their relationships with each other is essential for any esthetic and prosthodontic rehabilitation. The objective of this study is to measure the width of the anterior teeth of patients coming to a teritary hospital of Nepal.

This descriptive cross-sectional study was conducted at a tertiary care hospital from 30th September 2019 to 30th October 2019 after receiving ethical clearance from the institutional review committee (reference number 2076/77/20). Fluoxetine price Convenient sampling was done. Point estimate at 99% Confidence Interval was calculated along with frequency and proportion for binary data. Data analysis was done in Statistical Package for the Social Sciences version 21.

Out of the 40 participants, the mean width of right and left side of anterior teeth of the maxillary central incisors were 8.62±0.62 mm and 8.65±0.55 mm; maxillary lateral incisors were 6.97±0.74 mm and 7.11±0.78 mm; maxillary canine were 7.81±0.69 mm and 8.15±0.72 mm; mandibular central incisors were 5.
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