No abstract

Globally, telepsychiatry has been around since the 1950s. It is in the COVID era that it has gained the relevance and much-needed momentum amongst mental health care professionals. Given the restrictions imposed by the global lockdown owing to the fear of contracting the virus, the ease of access and safety offered by telepsychiatry makes it both appealing and “the new normal.” Despite some hesitation from mental health professionals, there is adequate research to support the role of telehealth services in the management of various mental health disorders. As with any formal system, the practice of telepsychiatry is regulated by professional guidelines to show the way forward to both health provider and seeker. The manuscript examines the ways telepsychiatry is redefining our virtual conduct. It emphasizes the evolving “netiquette” needed to navigate online consultations. It also elucidates the challenges faced by health professionals, and possible ways of maneuvering and circumventing the same. Telepsychiatry, a dynamic process which is interactive and personalized, adds a third dimension to the practice of modern medicine. It is here to stay. So, it is not a question of “if” instead “how soon” we can adapt to and get conversant with this revolutionary mode of connection, communication, and consultation, which will make all the difference.

Aim: The purpose of this study is to determine the facial anatomic landmarks closest to the midline of the face as well as midline of the mouth in Dakshina Kannada population. Materials and methods: Three commonly used anatomic landmarks, nasion, tip of the nose, and tip of the philtrum were marked clinically on 250 subjects (age range: 20-35 years) who met all the inclusion criteria. Frontal full-face digital images of the subjects in smile were then made under standardized conditions. Upon applying the exclusion criteria, all the 250 images were used for midline analysis using a computer-assisted technique. Deviations from the midlines of the face and mouth were measured for the three clinical landmarks marked; the existing dental midline was considered as the fourth landmark. The entire process of midline analysis was done by a single observer. One sample t tests were conducted at an α value of 0.001. Results: The results indicated that each of the four landmarks deviated uniquely and significantly (p < 0.001) from the midlines of the face as well as the mouth. Conclusion: The anatomic landmarks closest to the midline of the face in smile are as follows: The midline of the oral commissures, natural dental midline, tip of philtrum, tip of the nose, and nasion. The anatomic landmarks closest to the midline of the oral commissures were natural dental midline, tip of philtrum, tip of the nose, and nasion.

Introduction: Every child who enters the dental clinic is different. Some of them are anxious, some are scared, some are angry, and some are confused. Rarely, children exhibit a positive behaviour, most of them being uncooperative. The child’s behaviour in turn influences the efficiency and outcome of the dental treatment. Aim: To assess parents or caregivers’ acceptance of various Behaviour Management Techniques (BMT) through direct observation and feedback received. materials and methods: A cross-sectional study was planned to assess the most preferred BMT. The study was conducted from November 1st, 2018 to October 31st, 2019 for a period of one year. Parents of children between the ages of four to nine years were included in the study using non random convenience sampling with 675 participants. Every parent was given an explanation about the study and briefed about nine major BMTs in regional language. Audiovisual aid for each technique in their own mother tongue was displayed via a projector and sound systems and parents were asked to watch it. Later they were given a Visual Analog Scale (VAS) of 10 mm length with markings, printed on a sheet of paper to assess the preference for each technique. Collected data was entered in an excel sheet and analysis was done using median test. Results: The results showed that 32.4% i.e., the highest percentage of people opted for Tell Show Do (TSD), indicating that TSD is the best BMT. Professional status of parent showed a significant impact on BMT selection. Conclusion: This study reveals that amongst all the behaviour management methods, ‘Tell-Show-Do’ was the most accepted BMT by the parents and the professional background of the parent has a statistically significant role in the selection of BMT.