Pediatric Dental Emergency Pattern and Dental Care Provided during COVID-19 Pandemic Lockdown at a Tertiary Care Center in Kathmandu, Nepal

Introduction: Pediatric dental management is difficult in its own way which was even more challenging during COVID-19 outbreak and lockdown period. Constrained dental providing clinics and hospitals severely compromised the pediatric dental needs and services. Objective: The aim of this study was to describe pattern of dental emergencies encountered and services provided to the pediatric patients visiting a dental hospital during the first lockdown period in Kathmandu, Nepal. Methods: A cross sectional study was done from 24 March 2020 to 21 July 2020 among the pediatric patients who visited dental hospital during lockdown. Data was collected from questionnaire and dental case history sheet, and statistically analyzed in Statistical Package of Social Sciences (SPSS) version 20. Results: Of the total 172 pediatric patients of mean age 8.3± 2.60 years, majority were males (59.3%) and of 6-12 age group (76.2%). Major complain was mobile/retained teeth (38.4%) and most common diagnosis was exfoliating mobility (23.3%). According to American Dental Association (ADA, 2020) guidelines, urgent dental care (46.5%) followed by non-emergency dental care (43.6%) were mostly found. The predominant procedures were emergency (68.6%) and least was elective (9.3%) and treatment given to majority was extraction (51.8%).There was a statistically significant association between age group and pediatric dental care (ADA). Conclusions: The findings of this study regarding dental emergency encountered and definitive treatment received even during pandemic lockdown can be helpful in finding out how dental care was provided and can be applicable in similar future pandemics.

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Outcomes of flexible fiberoptic laryngoscopy in patients with stridor: a cross-sectional study in a tertiary care pediatric center in Saudi Arabia

Annals of Saudi Medicine ◽

10.5144/0256-4947.2021.216 ◽

2021 ◽

Vol 41 (4) ◽

pp. 216-221

Author(s):

Ghada Alsowailmi ◽

Jaber Alshammari ◽

Abdullah Saud Arafat ◽

Amal Alotaibi ◽

Afnan Alsahli ◽

...

Keyword(s):

Pediatric Patients ◽

Conflicts Of Interest ◽

Laryngopharyngeal Reflux ◽

Care Center ◽

Tertiary Care ◽

Choanal Atresia ◽

Common Finding ◽

Cross Sectional ◽

Adenotonsillar Hypertrophy ◽

Common Diagnosis

BACKGROUND: Successful evaluation of a patient with stridor requires a thorough history and physical examination followed by a flexible fiberoptic laryngoscopy (FFL), which provides visualization of the upper airway. OBJECTIVES: Estimate the prevalence of causes of stridor in children who underwent FFL and compare different age groups. Find any significant associations between symptoms and laryngoscopic findings. Identify patients who needed further evaluation using direct laryngobronchoscopy (DLB). DESIGN: Retrospective, cross-sectional. SETTING: Tertiary care center in Riyadh. PATIENTS AND METHODS: We included all pediatric patients aged 1 month to 14 years who underwent fiberoptic laryngoscopy for stridor evaluation from January 2015 to January 2018 (37 months). Patients older than the age of 14 years, and patients with a workable diagnosis with adenotonsillar hypertrophy, choanal atresia, or laryngotracheo-bronchitis (croup) were excluded. MAIN OUTCOME MEASURES: Findings of FFL. SAMPLE SIZE: 217 pediatric patients. RESULTS: The median (interquartile range) age of the patients was 5 (8) months. Laryngomalacia was the most common diagnosis (n=149, 69%) followed by laryngopharyngeal reflux (n=42, 19%). Subglottic stenosis was the most common finding in patients who underwent DLB for further evaluation (n=19, 49%). Laryngomalacia was more frequent in children ≤12 months of age (83% vs 43% in children >12 months, P <.001). Vocal cord paralysis was more common in children >12 months of age (27% vs 9%, P <.001). FFL was effective in finding the diagnosis in 178 (82%) patients; only 39 (18%) patients needed further assessment using DLB. CONCLUSION: FFL is an effective and important tool for evaluating patients with stridor. LIMITATIONS: Retrospective design and single-centered. CONFLICTS OF INTEREST: None.

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Profile of Paediatric Poisoning at a Tertiary Care Center in Karnataka

International Journal of Applied Sciences and Biotechnology ◽

10.3126/ijasbt.v2i2.10140 ◽

2014 ◽

Vol 2 (2) ◽

pp. 142-145

Author(s):

DK Dnyanesh ◽

Suma Dnyanesh ◽

Roopa Bellad

Keyword(s):

Urban Areas ◽

Care Center ◽

Tertiary Care ◽

Gastric Lavage ◽

Acute Poisoning ◽

Definitive Treatment ◽

Accidental Poisoning ◽

Age Group ◽

Tertiary Care Center ◽

Paediatric Patients

Objectives: To determine the profile and outcome of paediatric patients presenting with poisoning to a tertiary care center in Karnataka. Methods: Retrospectively we studied the PICU records of all the paediatric patients who presented with acute poisoning during the 4-years period from Feb 2010 to Jan 2014. All children aged less than 18 years with a definite history and suspected cases of poisoning were included. Results: 106 patients presented with acute poisoning during the study period. The majority of our patients were in the 0 - 6 year age group. Poisoning in this age group was most common with higher frequency in males, the ratio being 1.2:1. The agents most frequently used were hydrocarbons (43.1%), pyrethrine compounds 15.5%, Organo-Chlorine compounds 12.1%drugs, Organo-Phospherous compounds 12.1%, drugs 1.8%. In 1 - 6 year age group 54.7% cases were accidental in nature, whereas in the 12 - 18 year group 93.3% were suicidal. All patients were symptomatic and needed symptomatic or definitive treatment. 21 patients required mechanical ventilation. Almost 3/4th of patients underwent Gastric lavage. Specific antidote was given to 41 patients. 2 patients of OP poisoning died. Conclusion: Our study concluded that accidental poisoning is common in 0-6 year children, the common substance being used in rural areas was kerosene and in urban areas it was found to be pyrethrin compounds. Lack of awareness of parents regarding appropriate storage of these dangerous household products is the main cause. Measures should be taken to educate the parents and public in order to decrease the poisoning cases. Suicidal cases are increasing in adolescents and precipitating factors like exam fear, exam failure, love failure and parental pressure regarding studies needs counseling of both parents and childrenDOI: http://dx.doi.org/10.3126/ijasbt.v2i2.10140Int J Appl Sci Biotechnol, Vol. 2(2): 142-145

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Metabolic syndrome in alopecia areata: an observational study at a tertiary care center

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20213338 ◽

2021 ◽

Vol 7 (5) ◽

pp. 647

Author(s):

Subrata Kumar Das ◽

Saptadipa Das

Keyword(s):

Metabolic Syndrome ◽

Observational Study ◽

Alopecia Areata ◽

Care Center ◽

Tertiary Care ◽

Age Group ◽

Tertiary Care Center ◽

Cross Sectional ◽

Laboratory Parameters ◽

Number Of Patients

Background: The aim was to evaluate the parameters of metabolic syndrome (MS) in patients of alopecia areata and to investigate the possibility of an existing relationship between MS and alopecia areata (AA).Methods: This cross-sectional observational study included 50 patients with AA who attended OPD of department of dermatology at a tertiary care center during a period of 1 year. Clinical and laboratory parameters were noted in each patient.Results: This study included 50 patients with AA (33 males and 17 females). In the present study maximum number of patients belonged to the age group 20-30 years with 23 patients, followed by 30-40 years with 17 patients. Most of the study subjects, 17 were college students and number of employees were 15. Out of 50 patients 44 had patch(es) and 2 patient had alopecia totalis. In this study out of 50 patients, 38 had mild AA, 7 had AA and 5 patients had severe AA. No significant derangement of clinical and laboratory parameters of MS observed in patients of AA.Conclusions: In the present study we did not observe any significant derangement of clinical and laboratory parameters of MS in patients of alopecia areata.

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PATTERN OF CANCER CASES REGISTERED IN A TERTIARY CARE CENTER IN KATHUA DISTRICT OF J&K: A CROSS SECTIONAL STUDY

10.36106/ijsr/0400712 ◽

2020 ◽

pp. 1-2

Author(s):

Deepak Abrol ◽

Anuj Kapoor ◽

Pawan Kumar

Keyword(s):

Care Center ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Age Group ◽

Important Public Health Problem ◽

Cross Sectional ◽

Medical College ◽

Area Distribution ◽

The Government

Introduction:Cancer is an important public health problem in India, with 10 lakh new cases occurring every year in the year. Cancer pattern varies in different regions and depends on genetic, environmental, dietary, social and other factors. Aim and objectives: This study was undertaken to determine magnitude and pattern of cancer cases reporting in the hospital. Methodology: This was a hospital-based retrospective study undertaken in the Government Medical College Kathua. GMC, Kathua is one among st the ve new medical colleges established in Jammu & Kashmir. The records of cancer patients generated from 1st November 2018 to 1 November 2019 were analyzed. All the cancer cases who reported either for diagnosis in any of the hospital OPD or for the treatment (radiotherapy/ chemotherapy/ surgery) were included. Data was entered in the MS Excel for analysis Results: Out of total 272 patients registered, females accounted for 56.6% and males for 43.3%. Hindu patients were in majority (84.2%). Most of the cases (37.1%) were in the age group 60-80. Pattern of cancer was different in the two sexes. In males, maximum cases were of lung cancer and in females, Ca breast was the most common followed by the cervical cancer Conclusion: This hospital-based study indicates the cancer prole in Kathua district. Females were found to be more affected than that of males with majority of the cases in the late 40s age group. Rural area and urban area distribution was found to be almost similar.

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A Cross Sectional Study to Evaluate Cutaneous Manifestations in Diabetic Patients and their Correlation with Sugar Control at Tertiary Care Center in Western Maharashtra

VIMS Health Science Journal ◽

10.46858/vimshsj.8304 ◽

2021 ◽

Vol 8 (3) ◽

pp. 104-108

Author(s):

Dr. Ashutosh Chate ◽

Dr. Amrut Swami ◽

Ms. Sakshi Rane ◽

Dr. Ramesh Gosavi

Keyword(s):

Skin Diseases ◽

Care Center ◽

Tertiary Care ◽

Diabetic Patients ◽

Age Group ◽

Cross Sectional ◽

Cutaneous Manifestations ◽

Skin Manifestations ◽

Significant Difference ◽

Study Participants

Introduction: Diabetes is a leading chronic disease in world and number of cases are significantly increasing each year in India also. Out of many associated conditions, skin involvement in diabetes also needs to be evaluated. We conducted this study to study relation between the sugar control and skin manifestations in diabetic patients. Methodology: We studied total 100 diabetic patients visiting our dermatology OPD over a period of 1 year from January to December 2020. All skin diseases in diabetic patients were studied. We studied association of these diseases with sugar control in our study participants. Results: Mean age of our study participants was 63.48 ± 18.12 years, Majority of the males were from the age group of 61 and above, 34 (62.96%) while majority of the females were from the age group of 41-60 years 25 (54.35%). Majority of the patients had diabetes for 5-10 years (52%) followed by more than 10 years (36%) and less than 5 years in 24% cases. Out of 100 participants, 44% had controlled diabetes while rest 56% had uncontrolled diabetes with HbA1c > 6. We observed a significant difference in skin manifestations of controlled and uncontrolled sugars in diabetic patients. (p = 0.007). Conclusion: From this study, we conclude that the skin is involved in diabetes quite often. Early diagnosis and treatment of skin manifestations in diabetic patients is important to reduce unwanted morbidity and further complications in the diabetic patients.

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Clinicoepidemiological Profile of Elderly PLHIV Attending a Tertiary Care Center in South India

Journal of the International Association of Providers of AIDS Care (JIAPAC) ◽

10.1177/2325957417742672 ◽

2017 ◽

Vol 16 (6) ◽

pp. 620-623 ◽

Cited By ~ 1

Author(s):

Deepak Madi ◽

Neha Ramakrishnan ◽

Bhaskaran Unnikrishnan ◽

John Ramapuram ◽

Basavaprabhu Achappa ◽

...

Keyword(s):

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

World Health ◽

Hiv Positive ◽

People Living With Hiv ◽

Age Group ◽

Elderly Age ◽

Cross Sectional ◽

Route Of Transmission

Background: Physicians are coming across a considerable number of HIV-positive patients belonging to older age-group, in practice. They pose a challenge as they might present with advanced forms and comorbid conditions. We aimed to describe the clinicoepidemiological profile of elderly people living with HIV. Methodology: We conducted a cross-sectional study at Kasturba Medical College, Mangalore. We analyzed the record of 120 patients from 2009 to 2014. Descriptive statistics were used to describe sociodemographic and clinical profile of patients. Results: Of 786 HIV-positive patients, 120 were elderly. Mean age was 55.9 ± 6.1 years. Majority 68% were male. In all, 63.33% were male. Commonest route of transmission was heterosexual intercourse, most presented at World Health Organization (WHO) stage 1 (64.17%). In all, 77.5% had hypertension and 26.6% had tuberculosis. The median CD4 count at presentation was 245 cells/mm3 (145-426 cells/mm3). Forty-two percent were late presenters (CD4 <200 cells/mm3). Conclusion: Treating physician should have a high index of suspicion in diagnosing HIV among elderly age-group.

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Hypocalcemia in Elderly Population in a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5324 ◽

2020 ◽

Vol 58 (231) ◽

Author(s):

Sangita Thapa ◽

Rabindra Jang Rayamajhi

Keyword(s):

Serum Calcium ◽

Elderly Population ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Age Group ◽

Tertiary Care Center ◽

Sectional Study ◽

Cross Sectional

Introduction: As the medical facilities are improving, the life expectancy is increasing which has led to rapid rise in elderly population. The epidemiology of many diseases in elderly has been modified, including calcium imbalance. This study aims to know the prevalence of hypocalcemia in elderly population visiting a tertiary care center of Kathmandu. Methods: A descriptive cross-sectional study was conducted in a tertiary care center of Kathmandu from March to July 2020 after obtaining ethical clearance (Ref: 2003202007). Total 402 participants at or above 60 years of age groups visiting outpatient departments were included in the study by convenience sampling method excluding those under vitamin D and calcium supplements. Serum total calcium level was measured using standard routine method and corrected with albumin. The serum calcium value less than 8 mg/dl was considered as hypocalcemia in accordance with the reference range of our laboratory. Data analysis for calculation of frequency and proportion was done in Statistical Package of Social Sciences. Results: The prevalence of hypocalcaemia in elderly was found to be 97 (24.1%). Out of 286 participants of age group 60-74 years, hypocalcemia was seen in 75 (26.2%) and among 116 participants of age group >74 years, 22 (19%) were hypocalcemic. Among 181 male participants, 44 (24.3%) had hypocalcemia and out of 221 female participants, 53 (24%) had hypocalcemia. Conclusions: The finding of present study suggests that hypocalcemia is common among elderly which can be life threatening. Therefore, regular monitoring of serum calcium is recommended for this age group.

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Prevalence of Dental Caries, Periodontal Diseases, and Periapical Pathoses among Patients attending a Tertiary Dental Care Center in Central Gujarat: A Hospital-based Cross-sectional Study

International Journal of Experimental Dental Science ◽

10.5005/jp-journals-10029-1132 ◽

2016 ◽

Vol 5 (2) ◽

pp. 89-92

Author(s):

Manjiri Joshi ◽

Mansi Tailor ◽

Ajay Pala

Keyword(s):

Dental Caries ◽

Dental Care ◽

Periodontal Diseases ◽

Care Center ◽

Standard Procedure ◽

Cross Sectional Study ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Oral Infections

ABSTRACT Introduction Dental caries and periodontal disease are the two globally leading oral infections. There is considerable variation in the prevalence of these diseases. Also, these may lead to various periapical pathoses like periapical abscess, cysts, and so on. These may be attributed to differences in age, gender, sample size, geographical distribution, and protocol followed for diagnosis. Objectives To estimate the prevalence of dental caries, gingivitis/periodontitis, and periapical pathoses in patients of all ages in a dental institute in central Gujarat. Materials and methods After obtaining approval from the Institutional Ethics Committee, a hospital-based cross-sectional study was carried out in a dental institute of central Gujarat. A total of 4,642 patients were screened, out of which 2,849 subjects were included in the present study. Intraoral examination was done under all aseptic conditions by using a diagnostic set of instruments by trained professionals and the status of the pathology recorded according to the standard procedure. Data were stored in an Excel spreadsheet for analysis. Results It was observed that dental caries/pulp pathoses were more prevalent in the younger age group with mean age 23.1 years. All the other pathoses were observed among the middle age group (above 35 years). Overall prevalence of dental caries/pulp pathoses, gingivitis/periodontitis, and periapical pathoses was observed in 54.8% of males as compared to 45.2% females. Conclusion The current study collected significant data for the prevalence of three different odontogenic oral lesions in the central Gujarat geographical location at a tertiary level. There is male preponderance in the prevalence of these diseases in general. There is a need to generate awareness about oral health and the prevention of dental caries and gingivitis/periodontitis and to institute measures for the provision of dental care services at the primary level. How to cite this article Joshi M, Tailor M, Pala A. Prevalence of Dental Caries, Periodontal Diseases, and Periapical Pathoses among Patients attending a Tertiary Dental Care Center in Central Gujarat: A Hospital-based Cross-sectional Study. Int J Experiment Dent Sci 2016;5(2):89-92.

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A Cross-Sectional Study of Clinical and Immunological Profile of SLE Patients from a Tertiary Care Center in the Sub Himalayan Region of Northern India

Galore International Journal of Health Sciences and Research ◽

10.52403/gijhsr.20210709 ◽

2021 ◽

Vol 6 (3) ◽

pp. 57-61

Author(s):

Varun Jaswal ◽

Jitender K Mokta ◽

Vivek Chauhan

Keyword(s):

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Reproductive Age ◽

Age Group ◽

Tertiary Care Center ◽

Cross Sectional ◽

Northern India ◽

Immunological Profile ◽

Reproductive Age Group

Introduction: Systemic Lupus Erythematosus (SLE) is a disease of thousand faces whose manifestations vary with the interplay of genetic, ethnic, and host factors along with environmental exposures and geographical conditions. Since the first case of SLE reported in India in 1955, many case series have been published from various centers depicting Clinical and Immunological features in the Indian population. This study was undertaken to study the clinical and immunological profile in a tertiary care center in the sub-Himalayan region of northern India. Materials and Methods: This study is a cross-sectional retrospective study conducted at a tertiary care center in the hilly northern state of Himachal Pradesh over a period of 1 year; from 1st June 2017 to 31st May 2018. The records of all patients admitted in the study period with the department of medicine and diagnosed with SLICC 2012 classification criteria were studied to abstract the Clinical and Immunological profile of patients. Results: A total of sixty-nine patients were included in the study. 96% of the subjects were female patients, and 84 % of the patients were in the reproductive age group of 20 – 40 years. Mucocutaneous manifestations were most commonly seen in nearly 89 % of patients followed by musculoskeletal involvement in about 71 %. Hematological involvement was more frequent than reported in the literature. Lupus Nephritis was diagnosed in about 30 % of the patients. Fatigue and synovitis were the most common features, followed by oral ulcers and Acute cutaneous lupus. ANA and ds DNA positivity was 98.5 and 72.4 % respectively. Six cases of MCTD were d=found in the study group. Conclusion: In hospitalized SLE patients admitted in a tertiary care center of the northern hilly state, females of reproductive age group constituted the majority of patients. Mucocutaneous, Musculoskeletal, hematological, and renal involvement was most prevalent. Keywords: SLE, cross-sectional study, Mucocutaneous involvement, Renal Biopsy, Hilly area.

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Metabolic syndrome in skin tags: a hospital based observational study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20213348 ◽

2021 ◽

Vol 7 (5) ◽

pp. 708

Author(s):

Subrata Kumar Das ◽

Saptadipa Das

Keyword(s):

Metabolic Syndrome ◽

Observational Study ◽

Care Center ◽

Tertiary Care ◽

Age Group ◽

Adult Treatment Panel ◽

Cross Sectional ◽

Laboratory Parameters ◽

Number Of Patients ◽

Skin Tags

Background: The aim was to evaluate the parameters of metabolic syndrome in patients of skin tags and to investigate the possibility of an existing relationship between metabolic syndrome and skin tags.Methods: This cross-sectional observational study included 47 patients with skin tags attended Outpatient department (OPD) of Department of Dermatology at a tertiary care center during a period of 1 year. Clinical and laboratory parameters were noted in each patient.Results: This study included 47 patients with skin tags (28 males and 19 females). In the present study maximum number of patients belonged to the age group >40 years with 19 patients, followed by 30-40 years with 13 patient. In this study no. of students were 15, and no of employee were 11. Most patients had skin tags in more than one area, neck and axilla were involved in 9 patients each. In this study out of 47 patients. 11 patients had derangement of clinical and laboratory parameters of metabolic syndrome based on NCEP adult treatment panel III.Conclusions: In the present study we observed significant derangement of clinical and laboratory parameters of metabolic syndrome in patients of skin tags.

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