scholarly journals Partial Edentulism in Patients Visiting the Dental Out-Patient Department at the Tertiary Care Centre in the Eastern Part of Nepal

2018 ◽  
Vol 1 (1) ◽  
pp. 33-37
Author(s):  
Pragya Shrestha ◽  
T. Bhagat
Keyword(s):  
Dental Caries ◽  
Tooth Loss ◽  
Tertiary Care ◽  
Permanent Tooth ◽  
Study Data ◽  
Common Type ◽  
Age Group ◽  
Class Iii ◽  
Tertiary Care Centre ◽  
Study Population

Introduction: Partial edentulism is an irreversible condition resulting from various dental diseases like dental caries and periodontal lesions. Loss of teeth produces deleterious effects on masticatory function, phonetics, facial appearance and comfort of the patients. If not restored on time, it can lead to pathological changes in vertical dimension, occlusion and temporomandibular joint. Methods: This study was conducted in the department of Prosthodontics, CODS, BPKIHS from September 2015 to March 2016. All patients above the age of 14 years presenting with partial loss of dentition and willing to give informed consent were included in the study. Data regarding age, gender, missing teeth, cause of permanent tooth loss and age of first permanent tooth loss were collected from 750 patients. Results: Dental caries was the major cause of tooth loss accounting for 60.5% of the study population followed by periodontal disease (14.0%) and trauma (11.9%). First permanent tooth loss was highest in the age group of 35-44 years (22.9%). The most common type of partial edentulism was found to be Kennedy’s class III followed by class IV, class I and class II in both the arches. Conclusions: The most common cause of permanent tooth loss was dental caries in the study population. The first permanent tooth loss was found to be highest in age group 35-44 years. The most common type of partial edentulism was the Kennedy's class III in both the arches.  

scholarly journals Profile of animal bite cases at immune prophylaxis clinic, tertiary care centre

2017 ◽  
Vol 4 (7) ◽  
pp. 2587
Author(s):  
Jyoti Dattaramji Bhise ◽  
Swati Dattaramji Bhise
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Age Group ◽  
Care Centre ◽  
Class Iii ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
First Case ◽  
Rabies Control ◽  
Study Population

Background: Animal bite, one of the common causes of physical injuries in spite of a long standing nature of the dog bite problem and the presence of effective intervention strategies for rabies control, it continues to pose a major public health challenge to program planners. So the present study is conducted to study Profile of animal-bite cases at immuno-prophylaxis clinic, at tertiary care centre.Methods: The present study was an observational cross-sectional study carried out at immune prophylaxis clinic of tertiary care centre, from 1st January 2013 to 31st December, 2013. All the registered cases of animal bite attending immune-prophylaxis clinic, which are ready to participate in the study were included as study population. The method used was systematic random sampling. First case was selected randomly using lottery method and then every fifth case reporting to immune prophylaxis clinic was taken in the study group. Total 3504 cases of animal bite were reported during the study period. 20% of these i.e. 700 cases of animal bite were included in the study.Results: Out of 700 study subjects, highest number of bites occurred in the age group 21-30 years i.e. 155 (22.1%). Maximum study subjects 471 (67.3%) were from urban area and 53% of bites occurred during daytime. Maximum cases were the class-III bite i.e. 600 (85.7%).Conclusions: Maximum number of bites seen among 21-30 years of age group predominantly seen among male study subjects. 49.6% study subjects were bitten by pet animals and 47.6% were bitten by stray animals. Dog was the principle animal responsible for the bite of study subjects. 85.7% of study subjects were of class III bite among them 75% study subjects had reported to hospitals within 24 hours. Severe the degree of exposure, earlier was reporting to the hospital was statistically significant.

scholarly journals Partial Edentulousness in Patients Visiting the Dental Out-Patient Department of Gandaki Medical College, Pokhara, Nepal

2019 ◽  
Vol 12 (2) ◽  
pp. 28-31
Author(s):  
A. Bhandari ◽  
A. Manandhar ◽  
P. Manandhar
Keyword(s):  
Dental Caries ◽  
Tooth Loss ◽  
Permanent Tooth ◽  
Common Type ◽  
Class Iii ◽  
Dental Surgery ◽  
Common Cause ◽  
Mandibular Arch ◽  
Medical College ◽  
Maxillary Arch

 Introduction: Partial edentulousness is a dental arch in which one or more but not all natural teeth are missing due to dental caries, periodontal problems, trauma etc. It causes difficulty in chewing food, alteration of speech and unpleasant esthetics which adversely affect the general health and quality of life. Methods: This study was conducted in the Department of Prosthodontics, College of Dental Surgery, Gandaki Medical College, Pokhara from November 2017 to March 2018. All patients above the age of 15 years presenting with partial loss of dentition and willing to give informed consent were included in the study. Data regarding age, gender, missing teeth, cause of permanent tooth loss and denture status were collected from 342 patients. Results: The most common cause of permanent tooth loss was dental caries (58.2%) followed by periodontal (18.1%), dental caries and periodontal (9.4%), trauma (7.9%), dental caries and trauma (2.9%), periodontal and trauma (2.3%) and others (1.2%).The distribution of partially edentulous areas in maxillary arch (35.7%), mandibular arch (45.9%) and both arches (18.4%).The most common type of partial edentulism was found to be Kennedy’s class III followed by class II, class I and class IV in both the arches. Conclusion: The most common cause of permanent tooth loss was dental caries. Mandibular arch was more affected than the maxillary arch. The most common type of partial edentulism was Kennedy’s class III.

scholarly journals CLINICAL PROFILE OF INTUSSUSCEPTION IN CHILDREN ADMITTED TO A TERTIARY CARE CENTRE IN KERALA

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Neethu Jose ◽  
Aparna Namboodiripad ◽  
Regi George A N
Keyword(s):  
Tertiary Care ◽  
Spontaneous Resolution ◽  
Reduction Technique ◽  
Clinical Profile ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Hydrostatic Reduction ◽  
Duration Of Hospital Stay ◽  
Study Population

Background and objectives: Intussusception is the commonest cause of bowel obstruction and is one of the common abdominal emergencies in children younger than 2 years of age.The objective of the study was to assess the clinical profile of intussusception in children and the management and the outcome  and  to assess whether the characteristics mentioned in clinical profile are predictive of subsequent management and outcome of the disease. Methods: A hospital based descriptive study conducted in a tertiary care centre in Kerala, using purposive sampling technique. 120 children admitted with diagnosis of intussusception   fulfilling inclusion criteria and whose parents consented for study were included in the study population, during the study period from November 2018 to June 2020. Detailed history, clinical examination including per rectal examination  and USG was done to make diagnosis of intussusception in suspected cases. Follow up is done at 72 hours,1 week after the admission and 1month later. To assess the clinical profile and outcome of patients, frequency and percentage is used. To obtain the association of clinical profile with outcome chi square test is applied. Results: Outcome of the problem was correlated with age, sex, symptoms, risk factors sonological findings treatment protocol and duration of hospital stay. Out of the 120 children in study population, majority were males(65.8%) with male to female ratio 1.9:1 and majority was in the age group 7- 12 months, which is similar to many other similar studies. Maximum number of cases were in the month of February(14.2%) and November(15%).  Majority of the patients(57.5%) presented to healthcare facility within 24 hours of onset of first symptom.Irritability was the most common clinical symptom(62.5%) followed by vomiting(58.3%) and abdominal pain(49.2%). Ileocolic intussusception (96.7%) was the commonest type. Majority of the cases could be managed with hydrostatic saline reduction(73.3%) and significantly lesser number of patient went for surgical intervention(7.5%) and spontaneous resolution(19.2%). Conclusions: Incidence of intussusception is more common among males and more in the 7-12 month age group.  Majority of the cases presented to health care facility within 24 hours of onset of symptom and could be managed with hydrostatic reduction technique and had a shorter duration of hospital stay compared to surgical reduction technique. Even recurrent cases could be managed with hydrostatic saline reduction. Keywords: Intussusception;  Intestinal obstruction;  Hydrostatic reduction; Spontaneous resolution

scholarly journals Study of social and demographic determinants of severe acute malnutrition in children aged 6-59 months in a tertiary care centre of Odisha, India

2018 ◽  
Vol 6 (1) ◽  
pp. 46
Author(s):  
Pravati Jena ◽  
Soumini Rath ◽  
Manas Kumar Nayak ◽  
Diptirekha Satapathy
Keyword(s):  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Health Care Services ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Acute Malnutrition ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Study Population

Background: The objective is to study the various social and demographic determinants of severe acute malnutrition in children aged 6 months to 59 months in a tertiary care centre of Odisha, India.Methods: This is a hospital based prospective observational study done in a tertiary care centre of Odisha during the period of Nov 2015 to Oct 2017 in which all children with severe acute malnutrition as per WHO criteria in the age group 6 months to 59 months were enrolled and their socioeconomic and demographic details were evaluated.Results: Present study revealed a prevalence of severe acute malnutrition as 2.8%. Males (54.2%) were more affected than females (45.8%). Most common age group affected was 6-12 months (37.4%). Most of the children were from low socioeconomic status (96.4%) and from rural areas (84.8%).63.7% of the study population were unimmunised. Only 12.6% of the participants were exclusively  breast fed.100% of the children in the study population received top feeding with cow’s milk.Conclusions: The prevalence of malnutrition is high in Odisha but most of the causative factors are preventable. Adequate education regarding exclusive breastfeeding, complementary feeding, immunisation, promotion of proper referral and health care services can help to improve nutritional status in the state of Odisha.

scholarly journals Demographic profile of subjects undergoing tympanoplasty in a tertiary care centre of Punjab: analysis of 60 cases

2020 ◽  
Vol 7 (7) ◽  
pp. 2613
Author(s):  
Manish Munjal ◽  
Gopika Talwar ◽  
Shubham Munjal ◽  
Tulika Saggar
Keyword(s):  
Gender Discrimination ◽  
Elective Surgery ◽  
Tertiary Care ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Medical College ◽  
Minimum Age ◽  
Study Population ◽  
Male Patients

Background: Different tympano meatal vascularised flaps were compared in the tympanoplastic surgery in chronic suppurative otitis media.Methods: 60 cases with diagnosis of chronic suppurative otitis media were selected from ENT OPD of Dayanand Medical College and Hospital Ludhiana. 6 types of tympanomeatal flaps were used and 10 cases of each flap were taken. The study was conducted for the period of 1 year from June 2015 to August 2016.Results: Maximum numbers of patients were in the age group of 31-40 years (26.7%), followed by age group of >50 years (23.3%). Minimum age among these patients was 11 years and maximum 65 years. Mean age was 36.67. Graft failure was in 2 patients, 1 lies under age group 31-40 years and other was in more than 50yrs group. Female patients constituted 56.7% and male patients were 43.3% in our study population. Graft uptake was 93% in females and 100% in males. In our study on 60 patients, 41 (68.3%) patients had a rural and 19 (31.7%) an urban background.Conclusions: Age does not affect the results of tympanoplasty, whatever flap maybe utilised. Awareness in rural population regarding reconstructive ear surgery is there nowadays though there is still gender discrimination, with less number of ladies opting for this elective surgery.

scholarly journals A clinico-epidemiological study of polymorphic light eruption in a tertiary care centre in Salem: a region of South India

2017 ◽  
Vol 3 (1) ◽  
pp. 113
Author(s):  
Eby Chacko ◽  
Seethalakshmi Ganga Vellaisamy ◽  
Kannan Gopalan ◽  
Govindarajan Nanjappachetty
Keyword(s):  
Tertiary Care ◽  
Positive Family History ◽  
Study Data ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Polymorphic Light Eruption ◽  
Plaque Type ◽  
History Of ◽  
Study Population ◽  
Symptoms And Signs

<p><strong> </strong><strong>Introduction: </strong>Polymorphic light eruption (PMLE) is an acquired photodermatosis characterized by a polymorphic eruption ranging from papulovesicular lesions to large plaques. The prevalence of PMLE varies from 5% to 15% in various studies across the world and<strong> </strong>in India it is 0.56%.</p><p><strong>Objective: </strong>The present study was conducted to study the clinical pattern and to assess the epidemiological aspects of polymorphic light eruption.</p><p><strong>Material and Method: </strong>A cross sectional prospective study was conducted in Dermatology OPD between April 2015 and June 2016. A total of 100 patients with symptoms and signs of PMLE were included in the study. Data were coded and analyzed.</p><p><strong>Results:</strong> Majority of the cases in our study were in the age group of 21 - 30 years (36%). It was more common in females (82%) when compared with males (18%). Occupation of most of the patients (29%) was farmers in our study population. Positive family history of PMLE was seen in 11% of the study population. The commonest form was the papular type (46%) and the second most common type was plaque type (17%). Regarding the distribution of lesions, about  51%  of  our study subjects had polymorphic lesions confined to only one area of their body mostly forearm (25%) followed by face (12%).</p><p><strong>Conclusion:</strong> The prevalence of PMLE was 1.34% in our study population. Pruritus was the presenting complaint in most of the cases and the rash was mainly seen in areas exposed to sunlight.</p>

scholarly journals Prevalence and treatment needs of dental caries in school-going children attending dental outpatient department of a tertiary care centre in western region of Nepal

2012 ◽  
Vol 1 (2) ◽  
pp. 115-118 ◽  
Author(s):  
RB Adhikari ◽  
N Malla ◽  
PS Bhandari
Keyword(s):  
Dental Caries ◽  
Tertiary Care ◽  
Age Groups ◽  
Permanent Teeth ◽  
Age Group ◽  
Treatment Needs ◽  
Tertiary Care Centre ◽  
Dental Surgery ◽  
Group 5 ◽  
Health Organization

Background: Dental caries is one of the commonest oral problems affecting children globally involving the people of all region and society. It can be seen in all age groups of children involving both deciduous and permanent teeth. Treatment of dental caries involves restorative or pulp therapy which is not only expensive but also painful and demanding for the child. Considering these factors prevention of caries seems to be the most acceptable and desirable option. Methods: A descriptive study was conducted on department of Dental Surgery, Manipal teaching Hospital, Fulbari, Pokhara. Total of 3174 school going children attending Dentaloutpatient department, from 1st January 2008 to 31st December 2009, from the age group of 5-14 years were included in the study.Assessment was carried out usingWorld Health Organization (1997) criteria.Data was compiled and subjected to analysis using SPSS version 12.0. Results: Prevalence of Dental caries in study population was found to be 47.1%. Caries prevalence in the age group 5-7, 8-10 and 11-14 years were 20.7%, 48.2% and 52.46% respectively. Mean Decayed missing and filled teeth (DMFT) in the age group 5-7, 8-10 and 11-14 years were 1.96, 2.43 and 1.84 respectively. The treatment requirement in age groups of 5-7years, 8-10 years and 11-14 years children were 87.2%, 85.3% and 71.4% respectively.Most cases required single surface filling. Conclusion: The prevalence of dental caries was highest in age group of 11-14 years; mean DMFT was highest in age group of 8-10 years and the treatment need was highest in age group of 5-7 years. DOI: http://dx.doi.org/10.3126/njms.v1i2.6611 Nepal Journal of Medical Sciences. 2012;1(2): 115-8

scholarly journals An analysis of endometrial bleeding patterns in perimenopausal women

2017 ◽  
Vol 6 (7) ◽  
pp. 2776
Author(s):  
Mukhopadhyay Indrani ◽  
Rao P. S. ◽  
Nataraj S. ◽  
Manash Biswas
Keyword(s):  
Clinical Diagnosis ◽  
Tertiary Care ◽  
Abnormal Uterine Bleeding ◽  
Armed Forces ◽  
Uterine Bleeding ◽  
Age Group ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Menstrual Irregularities ◽  
Study Population

Background: Perimenopause is the period surrounding menopause characterized by ovulatory dysfunction and menstrual irregularities. Taking into consideration the importance of perimenopause and its consequences, we decided to study this topic in order to know the different menstrual irregularities in relation to age, the spectrum of endometrial histopathology, in relation to various gynaecological conditions as per the PALMCOEIN classification of AUB.Methods: The study population comprised of 100 women in the age group of 40- 59 years who reported to our tertiary care centre of Armed Forces for evaluation of abnormal uterine bleeding. The study was a community based cross - sectional descriptive study. Patients were examined, using one of the three techniques – Dilatation and curettage, suction aspiration and hysteroscopy and endometrial biopsy.Results: Out of the 100 women evaluated for perimenopausal bleeding, heavy menstrual bleeding was the commonest in 53% cases. The maximum no. of cases was in 40-44-year age group (57.44 %). The clinical diagnosis of fibroid uterus was found in 45% cases, AUB (O) in 36% cases, AUB (Polyp) in 8% cases, AUB (Adenomyosis) in 9% cases and AUB (Malignancy) in 2% cases. On endometrial curettage, proliferative type of endometrium was found in 43% cases, secretory type in 18% cases and hyperplasia was found in 37% cases. Out of 2 cases of atypical hyperplasia 1 case each (50%) was found in the age group of 50-54 years and 55-59 years, respectively.Conclusions: In the present study, there was good correlation between abnormal uterine bleeding, clinical diagnosis and histopathological findings.

scholarly journals Detection and Enumeration of the Commonest Stool Parasites Seen in a Tertiary Care Center in South India

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Vani Chandrashekar
Keyword(s):  
Entamoeba Histolytica ◽  
South India ◽  
Care Center ◽  
Tertiary Care ◽  
Age Group ◽  
Tertiary Care Center ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Stool Samples

The aim of this study was to identify common stool parasites in patients attending a tertiary care centre in South India. We evaluated 2355 stool samples and parasites were detected in 7.9% of samples. 41.1% of our patients were in the 45–58-year age group. Protozoal infections were the commonest seen in 7.8% of samples. Entamoeba histolytica was the commonest protozoa (4.6%) followed by Entamoeba coli (1.2%) and Giardia (0.8%). Entamoeba histolytica and Entamoeba coli were together seen in 0.63%, and they were the commonest organisms seen in samples with multiple-organism infection. Both were equally detected in diarrheal samples.

scholarly journals Pattern of Ear Diseases among Paediatric ENT Patient: An Experience from Tertiary Care Centre, Pokhara, Nepal

2012 ◽  
Vol 32 (2) ◽  
pp. 142-145 ◽  
Author(s):  
B Sigdel ◽  
R Nepali
Keyword(s):  
Tertiary Care ◽  
Age Group ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Suppurative Otitis Media ◽  
Ear Diseases ◽  
Paediatric Age ◽  
One Year ◽  
A Prospective Study ◽  
Nose And Throat

Introduction: Ear diseases are common in children mainly due to altered anatomy of Eustachian tube which is straighter in children as compared to that in adults. However, the cause of hearing loss in children is more varied, including the etiologies. This study was done to find out the pattern of ear diseases in paediatric age group attending ear, nose and throat OPD in a tertiary care centre in Pokhara, Nepal. Materials and Methods: This is a prospective study done in paediatric patients attending ENT OPD over a period of one year from January 2010 to January 2011. The diagnoses were made on the basis of history and clinical examination. Results were expressed in numbers and percentages. Results: Out of 1632 Pediatric ENT patients, 944 had ear diseases, 59.2% were males and 40.8% females. Wax (33.4%) was the commonest diagnosis followed by Chronic suppurative otitis media (24.3%) and Acute ottitis media (13%). Conclusion: Ear diseases are most common condition in ENT OPD among paediatric age group. Wax, CSOM and ASOM were the three most common ear diseases. J. Nepal Paediatr. Soc. 32(2) 2012 142-145 doi: http://dx.doi.org/10.3126/jnps.v32i2.5673

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