General Awareness and Acceptance of Dental Implants in Patients Attending A Tertiary Care Hospital

acceptance of dental implants in patients attending a tertiary care hospital.Methods: It was a cross sectional study conducted in Fatima Memorial Hospital, Lahore from March 2018 to August 2018. Study was conducted after the ethical approval from Institutional Review Board of Fatima Memorial Hospital. A total of three hundred and three patients attending a tertiary care hospital were given the questionnaire after an informed consent including 20questions regarding general awareness of dental implants and the level of acceptance in patients. The data was summarized and analyzed on Statistical package for social sciences (SPSS) version 23.0. Appropriate Descriptive inferential statistics wereperformed.Results: Amongst 303 patients 142(47%) were males and 161(53%) were females with an age range of 18 to 64 years. Majority of study respondents were undergraduate: 166(54.8%) followed by graduate: 102(33.7%). Among our patients 188(62%) were aware of dental implant and main source of information regarding dental implant was their dentist 126(57.8%) followed by internet search 33(15.1%). The patients who were willing for dental implant treatment were 128(42.2%) while the majorhindrance for not opting a dental implant treatment was high cost of the treatment.Conclusion: The patients attending a tertiary care hospital have moderate level of awareness regarding dental implants.Awareness was higher specifically in people who were more educated and belonging to a younger age group. Creating moreawareness amongst patients regarding the pros and cons of dental implants can help in eliminating any negative image of the treatment.

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Abnormal Fetal Echocardiography in Diabetic Pregnant Women at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5178 ◽

2020 ◽

Vol 58 (227) ◽

Author(s):

Jyotshna Sharma ◽

Sanjeeb Tiwari

Keyword(s):

Gestational Diabetes ◽

Pregnant Women ◽

Tertiary Care Hospital ◽

Fetal Echocardiography ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Institutional Review

Introduction: The sedentary lifestyle of women and change in their food habits has a significantrole in developing diabetes in pregnancies. This leads to an increased chance of fetal cardiacabnormality born by a mother with gestational diabetes and pre-existing diabetes. The objectiveof the study is to find out the prevalence of abnormal fetal echocardiography in gestational andpre-existing diabetic pregnant women at a tertiary care hospital. Methods: A descriptive cross-sectional study was conducted among 104 diabetic pregnantwomen in a tertiary care hospital from April 15, 2017, to April 14, 2018. Ethical approvalwas obtained from the institutional review committee. The convenient sampling method wasused. The patients who were diagnosed as gestational diabetes and diabetic before pregnancywere included in the study. Fetal echocardiography was mainly done at a gestational age of22-32 weeks depending upon the time of diagnosis of gestational diabetes and for pre-diabeticwomen, fetal echocardiography was done at 24-26 weeks of gestation. Statistical analysis wasdone using the Statistical Package of the Social Sciences version 20. Results: Among 104 patients, 16 (15.38%) patients had abnormal fetal echocardiography.Eighty-three (79.81%) were gestational diabetics, 21 (20.19%) were pre-existing diabeticwomen. Among 83 gestational diabetes, 7 (8.4%) had abnormal echo finding and among 21pre-existing diabetics, 9 (42.8%) had abnormal echo finding. Conclusions: There was an increased chance of fetal cardiac malformation in gestational diabeticand pre-existing diabetics diabetic especially in an uncontrolled glycemic state. And, if theywere diagnosed prenatally, clinical outcomes for both mother and fetus would have been better.

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Prevalence of Community-Acquired Pyoderma in Dermatological Outpatient Department of A Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.4430 ◽

2019 ◽

Vol 57 (217) ◽

Author(s):

Rupak Bishwokarma Ghimire ◽

Khilasha Pokhrel ◽

Sanjubabu Shrestha

Keyword(s):

Tertiary Care Hospital ◽

Tertiary Care ◽

College Teaching ◽

Cross Sectional Study ◽

Hair Follicles ◽

Outpatient Department ◽

Point Estimate ◽

Care Hospital ◽

Cross Sectional ◽

Institutional Review

Introduction: Pyoderma is defined as any purulent skin disease and represents infections inepidermis and dermis or hair follicles. This study aims to find out the prevalence of communityacquired pyoderma in dermatological outpatient department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out among patients who presented atdermatology outpatient department of Kathmandu Medical College Teaching Hospital betweenDecember 2018 and March 2019 after ethical clearance from institutional review committee.Convenience sampling method was done. Data was collected and analysis was done using SPSSsoftware, point estimate at 95% CI was calculated along with frequency and proportion for binarydata. Results: Out of 385 cases, 72 (18%) cases were of community-acquired pyoderma. Prevalence ofcommunity-acquired pyoderma is 72 (18%) at 95% CI(). Primary pyoderma was seen in 49 (12.72%)mainly folliculitis 17 (4.41%), furunculosis 16 (4.15%), impetigo 6 (1.55%), abscess 6 (1.55%) andbacterial paronychia 4 (1.03%). Staphylococcus aureus was the most common organism isolated in 42(58.3%) cases and Staphylococcus epidermidis was isolated in 3 (4.17%) cases. Staphylococcus aureuswas most sensitive to Vancomycin 42 (100%) followed by Gentamycin 40 (95.2%), Ciprofloxacin 40(95.2%) and Ceftriaxone 40 (95.2%). Highest resistance was seen to Azithromycin in 13 (30.95%),followed by Cloxacilllin in 11 (26.19%). Males were affected predominantly in 49 (68.06%) ascompared to females in 23 (31.94%). Conclusions: Prevalence of community-acquired pyoderma is high among patients visitingdermatological outpatient departments of a tertiary care hospital compared to other studies.Antibiotic resistance of commonly used antibiotics are increasing and thus proper cultureand sensitivity reports may be required to guide our treatment

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Prevalence of Complications after Limberg Rhomboid Flap in Patients with Cutaneous Defects at A Tertiary Care Hospital

Journal of Nepal Medical Association ◽

10.31729/jnma.4301 ◽

2019 ◽

Vol 57 (216) ◽

Author(s):

Binod Bade Shrestha ◽

Mikesh Karmcharya ◽

Laxmi Bogati ◽

Pradeep Ghimire

Keyword(s):

Confidence Interval ◽

Pilonidal Sinus ◽

Tertiary Care Hospital ◽

Care Center ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Institutional Review ◽

Rhomboid Flap

Introduction: Limberg rhomboid flap is an extremely useful and versatile technique to cover thecutaneous defects in various anatomical locations of different etiology and varied sizes. The mainaim of the study is to find the prevalence of complications after limberg rhomboid flap in patientswith cutaneous defects at a tertiary care hospital. Methods: This descriptive cross-sectional study was conducted at a tertiary care hospital fromOctober 2015 to November 2018 after obtaining approval from the institutional review committee.Study population is patient admitted to ward and outpatient department of surgery. Conveniencesampling was done. Data was entered and analyzed in statistical package for social sciences andpoint estimate at 95% confidence interval was calculated along with frequency and proportion forbinary data. Results: Out of total patients, the complications were seen in total 8 (15.7%) patients. Prevalenceof complications is 8 (15.7%) at 95% confidence interval (7.85-23.56). Among which, complicationswere seen in 5 (9.8%) bed sore, 2 (3.92%) in pilonidal sinus, 1 (1.96%) in traumatic ulcer and none inneoplastic lesion and types of complications seen were wound gaping in 3 (5.88%) cases, surgical siteinfection in 2 (3.92%) cases, recurrent pilonidal sinus in 1 (1.96%) case, flap necrosis in 1 (1.96%) caseand epidermolysis in 1 (1.96%) case. Conclusions: The Limberg rhomboid flap can be used safely in patients with cutaneous defectwith minimal complications and good surgical outcome however prevalence of complications afterlimberg rhomboid flap in patients with cutaneous defects at tertiary care center is high compared tothe previous studies done.

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