scholarly journals Treatment Approaches During Coronavirus (COVID-19) Outbreak: A Literature Review and Tertiary Care Dental Hospital

2020 ◽  
Vol 41 (50) ◽  
pp. 37-58
Author(s):  
Gülcan Coşkun Akar ◽  
Buse Karatay Şibal ◽  
Eda Sarı ◽  
Ceren Bayraktar ◽  
Ece Sengun ◽  
...  
Keyword(s):  
Literature Review ◽  
Tertiary Care ◽  
Treatment Approaches ◽  
Dental Hospital

Psychogenic Seizures and Loss

1983 ◽  
Vol 12 (2) ◽  
pp. 121-128 ◽  
Author(s):  
David L. Gardner ◽  
Richard L. Goldberg
Keyword(s):  
Literature Review ◽  
Crisis Intervention ◽  
Depressive Symptomatology ◽  
Case Reports ◽  
Symptom Relief ◽  
Antidepressant Medication ◽  
Treatment Approaches ◽  
Psychogenic Seizures

A review of the diagnostic and treatment approaches to psychogenic seizures has been offered. Two case reports of psychogenic seizures precipitated by loss and associated with depressive symptomatology have been presented. A literature review of cases seems to substantiate the frequency for the association between the development of psychogenic seizures and loss/depressive symptomatology. Symptom relief can be achieved with the utilization of a crisis intervention style psychotherapy. Antidepressant medication may also have a useful role in the treatment of some psychogenic seizures.

scholarly journals Biological Treatment Approaches for Degenerative Disk Disease: A Literature Review of in Vivo Animal and Clinical Data

2016 ◽  
Vol 6 (5) ◽  
pp. 497-518 ◽  
Author(s):  
Yu Moriguchi ◽  
Marjan Alimi ◽  
Thamina Khair ◽  
George Manolarakis ◽  
Connor Berlin ◽  
...  
Keyword(s):  
Literature Review ◽  
Clinical Data ◽  
Biological Treatment ◽  
Treatment Approaches ◽  
Degenerative Disk Disease

scholarly journals Awareness Regarding Implant Supported Dental Prosthesis; A Survey In Tertiary Care Set Up

2018 ◽  
Vol 08 (04) ◽  
pp. 250-253
Author(s):  
Anum Baqar ◽  
Saman Hakeem ◽  
Farnaz Ilyas ◽  
Abid Mohsin ◽  
Fatima Hassan ◽  
...  
Keyword(s):  
Dental Implant ◽  
Tertiary Care ◽  
Limiting Factor ◽  
Cross Sectional Survey ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Dental Hospital ◽  
Set Up ◽  
Systemic Health ◽  
Implant Treatment

Objective: This research was aimed to assess the awareness and attitude regarding implant-retained prosthesis as the most advanced option for tooth replacement amongst residents of Karachi visiting tertiary care centre. Methodology: This cross-sectional survey was conducted in the department of Prosthodontics at Bahria University Dental Hospital, Karachi. Undertaking the demographic characteristics of patients, the objective was to determine the awareness and attitude toward implant supported prosthesis. Results: Amongst 380 responses retrieved, 9.8% of respondents were aware about the dental implant treatment. While correlating awareness with demographics features, awareness statistically increased with educational level (p= 0.00) and occupational category(p=0.01) of the participants. The friends and relative s(40.5%) were the main source of information regarding dental implant treatment modality. 54.1% were unwilling to undergo treatment with dental implant whereas high cost (55.2%)was the major limiting factor for implant treatment. 64.9% demanded dental insurance for getting the treatment. 45.9% had no knowledge regarding maintenance of implant supported prosthesis .73.0% had no idea regarding longevity of dental implant where as 86.5% were unaware of it’s impact on systemic health. Conclusion: The overall awareness regarding implant supported prosthesis was found to be minimal. This underlines the need of efforts and measures that should be made to raise the awareness and thus alter attitude towards dental implant therapy. Expensive rates (55.2%) was found to be the major limiting factor that should be relieved in the form of health insurance policies, especially in the developing countries like ours.

scholarly journals Prevalence and Pattern of Canine Impaction and Its Associated Anomalies among Orthodontic Patients Attending Tertiary Care Dental Hospital in Kathmandu

2020 ◽  
Vol 10 (1) ◽  
pp. 6-10
Author(s):  
Anshu Piya ◽  
Bikash Veer Shrestha ◽  
Anju Khapung ◽  
Prakash Bhattarai
Keyword(s):  
Root Resorption ◽  
Tertiary Care ◽  
Anterior Segment ◽  
Deciduous Teeth ◽  
Dental Anomalies ◽  
Impacted Tooth ◽  
Impacted Canines ◽  
Dental Hospital ◽  
Orthodontic Patients ◽  
And Function

Introduction: Permanent canines are considered as the cornerstone of mouth. Canines are important for esthetics and function as they are located in the anterior segment of the mouth and help in tearing of food. An impacted tooth is that tooth that cannot or will not erupt into its normal functional occlusion due to some circumstances. Those impacted tooth are considered pathologic as they might lead to various problems like resorption of roots of adjacent teeth, cystic formation, and infection with partial eruption leading to pain and trismus. Materials & Method: All the patients (550) being treated in department of Orthodontics in Nepal Medical College from January 2017 to December 2019 were included in the study. Patients aged 13-30 years were included in the study. Clinical examinations and panoramic radiographs of patients were taken. Anterior occlusal view was done in those patients having canine impaction to determine the patterns of impaction. Data was processed in SPSS version 16.0. Result: Among 550 orthodontic patients, 31 patients were found to have canine impaction. Among them 18 (58.1%) were females and 13 (41.9%) were males. The overall prevalence of canine impaction was found to be 5.6%. Various dental anomalies were observed in the participants’ radiographs, the most common being the retained deciduous teeth (54.8%) followed by dilacerations of adjacent teeth (51.6%). Peg shaped lateral incisors and root resorption of adjacent tooth were almost equal (22.6%) with least being the odontomas and other impacted teeth. Conclusion: The prevalence of canine impaction in tertiary care dental hospital in Kathmandu was found to be 5.6%. Patients with impacted canines also had other dental anomalies. Knowing the prevalence of impacted canines, will encourage the community to be aware about canine impaction and educate the population about the clinical implications and the importance of performing preventive and interceptive procedures.

scholarly journals Prevalence of Oral Mucosal Lesions in a Tertiary Care Dental Hospital of Kathmandu

2017 ◽  
Vol 56 (207) ◽  
pp. 362-366
Author(s):  
Dipshikha Bajracharya ◽  
Sujaya Gupta ◽  
Bidhata Ojha ◽  
Radha Baral
Keyword(s):  
Squamous Cell Carcinoma ◽  
Retrospective Study ◽  
Oral Cavity ◽  
Cell Carcinoma ◽  
Oral Mucosa ◽  
Buccal Mucosa ◽  
Tertiary Care ◽  
Oral Mucosal Lesions ◽  
Dental Hospital ◽  
Mucosal Lesions

Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). Conclusions: The present study shows benign as well as the non neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence. Keywords: Benign; Malignant; Non neoplastic; Oral mucosal lesion.

scholarly journals Impact of Infectious Disease Consultation in Patients With Candidemia: A Retrospective Study, Systematic Literature Review, and Meta-analysis

2020 ◽  
Vol 7 (9) ◽  
Author(s):  
Takaaki Kobayashi ◽  
Alexandre R Marra ◽  
Marin L Schweizer ◽  
Patrick Ten Eyck ◽  
Chaorong Wu ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Meta Analysis ◽  
Tertiary Care ◽  
Care Hospital ◽  
Inclusion Criteria ◽  
Infectious Disease Consultation ◽  
Significant Difference ◽  
The Impact

Abstract Background Morbidity and mortality from candidemia remain unacceptably high. While infectious disease consultation (IDC) is known to lower the mortality from Staphylococcus aureus bacteremia, little is known about the impact of IDC in candidemia. Methods We conducted a retrospective observational cohort study of candidemia patients at a large tertiary care hospital between 2015 and 2019. The crude mortality rate was compared between those with IDC and without IDC. Then, we systematically searched 5 databases through February 2020 and performed a meta-analysis of the impact of IDC on the mortality of patients with candidemia. Results A total of 151 patients met the inclusion criteria, 129 (85%) of whom received IDC. Thirty-day and 90-day mortality rates were significantly lower in the IDC group (18% vs 50%; P = .002; 23% vs 50%; P = .0022, respectively). A systematic literature review returned 216 reports, of which 13 studies including the present report fulfilled the inclusion criteria. Among the 13 studies with a total of 3582 patients, IDC was performed in 50% of patients. Overall mortality was 38.2% with a significant difference in favor of the IDC group (28.4% vs 47.6%), with a pooled relative risk of 0.41 (95% CI, 0.35–0.49). Ophthalmology referral, echocardiogram, and central line removal were performed more frequently among patients receiving IDC. Conclusions This study is the first systematic literature review and meta-analysis to evaluate the association between IDC and candidemia mortality. IDC was associated with significantly lower mortality and should be considered in all patients with candidemia.

Laryngeal Langerhans Cell Histiocytosis: A Case Report and Literature Review

2020 ◽  
pp. 000348942095488
Author(s):  
Allen S. Zhou ◽  
Lei Li ◽  
Thomas L. Carroll
Keyword(s):  
Literature Review ◽  
Langerhans Cell Histiocytosis ◽  
Medical Center ◽  
Tertiary Care ◽  
Rare Condition ◽  
Surgical Excision ◽  
Langerhans Cell ◽  
Histopathological Analysis ◽  
Current Case ◽  
Tertiary Care Medical Center

Objective: To describe a case of laryngeal Langerhans cell histiocytosis, discuss its characteristic features and management, and provide a review of the available literature. Methods: A patient presenting to a tertiary care medical center with dyspnea and hoarseness is described. A literature review of laryngeal Langerhans cell histiocytosis cases was performed through a search of articles indexed in the National Institutes of Health PubMed system. Results: We report a case of a 69-year old male, who presented with a laryngeal mass highly suspicious for laryngeal squamous cell carcinoma, was treated with laser excision, and was subsequently found to have laryngeal Langerhans cell histiocytosis upon histological analysis. Including our current case, we found six prior reported cases of laryngeal Langerhans cell histiocytosis in the literature. Of the six cases, four were in adults, while two were in children. Dyspnea is a common presenting complaint present in all cases. Smoking may be a potential risk factor. Conclusions: Laryngeal Langerhans cell histiocytosis is a rare condition and an important consideration in the differential diagnosis of patients presenting with a laryngeal mass and symptoms of dyspnea or hoarseness. Biopsy and histopathological analysis are key to the diagnosis. Surgical excision and radiotherapy are successful treatments used in clinical practice.

scholarly journals Spontaneous Retroperitoneal Haematoma due to Polyarteritis Nodosa: Report of a Case and Literature Review

2016 ◽  
Vol 2016 ◽  
pp. 1-3 ◽  
Author(s):  
Emrah Simsek ◽  
Hasan Yilmaz ◽  
Kerem Teke ◽  
Ali Kemal Uslubas ◽  
Mustafa Yuksekkaya
Keyword(s):  
Literature Review ◽  
Polyarteritis Nodosa ◽  
Management Plan ◽  
Clinical Entity ◽  
Rare Clinical Entity ◽  
Precipitating Factors ◽  
Retroperitoneal Haematoma ◽  
Treatment Approaches ◽  
General Consensus ◽  
Best Management

Retroperitoneal haematoma is a rare clinical entity with variable etiology. It can happen spontaneously, without any obvious precipitating factors, the so-called spontaneous retroperitoneal haematoma. There is no general consensus as to the best management plan for patients with retroperitoneal haematoma. Polyarteritis nodosa (PAN) is a rare cause of retroperitoneal haematoma. Here we report relationship between PAN and retroperitoneal haematoma and treatment approaches. However, an accepted and clearly defined treatment has not been established due to its rarity.

scholarly journals A randomized clinical study to compare pre-emptive analgesic efficacy of clonidine and diclofenac sodium in patients undergoing major surgeries at a tertiary care hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 44
Author(s):  
Prachi Jain ◽  
Uma Bhosale ◽  
Shashank Desai
Keyword(s):  
Clinical Study ◽  
Literature Review ◽  
Rating Scale ◽  
Diclofenac Sodium ◽  
Tertiary Care ◽  
Analgesic Efficacy ◽  
Care Hospital ◽  
Pain Scores ◽  
Randomized Clinical Study ◽  
Study Results

Background: Pre-emptive analgesia is a method to achieve analgesia even before exposure to a noxious stimulus The purpose of pre-emptive analgesia is to reduce pain caused due to surgical incision triggered inflammatory mechanism activation; and to ensure a good post-operative pain control so that there is no development of chronic pain. Clonidine is an α2 adrenergic agonist thus it decreases the sympathetic outflow, while Diclofenac is a non-steroidal anti-inflammatory agent. Our literature review showed that both clonidine (150 μg) and diclofenac are efficacious pre-emptive analgesics. Literature review also revealed that there is no study available to compare pre-emptive analgesic efficacy as well as safety of oral clonidine with diclofenac, therefore present study was designed to compare pre emptive analgesic efficacy of these two drugs.Methods: This randomized clinical study included 100 patients from surgical departments, of either sex, between 18 to 70 years age and of American society of anesthesiologists (ASA) I/II grade. Patients were randomly allocated to two groups and received either of the treatments 30 minutes prior to induction of anesthesia. Pain scores were recorded using visual analog scale, facial rating scale and behavioral rating scale at awakening and at 1, 2, 4, 6 and 24 hours. Postoperative analgesic requirement over 24 hours was recorded. Data were analyzed using OpenEpi statistical softwares.Results: Significantly lower pain scores were observed in clonidine group as compared to Diclofenac at 4 and 6 hours (p<0.05) on all the pain scales. Clonidine group also required less postoperative analgesic as compared to diclofenac (p<0.05).Conclusions: Study results are strongly suggestive of greater pre-emptive analgesic efficacy of clonidine over diclofenac in major surgeries done under spinal anesthesia.

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