This protocol describes a systematic scoping review of chronic respiratory disease surveys in low/middle-income countries (LMICs) undertaken as part of the Four Country ChrOnic Respiratory Disease (4CCORD) study within the National Institute for Health Research Global Health Research Unit on Respiratory Health (RESPIRE). Understanding the prevalence and burden of chronic respiratory disease (CRD) underpins healthcare planning. We will systematically scope the literature to identify existing strategies (definitions/questionnaires/diagnostics/outcomes) used in surveys of CRDs in adults in low-resource settings. We will search MEDLINE, EMBASE, ISI WoS, Global Health and WHO Global Health Library [search terms: prevalence AND CRD (COPD, asthma) AND LMICs, from 1995], and two reviewers will independently extract data from selected studies onto a piloted customised data extraction form. We will convene a workshop of the multidisciplinary 4CCORD research team with representatives from the RESPIRE partners (Bangladesh, India, Malaysia, Pakistan and Edinburgh) at which the findings of the scoping review will be presented, discussed and interpreted. The findings will inform a future RESPIRE 4CCORD study, which will estimate CRD burden in adults in Asian LMICs.
Introduction: Peripheral ossifying fibroma belongs to the spectrum of reactive gingival hyperplasias. Although it is believed to occur as a gingival overgrowth in response to local irritants, the pathogenesis of this lesion is still a controversy. Aim: This case report highlights the presence of a rare combination of coexistence of peripheral ossifying fibroma (POF) and fibrolipoma. Case report: A case of POF in a 65-year-old female has been presented with its detailed clinical, radiographic, and histopathological findings along with the diagnostic challenges associated with such lesions and the management approaches for the same. Conclusion: Establishing an early diagnosis becomes imperative to rule out the potential for malignant transformation. This case presents a rare combination of coexistence of fibrolipoma in buccal mucosa which in itself is a rare finding.
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