Introduction: Denture adhesive (DA) is defined as a material used to adhere a denture to the oral mucosa. It plays an important role in the retention and the functional comfort among denture wearers. There are conflicting views in dentistry regarding the use of denture adhesives in clinical practice. Therefore, the main purpose of the study is to reveal the knowledge, attitude and practices regarding denture adhesives among the dental practitioners of Chitwan district, Nepal. Materials and Methods: A 20 item questionnaire was distributed among the registered dental practitioners of Chitwan districts using online google forms and the printed questionnaires were distributed personally to the practitioners who were accessible. Data were entered into Microsoft 2007 excel sheet and descriptive statistical analysis was done using SPSS version 20. Results: The results showed that 69.1% of General dental practitioners and 50% of other specialists had average knowledge while all the prosthodontics had good knowledge regarding denture adhesives. About 96.80% of General dental practitioners, 60% of other specialists frequently use denture adhesive in their practice. Only 20.2% of general dental practitioners and 20% of other specialists knew the adverse effects of zinc-containing denture adhesives. Most of the dental practitioners (93%) used powder form of denture adhesives. Conclusion: Most of the dental practitioners of Chitwan had fair knowledge, attitude and practice regarding denture adhesives.
Authors acknowledge the patient and their family for cooperation and consent. We thank all clinicians and support staff from the Department of Internal Medicine and the Department of Anesthesia and Critical Care who were involved in patient care.
Background Gall stone disease is a common reason for admissions in both acute and elective situations and bears significant morbidity in the rural population of western Nepal. The earlier conventional open method of treatment for the same seems to have been largely seeded by the laparoscopic approach owing to its numerous benefits.Objective To study the clinical profile of patients with symptomatic gall stones with respect to demography and to assess the feasibility of using Laparoscopic cholecystectomy as the next standard in this set up too as guided by the outcome in terms of complications, conversion rates and potential impact it bears on the health and socioeconomic status in this group.Method A retrospective analysis of all the patients undergoing an attempted laparoscopic cholecystectomy from 1st Jestha 2068 to 30th Jestha 2070 was done. Relevant medical records were reviewed to study demography, various indications for operations, intra operative events including conversions and complications.Result Of 348 patients 293(84.19%) were females and 55(15.80%) were males. The mean age was 38.46 years (range 15-76 years). Most of the patients belonged to the Palpa district of Lumbini zone and many were from other surrounding areas. Gall stone disease was commonest in people of Brahmin ethnicity. The operating time was <2 hours for most and most had an uneventful recovery with a mean hospital stay of 3.8 days. The rate of conversion to open cholecystectomy was 6.9% (24 out of 348 patients). Post operative complications were noted in 5 patients (1.42%). Of these 1 sustained a major bile duct injury (0.28%) requiring immediate conversion and repair, 3 had post operative bilioma and 1 had diffuse bleeding from the gall bladder fossa all requiring re explorations. There was no mortality in this study.Conclusion Laparoscopic cholecystectomy is a safe, reliable and a promising option even in the rural peripheral set up. Due to its well known advantages and superiority over the open conventional method and considering the impact that it holds on the overall outcome, morbidity, health and socioeconomic status of the rural population, it can be recommended as an acceptable feasible standard in rural peripheral set up.
Introduction: Infertility is a global health issue and a socially destabilizing condition for couples with several stigmas including medical, social, psychological burdens and a marital disharmony. The aim was to study the outcome of laparoscopy in infertile females attending Nobel Medical College as laparoscopy is considered as a gold standard in investigation and treatment of infertility. Methods: A descriptive cross-sectional study was carried out in the department of Obstetrics and Gynaecology over a period of May 2018-April 2020, where the outcomes of laparoscopy in infertile females were studied. All the patients with abnormal HSG, unexplained infertility and adnexal mass in the background of infertility were enrolled. Results: Of the 100 infertile patients who underwent laparoscopy, 62 (62%) had evidence of tubal disease as documented by unilateral or bilateral block, 63 (63%) had peritubal adhesions and hydrosalpinx in 15 (15%). Associated pelvic pathology like endometriosis in 50 (50%) in the form of cyst, adhesions and complete and partial obliteration of Pouch of Douglas. Conclusion: Laparoscopy is definitely an effective diagnostic tool of tubal and pelvic pathology. Laparoscopy is recommended for all infertile females with suspected tubal factor and moreover it provides opportunity to correct the condition in possible cases.
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