ABSTRACT
The aim of this study was to determine the frequent post insertion complaints associated with complete denture. This cross sectional study was done on 117 patients wearing complete dentures who came to the Department of Prosthodontics of Dow International Dental College with post insertion complaints from January to December 2017. These patients came for the first visit within the first month after the insertion of complete denture. The assessment of all post-insertion complaints was done by one prosthodontist. The questionnaire included information on age, gender, type of denture, chief complaint and place where the denture was fabricated. This was followed by a clinical examination. Patients were informed about the study. After obtaining consent the data were collected. Regarding the post insertion complaint, 75% of patients faced pain and discomfort. 65% reported difficulty in eating. Looseness of denture was reported by 58%. 35% experienced difficulty in speech complaints regarding food accumulation under and around the prosthesis were reported by 17%. The most common post-insertion complaint of complete denture was pain and discomfort followed by difficulty in eating. Identification of post insertion complaints in different types of prosthesis would be very supportive to developing strategies to prevent and manage these more effectively by reducing all negative factors associated with these complains
ABSTRACT
Objective: To determine the frequency of stroke in patients with ST elevation Myocardial infarction and its association to LV thrombus
Methodology: This descriptive cross sectional study was carried out in department of Cardiology of Hayatabad Medical complex, Peshawar. Total 119 patients were included. Patients were assessed for the presence or absence of Left ventricular thrombus Si its association with stroke
Results: Out of 119 patients, there were 36 [30.2%] female patients and 83 [69.7%] male patients. The mean age of presentation was 59.5 +/- 11.0 years. Out of total 119 patients, 06 had thrombi in the Left ventricle and 03 had stroke. Four out of 6 patients with Left ventricular thrombus had Anterior wall Myocardial infarction
Conclusion: Left ventricular thrombus formation is associated with anterior wall myocardial infarction Si stroke
ABSTRACT
To highlight our experience of transseptal approach for arrhythmias for the left side pathways. Electrophysiology [EP] studies and ablation conducted in electrophysiology laboratory Lady Reading Hospital Peshawar from September 2006 to May 2009. The study was conducted on Bard EP Lab, Bloom stimulator and Cordes EP shuttle. After explaining the procedure to the patient, beta- blockers were stopped 5 days and patients were fasted for six hours before the procedure. Five standard wires passed two from left femoral that is for coronary sinus and His and three from right femoral side that is for high right atrium, right ventricle and ablation. Pigtail catheter was placed in aortic root from left femoral artery. Septal puncture was done in the left lateral projection. Ablation catheter was passed in the sheath after withdrawing the needle, pathway was identified and ablated. Total 295 consecutive patients underwent electrophysiological studies and ablation. Out of which pathways were 131 [124 patients were having Wolff-Parkinson-White [WPW] and orthodromic reciprocating tachycardia 7].Among pathways Left sided pathways were 70. In all cases successful septal puncture and ablation was done. Overall success rate for atrial septal puncture and ablation was 100%. No complication was seen during and after the procedure. Average time for procedure of ablating left sided pathways was 25 minutes. Trans-septal approach is safe and is well approachable for far lateral pathways ablation