Association and comparison of periodontal and oral hygiene status with serum HbA1c levels: a cross-sectional study.

BACKGROUND: Diabetes Mellitus and periodontitis are chronic diseases with known reciprocal association. Studies have shown that uncontrolled diabetes increases the risk of development and progression of periodontal disease. This study aimed to explore the association and severity of periodontal clinical parameters and oral hygiene with HbA1c levels in non-diabetics and T2DM patients. MATERIALS AND METHODS: In this cross-sectional study, the periodontal status of 144 participants, categorized into non-diabetics, controlled T2DM, and uncontrolled T2DM and were assessed via the Community Periodontal Index (CPI), Loss of Attachment Index (LOA index), and the number of missing teeth, while oral hygiene was measured by utilizing the Oral Hygiene Index Simplified (OHI-S). SPSS was used for data analysis. Chi-square test was used to find out the association of different independent variables with HbA1c groups, while ANOVA and post-hoc tests were run for inter-group and intra-group comparison respectively. RESULTS: Out of 144 participants, the missing dentition was prevalent in uncontrolled T2DM with mean 2.64 ± 1.97 (95% CI 2.07-3.21; p = 0.01) followed by controlled T2DM 1.70 ± 1.79 (95% CI 1.18-2.23; p = 0.01) and non-diabetics 1.35 ± 1.63 (95% CI 0.88-1.82; p = 0.01) respectively. Furthermore, non-diabetics had a higher proportion of CPI score 0 (Healthy) [30 (20.8%); p = 0.001] as compared to uncontrolled T2DM [6 (4.2%); p = 0.001], while CPI score 3 was more prevalent in uncontrolled T2DM in comparison to non-diabetics. Loss of attachment (codes-2,3 and 4) was also frequently observed in uncontrolled T2DM compared to non-diabetics (p = 0.001). Similarly, based on Oral Hygiene Index- Simplified (OHI-S), the result showed that poor oral hygiene was most commonly observed in uncontrolled T2DM 29 (20.1%) followed by controlled T2DM patients 22 (15.3%) and non-diabetic [14 (9.7%); p = 0.03]. CONCLUSION: This study showed that periodontal status and oral hygiene status were deteriorated in uncontrolled T2DM patients compared to non-diabetic participants and controlled T2DM.

Common Errors In Proposal Writing: A Cross Sectional Study Among Post Graduate Medical Trainees At Peshawar.

BACKGROUND: Proposal writing before starting research study is the key component of the any research project and quality of the research depends upon how the proposal was designed and planned. Objectives of this study was to determine the frequency of most common errors in proposal writing by post graduate medical residents of College of physician and surgery of Pakistan (CPSP) at Peshawar. METHODS: A cross sectional study was carried at Khyber College of Dentistry (KCD) Peshawar from August 2017 to May 2018. We conducted the reviewed of Form "S" of 43 proposals through convenience sampling. Each Form S consists of 34 questions. All the questions were dichotomous which were presented in the form of frequency and percentages. Data were analysed by SPSS-22. RESULTS: Out of 43 proposal, the result shows that 53.5% (n=23) of the candidates have not explained the introduction in their own words while suitable statistical tests were not mentioned in more than half of the 67.4% (n=29) proposal. References were not written in Vancouver style 51.2% (n=22) as well as hypothesis was not applicable in 62.8% (n=27) of the studies. However only 39.5% (n=60.5) of the trainees phrased the hypothesis properly. CONCLUSIONS: Majority of the candidates were unable to write the proposal according to the recommended guidelines. Application of the appropriate statistical measures was found as a challenge for the candidates. Similarly, objectives were not clearly defined in terms of SMART concept.