Prosthetic Rehabilitation of Edentulous Flabby Ridge using Modified Hobkirk Window Impression Technique: A Case Report Mobile denture-bearing tissues in the form of flabby ridges are susceptible to displacement under masticatory forces, leading to loss of peripheral seal. Conventional impression-making techniques may record the mobile tissue in a distorted state, adversely affecting the retention and stability of the definitive prosthesis. Hence, this case report describes a modified impression technique used to record the flabby edentulous ridge in an undisplaced state to avoid compression and rebounding of the mobile tissue. A 49-year-old male patient reported to the Department of Prosthodontics complaining of difficulty in chewing food due to missing teeth for the past one year. Intraoral examination revealed the healed edentulous ridges with flabby, displaceable tissue on the residual ridge crest with respect to the anterior segment in both maxillary and mandibular arches. Prosthetic rehabilitation using removable complete denture prosthesis was planned with definitive impressions made using modified Hobkirk technique. A modified impression technique used to record the flabby edentulous ridge in an undisplaced state to avoid compression and rebounding of the mobile tissue gave a satisfactory outcome. This technique is simple to implement and adheres to the principles of preventive prosthodontics. Periodic follow-up showed that the patient was satisfied with the prosthesis.

INTRODUCTION: Breast cancer is a leading cause of cancer death among women, and its age-standardised incidence rate is one of the highest in Asia. We aimed to review studies on barriers to breast cancer screening to inform future policies in Singapore. METHOD: This was a literature review of both quantitative and qualitative studies published between 2012 and 2020 using PubMed, Google Scholar and Cochrane databases, which analysed the perceptions and behaviours of women towards breast cancer screening in Singapore. RESULTS: Through a thematic analysis based on the Health Belief Model, significant themes associated with low breast cancer screening uptake in Singapore were identified. The themes are: (1) high perceived barriers versus benefits, including fear of the breast cancer screening procedure and its possible outcomes, (2) personal challenges that impede screening attendance and paying for screening and treatment, and (3) low perceived susceptibility to breast cancer. CONCLUSION Perceived costs/barriers vs benefits of screening appear to be the most common barriers to breast cancer screening in Singapore. Based on the barriers identified, increasing convenience to get screened, reducing mammogram and treatment costs, and improving engagement with support groups are recommended to improve the screening uptake rate in Singapore.
Breast Neoplasms/epidemiology* ; Early Detection of Cancer ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Mammography ; Mass Screening ; Singapore/epidemiology*

Objectives: Dhat syndrome is a cultural bound syndrome in which affected individuals have morbid pre-occupation with semen loss in their urine and its impact on the body. Previous studies have explored the symptomatology and perception regarding seminal discharge of such patients while there is lacked of literature on the assessment by quacks and practitioner of alternative and complementary practitioners (ACMP). Therefore, in addition to objectives of previous studies, this study explores the reprehensibility of such practitioners as they may not be giving correct advice to such patients. Methods: For duration of three months, this mixed method study was conducted in Rohilkhand Medical College campus; individuals were approached both in and outside the Psychiatric Outpatient Department using purposive sampling procedure. ICD-10 diagnostic criterion was used to include affected individual in the study sample. Subsequently, a semi-structured questionnaire to document their socio-demographic data and symptomatology was used. Further, previous consultation to quack, ACMPs and allopathic practitioners other than psychiatrist and advice given to the patient by them was obtained via in-depth interview. The quantitative data was analyzed through proportions whereas qualitative data via thematic analysis. Results: There were 38 out of 110 with Dhat syndrome. Invariably, they complained of undue concern regarding debilitating effects of seminal discharge and harmful for the body. A total 21.1% had prior consultation to ACMPs and attributing it to masturbation and hot weather. Surprisingly, allopathic practitioners consulted gave incorrect advices. Conclusion: Dhat syndrome affects individuals irrespective of their social and education background. Sex education among the masses and emphasis for awareness of this syndrome among ACMPs and allopathic practitioners other than psychiatrist is necessary to reduce this cultural bound syndrome.