Purpose:The Pediatric Out-patient-department (POPD) of a dental hospital deals with children with different tooth related complaints. Dental treatment of a child patient requires three way interactions between the child, the parent and the dental surgeon. Though health of the patient remains the top priority for caregivers, satisfaction with the delivery system is vital for long lasting doctor-patient relationship. Thepurpose of the study was to evaluate the performance of Pediatric OPD by the accompanying parents of children receiving treatment at the OPD of a private dental college hospital.Methods: A cross sectional study was carried out at the POPD of Sapporo Dental College Hospital, Uttara Model Town of Dhaka city during May-July 2017. Sampling was done by simple random sam- pling method .Data were collected from the parents of 122 children aged between 1-12 years by using a self-administrated questionnaire.Results: Majority of the participating parents were residents of Uttara Model Town or areas in the vicinity and were employed, educated and are middle are middle socioeconomic class. More than sixty percent (62.3 %) of the respondents were parents of children between 4-7 years of age. More than 90% of the patients had waiting time at the department between 0-30 minutes. Treatment cost was described as ‘low or ‘reasonable’ by 87% of the parents. Only 8.2% mentioned ‘unsatisfactory’ regarding the cleanliness of Pediatric OPD. More than 95% of the respond- ents expressed ‘Satisfactory’ and ‘good’ level of satisfaction with general performance of OPD and the treatment provided by the dental team.Conclusion: Parents expressed general satisfaction with the performance of Pediatric Department of Sapporo Dental College Hospital.Update Dent. Coll. j: 2018; 8 (1): 05-10

Umbilical hernia is one of the most commonly encountered abnormalities in early months of infancy and childhood. Though umbilical hernia is a common benign condition which resolves spontaneously during first 5 years of life, it may be a great concern to the parents and other caregivers. Therefore, the high index of suspicion, prompt recognition and thorough understanding of common factors are necessary to ensure their correction and convince the parents to treat. A hospital based cross sectional observational study was conducted in the paediatrics unit of Community Based Medical College & Hospital from March 2013 to September 2013 to determine the factors associated with umbilical hernia. A total of 160 cases of umbilical hernia admitted in paediatrics unit and outpatient department of Community Based Medical College & Hospital were enrolled in the study. Necessary information were collected by detailed history taking, clinical examination and close follow up of the hospital course, using pre-designed questionnaire. Among 160 patients, malnutrition were observed in 21.8% , severe malnutrition was the most common abnormality (45%) followed by moderate malnutrition 28.05%, mild malnutrition 28.05%. Low birth weight were found to have 21.3%, among medical condition, excessive crying were 18.7%, chronic cough were 18.7%, constipation were 17.5%, positive family history 1.9%. Malnutrition and low birth weight are more common association of umbilical hernia.Malnutrition has great impact on developing umbilical hernia. Chronic cough, excessive crying, constipation more or less equally responsible. So early identification of risk factors and proper management and close monitoring are important to reduce the risk of developing umbilical hernia. CBMJ 2018 July: Vol. 07 No. 02 P: 04-08

inguinal hematoma which occurred after angioplasty in 1 case, one patient is dead after surgical hemorrhagic complications and another had an ischemic stroke after surgery. In the long run, a restenosis on venous bypass on single functioning kidney was noted in 2 cases. These patients were retreated with angioplasty. The evolution was favorable. Conclusions: The RAS is frequent. Its treatment is still a controversy between medical treatment alone or associated to revascularization.