Association between serum heavy metals level and cancer incidence in darbandikhan and Kalar Area, Kurdistan Region, Iraq
Conclusion: Discrepancies in the serum level of heavy metals of cancer group might reveal the involvement of heavy metal as a contributing factor of carcinogenicity in these areas. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: BH Marouf Source Type: research

Antibiofilm efficacies of cold plasma and er: YAG laser on Staphylococcus aureus biofilm on titanium for nonsurgical treatment of peri-implantitis
Conclusion: CAP showed superior antibiofilm activity on 7-day-old S. aureus biofilm grown over SLA titanium discs, compared to contact and noncontact laser treatment without temperature increase and any damage to the surface of titanium discs. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: M Ulu T Pekbagriyanik F Ibis S Enhos UK Ercan Source Type: research

Epidemiology of injuries seen in a nigerian tertiary hospital
Conclusion: Lacerations and fractures were the most common injuries. RTA was the leading cause of injury. TBI was the most common cause of injury-related death. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: NO C Onyemaechi OE Nwankwo RA Ezeadawi Source Type: research

The effects of smoking cessation on visceral adiposity index levels
Conclusions: Although body weight increases significantly after quitting smoking, VAI levels, an indicator of cardiovascular risks, decrease significantly, especially in men or obese patients. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: S Pekgor C Duran K Marakoglu I Solak A Pekgor MA Eryilmaz Source Type: research

A 3-year study of deferasirox therapy in sickle cell disease patients in Basra, Southern Iraq
Conclusions: This study has revealed that DFX is a safe, tolerable, and effective drug for reducing IOL in SCD patients, though it is associated with mild and transient adverse events. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: AM Mohsin MK Hassan Source Type: research

The role of electrophysiological examination in the diagnosis of carpal tunnel syndrome: Analysis of 2516 patients
Conclusion: Only 54.9% of the patients with clinical suspicion were found to have CTS. Given complexity of the hand and a large number of potential pathologies, electrophysiological examination is necessary for definitive diagnosis to avoid unnecessary surgical interventions. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: A Cirakli EK Ulusoy Y Ekinci Source Type: research

Reconstruction of complex soft-tissue defects around the knee using the proximally based sural Island fasciocutaneous flap
Conclusion: The proximally based sural island fasciocutaneous flap is a simple and reliable method of reconstruction for soft tissue defects around the knee. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: KO Opara IC Nwagbara Source Type: research

Surgical management of anorectal foreign bodies
Conclusions: A careful assessment is a key point for the correct diagnosis and treatment of AFBs. Clinical conditions of patients and type of AFBs are important in the choice of treatment strategy. If the AFBs are large, proximally migrated or the patients with an AFB have acute abdomen due to perforation, pelvic abscess, obstruction, or bleeding, surgery is needed as soon as possible. There are different types of surgical approaches such as less invasive transanal extraction under anesthesia and more invasive abdominal routes such as laparotomy or laparoscopy. The stoma can be done if there is colonic perforation. In the ...
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: H Cinar M Berkesoglu M Derebey E Karadeniz C Yildirim K Karabulut T Kesicioglu K Erzurumlu Source Type: research

Maxillomandibular advancement for obstructive sleep apnea
Conclusion: Our surgical results in MMA is compatible with literature data. MMA is the choice of treatment in severe OSA in case of positive airway pressure therapy intolerance. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: M D ü zl ü M Yilmaz F Karaloglu R Karamert VC Goksu SA Kahraman YK Kemaloglu Source Type: research

Ocular adnexal lymphomas: An eye care service experience in Turkey
Conclusion: Most of our patients' histopathological and immunohistochemistry examinations are non-Hodgkin's type and also involve the orbits. Ocular adnexal lymphomatosis is not a rare disorder and could be treated if there is no systemic involvement at first diagnosis. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: B Kiziltas C Baskan R Duman MS Dal Source Type: research

Is Low-level laser therapy and gaseous ozone application effective on osseointegration of immediately loaded implants ?
Conclusions: Our results suggest that both LLLT and ozone therapy with prolonged application time are promising methods to enhance bone healing around immediately loaded implants and increase implant stability; however, there is a need for more studies on this subject for these methods to become routine applications. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: IR Karaca G Ergun DN Ozturk Source Type: research

The use of sural island musculo fasciocutaneous flap, in the management of chronic osteomyelitis of the tibia
Conclusion: The sural Island musculo fasciocutaneous flap is a reliable source of richly vascularized soft tissue for the management of dead space and soft-tissue defects in chronic osteomyelitis of the tibia. It has the added advantage of providing sizeable tissue, with good reach to all segments of the tibia. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: KO Opara IC Nwagbara Source Type: research

Syndesmotic screw fixation in tibiofibular diastasis
Conclusion: In ankle fractures, if diastasis of distal tibiofibular joint is present, syndesmosis should be fixed for both Weber Type B and C fractures. The most important predictor of good clinical outcome is accurate reduction of the syndesmosis. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: S Sipahioglu S Zehir UE Isikan Source Type: research

Effect of cavity design on the fracture resistance of zirconia onlay ceramics
Conclusion: Preparation design affected the fracture resistance of onlay restorations. Cavities with flat occlusal preparation designs, a groove and shoulder margins (1B) resulted in the highest fracture resistance, whereas teeth prepared with a complete reduction of cusps and shoulder margins (3A) had the lowest fracture resistance. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - June 11, 2018 Category: Rural Health Authors: P Oyar R Durkan Source Type: research

Bochdalek hernia and intrathoracic ectopic kidney: Presentation of two case reports and review of the literature
M Sarac, U Bakal, T Tartar, S Canpolat, A Kara, A KazezNigerian Journal of Clinical Practice 2018 21(5):681-686 Bochdalek hernia is a congenital abnormality with high morbidity and mortality characterized by passage of the abdominal organs into the thoracic cavity through a diaphragmatic defect. Intrathoracic location of abdominal organs such as kidneys is very rare, with a reported incidence of only 0.25% in the literature. Herein, we present two cases of Bochdalek hernia with a herniation of intra-abdominal organ such as kidney that was treated in our clinic and compare this rare case with those in the literature. I...
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: M Sarac U Bakal T Tartar S Canpolat A Kara A Kazez Source Type: research

A steroid-resistant cryptogenic multifocal ulcerous stenosing enteritis
Y Yang, L Zhao, Y ZhangNigerian Journal of Clinical Practice 2018 21(5):678-680 Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare chronic and recurrent disease with unknown etiology. It characterized by shallow ulcers, submucosa thickness, and no signs of systematic inflammation. Now, steroids are the principle therapy for CMSUE. However, still, there were few patients who did not response to it. Here, we present a young woman who diagnosed with CMUSE. She underwent a surgery because of capsule endoscopy retention. After relapse, she had received budesonide and methylprednisolone separately while both ...
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: Y Yang L Zhao Y Zhang Source Type: research

Ruptured ectopic in heterotopic pregnancy: Management and spontaneous vertex delivery of a live baby at term
We present Mrs. EC, a 27-year-old G1P0 + 0 with a family history of multiple gestations who had a heterotopic pregnancy at a gestational age of 7 weeks. She presented with features of threatened miscarriage at early pregnancy with an ultrasound confirmation of intrauterine pregnancy. The diagnosis of ruptured ectopic pregnancy coexisting with intrauterine gestation was made with ultrasound findings as well as clinical features necessitating emergency exploratory laparotomy. Thereafter, pregnancy was carried to term, and she delivered a live male baby that weighed 3.0 kg. Heterotopic pregnancy should be sort for in all ...
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: RC Onoh BN Ejikeme AB Onwe OU Asiegbu Source Type: research

An investigation of the effects of the mean platelet volume, platelet distribution width, platelet/lymphocyte ratio, and platelet counts on mortality in patents with sepsis who applied to the emergency department
Conclusion: The low number of platelets in patients with sepsis at the moment of application and the high PDW and PLR values are valuable for predicting a high mortality. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: M Orak Y Karako & #231; M Ustundag Y Yildirim MK Celen C G & #252;loglu Source Type: research

Effects of a cyclic NSAID regimen on levels of gingival crevicular fluid prostaglandin E2and Interleukin-1 & #946;: A 6-month randomized controlled clinical trial
Conclusions: These results suggest that a cyclic regimen of DP may be efficacious in the management of chronic periodontitis in adults. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: BF Oduncuoglu NA Kayar S Haliloglu B Serpek T Ataoglu NO Alptekin Source Type: research

Ultrasound measurement of liver longitudinal length in a North Anatolian population: A community-based study
Conclusion: In a northern Anatolian Turkish population, liver size was greater among males than females. In light of these data, we believe our study may serve as a reference source for the evaluation of liver size. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: Zafer Ö zmen Fatma Akta & #351; Zeliha Cansel Ö zmen Eda Almus Osman Demir Source Type: research

The accuracies of abdominal computed tomography and the neutrophil-to-lymphocyte ratio used to predict the development of clinically severe acute cholecystitis in elderly patients visiting an emergency department
Conclusions: The CT parameters of increased pericholecystic fat stranding and pericholecystic fluid collection with an NLR cutoff of 9.9 were useful for predicting the severity of AC in elderly patients in the ED. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: SH Woo WJ Lee SH Seol DH Kim SP Choi Source Type: research

The In Vitro comparison of the retention of an implant-supported stud attachment locator and straumann ball attachment at different angulations
Conclusions: In implants with a 20° angle, retention of stud attachments decreased more than ball attachments after use. Thus, the total angle between the implants should not be <20° if long-term retention is desired when using stud attachments. For implants with angles >20°, 6-month patient controls are required to control retention of attachments by considering factors in the mouth with the two tested attachment systems. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: IL Kurtulus AG Gurbulak Source Type: research

The prevalence of allergic diseases among children with asthma: What is the impact on asthma control in South East Nigeria ?
Conclusion: Allergic diseases are common in children with asthma in our environment, but did not significantly impact on asthma control. Socioeconomic factors such as urbanization and family size had effects on the achievement of asthma control but not on allergy status. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: AC Ayuk JN Eze BO Edelu T Oguonu Source Type: research

Interventions by Hospital Nurses for the spiritual needs of patients in the Eastern Black Sea Region of Turkey
Conclusions: This study showed that there is very little or no interventions directed at the spiritual dimension during the patient's caring process. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: BC Demirbag CG Ozkan Source Type: research

In vitro and in vivo comparison of orthodontic indirect bonding resins: A prospective study
Conclusions: In vitro study showed lower SBS with chemically-cured indirect bonding resin than flowable light-cured resin and the control group, but in vivo failure rates of both indirect resins were found to be adequate for clinical usage. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: H Pamukcu O Polat Ozsoy R Dagalp Source Type: research

Influence of visual information on consent for invasive procedures in intensive care unit
Conclusions: Using visual materials such as video in addition to verbal information provided an improvement in consent ratios regardless of education levels. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: EC Celik M Ekinci B Ciftci BE G & #246;lboyu O & #214; Kilin & #231; Source Type: research

The pattern and distribution of cancers in Akwa Ibom State, Nigeria
Conclusion: There is a variation between the pattern of cancer in Akwa Ibom and other regions of Nigeria warranting further clinicopathological evaluation, and these results will be useful in the overall context of planning and evaluation of cancer control activities in Akwa Ibom State. A population-based cancer registration in Uyo is suggested. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: CC Nwafor NN Nwafor Source Type: research

Risk factors for postoperative nausea and vomiting in pediatric patients undergoing ambulatory dental treatment
Conclusion: The risk limit for PONV was determined to be ≥5.5 years for children who underwent dental procedures under general anesthesia. Postoperative pain and rescue analgesia constituted risks for PONV. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: O Kocaturk S Keles IK Omurlu Source Type: research

Effect of deproteinization before and after acid etching on the surface roughness of immature permanent enamel
Conclusions: Deproteinizing the enamel of immature permanent teeth with 2.5% NaOCl before and after acid etching with 32% H3PO4 increased surface roughness compared to the application of H3PO4 alone. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: FY Abdelmegid Source Type: research

Comparison of the analgesic effects of pulse radiofrequency and cryoablation in rabbits with mental nerve neuropathic pain
Conclusions: Both PRF and cryoablation therapies are successful in the treatment of experimentally induced mental nerve neuropathic pain in rabbits. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: DG Canpolat E Soylu F Dogruel N K & #252;t & #252;k F Ugur Source Type: research

Sonographic evaluation of renal parameters in individuals with essential hypertension and correlation with normotensives
Conclusion: Cortical echogenicity grading was significantly higher among hypertensives than normotensives while renal parenchymal volume and cortical thickness were lower among hypertensives. In the hypertensives and normotensives, renal parenchymal volume, cortical thickness, and renal length were higher in males compared to the females and in the left kidney compared to the right. Hypertension seems to have more effect in the renal cortex than the medulla. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: NN Nwafor AA Adeyekun OA Adenike Source Type: research

Restless legs syndrome and quality of life in chronic hemodialysis patients
Conclusions: This study revealed that the frequency of RLS among chronic hemodialysis patients is 18.6% and RLS leads to physical life quality disturbances. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: R Kutlu NY Selcuk S Sayin O Kal Source Type: research

Mandibular dental arch changes with active self-ligating brackets combined with different archwires
Conclusions: Bracket type had no significant effect on the mandibular dimensional or incisor inclination changes. Besides this, archwire type had only little effect on the treatment results as active self-ligating bracket with Damon archwires increased mandibular arch length greater than other groups. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: E Atik B Akarsu-Guven I Kocadereli Source Type: research

Pattern and outcome of prenatally diagnosed major congenital anomalies at a Nigerian Tertiary Hospital
Conclusion: CAs remain a major contributor to perinatal morbidity and mortality in Nigeria. Since most are idiopathic, early prenatal detection with ultrasound may facilitate improved diagnosis and the reduction of overall perinatal morbidity and mortality in the Nigerian setting. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: JA Akinmoladun GI Ogbole TA O Oluwasola Source Type: research

Awareness, knowledge, and attitude of dental students toward infection control in prosthodontic clinic of a dental school in India
Conclusions: The study findings showed inadequate attitude and awareness of subjects toward infection control in prosthodontic practice. Their self-assessment and satisfaction reflect their performance toward infection control policy. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: SC Deogade V Suresan A Galav J Rathod SS Mantri SM Patil Source Type: research

Evaluation of the success and complication rates of self-drilling orthodontic mini-implants
Conclusions: The overall success rate of mini-implants was found acceptable in this study, however, screw mobility in the buccal fold showed a high incidence, suggesting the thorough consideration of the immediate loading by buccal mini-implants. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: Z Gurdan J Szalma Source Type: research

Cancer prevention, the need to preserve the integrity of the genome at all cost
Conclusion: Knowledge on how cells detect and repair DNA damage through an array of mechanisms should allay our anxiety as regards cancer development. More studies on DNA damage detection and repair processes are important toward a holistic approach to cancer treatment. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - May 4, 2018 Category: Rural Health Authors: MT Okafor TU Nwagha C Anusiem UA Okoli NI Nubila F Al-Alloosh IJ Udenyia Source Type: research

Herpes zoster-induced acute urinary retention: Two cases and literature review
We report two uncommon cases of acute urinary retention in Chinese patients caused by reactivation of sacral herpes zoster and requiring bladder drainage. Indwelling urinary catheterization, antiviral medication (ganciclovir), and physiotherapy with infrared light (830 nm) led to successful recovery of the micturition reflex in both cases. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: H He C Tang X Yi W Zhou Source Type: research

Usefulness of C1 esterase inhibitor protein concentrate in the management of hereditary angioedema of oropharyngeal tissue
M Yigit, O Sogut, H Lisar, E YigitNigerian Journal of Clinical Practice 2018 21(4):531-533 Hereditary angioedema is an autosomal-dominant disorder caused by mutation of the gene encoding the C1 esterase inhibitor (C1-INH). It manifests as painless, nonpruritic, nonpitting episodic swelling of the subcutaneous tissues, gastrointestinal, and upper respiratory tracts in the absence of urticaria. An attack typically takes 24 h to peak and resolves over 48–72 h. The most serious manifestation is a laryngeal attack associated with upper airway swelling. The aim of this case report is to describe the lifesaving use of a no...
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: M Yigit O Sogut H Lisar E Yigit Source Type: research

Fracture resistance force of primary molar crowns milled from polymeric computer-aided design/computer-assisted manufactured resin blocks
Conclusion: Crowns milled from different chemical structural CAD/CAM blocks may be used for restoration of primary molar teeth. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: A Mete Y Yilmaz SS Derelioglu Source Type: research

Three-dimensional evaluation of alveolar bone thickness of mandibular anterior teeth in different dentofacial types
Conclusions: ABT of mandibular incisors of Class I patients is not affected from vertical pattern except for apical region. There is not a thick bone on the lingual side of the Class II, high-angle patients. The ABT of the Class III, high-angle patients is thin as a risk factor for proclination. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: F Eraydin D Germec-Cakan M Tozlu F Is & #305;k Ozdemir Source Type: research

Effects of varying entry points and trendelenburg positioning degrees in internal jugular vein area measurements of newborns
Conclusion: The use of 15° Trendelenburg positioning may have significant advantage for increasing the CSA when used with the inferior approach. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: P Karaaslan K Darc & #305;n T Ormec & #305; MA Karakaya A Ince NA Aslan A Tastek & #305;n Source Type: research

Shear bond strength of a novel porcelain repair system for different computer-aided design/computer-assisted manufacturing ceramic materials
Conclusions: Within limitations, SuperFlow may be an alternative to the ceramic repair materials we routinely used in the clinic. Empress CAD can be preferable to e.max CAD in terms of esthetically suitable clinical indications. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: M Karci N Demir MG Subasi M Gokkaya Source Type: research

The relationship of erythropoietin receptor expression and prognosis in glioblastoma multiforme patients
Conclusion: These results portrayed that EPOR staining levels were inversely proportional with average survival time. In the future, specific inhibitors of this molecule could be used to form a novel treatment option for GBM. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: S Cevik S Kitis S Evran E Akkaya Z Tosuner H Hanimoglu Source Type: research

Retreatability of root canals obturated using mineral trioxide aggregate-based and two resin-based sealers
Conclusions: None of the sealers evaluated in this study could completely be removed from the root canals. MTA-based sealer was removed faster than resin-based sealers. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: MA Ekici A Ekici S Sa & #287; & #305;ro & #287;lu S Keyfiala B Helvac & #305;o & #287;lu K & #305;van & #231; Source Type: research

Total hip replacement in sickle cell disorder: A preliminary report of challenges and early outcome of 21 consecutive patients
Conclusion: THR is a veritable means of treatment of patients with avascular necrosis of the femoral head arising from SCDs. The challenges encountered during the surgery are related to the quality of bone of the affected patient. Arthroplasty Surgeons in our environment must be fully prepared for the challenges by ensuring a preoperative plan that will take care of the technical problems such as recreating femoral canals, wiring of intraoperative fractures as well as treatment of acetabular defects. A detailed planned total hip arthroplasty can be performed in patients with SCD in younger patients with good clinical benef...
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: AU Katchy UE Anyaehie CU Nwadinigwe GO Eyichukwu Source Type: research

An analysis of patients in palliative care with pressure injuries
Conclusions: PC patients are prone to PI due to many chronic diseases. The localization of PI and infection are effective factors in the healing of ulcers. The treatment costs for PC patients is higher if they have a pressure ulcer. More comprehensive studies will be useful to clarify the economic and social dimensions of this issue. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: M Dincer C Doger S Sen Tas D Karakaya Source Type: research

Knowledge, attitude, and practice of diabetic retinopathy among physicians in Northwestern Nigeria
Conclusion: DR screening among physicians practicing in Northwestern Nigeria was suboptimal, which prompts the need for improved training of physicians managing persons with diabetes on eye examination in a bid to strengthen DR screening and reduce the burden of visual impairment in our environment. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: S Abdulsalam A Ibrahim H Saidu M Muazu UT Aliyu HI Umar ID Gezawa LF Owolabi Source Type: research

Buccal infiltration versus inferior alveolar nerve block in mandibular 2nd premolars with irreversible pulpitis
Conclusion: Within the limitation of this in vivo study, there was no difference between the efficacies of the buccal infiltration anesthesia and IANB anesthesia in the mandibular 2nd premolar teeth with irreversible pulpitis. Buccal infiltration anesthesia caused more discomfort in the patients compared with the IANB during the administration. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: K Yilmaz U Tunga T Ozyurek Source Type: research

Challenges in the management of bleeding disorders in Nigeria
Conclusion: Facilities required for diagnosing and treating BD are significantly deficient in most centers in Nigeria. Funding to provide facility and training is required to improve on this inadequacy. (Source: Nigerian Journal of Clinical Practice)
Source: Nigerian Journal of Clinical Practice - April 2, 2018 Category: Rural Health Authors: HC Okoye KI Korubo B Nwogoh CC Efobi NI Ugwu AJ Madu Source Type: research