Niger J Clin Pract
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The aim of this study was to compare the antimicrobial efficacy of calcium hypochlorite (Ca(OCl)2) and sodium hypochlorite (NaOCl) associated with or without erbium, chromium: yttrium, scandium, gallium, garnet (Er,Cr: YSGG) laser irradiation in root canals experimentally infected with Enterococcus faecalis. ⋯ Er,Cr: YSGG laser with or without an irrirgation solution has antimicrobial effects on dentinal tubules infected with E. faecalis. The antimicrobial property of 2.5% Ca (OCl)2 was effective as 2.5% NaOCl on E. faecalis with conventional or laser activated irrigation in root canals.
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Antibiotic use is common but has a lot of challenges. Implementation of an efficient and cost-effective policy, which can improve the availability and sustainability of pediatric antibiotic use, is required. In this study, we explore the concept of antibiotic drug pooling (DP) as a means to overcome challenges often associated with antibiotic use. ⋯ The adoption of a harmonized prescription pattern and billing as well as unit-dose dispensing for the first 72 h antibiotic treatment will provide a cost-effective means of ensuring antibiotic availability and sustainability. The drug-pooling concept will not only enhance prompt commencement and discontinuation of antibiotic treatment but will also reduce waste and improve time-out policy.
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Observational Study
Clinical evaluation of postoperative fever in patients that had oral and maxillofacial surgery in university of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Postoperative fever (POF) is often encountered after major oral and maxillofacial surgical procedures. This could become an unwanted complication, requiring detailed clinical evaluation and investigations to determine the cause. ⋯ This study suggests that most cases of POF are of early onset and of short duration. The longer the surgery time, the more likely POF will occur.
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Repeated admissions of patients with undiagnosed psychiatric problems in emergency departments (ED) is a major contributor to patient unsatisfaction and overcrowding in EDs. We evaluated the presence of psychiatric disorders in non-emergent admissions in the ED of a tertiary care hospital. ⋯ Undiagnosed patients with psychiatric disorders appear to be frequent users of medical emergency department services. These results might be helpful in developing more effective strategies to serve the mental health needs of the undiagnosed. People's awareness of psychiatric disorders should be increased.
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Although sickle cell disease has become a recognized etiology of chronic kidney disease (CKD), the sickle cell trait (SCT) variant was until recently believed to be a benign carrier state with little or no effect on the health of affected individuals. However, recent studies now appear to suggest an association between SCT and CKD. ⋯ SCT was not associated with increased risk of renal dysfunction among young adults in Nigeria. Further studies are needed to clarify the controversy, especially in Nigeria, with a relatively higher prevalence of SCT.