Niger J Clin Pract
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Case Reports
Revascularization of near total amputation of the hand: A viable salvage procedure in a resource-constraint setting.
Traumatic near total amputation of the hand with major vascular injury may lead to loss of the hand with dire consequences to the patient. A prompt attempt at salvaging the hand is key to prevent the untoward consequences. In addition, the awareness of the possibility of salvage in our environment should be spread among health care personnel as well as the need for multispecialty approach to the management. We report 2 patients with near total unilateral amputation of their hands proximal to the wrist who underwent salvage procedures.
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Social disadvantage has an influence on the health of individuals. In developed countries, the prevalence, pattern of social disadvantage, and the outcome of admissions in socially disadvantaged children are under-studied. ⋯ Many children admitted to the PEU in Osogbo are socially disadvantaged. Children of low-income parents, unemployed mother, single parent, residents of rural places, and those without health insurance are more vulnerable to developing infectious disease as well as neonatal jaundice and protein-energy malnutrition. Socially disadvantage increases the risk of poor illness outcome (death).
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Family planning deficiencies are responsible for high maternal, newborn, and child mortality in Nigeria, and more than half of all death among adult female is linked to maternal death. ⋯ The level of knowledge, attitudes, and ever practiced family planning among teachers are moderate and a significant number of predictors were identified. Effective awareness is recommended and making use of television as a channel to increase levels of knowledge will hopefully encourage utilization of family planning among teachers.
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Meta Analysis
Salivary flow rate, pH, and buffer capacity in the individuals with obesity and overweight; A meta-analysis.
Weight in individuals can affect the saliva structure, which has an essential role in caries prevention. ⋯ SFR significantly decreases in individuals with OB, notably when saliva is stimulated. Besides, the decrease in SFR is much more prominent in adolescence and adulthood than in childhood. Furthermore, the increase in the severity of OB causes a much greater decrease in SFR. However, regarding SpH and SBC, no significant association exists.
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Randomized Controlled Trial Comparative Study
Comparison of the effects of exenatide and insulin glargine on right and left ventricular myocardial deformation as shown by 2D-speckle-tracking echocardiograms.
Exenatide is a glucagon-like peptide-1 (GLP-1) analogs. The effects of GLP-1 analogs on myocardial function are controversial. ⋯ Glp-1 treatment can improve left ventricular regional and right ventricular global subclinical dysfunction. Therefore, early GLP-1 treatment may be recommended in diabetic patients with a high risk of cardiac dysfunction.