Niger J Clin Pract
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Observational Study
Addiction and rehabilitation processes according to the youth with substance history and members of profession-A phenomenological analysis.
The aim of this study was to examine the substance-use history of young people in a rehabilitation center in Berlin with a therapeutic community structure, their thoughts about the rehabilitation process, and the evaluations of the center's employees. ⋯ It was determined that a well-structured rehabilitation center has positive psychological, social, cognitive, and behavioral effects on young people with a history of substance use.
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The objective was to in-vitro evaluate the mode of failure of abutments supporting fixed partial dentures (FPDs) via different retention techniques. ⋯ All abutments underwent failures under cyclic loading with abutment bending being the most common failure mode. Cement- and multi-screw-supported abutments fail more often than screw-supported abutments.
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To evaluate the effect of multiple-use and sterilization on cyclic fatigue and shaping ability of heat-treated nickel-titanium (NiTi) rotary instruments. ⋯ The effects of repeated use and autoclaving on the cyclic fatigue resistance of HyFlex CM, ProTaper Next, and Twisted File were not significant. Canal transportation increased mostly in the apical region. The amount of resin removal decreased as the number of use increased for ProTaper Next and Twisted File instruments.
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Obstetric fistula is a serious public health problem affecting women in low- and middle-income countries. It is characterized by continuous leakage of urine and/or feces from the vagina as a result of injuries sustained from childbirth. It has continued to exist in Nigeria because the publicly funded health-care system has failed to provide quality, equitable, accessible, and affordable maternal health care. ⋯ Universal health coverage is currently not obtainable in Nigeria. When implemented, it will eliminate the existing inequality in access to health care, thereby allowing the poor and vulnerable citizens access to quality maternity care and safe delivery. A comprehensive health insurance cover for all pregnant women regardless of socioeconomic status, priority setting in resource allocation, and public-private partnership are advocated for eradication of obstetric fistula in Nigeria.
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The National Surgical Obstetric and Anaesthesia Plan is an invaluable country resource with the capacity to promote increased access to safe and affordable surgical and anaesthesia care if implemented. Although cost of implementation is only a fraction of Health Sector Strategic Plan cost in the countries with costed plans, it is important that the funding of the plans is based on sustainable financing strategies. This will ensure appropriate and timely implementation and sustainability of the plan itself. The aim of this review was to discuss and make recommendations on innovative and sustainable strategies for financing national surgical plans in sub-Saharan Africa.