Niger J Clin Pract
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The steady rise in laparotomy rates, particularly resulting from gynecologic and obstetric procedures in our environment has given rise to corresponding increase in the proportions of incisional hernias (IH). Over the years, discussion on the appropriate repair technique for IH has continued, nevertheless, with advances in laparo-endoscopy and introduction of prosthetic meshes, the surgical treatment has been revolutionized. ⋯ In our locality, the trend over time shows a shift from predominantly anatomic suture-based repair to a tensionless mesh implant with far lower recurrent rates. Laparotomy incisions for obstetric and gynecologic procedures are the most common precipitating incisions.
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The violence experienced by a woman during her pregnancy period has a direct impact on both mother and child, and it generally harms the development of the family and society. ⋯ The rate of exposure to physical violence by her spouse during pregnancy period is high. The provision of education and employment can increase a woman's social networks and improve her status within the family.
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The aim of this study is to evaluate the gap distance of two cementation techniques for laminate veneers fabricated on maxillary anterior teeth using heat-pressed ceramic, finger pressure, and ultrasonic cementation techniques. ⋯ The ultrasonic cementation technique improved the gap distance at the tooth/ceramic interface when compared to the finger pressure technique using the light cure cement.
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Randomized Controlled Trial
Effect of Post-Isometric Relaxation and Laser on Upper Trapezius Trigger Point Pain in Patients with Mechanical Neck Pain.
The current study aimed to determine the effectiveness of post-isometric relaxation and LASER treatment in minimizing pain and increasing neck range of motion and function in people with upper Trapezius trigger point pain. ⋯ Both PIR and LASER treatment have been effective in reducing pain-pressure threshold and pain intensity in the management of muscle trigger point pain. Long-term studies are warranted to further validate the effectiveness of these modalities in the management of upper Trapezius trigger point pain.
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Lower gastrointestinal bleeding (LGIB) (hematochezia) is an important indication for colonoscopy, and may be caused by hemorrhoids, diverticulosis, and tumors. ⋯ Our study showed that hemorrhoids, tumors, and diverticulosis were the most common causes of LGIB in Nigerian patients - with younger age being significantly associated with hemorrhoids, and older age with tumors and diverticulosis. A third of the tumors in this study were found in younger patients. Unfortunately, this finding of such a high proportion of colorectal tumors being found in young Africans has been shown in previous reports - this work should help heighten concern and provoke further scientific probing into the phenomenon with a view to encouraging policy to help truncate its existence.