Niger J Clin Pract
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Discharge against medical advice (DAMA) is when a patient decides to leave the hospital without the consent of the treating physician. It poses serious clinical, ethical, and legal challenges to the individual physician as well as the hospital. ⋯ The study findings indicate a low DAMA rate when compared to previous studies in this region. It also indicates that financial constraints, family preference for unorthodox care, and low educational status are major drivers of DAMA. Deepened health insurance and other measures that can reduce the prevalence of DAMA should be prioritized to improve treatment outcomes.
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Observational Study
The Relationship between Choroidal Thickness and Liver Damage in Simple Auto-immune Hepatitis Patients.
There was no sufficient clinical evidence on the relationship between auto-immune hepatitis (AIH) and risk of eye illness, except 11 uveitis cases where related AIH is reported currently. ⋯ The improvement of ChT might reflect the remission of liver damage in simple AIH patients without ocular symptoms during oral prednisone treatment.
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Nighttime blood pressure dipping is a normal physiologic phenomenon. Lack of dipping is associated with increased cardiovascular disease; thus, non-dipping patients are candidates for more strict risk reduction strategies. Dipping presence can be identified using ambulatory blood pressure measurement (ABPM). Recent findings indicate that inflammatory, metabolic, and liver-related indices may have a role in predicting dipping presence dichotomously. ⋯ This study showed for the first time that there was a negative correlation between inflammatory and metabolic indices and dipping ratios.
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Integrity of nucleic acids derived from archived formalin-fixed paraffin-embedded (FFPE) cancer specimens affects diagnosis, prognosis, and therapy. Several factors affect the quality and quantity of extracted nucleic acids and one of such factors is storage period. ⋯ Quantity and quality of nucleic acids from FFPE tissues stored for different time periods showed no significant difference in yield and quality.
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During the course of a non-surgical orthograde endodontic retreatment, supplementary instrumentation is usually required for better removal of root canal filling material. ⋯ The combined action of Mtwo-R retreatment files and XP-Endo Finisher R resulted in significant reduction of the amount of root canal filling material. Nevertheless, none of the examined rotary systems guaranteed its complete removal.