Medical & Health Sciences

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Research Papers/Topics Medical & Health Sciences

Are high-viscosity glass-ionomer cements inferior to silver amalgam as restorative materials for permanent posterior teeth? A Bayesian analysis

Background: To develop a synthesis within a Bayesian probability framework of previously established evidence, in order to derive an overall conclusion about the hypothesis (H1): ‘High-viscosity glass-ionomer cements (HVGIC) are inferior to silver amalgam as (load bearing) restorative materials for permanent posterior teeth’. Methods: Following Bayesian method, the prior Odds that H1 is true (established from past uncontrolled clinical longitudinal and laboratory trials), the Likelihoo...

Failure Rate of Direct High-Viscosity Glass-Ionomer Versus Hybrid Resin Composite Restorations in Posterior Permanent Teeth - a Systematic Review

PURPOSE: Traditionally, resin composite restorations are claimed by reviews of the dental literature as being superior to glass-ionomer fillings in terms of restoration failures in posterior permanent teeth. The aim of this systematic review is to answer the clinical question, whether conventional high-viscosity glass-ionomer restorations, in patients with single and/or multi-surface cavities in posterior permanent teeth, have indeed a higher failure rate than direct hybrid resin composite re...

Complete clinical retention of sealant materials should not be contemplated as cut-off for clinical success

Valid surrogate endpoints that are clinically meaningful require compliance with the Prentice criterion: (i) the surrogate needs to correlate with its true clinical endpoint and (ii) the surrogate/clinical endpoint correlation needs to be independent from the treatment type applied. This means that for sealant retention to be a valid surrogate for caries prevention the material retention-loss risk should be directly associated with the caries risk and that such association holds true re...

Caries-Preventive Effect of High-Viscosity Glass Ionomer and Resin-Based Fissure Sealants on Permanent Teeth: A Systematic Review of Clinical Trials

BACKGROUND: Glass-ionomers are traditionally regarded to be inferior to resin as fissure sealants in protecting teeth from dental caries, due to their comparatively lower retention rate. Unlike low-viscosity glass-ionomers, high-viscosity glass-ionomer cements (HVGIC) are placed as sealants by pressing the material into pits and fissures with a petroleum-jelly-coated index finger. Hence, HVGIC sealants are assumed to penetrate pits and fissures deeper, resulting in a higher material retention...

The logic behind the use of fissure sealant retention as a proxy outcome measure for dental caries prevention

Fissure sealant retention is traditionally considered as a proxy measure for caries prevention. This study investigated the logic behind this proposition, and its validity. A logical framework of the proposition was established. The mechanism of caries development was transferred into a Directed acyclic graph, and this was used to investigate the logical framework. The sensitivity and specificity of full sealant retention in the prediction of dental carious lesion development and the...

Reports of uncontrolled clinical trials for directly placed restorations in vital teeth

Uncontrolled trials are criticized as unreliable. This study aimed to establish how the number of published reports from uncontrolled clinical trials compares to that of controlled trials for directly placed restorations in vital teeth and whether their annual number is increasing, stable or decreasing. PubMed was searched and suitable citations of uncontrolled and controlled trial reports published between 1990–2016 were included. Reference check and hand searching were conducted. T...

Pre-hospitalization settings HE revised(1)

Hyperglycaemic emergency (HE) is a frequent complication of diabetes mellitus (DM) and one of the commonest causes of hospitalization and death among people living with diabetes and previously unknown diabetes. Mortality from HE is still high in developing countries such as Nigeria; mortality being dependent on co-morbid conditions and precipitating factors. There is no report yet in the literature on the contribution of pre-hospitalization settings to outcome of HE, hence the need for this s...

A STUDY OF MEDICAL RECORDS DOCUMENTATION ISSUES IN FEDERAL NEUROPSYCHIATRIC HOSPITAL ENUGU WITH SPECIAL REFERENCE TO DISCHARGE FOLLOW UP

The need for transparency has made a beautiful mirror of a point ushered into the research plane. The issues detected were overtly accepted and are all being worked on vivaciously. The spirit of error detection in health management practice is one that usually humours the principal since all health odds go through them to get treated. However, the subordinate point has been made and the bridge is being built across the sea of impunity and workers' pride. Thanks to the approachability that is ...

Phyto-Accumulation of Lead and Chromium in Common Edible Green-Leafy Vegetables Consumed in Dutse Metropolis, Jigawa State, Nigeria

Abstract Several researches have shown that the accumulation of heavy metals in green-leafy vegetables is of increasing concern due to food safety threat and potential health risks. Therefore, the aim of this research was to analyze the amount of heavy metals  accumulated in three green-leafy vegetables consumed in Dutse metropolis, Jigawa state, Nigeria. Three (3) samples of each  of the vegetables were collected randomly from two (2) different markets in Dutse Metropolis. The sample coll...

A STUDY OF MEDICAL RECORDS DOCUMENTATION ISSUES

This is a capture of medical records documentation lapses observed over a period of at least seven years. The fact of medical diagnostics makes the paper pertinent because of the timeliness and crucial nature of the professional content of the department in question measured against the actual manifest. The economics of choice and opportunity cost however, may not rule out the power to make, create and innovate commoner ways to ensure that medical records professionalism is not compromised.

Cutaneous mycoses

Cutaneous mycoses infections of the skin, hair, or nails are recurring presentations in the geriatric primary care setting. The most common infections are those caused by dermatophytes. The genus Trichophyton gives rise to most of the tinea dermatophytoses, including tinea capitis, tinea pedis, and tinea unguium (cutaneousmycoses). Part of the diagnostic challenge lies in distinguishing the mycotic lesions from those caused by cutaneous diseases such as psoriasis, eczema, dyshidrosis, and con...

Family Planning and birth Control

Introduction Family planning is the information, means and methods that allow individuals to decide if and when to have children(UNFPA,2019). This includes a wide range of contraceptives – including pills, implants, intrauterine devices, surgical procedures that limit fertility, and barrier methods such as condoms – as well as non-invasive methods such as the calendar method and abstinence. Family planning also includes information about how to become pregnant when it is desirable, as w...

Biological hazards

                                                              Abstract Biological hazards remain a source of challenge to the health services and to health service occupational health practitioners. The scale of the problem is truly staggering.  Recent developments include new guidance from the WHO department of hepatitis B infected healthcare workers and evidence of the value of antiviral treatment in reducing transmission of HIV....

Acute anaphylaxis in the postpartum period caused due to herbal oils used for body massage: A Case Report

Abstract The use of alternate therapy of medicine like Ayurvedic or Herbal is usually believed to be closer to nature and without many additives and is sometime chosen as the first line treatment for a lot of medical conditions. Aromatherapy or ayurvedic oil massage is considered an important treatment alternative in treatment of alleviation of pain or even as past partum rehabilitation before resorting to allopathic medication, which is considered stronger. The reporting of having allergic ...

Nutritional Status Estimation and it's correlation to Intelligent quotient

Introduction: The underdeveloped regions of the world seem to be mostly affected by nutritional problems associated with food insecurity. Within these underdeveloped countries, Africa’s share of the problems is great. Inadequate food situation has remained a great problem in Nigeria. Nutritional deficiencies such as are associated with protein and energy are recognized to have the potential adverse effects on learning and intelligence, thus, appropriate nutrition interventions are dependent...


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