Niger J Clin Pract
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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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There is a strong relationship between arterial stiffness and endothelial dysfunction and hypertension. How arterial stiffness is affected in elevated PRL conditions is uncertain. Biological action of prolactin contributing to the atherosclerotic process is a new research area. ⋯ Our study showed that arterial stiffness did not increase in young patients with idiopathic mild hyperprolactinemia. However, the long-term effects of mildly elevated prolactin levels are unknown. Prospective randomized studies are required, that could reveal more clearly the prolactin-cardiovascular risk relation, and the clinical effects of extra-pituitary hyperprolactinemia.
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Case Reports
Evaluation of the relationship between dental caries and dermatoglyphics in 3 to 6-Year-Old Iranian children.
As enamel and finger buds have an ectodermal origin and grow at the same time, it might be supposed that factors and agents that affect dental caries might give rise to the diversity of dermatoglyphic dermal ridge patterns. ⋯ Dermatoglyphic patterns could not be used as a variable for the detection or prediction of dental caries in Iranian children.
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Urinary incontinence (UI) paves the way for many health problems ranging from discomforts of continuous wetness and irritation to social isolation and depression in women. ⋯ In the present study, it was found that UI was prevalent in Turkish women and impaired their quality of life. The results can help to provide education and counseling services to women in a society-sensitive manner.
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It is a well-known fact that the parents play a key role in the early intervention program for their deaf and hard of hearing children. ⋯ Some of the variability in cochlear implantation outcomes that have protracted periods of development is related to family environment. Because the family environment can be modified and enhanced by therapy or counselling, these preliminary findings hold promise for future work in helping families for sustainability in health.