Niger J Clin Pract
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Reverse shoulder arthroplasty (RSA) is used commonly for a wide range of indications. The complications after the total shoulder replacements have been reported to be related with the prosthesis design. The type of the humeral stem is a consideration to reduce complication. Radiographic changes are seen at a high rate with new-generation press-fit stems. ⋯ The increased radiographic stress shielding adaptation leading to humeral osteolysis was found to have a negative effect on the functional results with the press-fit technique irrespective of stem design.
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Observational Study
Effects of Maternal Dyslipidemia on Maternal and Perinatal Outcomes in Enugu, Southeast Nigeria: A Prospective Cohort Study.
Maternal dyslipidemia is one of the consistent metabolic changes during pregnancy. There is a controversy as to whether maternal lipid disturbances in early pregnancy are associated with adverse maternal and perinatal outcome. ⋯ Maternal dyslipidemia is associated with some adverse perinatal outcomes such as LBW, IUFD, still birth, and birth asphyxia. These findings would guide in the care of pregnant women with dyslipidemia.
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Nowadays, the increasing importance of mother-infant contact, the significant impact of mother and baby's sleep quality, and the positive effects on breastfeeding are factors that make breastfeeding sleep important. ⋯ The literature is very limited in assessing the effects of breastsleeping on mothers' sleep quality and attachment. This study found that breastsleeping did not affect maternal sleep quality and attachment.
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Colorectal carcinoma (CRC) is the most common gastrointestinal malignancy in Nigeria with a dismal 5-year survival rate. Interactions between the CD8+ T-lymphocytes and the immune checkpoints such as cytotoxic T-lymphocyte antigen-4 (CTLA-4) and programmed death-ligand 1 (PD-L1) expressions are important. Novel antibodies have been developed against these immune checkpoints and have been found to improve clinical outcome in many solid organ malignancies. ⋯ PD-L1 expression in CRC was low (5.6%) and showed strong associations with higher tumor grades (P < 0.013), right-sided tumors (P < 0.002), and rectal cancer. There was no association with age, tumor stage, and lymph node status.
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Silver diamine fluoride (SDF) is employed in caries prevention and treatment; however, tooth discoloration post treatment is a significant disadvantage, which can be reduced using glutathione (GSH), a water soluble tripeptide. ⋯ The use of GSH along with SDF helps in reducing the discoloration without compromising the shear bond strength.